Ear, Pediatrics FAQ - Page 47

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Understanding Early Puberty in Boys: What Parents Should Know

Puberty in boys Your son is currently 10 years and 2 months old and has developed fine, sparse pubic hair, along with noticeable changes in the size and length of his penis. He is 148 cm tall and weighs 45 kg. Is this situation normal? Should I take him to a doctor for a bone age...


Dr. Xiao Kaiwen Reply:
If a child shows "obvious" secondary sexual characteristics and experiences a rapid increase in height before the age of 8-9, it may indicate a condition known as precocious puberty. It is generally considered normal for children over the age of 10. In Taiwan, foods hig...

[Read More] Understanding Early Puberty in Boys: What Parents Should Know


Dietary Guidelines for Pre-Dialysis Kidney Patients: What to Know

I would like to ask about dietary issues for dialysis patients? My mother is currently 57 years old. Her kidney function index has reached 10.7, but she has not yet started dialysis. I would like to ask how to adjust her diet. Can we use healthy low-sodium salt for main dishes? W...


Dr. Ma Yiqun Reply:
Xiao Bu: I apologize, but issues related to adult nephrology are not my area of expertise. Please consult a nephrologist. Changhua Hospital cares about you.

[Read More] Dietary Guidelines for Pre-Dialysis Kidney Patients: What to Know


Understanding Adrenal Issues in Infants: Causes and Concerns

Adrenal issues in infants? Hello Doctor: My daughter is just over two months old. She was hospitalized for four days due to a urinary tract infection when she was less than a month old, and a bacterial culture confirmed the presence of Escherichia coli. A renal ultrasound was per...


Dr. Pei Rensheng Reply:
Hello: The presence of white spots on the adrenal glands is most likely due to a previous adrenal hemorrhage that has subsequently calcified, resulting in the appearance of these white spots. Of course, the possibility of a tumor must also be ruled out. Observational statistics i...

[Read More] Understanding Adrenal Issues in Infants: Causes and Concerns


Understanding Knee Issues in Toddlers: A Parent's Guide

Knee issues in two-year-old children? Hello Doctor, my daughter has just turned two years old (in the United States). Last Wednesday (3/7), I received a call from her preschool teacher, saying that she refused to stand up after her nap and asked us to take her home for care. We n...


Dr. He Shenglong Reply:
Hello: Your daughter has no medical history, and her hip X-ray is normal. There is swelling in the soft tissue of her right knee, which was previously unable to fully extend, but now she can flex it to about 120 degrees. As the swelling in her right knee gradually subsides, her r...

[Read More] Understanding Knee Issues in Toddlers: A Parent's Guide


Understanding Patent Foramen Ovale in Infants: Key Questions Answered

Patent foramen ovale (PFO) Hello Dr. Hsiao, I would like to ask you a few questions. 1. My baby is 4 months old. During the newborn echocardiogram, the doctor noted a 0.13 mm gap in the foramen ovale. In today's 4-month check-up, the gap measured 0.474 mm. Since these two ...


Dr. Xiao Kaiwen Reply:
1. Echocardiography is a highly skill-dependent examination, and the accuracy of the results can vary based on the operator's experience and technique, as well as the baby's level of cooperation at the time of the exam. 2. The foramen ovale typically gradually decreases...

[Read More] Understanding Patent Foramen Ovale in Infants: Key Questions Answered


Understanding Patent Ductus Arteriosus in Newborns: What Parents Should Know

Patent Ductus Arteriosus (PDA) I had a cesarean section on February 24 and gave birth to a daughter. On the 29th, a neonatal echocardiogram was performed, and the report was sent on March 8, concluding that there is a patent ductus arteriosus (PDA). Under normal circumstances, it...


Dr. He Shenglong Reply:
Hello: After a newborn is born, the ductus arteriosus typically closes. If it remains open, it is referred to as a patent ductus arteriosus (PDA). Under normal circumstances, it usually closes on its own within a few weeks, and once closed, there are no heart issues. It is recomm...

[Read More] Understanding Patent Ductus Arteriosus in Newborns: What Parents Should Know


Understanding Vasculitis in Children: Concerns and Treatment Options

Vasculitis refers to a group of disorders characterized by inflammation of the blood vessels, which can lead to changes in the vessel wall Hello Doctor: My daughter developed a rash on the sole of her foot at the end of November last year. Initially, we thought it was allergic pu...


Dr. He Ciyuan Reply:
Vasculitis is an inflammation of the blood vessels that can lead to vessel lumen collapse and ischemia. The etiology may involve abnormal immune mechanisms, particularly the deposition of immune complexes. There are many types of vasculitis, and it is unclear which type your chil...

[Read More] Understanding Vasculitis in Children: Concerns and Treatment Options


Understanding Vomiting in Toddlers After Head Injury: Key Considerations

Pediatric vomiting Hello, doctor. My child, who is around one year old, fell from a chair and hit their head. They cried a lot at the time, but after a preliminary examination at the hospital, there were no major issues found. The doctor advised us to observe the child. For the n...


Dr. Xiao Kaiwen Reply:
In medical terms, it is certainly not appropriate to categorically rule out any possibilities; however, a history of head trauma from "three months ago" is extremely unlikely to be the cause unless accompanied by other neurological symptoms such as altered consciousness...

[Read More] Understanding Vomiting in Toddlers After Head Injury: Key Considerations


What to Do If Your 6-Month-Old Baby Has a Patent Foramen Ovale?

What should I do if my six-month-old baby’s oval foramen has not closed? My baby had an echocardiogram at birth, which revealed a patent foramen ovale (PFO). After three months, a follow-up showed two small openings measuring 0.3 and 0.4 cm. The doctor advised further monitoring....


Dr. Xiao Kaiwen Reply:
In most cases, the patent foramen ovale (PFO) will close on its own over time without any long-term complications, so there is no need for excessive concern. Moreover, your child's size is considered small, and it is also decreasing. Regular follow-up with a pediatric cardio...

[Read More] What to Do If Your 6-Month-Old Baby Has a Patent Foramen Ovale?


Which Specialist to Consult for My Daughter's Ongoing Leg Pain?

Which department should I visit for an outpatient consultation? Hello, my daughter is 9 years old. Last October, while playing at school, she accidentally punctured her thigh with a sharp object. According to her, she pulled the object out, but it still hurts to this day. Which s...


Dr. Xiao Kaiwen Reply:
If there is a history of trauma, the patient should visit the surgical outpatient clinic, specifically general surgery. If the diagnosis is not related to the previous trauma, the patient can be referred back to pediatrics or orthopedics to investigate any other issues.

[Read More] Which Specialist to Consult for My Daughter's Ongoing Leg Pain?


Do Kids Need General Anesthesia for Umbilical Polyp Removal?

Is general anesthesia required for the treatment of umbilical polyps? Dr. He, I saw you mention that electrosurgery for umbilical polyps can be done without anesthesia. Why did the doctors say my child needs general anesthesia? Can you tell me which hospital can perform this proc...


Dr. He Shenglong Reply:
Hello: Generally, electrosurgery for umbilical polyps does not require general anesthesia; perhaps the physician is concerned about the child moving too much or other issues? I recommend taking the child to a nearby hospital to consult with a surgeon and hear their opinion. Thank...

[Read More] Do Kids Need General Anesthesia for Umbilical Polyp Removal?


Baby Growth Concerns: When to Switch Formula and Nutritional Tips

Baby growth issues? Is it necessary for a baby to wait until they are one year old to switch to formula for one-year-olds? Can I switch a week early? My baby has grown two teeth since nine months but hasn't grown any new ones close to one year. Does this indicate a nutrition...


Dr. Xiao Kaiwen Reply:
1. It should be fine to switch a week early, as long as there are no adverse reactions within three days (such as rashes or diarrhea), indicating that the baby can tolerate it. 2. As long as growth and development are normal, there will be no nutritional deficiencies; dental grow...

[Read More] Baby Growth Concerns: When to Switch Formula and Nutritional Tips


Managing Fever, Vomiting, and Diarrhea in Children During Flu Season

The child has recently been experiencing fever, diarrhea, and vomiting? Recently, the flu has been quite severe. We adults are experiencing coughing and fever, especially severe coughing. Not long after, my eldest child also developed a cough, fever, vomiting, and diarrhea. My yo...


Dr. Pei Rensheng Reply:
Dear Xiao Chen, Hello! 1. There has been a significant increase in influenza cases recently, and a rapid test can be performed for a definitive diagnosis. 2. Winter is also the peak season for rotavirus gastroenteritis. After the consultation, the physician may recommend a st...

[Read More] Managing Fever, Vomiting, and Diarrhea in Children During Flu Season


Understanding Newborn Stool Patterns: Lactose Intolerance vs. Normal Changes

Newborn Stool II Hello Doctor, I previously consulted you about the issue of lactose intolerance in newborns. Currently, the milk intake is 100-120 CC every 3-4 hours. Since the night of December 20, I started adding 30 CC of breast milk, and the breast milk amount has now increa...


Dr. Pei Rensheng Reply:
Hello: 1. An increase in breast milk supply may lead to an increase in the frequency of bowel movements. You can observe if there is an increase in stool moisture, or if mucus or blood is present, as this may indicate diarrhea. If there are no such symptoms and only the frequen...

[Read More] Understanding Newborn Stool Patterns: Lactose Intolerance vs. Normal Changes


Understanding Language Development Delays in Toddlers: When to Seek Help

Language Development in Young Children Hello, Dr. Hsiao: The child was born on June 6, 2009, and is currently 2 years and 6 months old. He is not yet able to speak in complete sentences and can only say simple words (such as "dad," "mom," "brother,"...


Dr. Xiao Kaiwen Reply:
At 2 years and 6 months, a child should be able to speak many simple sentences but may not yet be able to articulate phrases longer than four words. This indicates a potential language delay. It is advisable to consult a pediatric neurologist to check for any specific underlying ...

[Read More] Understanding Language Development Delays in Toddlers: When to Seek Help


Should I Worry About My Toddler's Snoring? Common Causes and Solutions

Snoring during sleep? My son is already two years old, and for the past six months, he has been snoring frequently during sleep, sometimes quite loudly. Occasionally, when he wakes up and is active, I also notice that his breathing sounds a bit loud. Should we see a doctor? What ...


Dr. Xiao Kaiwen Reply:
Snoring during sleep is the sound produced by the vibration of soft tissues in the upper airway. This can be caused by various factors such as enlarged tongue, enlarged tonsils, hypertrophied nasal turbinates, deviated septum, obesity leading to excessive soft tissue, abnormal or...

[Read More] Should I Worry About My Toddler's Snoring? Common Causes and Solutions


Understanding Newborn Bowel Movements: Lactose Intolerance and Feeding Tips

Newborn stool Hello Doctor, my daughter was born on December 1st of this year, with a birth weight of 3454 grams. She has been drinking breast milk and hydrolyzed formula (initially there wasn't enough milk). Around 7 to 8 days after birth, I noticed that her stools were ver...


Dr. Pei Rensheng Reply:
Dear Tina, 1. Temporary lactose intolerance commonly occurs after gastroenteritis or chemotherapy. Congenital lactose intolerance is very rare and is more frequently seen in Finland. 2. Lactose-free formula is generally recommended for 6 to 8 weeks; if bowel movements are normal...

[Read More] Understanding Newborn Bowel Movements: Lactose Intolerance and Feeding Tips


Concerns About Infant Brain Ultrasound Results: Hydrocephalus or Development Issues?

Questions Regarding Infant Brain Ultrasound Examination Results Hello, Doctor. My child is 2 months and 2 days old and went to the pediatric clinic for vaccinations. The doctor assessed that there is weak neck support (head lag) and arranged for a brain ultrasound examination. Th...


Dr. Xiao Kaiwen Reply:
The results of the infant's brain ultrasound examination indicate that monitoring is sufficient, as there are no obvious signs of hydrocephalus or issues with brain tissue development. It is important to regularly measure the baby's head circumference; if there is a dis...

[Read More] Concerns About Infant Brain Ultrasound Results: Hydrocephalus or Development Issues?


Understanding Rectal Issues in Toddlers: Hemorrhoids or Fissures?

My two-year-and-two-month-old daughter has a lump around her anus that seems to be either hemorrhoids or an anal fissure? Hello Doctor, my daughter is 2 years and 2 months old. She has been experiencing constipation for more than 3-4 days at a time, and I'm unsure if it'...


Dr. Xiao Kaiwen Reply:
The round, elongated lump is likely not an anal fissure; it may be caused by long-term friction resulting in an external hemorrhoid, or it could be soft tissue from inside the anus slightly protruding (it's difficult to say without seeing it). It is recommended to consult a ...

[Read More] Understanding Rectal Issues in Toddlers: Hemorrhoids or Fissures?


Why Two-Year-Olds Don't Need Excessive Milk: A Pediatric Perspective

Reasons why a two-year-old child does not need excessive milk? My son is already two years old. At birth, his growth curve was only in the 3-15% range. Currently, he weighs 11 kg and is 84 cm tall, still around the 3-15% range. He drinks 200 ml of milk in the morning and before b...


Dr. Xiao Kaiwen Reply:
As long as a baby's growth percentiles for height, weight, and head circumference in their health booklet are consistently following their own curve without significant fluctuations, it is considered normal. Therefore, it is important to compare the baby to themselves rather...

[Read More] Why Two-Year-Olds Don't Need Excessive Milk: A Pediatric Perspective


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