Understanding Elevated Infection Index in Pediatric ITP Cases
The infection index is elevated? The child in the family has been diagnosed with ITP for over a year and currently has elevated infection markers (CRP), with normal values being less than 6, but the child's infection markers exceeding 30. What could be the causes of elevated...
Dr. Xiao Kaiwen Reply:
CRP is commonly referred to by physicians as an infection marker. An elevated level typically indicates that there is inflammation occurring somewhere in the body, which may commonly be due to viral or bacterial infections. Less frequently, there may be other potential causes of ...[Read More] Understanding Elevated Infection Index in Pediatric ITP Cases
Understanding Vaccine Reactions in Infants: A New Mom's Concerns
Vaccine issues Hello, doctor. I am a very anxious new mother. On July 1st, I took my baby to receive the 13-valent and pentavalent vaccines, with one injection in each leg (both of these were the third doses). On the first day after the vaccinations, there was redness and swellin...
Dr. Xiao Kaiwen Reply:
The pentavalent vaccine and the 13-valent pneumonia vaccine may have a higher likelihood of side effects in subsequent doses compared to the initial doses. This is because the immune system has already developed some memory, making reactions more pronounced later on. Localized lu...[Read More] Understanding Vaccine Reactions in Infants: A New Mom's Concerns
Concerns About Vaccine Reactions in Infants: A New Mom's Guide
Vaccine issues Hello, doctor. I am a very anxious new mother. On July 1st, I took my baby to receive the 13-valent and pentavalent vaccines, with one injection in each leg (both of these were the third doses). On the first day after the shots, there was redness and swelling, whic...
Dr. Xiao Kaiwen Reply:
The pentavalent vaccine and the 13-valent pneumonia vaccine may have a higher likelihood of side effects with subsequent doses compared to the initial doses. This is because the immune system has already developed some memory, making reactions more pronounced later on. Localized ...[Read More] Concerns About Vaccine Reactions in Infants: A New Mom's Guide
Understanding Pediatric Skin Issues: When to Seek Medical Advice
Skin issues Hello Doctor: My child is currently over 11 months old. Recently, I noticed a small red area on his little toe that looks like a bruise. It doesn't hurt when I press on it, but it hasn't gone away. I just learned from my mother-in-law that about a month ago,...
Dr. Xiao Kaiwen Reply:
If it is confirmed to be a bruise from a contusion, it should gradually be absorbed over time. Applying heat and massaging the area while taking a shower may help facilitate absorption.[Read More] Understanding Pediatric Skin Issues: When to Seek Medical Advice
Understanding Glycated Hemoglobin Levels in Children: Is It Prediabetes?
Glycated hemoglobin Hello Doctor: For a 15-year-old child, the fasting blood glucose level is 87 mg/dL, and the hemoglobin A1c is 5.7% (with a reference range of 4-6%). Does this indicate prediabetes?
Dr. Xiao Kaiwen Reply:
A hemoglobin A1c level between 5.7% and 6.4% is classified as prediabetes, even if fasting blood glucose levels are normal. It is recommended to seek evaluation and treatment from a pediatric endocrinology department at a major hospital.[Read More] Understanding Glycated Hemoglobin Levels in Children: Is It Prediabetes?
Understanding Chronic ITP and Prolonged Lymphadenopathy in Children
ITP with lymphadenopathy Hello, doctor. My three-year-old family member has been diagnosed with chronic ITP. They used a medication called Eltrombopag at the end of last year, and have just stopped taking steroids. They are currently taking 12 mg of Eltrombopag daily. About two m...
Dr. Pei Rensheng Reply:
Hello: 1. Chronic ITP is defined as lasting more than one year, and a bone marrow biopsy may be considered. 2. The causes of lymphadenopathy include infections, tumors, and congenital developmental remnants, which may persist for several months and could still be due to an infect...[Read More] Understanding Chronic ITP and Prolonged Lymphadenopathy in Children
Understanding Infant Feeding Issues: Burping, Gas, and Spitting Up
Milk consumption issues? Hello, doctor. My daughter has just turned two months old. I understand that there are issues with feeding amounts, mainly focusing on the total intake for the day. However, we have been experiencing a problem recently during feeding. For example, when we...
Dr. Xiao Kaiwen Reply:
Newborns have a more sensitive gastrocolic reflex, so sometimes when they drink milk, it can lead to increased intestinal motility, resulting in temporary colicky pain. This situation is a normal transient phenomenon, as long as there are no issues with frequent feedings or sever...[Read More] Understanding Infant Feeding Issues: Burping, Gas, and Spitting Up
Understanding Feeding Challenges in Infants: Gas, Spitting, and Hunger Issues
Milk consumption issues? Hello, doctor. My daughter has just turned two months old. I understand that there are issues with feeding amounts, primarily focusing on the total intake for the day. However, we have been facing a problem during feeding. For instance, when we prepare 11...
Dr. Xiao Kaiwen Reply:
Newborns have a more sensitive gastrocolic reflex, so sometimes when they drink milk, it can lead to increased intestinal motility, resulting in temporary colicky pain. This is a normal transient phenomenon, as long as there are no issues with frequent feedings or severe vomiting...[Read More] Understanding Feeding Challenges in Infants: Gas, Spitting, and Hunger Issues
Understanding Testicular Development Issues in Pediatric Patients
I would like to inquire about testicular development? Dear Doctor, my son was diagnosed with a retractile testicle when he was over five years old and underwent surgery last year. However, during a follow-up visit this year, the doctor informed me that the growth of the testicle ...
Dr. Xiao Kaiwen Reply:
Excessive consumption of sweets can affect development, including the development of sexual organs during puberty. In severe cases, it may lead to precocious puberty. Sweets include various sugar-sweetened beverages and refined carbohydrate desserts, which should be avoided in ex...[Read More] Understanding Testicular Development Issues in Pediatric Patients
Should My Child Retest for Allergens After 5 Years of No Reaction?
Do I need to redo an allergy test from five years ago? Hello Dr. Hsiao, My son is 19 years old and has had allergy symptoms since he was young. When he was 14, he underwent an allergen test (M25-130-Z MAST ALLERGY) at Chang Gung Memorial Hospital, which tested for 36 allergens, ...
Dr. Xiao Kaiwen Reply:
During the transition from infancy to childhood and then to adolescence, it is possible for allergic predispositions to change. Therefore, allergen testing that was conducted over five years ago may no longer be accurate, and it may be worth considering retesting. After that, fur...[Read More] Should My Child Retest for Allergens After 5 Years of No Reaction?
Concerns About X-Ray Frequency for Suspected Sinusitis in Children
An X-ray was taken due to suspicion of sinusitis? The child is currently 7 years old and has recently experienced some difficulty breathing. Initially, they visited a pediatrician at a regional hospital, where the doctor diagnosed allergic rhinitis and noted that swollen nasal tu...
Dr. Pei Rensheng Reply:
Hello: After the radiologic technologist positions the patient and takes the image, they will verify the image. If there are any foreign objects or motion artifacts causing blurriness, they will retake the image. Sinus X-rays can assist in diagnosing sinusitis; they use a very lo...[Read More] Concerns About X-Ray Frequency for Suspected Sinusitis in Children
Understanding Uvular Absence in Newborns: Risks and Future Implications
Uvula agenesis If a newborn's initial examination shows no uvula and they are currently feeding without severe choking, is there a need for reconstructive surgery in the future? What are the risks involved? Will this affect their ability to speak later on, or could there be ...
Dr. Xiao Kaiwen Reply:
If it is confirmed that there is no cleft lip or palate, and the infant is swallowing normally with no significant abnormalities in pitch when crying, then surgery is not necessary. If there is mild speech impairment later on, it can be addressed through speech therapy. If there ...[Read More] Understanding Uvular Absence in Newborns: Risks and Future Implications
Understanding Unexplained Symptoms in Pediatric Patients: A Guide
Unexplained physical discomfort? Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone catheter ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours each day. He h...
Dr. Zhong Ruixian Reply:
Hello Ms. Chiu: 1. If you would like to seek a second opinion regarding heart issues, you may consider visiting the pediatric cardiology department at a medical center. 2. For bone-related issues, if there are no concerns from the pediatric rheumatology perspective, you may also ...[Read More] Understanding Unexplained Symptoms in Pediatric Patients: A Guide
Best Supplements to Boost Immunity in Children and Reduce Colds
What dietary supplements can enhance children's immunity and reduce the frequency of colds and fevers? Due to my 2-year-old child frequently catching colds and having fevers every 1-2 weeks, and considering my busy work schedule, I would like to purchase health supplements t...
Dr. Xiao Kaiwen Reply:
Methods to enhance children's immunity include maintaining healthy lifestyle and dietary habits, such as having a balanced diet without snacks, ensuring adequate sleep, keeping a positive mood, engaging in regular and sufficient physical activity, and staying up to date with...[Read More] Best Supplements to Boost Immunity in Children and Reduce Colds
Is Your 5-Month-Old Preferring Water Over Milk? Key Concerns
At 5 months old, sometimes the baby prefers to drink water instead of milk? Hello, Doctor: My daughter is currently 5 months and 11 days old. Recently, after spitting up, an elder gave her some water to rinse her mouth, and since then, she has been asking for water continuously. ...
Dr. Xiao Kaiwen Reply:
Infants under 6 months old should not be given too much water because their kidneys are not fully mature. However, small amounts of water, such as rinsing the mouth after feeding milk, are acceptable. Since your baby is over 5 months old and only consumes 160 cc of pure water a d...[Read More] Is Your 5-Month-Old Preferring Water Over Milk? Key Concerns
Understanding Unexplained Symptoms in Pediatric Patients: A Guide
Unexplained physical discomfort? Your question: Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone catheter ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours...
Dr. Xiao Kaiwen Reply:
Your current symptoms have many possible causes. I believe your pediatric cardiologist should have the best understanding of your condition right now. If a referral to a specific pediatric subspecialty is needed, they will be most knowledgeable about that. I think the pediatric s...[Read More] Understanding Unexplained Symptoms in Pediatric Patients: A Guide
Unexplained Health Issues in Children: A Case Study of Cardiac and Bone Pain
Unexplained physical discomfort? Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone radiofrequency ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours each day...
Dr. Xie Wanghu Reply:
Hello, recommendations: 1. Take your child to the pediatric cardiology clinic at Taipei Veterans General Hospital to see Dr. Li Bi-Chang for an evaluation of the chest tightness and its possible relation to the radiofrequency ablation procedure. 2. For joint pain, it is advisable...[Read More] Unexplained Health Issues in Children: A Case Study of Cardiac and Bone Pain
Understanding Fever and Vomiting in Children with Tonsillitis
Fever due to tonsillitis? Hello doctor, my child has a fever due to tonsillitis. On June 10th, they vomited once in the early morning, which seemed normal. However, on June 11th at 3 PM, they vomited again, this time mixed with some phlegm and blood. Is this normal?
Dr. He Zongxian Reply:
Hello, since you did not provide age and other relevant information, the following response is for your reference. If a child has a fever, they may occasionally vomit due to discomfort. However, if there are blood streaks in the vomit, it may require further examination by a phys...[Read More] Understanding Fever and Vomiting in Children with Tonsillitis
Accidental Ingestion of Mosquito Repellent: What Parents Should Know
Ingestion of mosquito repellent? Hello, my child is over five years old. This morning, while applying mosquito repellent, it accidentally got sprayed on his face. He mentioned that it also got on his lips. I wiped it off at the time, but I'm unsure if he ingested any of the ...
Dr. Xiao Kaiwen Reply:
The main ingredient of mosquito repellent is picaridin, which is relatively environmentally friendly and has lower toxicity. If a small amount is accidentally sprayed on the lips, it should not pose a serious health risk, so there is no need to be overly concerned.[Read More] Accidental Ingestion of Mosquito Repellent: What Parents Should Know
Understanding Adenovirus Symptoms in Children Before Air Travel
Adenovirus and Air Travel Hello Doctor, my child started having a high fever of 38.8°C on the evening of Sunday, May 21. After visiting the emergency room, it was confirmed that it is neither COVID-19 nor influenza. After returning home, the fever has been intermittent, reaching ...
Dr. He Zongxian Reply:
Dear Parent of the Little One, Based on the symptoms you described (without mentioning the child's age), your child's symptoms (high fever, loss of appetite, diarrhea, and red eyes) are indeed consistent with adenovirus infection. However, I would like to remind you th...[Read More] Understanding Adenovirus Symptoms in Children Before Air Travel