Understanding the Differences Between 7-Valent and 13-Valent Pneumococcal Vaccines for Kids
7-valent and 13-valent pneumococcal vaccines? Hello Dr. Hsiao, I apologize for bothering you again. My question is as follows: On April 22, 2011, I took my child to the well-child clinic (at one year old) and received the varicella, measles, and the fourth dose of the 7-valent pn...
Dr. Xiao Kaiwen Reply:
There should be an interval of at least one month after the last dose of the 7-valent pneumococcal vaccine. In the United States, it is recommended that there be an interval of at least eight weeks between PCV7 and PCV13.[Read More] Understanding the Differences Between 7-Valent and 13-Valent Pneumococcal Vaccines for Kids
Understanding Epidermoid Cysts in Infants: Symptoms and Nutritional Needs
The baby's lower gum - epidermoid inclusion cyst? Hello Doctor: My baby is 10 months and 21 days old, and she is a girl. I have a few questions: 1. The baby's lower gums have developed small white pearl-like round spots, which were diagnosed as epidermoid inclusion cy...
Dr. Pei Rensheng Reply:
Hello, 1. The baby's lower gums have developed small white pearl-like round spots, which I suspect are Epstein's pearls. This condition occurs in 65-85% of newborns and does not require treatment as it will resolve naturally. This condition does not affect the baby&#x...[Read More] Understanding Epidermoid Cysts in Infants: Symptoms and Nutritional Needs
Understanding the Risks of Early Vaccination for Chickenpox and Measles
Varicella and Measles Vaccines Hello Dr. Hsiao, on the afternoon of April 8, 2011, I took my just one-year-old son to the well-child clinic. Since he had taken antihistamine steroids on April 1, 2011, the doctor advised me to wait one month before administering vaccines (varicell...
Dr. Xiao Kaiwen Reply:
The health department lists individuals currently undergoing treatment with corticosteroids (steroids) as contraindicated for vaccination. I believe that those using low-dose steroids for a short duration (such as for urticaria) should be able to receive the vaccine after discont...[Read More] Understanding the Risks of Early Vaccination for Chickenpox and Measles
Understanding Excessive Straining in Infants: When to Seek Help
Overexertion Hello, my little one is less than a month old and often seems to strain, causing his face to turn red. Recently, there have been times when he suddenly cries very loudly, but after one or two cries, he becomes silent. When I check on him, I find that he has stopped b...
Dr. Xie Degui Reply:
Hello: Please take the patient to the pediatric outpatient clinic for an examination to check for any other issues that may be causing the respiratory interruption.[Read More] Understanding Excessive Straining in Infants: When to Seek Help
Long-Term Medication Effects on Children's Liver and Kidney Health
Will long-term medication use have an impact? Hello, doctor. My daughter is five years old and has a history of asthma, nasal allergies, and persistent runny nose. She has been coughing with phlegm, so she has been taking cold medication. Recently, she has had issues with fluid i...
Dr. Xiao Kaiwen Reply:
The key point is that it is safe to follow prescriptions issued by experienced and specialized pediatric allergists and immunologists, as they will not harm the body. In fact, excessive concern and failure to cooperate with a professional physician can worsen the situation (for i...[Read More] Long-Term Medication Effects on Children's Liver and Kidney Health
Understanding Yellowing in Children's Feet: Causes and Concerns
It feels a bit strange? I apologize, but I have a question. My child is almost 3 years old, and I noticed that the soles of his feet are yellow, while his hands are fine. I took him to a large hospital for an examination, and the doctor said it might be related to his diet. He do...
Dr. Zhan Mingxuan Reply:
The yellowing of the soles of the feet is indeed related to an accumulation of excess carotene in the body. In addition to excessive intake, it may also be caused by impaired elimination. If the yellowing is pronounced, it is advisable to rule out liver disease or other issues th...[Read More] Understanding Yellowing in Children's Feet: Causes and Concerns
Understanding Multicystic Dysplastic Kidney in Children: Causes and Treatment Options
Pediatric Multicystic Dysplastic Kidney Hello, my son is currently 13 months old and had diarrhea a month ago. An ultrasound now shows multiple renal cysts. What type of condition could cause multiple renal cysts in such a young child? At what age would this start to affect his k...
Dr. Pei Rensheng Reply:
Dear Mother Tseng, Hello. Polycystic kidney disease (PKD), also known as cystic kidney disease, is a hereditary kidney disorder characterized by the growth of numerous cysts in the kidneys, leading to an increase in kidney size and a decline in kidney function. Polycystic kidney...[Read More] Understanding Multicystic Dysplastic Kidney in Children: Causes and Treatment Options
Managing Allergic Rhinitis in Children: When to Stop Medication
Allergic rhinitis Hello, my child is four years old and has been experiencing a continuous runny nose since November 2010. I have consulted several doctors, all of whom have diagnosed it as allergies. I have been consistently administering the prescribed medications, but there ha...
Dr. He Ciyuan Reply:
If there are allergies, allergens such as dust mites, cockroaches, dust, dog dander, pollen, and cat dander can be tested. Some larger hospitals can test for IgE (Immunoglobulin E) and perform MAST (Multi-Allergen Simultaneous Testing), which can check for 36 types of allergens. ...[Read More] Managing Allergic Rhinitis in Children: When to Stop Medication
Understanding Persistent Pain After Pediatric Urinary Tract Infection Recovery
Urinary tract infection (UTI) My daughter is over 3 years old. A little over a week ago, she had a urinary tract infection (caused by E. coli) and was on antibiotics for a week. After a follow-up check, it was confirmed that there were no bacteria and no blood in her urine. Howev...
Dr. Xiao Kaiwen Reply:
The vast majority of urinary tract infections (UTIs) are simple and uncomplicated infections, which can typically be effectively treated with antibiotics for 5 to 7 days. However, in cases of more severe and complicated infections (such as those that have ascended to the upper ur...[Read More] Understanding Persistent Pain After Pediatric Urinary Tract Infection Recovery
Can Children Safely Consume Royal Jelly for Immunity?
Can children consume royal jelly? My 3.5-year-old son has allergic rhinitis and is prone to catching colds. I am considering giving him royal jelly to boost his immune system. I found some information online stating that young children can consume it, but there are also sources t...
Dr. Pei Rensheng Reply:
Hello: According to the literature on honey, its medical benefits are as follows: Honey contains not only glucose and fructose but also various vitamins, minerals, and amino acids. Because honey is composed of simple sugars like glucose and fructose, it can be directly absorbed b...[Read More] Can Children Safely Consume Royal Jelly for Immunity?
Understanding Asthma: Key Questions for Pediatric Patients
Regarding asthma issues? Hello, doctor. I would like to ask you a few questions: Since I was young, I have had colds, but the doctor has never detected wheezing during auscultation. However, since I caught a cold in 2009, I have had approximately six colds, and each time the doct...
Dr. Xiao Kaiwen Reply:
The diagnosis of asthma is based on a comprehensive assessment of clinical symptoms, physical examination, and laboratory tests. Clinical symptoms include recurrent cough, wheezing, shortness of breath, chest tightness, and sputum production. Physical examination may reveal wheez...[Read More] Understanding Asthma: Key Questions for Pediatric Patients
Switching from Cow's Milk to Soy Milk: Pediatric Nutrition Concerns
Soy milk as a substitute for cow's milk? Dear Dr. Pei, My son is currently 1 year and 1 month old. Before he turned one, he was drinking hydrolyzed protein milk. He now has four meals a day, drinking milk (240cc) in the morning and before bed, while the other two meals cons...
Dr. Pei Rensheng Reply:
Dear Mom Zhuang, Hello! 1. After reaching one year of age, formula milk is only a supplementary food, and drinking any specific formula milk has little effect on preventing allergies. 2. Soy milk has good nutritional value; according to Wikipedia, it is rich in protein, calci...[Read More] Switching from Cow's Milk to Soy Milk: Pediatric Nutrition Concerns
Understanding Chest and Thigh Pain in Children: When to Seek Help
Chest and thigh pain in children? My child has recently been frequently complaining of pain in the triangular area of the chest and in the groin area near the buttocks. However, their activity level is normal. Initially, I didn't pay much attention, but they mention it every...
Dr. Pei Rensheng Reply:
Dear Sophie, Hello! 1. The most common cause is growing pains, as well as strains and sprains after exercise. Of course, viral infections and other factors are also possible. 2. If under 18 years old, please consult a pediatrician first. 3. The physician may arrange for blo...[Read More] Understanding Chest and Thigh Pain in Children: When to Seek Help
Understanding Kawasaki Disease: Long-Term Effects and Prevention Strategies
Kawasaki disease!!! My nephew was diagnosed with Kawasaki disease when he was young, and he has been undergoing regular check-ups once a year since then. I would like to ask Dr. He: What impact might Kawasaki disease have on a child's health in adulthood? How can we prevent ...
Dr. He Ciyuan Reply:
1. In pediatric cardiology, experiences from Japan have indicated that many patients develop early coronary artery disease 20 to 30 years after having Kawasaki disease, leading to symptoms such as angina, myocardial ischemia, myocardial infarction, and arrhythmias. Such experienc...[Read More] Understanding Kawasaki Disease: Long-Term Effects and Prevention Strategies
Concerns About Medication Dosage for Children in Emergency Care
I have concerns about the medications and dosages prescribed for my child by the hospital? My child went to the emergency room due to a fever of 39.1 degrees Celsius without obvious cold symptoms. The doctor only noted that the throat was red and ordered blood tests and a chest X...
Dr. Xiao Kaiwen Reply:
The following are the recommended dosages for medications as per the textbook: Panadol: 10-15 mg/kg per dose, every 4-6 hours (commonly used is 60-65 mg/kg per day, every 4-6 hours). Erythromycin: 30-50 mg/kg per day, every 6-8 hours. Periactin: 0.25-0.5 mg/kg per day, ever...[Read More] Concerns About Medication Dosage for Children in Emergency Care
Impact of Group B Streptococcus on Newborns: Risks and Management
The impact of Group B Streptococcus on infants? Hello Doctor: My wife underwent Group B Streptococcus screening in obstetrics during her pregnancy, and she tested positive for Group B Streptococcus. The clinic informed us that treatment could be administered during delivery. Afte...
Dr. Pei Rensheng Reply:
Hello, A-Shu. One quarter of women of childbearing age carry Group B Streptococcus (GBS), and mothers typically do not show symptoms. About half of newborns can acquire this bacteria during the delivery process as they pass through the birth canal. The incidence of infection in n...[Read More] Impact of Group B Streptococcus on Newborns: Risks and Management
Can Newborns Contract Hepatitis B from Parental Contact?
Can newborns become infected with hepatitis B as a result of this? (Forwarded from the Director's mailbox) ● The baby was born on February 7 and received the first dose of the hepatitis B vaccine on February 9. My wife does not have hepatitis B, but I am a carrier of hepatit...
Dr. Pei Rensheng Reply:
Dear Mr. Cheng, Hello. Hepatitis B can be transmitted through bodily fluids and blood. If the baby has any cuts or sores in the mouth, there is a possibility of ingesting breast milk that contains the virus, although this risk is low, it is still advisable to take precautions. V...[Read More] Can Newborns Contract Hepatitis B from Parental Contact?
Managing Persistent Cough with Phlegm in Children: Effective Treatments
Cough with sputum? Hello doctor, my daughter is 5 years old and has a history of allergies and asthma. She has been coughing with phlegm for two months. Some doctors have said it is caused by post-nasal drip, while others have suggested it is due to recurrent infections. Since lo...
Dr. Pei Rensheng Reply:
Dear Ms. Chen, Hello. Given your history of allergies and asthma, and the presence of a productive cough for the past two months, I would recommend starting with a chest X-ray to rule out any pulmonary inflammation or other issues. If the X-ray results are normal, the likelihood...[Read More] Managing Persistent Cough with Phlegm in Children: Effective Treatments
Understanding Persistent Nasal Congestion in Infants: When to Seek Further Care
Infant Cold Issues Dear Doctor: My baby is currently 8 months old and has been experiencing a continuous runny nose for the past month. We have been taking him to the clinic daily for suctioning, and there has been a significant amount of mucus. Despite visiting the clinic for a ...
Dr. Ma Yiqun Reply:
Infants often experience symptoms such as a runny nose, nasal congestion, and sneezing. This is due to their relatively flat and collapsed nasal wings, as well as a narrower nasal cavity compared to adults, making the nasal mucosa more sensitive. When there are secretions in the ...[Read More] Understanding Persistent Nasal Congestion in Infants: When to Seek Further Care
Can Infants Safely Consume Traditional Chinese Medicine?
Can infants consume traditional Chinese medicine? Hello, I would like to ask you a question. My sister is about 1 year and 2 months old. She often catches colds when she is taken care of by her nanny (who looks after two children, including my sister) and frequently takes Western...
Dr. Pei Rensheng Reply:
Hello: I am a Western physician with limited knowledge of Traditional Chinese Medicine (TCM). Based on my online research, the following article is for your reference! The appropriate timing for giving Chinese medicine to infants depends on the purpose of the medication. Dr. Chen...[Read More] Can Infants Safely Consume Traditional Chinese Medicine?