Ear, Pediatrics FAQ

Why Does My Child Keep Tensing Up? Understanding Pediatric Behavior

Often exerting force with both arms and legs fully extended! Recently, I have noticed that my three-year-old daughter often lies on the bed or floor, making a "straight arms and legs! Using all her strength!" pose, causing her to sweat profusely! If I don't stop he...

Dr. Pei Rensheng Reply:
Dear Mom Tian: Your baby may have hypertonia, which indicates increased muscle tone. It is important to carefully rule out the possibility of cerebral palsy. You can seek assistance from a pediatric neurologist for diagnosis and treatment. Dr. Tsai Hung-Ying, a pediatric neurolog...

Understanding Retinopathy of Prematurity in Infants: Key Concerns and Insights

Issues Related to Premature Infants A child born at 27 weeks gestation on October 11 with a birth weight of 1000 grams was reported by the doctor on October 13 to have no response to light. Could this be classified as retinopathy of prematurity (ROP)? If so, what stage would it b...

Dr. He Shenglong Reply:
Low birth weight premature infants are prone to certain complications. The condition of intraventricular hemorrhage has resolved, which is a positive sign; the ventilator was used for only two days, indicating a milder degree of respiratory distress syndrome. However, these facto...

Concerns About H1N1 in a 12-Year-Old: When to Seek Further Care

Child suspected of H1N1? Hello Doctor: My child is currently 12 years old and in the fifth grade. Since October 17th (Saturday), he has been experiencing a fever of 38-39 degrees Celsius, along with a sore throat and cough with yellow phlegm. We visited a pediatric clinic, and ev...

Dr. Xiao Kaiwen Reply:
With symptoms similar to influenza and a fever above 38 degrees Celsius, you meet the criteria for a rapid influenza test. Additionally, it is necessary to check for pneumonia (via chest X-ray) and to conduct blood tests to assess the level of inflammation and determine if there ...

Understanding Pediatric Apnea: Causes, Care, and Treatment Options

Respiratory arrest Hello, doctor: My baby was born at 37 weeks, and both had a birth weight under 2000 grams. One was born on October 9 weighing 1830 grams, and the other 1750 grams, so they are in the incubator. Their organs are all functioning well, but currently, their heart r...

Dr. Xiao Kaiwen Reply:
There are many causes of apnea, such as prematurity, neurological issues (like bleeding or simply immaturity), cardiac problems, airway soft tissue obstruction, gastroesophageal reflux, infections, anemia, and hypoglycemia, among others. Each cause needs to be investigated gradua...

Essential Pediatric Questions for New Moms: Feeding, Health, and Nutrition

Questions from New Moms 1. For a baby who is almost three months old, the typical milk intake is about 24 to 32 ounces (approximately 720 to 960 mL) per day, divided into several feedings. It's common for babies to have varying appetites, and if your baby is not showing sign...

Dr. Xie Degui Reply:
Hello: 1. The daily milk requirement for infants is approximately 100 to 200 cc per kilogram of body weight. If the infant weighs five kilograms, a minimum of 500 cc per day is essential. If the infant becomes restless and cries within three hours, it may indicate the need to inc...

Why Does My Baby Experience Gas After Breastfeeding?

Does drinking breast milk cause gas? Hello, doctor. My baby is now over two months old and is drinking both breast milk and formula. However, we have noticed that he tends to cry due to gas after drinking breast milk, while he does not have this issue when he is given formula (go...

Dr. Xie Degui Reply:
Hello: Generally, the protein in breast milk is less likely to cause allergies and is better absorbed. In addition to dietary supplements, mothers should also consider whether there are specific herbal ingredients that may cause bloating. Some formula milks contain additives like...

Understanding Fetal Hydronephrosis: Concerns and Next Steps for Parents

Fetal hydronephrosis Hello, my son is now 2.5 months old. During the prenatal check-up, the doctor mentioned that he has hydronephrosis, which was nearly 1 cm. An ultrasound of the kidneys was performed at birth, and it still showed nearly 1 cm. Later follow-up showed the right k...

Dr. He Shenglong Reply:
Hello: Generally speaking, if an infant has hydronephrosis, I would refer them to a pediatric nephrologist for follow-up examinations. A renal ultrasound showed that the left kidney increased from 0.6 cm to 1.3 cm, and I believe that performing a voiding cystourethrogram at that ...

Is My One-Year-Old's Weight and Standing Development Normal?

I'm sorry, but I need content to translate? Dear Doctor, my daughter has just turned one year old and she is not able to stand while holding onto something. Is this considered normal? At what age do children typically start to stand? Additionally, her weight is 7.5 kilograms...

Dr. Pei Rensheng Reply:
Dear Xiaomin, The answers to your questions are as follows: From 10 to 12 months, your baby should be able to: - Crawl more steadily and quickly - Transition between various positions more effectively - Stand and walk while holding onto objects - Take a few steps independently...

Do Infants Need Heart Ultrasounds? Appointment or Walk-In Options?

excuse me? Is there a pediatric echocardiogram available? If so, do I need to make an appointment, or can it be done at any time?

Dr. He Shenglong Reply:
Hello: Pediatric echocardiograms are typically performed at regional hospitals that have a pediatric cardiology department. Please visit the outpatient clinic first to schedule an appointment; our hospital currently does not have a pediatric cardiology department. Thank you!

Understanding Floating Stool in Children: Causes and Concerns

Floating stools with oil? Hello, Doctor: My child is currently 3 years old, and I recently noticed that there is a layer of floating oil in the toilet after he has a bowel movement. What could be the cause of this? Is it due to eating oily foods? My child really enjoys eating bra...

Dr. He Ciyuan Reply:
Fecal oil may sometimes indicate poor fat absorption, so it is advisable to conduct a stool test to assess digestion. If abnormalities are found, it is recommended to seek further evaluation at a hospital.

Is It Okay to See a Pediatric Rheumatologist for Urological Issues?

Is the department for registration okay? My child is currently 5 years old and has been touching his genital area frequently. I didn't pay much attention to it until the night of September 15, when I took him to the emergency room because he was crying in pain. The doctor di...

Dr. Pei Rensheng Reply:
Hello: Based on your description, it is possible that there is inflammation of the glans penis or the foreskin, and a small percentage may be associated with a urinary tract infection. I wonder if a urine test has been done? Generally, hospitals do not provide all subspecialty se...

Understanding Underweight Children: Growth Potential and Metabolism Testing

Underweight in children Hello Dr. Hsiao, my son is currently in the first year of junior high school, with a height of 145 cm and a weight of 27 kg. Many people say that being too thin may hinder his growth potential. I would like to know when it would be appropriate to conduct a...

Dr. Xiao Kaiwen Reply:
This year, entering the first year of junior high school (approximately 13 years old), the height is 145 cm (10-25 percentile), and the weight is 27 kg (< 10 percentile). There is no specific stage that is more suitable for growth and development checks; it is essential to con...

Is Your Child's Fever a Sign of H1N1? Understanding Symptoms and Concerns

A 9-year-old child has been experiencing a high fever ranging from 37.6°C to 38.5°C for three consecutive days? The physician's young son, who is in the third grade, was exposed to a new influenza case at his after-school program last Friday, leading to the suspension of cla...

Dr. Xiao Kaiwen Reply:
There is a clear history of exposure and flu-like symptoms, making the likelihood of a new influenza infection very high. It is recommended to seek medical attention promptly for rapid testing.

Understanding Redness Around Your Child's Eyes: Causes and Solutions

Redness around the eyes? I'm not sure. My 1-year-old son woke up this morning with redness around his eyes, and it has persisted all day. He keeps rubbing his eyes. Could this be related to the fever and anti-inflammatory medication he took for two days recently? Which speci...

Dr. He Ciyuan Reply:
If the eyes are itchy and the surrounding area is red, it may indicate inflammation or an allergic reaction. It is advisable to take the child to a pediatric allergist or an ophthalmologist, or to return to the original physician for further evaluation and examination. If necessa...

Understanding Fever, Flu Vaccines, and Hand Hygiene in Young Children

Fever. Influenza vaccine. Hand washing? Hello Doctor: My little one (2 years and 1 month) had a fever for 2 days starting on September 1, with a maximum temperature of 38.6°C (rectal). During these two days, there was also some diarrhea. Overall, their health has been good, and t...

Dr. Xiao Kaiwen Reply:
1. Fever in children is mostly caused by infections, and diarrhea can be explained as an infection due to gastroenteritis. 2. If the body temperature has returned to normal and energy and appetite have improved, the child should be considered recovered; however, continued obser...

Understanding Head Movement During Sleep in Children with Epilepsy

Head movement during sleep? Hello Dr. Hsieh, My child is now 2 years and 7 months old and has been on medication to control epilepsy. Recently, we conducted an EEG, and the results were normal (he has not had any seizures while on medication). Since he has been on the medicatio...

Dr. Xie Degui Reply:
Hello: If a patient has been on medication to control epilepsy for about two years without experiencing any seizures, the dosage may be gradually reduced. The situation you described does not seem to resemble a seizure. It would be beneficial to record the events on video and pre...

Understanding Hepatitis A Vaccine Timing for Optimal Effectiveness

Hepatitis A vaccine Hello Dr. Pei, I would like to ask you a question... The first and second doses of the hepatitis A vaccine are administered six months apart. However, if the interval exceeds six months, what is your recommendation on the maximum time that should not be exceed...

Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello, according to the description from the Centers for Disease Control, http://www.cdc.gov.tw/content.asp?CuItem=5755, the Hepatitis A vaccine is an injectable inactivated vaccine that provides long-lasting protection after two doses. The interval between the fir...

Chest Pain in Children During Jump Rope or Running: Causes and When to Seek Help

Children may experience chest pain while jumping rope or running? The 10-year-old girl experiences chest pain while jumping rope or running, specifically stating that she feels pain below the left side of her chest after about sixty to seventy jumps. This pain requires her to tak...

Dr. Pei Rensheng Reply:
Dear Xuan Ma: Regarding your question, please find the response in the attachment.

Understanding Mycoplasma Infections in Young Children: Symptoms and Diagnosis

What can you tell me about pediatric Mycoplasma infections? Hello Doctor, my child is three and a half years old. Since starting kindergarten in June, he has been experiencing intermittent colds, with symptoms including fever, runny nose, and cough, averaging about every two week...

Dr. Xiao Kaiwen Reply:
A three-and-a-half-year-old child has a relatively weak immune system and insufficient hygiene habits. As they begin to live in a group setting, it is inevitable that they will transmit respiratory symptoms to each other (as respiratory infections are most easily spread through d...

Understanding Numbness in Toddlers: When to Seek Medical Help

Numbness in the foot? My child is only 2 and a half years old. Recently, he often complains about a tingling sensation in his feet. I think it might be numbness, but it occurs quite frequently. I'm not sure if I should seek medical attention... which specialty should I consu...

Dr. Zhang Yingwen Reply:
A two-and-a-half-year-old child's expressive language skills may not be fully developed, making it difficult for adults to understand their concerns at times. It is advisable to first check for any skin rashes; if present, a visit to a pediatrician or dermatologist is recomm...

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