Understanding a Small Hole in Your Child's Nose: Causes and Concerns
There is a small hole in the nose? Hello, I would like to inquire about a small hole I discovered on my child's nose yesterday, which is not swollen. I'm unsure what the cause might be. Additionally, there is a color difference on his neck, and I'm wondering if it ...
Dr. Pei Rensheng Reply:
Hello! The holes in the nose: They may be due to overactive sebaceous glands, resulting in acne or blackheads, which can leave depressions after extraction. It is also possible that they are caused by infection, leading to depressions after pus drainage. It is advisable to have a...[Read More] Understanding a Small Hole in Your Child's Nose: Causes and Concerns
Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?
Is it necessary to conduct cardiovascular examinations after a positive rapid test for adenovirus? My daughter is 3 years old and 10 months. Since April 23, she had a fever for 5 days and tested positive for adenovirus at the clinic. Her symptoms included 1. high fever 2. unilate...
Dr. Xie Wanghu Reply:
Hello, 1. A 1.3-year-old child. 2. Has had a fever for 5 days since April 23. 3. Positive for adenovirus rapid test. 4. Related to Kawasaki disease, with only 5 days of fever and conjunctivitis. 5. Should not meet the diagnostic criteria for Kawasaki disease. 6. If there i...[Read More] Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?
Should I Worry About Long-Term Effects After My Toddler Falls?
Is it likely for a 3-year-old child to have any long-term effects from falling while playing? Hello, doctor. As the title suggests, my daughter is almost 3 years old. Today, while playing with her cousin who is the same age, my daughter was about to sit on a baby chair when her c...
Dr. He Zongxian Reply:
Dear Apple Mom, First of all, I am very sorry to hear that your daughter experienced such an accident while playing. As parents, we all care about our children's safety and health, so your concerns are completely normal. Based on your description, your daughter fell to the ...[Read More] Should I Worry About Long-Term Effects After My Toddler Falls?
Understanding Oil in Stool and Color Changes in Children
Could you please provide more details about the issues related to oily stools and color changes? My son is currently 8 years old. Since he was about 6, he has frequently experienced issues with oily stools or passing gas that results in a significant amount of oil, enough to stai...
Dr. Zhang Yingwen Reply:
1. Sometimes consuming excessively greasy foods can lead to the intestines being unable to absorb fats, which may result in oily stools. In such cases, it is advisable to start by improving the diet, reducing fat intake, and maintaining a light diet. 2. If a child frequently ha...[Read More] Understanding Oil in Stool and Color Changes in Children
Using Periactin for Appetite Stimulation in Pediatric Patients
Indications for the use of Periactin? You have a one-year-old baby who has recently shown increased signs of milk aversion. The doctor has prescribed Periactin (to be taken either twice a day or once daily). It has been noted that Periactin is primarily indicated for rhinitis, al...
Dr. Xiao Kaiwen Reply:
Periactin has a short duration of effect with generally minimal adverse effects on the body. There is no specific duration required for its use (one to two weeks typically does not lead to any negative effects), and there is no issue of drug resistance (which is a concern primari...[Read More] Using Periactin for Appetite Stimulation in Pediatric Patients
Consulting on Pediatric Appetite Stimulants: Safety and Duration
Medication consultation Hello, I have a one-year-old baby who has recently been experiencing frequent milk aversion. The doctor prescribed Biofermin and Periactin (to be taken in the morning and evening or once a day). Upon checking, I found that Periactin is primarily indicated ...
Dr. Pei Rensheng Reply:
Hello: A search on GOOGLE for PERIACTIN (CYPROHEPTADINE) AND APPETITE reveals a systematic review that examined 46 studies, finding that 39 of them showed a significant increase in appetite and weight. The review noted situations where PERIACTIN (CYPROHEPTADINE) may be ineffectiv...[Read More] Consulting on Pediatric Appetite Stimulants: Safety and Duration
Unexplained Bone Pain in Children: Seeking Solutions for Relief
Unexplained bone pain? I would like to ask on behalf of my daughter, who has been experiencing unexplained pain in her left bones, such as the clavicle, knee, and hand joints, since March. She has undergone X-rays, blood tests for autoimmune diseases, and ultrasounds at an outpat...
Dr. Zhong Ruixian Reply:
Hello Wenwen: If it is confirmed that there are no immune system diseases, you may consider consulting with a pediatric hematology-oncology specialist or a pediatric neurologist regarding the issues with bones, joints, or nerves. For heart-related concerns, you can continue to mo...[Read More] Unexplained Bone Pain in Children: Seeking Solutions for Relief
Adjusting Nap Times for Preschoolers: Tips for Parents
Sleep duration Hello, doctor. My child is not yet in preschool and usually wakes up at around 5:30-6:00 AM at home. They take a nap at 11:30 AM. Will they be able to adjust to a different nap schedule when they start preschool?
Dr. He Zongxian Reply:
Dear Parents, Thank you for raising the question regarding your child's adjustment to the kindergarten schedule. Rest assured, children typically possess excellent adaptability and can adjust to new routines over time. You mentioned that your child's current schedule m...[Read More] Adjusting Nap Times for Preschoolers: Tips for Parents
Emergency Braking and the Risk of Shaken Baby Syndrome
Emergency braking and shaken baby syndrome? Hello, I have read a lot about "Shaken Baby Syndrome," which I know has been renamed to Abusive Head Trauma. I understand that it typically requires a significant amount of force and repeated shaking in a short period to cause...
Dr. He Zongxian Reply:
Dear Parent, Thank you very much for your inquiry. From your description, we understand that your baby experienced an emergency brake situation while riding in the car. First of all, I am glad to hear that you have chosen an infant car seat and ensured it is installed in the rea...[Read More] Emergency Braking and the Risk of Shaken Baby Syndrome
Can Children Get Bacterial Infections from Birds? Expert Insights
Can children get bacterial infections? Hello, doctor. I live near an area where there are often pigeons and other birds. I would like to know if there is a concern for bacterial infections if birds come very close to my child or even touch them. Additionally, if my child touches ...
Dr. Xiao Kaiwen Reply:
The likelihood of diseases transmitted from birds to humans is not high, so while it is important to be cautious, there is no need for excessive worry. Here are some precautions to take: 1. Wash your hands frequently and develop good personal hygiene habits. 2. Avoid contact with...[Read More] Can Children Get Bacterial Infections from Birds? Expert Insights
Managing Fever in Children: Concerns About Seizures and Medication Timing
Fever in children Hello, Doctor: My daughter is about 11 years old now. When she was around 5 years old, she had a fever that caused febrile seizures, so I would give her antipyretics early. If her temperature was between 37.5°C and 38°C, I would give her liquid fever medicine, a...
Dr. Xiao Kaiwen Reply:
The brain of an 11-year-old child is fully developed, and they will not experience febrile seizures again. If seizures or convulsions occur, regardless of whether there is a fever, it is considered abnormal and requires prompt medical evaluation. Therefore, there is no need to ex...[Read More] Managing Fever in Children: Concerns About Seizures and Medication Timing
Understanding Shaken Baby Syndrome: Concerns for New Moms
Concerns about improper support of an infant's neck and the risk of shaken baby syndrome? Hello, doctor. I am a very anxious new mother, and my anxiety has caused a lot of hair loss... There is an overwhelming amount of information online, and it's often "extreme.&...
Dr. Zhong Ruixian Reply:
Hello, Junjun: Burping or holding the baby with their head tilted back or sideways is a common situation and not caused by external force. As you mentioned, only violent shaking of the baby up and down or side to side (2-3 times per second) for a short duration can lead to Shaken...[Read More] Understanding Shaken Baby Syndrome: Concerns for New Moms
Understanding ITP in Children: Immune System's Role in Low Platelet Counts
Childhood thrombocytopenic purpura (ITP) Hello Doctor: A family member's child has been diagnosed with ITP for a year. Previously, they used Romiplostim, and the platelet count generally ranged between 20,000 to 70,000, with a maximum count reaching 170,000. When using immun...
Dr. Xiao Kaiwen Reply:
The currently accepted reason for Immune Thrombocytopenic Purpura (ITP) is that it is caused by an abnormal immune system, which is why the use of immunosuppressants can be effective. However, the term "immunocompromised" is somewhat vague; during this time, platelet co...[Read More] Understanding ITP in Children: Immune System's Role in Low Platelet Counts
Understanding Pediatric ITP: Low Platelet Counts and Treatment Options
Thrombocytopenic purpura in infants? Hello Dr. Hsiao: A family member's child has been diagnosed with ITP for a year. Bone marrow tests have confirmed normal results, and blood cell counts are normal, with only extremely low platelet counts (ranging from 20,000 to 70,000, ...
Dr. Xiao Kaiwen Reply:
I apologize, but the question you are asking pertains to a very specialized field (pediatric hematology-oncology). I am not a physician in this specialty and do not have the academic training to provide an appropriate answer. I can only suggest that family members should collabor...[Read More] Understanding Pediatric ITP: Low Platelet Counts and Treatment Options
Medications for Acute Hearing Loss During Breastfeeding: Safety Guide
Medications for Acute Hearing Loss During Breastfeeding Hello, I have a baby who is about 1.5 months old and is currently on a half breast milk and half formula diet. Recently, we visited an otolaryngologist due to symptoms of acute ear deafness and received a three-day supply of...
Dr. Xiao Kaiwen Reply:
Amoxil 500mg: The concentration in breast milk is very low, making it safe for breastfeeding mothers to use. Donison: This medication can be chosen for breastfeeding mothers who require treatment; a small amount of the drug is excreted in breast milk. It is advisable to breastfee...[Read More] Medications for Acute Hearing Loss During Breastfeeding: Safety Guide
Essential Ultrasound Checks for Infants: Timing and Importance
Neonatal ultrasound examination Hello, doctor! My baby is currently over four months old. We have not conducted various ultrasound examinations yet because we were waiting for insurance approval. I would like to ask if doing the checks now would mean missing the optimal period fo...
Dr. Xie Wanghu Reply:
Hello! If a baby belongs to a higher risk group, such as having a family history of genetic disorders, the mother did not have regular prenatal check-ups during pregnancy or was informed of abnormalities during high-level ultrasounds, there were abnormalities in prenatal genetic ...[Read More] Essential Ultrasound Checks for Infants: Timing and Importance
Baby Falls from Bed: Concerns About Swelling and Head Injuries
Baby fell off the bed and the swelling on the forehead is spreading? Hello, doctor. A few days ago, my baby accidentally fell off the adult bed (which is about 53 cm high). After a loud cry, I rushed in to check, and she was already lying down and crying. At that moment, I couldn...
Dr. Xiao Kaiwen Reply:
The swelling has spread across the entire forehead and feels soft and fluid-filled when pressed, which is likely a sign of an expanding hematoma. This phenomenon is unrelated to any fractures that could be seen on an X-ray. The radiation exposure from a CT scan is indeed signific...[Read More] Baby Falls from Bed: Concerns About Swelling and Head Injuries
Understanding Infant Standing Reflex: Concerns and Insights for Parents
Baby Development - One Month Standing Reflex Hello, doctor. I have read about the "standing reflex" in infants that occurs around three months of age, where they appear to stand when they touch something. Recently, our baby has been exhibiting this behavior frequently o...
Dr. Xiao Kaiwen Reply:
A one-month-old infant exhibits a standing reflex, which means that when you perform certain related actions, the baby will show a reflexive response similar to standing. However, this does not imply that you need to continuously perform these actions to elicit the standing refle...[Read More] Understanding Infant Standing Reflex: Concerns and Insights for Parents
Understanding Infant Standing Reflex: What Parents Should Know
Infant Growth and Development - One Month Standing Reflex Hello, doctor. I have read about the "standing reflex" in infants that occurs around three months of age, where they appear to stand when they touch something. Recently, our baby has been doing this frequently fo...
Dr. Xiao Kaiwen Reply:
A one-month-old infant exhibits a standing reflex, which means that when you perform certain movements, they will show a reflexive standing response. However, this does not imply that you need to continuously perform these movements to elicit the standing reflex, nor is it relate...[Read More] Understanding Infant Standing Reflex: What Parents Should Know
Understanding Low White Blood Cell Count in Teens: When to Seek Help
Leukopenia Hello doctor, I am 17 years old. Two weeks ago, I noticed a hard lump in my armpit. After taking antibiotics for two to three weeks, it seems to have improved. However, during my last visit to the doctor, I had blood drawn, and I found that three values in the report a...
Dr. Xie Wanghu Reply:
Hello! It is advisable to consult a pediatric hematology/oncology specialist. Thank you.[Read More] Understanding Low White Blood Cell Count in Teens: When to Seek Help