Understanding Eyelid Swelling in Infants: Causes and Treatment Options
Swelling and redness of the upper eyelid? Dear Doctor, Hello. My daughter is currently 11 months old. Last Saturday morning, after waking up, I noticed that her right upper eyelid was slightly red and swollen. I initially suspected it might be a mosquito bite and decided to obse...
Dr. Xiao Kaiwen Reply:
1. The dosage of antibiotics is mostly calculated based on body weight (not age). 2. Common symptoms of conjunctivitis include red eyes, excessive discharge, and a foreign body sensation that often leads to rubbing of the eyes, although this may not always be the case. 3. It is a...[Read More] Understanding Eyelid Swelling in Infants: Causes and Treatment Options
Timing and Safety of Pneumococcal and Japanese Encephalitis Vaccines for Kids
How long should one wait to administer the pneumococcal vaccine (Prevnar) after receiving the Japanese encephalitis vaccine? Hello Dr. Hsiao, 1. How long should I wait between administering the pneumococcal vaccine (Prevnar) and the Japanese encephalitis vaccine? My child (2 yea...
Dr. Xiao Kaiwen Reply:
1. Recently, according to the latest regulations from the Advisory Committee on Immunization Practices of the Ministry of Health in Taiwan, the Japanese encephalitis vaccine must be administered at least one month apart from the DTaP-Hib-IPV-HepB (pentavalent) vaccine. However, i...[Read More] Timing and Safety of Pneumococcal and Japanese Encephalitis Vaccines for Kids
Why Doctors Advise Against Beef for Some Children: A Parent's Concern
The doctor advised against eating beef? Hello Doctor: I have a question regarding an issue that has followed me for over twenty years. Since I was a child, my parents have always advised me not to eat beef. I believed this was due to religious beliefs until one day, while chattin...
Dr. Xie Degui Reply:
In the past, agricultural societies held certain customs that discouraged the consumption of working cattle, similar to the taboo against eating dog meat. In reality, this is unnecessary, especially considering that today’s beef comes from farm-raised cattle, which are medically ...[Read More] Why Doctors Advise Against Beef for Some Children: A Parent's Concern
Is the Pneumococcal Vaccine Free for Young Children in Taipei?
Streptococcus pneumoniae Is the pneumococcal vaccine free for children registered in Taipei County? Are there any other special conditions? My younger brother is about to turn 2 years old, and I noticed that your hospital offers this vaccine. Until when will this service be avail...
Dr. Hong Shuokun Reply:
Dear Parents, Our hospital is collaborating with the Taipei County Health Bureau to provide free 7-valent pneumococcal vaccines for children aged 2 to under 5 years who are registered in Taipei County and have not previously received the vaccine. Please bring the original househ...[Read More] Is the Pneumococcal Vaccine Free for Young Children in Taipei?
Impact of Multiple Oral Polio Vaccinations on Children's Health
Oral Polio Vaccine (OPV) Dear Doctor, My child received the 4-in-1 vaccine and also took the oral polio vaccine once. When we went to the health center for the Japanese encephalitis vaccine, it seems that they also administered 2 drops of the oral polio vaccine, but the health c...
Dr. Xie Degui Reply:
There will be no impact, as antibodies are already present after vaccination, and there is no need for additional oral intake.[Read More] Impact of Multiple Oral Polio Vaccinations on Children's Health
How Often Should Newborns Be Fed Formula Milk? Expert Advice
How often can a newborn drink formula? My baby is seven days old. Due to insufficient breast milk, I switched to formula feeding and currently give 60cc at a time. How long should I wait before feeding again? Sometimes my baby wants to eat shortly after finishing, and I'm wo...
Dr. Xiao Kaiwen Reply:
There is no specific guideline for how often newborns should be fed formula. Some babies have a small stomach capacity and may experience spitting up, so they should be fed smaller amounts more frequently. Other babies can tolerate larger amounts with longer intervals between fee...[Read More] How Often Should Newborns Be Fed Formula Milk? Expert Advice
Essential Vaccination Guidance for Your Baby's Health
Preventive vaccination Hello Dr. Hsiao: My baby is currently 1 year and 8 months old. On April 30, he received the second dose of the Japanese encephalitis vaccine, and he still needs to receive the second dose of the hepatitis A vaccine. I would like to ask: Is there only one br...
Dr. Xiao Kaiwen Reply:
In Taiwan, there is only one brand of the hepatitis A vaccine, so the second dose of the hepatitis A vaccine administered at clinics should be the same vaccine. According to the regulations set by the Advisory Committee on Immunization Practices of the Ministry of Health and Welf...[Read More] Essential Vaccination Guidance for Your Baby's Health
Addressing Growth Concerns in a Small 4-Year-Old Girl
The girl is excessively petite? Hello, my daughter was born at Taoyuan General Hospital and has consistently had growth issues below the 3rd percentile. She has been monitored at Taoyuan General Hospital, and aside from slightly acidic blood and a bone age that is six months olde...
Dr. Xiao Kaiwen Reply:
At 4 years and 2 months old, with a weight of 11 kilograms and a height of 88 cm, the growth percentile is below the 3rd percentile. There are many possible reasons for this: insufficient dietary nutrition and energy, endocrine disorders (such as thyroid hormones, growth hormones...[Read More] Addressing Growth Concerns in a Small 4-Year-Old Girl
Understanding Painful Foreskin Retraction in Young Boys: When to Seek Help
It is difficult to clean a child's genital area (foreskin) properly? Hello, doctor! My 7-year-old son has been experiencing pain when trying to retract and clean his foreskin. He is also unable to retract it smoothly. Is this abnormal? Additionally, should I consult a urolog...
Dr. Xie Degui Reply:
If a child's foreskin is tight and causes pain during urination or swelling when using the restroom, or if there are signs of urethritis, consideration should be given to circumcision. Generally, it can be monitored as it may gradually loosen with growth. However, if there a...[Read More] Understanding Painful Foreskin Retraction in Young Boys: When to Seek Help
Understanding Combination Vaccines for Your Child: Key Insights and Concerns
Vaccination Does your hospital offer the quadrivalent vaccine? My baby is currently 1 year and 7 months old, and has received three doses of the hexavalent vaccine. Recently, when I visited the health center, the staff mentioned that the fourth dose should be the quadrivalent vac...
Dr. Xie Degui Reply:
1. Currently, there is a nationwide shortage of the quadrivalent vaccine, but our hospital has the hexavalent vaccine available. 2. It is recommended to wait one month after receiving the Japanese encephalitis vaccine before administering the combination vaccine. 3. The vacci...[Read More] Understanding Combination Vaccines for Your Child: Key Insights and Concerns
Understanding Pediatric Abdominal Pain Linked to Bowel Movements
Thinking about having a bowel movement causes abdominal pain? Dear Dr. Hsiao, Thank you for taking the time to answer my questions despite your busy schedule. My child is 3 years old and has been complaining of stomach pain whenever he feels the urge to have a bowel movement for...
Dr. Xiao Kaiwen Reply:
1. There is no specific amount of water that children should drink daily, as it depends on their sweat output. The principle is that urine output should be moderate, and stools should not be hard (in fact, increasing fluid intake for children over three years old is generally har...[Read More] Understanding Pediatric Abdominal Pain Linked to Bowel Movements
Managing High Cholesterol in Children: Dietary Tips and Next Steps
Childhood Hypercholesterolemia My sister-in-law's child is 5 years old and recently had a blood test that showed a cholesterol level of 200. My sister-in-law's family has a history of high cholesterol, and she believes it is genetic. What dietary and lifestyle considera...
Dr. He Shenglong Reply:
Hello: High cholesterol may be influenced by genetic factors, or it could result from excessive dietary intake of cholesterol. Foods that are high in cholesterol should be consumed in moderation, such as egg yolks, whole eggs, pork kidneys, pork liver, bacon, pork, hot dogs, beef...[Read More] Managing High Cholesterol in Children: Dietary Tips and Next Steps
Is It Normal for My Baby's Vaccination Site to Swell and Pus?
Newborn vaccinations Hello, Doctor. My baby is over 3 months old and has received vaccinations for more than a month now (5-in-1, rotavirus, pneumonia, etc.). There is still a sizable red, swollen lump at the injection site on his arm, and it appears to be pus-filled. Is this sit...
Dr. He Shenglong Reply:
Hello: If the BCG vaccine is administered, there may be purulent discharge and scabbing at the injection site. If your baby has received other vaccinations, redness, swelling, and purulence lasting for more than a month may indicate inflammation. It is recommended that you take y...[Read More] Is It Normal for My Baby's Vaccination Site to Swell and Pus?
Addressing Pediatric Concerns: Constipation and Circumcision Issues
The issues of two babies? The older child is currently attending kindergarten and has a normal diet with three meals a day plus snacks at school. The main issue is related to bowel movements. He goes to the bathroom five times a week, but most of the time his stools resemble smal...
Dr. Xiao Kaiwen Reply:
Hard, pellet-like stools are defined as constipation. When hard stools accumulate, it is inevitable that some may be expelled involuntarily. Generally, issues with the anal sphincter are rare (the likelihood is low; symptoms typically present during infancy, and if necessary, ana...[Read More] Addressing Pediatric Concerns: Constipation and Circumcision Issues
How to Check if Your Child Has Contracted Hepatitis B?
How can I check if I have been infected? I have a question. I am a hepatitis B double positive carrier, but my daughter received immunoglobulin within twenty-four hours of birth. She is now three years old, and I breastfed her at birth. How can I determine if she has been infecte...
Dr. Xiao Kaiwen Reply:
At three years old, the following tests can be performed: 1. Hepatitis B surface antigen (HBsAg, indicating whether there is an infection with Hepatitis B), and 2. Hepatitis B surface antibody (HBsAb, indicating whether there is immunity to the Hepatitis B virus). Being a carrier...[Read More] How to Check if Your Child Has Contracted Hepatitis B?
Preventing Ant Invasion: Safety Tips for Infants and Young Children
Pest infestation Hello Dr. Hong, I would like to ask you about something. My child is now over 2 months old. There are always some small ants in the house, and although we are very careful to keep things clean, there are still some around. I am worried that they might crawl into ...
Dr. Hong Shuokun Reply:
Hello, Jia Yi: The chances of small insects entering the ears or nose are quite low. Since such small children cannot express themselves, the crawling of an insect may cause hearing impairment, leading to symptoms such as tinnitus, ear pain, dizziness, and reflex coughing. The ch...[Read More] Preventing Ant Invasion: Safety Tips for Infants and Young Children
Effective Ways to Safely Remove Earwax in Young Children
How to remove earwax in children? Hello Doctor, My child is 5 years old this year. When he was 2, I helped him clean his earwax and found that one of his ears had a hard lump of earwax. He would say it hurt when I touched it, so I stopped trying to clean it. When he was about 3...
Dr. Pei Rensheng Reply:
Dear Vicky, The outer part of the human ear canal, specifically the cartilaginous section, contains skin that has hair follicles and glands. These glands secrete a waxy, oily substance, which, combined with shed epithelial cells, forms what is commonly known as earwax or cerumen...[Read More] Effective Ways to Safely Remove Earwax in Young Children
Understanding Lactose Intolerance in Infants: Choosing the Right Formula
Gastrointestinal II Doctor, I would like to ask if my baby might have lactose intolerance, since the formula "金可貝可" contains lactose and galactose. How can I determine if my baby has lactose intolerance? The S-26 formula does not contain lactose, only sucrose, but many ...
Dr. Xiao Kaiwen Reply:
Congenital lactose intolerance is a rare condition (thus the likelihood is low). The diagnostic methods for lactose intolerance in infants include lactose tolerance tests, hydrogen breath tests, stool acidity tests, and even intestinal biopsy, among others (if necessary, please c...[Read More] Understanding Lactose Intolerance in Infants: Choosing the Right Formula
Understanding Baby's Diarrhea: Causes and Solutions for New Formula Transition
Gastrointestinal tract Hello, doctor. My baby is 6 months old and has been having issues since we switched to "Jin Ke Bei Ke" formula. Since the change, his stools have been loose, sometimes thick and yellow. When he was on "S-26," his stools were normal and s...
Dr. Xiao Kaiwen Reply:
Diarrhea is defined as an increase in the water content and frequency of stools, so the baby is experiencing diarrhea. Infants may not adapt well to newly introduced formula or solid foods, and it is common to see diarrhea or rashes within 2-3 days. It is advisable to stop feedin...[Read More] Understanding Baby's Diarrhea: Causes and Solutions for New Formula Transition
Is Your Child's Aggression a Sign of Developmental Delay?
Is a child's tendency to hit others a sign of developmental delays? Hello, doctor: My child is 3 years old and currently in preschool. Recently, the teachers at the kindergarten have frequently reported that he likes to hit others, and they suggested that I take him for an e...
Dr. Xie Degui Reply:
Hello, "children who love to hit" may not necessarily be related to developmental delays; it could be associated with adjustment issues (such as environmental changes) or individual temperament. It is recommended to seek evaluation and consultation from a pediatric ment...[Read More] Is Your Child's Aggression a Sign of Developmental Delay?