Understanding Fever in Infants: Symptoms, Causes, and When to Seek Help
Fever Hello Dr. Hsiao, Here are the symptoms of my baby (1 year and 4 months) over the past few days. Could you please help me assess the situation, possible illnesses, and necessary examinations? Thank you, doctor. 1. On November 19 (Wednesday) afternoon, my baby suddenly had...
Dr. Xiao Kaiwen Reply:
1. The fever on November 19 may have been caused by a viral infection, viral rash, and gastroenteritis, which is generally manageable for individuals with normal immunity. 2. The fever on December 2 is likely due to a new infection (since it has been some time since November 19, ...[Read More] Understanding Fever in Infants: Symptoms, Causes, and When to Seek Help
Vaccination and Gastrointestinal Issues in Infants: Common Concerns
Vaccination and gastrointestinal issues? Doctor, is the health center always available to administer vaccinations for babies? Also, why does my baby sometimes have clear liquid leaking from the mouth, mixed with some milk residue, even though they haven't had any water? Coul...
Dr. Xiao Kaiwen Reply:
1. The vaccination schedule at health clinics varies for different vaccines; please consult by phone first. 2. Infants have a small gastric capacity, and the junction between the esophagus and stomach is not yet fully developed, which can lead to some degree of milk regurgitation...[Read More] Vaccination and Gastrointestinal Issues in Infants: Common Concerns
Understanding Thin Corpus Callosum in Newborn Brain Ultrasound
Neonatal brain ultrasound - thinner corpus callosum? Hello doctor, my daughter underwent a cranial ultrasound examination shortly after birth. Yesterday, we received a notification stating that her corpus callosum is thinner than normal and that it will thicken as she gains weigh...
Dr. He Shenglong Reply:
Hello: If there are no specific symptoms or diseases, a brain ultrasound examination performed at birth should be considered an out-of-pocket screening item. Of course, the corpus callosum thickens with weight gain. Currently, there are claims that it is thinner, but I am not cle...[Read More] Understanding Thin Corpus Callosum in Newborn Brain Ultrasound
Can Kids Safely Take Lutein Supplements and Cough Syrup?
Supplements Hello Dr. Pei, I would like to ask you two questions. (1) Recently, adults in my household have been taking lutein supplements (capsules, one per day) for eye health. I would like to know if a four-year-old child can also take lutein supplements for regular eye car...
Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! 1. Lutein is a natural carotenoid found in various fruits and vegetables. Since the human body cannot synthesize it on its own, it must be obtained from dietary sources. Lutein is primarily found in dark green leafy vegetables such as kale, spinach, mustar...[Read More] Can Kids Safely Take Lutein Supplements and Cough Syrup?
Understanding Skin Color Changes in Children and Vaccine Guidelines
Skin Hello Dr. Pei: I have two questions to ask you... (1) My eldest daughter is currently four years old, and I recently noticed that the color of the skin on the soles of her feet and palms of her hands has a slight yellow tint. What does this indicate about her health? (2) Can...
Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello, 1. The slight yellowish tint of the skin on the soles of the feet and palms is mostly caused by dietary carotenoids, particularly from foods like carrots or papayas, which can lead to skin yellowing. 2. The measles, mumps, and rubella (MMR) vaccine can onl...[Read More] Understanding Skin Color Changes in Children and Vaccine Guidelines
Does My 3-Year-Old Son Really Have Asthma? Understanding Symptoms and Care
Does my son really have asthma? Gender: Male Age: 3 years 1 month Weight: 14 kg Dietary habits: Normal Family history of asthma: Great-grandfather, grandmother, husband (had it during infancy) Current issues: Sensitive to weather changes, prone to nasal allergies Dura...
Dr. He Shenglong Reply:
Hello: If an infant has a family history of disease and experiences recurrent wheezing episodes, it is very likely to be asthma. Currently, seeing an immunologist or rheumatologist is appropriate. Allergens can be identified through blood tests. Additionally, some asthma attacks ...[Read More] Does My 3-Year-Old Son Really Have Asthma? Understanding Symptoms and Care
Understanding Pediatric Neurological Concerns: When to Seek Help
Many questions? My eldest child is 8 years old and has Asperger's syndrome. He was delivered via vacuum extraction at 42 weeks. During his crawling phase, he exhibited head-banging behavior. Before he turned one, he experienced tremors in his hands while breastfeeding, where...
Dr. Xie Degui Reply:
1. It is recommended to undergo an early developmental delay assessment, which can be done at our hospital's pediatric neurology clinic with Dr. Bao-Ling Chang on Thursday afternoons. 2. Based on the described symptoms, they appear to be indicative of epilepsy. An evaluatio...[Read More] Understanding Pediatric Neurological Concerns: When to Seek Help
Essential Pediatric Vaccination Questions: Timing and Immunity Explained
Vaccine issues Hello Dr. Pei: I would like to ask you a few questions... (1) After receiving the Japanese encephalitis vaccine, how long should one wait before getting the varicella (chickenpox) vaccine? (2) My child has just turned one year old; can he receive the varicella vacc...
Dr. Pei Rensheng Reply:
Dear Xiao Fen, Hello! (1) After receiving the Japanese Encephalitis vaccine, you can administer the Varicella (chickenpox) vaccine at any interval, even on the same day. (2) Starting this year, due to a nationwide shortage of vaccines, the administration of the Varicella vac...[Read More] Essential Pediatric Vaccination Questions: Timing and Immunity Explained
Addressing Baby Weight Concerns: Pediatrician's Guidance on Nutrition
Baby Weight Issues - Follow-up Questions Doctor, I have some questions regarding your recommendations that I don't quite understand. 1. Should I consider supplementing for anemia and micronutrient deficiencies? Does your suggestion mean that besides low-dose vitamins and d...
Dr. Xie Degui Reply:
4. It is recommended to conduct tests (which may include blood tests) to determine if there is an iron deficiency. 6. If growth is inadequate, it is advised to monitor monthly, and developmental status will be assessed during preventive vaccinations.[Read More] Addressing Baby Weight Concerns: Pediatrician's Guidance on Nutrition
Understanding Scalp Scratching and Rashes in Infants: A Pediatric Guide
Frequently scratching the head? Hello Doctor: Our little boy is currently nine months old and often has small rashes on his neck. Each time it flares up, it becomes a large red area, and some people even mistake it for a birthmark. He also frequently pulls his hair. I heard that ...
Dr. Hong Shuokun Reply:
Hello Meimei: If a child over six months old has thick red patches in specific areas such as the neck, behind the ears, on the cheeks, at the elbow joints, or knee joints, and these patches are itchy, it is more indicative of atopic dermatitis. Allergy testing is only helpful in ...[Read More] Understanding Scalp Scratching and Rashes in Infants: A Pediatric Guide
Can Babies with Eczema Drink Goat Milk Formula? Expert Advice Inside
Can babies with atopic dermatitis drink goat milk formula? Hello Doctor: My younger brother has just turned 1 year old, and I would like to know if it is suitable to switch him to goat's milk. He has atopic dermatitis, but it has improved significantly. Could you also recomm...
Dr. Hong Shuokun Reply:
Hello, CSM: Your baby is one year old now. Atopic dermatitis tends to improve gradually as children grow older, but it is still important to pursue active treatment. Regarding formula milk recommendations: if the atopic dermatitis is severe, it is advisable to switch to hydrolyze...[Read More] Can Babies with Eczema Drink Goat Milk Formula? Expert Advice Inside
Understanding Neonatal Brain Hemorrhage: Causes, Risks, and Outcomes
Neonatal intracranial hemorrhage? My younger brother was born 3 days ago and was admitted to the neonatal intensive care unit (NICU) on the day of his birth because he seemed unable to breathe on his own. He appeared healthy at birth, and the doctors did not mention any issues. T...
Dr. He Shenglong Reply:
Hello: If a newborn experiences difficulty breathing, along with a bluish discoloration of the face and lips, or a high-pitched cry, one possible cause could be intracranial hemorrhage. To understand why intracranial hemorrhage occurs, it is best to consult your attending physici...[Read More] Understanding Neonatal Brain Hemorrhage: Causes, Risks, and Outcomes
Nutrition and Growth Concerns for Toddlers: A Parent's Guide
Nutrition and Growth Hello, doctor. My son is two and a half years old. Previously, he would vomit everything, but now that he is in daycare, his appetite has improved, and he no longer vomits. However, he mostly eats white rice and meat, and he doesn't eat much vegetables. ...
Dr. Xiao Kaiwen Reply:
At two and a half years old, a height of nearly 90 cm is acceptable (25-50 percentile), but a weight of 10 kg is considered too low (<3 percentile). If other developmental milestones (such as walking, running, climbing stairs, speaking, and social behaviors) are normal, this i...[Read More] Nutrition and Growth Concerns for Toddlers: A Parent's Guide
Concerns About Growth and Nutrition in Pediatric Sleep Issues
Nutrition and Growth (2/2) In the evening, it takes him about two hours to fall asleep, often around 11 or 12 o'clock. I have heard that growth hormone is secreted around 10 PM, which worries me about his growth and nutrition. Given his situation, should I provide him with a...
Dr. Xiao Kaiwen Reply:
At two and a half years old, a height of nearly 90 cm is acceptable (25-50 percentile), but a weight of 10 kg is considered too low (<3 percentile). If other developmental milestones (walking, running, climbing stairs, speaking, and social behavior) are normal, this is mostly ...[Read More] Concerns About Growth and Nutrition in Pediatric Sleep Issues
Addressing Weight Concerns in Infants: Tips for Parents
Baby weight issues? Hello, doctor. My baby boy was born at 36 weeks and weighs 1500g. His corrected age is one year, with a height of 68 cm and a weight of 7 kg. He drinks milk every 3 hours, and previously he drank a maximum of 120 cc. After he caught a cold at 10 months old and...
Dr. Xie Degui Reply:
1. According to the description, the baby's development is not delayed, but growth is insufficient and height is below normal, indicating a lack of nutrition for some time. 2. Besides being premature and having a low birth weight (SGA), the baby may also have intestinal sen...[Read More] Addressing Weight Concerns in Infants: Tips for Parents
Understanding Prolonged Fever in Children with Pharyngitis
The child has had pharyngitis with a fever for four days? Hello, my younger sister is currently 5 years and 9 months old. Before she developed a fever, she had mild nasal congestion and was sneezing. On the evening of November 2nd (Saturday), she started to have a fever, and on N...
Dr. Xiao Kaiwen Reply:
It has been a high fever for 4 days now. Although some viral infections can cause fever for up to a week, I believe that if a high fever lasts more than 3 days without any signs of improvement (such as extended intervals between fevers or a decrease in the highest temperature), o...[Read More] Understanding Prolonged Fever in Children with Pharyngitis
Understanding Hard Bumps Near a Child's Anus: When to Seek Medical Advice
There is a small hard lump outside the child's anus? Hello Dr. Hsiao, my infant is about 3 weeks old and has been experiencing diaper rash. We apply a layer of cream during diaper changes to prevent direct contact between stool and skin. However, during a diaper change two d...
Dr. Xiao Kaiwen Reply:
There is a noticeable hard sensation in the deeper layers of the skin, which may simply be a protrusion of bone, but could also indicate other issues (such as infection, subcutaneous masses, etc.). If necessary, a skin ultrasound can be performed for differentiation. The conditio...[Read More] Understanding Hard Bumps Near a Child's Anus: When to Seek Medical Advice
Understanding Unexplained Thigh Pain in Young Children
Unexplained thigh cramps? My precious little girl is five years old. Over the past couple of days, she has been experiencing unexplained pain in her thigh near the hip area (not menstrual cramps). I am unsure which specialist to take her to, and it makes me very worried! I hope y...
Dr. Xiao Kaiwen Reply:
Pain in the joint area may be due to issues within the joint itself, or it could be caused by strains or sprains of the tendons and ligaments surrounding the joint. Less commonly, it may involve neurological or immune problems, such as juvenile rheumatoid arthritis. It is advisab...[Read More] Understanding Unexplained Thigh Pain in Young Children
Effective Allergy Relief Strategies for Young Children Under 3
Relieving allergy discomfort? Hello Dr. Hsiao: My child is under 3 years old and has a history of allergies, often sneezing and experiencing a runny nose in the morning and evening. At home, I would like to use a nebulizer (Dr. Elepant) to relieve his discomfort. Should I use reg...
Dr. Xiao Kaiwen Reply:
Thick nasal mucus, nasal congestion, and excessive phlegm can be alleviated with steam therapy. The particles generated by a nebulizer are likely smaller than those produced by steam from hot water in a bathroom, allowing them to reach the smaller airways and help thin the mucus....[Read More] Effective Allergy Relief Strategies for Young Children Under 3
Essential Vaccination Guidance for Your 1-Year-Old Child
Vaccination Hello Dr. Hsiao, I have the following questions regarding my baby who is currently 1 year and 2 months old: 1. Are the vaccines provided in hospitals, health centers, or clinics, whether self-paid or government-subsidized, standardized and safe? Do vaccines also dif...
Dr. Xiao Kaiwen Reply:
1. In principle, vaccination sites approved by local health bureaus are safe (the health bureau conducts regular inspections, including storage methods). Some vaccines have different brands, and some can be used interchangeably (in case of shortages), while others cannot. Please ...[Read More] Essential Vaccination Guidance for Your 1-Year-Old Child