How to Help Your 2-Year-Old with Nighttime Itching and Allergies
A 2-year-old child is scratching their head continuously while sleeping at night? Dear: My child has an allergic disposition to eggs and nuts, with a sensitivity index of 4, and a sensitivity index of 2 to milk. Additionally, they have atopic dermatitis and often complain of itch...
Dr. Hong Shuokun Reply:
Hello Vivian: A 2-year-old child has atopic dermatitis, which is typically most itchy at night during sleep. The common areas affected by atopic dermatitis include the scalp, behind the ears, the bends of the elbows, wrists, knees, and ankles. Therefore, it is essential to focus ...[Read More] How to Help Your 2-Year-Old with Nighttime Itching and Allergies
Essential Guide to Chickenpox and MMR Vaccines for Your Baby
Regarding the varicella vaccine and the MMR vaccine? Hello, my baby just turned one year old. I would like to ask: 1. Does your hospital provide free varicella (chickenpox) vaccinations? 2. If the free varicella vaccine is consistently out of stock, is it necessary to pay out of ...
Dr. Pei Rensheng Reply:
Hello: 1. The Taoyuan Health Department offers free varicella (chickenpox) vaccinations; however, like other vaccines, there is an additional registration fee of approximately NT$120. 2. Currently, the free varicella vaccine can only be administered to children who are at least 1...[Read More] Essential Guide to Chickenpox and MMR Vaccines for Your Baby
Is Goat Milk Powder Safe for Babies with Kidney Issues?
Does goat milk powder impose a burden on the kidneys? Dear Doctor: My friend's baby has congenital "polycystic kidney disease with renal hypoplasia" and is under regular monitoring, with the current situation being stable. They are considering introducing goat milk...
Dr. Xiao Kaiwen Reply:
Goat milk contains more minerals than cow's milk, primarily phosphorus, calcium, chloride, sodium, and potassium. However, the levels of iron and folate in goat milk are lower. If a newborn exclusively consumes fresh goat milk, it may lead to severe anemia; therefore, fresh ...[Read More] Is Goat Milk Powder Safe for Babies with Kidney Issues?
Concerns About Japanese Encephalitis Vaccine Dosage for Toddlers
Japanese encephalitis vaccine dosage issues? Hello! My child is one year and four months old. Today, when I took him for the second dose of the Japanese encephalitis vaccine, the nurse verified the information and informed me that only 0.5 milliliters should be administered. Duri...
Dr. Xiao Kaiwen Reply:
The Japanese encephalitis vaccine is administered at a dosage of 1cc for children aged three and older, primarily given to elementary school students at vaccination sites. Although the dosage may not have been verified beforehand, experienced nurses are unlikely to administer the...[Read More] Concerns About Japanese Encephalitis Vaccine Dosage for Toddlers
Is It Safe for Newborns to Fly Long Distances?
Flying on an airplane? Dr. He: Hello, thank you for taking the time to answer my questions. 1. Is it safe for a newborn to take a long-haul flight (from Atlanta to Taiwan, with a total travel time of about 20 hours including layovers)? Will the cabin pressure have any negative ef...
Dr. He Shenglong Reply:
Hello: Broadly speaking, newborns refer to infants under three months of age. There is no clear guideline on the appropriate age for flying; it may vary by airline, and some may require a signed waiver. Generally, during ascent and descent, the imbalance of pressure in and out of...[Read More] Is It Safe for Newborns to Fly Long Distances?
Essential Feeding Tips and Concerns for Newborns: A Guide for New Moms
Neonatal Feeding Volume and Related Issues Hello Doctor: I am a new mom and have some questions to ask. 1. My baby girl is currently 1 month and 19 days old and weighed 4 kg about a week ago. I’m not sure what her current weight is. Sometimes she doesn’t finish 120 cc of formul...
Dr. Xiao Kaiwen Reply:
1. A one-month-old infant is considered normal if their weight has increased by 900-1000 grams from their birth weight, indicating adequate milk intake. It is common for newborns to have small feeding sessions due to their limited stomach capacity. The amount of formula to prepar...[Read More] Essential Feeding Tips and Concerns for Newborns: A Guide for New Moms
Concerns About Underweight Children: When to Seek Medical Advice
The child is underweight? Hello Doctor: My son is currently 9 years old, with a height of 119 cm and a weight of 19 kg. No matter how much he eats, he doesn't gain weight and is too thin, which is very concerning. I'm unsure if I need to take him to the hospital for an ...
Dr. Xiao Kaiwen Reply:
A 9-year-old boy with a height of 119 cm and a weight of 19 kg is indeed below the growth curve. There can be various reasons for this (such as malnutrition, picky eating, genetic factors, or endocrine issues). It is recommended to consult a pediatrician specializing in genetics,...[Read More] Concerns About Underweight Children: When to Seek Medical Advice
Understanding Your 3-Month-Old Baby's Unusual Movements and Symptoms
3-month-old infant Hello, Doctor: I would like to ask why my 3-month and 19-day-old baby is experiencing episodes of stiffening their arms and legs, with a flushed face and a blank stare. This has happened three times today, all occurring in the afternoon (the previous three days...
Dr. Xiao Kaiwen Reply:
It appears that the child may be experiencing seizures, which can commonly be caused by structural abnormalities of the brain, encephalitis, intracranial hemorrhage, hypoglycemia, electrolyte imbalances, epilepsy, or some rare metabolic disorders. The necessary examinations may i...[Read More] Understanding Your 3-Month-Old Baby's Unusual Movements and Symptoms
Understanding Seizures in Young Children: Causes and Concerns
Child experiencing muscle cramps? Hello, I would like to ask about my son who is two years and five months old. He was hospitalized for febrile seizures in September of last year and again in March of this year. The first incident occurred at home while he was using the bathroom;...
Dr. Xiao Kaiwen Reply:
Febrile seizures typically show normal electroencephalogram (EEG) results. If seizures persist beyond the age of 5, occur without fever, or if prolonged EEG monitoring reveals abnormalities, it may indicate that the condition is not a simple febrile seizure. After ruling out stru...[Read More] Understanding Seizures in Young Children: Causes and Concerns
Understanding Yellowing Eyes and Skin in Preschoolers: When to Seek Help
The sclera of a child (around four years old) appears yellowish? Hello, doctor. My daughter is currently four years old, and I recently noticed that the whites of her eyes are yellowish, and her palms and soles are also yellowish (which I noticed since she was a baby). Could this...
Dr. Pei Rensheng Reply:
Dear WENDY: Hello! The yellowing of the sclera (the white part of the eyes) and the palms and soles may indicate liver or biliary diseases. It could also be due to the consumption of foods rich in pigments, such as papaya or carrots. If the stool is not grayish-white, the latter ...[Read More] Understanding Yellowing Eyes and Skin in Preschoolers: When to Seek Help
Understanding Toddler Tremors and Weakness: When to Seek Help
The child exhibits weakness in the legs and occasional tremors in the hands? Hello, I would like to ask about my child who is one year and three months old. Since he was five or six months old, I have noticed that his hands occasionally tremble, usually one hand at a time. Each t...
Dr. Xiao Kaiwen Reply:
At one year and three months old, the child can only stand while holding onto objects and cannot stand for long periods. They require significant strength in their hands to pull themselves up, which indicates abnormal motor development. It is important to assess whether there are...[Read More] Understanding Toddler Tremors and Weakness: When to Seek Help
Managing Severe Allergic Rhinitis in Infants and Young Children
Severe Allergic Rhinitis in Infants and Young Children Dear Dr. Hsiao, Hello! I have two sons, one just turned one year old and the other just turned four. I have taken both children to see both Western and Traditional Chinese Medicine practitioners, and they have both been diag...
Dr. Xiao Kaiwen Reply:
Allergic constitution requires persistence and patience to combat. Children are more likely to change their constitution (unlike adults, who find it more difficult to do so), and there is a possibility for improvement or even complete resolution. Conversely, if left unaddressed, ...[Read More] Managing Severe Allergic Rhinitis in Infants and Young Children
Managing Persistent Cough in Infants: Causes and Solutions
Coughing Hello Doctor: My 5-and-a-half-month-old baby has had three colds already. The last cold hasn't completely resolved, and now there are new symptoms. This time, he has a persistent cough that sometimes sounds like he's choking, and at times he coughs so much that...
Dr. Hong Shuokun Reply:
Hello, Yang Ma: Your little one is only five and a half months old and has caught a cold three times, which is quite a lot. Are there other children at home? For children of this age, if they have a cough, it is essential to perform chest physiotherapy to help clear mucus. There ...[Read More] Managing Persistent Cough in Infants: Causes and Solutions
Understanding Growth Plate Closure: Pediatric Concerns and Solutions
Regarding the closure of growth plates! I'm not sure if I'm asking the right person! If not, please let me know which doctor I should consult! When I was in the third year of junior high school, I went to Chang Gung Memorial Hospital for an X-ray to check my growth plat...
Dr. He Shenglong Reply:
Hello: I can offer you some suggestions regarding your concerns. Height is not something that individuals can control, nor is it a necessary condition for success; please do not be too upset. According to the height and weight standards for military service, a height of 160 cm st...[Read More] Understanding Growth Plate Closure: Pediatric Concerns and Solutions
Understanding Oral Lesions in Children: Causes and Treatments
Foreign body in the oral cavity? Recently, I noticed a swollen area in my mouth that, when lightly pressed, has small blood vessels appearing. It looks like there are multiple small wounds, and the next day, the swollen area developed a condition similar to chickenpox. The swolle...
Dr. He Ciyuan Reply:
An abnormal growth in the oral cavity with gradually expanding swelling cannot be definitively diagnosed without a personal examination. Please visit an otolaryngology or pediatric clinic for further detailed evaluation.[Read More] Understanding Oral Lesions in Children: Causes and Treatments
How to Manage Swelling and Hardness After Vaccination in Children?
If the vaccination site is swollen and hard, how should it be managed? If the vaccination site is swollen and hard, how should it be managed?
Dr. Pei Rensheng Reply:
Dear Xiao Bao's Mom, Hello. The injection site may exhibit swelling and hardness as side effects, which occasionally occurs with vaccines such as the Hepatitis B vaccine, the DTaP (diphtheria, tetanus, and pertussis) combination vaccine, the Japanese encephalitis vaccine, t...[Read More] How to Manage Swelling and Hardness After Vaccination in Children?
Understanding Hard Stools in Infants: Causes and Solutions
Hard stools? Hello, doctor. My baby is currently 4 and a half months old. Recently, I’m not sure if it’s because I started adding rice cereal, but his stools have become very hard. I have stopped the rice cereal and only added it to his formula, but his stools are still hard. Pre...
Dr. Xiao Kaiwen Reply:
A four-and-a-half-month-old baby with constipation can be given a small amount of water (not too much) between feedings, as well as diluted fruit juice with a higher concentration (higher osmotic pressure). Once the baby has started eating solid foods, it is recommended to provid...[Read More] Understanding Hard Stools in Infants: Causes and Solutions
Understanding Hib Vaccine Options for Your Baby's Immunization
What can you tell me about the prevention vaccine for Haemophilus influenzae type b (Hib)? When the baby was over three months old, they received the first dose of the Diphtheria, Pertussis, and Tetanus (DPT) combination vaccine. At over six months, they received the second dose ...
Dr. Xiao Kaiwen Reply:
To develop immunity (antibodies) against Haemophilus influenzae type b (Hib), children over one year of age must receive one dose of the Hib vaccine, regardless of whether they received the primary series before one year of age. The Hib vaccine can be administered in combination ...[Read More] Understanding Hib Vaccine Options for Your Baby's Immunization
Addressing Milk Intake and Head Movement in Infants: Pediatric Insights
Milk consumption issues? Dear Dr. Pei, I would like to ask you two questions: (1) My baby is currently over two months old. During the first and second months, he primarily focused on sleeping, often waking up every three hours or less, and immediately showing signs of hunger ...
Dr. Pei Rensheng Reply:
Hello: (1) In the first and second months, feeding is prioritized over sleeping; in the third month, sleeping takes precedence over feeding. This is a common situation for every infant. (2) The standard feeding amount is 100-150 cc per kilogram of body weight per day. If there is...[Read More] Addressing Milk Intake and Head Movement in Infants: Pediatric Insights
Understanding Newborn Tongue Tie: Is Your Baby's M-Shaped Tongue Normal?
Newborn tongue tie? My son is eight days old and I noticed that his tongue has an M shape, and the base of his tongue is very close to the tip. Is this normal, doctor?
Dr. He Shenglong Reply:
Hello: If the tongue cannot extend beyond the lips, or if the tongue appears in an M shape with the base and tip of the tongue being very close together, it may be due to a tight lingual frenulum. You can visit a surgical outpatient clinic to have the frenulum clipped, and then h...[Read More] Understanding Newborn Tongue Tie: Is Your Baby's M-Shaped Tongue Normal?