Ear, Pediatrics FAQ - Page 66

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Emergency Procedures for Infant Choking: CPR and Beyond

Emergency Procedures for Infant Choking When a newborn baby is five days old and experiences cyanosis and aspiration pneumonia due to choking, in addition to performing infant CPR, can defibrillation, tracheostomy, or ECMO be administered simultaneously? What is the recommended d...


Dr. He Shenglong Reply:
Hello: A newborn, five days old, experienced cyanosis and aspiration pneumonia due to milk aspiration. Basic cardiopulmonary resuscitation (CPR) was initiated, and in addition to providing oxygen, the first step was to clear the milk from the throat and nasal passages to maintain...

[Read More] Emergency Procedures for Infant Choking: CPR and Beyond


Vaccination and Pediatric Health: Key Questions for Parents

Vaccine issues Hello Dr. Pei, I have two questions to ask you: (1) My child just turned two months old, and I am planning to take him for vaccinations next week. Can the first dose of the DTaP-Hib-IPV-HepB combination vaccine and the first dose of the pneumococcal vaccine be ...


Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! (1) The schedule for the pentavalent vaccine is at 2, 4, 6, and 18 months, while the pneumococcal vaccine is administered at 2, 4, 6 months and after the first year. The first dose of the pentavalent vaccine and the first dose of the pneumococcal vaccine c...

[Read More] Vaccination and Pediatric Health: Key Questions for Parents


Understanding Gastrointestinal Issues in Infants: Causes and Remedies

Gastrointestinal issues Hello Doctor, I would like to ask you about my baby who is almost one year old. He often tosses and turns at night and only settles down after passing gas. During the day, his diaper often smells bad, and when I check, I find that he has only passed gas an...


Dr. Pei Rensheng Reply:
Hello, (1) The sources of air in a baby's gastrointestinal tract include crying, oversized nipple holes, frequent sucking on pacifiers, food fermentation, or gas produced by intestinal bacteria. If the baby has a normal appetite, is growing well, and has no abnormalities i...

[Read More] Understanding Gastrointestinal Issues in Infants: Causes and Remedies


Understanding Thrush in Infants: Causes, Symptoms, and Treatment Tips

Oral thrush (3) Dear Dr. Pei, I would like to ask you a few questions. (1) My child has not yet recovered from oral thrush and has returned for a second consultation (at a different hospital). The second pediatrician believes that the reason for the persistent condition may be t...


Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! (1) Oral thrush is a type of candidiasis infection. Infants and young children with normal or compromised health, those who have used antibiotics or corticosteroids, and individuals with congenital or acquired immunodeficiency are all at risk for developin...

[Read More] Understanding Thrush in Infants: Causes, Symptoms, and Treatment Tips


Understanding Oral Thrush and Common Pediatric Concerns

Angular Cheilitis (2) Dear Dr. Pei, I have a few questions to ask you: (1) My child was diagnosed with oral thrush last Wednesday. The first three packets of medication were mixed with milk for drinking, but I later realized they should be applied topically, so I switched to t...


Dr. Pei Rensheng Reply:
Dear Xiaofen, (1) After medication, oral thrush usually disappears within about 3 days. If the white spots have not completely cleared after finishing the last dose of medication, it is advisable to consult a pediatrician. (2) Sources of air in the gastrointestinal tract includ...

[Read More] Understanding Oral Thrush and Common Pediatric Concerns


Understanding Oral Thrush in Infants: Treatment and Care Tips

Oral thrush Dear Dr. Pei, I would like to ask you a few questions: (1) My child is currently over one month old and has developed oral thrush. The doctor at the hospital prescribed a five-day supply of medication (Mycostatin, to be taken three times a day, ground into powder)....


Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! (1) Oral thrush is a type of Candida infection. In healthy individuals, Candida can be present in the oral cavity and intestines. Infants with normal health or those with compromised health, such as those using antibiotics or corticosteroids, as well as th...

[Read More] Understanding Oral Thrush in Infants: Treatment and Care Tips


Understanding Nail Peeling in Babies: Causes and Solutions

The edges of the baby's nails are peeling? The baby is now one year old and the edges of the nails are peeling. Only the pinky finger's nails are not as severe, while the nails on the other fingers are experiencing peeling. The baby tends to suck on the thumb, and initi...


Dr. He Ciyuan Reply:
1. Babies who consume iron-fortified formula and eat normally are unlikely to be iron deficient, unless they have a poor appetite and do not consume enough food. 2. Please try to prevent the baby from sucking on their fingers, as fingers can harbor bacteria that are harmful to ...

[Read More] Understanding Nail Peeling in Babies: Causes and Solutions


Understanding Sleep Issues in Newborns: What Parents Should Know

Sleep Issues in Newborns Hello Doctor: My baby is almost one month old, but I recently noticed that he wakes up every hour or so, and when he does, he cries a lot and takes a long time to calm down. It's not time for feeding yet, and his diaper isn't wet. Is my baby sic...


Dr. Xiao Kaiwen Reply:
A one-month-old newborn has a naturally quicker cycle of sleep and wakefulness, which is normal. As they grow, their sleep duration will gradually extend. Common reasons for a one-month-old newborn to cry include: 1. Hunger, wet diaper, or needing comfort, 2. Fever (remember to c...

[Read More] Understanding Sleep Issues in Newborns: What Parents Should Know


Understanding Baby's Bowel Movements: What Parents Need to Know

Bowel issues (continued) Hello, doctor... I previously asked about my baby's bowel movement issues. If overfeeding does not affect my baby's bowel movements, will the absence of nighttime feedings have an impact? Excluding the formula issue (since my baby just had about...


Dr. Xiao Kaiwen Reply:
Not drinking night milk will not affect the baby's bowel movements. It is acceptable for a baby to have a bowel movement every 2 to 3 days, as long as the stool is not hard. Green stool simply indicates that the baby is excreting excess iron that is not needed, and does not ...

[Read More] Understanding Baby's Bowel Movements: What Parents Need to Know


Understanding Pediatric Vaccination: Choosing the Right Schedule for Your Child

Vaccine issues Hello, Director Hsiao: I would like to ask you a few questions regarding my child's vaccination! My child was born on October 23. Initially, I was considering having my child receive the hexavalent vaccine at one and a half months to minimize the number of inj...


Dr. Xiao Kaiwen Reply:
The Health Department recently promoted the oral polio vaccine due to an outbreak of poliomyelitis in Southeast Asia, where we have close interactions. For preventive health considerations, it is recommended that infants receive at least two doses of the oral polio vaccine, as it...

[Read More] Understanding Pediatric Vaccination: Choosing the Right Schedule for Your Child


Concerns About Uneven Testicles in Toddlers: What Parents Should Know

One testicle is larger than the other? Hello Doctor, when I was checking my child's diaper to see if it needed to be changed (he was about 10 months old at the time), I accidentally pressed on his testicle three times while adjusting the reusable cloth diaper, which was quit...


Dr. Xiao Kaiwen Reply:
It is actually uncommon for men to have two testicles that are identical in shape, size, and height. Therefore, it is quite common for one testicle to be higher or lower, or for them to differ in shape or size. Having one testicle larger than the other does not affect future fert...

[Read More] Concerns About Uneven Testicles in Toddlers: What Parents Should Know


When Can My 10-Month-Old Get the Pneumococcal Vaccine After Flu Shots?

After receiving the influenza vaccine, when can I get the pneumococcal vaccine? Hello, I would like to ask about my child who is currently 10 months old. He received his first dose of the vaccine on October 3 and the second dose on November 28. When can he receive the pneumococca...


Dr. Xiao Kaiwen Reply:
1. Except for the Japanese encephalitis vaccine, which requires a one-month interval, other routine pediatric vaccines can generally be administered simultaneously, but they must be given at different injection sites. (If administered at different times, a two-week interval is su...

[Read More] When Can My 10-Month-Old Get the Pneumococcal Vaccine After Flu Shots?


Is My 6-Month-Old Daughter's Development Normal? Pediatric Insights

Not yet able to crawl or sit? Hello, doctor: I would like to ask you about my daughter, who is currently over 6 months old, weighs 7.5 kg, and is 65 cm tall. Is this within the normal range? (The pediatricians haven't told me if it's considered normal.) She is not sitti...


Dr. He Shenglong Reply:
Hello: The increase in weight and height indicates growth. According to the growth chart, your daughter's weight is between the 50th and 75th percentiles, while her height is at the 50th percentile, which is currently within the normal range. For different age groups, if the...

[Read More] Is My 6-Month-Old Daughter's Development Normal? Pediatric Insights


Addressing Speech Delays in Toddlers: When to Seek Help

Incorrect pronunciation? Our child is already 2 years old this year, but he has noticeable pronunciation issues. We had a brain ultrasound done in October, and the doctor said there were no problems and that he would improve as he gets older, but we are still very worried. He onl...


Dr. Xiao Kaiwen Reply:
Before the age of 3 to 4 years, the development of the articulatory organs in young children is not fully matured, and their language proficiency is insufficient, often resulting in inaccurate pronunciation. However, as they grow older, their language development becomes more ref...

[Read More] Addressing Speech Delays in Toddlers: When to Seek Help


Is It Safe to Modify Baby Bottle Nipples for Better Feeding?

Nipple Hello, Dr. Pei: I have a question I would like to ask you, and I kindly request your time to answer it. My newborn baby is just over ten days old, and I usually feed him with either formula or breast milk from a bottle. I purchased the bottles and nipples from a pharmacy, ...


Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! The baby's sucking and swallowing coordination requires some time to develop and learn. Initially, it is recommended to use nipples with medium or small holes, with the principle that one drop should drip every second. Cross-cut or small round holes can...

[Read More] Is It Safe to Modify Baby Bottle Nipples for Better Feeding?


Is It Safe for Newborns to Take Traditional Chinese Medicine Powder?

Chinese herbal powder Hello Dr. Pei, I would like to ask you a question. My baby was just born less than a week ago, and their face and body still appear a bit red. The elders in the family say this is "fetal heat" and that I should give them herbal powder to reduce i...


Dr. Pei Rensheng Reply:
Dear Xiaofen, The baby has some redness on the face and body, which could be due to several possibilities: 1. Erythema toxicum: This occurs in about 50% of newborns, presenting as small red spots that typically resolve on their own within two weeks. 2. Seborrheic dermatitis: Th...

[Read More] Is It Safe for Newborns to Take Traditional Chinese Medicine Powder?


Flu Vaccine for Kids: Is the Second Dose Necessary?

Influenza second dose Doctor: Hello! May I ask if a 1-year and 4-month-old child received their first flu shot in October and is scheduled to receive the second dose this month, can they skip the second dose? What would be the implications? If they do not receive it, will they st...


Dr. Pei Rensheng Reply:
Dear Cynthia, 1. The influenza vaccine is used to prevent influenza, and studies from abroad indicate that its efficacy ranges from approximately 60% to 90%. According to international medical research recommendations, children under eight years old who have never received the i...

[Read More] Flu Vaccine for Kids: Is the Second Dose Necessary?


Can Flu Vaccine Cause Rashes in Infants? Understanding Pediatric Reactions

Can getting a flu vaccine cause a rash? Hello Doctor, my baby was born on April 19, 2007. After reaching six months, on October 30, 2007, he received the first dose of the influenza vaccine (from Pasteur) and the third dose of the pneumococcal vaccine in the afternoon. However, t...


Dr. Pei Rensheng Reply:
Hello: The most common side effects of the influenza vaccine are localized pain and swelling at the injection site. There are also rare occurrences of systemic reactions, such as fever, myalgia, and fatigue. Allergic and neurological reactions are infrequent. According to a surve...

[Read More] Can Flu Vaccine Cause Rashes in Infants? Understanding Pediatric Reactions


Timing for Flu Vaccine and Other Immunizations in Infants

How long should one wait to receive the flu vaccine after getting other vaccines? Hello, my baby was born on April 19, 2007, and is now six months old. Due to a cold, the hexavalent vaccine was administered on October 27. We plan to administer the pneumococcal vaccine on November...


Dr. Pei Rensheng Reply:
Dear Penguin Mama, 1. Both the influenza vaccine and the pneumococcal vaccine are inactivated vaccines, so they can be administered at the same time or at any interval without concern. The side effects will not be amplified. If you are worried that your child may feel more uncom...

[Read More] Timing for Flu Vaccine and Other Immunizations in Infants


Understanding Persistent Headaches in an 11-Year-Old: Causes and Solutions

An 11-year-old child experiencing persistent headaches? I am Mrs. Wu, and I have an 11-year-old child who frequently experiences headaches in the morning (mostly on sunny days). Sometimes, they feel nauseous while riding in a car and need to gag, but it improves afterward. We hav...


Dr. Hong Shuokun Reply:
Approximately 7% of middle school students aged 13 to 15 experience migraine issues. When it comes to headaches, it is essential to rule out the possibility of secondary headaches, which in childhood can often be caused by conditions such as colds, fever, cavities, sinusitis, vis...

[Read More] Understanding Persistent Headaches in an 11-Year-Old: Causes and Solutions


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