Understanding Tongue Coating in Children: Causes and Concerns
Tongue papillae The tongue coating is noticeably granular. It's unclear whether this is due to brushing the tongue too vigorously or if it is a sign of an underlying health issue.
Dr. Xiao Kaiwen Reply:
The presence of prominent papillae on the tongue, unless accompanied by a high fever indicative of strawberry tongue, does not have significant clinical implications. The reasons for this phenomenon are unclear, but it does not affect health, so there is no need for excessive con...[Read More] Understanding Tongue Coating in Children: Causes and Concerns
Understanding Delayed Bleeding Risks After a Child's Fall
Delayed bleeding after a fall in children? Hello, doctor. My son, who is one year and ten months old, fell from his high chair onto the tile floor last night. He fell from a height of about 120 centimeters and cried immediately after the fall. We took him to a nearby surgical cli...
Dr. Pei Rensheng Reply:
Hello! In children with mild blunt head injury, there are several factors that can affect prognosis: 1. The younger the child, the more severe the injury. 2. The higher the fall, the more severe the injury; statistically, falls from heights greater than 90 cm should be monitored,...[Read More] Understanding Delayed Bleeding Risks After a Child's Fall
Can I Mix Pediatric Gastrointestinal Medications for My Child?
Pediatric gastrointestinal medication issues? For a 4-year-old child with gastroenteritis, the doctor prescribed Federated Gastrointestinal Suspension and Magnesium Oxide (laxative powder) to be taken after each meal. Is it possible to mix the laxative powder into the Federated G...
Dr. Zhang Yingwen Reply:
Hello, mother of the baby! It is acceptable to take magnesium oxide and Gaviscon suspension together with water. Since magnesium oxide is insoluble in water, it is normal for the mixture to appear cloudy rather than clear. May I ask if your baby has diarrhea due to gastroenteriti...[Read More] Can I Mix Pediatric Gastrointestinal Medications for My Child?
Medication Safety During Breastfeeding: Impact on Infants
Medication consultation Hello, doctor. I am currently breastfeeding and have been diagnosed with urticaria. After visiting a dermatologist, I was prescribed oral medications including Demine, Decadron 0.5mg, Tagamet, Loratadine, and Methylprednisolone. I would like to know if the...
Dr. Xiao Kaiwen Reply:
According to verified information: breastfeeding mothers can use Demine, while there is no research on the use of Loratadine and Decadron 0.5mg in breastfeeding mothers. Tagamet and METHYL-PREDNISOLONE may be excreted in breast milk, so breastfeeding mothers should avoid using th...[Read More] Medication Safety During Breastfeeding: Impact on Infants
Understanding Pediatric Skin and Genetic Disorders: A Parent's Guide
Pediatric Skin and Genetic Disorders Hello Doctor, we have a newborn at home, and there are slight skin protrusions on the left thigh, calf, and the side of the foot. We have consulted a pediatrician, but the response was to wait and observe, which makes us very worried that it c...
Dr. Xiao Kaiwen Reply:
I apologize for not being able to provide a photo, but I have consulted with several physicians (including experienced pediatricians from a reputable medical center). It seems to be a relatively rare situation. I believe it would be best to continue follow-up with a more experien...[Read More] Understanding Pediatric Skin and Genetic Disorders: A Parent's Guide
Understanding Bilateral Basal Ganglia Hyperintensity in Children: Symptoms and Prognosis
Pediatric brain Hello, doctor. My child underwent a brain ultrasound examination at birth, which showed bilateral basal ganglia hyperintensity. 1) What effects could this have? What symptoms might arise? What is the prognosis like? Until what age should we monitor this to feel ...
Dr. Xiao Kaiwen Reply:
1. This is a very common report for neonatal cranial ultrasound examinations, and the vast majority are insignificant and not abnormal. Follow-up should be conducted according to the recommendations of the pediatrician. 2 & 3. There should be no correlation; monitor the head ...[Read More] Understanding Bilateral Basal Ganglia Hyperintensity in Children: Symptoms and Prognosis
Concerns About Newborn Eyelid Issues: Should We Worry?
Inquire about newborn eyelid issues? Hello doctor, my daughter is currently 2 months and 5 days old. A few days ago, I noticed a spot near the inner corner of her left eyelid that looks like a burst blood vessel. I'm not sure if it is a hemangioma. Does she need surgery, or ...
Dr. Xie Wanghu Reply:
Hello, Mom! I'm sorry, but I cannot make a judgment based solely on your description. I recommend taking your child to an ophthalmologist or pediatrician for a proper evaluation. Thank you.[Read More] Concerns About Newborn Eyelid Issues: Should We Worry?
COVID-19 in Infants: When to Seek Medical Advice for Your Baby
Infant COVID-19 I would like to ask about my baby, who is currently 4 months old. On November 29, my baby tested positive and had a fever reaching nearly 38 degrees Celsius. However, after taking fever-reducing medication, the fever subsided. My baby occasionally sneezes and coug...
Dr. Xiao Kaiwen Reply:
COVID-19 may not always test negative quickly on rapid tests, and a persistent positive result does not necessarily indicate more severe symptoms or a higher risk of progression to critical illness. The primary approach to managing COVID-19 is symptomatic treatment and monitoring...[Read More] COVID-19 in Infants: When to Seek Medical Advice for Your Baby
Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Infants avoiding eye contact? At just over five weeks old, the infant was observed to avoid eye contact, clearly looking away to the right or left immediately after making eye contact. Now at six weeks and two days, the situation remains the same. During feeding, the baby does ma...
Dr. He Zongxian Reply:
Hello, based on your description, it is necessary to rule out any special conditions such as nystagmus or involuntary eye movements. I recommend taking your child to a medical center's pediatric ophthalmology and pediatric neurology departments for further evaluation. Sincer...[Read More] Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Understanding Eye Contact Avoidance in Infants: What Parents Should Know
Infants avoiding eye contact? At just over five weeks old, the infant was observed to avoid eye contact, noticeably looking away to the right or left immediately after making eye contact. Now at six weeks and two days, the behavior remains the same. During feeding, the baby does ...
Dr. He Zongxian Reply:
Hello, based on your description, it is necessary to rule out any special conditions such as nystagmus or involuntary eye movements. I recommend taking your child to a medical center's pediatric ophthalmology and pediatric neurology departments for further evaluation. Sincer...[Read More] Understanding Eye Contact Avoidance in Infants: What Parents Should Know
COVID-19 Vaccination for Toddlers: Insights on Moderna and China Vaccines
COVID-19 vaccine Hello, doctor. My child is currently two years and seven months old and is in mainland China. Would you recommend getting vaccinated there before returning to Taiwan, or should we get the Moderna vaccine in Taiwan, or not vaccinate at all? My child has been hospi...
Dr. Xiao Kaiwen Reply:
The COVID-19 vaccines from mainland China have not been legally granted emergency authorization in Taiwan, and the assessment of their efficacy is not very clear. Therefore, we do not have a thorough understanding of the COVID-19 vaccines produced in mainland China. However, the ...[Read More] COVID-19 Vaccination for Toddlers: Insights on Moderna and China Vaccines
Understanding Patent Foramen Ovale in Children: Is Closure Necessary?
Both of my children have a patent foramen ovale? The older child is 9 years old, with a height of 145 cm and a weight of 56 kg. There is a patent foramen ovale measuring 0.66 cm, mild mitral regurgitation, and right-sided peripheral pulmonary artery stenosis. The child has experi...
Dr. Xie Wanghu Reply:
Hello, Mom. The foramen ovale is a valvular structure located between the right atrium and left atrium at birth. It typically closes within five days after birth; if it remains open beyond six months, it is referred to as an "atrial septal defect." Generally, if it has ...[Read More] Understanding Patent Foramen Ovale in Children: Is Closure Necessary?
Understanding Skin Issues in Children's Fingers: Causes and Treatments
Children's finger skin Hello: A 7-year-old boy has recently developed darkening at the tips of all ten fingers (no pain or itching), accompanied by small bumps and rough skin. What is the best way to manage this? Additionally, there is a raised area between the little finger...
Dr. Xiao Kaiwen Reply:
It is not appropriate to provide an explanation without seeing the actual skin condition, and it is even less suitable to use ointments on your own. It is recommended to consult a dermatologist for proper diagnosis and treatment.[Read More] Understanding Skin Issues in Children's Fingers: Causes and Treatments
Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery
Mycoplasma pneumonia Hello, doctor. I would like to ask about a 5-year-old child who contracted mycoplasma pneumonia, resulting in right lung infiltration. The child was treated with medication for three days and discharged from the hospital. During the hospitalization, the child...
Dr. He Zongxian Reply:
Hello, generally speaking, mycoplasma infections initially present with symptoms similar to those of a cold. After three to five days of fever, a cough often develops, frequently manifesting as a dry cough. This cough can persist for about three to four weeks. As long as the body...[Read More] Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery
Understanding Infant Head Growth: When to Seek Further Evaluation
Infant Head Circumference Development Hello, my baby boy (5 months and 2 days old as of October 4) has been growing quite quickly. His weight is 7.3 kg, height is 65.1 cm, and head circumference is 44.2 cm. He is approaching the 97th percentile and will likely exceed it in a few ...
Dr. He Zongxian Reply:
Hello, from your description, it is evident that you are a caring and attentive mother, and your son's check-up results appear to be normal. According to the updated WHO growth charts for children, his height is between the 25th and 50th percentiles, his weight is also betwe...[Read More] Understanding Infant Head Growth: When to Seek Further Evaluation
Safety of Medications During Breastfeeding: A Pediatric Perspective
Medication Issues During Breastfeeding Hello Doctor, I currently have a cold with a sore throat, phlegm, and a severe cough. I would like to ask about the safety of the following medications for my 11-month-old baby while I am breastfeeding. Will these medications affect my baby?...
Dr. Xiao Kaiwen Reply:
Generally speaking, except for immunosuppressive drugs, cytotoxic medications, and radioactive drugs, most medications only appear in trace amounts in breast milk and have minimal impact on the baby. Therefore, there is usually no need to stop breastfeeding. As a principle, it is...[Read More] Safety of Medications During Breastfeeding: A Pediatric Perspective
Understanding ITP in Young Children: Treatment Duration and Recovery Insights
Childhood thrombocytopenic purpura (ITP) Hello Dr. Hsiao: Regarding the issue mentioned in <a href="https://adoctor.tw/article/185662">#185662</a> https://adoctor.tw/article/185662, a young child was diagnosed with ITP in March of this year and just complete...
Dr. Xiao Kaiwen Reply:
1. Targeted therapy with the drug Mo Xu Liu shows an initial effectiveness of about 60% in patients, with 30% achieving a complete response within the following year; however, half of the patients may experience a relapse within the next four years. 2. A platelet count of at leas...[Read More] Understanding ITP in Young Children: Treatment Duration and Recovery Insights
Concerns About X-Ray Radiation Exposure in Infants: A Parent's Dilemma
X-ray radiation issues When my child was nine months old, she was taken to the emergency room due to crying, vomiting, and coughing. Since there was no pediatrician available, she underwent chest and abdominal X-rays without any shielding for her body. When I followed up with a p...
Dr. Xiao Kaiwen Reply:
Actually, modern X-ray machines have advanced significantly, and the radiation exposure dose is very low. Taking one or two X-rays is unlikely to have any adverse effects on the body, so you don't need to worry too much.[Read More] Concerns About X-Ray Radiation Exposure in Infants: A Parent's Dilemma
Understanding Pediatric Fever: When to Seek Emergency Care for Your Child
Pediatric Fever Hello, Doctor. I apologize for bothering you. I would like to confirm something with you. My daughter, who is currently 3 years old, started having a fever on Saturday, October 22nd. By Sunday night, her temperature reached nearly 40 degrees Celsius, and she has b...
Dr. Xiao Kaiwen Reply:
These three viruses do not have specific antiviral medications; however, the majority of children can gradually recover through their own immune response, so there is no need for excessive concern. However, if a high fever persists for more than three days or if any of the follow...[Read More] Understanding Pediatric Fever: When to Seek Emergency Care for Your Child
Understanding Changes in Your Toddler's Stool Color: What to Know
The color of a toddler's stool? Hello, doctor. For the past two weeks, my 4.5-year-old daughter has been having light yellow stools (previously, she would have a bowel movement every three days with darker color). Recently, she has been going every other day, and the color i...
Dr. Xiao Kaiwen Reply:
Monitor for any signs of jaundice (yellowing of the sclera) or if the stool gradually turns grayish-white; otherwise, observation is sufficient.[Read More] Understanding Changes in Your Toddler's Stool Color: What to Know