Concerns About Low Appetite and Stagnant Weight in Toddlers
Reduced appetite and no progress in weight? Hello, doctor. My daughter is currently 1 year and 6 months old. Her weight has been around 9.2 to 9.4 kg since she turned 1 year old. Her eating habits have not been very good; whether she is given baby-specific solid foods or eats wit...
Dr. Xiao Kaiwen Reply:
A 1.5-year-old girl weighing 9.4 kilograms falls within the 25% to 30% percentile range, which does not indicate malnutrition at this stage. Additionally, if her height is growing normally, this situation can be considered acceptable. It is also important to take genetic factors ...[Read More] Concerns About Low Appetite and Stagnant Weight in Toddlers
Understanding Growth Hormone Treatment and Diabetes Risks in Adolescents
Growth hormone Hello Doctor: My daughter (currently in the second year of junior high) is slightly shorter than her classmates (currently about 145 cm tall and has started menstruating). We have consulted a pediatric endocrinologist and are considering self-paying for growth horm...
Dr. Xiao Kaiwen Reply:
Most research reports indicate that growth hormone therapy does not increase the incidence of diabetes, so there is no need for excessive concern. However, certain high-risk groups should be monitored for type 2 diabetes, such as those using high doses of steroids, those who are ...[Read More] Understanding Growth Hormone Treatment and Diabetes Risks in Adolescents
Understanding Weight Loss in Growing Children: When to Seek Medical Advice
Child Growth and Development Hello: My daughter is 10 years old. I have noticed that her weight has not increased in the past 5 to 6 months and has actually decreased by about 1 kilogram. (Her current weight fluctuates around 22.8 kilograms, down from approximately 23.7 kilograms...
Dr. Xiao Kaiwen Reply:
A 10-year-old girl with a height of 128 cm and a weight of 23 kg falls into the 5th percentile for both height and weight, meaning she ranks among the lowest 5 out of 100 girls her age, indicating that she is underweight. It is advisable to consult a pediatric growth and developm...[Read More] Understanding Weight Loss in Growing Children: When to Seek Medical Advice
Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
A two-and-a-half-year-old child accidentally ingested clobetasol? Currently, I am taking a cholesterol-lowering medication called "Crestor." Previously, I accidentally dropped a pill on the sofa, but I didn't think much of it when I couldn't find it at the tim...
Dr. Xiao Kaiwen Reply:
The main function of Rosuvastatin is to lower cholesterol and triglycerides. It is metabolized by the kidneys after administration. Rare side effects include myopathy and liver function abnormalities. Therefore, if a young child accidentally ingests an overdose of Rosuvastatin, i...[Read More] Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
A two-and-a-half-year-old child accidentally ingested clobetasol? Currently, I am taking a lipid-lowering medication called "Crestor." I accidentally dropped a pill on the sofa and didn't think much of it when I couldn't find it at the time. Today, my child wa...
Dr. Xiao Kaiwen Reply:
The main function of Rosuvastatin is to lower cholesterol and triglycerides. After administration, it is metabolized by the kidneys. Rare side effects include myositis, myalgia, and liver function abnormalities. Therefore, in the case of accidental overdose of Rosuvastatin in you...[Read More] Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
Concerns About Growth: Understanding Height Issues in Adolescents
Height issues Hello, doctor. My son is currently in 7th grade and is about to enter 8th grade. He is only 155 cm tall and has only grown 2 cm in the past six months. I am very worried, so I took him to see a doctor for an X-ray, and they said that his growth plates are almost fus...
Dr. He Zongxian Reply:
Dear concerned parents, One method to estimate your child's potential target height is to take the average of the father's and mother's heights, divide by 2, and for boys, add 6 cm to determine the target height at age 18. Based on the information you provided, y...[Read More] Concerns About Growth: Understanding Height Issues in Adolescents
Understanding Skin Issues in Toddlers: White Spot Concerns
Skin issues The child is currently 2 years old. Previously, when he was over 6 months old, a white spot was noticed on his abdomen. Initially, it was thought to be a birthmark, so it wasn't given much attention. However, there is now some concern that it may be a skin condit...
Dr. Pei Rensheng Reply:
Hello: 1. Pityriasis alba (PA) 2. Vitiligo 3. Fungal infection are the three most likely conditions. You may consult a pediatrician or a dermatologist for diagnosis and treatment. Wishing you good health! Sincerely, Rensheng.[Read More] Understanding Skin Issues in Toddlers: White Spot Concerns
Post-Vaccine COVID-19 Diagnosis in Children: What Parents Should Know
Diagnosis of COVID-19 after receiving the varicella and measles vaccine? Hello Dr. Hsiao, I have twin babies who just turned one year old. They received the varicella and measles vaccine on July 14. Baby B had a fever from July 16 to July 18, and Baby A also developed a fever on ...
Dr. Xiao Kaiwen Reply:
A one-year-old infant is still very young, and their immune system is not fully developed. It is important to be cautious of the warning signs of severe illness in the case of a COVID-19 infection (though it is emphasized that the likelihood of severe illness is extremely low, so...[Read More] Post-Vaccine COVID-19 Diagnosis in Children: What Parents Should Know
Understanding Infant Constipation Issues After Formula Change
Issues Related to Formula Changes in Newborns' Stool Hello, Dr. Hsiao. A few days before my baby turned one month old, he experienced gas and fussiness due to an unsuitable formula, which led to a lack of appetite. We switched from Meiji to S-26 Sensitivity formula without a...
Dr. Xiao Kaiwen Reply:
If an infant is unsuitable for a newly switched formula, symptoms will typically appear within two to three days. This means that if the infant is not suitable for the new formula, there won't be an adjustment period. The determination of whether the new formula is unsuitabl...[Read More] Understanding Infant Constipation Issues After Formula Change
Understanding Infant Constipation Issues After Formula Change
Issues Related to Formula Changes in Newborns' Stool Hello, Dr. Hsiao. A few days before my baby turned one month old, he experienced gas and fussiness due to an unsuitable formula, which led to a loss of appetite. We switched from Meiji to S26 Sensitivity formula without a ...
Dr. Xiao Kaiwen Reply:
If an infant is not suitable for a newly switched formula, symptoms will typically appear within two to three days. This indicates that the formula is unsuitable, and there is no adaptation period. The determination of whether the new formula is inappropriate can only be made by ...[Read More] Understanding Infant Constipation Issues After Formula Change
Managing Salmonella Infection in Toddlers: Symptoms and Treatment Tips
Salmonella, diarrhea with blood and mucus? Hello, doctor. My daughter is currently 2 years old and started experiencing mild diarrhea two days ago, about four times a day, with both watery and soft, mushy stools. The total amount is roughly equivalent to her normal bowel movement...
Dr. Xiao Kaiwen Reply:
Blood-streaked mucus in diarrhea may indicate a Salmonella infection, which can be confirmed through stool culture. Salmonella enteritis is a self-limiting disease, meaning that most healthy children can recover on their own. The focus of treatment should be on monitoring and man...[Read More] Managing Salmonella Infection in Toddlers: Symptoms and Treatment Tips
Can Children Aged 4 to 5 Receive the BNT Vaccine?
Children's BNT vaccine issues? Hello doctor, I recently checked the latest news on pediatric vaccines and learned that Moderna can be administered to children aged 6 months to 5 years, while BNT is limited to ages 6 months to 4 years. I would like to ask if children who are ...
Dr. He Zongxian Reply:
Hello: The commonly known BNT pediatric vaccine can be further divided into two types: (1) Vaccine for children aged 5-11 years (orange cap packaging), with each dose being 0.2 ml (containing 10 μg of mRNA), requiring a primary series of 2 doses (currently available domestically)...[Read More] Can Children Aged 4 to 5 Receive the BNT Vaccine?
Understanding Mediterranean Anemia in Children: Key Insights for Parents
Mediterranean anemia (also known as thalassemia) Hello Doctor: Both my husband and I have thalassemia. Before pregnancy, we underwent genetic testing for thalassemia, and the results showed that I have beta-thalassemia and my husband has alpha-thalassemia (Southeast Asian type). ...
Dr. Xiao Kaiwen Reply:
Question 1: RDW has relatively little clinical significance in the diagnosis of thalassemia. Question 2: The genetic variations of alpha thalassemia and beta thalassemia are completely different and theoretically do not influence each other, so there is no theory that a child wit...[Read More] Understanding Mediterranean Anemia in Children: Key Insights for Parents
How Long After COVID Recovery Can Kids Get the Flu Vaccine?
How long after recovering from COVID-19 can one receive the flu vaccine? Hello Dr. Chang, my 5-year-old son has recovered from COVID-19 (Omicron variant). How long should we wait before he can receive the influenza vaccine?
Dr. Zhang Yingwen Reply:
Hello! If the baby no longer has a fever or acute symptoms and is no longer in the self-health management period, they can receive routine vaccinations or the influenza vaccine.[Read More] How Long After COVID Recovery Can Kids Get the Flu Vaccine?
Bleeding at Vaccine Site in Children: What Parents Should Know
Bleeding at the vaccination site? Hello, a 7-year and 11-month-old child noticed a large bloodstain (about the size of a five-dollar coin) on the cotton ball at the injection site after receiving the second dose of the pediatric BNT vaccine. This has never happened with previous ...
Dr. Xiao Kaiwen Reply:
The current BNT COVID-19 vaccine for children aged 5-11 is administered via intramuscular injection into the deltoid muscle of the upper arm, rather than through intravenous injection. The depth of this intramuscular injection does not pass through major blood vessels, so the the...[Read More] Bleeding at Vaccine Site in Children: What Parents Should Know
Bleeding at Vaccine Injection Site in Children: What to Know
Bleeding at the vaccination site? Hello, a 7-year and 11-month-old child experienced a large blood stain (approximately the size of a five-dollar coin) on the cotton ball at the injection site after receiving the second dose of the pediatric BNT vaccine. This has never happened a...
Dr. Xiao Kaiwen Reply:
The current BNT COVID-19 vaccine for children aged 5-11 is administered via intramuscular injection in the deltoid muscle of the upper arm, rather than intravenously. The depth of this intramuscular injection does not involve major blood vessels, so the theoretical risk of the va...[Read More] Bleeding at Vaccine Injection Site in Children: What to Know
Understanding Abnormal Brain Ultrasound Results in Infants: What to Expect
Abnormal findings in the brain ultrasound examination report? Hello, the baby was born at 37 weeks and 2 days, weighing 2782 grams. At birth, there was a blister on the head that burst. Subsequent brain ultrasound showed abnormal results, indicating "slightly bright perivent...
Dr. Xie Wanghu Reply:
Dear Mommy, 1. The periventricular white matter appears slightly bright, and typically a follow-up brain ultrasound is performed after three months. Does "the cyst bursting" refer to the rupture of an internal cyst? 2. Changing daily habits does not lead to the disap...[Read More] Understanding Abnormal Brain Ultrasound Results in Infants: What to Expect
Understanding Fever in Your One-Year-Old: When to Worry
A baby who has just turned one year old? Yesterday afternoon, I noticed my baby felt a bit warm. I took his temperature and it was 37.5°C. An hour later, it was 37.6°C. Since he seemed a bit warm, I gave him some water. By around 5 PM, his temperature was 37.1°C, and at 8 PM, it ...
Dr. Xiao Kaiwen Reply:
If measuring ear temperature, a reading above 37.8 degrees Celsius indicates a slight elevation in temperature, while a reading above 38 degrees Celsius is considered a fever. Therefore, if the individual's activity level is normal, it is advisable to monitor their activity ...[Read More] Understanding Fever in Your One-Year-Old: When to Worry
Understanding Hard Bumps on Baby's Toes: Causes and Treatments
Toe callus The baby boy is currently 11 months old. In the past week or two, I have noticed peeling skin on his toes along with hard lumps. I have observed that there has been no improvement during this time. He usually stays at home, either on the bed or on the playmat, and he h...
Dr. Xiao Kaiwen Reply:
It is not located in areas with higher plantar pressure, so it does not resemble a corn. It appears to be a less common skin condition. You can apply Four Benefits Cream for one week; if there is no improvement, it is recommended to consult a dermatologist.[Read More] Understanding Hard Bumps on Baby's Toes: Causes and Treatments
Weight Loss in Children: Understanding Constipation and Health Concerns
Weight loss Hello: A 9-and-a-half-year-old girl frequently experiences constipation and sometimes has rectal bleeding due to anal fissures. Recently, it was noted that her weight has decreased by about 1 kilogram compared to four months ago (currently weighing 22.5 kilograms). He...
Dr. Xiao Kaiwen Reply:
According to the growth and development chart for children, a 9.5-year-old girl weighing 22.5 kg falls around the 3rd percentile, meaning she ranks among the lowest three out of 100 girls her age, indicating that she is underweight. This may be related to chronic constipation, an...[Read More] Weight Loss in Children: Understanding Constipation and Health Concerns