Eye, Pediatrics FAQ

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Understanding D-Dimer and Eosinophil Levels in Pediatric Bruising

D-dimer blood test & abnormal eosinophil count? A 5-year-old child has been experiencing spontaneous bruising of various sizes (on the calves, knees, inner thighs, arms, face, and even eyelids) since mid-March. After blood tests conducted by a hematologist, no abnormalities w...


Dr. Ma Zhihao Reply:
If there are suspected petechiae, it is important to have a physician evaluate them first. If the petechiae and bruising continue to appear, it is advisable to check for coagulation function, coagulation factors, platelet levels, and any abnormalities related to autoimmune condit...

[Read More] Understanding D-Dimer and Eosinophil Levels in Pediatric Bruising


Concerns About Accidental Alcohol Ingestion in Toddlers: What to Do?

Infant ingestion accident My daughter is one year and two months old. She accidentally got hold of a bottle of alcohol with an unlocked spray nozzle while I was busy at the dining table. When I noticed, the nozzle was pointed towards her. I'm not sure if she bit the nozzle a...


Dr. Xiao Kaiwen Reply:
If alcohol accidentally sprays into the eyes, there would likely be a strong irritation, causing immediate crying and distress, so I believe there was no contact with the eyes. Disinfecting alcohol is also very irritating to the oral cavity and has an unpleasant taste, so if ther...

[Read More] Concerns About Accidental Alcohol Ingestion in Toddlers: What to Do?


Can You Breastfeed While Taking Aspirin for Antiplatelet Therapy?

Can I eat Burger King while breastfeeding? Can I breastfeed while taking Plavix (clopidogrel, an antiplatelet medication)?


Dr. Xiao Kaiwen Reply:
Aspirin should be used with caution, as it may theoretically cause Reye's syndrome in infants. There have also been reports indicating that breastfeeding mothers who take high doses of aspirin may lead to metabolic acidosis in their infants. If breastfeeding mothers need to ...

[Read More] Can You Breastfeed While Taking Aspirin for Antiplatelet Therapy?


Understanding Premature Infants: Key Concerns for 20-Week Old Babies

Issues Related to Premature Infants I would like to ask about a premature infant born at approximately 20 weeks gestation but weighing 3 kilograms. Should we be concerned about the incomplete development of the child's organs? Are there any specific considerations we should ...


Dr. Ma Zhihao Reply:
Continuous outpatient follow-up for complications related to previous preterm birth, such as those affecting the heart, eyes, and brain. Other aspects should be monitored according to corrected age, including growth and developmental milestones such as sitting, crawling, and stan...

[Read More] Understanding Premature Infants: Key Concerns for 20-Week Old Babies


Understanding Fever and Diarrhea in Children: When to Seek Hospital Care

Fever and diarrhea? The child has been experiencing recurrent fever for 3-4 days (38-39 degrees Celsius) and has been having diarrhea, with several watery stools daily, which are unformed. Every time the child eats, they have diarrhea, and there is a noticeable decrease in appeti...


Dr. Xiao Kaiwen Reply:
Here, I can only say that the best person to understand your child's condition is their attending physician. It is difficult to fully assess your child's situation with limited information. I recommend closely collaborating with your child's attending physician, wh...

[Read More] Understanding Fever and Diarrhea in Children: When to Seek Hospital Care


Understanding Eye Blinking in 8-Month-Old Babies: When to Seek Help

8-month-old infant blinking? Hello, Doctor: My daughter is currently over 8 months old and has recently been exhibiting occasional, irregular blinking and eye-closing behaviors. Sometimes she blinks rapidly for a few seconds, and other times she closes her eyes tightly before ope...


Dr. Xiao Kaiwen Reply:
You can first take the child for an ophthalmological examination to check for any localized eye issues, such as ingrown eyelashes, and then proceed to a pediatric evaluation to assess for potential allergies. If neither of these seems to be the case, you may continue to observe f...

[Read More] Understanding Eye Blinking in 8-Month-Old Babies: When to Seek Help


Understanding Adenovirus Symptoms in Children Before Air Travel

Adenovirus and Air Travel Hello Doctor, my child started having a high fever of 38.8°C on the evening of Sunday, May 21. After visiting the emergency room, it was confirmed that it is neither COVID-19 nor influenza. After returning home, the fever has been intermittent, reaching ...


Dr. He Zongxian Reply:
Dear Parent of the Little One, Based on the symptoms you described (without mentioning the child's age), your child's symptoms (high fever, loss of appetite, diarrhea, and red eyes) are indeed consistent with adenovirus infection. However, I would like to remind you th...

[Read More] Understanding Adenovirus Symptoms in Children Before Air Travel


Effective Handwashing Techniques to Prevent Enterovirus and Other Infections

Prevention of Enterovirus Hello, Doctor. I would like to ask if it is feasible to pick up items that have fallen on the ground in public environments or public restrooms, and then wash my hands with hand sanitizer or soap? I am concerned about the possibility of not cleaning them...


Dr. Xiao Kaiwen Reply:
Before eating in public places, it is important to use the restroom and wash your hands properly with soap (proper handwashing involves specific steps). Additionally, try to avoid touching your eyes, mouth, and nose, as these are good hygiene practices.

[Read More] Effective Handwashing Techniques to Prevent Enterovirus and Other Infections


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?


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 situation 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 for further evaluation in the pediatric ophthalmology and pediatric neurology departments. 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, 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 that you take your child to a medical center's pediatric ophthalmology and pediatric neurology departments for further evaluation....

[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


Swollen Upper Eyelid in Infants: Causes and When to Seek Help

Upon waking up in the morning, the upper left eyelid is swollen? Hello, my baby is currently 2 months old and exclusively breastfed. Recently, in the mornings, the left upper eyelid becomes swollen (the eye can only open about 1/3 to 1/2) and appears a bit purplish (similar to a ...


Dr. Xiao Kaiwen Reply:
Allergies typically do not cause swelling in only one eye or just the upper eyelid. In two-month-old infants, lymphatic circulation is not fully developed, so it is common for them to experience swelling due to skin compression after sleeping. Additionally, the eyelids are the th...

[Read More] Swollen Upper Eyelid in Infants: Causes and When to Seek Help


Managing Allergies in Toddlers: Eye Rubbing and Sneezing Concerns

A 2-year-old child, suspected of having allergies, has been rubbing their eyes and nose for an extended period? Hello doctor, my son is under 2 years old and has been frequently rubbing his eyes and nose for the past six months. Occasionally, he also sneezes repeatedly. His fathe...


Dr. Xiao Kaiwen Reply:
The symptoms have persisted for six months, indicating a long-term condition. Given the family history of allergic rhinitis in first-degree relatives, the likelihood of allergic rhinitis is very high (it is common for allergic eye and nasal symptoms to coexist). Generally, the fi...

[Read More] Managing Allergies in Toddlers: Eye Rubbing and Sneezing Concerns


Understanding Facial Tics in Young Children: When to Seek Medical Advice

Childhood facial tics? Hello Doctor: My one-and-a-half-year-old son has recently been experiencing occasional twitching on the left side of his face, resembling a half-smile. These twitches last about 5 seconds and occur 3 to 5 times. It's difficult to determine whether he c...


Dr. Xiao Kaiwen Reply:
A one-and-a-half-year-old child is unlikely to have spontaneous control over such movements. It is unclear whether there was any associated altered consciousness or a drifting gaze during the episodes. If there are signs of suspected altered consciousness or unusual eye movements...

[Read More] Understanding Facial Tics in Young Children: When to Seek Medical Advice


Understanding Redness in Your Baby's Mouth: Causes and Concerns

The inside of the baby's mouth is very red on both sides? Today, I noticed that my baby (5 months and 18 days old) has very red areas on both sides of the oral cavity. At first, I thought it was bleeding, but upon closer inspection, it appears to be just very red, not small ...


Dr. Xiao Kaiwen Reply:
Generally, there are no viral infections that would present with this phenomenon. I suggest you continue to monitor the situation. If there are no signs of increasing size, gum bleeding, fever, or difficulty swallowing, it should resolve on its own. Just keep an eye on it.

[Read More] Understanding Redness in Your Baby's Mouth: Causes and Concerns


Should You Worry? Baby Hit in the Eye by Teething Toy

The infant's eye area was struck by a teething toy? Hello Doctor, my baby is four months old. This Saturday night, while giving my baby a teething toy, it accidentally fell from a height of 20-30 cm and landed between the upper part of the right eye and the bridge of the nos...


Dr. Xiao Kaiwen Reply:
At four months old, a baby's vision should be able to see up to four meters away. You can try moving a brightly colored object that interests him back and forth in front of him. If his black pupils can follow the object and move accordingly, tracking is normal, which suggest...

[Read More] Should You Worry? Baby Hit in the Eye by Teething Toy


Effects of Accidental Ointment Ingestion in Infants: What Parents Should Know

What are the effects of ingesting ointment? Hello, doctor. My baby is 4 months old. I just found out that last weekend, a family member applied some ointment on my baby's nose (near the eyes) and on a wound on the finger. Since my baby loves to touch their face and suck on t...


Dr. Xiao Kaiwen Reply:
When applying antibiotic ointment to a small wound, the amount should be minimal, just a little bit. Additionally, the gastrointestinal absorption of the ointment's active ingredients is very low, so it is unlikely to affect the health of an infant. For superficial minor wou...

[Read More] Effects of Accidental Ointment Ingestion in Infants: What Parents Should Know


Understanding Eyelid Swelling in Newborns: Causes and Concerns

Neonatal eye edema Hello, I have seen similar questions while browsing, but I would like to ask the doctor for clarification. My baby just turned eight weeks old, and for the past week, whenever he sleeps on his stomach or puts pressure on one eye, he wakes up with swelling in th...


Dr. Xiao Kaiwen Reply:
An eight-week-old infant's blood and lymphatic circulation is not yet fully mature, particularly around the eyes where the skin is thinner. Therefore, some swelling after prolonged pressure is considered normal. As the infant grows older and circulation improves, this will g...

[Read More] Understanding Eyelid Swelling in Newborns: Causes and Concerns


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