Eye, Pediatrics FAQ

Can a 2-Month-Old Baby Scratch Their Eyes? Vaccine Delay Concerns

Can 2M cause eye injuries? I would also like to ask about the issue of delayed vaccinations? Hello, Doctor. I would like to ask two questions: 1) My baby is currently a little over two months old. Just now, he may have scratched his lower eyelid while trying to sleep. Although ...

Dr. Xiao Kaiwen Reply:
Although the infant is only two months old, protective reflexes are still present, so it is unlikely that they will scratch their own eyes; observation is sufficient. While vaccines do not specify a cutoff time for administration, the diseases these vaccines protect against are p...

Can Chloramphenicol Be Safely Used for Children with G6PD Deficiency?

Is chloramphenicol safe to use in patients with G6PD deficiency? Dear Dr. Hsiao, Hello! You previously addressed the medication for Favism in the following article, thank you very much! https://adoctor.tw/article/58638 My child has developed a stye, and the ophthalmologist presc...

Dr. Xiao Kaiwen Reply:
Chloramphenicol is not suitable for Asians, specifically in its oral form. Oral chloramphenicol can sometimes cause bone marrow suppression as a side effect, and its use has been banned in Taiwan. However, topical ophthalmic chloramphenicol has minimal systemic absorption, so it ...

Bee Sting Recovery: Understanding Prolonged Symptoms in Children

It has been 2 weeks and 4 days since the bee sting? Hello Doctor: My child is 6 years old and was stung by a bee on the right cheek near the eye on March 28. The stinger was left in the skin, which we removed ourselves. Initially, there was significant redness and swelling. We ap...

Dr. Xiao Kaiwen Reply:
Children's skin allergic reactions tend to be more severe and last longer compared to adults. If there is no ongoing redness, swelling, itching, or pain, and only a darker pigmentation is present, it is likely just post-inflammatory hyperpigmentation following a severe aller...

Bee Sting Recovery: Understanding Prolonged Symptoms in Children

Dr. Xiao Kaiwen Reply:
The phrase "the wound becomes deeper" refers to an increase in depth rather than a change in color.

Transitioning from Breast Milk to Formula: Managing Vomiting and Rashes

Switching from breast milk to formula can lead to vomiting, rashes, and coughing? Hello Doctor, my son is about to turn 1 year old. Since he was two months old and had enough breast milk, he has been exclusively breastfed until now. Due to insufficient milk supply, I want to swit...

Dr. Xiao Kaiwen Reply:
Breastfeeding is recommended to continue until the age of two. In fact, once a child turns one, they can start eating regular meals that are chopped or mashed from the family table, while dairy products become more of a supplementary food rather than a necessity. There is no stri...

Understanding Fecal Occult Blood Tests in Pediatric Patients

Fecal occult blood test (FOBT) Recently, a child had blood streaks in their stool. After a consultation, a stool sample was collected, and an immunochemical fecal occult blood test was performed specifically on the areas with blood streaks. The results came back positive, but it ...

Dr. Xiao Kaiwen Reply:
Fecal occult blood testing means that if there is blood in the stool, it can be detected even in very small amounts that are not visible to the naked eye. If the amount of blood is large enough to be seen, the fecal occult blood test will certainly be positive. Therefore, there i...

Are X-Rays Safe for Kids? Understanding Radiation Risks in Pediatrics

Is it harmful for children to have X-rays? A 1.5-year-old child bumped their temple against a chair, resulting in a swelling. They were taken to the emergency room, where the doctor arranged for two head X-rays, but the neck was not protected with a lead apron. Later, a 3-year-ol...

Dr. Pei Rensheng Reply:
Hello! The International Commission on Radiological Protection (ICRP) recommends using the Sievert (Sv) to quantify the potential harm of radiation to the human body. The average background radiation dose in Taiwan is approximately 1 to 2 millisieverts (mSv) per year. The dose fr...

How to Help Your Two-Year-Old Stop Thumb Sucking

A two-year-old child sucking their thumb? My child is two years old and still loves to suck his thumb. How can I help him stop? I’ve noticed that his mouth area gets wet from the thumb sucking, and occasionally there are a few spots that look like rashes. Could that be saliva ras...

Dr. Xiao Kaiwen Reply:
When babies enter the oral stage, they often exhibit thumb-sucking behavior, which is not entirely negative. Thumb-sucking can provide a sense of satisfaction and security for the baby, and it may contribute to emotional and personality development in the future. It is also a for...

Understanding Sleep Issues in Toddlers: Causes and Solutions

The baby is currently 1 year and 9 months old and has been experiencing sleep issues since 5 to 6 months of age? Hello, doctor. My son is currently 1 year and 9 months old. He has been waking up frequently at night since he was 5-6 months old, often needing to be held and comfort...

Dr. Zhong Ruixian Reply:
1. How long does the baby sleep during the day? Has the sleep pattern shifted to primarily nighttime sleep? 2. Is his overall development on track? For example, is his head circumference growth within the normal range, can he walk independently, can he say more than 4-6 words, a...

Hard Lump Near 7-Year-Old Boy's Ear: Causes and Care

A 7-year-old boy has developed a hard lump near his left ear? Hello, doctor. The day before yesterday, my seven-year-old son told me that he has a hard lump on his face, located near his left ear. It is not visible to the eye, but when touched, it feels like a small hard bump, ap...

Dr. Xiao Kaiwen Reply:
The causes of subcutaneous masses in this area can be numerous, such as: sebaceous cysts, epidermoid cysts, sialadenitis, salivary gland stones, normal lymph nodes, lymphadenitis, or rare malignant lymph nodes, among others. It is recommended to consult a pediatric otolaryngologi...

Understanding Itchy Palms and Soles in Children: Causes and Solutions

Skin issues A 6-year-old child is experiencing itching in the palms and soles of the feet. Upon examination, there are no signs of redness, swelling, or rashes on the skin. The child reports that the itching feels like it is coming from within. The symptoms are milder during the ...

Dr. Xiao Kaiwen Reply:
This symptom is relatively uncommon and special; it is recommended to visit a pediatric department at a medical center with various subspecialties and comprehensive testing capabilities.

Feeding vs. Sleeping: What Matters Most for Your 3-Month-Old Baby?

For a 3-month-old infant, both feeding and sleeping are crucial for their growth and development. However, if one must prioritize, feeding is essential for providing the necessary nutrients and energy for the baby's growth, while sleep is vital for their overall development ...

Dr. Pei Rensheng Reply:
Hello! Your valuable questions are concerns for many parents, thank you very much! 1. He often moves around and makes sounds with his eyes closed while sleeping at night. Does this mean he is actually sleeping? --> Making sounds and having closed eyes often indicate dreaming...

Excessive Eye Discharge in Infants: Is It Normal or a Sign of Milk Aversion?

Excessive eye discharge, aversion to milk? Hello Doctor: My son is currently 2 months and 28 days old. Previously, he had a lot of eye discharge from both eyes, and I would massage them daily. One day, I noticed that the right eye stopped producing discharge, but the left eye sti...

Dr. Pei Rensheng Reply:
Hello! Infants under one year old are prone to nasolacrimal duct obstruction, which can lead to increased eye discharge. Gentle massage around the nasal wings can help. If there is still significant eye discharge after the first year, it is advisable to consult an ophthalmologist...

Can I Use Wenketong for My 3-Year-Old's Stye?

Medication Consultation for a 3-Year-Old We live in Hualien, and it's not easy to see a doctor. I would like to ask if it's safe to apply "Wen Naka Tong" on a stye for a three-year-old child? Our appointment to see a doctor is tomorrow, and we need something u...

Dr. Pei Rensheng Reply:
Hello! Is gingivitis simply a herpes virus infection? Oral antiviral medication (ACYCLOVIR) can be used to shorten the duration of the illness. Winacort Eye Ointment (3.5g) contains a combination of a steroid and an antibiotic (Neomycin + Triamcinolone) and is indicated for infla...

Herpes Transmission Risks for Infants: What Parents Should Know

Herpes transmission issues? Hello doctor, if a parent (primary caregiver) has an outbreak of herpes, can it be transmitted to a one-month-old baby? Is isolation necessary? Can they resume contact with the baby once the herpes symptoms have resolved, or should those with a history...

Dr. Pei Rensheng Reply:
Hello! Herpes simplex virus can be transmitted through respiratory droplets, and infants can also be infected. Most newborns who contract herpes do so through perinatal transmission (85%); the remaining 15% are infected in utero or postpartum. A one-month-old baby, being in the p...

Understanding Fever Without Symptoms in Children: A Pediatric Case Study

Asymptomatic fever? Hello, doctor. Continuing from the last question, my son is almost 8 years old, weighs 19 kg, and is 120 cm tall. He started having a fever on June 17, and on June 18, he had a fever four times, each time above 39°C. We went to the emergency room, but since he...

Dr. Xiao Kaiwen Reply:
Adenovirus infection can also cause diarrhea, which may be confused with salmonella infection. It is not possible to determine the type of infection just by looking at the stool; a stool culture is necessary for identification, and you should discuss this with your physician. Ade...

Concerns About Baby's Feeding, Urination, and Skin Health

Milk volume and urination time? Hello, doctor. Our baby has just turned three months old. I'm not sure about the current weight, but I know that at two months, during the vaccination, the weight was 5.6 kg. The baby is fully formula-fed and currently drinks about 150-180 cc ...

Dr. Lin Yishou Reply:
Please consult a neonatologist or a pediatric nephrologist. Thank you.

Swollen Eyelids in 2-Month-Old Baby: Causes and Concerns

A 2-month-old baby has swollen eyelids? Hello doctor, my baby is currently 2 months old. Recently, when he wakes up, the area around his eyes is swollen but not red or inflamed, just simply puffy. What could be the issue? Thank you.

Dr. Pei Rensheng Reply:
Hello: It may be due to nasolacrimal duct obstruction. Less common factors include deficiencies in the heart, liver, kidneys, or albumin and other nutrients. Wishing you health and happiness! Sincerely, Rensheng.

Understanding Post-Emergency Seizures in Infants After Heart Surgery

Seizures following infant resuscitation? Hello doctor, my baby is three months old and underwent a cardiac catheterization due to a heart defect. However, the procedure was not smooth, as her heart rate dropped, and it took 50 minutes of resuscitation to stabilize her. She was sa...

Dr. Xiao Kaiwen Reply:
Infants who cannot undergo standard vision and hearing tests can have their visual and auditory functions assessed through visual evoked potential testing and hearing screening, which can help identify any abnormalities. Early detection of epilepsy and timely medication can signi...

Will a Toddler's Fall Affect Their Cognitive Development?

A toddler over one year old fell from a stroller and hit the back of their head, and also bumped the back of their head while learning to walk and climbing up a step? If a one-year-old child falls and hits the back of their head while using a lightweight stroller, and then later ...

Dr. Zhong Ruixian Reply:
Hello! It is recommended that you first visit a pediatric neurology or neurosurgery outpatient clinic for an initial evaluation. Thank you! Wishing you good health!

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