Understanding Rash in Infants: Causes and When to Seek Help
A four-month-old baby has a rash issue..? My younger brother had a fever and unusual vomiting two days ago, so we took him to a nearby clinic for evaluation. The examination results indicated mild cold and fever symptoms (his appetite and activity levels were normal). After takin...
Dr. Xiao Kaiwen Reply:
There are many causes of fever accompanied by a rash, and it is difficult to make a diagnosis without seeing the actual rash. It is recommended to consult a pediatrician for evaluation and treatment.[Read More] Understanding Rash in Infants: Causes and When to Seek Help
Concerns About Sulfonamide Eye Drops for Pediatric Conjunctivitis
Medication issues related to Favism (G6PD deficiency) and eye care? If a child has conjunctivitis and has been prescribed two bottles of eye drops and an ointment by an ophthalmologist, but one of the eye drops contains sulfonamide antibiotics, it is important to note that sulfon...
Dr. Xiao Kaiwen Reply:
Patients with favism should avoid using sulfonamide-containing eye drops. There are many causes of conjunctivitis, and some viral conjunctivitis may resolve on its own. However, it is still advisable to discuss this with your child's ophthalmologist.[Read More] Concerns About Sulfonamide Eye Drops for Pediatric Conjunctivitis
Could It Be Kawasaki Disease? Understanding Symptoms in Young Children
Could it be Kawasaki disease? Hello doctor, my daughter is currently one and a half years old. She started having a fever on May 29 and visited the clinic twice. On June 1, I noticed she was a bit wheezy, so we went to the emergency room where she had blood tests and an X-ray; th...
Dr. Xiao Kaiwen Reply:
Kawasaki disease has diagnostic criteria: (1) fever lasting more than five days; (2) bilateral conjunctival injection without discharge; (3) oral mucosal changes, including bright red, cracked lips and a strawberry tongue; (4) redness and swelling of the palms and soles; (5) non-...[Read More] Could It Be Kawasaki Disease? Understanding Symptoms in Young Children
Consultation on Eye Medication for Infants: Safety and Concerns
Pediatric Eye Medication Consultation Hello, doctor: My 10-month-old child has bloodshot eyes and frequently rubs them. We visited a general ophthalmologist who diagnosed an invasion of dust particles and the presence of follicles. The following medications were prescribed, and I...
Dr. Pei Rensheng Reply:
Hello: Dust mites mostly reside on the skin and rarely get into the eyes. If they do enter the eyes, an ophthalmologist would typically rinse them out first. The components of these medications are antihistamines and antibiotics; they should be helpful. Please use them with confi...[Read More] Consultation on Eye Medication for Infants: Safety and Concerns
Fever and Red Mouth in Children: Is It Kawasaki Disease?
Fever and red mouth? Doctor, may I ask if a child can have a red mouth when they have a fever? My son, who is about one year old, had a fever once and his mouth was very red, but I don't remember if his eyes were also red. After the fever, he developed a rash on his body. Co...
Dr. Xiao Kaiwen Reply:
The diagnosis of Kawasaki disease requires the exclusion of other conditions and must meet several diagnostic criteria: 1. Fever lasting more than 5 days, 2. Bilateral non-purulent conjunctivitis, 3. Red, cracked lips or strawberry tongue, 4. Cervical lymphadenopathy, 5. Concurre...[Read More] Fever and Red Mouth in Children: Is It Kawasaki Disease?
Understanding Sleep Disturbances in Infants: Causes and Solutions
Sleep issues Hello, doctor. My baby is eight months old, and recently for the past week, he has been suddenly crying loudly with his eyes closed during the night (with tears, several times a night). Sometimes giving him a pacifier calms him down, and he goes back to sleep, but ot...
Dr. Pei Rensheng Reply:
Hello: It could be night terrors or nightmares! Has your child ever suddenly cried out loudly while sleeping, sometimes screaming and kicking, appearing very frightened? When you rush over to comfort them, they might be crying out for mom or dad but completely ignore you. The mor...[Read More] Understanding Sleep Disturbances in Infants: Causes and Solutions
Understanding Eye Discharge in Newborns: When to Seek Medical Help
Newborns have eye discharge? My friend's child is only 17 days old, but there is often a lot of discharge from the right eye. Could this indicate an eye problem? Should I take the child to a pediatrician for an examination, or should I take them to an ophthalmologist?
Dr. Xiao Kaiwen Reply:
If a newborn has persistent eye discharge that does not clear up quickly, or if there is redness in the sclera (which may indicate conjunctivitis), it is most likely due to the infant's nasolacrimal duct not functioning properly. Sometimes, the duct may be obstructed, but it...[Read More] Understanding Eye Discharge in Newborns: When to Seek Medical Help
Differentiating Between Seborrheic and Atopic Dermatitis in Infants
How to differentiate between seborrheic dermatitis and atopic dermatitis? My son is currently 2 months and 22 days old. When he was close to one month old, he had red bumps on his scalp and cheeks. We showed it to a doctor who diagnosed it as seborrheic dermatitis. After applying...
Dr. Xiao Kaiwen Reply:
Atopic dermatitis in infancy is characterized by its initial appearance on the cheeks, gradually spreading to the head and limbs. Seborrheic dermatitis in infants primarily affects the scalp, eyebrows, and neck, and often resolves by the age of 10 months. A significant difference...[Read More] Differentiating Between Seborrheic and Atopic Dermatitis in Infants
Understanding Chickenpox in Infants After BCG Vaccination
Infants develop chickenpox? Hello doctor, my son is currently over five months old. He received the BCG vaccine last Friday, and unexpectedly, he developed chickenpox a week later. Is there any conflict between the BCG vaccine and chickenpox in his body? What should I be aware of...
Dr. Xiao Kaiwen Reply:
The BCG vaccine and varicella (chickenpox) do not conflict with each other. Aspirin and other salicylate medications should not be used as antipyretics. Complications of varicella include pneumonia, encephalitis, secondary bacterial infections, and sepsis. Therefore, the dangerou...[Read More] Understanding Chickenpox in Infants After BCG Vaccination
Understanding Changes in Stool Color in Toddlers: What Parents Should Know
Changes in stool color Hello Dr. Hsiao, I apologize for bothering you during your busy schedule. My daughter is currently one year and three months old. Previously, aside from solid foods, she was exclusively breastfed and had bowel movements approximately every 5-6 days, usually...
Dr. Xiao Kaiwen Reply:
The definition of diarrhea is an increase in the water content of stool. It is uncertain whether this is caused by the consumption of fresh milk. A similar test is needed: if diarrhea occurs within three days of starting to drink fresh milk, then improves after stopping, and recu...[Read More] Understanding Changes in Stool Color in Toddlers: What Parents Should Know
Understanding Baby's Arched Back and Stiff Limbs During Feeding
When the baby drinks milk, they arch their back and their limbs become stiff? It sounds like your 3-month-old baby occasionally arches their back and has stiff limbs for about 10 to 30 seconds while feeding, which seems to be a sign of frustration. After being soothed, they conti...
Dr. Xiao Kaiwen Reply:
It cannot be ruled out that there is a possibility of infant seizures, so it is recommended to promptly visit a pediatric neurology department at a major hospital for evaluation.[Read More] Understanding Baby's Arched Back and Stiff Limbs During Feeding
Managing Medication Risks in Patients with Favism: What You Need to Know
Medication for Favism? Hello Doctor, I am 22 years old and have G6PD deficiency. Yesterday, during my visit to the ophthalmologist, the doctor mistakenly prescribed Sulfacetamide eye drops. After I applied one drop at home, I realized it contained sulfonamides. Today, I feel more...
Dr. Xiao Kaiwen Reply:
I believe that using just a drop of eye drops (not for consumption or injection) should not cause widespread hemolysis associated with favism. If there are any concerns, it would be advisable to consult a hematologist.[Read More] Managing Medication Risks in Patients with Favism: What You Need to Know
Sun Exposure and Water in Baby's Ears: Pediatric Concerns
Sun exposure and water entering the ear? Hello Doctor, I apologize for bothering you. I would like to ask, my baby is over 2 months old, and today when we went out, their eyes were exposed to sunlight. Is this a concern? Also, while bathing the baby, I noticed water on their ears...
Dr. He Shenglong Reply:
Hello: Based on your description, if the baby was exposed to sunlight but did not stare directly at a strong light source for an extended period, it is unlikely to cause any harm to the eyes, so there is no need to worry excessively. If you have any concerns, it is advisable to h...[Read More] Sun Exposure and Water in Baby's Ears: Pediatric Concerns
Understanding Blue Tint in Baby's Eyes: When to Seek Medical Advice
The baby's sclera appears blue? Hello, doctor! My baby is over two months old, and I recently noticed that some areas of his sclera seem a bit bluish and not very white. What could be the possible reasons for this? Is there a need to seek medical attention?
Dr. Xiao Kaiwen Reply:
The white part of the eye is called the sclera. In some infants, the sclera may be thinner, which can slightly reveal the color of the underlying eye structures, resulting in a darker appearance. Our primary vision is facilitated by the cornea (the area of the pupil), so these ch...[Read More] Understanding Blue Tint in Baby's Eyes: When to Seek Medical Advice
Understanding Allergies in Toddlers: Symptoms and Treatment Options
Pediatric Allergies Hello, doctor. My child is currently one year and nine months old. Two weeks ago, he had a cold and after taking medication for a week, he gradually recovered. However, in the past two days, he has started coughing, has nasal congestion, and his eyes are itchy...
Dr. Xiao Kaiwen Reply:
The definition of an allergy diagnosis is quite strict, and it is difficult to make this diagnosis based on short-term symptoms alone; a consultation with a pediatric allergy and immunology specialist is recommended. Similarly, it is not possible to determine whether the symptoms...[Read More] Understanding Allergies in Toddlers: Symptoms and Treatment Options
Understanding Eye Blinking in Toddlers: Causes and When to Seek Help
Childhood blepharospasm Hello, doctor. My daughter is currently one year and nine months old. Last week, she had a fever and a cold, and she still has symptoms of post-nasal drip and phlegm in her throat. Over the past two days, I've noticed that she has been blinking freque...
Dr. Xiao Kaiwen Reply:
There should be no significant relationship between a cold and blinking. It is recommended to visit a pediatrician for an examination, and if necessary, a referral to a pediatric ophthalmologist can be made.[Read More] Understanding Eye Blinking in Toddlers: Causes and When to Seek Help
Understanding Neonatal Jaundice: Causes, Treatment, and Recovery
Neonatal jaundice Doctor: My child is 10 days old, and the hospital said the bilirubin level is relatively high, requiring phototherapy. However, there was no jaundice at birth, so I would like to ask you: Can jaundice appear so many days after birth? Also, the whites of the chil...
Dr. Xiao Kaiwen Reply:
Neonatal jaundice may not appear immediately; it can also develop gradually. Jaundice is merely a symptom, and it is important to investigate the underlying cause to provide appropriate treatment, including determining whether the bilirubin levels are high enough to require photo...[Read More] Understanding Neonatal Jaundice: Causes, Treatment, and Recovery
Understanding Unexplained Skin Rashes in Children: Causes and Solutions
No time to see a doctor, have a rash on the skin? Initially, there were colorless small rashes appearing on the left calf (a dense cluster of tiny, colorless spots that are itchy). After two to three days, similar spots began to appear on the arms, but they were more scattered an...
Dr. Zhong Ruixian Reply:
It sounds more like allergic urticaria, but it's difficult to confirm without seeing the lesions. Any allergen could be the cause, so please pay attention to any recent food or environmental exposures! If you are feeling very uncomfortable, I recommend seeking medical attent...[Read More] Understanding Unexplained Skin Rashes in Children: Causes and Solutions
Understanding the Impact of Lower Eyelashes Sticking to the Eye in Toddlers
The lower eyelashes are stuck to the eyeball? A child who is one year and nine months old has had the lower eyelashes of both the left and right eyes sticking to the eyeballs since birth. What impact could this have, and is any treatment necessary?
Dr. Xiao Kaiwen Reply:
The most common cause of entropion is eyelid dermatochalasis, which occurs when the muscles and skin of the eyelid become thickened, pushing the eyelashes toward the eyeball. This condition is more frequently seen in Asian infants, primarily affecting the lower eyelid, and is oft...[Read More] Understanding the Impact of Lower Eyelashes Sticking to the Eye in Toddlers
Understanding Mild Fever in Toddlers: Is It Roseola or Just a Cold?
Mild fever Hello, Doctor. My daughter is currently one year and four months old. She suddenly had a fever of 38 degrees Celsius last night. We took her to see a pediatrician, who noted that her throat was slightly red but not serious, and there were no other cold symptoms. We hav...
Dr. Xiao Kaiwen Reply:
If there are no rashes present on the body, it cannot be definitively determined to be roseola; similarly, it cannot be arbitrarily concluded that it is merely a cold. The following symptoms require immediate medical evaluation: persistent high fever lasting more than four days, ...[Read More] Understanding Mild Fever in Toddlers: Is It Roseola or Just a Cold?