Eye, Pediatrics FAQ

Understanding Seizures in Children: Symptoms and Concerns for Parents

Symptoms of epilepsy? Hello Dr. Hsiao, my son had a febrile seizure before he turned one. A month later, without any fever, he had four seizures over three consecutive days, each lasting about 30 seconds (he had a cold for about a week at that time). We conducted EEG and encephal...

Dr. Xiao Kaiwen Reply:
1. Common cramps may be accompanied by loss of consciousness and a vacant stare, but your child's symptoms do not resemble this. 2. The classification of epilepsy is quite complex; there can be generalized seizures at times and only focal seizures at other times. 3. An elect...

Impact of Neonatal Jaundice Treatment on Baby's Vision Development

Neonatal jaundice Hello! My newborn baby currently has high jaundice levels and needs phototherapy. However, a careless nurse forgot to put an eye mask on the baby. I would like to know if this could affect the baby's visual development. Additionally, how long does the expos...

Dr. Xiao Kaiwen Reply:
Newborns keep their eyes closed most of the time, so the risk of eye injury may not be as significant as one might think. It is recommended to have a detailed examination of the eyes and fundus at a pediatric ophthalmology department in a major hospital.

How to Help Your Baby Stop Rubbing Their Face While Sleeping

Infants rub their faces while sleeping? Doctor, my baby rubs their face and eyes vigorously when they are about to sleep or in a half-awake, half-asleep state. How can I improve this? Thank you.

Dr. Xiao Kaiwen Reply:
Some movements in infants may seem strange to adults, but they are often just normal temporary phenomena of neurological development. As long as the rubbing or scratching is not caused by discomfort from conjunctivitis or facial eczema, I believe it is fine to simply observe.

Is Four Feedings a Day Enough for My Four-Month-Old Baby?

Is drinking four meals a day too little for someone over four months old? Hello doctor, my child is currently four and a half months old and weighs 6.7 kg. She is currently having four meals a day, drinking 200 cc each time. Is this sufficient? Is the interval between her last fe...

Dr. Xiao Kaiwen Reply:
Typically, a five-month-old infant's weight is double their birth weight, so it appears that your child's weight gain is normal, indicating that her milk intake should be sufficient. Similarly, if the child's weight gain is normal and based on her own needs, there ...

White Bump on Lower Eyelid in Children: Causes and Solutions

White spots on the lower eyelid inside the eye? Hello Dr. Hsiao, I would like to ask about something. Yesterday, I accidentally flipped my sister's eyelids down and noticed that one of her eyelids has a small white bump that looks like a pea. What should I do? She doesn'...

Dr. Xiao Kaiwen Reply:
It's hard to say without seeing the actual condition, but be cautious of potential blockage or infection of the sebaceous glands at the base of the eyelashes, which can lead to a chalazion (commonly known as a stye). It is advisable to consult an ophthalmologist for an exami...

Understanding Infant Head Shaking: Causes and Concerns for Parents

Infant head shaking Hello Doctor: My child is about 5 months old, and I sometimes notice that when he is awake, he unconsciously shakes his head from side to side for about 2 to 3 seconds. What could be the reason for this? Have you encountered this in your clinical practice? Tha...

Dr. Xiao Kaiwen Reply:
As infants grow and undergo neurological development, they often exhibit many behaviors that may seem strange to adults. Many of these are merely temporary phenomena related to the maturation of the nervous system and can be considered normal; however, not everyone will exhibit t...

Is My Baby Okay After Falling from Bed? Signs to Watch For

The baby fell off the bed? My baby is over eight months old! He accidentally fell off the bed... the bed is quite high (about 100 centimeters)! At that moment, he cried very loudly for about five minutes! After crying, he immediately fell back asleep! He was already sleeping befo...

Dr. Xiao Kaiwen Reply:
In cases of head trauma, it is important to monitor for intracranial hemorrhage. During the acute phase, observation should last for three days, while less common chronic bleeding requires observation for one week. It is essential to monitor the patient's level of consciousn...

Understanding Hydrocephalus in Infants: MRI Insights and Growth Monitoring

Hydrocephalus and Magnetic Resonance Imaging (MRI) Dear Dr. Hsiao, My younger brother is seven months and thirteen days old. Today, we went for a follow-up ultrasound of his brain because he was previously diagnosed with hydrocephalus. The first ultrasound showed a hydrocephalus...

Dr. Xiao Kaiwen Reply:
1. After birth, an infant's head circumference typically increases by an average of 8 to 10 centimeters in the first six months, and by about 2 to 4 centimeters in the second six months. You can estimate this growth or use the growth charts in the child's health booklet...

Why Is My Baby's Face, Hands, and Feet Yellow? Causes Explained

The yellowing of the face, hands, and feet in your brother could be caused by several factors, with the most common being jaundice. Jaundice occurs when there is an excess of bilirubin in the bloodstream, which can result from liver dysfunction, bile duct obstruction, or hemolysi...

Dr. Xiao Kaiwen Reply:
If one consumes a large amount of carotenoid-rich foods over a long period, such as carrots, pumpkins, sweet potatoes, papayas, and mangoes, it can lead to a yellowish pigmentation deposit in the skin (especially on the face, palms, and soles), resulting in a localized yellowish ...

Understanding Blue Sclera in Infants: Causes and Concerns

The baby's sclera appears bluish? Dear Dr. Chen, My daughter is currently about 82 days old. Around the time she was 2 months old, I suddenly noticed that her sclera appears bluish. She was born weighing 3432g and measuring 51 cm. Her current weight is approximately 5.7 kg,...

Dr. Pei Rensheng Reply:
Hello: The causes of blue sclera include: 1. Normal newborns. 2. Anemia. 3. Osteogenesis imperfecta, also known as brittle bone disease. 4. Ehlers-Danlos syndrome or Marfan syndrome (also referred to as rubber man syndrome). 5. Waardenburg syndrome: also known as "blue-eyed ...

Understanding Pediatric Allergies: A Mother's Struggle with Nasal Issues

Nasal allergies: A helpless mother? Hello, my son is 4 years and 6 months old. Ever since he started kindergarten three months ago, he has been constantly catching colds. We have visited various hospitals, and initially, he was diagnosed with cold symptoms. However, his general c...

Dr. Xiao Kaiwen Reply:
What you might be referring to is the adenoid tissue, which is located in the nasopharynx and is unique to children. This tissue is present at birth and serves as a type of immune tissue that protects us during early childhood. However, as we grow older, it gradually shrinks. In ...

Is It Normal for a Two-Month-Old Baby to Cry Without Tears?

A two-month-old baby is crying without tears? It is normal for a two-month-old baby to occasionally cry without producing tears. At this age, tear production is still developing, and some infants may not have fully developed tear ducts. As long as the baby is otherwise healthy, f...

Dr. Xiao Kaiwen Reply:
Newborns have developed tear glands and should be able to cry real tears; however, they often exhibit a behavior similar to "fake crying" without producing tears. This is a normal developmental transition. Unless there is severe dehydration, it is rare for newborns to h...

Is My 8-Month-Old Baby's Facial Injury Serious? Expert Advice Needed

An 8-month-old baby bumped their cheek? Hello, Doctor He. I have a question. On October 9th, my 8-month-old baby accidentally fell while crawling and hit the corner of a (metal) chair. There is bruising and swelling under the eye on the cheek, and there was a little bit of bleedi...

Dr. He Shenglong Reply:
Hello: Generally, you can use Xylitol to reduce swelling and bruising; however, the actual effectiveness is questionable, as the body will naturally absorb it over time, leading to a reduction in swelling and bruising. Your initial management after the impact was good, as you app...

Understanding Toe Walking in Children: When to Seek Medical Advice

Children walking on their tiptoes? Hello Doctor: My daughter is now 6 years old. Since she started walking, she has been walking on her tiptoes. I initially thought she was just having fun, but I have noticed that her balance is significantly worse than that of other children her...

Dr. Pei Rensheng Reply:
Dear Xiao Ai, Hello! After a child learns to walk, it is indeed concerning if they frequently walk on tiptoes, as this improper walking pattern can lead to conditions such as pes planus (flatfoot) and may affect their stability while walking, potentially causing spinal deformiti...

When Do Newborns Open Their Eyes? Understanding Eye Development Issues

Newborn Eyes Hello Doctor: My nephew was born on June 4th, and he still hasn't opened his eyes. The hospital doctors mentioned that it could be due to thick eyelids or small eyes. Is this a condition that can occur in newborns? When do newborns typically open their eyes? If ...

Dr. He Shenglong Reply:
Hello: A newborn typically sleeps about 20 hours out of the 24-hour day, and they may occasionally open their eyes slightly (but not focus on objects). We may not always observe this. Around two months of age, they begin to track moving objects with their gaze. Regarding your con...

Understanding Yellowing in Children's Feet: Causes and Concerns

It feels a bit strange? I apologize, but I have a question. My child is almost 3 years old, and I noticed that the soles of his feet are yellow, while his hands are fine. I took him to a large hospital for an examination, and the doctor said it might be related to his diet. He do...

Dr. Zhan Mingxuan Reply:
The yellowing of the soles of the feet is indeed related to an accumulation of excess carotene in the body. In addition to excessive intake, it may also be caused by impaired elimination. If the yellowing is pronounced, it is advisable to rule out liver disease or other issues th...

Understanding Nighttime Fever in Children: Causes and Treatment Options

Fever at midnight? Hello Doctor, my child has seen a pediatrician three times in the past month due to heavy breathing, wheezing, and vomiting. On the night of January 24th, I noticed that he had a fever exceeding 39 degrees Celsius around 11 PM. When I administered a fever-reduc...

Dr. Xiao Kaiwen Reply:
Based on your description, the child is likely experiencing a seizure, and when accompanied by a high fever, it is commonly known as a febrile seizure. Some children under the age of 5 or 6 may experience seizures due to elevated body temperature, as their brains are still maturi...

Understanding Tear Duct Blockage in Infants: When to Seek Help

What are the eye problems in babies? Hello Doctor, I would like to ask about my baby who is 1 year and 3 months old. Recently, the right eye has been tearing intermittently for over a week, but there is no redness or discharge; it just occasionally appears watery. The left eye do...

Dr. Xiao Kaiwen Reply:
In infants, tears may sometimes occur without accompanying discharge or redness, which is often indicative of nasolacrimal duct obstruction (sometimes temporary). If the amount of tears is minimal, it may simply be a transient normal phenomenon. Other rare causes, such as ingrown...

Addressing Infant Gastrointestinal Issues: Tips for New Parents

Infant gastrointestinal issues Hello, I apologize for the inconvenience, but I would like to ask about my baby who is almost 2 months old. Recently, it seems that he has been experiencing stomach discomfort consistently between 4:00 AM and 9:00 AM for the past two days. Should I ...

Dr. Xie Degui Reply:
1. Unless there is diarrhea, formula does not need to be diluted; abdominal distension or cramping is more likely to occur in the early morning hours. If accompanied by vomiting or feeding issues, it is advisable to have a pediatrician evaluate the situation. 2. At three months o...

Understanding Blood Vessels on Baby's Face and Black Spots in Eyes

The baby has blood streaks on the face and some small black spots on the sclera? Dear Doctor, My baby boy is over 1 year and 8 months old. Recently, I noticed some blood streaks on his face, as well as small black spots on his ears and the whites of his eyes. Is this phenomenon...

Dr. Huang Yaofeng Reply:
Hello: 1. Infants and young children have thinner skin, and it is common to see fine blood vessels, which is mostly normal. 2. The whites of the eyes typically do not have black spots; please take your child to see a doctor for an examination.

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