Eye, Pediatrics FAQ

Understanding Yellow Palms and Soles in Healthy 4-Year-Olds

A 4-year-old child has yellowish discoloration on the palms and soles? Hello, I have a question: My 4-year-old child has yellowish palms and soles, but is otherwise healthy. The child is just lighter than peers (under 14 kg) and doesn't like eating vegetables, preferring whi...

Dr. He Shenglong Reply:
Hello: If a boy is 4 years old and weighs 14 kilograms, he is at the third percentile; if he is 3 years old and weighs 14 kilograms, he is close to the fiftieth percentile. Please refer to the growth charts in the children's health manual. Generally, it is important to culti...

Understanding Tremors and Developmental Concerns in Infants

When children exert themselves, their hands and feet may tremble? Hello, doctor. My children are twins. One was born at 37 weeks and 2 days, weighing 1750 grams and measuring 48 cm. Now, almost 1 year old, he is 67 cm tall and weighs 6.5 kg. He is currently 11 months old and will...

Dr. Xiao Kaiwen Reply:
At 11 months old, if a child is exerting effort but their hands and feet continue to shake uncontrollably, this is not normal. It is also important to rule out the possibility of muscle spasms. The behaviors and developmental milestones of both children show abnormal phenomena, s...

Understanding Allergies in Infants: Symptoms, Testing, and Dietary Tips

Pediatric Allergies Hello, doctor. My baby is over seven months old. I started introducing solid foods at six months. The diet mainly consists of root vegetables and rice. Recently, I tried two new foods. The first one caused a significant reaction: redness and swelling around th...

Dr. Ma Yiqun Reply:
Hello: Allergen testing is generally performed after the age of 2. There are countless types of food allergies, and blood tests may not be able to comprehensively identify all of them. It is still recommended to introduce only 1 to 2 new foods per week to your baby. If any allerg...

Understanding Redness in Infant's Eyes: Causes and Concerns

Blood vessels in the sclera of infants? Hello, my younger brother was born at 34 weeks weighing 2465 grams. He is currently 6 months and 10 days old, weighing 8000 grams and measuring 64 cm. Is his development normal? I noticed that there are blood vessels visible in half of his ...

Dr. He Shenglong Reply:
Hello: The child is currently 6 months and 10 days old, but was born prematurely at 34 weeks. If we calculate based on a full-term birth, the child would be between 4 and 5 months old. To assess whether development is on track, you can refer to the section for 4-5 months in the c...

Understanding Baby Rashes: When to Seek Medical Advice

Is it a rash? My baby is almost one month old, and in the past few days, I've noticed small red spots appearing on their face, starting from the cheeks, then to the eyebrows, and now around the eyes. There are so many that they look like patches of red. However, I observed t...

Dr. Xiao Kaiwen Reply:
Newborns may gradually develop small red spots on their faces, primarily due to the residual maternal hormones still present in their bodies, which stimulate the sebaceous glands (commonly located on the cheeks, sides of the nose, and eyebrows) to produce excess oil. In some case...

Concerns About Breast Development in a 5-Year-Old Girl: What to Do?

A 5-year-and-8-month-old girl with right breast development? Dear Dr. Hsiao, I would like to consult you regarding my daughter, who is 5 years and 8 months old. She has a noticeable curvature in her right breast, and upon touching, I can feel a hard lump beneath the breast. This...

Dr. Xiao Kaiwen Reply:
A 5-year-old girl showing signs of breast development (even if it's only on one side) and possibly having "suspected" onset of menstruation should primarily consider the possibility of "precocious puberty" (which is the most significant concern that shoul...

Persistent High Fever in My 4-Year-Old: What Should I Do?

If your daughter's body temperature is consistently elevated, what should you do? My daughter is 4 years old. In mid-March, she was hospitalized for 6 days due to bronchitis and otitis media with a high fever, and she was on antibiotics for over two weeks. After being discha...

Dr. Xiao Kaiwen Reply:
There are many causes of fever in children, such as infections (the most common), autoimmune diseases, tumors, drug fever, and summer heat, among others. Depending on the situation, it is advisable for your child to go to the hospital for examination (as there are diagnostic faci...

Is It the Flu? Understanding Serious Symptoms in Children

Is it the flu? Should I be concerned? Doctor, I have a question: My two children had a fever on the same day, but in different locations. However, their condition seems more serious because they have yellow discharge from their eyes and bloodshot sclera. We took them to see a doc...

Dr. Xiao Kaiwen Reply:
Common situations in which children may experience fever and conjunctivitis include infections (such as adenoviral pharyngoconjunctival fever, measles, scarlet fever, influenza, etc.) and autoimmune diseases (such as Kawasaki disease). Each condition may also present with additio...

How to Identify Allergies in Infants: A Guide for Parents

How to identify allergies in infants? Hello, doctor. My baby is 4 months old, and I would like to know how to determine if he is allergic. I asked the hospital, and they said that allergy testing through blood work can only be done after the age of three. However, some people say...

Dr. Pei Rensheng Reply:
Hello: Allergic diseases are related to two factors: one is the allergic constitution, and the second is allergens. The allergic constitution is hereditary; many scholars have statistically found that if one parent has an allergic constitution, the child has a one in four to one ...

Managing Eye Medications for Children with Favism: Key Considerations

Medication issues related to Favism (G6PD deficiency) and eye care? If a child has favism and is experiencing frequent tearing, they visited an ophthalmologist who diagnosed them with keratitis (or conjunctivitis) and prescribed eye drops (Oasis's anti-fungal) and ointment (...

Dr. Xiao Kaiwen Reply:
In patients with G6PD deficiency (favism), only sulfonamide antibiotics should be avoided, as aminoglycosides and chloramphenicol do not fall into this category and therefore have no impact on the condition. The dosage of GENTAMICIN eye drops should not cause side effects in infa...

Common Concerns for Your 3-Month-Old Baby: A Pediatric Guide

The issue with the baby? Hello Doctor: My baby is currently 3 months old and will turn 4 months in 2 weeks, weighing 8 kg. I have some questions regarding her health. 1. My baby shakes a little before urinating, which has been happening since birth but has become more frequent ...

Dr. Pei Rensheng Reply:
Dear tsae, Hello! 1. The phenomenon known as "cold shivering" (shaking while urinating) occurs because the body expels a significant amount of heat energy during urination. The body compensates for this loss of heat by shivering to generate warmth, which helps mainta...

Common Pediatric Concerns: Baby's Health Questions Answered

Please consult a doctor? Thank you for your previous response, doctor! I have a few more questions to ask~~ My baby is now 3 months old and weighs 8 kg. He has one meal of breast milk supplemented with formula milk, around 60-180 cc daily. 1. A few days ago, while I was cleanin...

Dr. Xiao Kaiwen Reply:
1. The external genitalia of newborns are not fully developed (they will become more pronounced at puberty). As long as there is no hypospadias or penile curvature, the most important factor is that both testicles have descended into the scrotum and can be palpated, which indicat...

Common Pediatric Concerns: Baby Feeding, Development, and Health Issues

I have some questions to ask the doctor? Hello Doctor, Question 1: My baby is currently 3 months old and has one feeding of breast milk combined with formula milk, approximately 60-180cc each time. After feeding, when I burp him, I can hear water sounds in his stomach. Is this n...

Dr. Xiao Kaiwen Reply:
1. It is normal for newborns to have thin abdominal walls, which makes sound conduction more pronounced. 2. There is no specific standard for fontanelle bulging, but a "slight curvature" should not be considered abnormal. Symptoms of increased intracranial pressure ma...

Understanding Dark Circles in Babies: When to Seek Medical Advice

Regarding dark circles in babies? Hello, doctor. My baby is a little over 1 year and 3 months old, and she has quite noticeable dark circles under her eyes. I've seen some other children with the same issue outside. Should I take her to the hospital for any examinations? Tha...

Dr. He Ciyuan Reply:
Dark circles can sometimes be caused by allergies in children. It is advisable to visit a pediatrician for allergy testing (through blood samples) and to check immunoglobulin E (IgE) levels to identify specific allergens, which should be avoided as much as possible.

Understanding Infant Crying: Is It Related to Hernia Issues?

Is it a hernia issue in infants? Hello doctor, I am the mother of the child. When my baby brother was born, the doctor said he had a hernia. After about six months, the doctor mentioned it would resolve on its own. However, from birth until now, he has been crying a lot for the p...

Dr. Xiao Kaiwen Reply:
Common reasons for a constantly crying baby: 1. Hunger, wet diaper, or needing comfort, 2. Fever, 3. Oral ulcers or severe thrush, 4. Foreign objects in the eyes, ears, or nose, 5. Inguinal hernia (umbilical hernia does not cause this), 6. Severe diaper rash, 7. Vaccine side effe...

Understanding Allergies and Asthma in Young Children: A Parent's Guide

Allergic rhinitis / Asthma My daughter (2 years old) has always been in good health, rarely experiencing fever. When she does have a fever, it usually subsides quickly, often without the need for medication; just giving her some warm water is enough to help reduce the fever. Howe...

Dr. Pei Rensheng Reply:
Dear Mrs. Liang, Hello. Allergic diseases are related to two factors: one is the allergic constitution, and the second is the allergens. The allergic constitution can be hereditary; numerous studies have shown that if one parent has an allergic constitution, the child has a one ...

Understanding and Managing Excessive Crying in Newborns: Tips for Parents

Crying incessantly? Hello, doctor. My baby was just born not long ago, and is under one month old. For some unknown reason, he cries frequently, almost every half hour. His diaper has been changed, and he has been fed. Each feeding lasts about an hour, but he only consumes around...

Dr. Xiao Kaiwen Reply:
Common reasons for a baby under one month old to cry continuously include: 1. Hunger, wet diaper, or needing comfort; 2. Fever; 3. Oral ulcers or severe thrush; 4. Foreign objects in the eyes, ears, or nose; 5. Inguinal hernia; 6. Severe diaper rash; 7. Vaccine side effects; 8. I...

Understanding Redness Around Your Child's Eyes: Causes and Solutions

Redness around the eyes? I'm not sure. My 1-year-old son woke up this morning with redness around his eyes, and it has persisted all day. He keeps rubbing his eyes. Could this be related to the fever and anti-inflammatory medication he took for two days recently? Which speci...

Dr. He Ciyuan Reply:
If the eyes are itchy and the surrounding area is red, it may indicate inflammation or an allergic reaction. It is advisable to take the child to a pediatric allergist or an ophthalmologist, or to return to the original physician for further evaluation and examination. If necessa...

Understanding Increased Deep Breathing in Children: A Pediatric Perspective

Children often take deep breaths? A 7-year-old child (entering second grade) is 120 cm tall and weighs 26 kg. Previously, the child would occasionally take deep breaths, but recently the frequency of deep breathing has increased. The child visited a nearby clinic and consulted a ...

Dr. Pei Rensheng Reply:
Dear Mrs. Cheng, Hello. Based on your description, it is very likely that your child has Tourette syndrome, which is one of the common ages for onset at 7 years old. Tourette syndrome was first described in 1885 by French physician Gilles de la Tourette. It is characterized by c...

Understanding Developmental Concerns in Premature Twins: A Parent's Guide

Developmental Assessment Hello Doctor, my second pregnancy resulted in twins, and they were born at 35 weeks. The brother weighed 2100 grams and the sister weighed 2300 grams. As of July 9, they are 6 months old, adjusted to 5 months. However, the brother's development is si...

Dr. Xiao Kaiwen Reply:
At 5 months of age, the infant shows insufficient neck support and appears to have delayed gross motor development. It is recommended to consult a pediatric growth and development specialist at a major hospital, and to address any other concerns during the visit.

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