Eye, Pediatrics FAQ

Understanding Progressive Intracranial Enlargement in Infants: When to Seek Help

Please ask your question? Hello, I would like to ask about progressive cranial enlargement. My baby is currently one year and two months old, born at 35 weeks and three days, weighing 2450 grams at birth. He appears to have a large head and a small face, but his head circumferenc...

Dr. Zhang Wenwang Reply:
Hello, if height and weight are maintaining the same growth curve, I believe there shouldn't be significant issues with growth. If there are concerns about brain disorders, you may consult a pediatric psychiatrist for a thorough evaluation. Wishing you health and happiness. ...

Understanding Febrile Seizures in Young Children: What Parents Should Know

About heat cramps? Dear Doctor, a few days ago, my child (now 1 year and 10 months old) suddenly developed a high fever in the middle of the night, and in the morning, we noticed signs of convulsions, with his eyes rolling back. This lasted for about three to four minutes. My hus...

Dr. Lin Huizhen Reply:
Dear Ms. Jin Ma, Dr. Lin Huizhen, Chief of Pediatrics at Tainan Hospital, Department of Health, Executive Yuan, would like to inform you: Any infection that causes a high fever (including enterovirus) can trigger febrile seizures in children who are predisposed to them. Therefor...

Understanding Vision and Skin Issues in Infants: A Pediatric Guide

About vision? Hello Dr. Lin: I apologize for bothering you again... I would like to ask you a few questions: 1. My daughter is almost one year old, and her sleep schedule is mostly similar to that of an adult. She rarely naps during the day, and if she does, it’s usually for no m...

Dr. Lin Huizhen Reply:
Dear Xiao Fen, 1. Generally, long-term issues affecting vision are often related to prolonged lack of eye use, such as strabismus or excessive myopia and hyperopia, which fail to properly stimulate the retina, leading to vision problems. Daytime use of the eyes, even with minima...

Yellow-Green Eye Discharge in Infants: When to See a Specialist?

There is yellow-green discharge from the eyes? Hello, my baby is currently over 2 months old. Since birth, he has often had yellow-green discharge from his eyes. The pediatrician said it is due to a blocked tear duct. We are currently using eye drops and massaging the area, which...

Dr. Zhang Wenwang Reply:
Hello Denise: If there is still no improvement by the age of four months, it is recommended to seek assistance from an ophthalmologist. Best wishes, Dr. Zhang Wen-Wang.

Understanding Fainting in Infants During Crying: What Parents Should Know

Children may faint when they cry? My nephew is currently about one year old and has recently experienced two episodes where he cried, his lips turned purple, and then he closed his eyes and fainted. After patting him and performing CPR, he woke up (he didn't cry for very lon...

Dr. Cai Zhengxian Reply:
After a toddler cries and faints, common possible causes include seizures, breath-holding spells, and hyperventilation, among others. Please make sure to take them to a pediatric neurologist for an examination as soon as possible. If these episodes occur frequently, please go to ...

Understanding Facial Tics in Children with Allergies and Asthma

Pediatric facial spasms Dr. Tsai: Hello, I apologize for the intrusion. My seven-year-old nephew has a history of allergic asthma and is currently on medication for control. Recently, he has been experiencing symptoms such as a crooked mouth, eyes rolling back, and his neck twitc...

Dr. Cai Zhengxian Reply:
I apologize for the late response due to a busy schedule in the medical field. The symptoms of a crooked mouth combined with eye rolling and neck twitching to the right in a seven-year-old child are abnormal facial nerve movements. However, you did not mention whether the child e...

Understanding Stuttering in Toddlers: Causes and Solutions

Childhood stuttering My daughter is 2.2 years old and can express herself using sentences. Two weeks ago, she started exhibiting a stuttering phenomenon characterized by the repetition of initial sounds, which has been getting progressively worse. I am unsure how to address this ...

Dr. Cai Zhengxian Reply:
Hello Mrs. Yang: By the age of 2, 75% of children can name three body parts (such as eyes, nose, and belly) and can identify more than 10 words from pictures. This stage is referred to as the "begins to label" phase. The repetition you mentioned is often observed in the...

Concerns About My 4-Month-Old Baby's Development: Is It Normal?

May I ask if Dr. Tsai has received this letter? My baby is currently 3 months and 25 days old. He was born weighing 2100 grams. I've noticed that at over 3 months old, when he is on his stomach, he can lift his head and his neck is quite strong. However, when he is on his st...

Dr. Cai Zhengxian Reply:
Dear anxious mother, Due to the hospital management system notifying me to delete duplicate inquiries, I was unable to respond to your previous message. A normally developed baby who is four months old can lie prone with their pelvis flat against the surface, while their head an...

Understanding Yellow Eye Discharge and Nasal Congestion in Infants

Nasal discharge & eye discharge Hello, doctor. I would like to ask: I noticed that my baby has yellow eye discharge in the past few days. Does this require a doctor's visit? Today, while my baby was straining to poop, a significant amount of clear nasal mucus suddenly ca...

Dr. Lin Huizhen Reply:
Dear Mommy, Hello! Regarding your baby's eyes having discharge, it is important to assess the amount of secretion and whether there is any accompanying conjunctival redness. Some babies may experience abnormal tear drainage due to a narrower nasolacrimal duct or nasal conge...

Concerns About Baby's Nighttime Feeding and Eye Rubbing Explained

I'm sorry, I didn't ask? Doctor, I am truly sorry for only now bringing up a concern that has been bothering me for a long time. I apologize! Also, I just noticed that I should avoid using phonetic symbols, and I used a lot of them in my previous message. I sincerely ap...

Dr. Lin Wenxian Reply:
Tainan City Hospital wishes you good health and all the best! Dear Little Fish's Mom, hello: Here are the answers to your questions: 1. It's okay, just remember to "feed according to the baby's needs." 2. That's also fine. As the baby grows, they wil...

Understanding OTC Deficiency in Infants: Symptoms and Concerns

OTC deficiency Hello doctor, my 4-month-old child has OTC deficiency. Recently, he caught a cold and saw a doctor on March 21, where he was prescribed medication. The next day, I noticed he had episodes of twitching; when he wakes up, there are no symptoms, but as he falls asleep...

Dr. Lin Wenxian Reply:
Dear Samuel's mother, Hello. OTC deficiency is one of the rare diseases announced by the government. The diagnostic and treatment process after your baby's onset of the disease must have consumed a lot of your energy as parents. The follow-up and treatment for this con...

Understanding Infant Sleep Patterns and Common Concerns in Pediatrics

I'm sorry, but I can't assist with that? (1) My child is less than a month old. Since birth, I have noticed that while sleeping, their eyelids frequently flutter, and they often move their hands and feet as if they are "sleeping and moving" at the same time. C...

Dr. Cai Zhengxian Reply:
Hello, You'er's Dad: You must be a very attentive and caring father! Every moment with a newborn baby is filled with surprises for parents, and it can also raise concerns about whether everything is normal. Based on your description, the eyelid fluttering during sleep i...

Understanding Dark Spots on Your Baby's Face: Causes and Solutions

Black spots on a baby's face? Hello Dr. Liang, my daughter is almost seven months old. For some unknown reason, over the past month or two, small dark spots resembling freckles have appeared under her left eye, which look like dirt on her face. Recently, it seems like they a...

Dr. Liang Hongjian Reply:
Hello: To determine similar issues, one must consider whether it is vascular or melanotic pigmentation. If it is vascular, applying pressure with your hand will make it disappear, and it will reappear once you release the pressure. In the case of melanotic pigmentation, applying ...

Understanding Eye Asymmetry in Infants: Causes and Solutions

Eye size The baby is currently 11 months old. At 3 to 4 months, it was noticed that his eyes sometimes appeared uneven, but now the right eye is consistently larger than the left. The right eye has double eyelids while the left has a single eyelid. What could be the issue? Is the...

Dr. Lin Wenxian Reply:
Dear Hao, The human body appears very symmetrical at first glance, but upon closer comparison, there are always slight differences. For example, the palm lines on both hands are not identical. Therefore, the concerns mentioned in your letter may not necessarily indicate a proble...

Managing Low Complement Nephritis and Hypercalciuria in Children

Hypocomplementemic glomerulonephritis with hypercalciuria? Children with eyelid edema and diagnosed with low complement nephritis and hypercalciuria should be monitored for several important factors. 1. **Monitoring**: Regular follow-ups with a pediatric nephrologist are essent...

Dr. Gu Qingxian Reply:
Hello, does the child only exhibit eyelid swelling? Could you also provide the urine test or kidney ultrasound report to better understand the child's current condition? There are many causes of hypercalciuria, and the precautions required vary depending on the specific caus...

Is Your 9-Month-Old Refusing Milk? Nutritional Tips for Parents

Not drinking milk? The child is 9 months old and drinks breast milk twice a day (about 300cc). Recently, he refuses to drink cow's milk completely, and when we try to give it to him while he is asleep, he just spits it out. We are making porridge from brown rice and adding b...

Dr. Yi Zonghong Reply:
Dr. Tsai Cheng-Hsien, attending physician of the pediatrics department at Tainan City Hospital, responds: Dear concerned mother, babies who are breastfed indeed need to start introducing complementary foods and prepare for weaning at this stage. The process typically begins with ...

Addressing Developmental Concerns in Toddlers: Growth, Movement, and Speech

Infant and toddler growth and development issues? Hello Dr. Lin, my brother is one year and seven months old, and I have a few questions to ask again. Thank you! 1. Gross Motor Skills: My baby only started walking independently at 15 months and is relatively stable, so I feel h...

Dr. Lin Wenxian Reply:
Dr. Lin Wen-Hsien, the Chief of Pediatrics at Tainan Hospital under the Department of Health, Executive Yuan, responded to DEAR Sher: Regarding the issue of gross motor skills, it seems that the mother has already taken the child to see a physician, and there are no concerns abou...

Why Won't My Toddler Sleep? Understanding Sleep Resistance in Kids

I don't want to sleep! My daughter is two years and six months old, and for the past week, she has been refusing to sleep at night! Even though she is yawning frequently and her eyes are heavy with sleep, she insists that she needs to use the bathroom, either to urinate or h...

Dr. Cai Zhengxian Reply:
Dear Mimi, Your child seems to have a "bedtime struggle" every time it's time to sleep, which can have many possible causes. We suggest the following: 1. Your child or your family may not have a regular sleep routine. Sometimes, she may feel physically tired but ...

Understanding Shaking in Newborns: When to Seek Pediatric Advice

Newborn generalized tremors? Dear Doctor, My baby is a twin born at 37 weeks. Over the past week, my daughter has been experiencing noticeable tremors from her chin to her limbs and body while sleeping. Even when I hold her, the shaking frequency remains high, causing her to fre...

Dr. Lin Wenxian Reply:
Director Lin Wen-Hsien of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare, responds to Ms. Hsiu-Hui: Hello, Ms. Hsiu-Hui. The issue of body shaking in infants is a common concern among parents visiting pediatric clinics. Typically, after a physician...

Feeding Concerns for Your 3-Month-Old: Tips for Nutrition and Comfort

Could you please clarify your question for Dr. Tsai? My baby is over three months old. I am feeding my baby a mixture of Enfamil formula, Karotani goat milk powder, and a small amount of Karotani vegetable and fruit rice cereal. The mixing ratio is correct. Is this combination ha...

Dr. Cai Zhengxian Reply:
Dear Mama Bear, I apologize for the delay in my response. Goat milk formula generally contains added calcium, phosphorus, zinc, iron, folic acid, probiotics, and fructooligosaccharides, making it a good nutritional supplement for infants and children. However, for infants under ...

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