Safety Concerns of Rectal Fever Suppositories in Young Children
Antipyretic suppository A 3-year-old child has developed a fever of 38 degrees Celsius due to sinusitis. Medication has been administered, which reduced the fever, but it rose again to 39.1 degrees Celsius after two hours. The plan is to use a rectal suppository for fever reducti...
Dr. Xiao Kaiwen Reply:
The manufacturing of rectal suppositories is designed for absorption through the rectum, and the amount absorbed through the vagina should not be significantly high, so there should not be any major impact. There is no need for excessive concern.[Read More] Safety Concerns of Rectal Fever Suppositories in Young Children
Concerns About My 1-Year-Old's Development and Health Issues
The baby is currently 1 year and 7 months old, and there is a depression in his fontanelle? Hello doctor, my baby is currently one year and seven months old. He has a depression in his fontanelle that is about 10 centimeters long and one and a half fingers wide. He often has diar...
Dr. Xiao Kaiwen Reply:
Infants with abnormal head shapes and developmental delays, characterized by wide cranial sutures and a prominent forehead, may require an evaluation for potential brain abnormalities. It is recommended to consult a pediatric neurologist at a major hospital for further assessment...[Read More] Concerns About My 1-Year-Old's Development and Health Issues
Understanding Recurrent Head Pressure and Vomiting in Children
Headache and vomiting? Hello Doctor, my 12-year-old child has recently experienced episodes of head swelling and vomiting as follows: Note: On January 18, he received an injection in the endocrinology department to suppress bone age growth for a duration of three months. 1. On ...
Dr. Xie Wanghu Reply:
Hello Ms. Wu, The side effects of Leuplin can include rash, wheezing, chest tightness, difficulty breathing, and difficulty swallowing or speaking, as well as gastrointestinal discomfort. Many cases of gastroenteritis can present with symptoms such as vomiting, diarrhea, and fe...[Read More] Understanding Recurrent Head Pressure and Vomiting in Children
Understanding Prolonged Fever in Children: When to Seek Medical Advice
Pediatric fever Hello, Doctor. I would like to inquire about my 6-year-old daughter. On the 24th, she had a fever of 38.8°C and we took her to see a doctor. The doctor diagnosed her with tonsillitis. She had a recurring fever for 3 days, approximately every 10-12 hours, reaching ...
Dr. Xiao Kaiwen Reply:
Some viral infections can cause a fever lasting up to a week, such as adenovirus, so adenovirus rapid testing can be performed. Additionally, if a high fever persists three days after the last blood test, it may be advisable to conduct another blood test to assess any changes in ...[Read More] Understanding Prolonged Fever in Children: When to Seek Medical Advice
Can Children Safely Combine Cough and Cold Medications?
Could you please clarify your question regarding pediatric medication? Hello Dr. Hsiao: My 4-year-old child is currently experiencing fever, a cough that sounds productive, yellow nasal discharge, and nasal congestion (the nasal discharge returns shortly after blowing the nose). ...
Dr. Xiao Kaiwen Reply:
The medication your child is taking contains ingredients for cough relief and treating rhinitis (nasal congestion, runny nose, and sneezing). Xike Ning is a combination cold medicine that also includes ingredients for runny nose, nasal congestion, sneezing, cough, and expectorati...[Read More] Can Children Safely Combine Cough and Cold Medications?
Understanding CRP Levels in Children: When is it Considered High?
What is considered a high level of the infection index (C-reactive protein)? I looked up the normal value for the CRP index (which should be less than 1 mg/dL). Typically, in autoimmune diseases, C-reactive protein (CRP) levels are elevated, categorized as moderate (1–10 mg/dL). ...
Dr. Xiao Kaiwen Reply:
The normal range for CRP can vary slightly between hospitals, but generally, a level below 6 mg/dL is considered normal (our hospital sets the threshold at below 5 mg/dL). Elevated CRP levels indicate that there is currently inflammation or infection in the body, which could be d...[Read More] Understanding CRP Levels in Children: When is it Considered High?
Flu in Infants: When to Seek Hospital Care for Your Baby
The baby has influenza? Hello, my four-year-old child caught an infection at preschool and transmitted it to my eight-month-old daughter and myself. Based on my condition, the doctor diagnosed it as influenza and prescribed Tamiflu. The older child has improved, but the baby has ...
Dr. Xiao Kaiwen Reply:
At only 8 months old, the child is in a high-risk group for influenza and has had a persistent high fever for 4 days despite taking antiviral medication. It is advisable to go to a major hospital's emergency department for evaluation.[Read More] Flu in Infants: When to Seek Hospital Care for Your Baby
Persistent Cough in Children: Causes and When to Seek Help
Persistent cough in children (approximately twelve years old) Hello, doctor. I have a 12-year-old boy who coughs several dozen times a day. He does not have any runny nose, fever, or phlegm; it’s just a sensation of clearing his throat. This has been ongoing for more than six mon...
Dr. Xiao Kaiwen Reply:
There are many possible causes. Common reasons in children include allergic bronchitis, post-nasal drip, gastroesophageal reflux, bacterial infections such as mycoplasma, and it could also be due to neurogenic conditions like Tourette syndrome. It is recommended to first consult ...[Read More] Persistent Cough in Children: Causes and When to Seek Help
Night Sweats After A Flu Diagnosis: When to Seek Medical Advice?
Excessive sweating during sleep after being diagnosed with influenza type A? Hello, doctor! My son was diagnosed with influenza type A on January 7th and received Rebata (oseltamivir) on the same day. The next day, his fever gradually subsided, leaving only a cough and runny nose...
Dr. Xie Wanghu Reply:
Hello, April's mom. Night sweats during sleep may be related to the course of the illness. Once the illness improves, it should resolve. Also, make sure not to dress the child in too many layers while sleeping; keeping them warm and comfortable is sufficient. Thank you.[Read More] Night Sweats After A Flu Diagnosis: When to Seek Medical Advice?
Can Breastfeeding Continue After Enterovirus Infection in Siblings?
Enterovirus and breastfeeding Hello, doctor. I would like to ask about my eldest son, who is four years old. On Friday, December 29th, he started feeling chills in the afternoon and later that evening had a fever of 38.7°C. We went to a clinic where he was prescribed medication, ...
Dr. Xiao Kaiwen Reply:
Enteroviruses can be contagious one day before symptoms appear, so there is still a possibility that your second child could be infected. There are no enteroviruses in breast milk, so it is safe to express and bottle-feed. The virus is most contagious through respiratory droplets...[Read More] Can Breastfeeding Continue After Enterovirus Infection in Siblings?
Should You Switch Baby Formula After Diarrhea Recovery?
Adjustment of formula for diarrhea? My daughter is currently eight months old and a few days ago, she saw a doctor due to diarrhea (without fever or vomiting). The doctor diagnosed it as non-infectious diarrhea and advised us to switch to a low-lactose formula for a few days (she...
Dr. Zhang Yingwen Reply:
Congratulations on your baby's improvement in diarrhea and return to health! You can either switch to a new formula or return to the original Meiji formula after recovery. If your baby has a history of allergies, it is recommended to continue using hydrolyzed formula. If the...[Read More] Should You Switch Baby Formula After Diarrhea Recovery?
Understanding Diarrhea in a 1-Year-Old: Causes and Solutions
The 1 year and 5 months old has inconsistent bowel movements? Hello Doctor, my child is currently 1 year and 5 months old. Around the age of 1, he started having watery and mushy stools, with a frequency of 1 to 3 times a day, and they have a slightly sour smell. This has been on...
Dr. Xiao Kaiwen Reply:
If a baby’s height and weight are within the normal range, has normal vitality, and shows no signs of fever or infection, the most likely diagnosis is chronic nonspecific diarrhea, also known as toddler diarrhea. This condition is common in toddlers aged 1 to 2 years who are begi...[Read More] Understanding Diarrhea in a 1-Year-Old: Causes and Solutions
Understanding Fever and Diarrhea in Children: When to Seek Hospital Care
Fever and diarrhea? The child has been experiencing recurrent fever for 3-4 days (38-39 degrees Celsius) and has been having diarrhea, with several watery stools daily, which are unformed. Every time the child eats, they have diarrhea, and there is a noticeable decrease in appeti...
Dr. Xiao Kaiwen Reply:
Here, I can only say that the best person to understand your child's condition is their attending physician. It is difficult to fully assess your child's situation with limited information. I recommend closely collaborating with your child's attending physician, wh...[Read More] Understanding Fever and Diarrhea in Children: When to Seek Hospital Care
Understanding Brown Discharge in Infants: Causes and Concerns
Inquiry about urethral discharge in infants? A 5-month-old male infant has occasionally (not every time, but sporadically) had thick, tea-brown discharge adhering to the glans when the diaper is opened over the past month. We have visited a clinic, and it was suggested that it mi...
Dr. Xiao Kaiwen Reply:
The presence of discharge from an infant's glans requires ruling out a urinary tract infection (UTI). Infants with UTIs may not necessarily exhibit fever or cry during urination. UTIs require treatment with oral or injectable antibiotics; simply applying topical antibiotics ...[Read More] Understanding Brown Discharge in Infants: Causes and Concerns
Understanding Adenovirus in Children: What You Need to Know
About adenovirus? I would like to ask the doctor, my daughter had a fever from adenovirus for four days, but she hasn't had a fever for a while. However, her blood test showed an inflammation index of 4, and the doctor said she needs to be hospitalized for further examinatio...
Dr. Xiao Kaiwen Reply:
The inflammation index referred to by general practitioners is typically the CRP (C-reactive protein) level obtained from a blood test. However, different hospitals may use different units for measuring CRP, so it is essential to know the unit of your CRP value of 4 in order to d...[Read More] Understanding Adenovirus in Children: What You Need to Know
Managing Fever in Children: Concerns About Suppository Use and Infection Risks
Pediatric fever Hello, Dr. Zhang! I have a question: My 2nd-grade daughter had a fever today, and I quickly took her to the clinic. The diagnosis was throat inflammation. By noon, she started to have a high fever of 39.5 degrees Celsius. I used the suppository that the clinic pre...
Dr. Zhang Yingwen Reply:
In addition to the antipyretic components, the suppository contains an excipient with ester oils (WITEPSOL as the base for the suppository). The unpleasant odor from the oil may result from the excipient melting and mixing with the odor of rectal feces due to heat. If there are c...[Read More] Managing Fever in Children: Concerns About Suppository Use and Infection Risks
Understanding Pediatric Urinary Tract Infections: Symptoms, Diagnosis, and Care
Urinary tract infection (UTI) Hello Doctor, My daughter had a fever of 38 degrees Celsius on the first day. After taking a bath, she remained in a low-grade fever for two days but was active and normal otherwise. On the fourth day, she was still uneasy, so I took her for a urin...
Dr. Xiao Kaiwen Reply:
The urine test shows a leukocyte count of 8-10, which is at the upper limit of normal. This suggests a urinary tract infection (UTI) may be present, and it is acceptable to start antibiotics while awaiting a more accurate urine culture report. The majority of urinary tract infect...[Read More] Understanding Pediatric Urinary Tract Infections: Symptoms, Diagnosis, and Care
Understanding Prolonged Fever in Children: When to Seek Medical Help
Child has had a fever for 4 days? Hello, doctor. My child is 3 years old and started having a fever of about 39-39.5°C on Saturday night. We visited a clinic on Sunday and were prescribed antipyretic syrup. After taking it, the temperature dropped to 38-39°C. On Monday morning, w...
Dr. Pei Rensheng Reply:
Hello! A 3-year-old has had a fever for 4 days. It is recommended to check for: COVID-19, influenza, adenovirus, urinary tract infection, chest X-ray, and even blood tests; it could also be roseola. It is advisable to go to the hospital for evaluation! Wishing for a speedy recove...[Read More] Understanding Prolonged Fever in Children: When to Seek Medical Help
Best Supplements to Boost Immunity in Children and Reduce Colds
What dietary supplements can enhance children's immunity and reduce the frequency of colds and fevers? Due to my 2-year-old child frequently catching colds and having fevers every 1-2 weeks, and considering my busy work schedule, I would like to purchase health supplements t...
Dr. Xiao Kaiwen Reply:
Methods to enhance children's immunity include maintaining healthy lifestyle and dietary habits, such as having a balanced diet without snacks, ensuring adequate sleep, keeping a positive mood, engaging in regular and sufficient physical activity, and staying up to date with...[Read More] Best Supplements to Boost Immunity in Children and Reduce Colds
Understanding Fever and Vomiting in Children with Tonsillitis
Fever due to tonsillitis? Hello doctor, my child has a fever due to tonsillitis. On June 10th, they vomited once in the early morning, which seemed normal. However, on June 11th at 3 PM, they vomited again, this time mixed with some phlegm and blood. Is this normal?
Dr. He Zongxian Reply:
Hello, since you did not provide age and other relevant information, the following response is for your reference. If a child has a fever, they may occasionally vomit due to discomfort. However, if there are blood streaks in the vomit, it may require further examination by a phys...[Read More] Understanding Fever and Vomiting in Children with Tonsillitis