Understanding Infant Feeding Aversion: Causes and Solutions for Parents
More than a month of milk aversion? Hello Doctor: My baby is currently over one month old and weighs 4.8 kg. He is bottle-fed with breast milk five times a day, consuming about 130-140 cc each time. However, for the past week, he has shown less interest in drinking milk. He is fe...
Dr. Xiao Kaiwen Reply:
As long as the child has normal activity levels and their height and weight are increasing appropriately, and they are not experiencing illnesses such as fever, throat inflammation, herpetic pharyngitis from enterovirus, or gastroenteritis with vomiting and diarrhea (some of whic...[Read More] Understanding Infant Feeding Aversion: Causes and Solutions for Parents
Concerns About Choking in Toddlers: What Parents Should Know
Choking in children Hello, my child is three years old and choked a bit while taking probiotics (powder form). Since then, there haven't been any significant issues. Is it possible that some of it went into the trachea? Should I have them checked or just observe? Thank you.
Dr. Xiao Kaiwen Reply:
If a foreign object is aspirated into the trachea, the most common symptom is coughing. Therefore, if there is a persistent cough that does not improve, or if fever occurs (which may lead to aspiration pneumonia), one should seek examination at a major hospital.[Read More] Concerns About Choking in Toddlers: What Parents Should Know
Assessing Food Poisoning Risks in Infants: What Parents Should Know
Risk Assessment of Foodborne Illness Hello Doctor: Today, I accidentally let my baby eat vegetable puree that had been frozen for two weeks (it was taken out at room temperature for 10 minutes before being refrozen—I intended to eat it myself). I heard that some food poisoning ca...
Dr. Zhang Yingwen Reply:
I can understand your current concerns. Freezing food can inhibit bacterial growth, but it does not mean that there is absolutely no bacterial growth. Therefore, it is indeed recommended to monitor for at least three days. Additionally, you may consider supplementing with probiot...[Read More] Assessing Food Poisoning Risks in Infants: What Parents Should Know
Understanding Vomiting in 10-Month-Old Babies: Causes and Concerns
10-month-old baby vomiting? Hello doctor, my baby is currently 10 months old and sometimes cries so hard that she vomits. Occasionally, after eating, while playing, she suddenly vomits. Is this because she is a low birth weight infant born at 37 weeks and has not fully developed?...
Dr. Xiao Kaiwen Reply:
Infants have a relatively small stomach capacity, so it is possible for them to spit up milk after vigorous activities (such as crying or playing) shortly after feeding. This is not necessarily related to being a low birth weight infant born at 37 weeks gestation. However, if the...[Read More] Understanding Vomiting in 10-Month-Old Babies: Causes and Concerns
Safe Use of PONSTAN in Infants Under 6 Months and Children Under 3
Medication Administration Methods PONSTAN (mefenamic acid) is generally not recommended for use in infants under 6 months of age. For children aged 6 months to 3 years, the dosage should be carefully determined by a healthcare professional based on the child's weight and spe...
Dr. Pei Rensheng Reply:
Dear Nicole, Mefenamic acid is a non-steroidal anti-inflammatory drug (NSAID) used for pain relief, anti-inflammatory purposes, and fever reduction. The therapeutic dosage is 4 to 10 mg/kg/dose, administered every 6 to 8 hours. Literature suggests limited use in infants under 6 ...[Read More] Safe Use of PONSTAN in Infants Under 6 Months and Children Under 3
Persistent High Fever in Children: What to Do When It Reaches 39°C?
The child has a persistent fever above 39 degrees Celsius? If a child has a fever over 39 degrees Celsius and a consistently sore throat, and despite seeing a pediatrician and using rectal antipyretics, the condition remains unchanged, what should be done?
Dr. Xiao Kaiwen Reply:
The effects of various antipyretics can only last for a few hours, and their purpose is to provide temporary comfort for children. If the illness is not resolved (common viral infections typically cause fever for three to four days, and some may last up to a week), it is quite co...[Read More] Persistent High Fever in Children: What to Do When It Reaches 39°C?
Understanding Hand, Foot, and Mouth Disease: Common Concerns and Questions
Regarding enterovirus rashes! Hello Dr. Hsiao: Recently, both of my children contracted enterovirus one after the other. My younger son started showing symptoms last Thursday, and my daughter developed symptoms two days later. We suspect they may have been infected by the same vi...
Dr. Xiao Kaiwen Reply:
1. After 7-10 days of enterovirus infection, the rashes on the hands and feet will stop appearing and gradually dry up and heal. 2. Myoclonic jerks are similar to startle reflexes, so they generally have a larger amplitude. 3. In the presence of any infection (whether viral o...[Read More] Understanding Hand, Foot, and Mouth Disease: Common Concerns and Questions
How Long Does It Take for Hand, Foot, and Mouth Disease to Heal?
How many days does it take for enterovirus to resolve? My younger brother discovered red spots in his mouth while taking a shower on Tuesday night (5/28). That same night, we took him to an ENT specialist who diagnosed him with hand, foot, and mouth disease (HFMD). On 5/31, he st...
Dr. Xiao Kaiwen Reply:
1. Oral ulcers typically take about 7-10 days to heal. 2. The average duration of fever due to enterovirus infection is about 3 days (some may last longer, while others may be shorter). If the fever persists beyond 3 days with high temperatures and frequent spikes, a pediatrici...[Read More] How Long Does It Take for Hand, Foot, and Mouth Disease to Heal?
Understanding Summer Fever in Children: Symptoms, Duration, and When to Seek Help
Regarding the issue of summer heat! Hello Dr. Hsiao: On the early morning of May 18th, my younger brother suddenly developed a fever of 38 degrees Celsius. We took him to the emergency department at Kaohsiung Chang Gung Memorial Hospital for blood tests, urinalysis, and stool tes...
Dr. Xiao Kaiwen Reply:
1. Summer heat is commonly observed during the hotter months, particularly in infants aged six months to three years. This may be due to the immature thermoregulation function in young children, causing their body temperature to rise with increasing environmental temperatures. Ty...[Read More] Understanding Summer Fever in Children: Symptoms, Duration, and When to Seek Help
Understanding Your Two-Month-Old's Stool Patterns: What’s Normal?
The stool patterns of a two-month-old baby? Hello doctor, my baby is almost three months old. He is primarily breastfed and only wakes up at night to have formula milk. His bowel movements are sometimes three to four times a day, and sometimes just once. They are usually loose an...
Dr. He Shenglong Reply:
Hello: The baby is primarily breastfed and has formula milk at night. Currently, the baby has bowel movements three to four times a day, which are pasty and sometimes watery; the frequency and consistency are considered normal. The bile secreted by the liver mixes with the stool,...[Read More] Understanding Your Two-Month-Old's Stool Patterns: What’s Normal?
Understanding Ear Infections in Children: Symptoms, Diagnosis, and Treatment
Otitis media, hearing, and headache? Hello, doctor. My child has a history of allergies (mainly nasal). Around March 20th of this year, he had a fever and we took him to see an ENT specialist. The doctor diagnosed him with otitis media and prescribed antibiotics for two weeks (wh...
Dr. Xiao Kaiwen Reply:
1. A reliable pneumatic otoscope examination assesses the color, translucency, fluid presence, and mobility of the tympanic membrane. The patient's tympanic membrane may appear red, swollen, opaque, with diminished light reflex, and may appear full, bulging, or even deformed...[Read More] Understanding Ear Infections in Children: Symptoms, Diagnosis, and Treatment
Managing Cough and Phlegm in Children: A Guide for Parents
My younger brother has phlegm in his lungs! How should we handle this? Hello Dr. Hsiao, My younger brother suddenly developed a fever of 39.8 degrees Celsius around 1 AM last Saturday. He was taken to Chang Gung Memorial Hospital's emergency department, where the doctor dia...
Dr. Xiao Kaiwen Reply:
1. Viral infections can cause fever for 2-3 days, but in some cases, it may last up to a week. Generally, if a fever persists for more than 3-4 days, physicians will conduct tests (such as blood tests, X-rays, or urinalysis) to check for possible bacterial infections. If the feve...[Read More] Managing Cough and Phlegm in Children: A Guide for Parents
Understanding Bronchitis in Infants: Symptoms, Care, and Recovery Time
Bronchiolitis in infants Hello Dr. Hsiao, my baby is currently 2 months and 20 days old and has caught a cold for the second time. This time, she has a severe cough along with wheezing. I took her to the doctor, who said it might be bronchitis, possibly triggered by the cold or d...
Dr. Xiao Kaiwen Reply:
1. For those with mild symptoms, the symptoms typically resolve within two to five days. In more severe cases, the illness may last longer and could progress to bronchiolitis or pneumonia, requiring hospitalization. Patients with pre-existing conditions such as congenital heart d...[Read More] Understanding Bronchitis in Infants: Symptoms, Care, and Recovery Time
Can Vaccines Worsen a Cold in Newborns? Pediatric Insights
Neonatal cold (to ask again) Dr. Hsiao, I apologize for asking another question. When a baby receives vaccinations at the hospital, do the doctors check to ensure there are no issues before administering the shots? If a baby had a mild cold prior to receiving the BCG vaccine and ...
Dr. Xiao Kaiwen Reply:
1. Contraindications for vaccination include: fever, having a "severe" acute illness, undergoing immunosuppressive therapy, and known allergies to vaccine components. A common cold is generally not a contraindication for vaccination. 2. Vaccines are made from specific c...[Read More] Can Vaccines Worsen a Cold in Newborns? Pediatric Insights
Understanding Colds in Newborns with Heart Conditions: Key Insights
Common Cold in Newborns Dr. Hsiao, I would like to ask again about my child who has a patent foramen ovale. How will a cold affect her? What should we pay attention to? The baby does not have a fever, is active, and has a good appetite, but she does have a cough. I heard from a d...
Dr. Xiao Kaiwen Reply:
1. The majority of patent foramen ovale cases are benign and will gradually close on their own. If there are no cardiac complications, a common cold does not have any impact. 2. Coughing between 2 to 5 AM does not necessarily indicate pneumonia; there is no such assertion. 3....[Read More] Understanding Colds in Newborns with Heart Conditions: Key Insights
Newborn Cough: Understanding Symptoms and Care for Your Baby
Urgent~~Newborn Cold Hello, doctor. I am a new mother and I would like to ask about my baby. She is just under two months old and has recently started coughing, initially just 1 or 2 times, but in the last couple of days, her cough has worsened, resembling an adult's cough d...
Dr. Xiao Kaiwen Reply:
1. A weight gain of 1400 grams in a little over a month after birth is an acceptable growth rate; others may perceive the baby as small due to a lower birth weight. 2. It is quite common for infants to have small lymph nodes near the back of the neck, and this is generally cons...[Read More] Newborn Cough: Understanding Symptoms and Care for Your Baby
Understanding Infant Sleep Patterns and Feeding Issues in Cold Weather
Baby's routine Hello, due to the colder weather these past few days, my sister has just turned one year old. She drinks formula milk in the morning and evening, and she can consume 60-70cc per feeding without any issues. However, she tends to spit up after rolling over. Some...
Dr. Zhang Yingwen Reply:
Is the baby girl one year old or one month old? Because a milk intake of 60 to 70 cc is relatively low for a one-year-old child, it shouldn't cause vomiting, and colicky abdominal pain is not commonly seen in one-year-olds. If the baby girl has just turned one month old, the...[Read More] Understanding Infant Sleep Patterns and Feeding Issues in Cold Weather
Managing Sleep Challenges with Twins: Tips for New Parents
Infant Sleep Hello, I have twin babies. My eldest, Yawen, was advised by the hospital nurse to feed every four hours. However, he cried continuously last night, and his diaper was dry. I could hardly sleep, and the younger one was also disturbed by the older one's crying. Ho...
Dr. Zhang Yingwen Reply:
Babies typically cry for a reason. First, try to soothe them with a gentle voice to stabilize their emotions. Next, check their diaper or look for signs of bloating, constipation, or fever, and ensure their environment is comfortable. If they continue to cry, it may be helpful to...[Read More] Managing Sleep Challenges with Twins: Tips for New Parents
Understanding Lumps on Your Child's Head: When to Worry
Small hard lump on the head? Hello, Doctor He: I have a daughter who is currently 1 year and 6 months old. When she was a newborn, we accidentally discovered multiple small lumps at the back of her head, located about 1 to 2 centimeters above her neck. At that time, we consulted ...
Dr. He Shenglong Reply:
Hello: After a child contracts a respiratory infection, it is common to find painless, movable small hard nodules (lymph nodes) in the neck, posterior neck, or behind the ears. Generally, these can be monitored as they will gradually decrease in size. However, if there is localiz...[Read More] Understanding Lumps on Your Child's Head: When to Worry
Do Cough Syrups Affect Urine Test Results in Infants?
Will this medication affect urine test results? Hello, Dr. Hsiao! My sister is currently eight months old. Five days ago, she had a fever of 37.5 degrees Celsius at midnight and went to the emergency room. A urine test was performed, and she had taken cough syrup two hours prior,...
Dr. Xiao Kaiwen Reply:
The medications Xikening and Shuyitong will not affect urine test results. Periactin, Cefx, and Biofermin will not impact the results of a kidney ultrasound. A urine test showing 150,000 white blood cells? I really don't understand what that means.[Read More] Do Cough Syrups Affect Urine Test Results in Infants?