Can Children with Allergies Receive the Flu Vaccine?
Influenza vaccine Hello, doctor! My 2-year-old child has been taking medication for nasal and bronchial allergies recently. Is it safe to administer the flu vaccine?
Dr. Pei Rensheng Reply:
Dear Mom, Hello! The contraindications for the influenza vaccine include: allergy to egg protein, fever, or other serious illnesses. Allergy medications do not affect the administration of the influenza vaccine. The physician will reassess before the vaccination. Wishing you ...[Read More] Can Children with Allergies Receive the Flu Vaccine?
Understanding Persistent Low-Grade Fever in Children: When to Seek Help
Chronic low-grade fever Hello, I would like to ask about a 4-year-old child whose ear temperature has been consistently between 37.5°C and 37.7°C for the past three months, while sleeping it ranges from 37°C to 36.8°C. The child's appetite and activity levels are good, but t...
Dr. Pei Rensheng Reply:
Dear Xin Xin, Hello, an ear temperature below 37.8 degrees Celsius is not considered a fever. If your appetite and activity levels are good, there is no need for any tests. Wishing you health and happiness! Sincerely, Dr. Pei Ren-Sheng Director, Pediatrics Department, Taoyu...[Read More] Understanding Persistent Low-Grade Fever in Children: When to Seek Help
Child Develops Rash After Pneumococcal Vaccine: Is It an Allergy?
Three days after the child received the 13-valent pneumococcal vaccine, a localized rash appeared on the arm? Hello Dr. Hsiao: My child received the 13-valent pneumococcal vaccine at the health center on July 24 (he is 2.5 years old). Three days later, small bumps appeared at the...
Dr. Xiao Kaiwen Reply:
It seems that this reaction is not commonly associated with vaccines. Personally, I believe it is not vaccine-related and does not constitute an adverse reaction to vaccination. There should be no connection. After receiving the vaccine, individuals can be observed at the healthc...[Read More] Child Develops Rash After Pneumococcal Vaccine: Is It an Allergy?
Understanding Diarrhea and Fever in Infants: When to Seek Help
Diarrhea in children? Hello Dr. Hsiao, my child will turn one year old in a few days. For the past five days, his body temperature has been elevated, close to 38 degrees Celsius, and sometimes reaching 38.5 degrees (I have been giving him antipyretics). During this time, his acti...
Dr. Xiao Kaiwen Reply:
When a child has a fever and diarrhea, it is advisable to consult a pediatric gastroenterologist or a pediatric infectious disease specialist. However, fever and diarrhea are common issues in pediatrics, and a general pediatrician can usually handle these cases. If there is notic...[Read More] Understanding Diarrhea and Fever in Infants: When to Seek Help
Managing Fever, Vomiting, and Diarrhea in Children During Flu Season
The child has recently been experiencing fever, diarrhea, and vomiting? Recently, the flu has been quite severe. We adults are experiencing coughing and fever, especially severe coughing. Not long after, my eldest child also developed a cough, fever, vomiting, and diarrhea. My yo...
Dr. Pei Rensheng Reply:
Dear Xiao Chen, Hello! 1. There has been a significant increase in influenza cases recently, and a rapid test can be performed for a definitive diagnosis. 2. Winter is also the peak season for rotavirus gastroenteritis. After the consultation, the physician may recommend a st...[Read More] Managing Fever, Vomiting, and Diarrhea in Children During Flu Season
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 ...[Read More] Understanding Pediatric Allergies: A Mother's Struggle with Nasal Issues
Understanding Light Yellow Stool in Toddlers: When to Worry
A 2-year-old child has light yellow stool? Hello doctor: My child is currently 2 years and 1 month old. Recently, for the past 2 to 3 months, his stools have occasionally been mixed with light yellow. However, his activities and diet are normal without any abnormalities. Is it st...
Dr. Xiao Kaiwen Reply:
The color of stool is influenced not only by bile pigmentation but also by many other factors, such as food dyes. As children grow, they will not develop congenital biliary atresia (which you may be referring to). However, there are many acquired causes of pale or clay-colored st...[Read More] Understanding Light Yellow Stool in Toddlers: When to Worry
Flu Vaccine for Toddlers: Recovery Time After Common Cold
Pediatric influenza vaccine Hello Dr. Hsiao, I apologize for taking up your valuable time again. My question is as follows: For toddlers under 2 years old who have contracted a common cold, how long after recovery can they receive the first dose of the publicly funded influenza v...
Dr. Xiao Kaiwen Reply:
Situations in which influenza vaccination is not recommended include: 1. Individuals with a known severe allergy to egg proteins or components of the vaccine. 2. Children under 6 months of age. 3. Individuals who have experienced adverse reactions after previous influenza vaccina...[Read More] Flu Vaccine for Toddlers: Recovery Time After Common Cold
Understanding Oral Herpes and Stomatitis in Children: Symptoms and Care
Herpes Simplex Stomatitis, Herpetic Stomatitis Hello! My 4-year-old child has been diagnosed today with "oral and #30129; viral rash." The front part of the oral cavity has severe ulcers. The doctor has prescribed antiviral medication for treatment. My child has been le...
Dr. Pei Rensheng Reply:
Dear Ms. Wang, 1. Your child may have contracted an enterovirus infection. In addition to oral ulcers, enterovirus can also present with skin rashes. 2. Recently, we have observed several cases of enterovirus co-infection with herpes simplex virus, which can lead to gingival red...[Read More] Understanding Oral Herpes and Stomatitis in Children: Symptoms and Care
Understanding Fever, Rash, and Diarrhea in Young Children: A Guide for Parents
Fever, rash, and diarrhea in children? My child will turn one at the end of August. Last Saturday at 9 AM, he received two vaccinations for chickenpox and measles. Before the shots, I felt that his temperature was slightly elevated, but I didn't measure it at that time. Afte...
Dr. Xiao Kaiwen Reply:
The following is a brief overview of diseases associated with fever and rash in infants and young children (refer to items 1, 2, 3, 4, 5): 1. Measles 2. Rubella 3. Scarlet Fever 4. Roseola Infantum 5. Kawasaki Disease **Age of Onset:** 1. > 6 months 2. > 6 months 3. > ...[Read More] Understanding Fever, Rash, and Diarrhea in Young Children: A Guide for Parents
Is Thymic Hypertrophy Serious in Infants? Key Concerns and Insights
Is a protruding chest line serious? Hello Doctor, DD is now 5 months old. When he was a little over 1 month old, he was hospitalized for pneumonia with a fever of 39 degrees Celsius for a week at Chang Gung Memorial Hospital. He had a follow-up appointment a week after discharge,...
Dr. Pei Rensheng Reply:
Dear Elaine, The thymus is one of the glands in the human body where some bone marrow cells mature. It is located at the upper part of the sternum, between the two lung lobes, and beneath the thyroid gland. As a person ages, the thymus gradually shrinks, but it still retains its...[Read More] Is Thymic Hypertrophy Serious in Infants? Key Concerns and Insights
Can a 13-Month-Old Child Still Have Biliary Atresia?
Can a 1 year and 1 month old child still have biliary atresia? My child is 1 year and 1 month old. He started having a fever last Saturday, with an average temperature of 38.5°C. After administering antipyretics, the fever returns approximately every six hours. On the third day, ...
Dr. Xie Degui Reply:
Hello; the resolution of a child's fever does not necessarily mean that they have fully recovered. If their appetite has not returned or their activity level has decreased, it is important to have them evaluated by a physician. Inflammation of the biliary tract can lead to r...[Read More] Can a 13-Month-Old Child Still Have Biliary Atresia?
Why Do Children Experience Prolonged Fever with Respiratory Infections?
Fever in children Hello, doctor. May I ask—why is it that with the same respiratory infection, commonly referred to as a cold, adults may experience a fever once and then not have it again, while children might continue to have recurring fevers, with periods of fever and afebrile...
Dr. Xiao Kaiwen Reply:
A simple viral infection without complications can typically cause a fever for an average of 2 to 5 days, and sometimes even longer, depending on various factors such as the type of virus, viral load, and individual constitution (immune response). Children generally have a relati...[Read More] Why Do Children Experience Prolonged Fever with Respiratory Infections?
Understanding Allergies and Asthma in Young Children: A Parent's Guide
Allergic asthma in children? Dear Doctor, I would like to inquire about my child's allergies and asthma issues. I am currently abroad and have a two-and-a-half-year-old child who has been experiencing cold symptoms since the beginning of the year. Initially, he had a persis...
Dr. Xiao Kaiwen Reply:
Persistent cough in children that lasts a long time and is difficult to resolve is most commonly caused by respiratory allergies. The key to using allergy medications is that they should only be prescribed by an "experienced" and "specialized" pediatric allerg...[Read More] Understanding Allergies and Asthma in Young Children: A Parent's Guide
Concerns About Medication Dosage for Children in Emergency Care
I have concerns about the medications and dosages prescribed for my child by the hospital? My child went to the emergency room due to a fever of 39.1 degrees Celsius without obvious cold symptoms. The doctor only noted that the throat was red and ordered blood tests and a chest X...
Dr. Xiao Kaiwen Reply:
The following are the recommended dosages for medications as per the textbook: Panadol: 10-15 mg/kg per dose, every 4-6 hours (commonly used is 60-65 mg/kg per day, every 4-6 hours). Erythromycin: 30-50 mg/kg per day, every 6-8 hours. Periactin: 0.25-0.5 mg/kg per day, ever...[Read More] Concerns About Medication Dosage for Children in Emergency Care
Impact of Group B Streptococcus on Newborns: Risks and Management
The impact of Group B Streptococcus on infants? Hello Doctor: My wife underwent Group B Streptococcus screening in obstetrics during her pregnancy, and she tested positive for Group B Streptococcus. The clinic informed us that treatment could be administered during delivery. Afte...
Dr. Pei Rensheng Reply:
Hello, A-Shu. One quarter of women of childbearing age carry Group B Streptococcus (GBS), and mothers typically do not show symptoms. About half of newborns can acquire this bacteria during the delivery process as they pass through the birth canal. The incidence of infection in n...[Read More] Impact of Group B Streptococcus on Newborns: Risks and Management
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...[Read More] Understanding Nighttime Fever in Children: Causes and Treatment Options
Recurring Fever in Children: Causes and Concerns Explained
Fever subsided and then returned? Fever has returned after subsiding, hospitalized for 6 days, experiencing vomiting symptoms, and has a sore on the tongue. White blood cell count initially over 20,000 decreased to over 10,000 over three days. No bowel movements and no other symp...
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. Blood tests, white blood cell counts, urinalysis, and ultrasounds are only some of the more common examinations. It is advisable to consult ...[Read More] Recurring Fever in Children: Causes and Concerns Explained
Understanding Abdominal Distension and Blood in Urine in Toddlers
A 3-year-old child with abdominal distension and hematuria? Hello Doctor: I have a 3-year-old nephew who recently experienced abdominal distension along with blood in his urine. Could you please advise what factors or diseases might cause these symptoms? Are they related to a col...
Dr. Xiao Kaiwen Reply:
Based on the described condition, it is difficult to make a definitive judgment. However, the presence of visible blood in the urine is certainly abnormal. There are many potential causes of hematuria, ranging from mild to severe. Please seek an evaluation from a pediatric nephro...[Read More] Understanding Abdominal Distension and Blood in Urine in Toddlers
Understanding Intermittent Fever in Young Children: Causes and Concerns
Intermittent fever in children? Hello Doctor: My child is currently three and a half years old and has been experiencing frequent fevers over the past few months. Sometimes, the fevers occur every two to three weeks. We have visited the hospital each time, but the doctors have co...
Dr. Xiao Kaiwen Reply:
A three-and-a-half-year-old child is still quite young, and their immune system is not fully developed, making them susceptible to viral infections (such as the common cold) and fever, especially if they are in group settings like preschool. As they grow older, their resistance w...[Read More] Understanding Intermittent Fever in Young Children: Causes and Concerns