Fever, Pediatrics FAQ

Should My Kids Get the New Flu Vaccine After Having Influenza?

Is it necessary to receive the new influenza vaccine? My children are in the second and third grades of elementary school. In September of this year, they had a fever and tested positive for influenza A through a rapid test. Should they receive the new influenza vaccine?

Dr. Xiao Kaiwen Reply:
A rapid test that indicates influenza A does not necessarily mean it is H1N1 (as H1N1 is just one subtype of influenza A). It could also be an infection from other strains of influenza A, so vaccination against the new influenza (H1N1) vaccine is still recommended.

Understanding Pediatric Neck Lumps: When to Seek Medical Advice

Infant neck Hello Dr. Hsieh, my child is 13 months old. When he was over 6 months old, I noticed a movable lump in his neck that appears when he turns his head to the left, and it is not painful. Should I take him to see a doctor? I've heard that other children have this iss...

Dr. Xie Degui Reply:
Hello: There are many normal lymph nodes in the head. When experiencing illness with fever (such as pharyngitis or otitis media), they may enlarge. If they continue to enlarge, are larger than 1.5 centimeters, or are red, swollen, hot, and painful, further examination and evaluat...

Understanding Croup in Infants: Causes, Care, and Future Risks

What causes wheezing? My child is currently seven months old and went to see a doctor due to a runny nose. After returning home, they developed a fever during the night, which fluctuated. We went back to the doctor, who diagnosed them with croup. I don't understand why they ...

Dr. Xiao Kaiwen Reply:
Croup is caused by viral infections (such as the common cold) that lead to swelling of the subglottic trachea in the upper respiratory tract, resulting in inspiratory stridor due to airway obstruction. This makes inhalation more difficult than exhalation. The progression of croup...

Vaccination Concerns: Pneumococcal Shots for Infants in Taiwan

Streptococcus pneumoniae My baby received the pneumococcal vaccine in Taichung at 2 months old. The second dose is scheduled for November 19. However, I need to bring my baby back to Hsinchu. I have a few questions: 1. Will the vaccine in Taichung and Hsinchu be different? Can ...

Dr. Xie Degui Reply:
Hello: All pneumonia vaccines are the same, so you can get vaccinated in Hsinchu. About 5% of people may experience a fever, which varies by individual constitution. If you did not have a fever the first time, you should be fine this time. Generally, it is possible to have a feve...

Concerns About H1N1 in a 12-Year-Old: When to Seek Further Care

Child suspected of H1N1? Hello Doctor: My child is currently 12 years old and in the fifth grade. Since October 17th (Saturday), he has been experiencing a fever of 38-39 degrees Celsius, along with a sore throat and cough with yellow phlegm. We visited a pediatric clinic, and ev...

Dr. Xiao Kaiwen Reply:
With symptoms similar to influenza and a fever above 38 degrees Celsius, you meet the criteria for a rapid influenza test. Additionally, it is necessary to check for pneumonia (via chest X-ray) and to conduct blood tests to assess the level of inflammation and determine if there ...

Essential Pediatric Questions for New Moms: Feeding, Health, and Nutrition

Questions from New Moms 1. For a baby who is almost three months old, the typical milk intake is about 24 to 32 ounces (approximately 720 to 960 mL) per day, divided into several feedings. It's common for babies to have varying appetites, and if your baby is not showing sign...

Dr. Xie Degui Reply:
Hello: 1. The daily milk requirement for infants is approximately 100 to 200 cc per kilogram of body weight. If the infant weighs five kilograms, a minimum of 500 cc per day is essential. If the infant becomes restless and cries within three hours, it may indicate the need to inc...

Is Your Child's Fever a Sign of H1N1? Understanding Symptoms and Concerns

A 9-year-old child has been experiencing a high fever ranging from 37.6°C to 38.5°C for three consecutive days? The physician's young son, who is in the third grade, was exposed to a new influenza case at his after-school program last Friday, leading to the suspension of cla...

Dr. Xiao Kaiwen Reply:
There is a clear history of exposure and flu-like symptoms, making the likelihood of a new influenza infection very high. It is recommended to seek medical attention promptly for rapid testing.

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 Fever, Flu Vaccines, and Hand Hygiene in Young Children

Fever. Influenza vaccine. Hand washing? Hello Doctor: My little one (2 years and 1 month) had a fever for 2 days starting on September 1, with a maximum temperature of 38.6°C (rectal). During these two days, there was also some diarrhea. Overall, their health has been good, and t...

Dr. Xiao Kaiwen Reply:
1. Fever in children is mostly caused by infections, and diarrhea can be explained as an infection due to gastroenteritis. 2. If the body temperature has returned to normal and energy and appetite have improved, the child should be considered recovered; however, continued obser...

Understanding Mycoplasma Infections in Young Children: Symptoms and Diagnosis

What can you tell me about pediatric Mycoplasma infections? Hello Doctor, my child is three and a half years old. Since starting kindergarten in June, he has been experiencing intermittent colds, with symptoms including fever, runny nose, and cough, averaging about every two week...

Dr. Xiao Kaiwen Reply:
A three-and-a-half-year-old child has a relatively weak immune system and insufficient hygiene habits. As they begin to live in a group setting, it is inevitable that they will transmit respiratory symptoms to each other (as respiratory infections are most easily spread through d...

Is It Safe to Preemptively Give Fever Medicine After Vaccines?

Is this okay? I am Huang Mama, who consulted you last time. My son always has a fever after vaccinations, including the hexavalent vaccine and pneumococcal vaccine. I went to another clinic, and they suggested that I continue with the hexavalent vaccine. After the vaccination, th...

Dr. Xiao Kaiwen Reply:
Some physicians believe that certain babies are likely to develop a fever after receiving specific vaccines (like your baby). In such cases, it is acceptable to administer antipyretics before the vaccine is given, as long as the fever has not yet developed. If the fever is confir...

Understanding Nighttime Cough in Young Children: Causes and Solutions

Nocturnal cough Hello Doctor: My child is three years and three months old, weighing 15 kg. She had a fever and cold on August 2nd, and since August 3rd, she has not had a fever. However, she has been coughing continuously at night, and it was particularly severe this morning, wi...

Dr. Xie Degui Reply:
Hello, a cold will gradually improve even without medication, but children may sometimes have difficulty coughing up mucus or may develop thick nasal discharge, which requires appropriate treatment to prevent complications. It is especially important to monitor for wheezing or al...

Is the New 5-in-1 Vaccine Safer for My 4-Month-Old?

New pentavalent vaccine My son is currently four months old. He had a fever of 38.9°C after receiving the hexavalent vaccine for both the first and second doses. I went to another clinic, and the doctor suggested switching to the new pentavalent vaccine along with an additional d...

Dr. Xiao Kaiwen Reply:
It is generally better to use vaccines from the same manufacturer (to ensure the antigens are the same). If a child experiences a fever after receiving the hexavalent vaccine, it is important to note that the fever caused by the vaccine does not harm the infant and typically reso...

Understanding Elevated White Blood Cell Counts in Newborns: What Parents Should Know

Neonatal leukocytosis Hello, Doctor He: What is the standard white blood cell count for newborns? Is a count of 31,200 significantly high? Does it affect the child's health? Will there be any long-term effects? If a newborn does not have a fever or other symptoms, is it advi...

Dr. He Shenglong Reply:
Hello: During prenatal check-ups, if a pregnant woman is found to be carrying Group B Streptococcus (GBS), antibiotics are administered to prevent vertical transmission of GBS to the newborn during delivery. If the newborn contracts GBS, symptoms may not appear immediately at bir...

Understanding Black Stool in Children: Causes and Concerns

Children with black stools? The child has a fever and after visiting a pediatric clinic and taking the prescribed medication, the child’s stool appears black. It is unclear whether this is due to the medication's ingredients or if there are other underlying issues with the c...

Dr. Xie Degui Reply:
Hello: I'm not sure how old the child is, but if the black stool is hard, it may be due to dehydration, iron supplements, or medication. If it is more liquid or paste-like, it could indicate gastrointestinal bleeding. If this condition persists, it is advisable to bring a sa...

Can Vaccines Be Given Together? Pediatric Insights on Combination Shots

Can vaccines be administered together? If my baby had a fever after the first dose of the hexavalent vaccine, will future vaccinations also cause fever? Additionally, is it okay to administer the pneumococcal vaccine and the oral rotavirus vaccine together at two months old, or i...

Dr. Xiao Kaiwen Reply:
If the fever is indeed caused by the vaccination, there is still a high chance of experiencing fever with the next dose of the "same type" of vaccine (the likelihood may vary with different types of vaccines). However, fever induced by vaccines typically does not last m...

Impact of Antibiotic Overdose on Young Children: Key Concerns and Risks

Can accidentally consuming an excessive amount of antibiotics affect a child? Hello, doctor: My child (1 year and 9 months old) had a fever and went to the hospital for a consultation. The doctor prescribed medication, including two bottles that seem to be antibiotics (name: Amox...

Dr. Xiao Kaiwen Reply:
1. Diarrhea, rashes, and decreased body temperature may be caused by excessive antibiotic use, but they could also be manifestations of the underlying disease, making it difficult to determine the correlation between the two. 2. Most medications are metabolized by the liver and ...

Vaccination Fever in Infants: What Parents Need to Know

Fever after vaccination Can my baby, who is one and a half months old, receive the hexavalent vaccine? He developed a fever after the vaccination, and I wonder if it was too early for him to get vaccinated. What should I do if he has a fever after the vaccine? Is a temperature of...

Dr. Xiao Kaiwen Reply:
It is not too early for a one-and-a-half-month-old infant to receive the first dose of the hexavalent vaccine. Although the hexavalent vaccine has a significantly lower chance of causing fever compared to older vaccines, approximately one in fifty to sixty recipients may still ex...

Differences Between Kawasaki Disease and Roseola in Young Children

excuse me? What is the difference between Kawasaki disease and roseola? A 1.8-year-old girl started having a fever of 40 degrees Celsius on the night of April 19. She was diagnosed with a general fever and was admitted to the hospital on the night of April 20 due to persistent fe...

Dr. Xie Degui Reply:
Kawasaki disease, in addition to skin rashes, lymphadenopathy, conjunctivitis or oral inflammation, and peripheral extremity redness or desquamation, is primarily diagnosed based on a fever lasting for five days. Sometimes the clinical symptoms can be quite similar, but a diagnos...

Understanding Bad Breath in Children: Causes and When to Seek Help

Halitosis Hello, my daughter is currently in first grade. Recently, I noticed she has bad breath, but she has no cavities and brushes her teeth in the morning and evening. Her daily routine is also normal. Could this indicate a liver issue? Which specialist should we consult? Add...

Dr. Xie Degui Reply:
Halitosis is not necessarily related to liver health, but if there is bad breath, it is important to assess the digestive system for any issues. Discomfort in the right axilla should consider whether there has been any recent cold, fever, or trauma in the past week or two. The li...

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