Understanding Your 3-Month-Old Baby's Unusual Movements and Symptoms
3-month-old infant Hello, Doctor: I would like to ask why my 3-month and 19-day-old baby is experiencing episodes of stiffening their arms and legs, with a flushed face and a blank stare. This has happened three times today, all occurring in the afternoon (the previous three days...
Dr. Xiao Kaiwen Reply:
It appears that the child may be experiencing seizures, which can commonly be caused by structural abnormalities of the brain, encephalitis, intracranial hemorrhage, hypoglycemia, electrolyte imbalances, epilepsy, or some rare metabolic disorders. The necessary examinations may i...[Read More] Understanding Your 3-Month-Old Baby's Unusual Movements and Symptoms
Understanding Seizures in Young Children: Causes and Concerns
Child experiencing muscle cramps? Hello, I would like to ask about my son who is two years and five months old. He was hospitalized for febrile seizures in September of last year and again in March of this year. The first incident occurred at home while he was using the bathroom;...
Dr. Xiao Kaiwen Reply:
Febrile seizures typically show normal electroencephalogram (EEG) results. If seizures persist beyond the age of 5, occur without fever, or if prolonged EEG monitoring reveals abnormalities, it may indicate that the condition is not a simple febrile seizure. After ruling out stru...[Read More] Understanding Seizures in Young Children: Causes and Concerns
Understanding Post-Vaccine Symptoms in Children: Fever and Sleepiness Explained
Pentavalent vaccine Hello Doctor: Yesterday, I took my daughter for her first dose of the pentavalent vaccine. After the afternoon, she had a slightly elevated temperature, and she had difficulty falling asleep at night (although once she fell asleep, she slept from around 1 AM t...
Dr. Xiao Kaiwen Reply:
The pentavalent vaccine has a significantly lower incidence of side effects compared to the traditional trivalent vaccine. Common side effects include fever, injection site induration, irritability, and drowsiness. Although the probability is low (approximately one in forty to fi...[Read More] Understanding Post-Vaccine Symptoms in Children: Fever and Sleepiness Explained
How to Manage Swelling and Hardness After Vaccination in Children?
If the vaccination site is swollen and hard, how should it be managed? If the vaccination site is swollen and hard, how should it be managed?
Dr. Pei Rensheng Reply:
Dear Xiao Bao's Mom, Hello. The injection site may exhibit swelling and hardness as side effects, which occasionally occurs with vaccines such as the Hepatitis B vaccine, the DTaP (diphtheria, tetanus, and pertussis) combination vaccine, the Japanese encephalitis vaccine, t...[Read More] How to Manage Swelling and Hardness After Vaccination in Children?
Understanding Sleep Issues in Newborns: What Parents Should Know
Sleep Issues in Newborns Hello Doctor: My baby is almost one month old, but I recently noticed that he wakes up every hour or so, and when he does, he cries a lot and takes a long time to calm down. It's not time for feeding yet, and his diaper isn't wet. Is my baby sic...
Dr. Xiao Kaiwen Reply:
A one-month-old newborn has a naturally quicker cycle of sleep and wakefulness, which is normal. As they grow, their sleep duration will gradually extend. Common reasons for a one-month-old newborn to cry include: 1. Hunger, wet diaper, or needing comfort, 2. Fever (remember to c...[Read More] Understanding Sleep Issues in Newborns: What Parents Should Know
Can Flu Vaccine Cause Rashes in Infants? Understanding Pediatric Reactions
Can getting a flu vaccine cause a rash? Hello Doctor, my baby was born on April 19, 2007. After reaching six months, on October 30, 2007, he received the first dose of the influenza vaccine (from Pasteur) and the third dose of the pneumococcal vaccine in the afternoon. However, t...
Dr. Pei Rensheng Reply:
Hello: The most common side effects of the influenza vaccine are localized pain and swelling at the injection site. There are also rare occurrences of systemic reactions, such as fever, myalgia, and fatigue. Allergic and neurological reactions are infrequent. According to a surve...[Read More] Can Flu Vaccine Cause Rashes in Infants? Understanding Pediatric Reactions
Understanding Persistent Headaches in an 11-Year-Old: Causes and Solutions
An 11-year-old child experiencing persistent headaches? I am Mrs. Wu, and I have an 11-year-old child who frequently experiences headaches in the morning (mostly on sunny days). Sometimes, they feel nauseous while riding in a car and need to gag, but it improves afterward. We hav...
Dr. Hong Shuokun Reply:
Approximately 7% of middle school students aged 13 to 15 experience migraine issues. When it comes to headaches, it is essential to rule out the possibility of secondary headaches, which in childhood can often be caused by conditions such as colds, fever, cavities, sinusitis, vis...[Read More] Understanding Persistent Headaches in an 11-Year-Old: Causes and Solutions
Understanding Pneumococcal Vaccine Timing and Effectiveness for Children
Pneumococcal vaccine injection Dear Doctor, Hello. My daughter received her first dose of the pneumococcal vaccine at 13 months old. The second dose was originally scheduled for 16 months, but it was postponed due to a cold. A few days ago, at 17 months, she was unable to receiv...
Dr. Xiao Kaiwen Reply:
(1) The intervals established after the vaccine development process are designed to produce the best immune response, rather than focusing on the maximum duration between doses. The general principle is that the longer the interval, the more limited the vaccine's effectivene...[Read More] Understanding Pneumococcal Vaccine Timing and Effectiveness for Children
How to Prevent Newborn Cold Transmission from Mother?
Common Cold in Newborns? Dear Doctor: I am about to give birth, but I have a slight cold. I am very worried about transmitting the cold to my baby after birth. How can I prevent my baby from getting infected with a cold? Is it serious if the baby catches a cold? A concerned mothe...
Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! The vast majority of colds do not have significant effects on the health of mothers and their fetuses. Common cold viruses may slightly increase the risk of miscarriage, but they do not raise the rate of fetal abnormalities, especially in early pregnancy. Re...[Read More] How to Prevent Newborn Cold Transmission from Mother?
Should My Child Switch Epilepsy Medications Based on EEG Results?
Please inquire about epilepsy medications? My daughter is 3 and a half years old and has been taking Lamotrigine for epilepsy for six months. Recently, we conducted a follow-up EEG after six months of medication and found that her entire brain starts to discharge as soon as she f...
Dr. Pei Rensheng Reply:
Hello! Although my specialty is pediatric gastroenterology and pulmonology, I will do my best to find answers for you. I hope this information is helpful! A. Tegretol (Carbamazepine) Indications: Generalized tonic-clonic seizures, complex partial seizures, mixed seizures, epil...[Read More] Should My Child Switch Epilepsy Medications Based on EEG Results?
Understanding High Fever and Heart Rate in Children with VSD
High fever with tachycardia? Your daughter's fever of 38.4 degrees Celsius and heart rate of 136 beats per minute, while concerning, may not necessarily be related to her ventricular septal defect (VSD), especially since she is not experiencing significant distress. VSDs can...
Dr. Hong Shuokun Reply:
Dear David, Your daughter had a high fever accompanied by tachycardia. Tachycardia (rapid heart rate) is likely a physiological response to the fever itself, so there is no need to worry! However, the important issue is the underlying cause of the fever. It could be due to a com...[Read More] Understanding High Fever and Heart Rate in Children with VSD
Persistent Cough and Cold in Preschoolers: What Parents Should Know
Coughing Doctor: Hello, our child is 4 years old. Since starting preschool in August, he has been coughing and has a runny nose. The cough is productive, and the nasal discharge is yellow. At night, he often wakes up with a high fever, sometimes reaching 38 degrees Celsius, and o...
Dr. Xiao Kaiwen Reply:
In general, when a young child has a persistent cough, the most common causes are allergic bronchitis, followed by sinusitis. Other less common causes include foreign body aspiration and tuberculosis. Given your child's situation, allergic bronchitis and sinusitis should be ...[Read More] Persistent Cough and Cold in Preschoolers: What Parents Should Know
Managing Diarrhea and Feeding Challenges in Young Children: Expert Advice
請提供 My child experienced vomiting and diarrhea on Friday night and was subsequently hospitalized for IV fluids. She is no longer vomiting but still has watery diarrhea, occurring once or twice a day. She has always been a picky eater, and now she is even worse; she cries and dema...
Dr. Xiao Kaiwen Reply:
It seems that your child does not have any physiological issues (aside from gastroenteritis), but rather has developed poor eating habits due to being spoiled. Nowadays, babies typically do not face issues related to poor nutrition, as there is always food available whenever they...[Read More] Managing Diarrhea and Feeding Challenges in Young Children: Expert Advice
Dietary Guidance for Children Recovering from Rotavirus Infection
Diet after rotavirus infection? My child had vomiting and diarrhea on Friday night and was hospitalized for IV fluids. She is no longer vomiting but still has watery diarrhea... once or twice a day. She has always been a picky eater, and when she eats something she doesn't l...
Dr. Wang Jiayi Reply:
Your child needs to see the pediatrician who originally treated them. Hualien Hospital Pediatrics cares about you![Read More] Dietary Guidance for Children Recovering from Rotavirus Infection
Understanding Pharyngitis in Children: Symptoms and Concerns
Pharyngitis Hello Doctor: My child developed a fever on the evening of August 6th. After an examination by a pediatrician, it was determined that he has pharyngitis, possibly due to an enterovirus infection. As of yesterday (August 7th), his ear temperature has been consistently ...
Dr. Xiao Kaiwen Reply:
The average duration of fever due to enterovirus infection is about three days. There are two key points to pay attention to: 1. Signs of dehydration: Encourage a cool diet; if there is poor fluid intake, excessive drooling, decreased urine output, and reduced activity level, deh...[Read More] Understanding Pharyngitis in Children: Symptoms and Concerns
Differences Between Measles and German Measles in Pediatrics
The difference between measles and German measles? What is the difference between measles and rubella?
Dr. Xiao Kaiwen Reply:
Dear Michelle, The differences between measles and rubella are summarized as follows: Measles: - Causative Virus: Measles virus - Mode of Transmission: Airborne droplets or direct contact with nasal or throat secretions of an infected person. - Incubation Period: 8-13 days, typ...[Read More] Differences Between Measles and German Measles in Pediatrics
Is Your Baby Constipated? When to Seek Help for Bowel Issues
Not having a bowel movement for a week? Hello, Director. My child has been exclusively breastfed since birth on May 12. However, from July 8 to July 16, the child did not have a bowel movement (previously, bowel movements were normal). During this period, the child experienced so...
Dr. He Shenglong Reply:
At two to three months old, infants may eat less, and if their activity level is normal and there are no other symptoms, it could be due to a nursing strike, which is not a cause for concern. Occasional spitting up does not indicate any special significance; however, it is import...[Read More] Is Your Baby Constipated? When to Seek Help for Bowel Issues
Understanding Lip Inflammation in Toddlers: Causes and Treatments
Lip inflammation Hello, doctor. My son is currently 1 year and 2 months old. Last week, one night he had a fever of 38.5 degrees Celsius, which subsided after administering a suppository. For the next few days, he had a slight fever around 37.8 degrees Celsius. Suddenly, he start...
Dr. Pei Rensheng Reply:
Hello: (1) Fever + drooling + very red lips with small white spots inside (only on the lips) suggests a herpes virus infection, which is less likely to be hand, foot, and mouth disease. (2) The appearance of red rashes on the body that disappear when pressed indicates a viral ras...[Read More] Understanding Lip Inflammation in Toddlers: Causes and Treatments
Should Kids Finish Antibiotics After Recovery? Debunking Common Illness Myths
Will this cause illness? Recently, my child was hospitalized for several days due to a severe sore throat caused by tonsillitis and a high fever. They just got discharged, and the hospital prescribed antibiotics. Should we finish the entire course of antibiotics, or can we stop o...
Dr. Xiao Kaiwen Reply:
Dear Good Mommy: 1. Bacterial infections require antibiotic treatment, and the duration of treatment varies depending on the site and type of bacterial infection. For example, acute suppurative tonsillitis typically requires about ten days of antibiotic therapy. Insufficient tr...[Read More] Should Kids Finish Antibiotics After Recovery? Debunking Common Illness Myths
Persistent Fever and Diarrhea in Children: When to Seek Hospital Care
Persistent fever and diarrhea? My child has had a high fever for several days, with intermittent fever and diarrhea, sometimes watery stools and sometimes normal. The pediatrician said this is a typical case of gastroenteritis, but despite taking medication, the fever and diarrhe...
Dr. Xiao Kaiwen Reply:
Dear Xiao Juan, In response to your question, most fevers in children are caused by infections, so identifying the cause of the infection is more important. Since your child has diarrhea, it is possible that the fever is caused by gastroenteritis. The key points to monitor for g...[Read More] Persistent Fever and Diarrhea in Children: When to Seek Hospital Care