Understanding Bacterial and Viral Infections in Young Children
Bacteria and viruses? Hello, doctor. I have a two-year and two-month-old son. He started showing some cold symptoms on May 7th, such as a mild fever (not exceeding 39 degrees Celsius), cough, and runny nose. By May 11th, he was almost recovered. However, two days later, on May 14...
Dr. Xiao Kaiwen Reply:
Dear YOYO Mom, In response to your questions, here are the details: 1. There are many reasons that can cause a child to have a fever (such as infections, autoimmune diseases, drug fever, summer fever, vaccinations, tumors, etc.). In pediatrics, over 90% of cases are due to infe...[Read More] Understanding Bacterial and Viral Infections in Young Children
Understanding Lip Rash in Toddlers: Causes and Care Tips
Rash around the lips? Hello Doctor: My baby is currently over one year old. About four or five days ago, I noticed two or three very small rashes around his lips. The rashes are red and appear to have a little bit of a blister. They improved a bit the next day, but then one or tw...
Dr. Hong Shuokun Reply:
Hello: The appearance of water-filled blisters around the lips is likely due to herpetic gingivostomatitis, which may take about a week to resolve and can be accompanied by pain and fever. However, if the lesions are not water-filled, it could be perioral eczema; in that case, ma...[Read More] Understanding Lip Rash in Toddlers: Causes and Care Tips
Why Is My Baby Sleeping So Much? Understanding Sudden Changes in Sleep Patterns
The baby suddenly loves to sleep? Hello, doctor: I would like to ask about my baby who will be three months old in four days. For the past two days, he has suddenly become very sleepy, which makes me quite worried. He doesn't have a fever, and his appetite is normal; he only...
Dr. Pei Rensheng Reply:
Hello! Average sleep duration for humans by age: - Newborns: 16-18 hours (including 5-6 hours of daytime sleep) - 1-2 months: 14-16 hours (including 4-5 hours of daytime sleep) - 3-5 months: 13-15 hours (including 2-3 hours of daytime sleep) - 6-12 months: 11-13 hours (including...[Read More] Why Is My Baby Sleeping So Much? Understanding Sudden Changes in Sleep Patterns
Understanding Roseola: Why It Can Occur After Age Two
Roseola only appeared after the age of two? Hello, doctor~~~ My son is currently almost 2 years and 2 months old. A few days ago, he had a fever, and after the fever subsided, he developed a large rash. We took him to see a doctor, who said it was roseola. However, isn't ros...
Dr. Chen Rongtai Reply:
Hello, Little Fish's Mom. Roseola is a viral infection primarily caused by human herpesvirus types 6 and 7. It is a benign illness with very few complications or sequelae. Although it is most commonly seen in children aged six months to one and a half years, it can also occu...[Read More] Understanding Roseola: Why It Can Occur After Age Two
Should I Take My Non-Talking Toddler to a Specialist? Here's What to Know
If my baby is not speaking, which specialist should I take him to see? Hello, Doctor: My son is almost two years and one month old, but he only speaks a few words. I would like to take him to the hospital for an evaluation. Which department should I visit? I currently live in Tai...
Dr. Chen Rongtai Reply:
Dear Little Fish's Mother, Regarding your inquiry about language development delay, which specialty should you consult? Issues related to hearing and language may involve pediatrics, rehabilitation medicine, and otolaryngology. It is recommended to first have your child eva...[Read More] Should I Take My Non-Talking Toddler to a Specialist? Here's What to Know
Understanding Painful Urination in Toddlers: Causes and Solutions
Dysuria Hello, doctor. My daughter is currently 16 months old and is still in diapers, not yet able to use the toilet by herself. She can only say a few words like "dad" and "mom." Recently, I've noticed that she seems uncomfortable when urinating, and th...
Dr. Pei Rensheng Reply:
Hello: Experiencing discomfort while urinating and noticing redness in the genital area may raise concerns about a urinary tract infection (UTI). A UTI does not always present with fever, and the best approach is to perform a urinalysis. You can use a urine collection bag or a ca...[Read More] Understanding Painful Urination in Toddlers: Causes and Solutions
Can My Baby Still Get the Flu Vaccine After a Delay?
About the influenza vaccine? Hello, my baby received the first dose of the flu vaccine on October 14, 2006. Due to a cold and other factors, the second dose, which was supposed to be administered on November 14, was not given. Can the second dose still be administered after such ...
Dr. He Ciyuan Reply:
It is acceptable to postpone vaccinations due to a cold or fever, as it does not affect the vaccine's efficacy.[Read More] Can My Baby Still Get the Flu Vaccine After a Delay?
Guidelines for Administering Combination Vaccines in Infants
Issues Regarding the Administration of the Pentavalent Vaccine and Pneumococcal Vaccine Dr. Pei: Hello! For a six-month-old child, the third dose of the DTaP-HepB-IPV combination vaccine and the pneumococcal conjugate vaccine (PCV) are due. 1. What do you recommend regarding th...
Dr. Pei Rensheng Reply:
Hello: Currently, there is a hexavalent vaccine (pentavalent + hepatitis B = hexavalent), which means fewer injections. Both the pentavalent and hexavalent vaccines, as well as the pneumococcal vaccine, are inactivated vaccines and do not increase each other's side effects, ...[Read More] Guidelines for Administering Combination Vaccines in Infants
Understanding Pediatric Leg Pain After a Cold: When to Seek Help
A cold can cause difficulty in standing and walking? Hello, my dog was born in 1989. On Sunday night, he had a fever of 39.8 degrees Celsius, fluctuating throughout the night, and he complained of pain in his legs and arms, asking me to massage him. The next day, we went to the c...
Dr. Pei Rensheng Reply:
Hello, Indeed, there have been many children recently presenting to the clinic with lower limb pain and difficulty walking. The vast majority of these cases are due to viral infections leading to myositis. It is advisable to first consult a general pediatrician. Depending on th...[Read More] Understanding Pediatric Leg Pain After a Cold: When to Seek Help
Understanding Weight Issues in Infants: Common Concerns and Clarifications
Regarding issues related to infant weight? Dear Doctor, Thank you for the detailed information in the attached file. After reading it, I have a more concrete understanding of the causes of underweight in young children. However, I have a few questions that I hope you can clarify...
Dr. Pei Rensheng Reply:
Hello, You are a very dedicated mother. 1. The growth curve data provided by the Department of Health in June 1999 is now over seven years old and may not accurately reflect your baby's current situation. Theoretically, with advancements over time, babies tend to be tall...[Read More] Understanding Weight Issues in Infants: Common Concerns and Clarifications
Understanding Vomiting and Diarrhea in Young Children: Causes and Concerns
Vomiting and diarrhea? Hello Doctor: My child is 1 year and 4 months old. Recently, he has been experiencing vomiting and diarrhea during the night, but his activity level during the day remains normal. The vomiting and diarrhea occurred only once or twice. He had previously show...
Dr. Zhang Yingwen Reply:
I. PHENOBARBITAL Side Effects: The side effects are dose-dependent. Nervous System: agitation, confusion, hyperactivity, ataxia, CNS depression, nightmares, nervousness, psychiatric disturbances, hallucinations, insomnia, anxiety, dizziness, abnormal thoughts. Respiratory Sys...[Read More] Understanding Vomiting and Diarrhea in Young Children: Causes and Concerns
Persistent Fever in Toddlers: Understanding Causes and Solutions
Persistent fever in children? My daughter is about 2 years old. On the night of December 3rd, she developed a fever at bedtime, accompanied by crying and vomiting. We consulted a family physician who diagnosed it as a common cold, stating it did not appear to be otitis media sinc...
Dr. He Ciyuan Reply:
If you still have a high fever and persistent vomiting today, it is best to go to the hospital for further examination and treatment to rule out any other infections aside from the flu.[Read More] Persistent Fever in Toddlers: Understanding Causes and Solutions
Concerns About Orange Floating Oil in Stool of 4-Year-Old Child
A four-year-old child has orange-red floating oil in their stool? Hello: My child has been on medication from November 13 to November 24. Initially, she had a fever of 38 degrees Celsius and mouth sores. The doctor diagnosed her with gingivostomatitis. During a follow-up on Novem...
Dr. Wang Jiayi Reply:
Dear Concerned Mom: Orange-red stool may be due to food coloring, medication, or blood, among other causes. The presence of floating oil can result from incomplete digestion. It is advisable for your child to see a pediatric gastroenterologist for an evaluation. The Pediatrics De...[Read More] Concerns About Orange Floating Oil in Stool of 4-Year-Old Child
Concerns About Severe Symptoms in a 7-Year-Old: When to Seek Further Medical Evaluation
Pediatric medical consultation My seven-year-old daughter is currently in kindergarten and recently experienced a high fever exceeding 40 degrees Celsius for four consecutive days. She developed a rash on her face and torso, severe abdominal pain, and a significant decrease in ap...
Dr. Pei Rensheng Reply:
Hello: The patient has had a high fever exceeding 40 degrees Celsius for four consecutive days, with the appearance of rashes on the face and torso, poor appetite, and lethargy. During the blood draw, the patient was unusually quiet and did not cry or fuss at all. The white blood...[Read More] Concerns About Severe Symptoms in a 7-Year-Old: When to Seek Further Medical Evaluation
Pros and Cons of Pentavalent vs. Hexavalent Vaccines for Children
The advantages and disadvantages of the pentavalent and hexavalent vaccines? What are the advantages and disadvantages of these two types of vaccines? Also, how much do the pentavalent and hexavalent vaccines cost at your hospital (Taipei Hospital)? Thank you.
Dr. He Ciyuan Reply:
The pentavalent vaccine (DTP vaccine, Haemophilus influenzae type b vaccine, and inactivated poliovirus vaccine) and the hexavalent vaccine (pentavalent vaccine plus hepatitis B vaccine) have the advantage of reducing the inconvenience of multiple injections, making it easier for...[Read More] Pros and Cons of Pentavalent vs. Hexavalent Vaccines for Children
Understanding Toxoplasmosis in Infants: Symptoms and Risks from Cats
Echinococcus granulosus Dear Doctor: What are the symptoms of congenital toxoplasmosis in infants? If there is no proper space separation between the cat and the baby, what effects could this have on the baby? Additionally, if cat hair accidentally gets into the baby's mouth...
Dr. Pei Rensheng Reply:
Hello: The main routes of human infection are through the consumption of undercooked meats (especially lamb and pork), eating raw vegetables, and contact with cat feces. Additionally, Toxoplasma gondii oocysts can survive in moist soil for several months, so contact with soil is ...[Read More] Understanding Toxoplasmosis in Infants: Symptoms and Risks from Cats
Optimal Timing for Pediatric 3-in-1 Vaccine Doses and Related Concerns
After receiving the combination vaccine, what is the latest time to administer the second dose without affecting its efficacy? 1. The child is currently five months old. After receiving the first dose of the DTaP-Hib-IPV vaccine on August 17, the second dose was originally schedu...
Dr. Chen Rongtai Reply:
The letter mentions issues regarding vaccinations: 1. Generally, it is preferable to vaccinate within the recommended timeframe. If this is not achievable, it is sufficient to catch up on the missed vaccinations in order without the need for re-vaccination. 2. Can vaccinations be...[Read More] Optimal Timing for Pediatric 3-in-1 Vaccine Doses and Related Concerns
Understanding Nasal Discharge in Toddlers: When to Seek Medical Advice
Runny nose Hello Dr. Wang, I would like to ask you a question. My daughter is almost two years old and three weeks ago she had gastroenteritis. In addition to vomiting and diarrhea, she also had a fever. We visited the clinic twice, and after about a week of medication, she rec...
Dr. Wang Jiayi Reply:
The exact situation may need to be assessed by a pediatrician or an otolaryngologist who can provide you with information on-site. It is not easy to determine whether there is sinusitis and what type of sinusitis it is based solely on a written description. Wishing you and your d...[Read More] Understanding Nasal Discharge in Toddlers: When to Seek Medical Advice
Understanding Symptoms of Enterovirus in Children: A Guide for Parents
Symptoms of enterovirus infection? What are the symptoms of enterovirus? My child, who is about 5 years old, started having a runny nose and a slight cough a few days ago, but has not had a fever. However, there are sores on both sides of the tongue. We took him to see a doctor y...
Dr. Wang Jiayi Reply:
Hello, Ah Hong: The symptoms of enterovirus are similar to those of a common cold, and there are no specific symptoms or treatments. It is important to closely monitor the child's symptoms and overall condition, providing supportive care as needed. Virus culture is only perf...[Read More] Understanding Symptoms of Enterovirus in Children: A Guide for Parents
Understanding Gastrointestinal Issues After Vaccination in Toddlers
Urgent question? My child is one and a half years old, and coincidentally, she started vomiting and having diarrhea (watery) on the same day she received the measles vaccine. A few days before the vaccination, she had fallen and injured her head on the stairs. Given these circums...
Dr. Wang Jiayi Reply:
Hello Kuo Keven: I recommend that you take your child to a medical center to see a pediatrician for a thorough examination immediately. Since your child has already seen five doctors, additional opinions may only add to your confusion. It is essential to consult a more authoritat...[Read More] Understanding Gastrointestinal Issues After Vaccination in Toddlers