Understanding Enlarged Lymph Nodes in a Toddler: When to Seek Medical Advice
A 1 year and 10-month-old girl has swollen lymph nodes in the neck? Hello, Dr. Pei! My daughter has had palpable lymph nodes on both sides of her neck for some time, but they are all less than 1 cm in diameter. The pediatrician told me that lymph nodes smaller than 2 cm are usual...
Dr. Pei Rensheng Reply:
Hello: Common causes of neck masses in children include lymphadenopathy, lymphadenitis, and some congenital abnormalities. In infants, it is common to palpate one or several hard lumps on the lateral neck, behind the ear, or at the occipital region. Although they vary in size, mo...[Read More] Understanding Enlarged Lymph Nodes in a Toddler: When to Seek Medical Advice
How to Improve Immunity in Toddlers with Frequent Fevers and Colds
Children frequently experience fever and colds? A 16-month-old child frequently experiencing fever and colds may benefit from strategies to improve their immune function. Here are some recommendations: 1. **Nutrition**: Ensure the child has a balanced diet rich in fruits, vegeta...
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen from the Hsinchu County Zhudong Hospital Pediatrics Department respectfully states that good habits should be cultivated, such as washing hands before meals and after using the restroom. It is also important to rinse the mouth and wash hands upon returning home...[Read More] How to Improve Immunity in Toddlers with Frequent Fevers and Colds
Understanding Hydronephrosis in Infants: Risks and Surgical Options
Infant hydronephrosis Hello Doctor: My baby was born about 37 days ago and was hospitalized due to a fever. After examination, the doctor found a urinary tract infection that has affected the kidneys. The doctor mentioned that both kidneys are at grade 4 hydronephrosis and that s...
Dr. Pei Rensheng Reply:
Hello: For infants with urinary tract infections, general practitioners typically perform ultrasound examinations and arrange for a voiding cystourethrogram after treatment. The doctor mentioned that both kidneys are classified as grade 4 hydronephrosis, which likely refers to th...[Read More] Understanding Hydronephrosis in Infants: Risks and Surgical Options
Understanding Frequent Colds and Ear Infections in Infants
An 8-month-old baby has been experiencing frequent colds? Hello Dr. Zhang, my baby is currently 8 months old, and his height, weight, and head circumference growth curves are all good. However, since he was 3 months old, he has caught a cold once a month, totaling 5 times. The pe...
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen from the Hsinchu County Hospital writes as follows: Infants and young children generally have weaker immune systems compared to adults, especially after six months of age, making them more susceptible to illnesses. However, as they grow older, their immune stre...[Read More] Understanding Frequent Colds and Ear Infections in Infants
Managing High Fever and Irritability in Toddlers: Tips and Remedies
Excessive heat in children? My daughter is currently 14 months old and has a lot of heat in her body, resulting in chapped lips and a sore tongue. Aside from medication, what other methods can help reduce her heat? She drinks plenty of water. Is there a possibility that this situ...
Dr. Hong Shuokun Reply:
Hello Kuo.Keven: A 14-month-old child with chapped lips and a sore tongue can have many possible causes! Conditions such as enterovirus, herpetic gingivostomatitis, and Kawasaki disease should not be taken lightly. I recommend that you consult a pediatrician for an examination. I...[Read More] Managing High Fever and Irritability in Toddlers: Tips and Remedies
Do You Need Dust Mite-Proof Bedding for Your Allergic Toddler?
Do you need mite-proof bedding? Earwax? Hello Dr. Hong, I have a 2.5-year-old child who has recently been diagnosed with moderate allergies and has developed a specific sensitivity to dust mites. Since we are planning to update his bedding, should I specifically prepare dust mi...
Dr. Hong Shuokun Reply:
Hello Avon: As you mentioned, the child has already shown allergic reactions to dust mites and exhibits allergy symptoms (runny nose, nasal congestion, itchy eyes, occasional cough), which are typical manifestations of nasal allergies. It is advisable to use mite-proof bedding, p...[Read More] Do You Need Dust Mite-Proof Bedding for Your Allergic Toddler?
Combining Fever Reducers and Suppositories in Pediatric Care
Simultaneous use of antipyretics and suppositories? Hello Dr. Chang, My daughter is five years old and often suffers from severe colds that lead to high fevers, starting around the age of three. When her temperature exceeds 39 degrees Celsius, we anxiously give her antipyretics ...
Dr. Zhang Wenwang Reply:
If the active ingredients of the antipyretic medication differ from those in the suppository, there should not be significant issues. Please refer to the attached non-pharmacological methods for reducing fever in young children.[Read More] Combining Fever Reducers and Suppositories in Pediatric Care
Understanding Pediatric Facial Asymmetry and Tremors: Causes and Treatments
The right side of the face is distorted, with a slouched shoulder, and there is a tremor in the right forearm? The child, born in mid-2001, experienced a fever a few days ago and now exhibits noticeable right-sided facial drooping, shoulder droop, and episodes of twitching in the...
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen from the Hsinchu County Zhudong Hospital's Pediatrics Department responds as follows: Mr. Wei's questions seem to require a more in-depth neurological assessment by a pediatric neurologist. I regret that I cannot provide an accurate answer here. It is...[Read More] Understanding Pediatric Facial Asymmetry and Tremors: Causes and Treatments
Breastfeeding Concerns: Safe Practices and Vaccine Side Effects for Infants
Breastfeeding issues Hello, my baby is currently three months old. Previously, he was breastfed with my aunt's milk for a month and a half, but later, due to a decrease in her milk supply, my child switched to Similac (he has been on formula for over half a month now). Howev...
Dr. Chen Rongtai Reply:
The letter mentions issues related to breastfeeding. Although formula feeding has been adopted for over half a month, it is still recommended to continue breastfeeding. Regarding storage times, breast milk can be stored at room temperature (25 degrees Celsius) for up to eight hou...[Read More] Breastfeeding Concerns: Safe Practices and Vaccine Side Effects for Infants
Which Vaccine Causes Fewer Side Effects and Less Fever in Children?
Which vaccine is less likely to cause fever? Which vaccine combination has fewer side effects and is less likely to cause fever: the three-in-one, five-in-one, or six-in-one?
Dr. Lin Huizhen Reply:
Dear Dr. Lin Huizhen of the Pediatric Department, Tainan Hospital, Ministry of Health and Welfare: In my experience as a pediatrician, the older trivalent vaccine does indeed have a higher incidence of fever or localized redness (10-30%). The newer trivalent, quadrivalent, penta...[Read More] Which Vaccine Causes Fewer Side Effects and Less Fever in Children?
Caring for Infants with Kawasaki Disease: Key Considerations and Concerns
How to care for a baby with Kawasaki disease? Hello, my daughter just turned 2 months old. After being hospitalized for a fever two weeks ago, she was diagnosed with Kawasaki disease. Currently, her echocardiogram is normal. I would like to know if this condition can lead to any ...
Dr. Lin Huizhen Reply:
Dear Dr. Lin Huizhen of the Pediatric Department at Tainan Hospital, Executive Yuan Health Department: The most significant potential long-term complication of Kawasaki disease is related to the heart. If there are no changes in cardiac follow-up, future medication and monitorin...[Read More] Caring for Infants with Kawasaki Disease: Key Considerations and Concerns
Understanding Urticaria in Infants: Symptoms, Causes, and Care
Urticaria? My son is seven months old. Four days ago, for some unknown reason, he started having severe diarrhea, with many brownish mucus and blood streaks in his stool. We consulted a doctor who advised us to give him lactose-free formula. However, after switching to that, his ...
Dr. Zhang Wenwang Reply:
Due to the lack of a personal examination, it can only be speculated that it may be a viral rash, urticaria, or...[Read More] Understanding Urticaria in Infants: Symptoms, Causes, and Care
Understanding Persistent Cough in Young Children: Causes and Solutions
Why does a child's cough persist? Hello, my son is 1.4 years old and has had a fever since April 28, which has lasted almost a month now, although he is still on medication. During this time, he was hospitalized and diagnosed with bronchiolitis, with excessive phlegm causing...
Dr. Zhang Wenwang Reply:
In addition to monitoring for post-nasal drip issues, it is also important to enhance the technique of chest percussion to help the baby clear mucus from the respiratory tract.[Read More] Understanding Persistent Cough in Young Children: Causes and Solutions
Understanding Persistent Cough and Allergic Reactions in Young Children
Coughing Hello Doctor: My daughter is 4 years and 2 months old. Recently, she had a cold with a runny nose and cough, so we took her to the doctor. After taking cold medication, her cough persisted, particularly when lying down. The doctor prescribed a long-acting cough medicine,...
Dr. Hong Shuokun Reply:
Hello MINI: The issue of developing hives may be due to a drug allergy or a viral rash from a cold. If the rash is caused by medication, it often resolves within 1 to 2 days after stopping or changing the medication. Hives associated with a cold may last longer and could be accom...[Read More] Understanding Persistent Cough and Allergic Reactions in Young Children
Understanding Adenovirus: Symptoms, Risks, and Care for Your Child
Adenovirus Yesterday morning, my younger brother noticed that he had a slightly elevated body temperature (37.3°C) when he woke up, thinking it was due to wearing too many clothes. Throughout the day, his activity level did not decrease, so we didn't pay much attention to it...
Dr. Lin Huizhen Reply:
Dear Twin Mothers, This is Dr. Lin Huizhen, Director of Pediatrics at Tainan Hospital, Department of Health. If the bladder inflammation is indeed caused by adenovirus, the treatment differs from that of bacterial cystitis. Antibiotics are not required; instead, it is encourag...[Read More] Understanding Adenovirus: Symptoms, Risks, and Care for Your Child
Understanding Allergies and Hives in Toddlers: A Parent's Guide
Allergy?? Urticaria?? Hello, doctor. I would like to ask a few questions. My son is currently 1 year and 3 months old. Four days ago, he started developing some rashes on his legs. Three days ago, I fed him some fish (specifically, kiss fish). Since the rashes appeared, they have...
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen from the Hsinchu County Hospital Pediatric Department respectfully states the following: Food allergies are abnormal immune responses by the immune system to specific foods. The immune system produces a specific type of immunoglobulin E (IgE) in response to the...[Read More] Understanding Allergies and Hives in Toddlers: A Parent's Guide
Understanding Rashes and Digestive Issues in Infants: A Guide for Parents
Rash My son just turned seven months old, and he has suddenly been experiencing diarrhea for the past few days. After seeing a doctor, we were told that he has a bacterial infection in his gastrointestinal tract and switched to lactose-free formula. However, his stools have becom...
Dr. Zhang Guozhen Reply:
Dear Dr. Kuo-Chen Chang of the Hsinchu County Hospital Pediatric Department, Please find the following information regarding roseola. Roseola can occur in all seasons, but it is most commonly seen in late spring and late autumn. It primarily affects infants and young children be...[Read More] Understanding Rashes and Digestive Issues in Infants: A Guide for Parents
Understanding Pediatric Symptoms: Tonsillitis, Diarrhea, and Ear Infections
Tonsillitis + diarrhea + otitis media Hello, my daughter is over two years old and had a fever seven days ago. She was hardly eating and cried all day. We took her to the clinic where the doctor diagnosed her with tonsillitis. After taking the medication, her fever subsided, but ...
Dr. Zhang Guozhen Reply:
The following is a response from Dr. Chang Kuo-Chen of the Pediatric Department at the Hsinchu County Hospital: The 2-year-old child mentioned in the text, who was hospitalized due to fever and diarrhea and also has otitis media, is experiencing common acute illnesses seen in you...[Read More] Understanding Pediatric Symptoms: Tonsillitis, Diarrhea, and Ear Infections
Understanding Your Baby's Runny Nose and Skin Reactions: A Pediatric Guide
Runny nose vs. lesions on the face? Hello, doctor: I have a question. My baby has been experiencing a runny nose for the past two days, but there is no fever or cough. Does this count as a cold? Should I take the baby to see a doctor? For the past two days, every time the baby dr...
Dr. Chen Rongtai Reply:
The letter mentions that the baby has been experiencing a runny nose for the past two days. Is this a cold? With the recent fluctuations in temperature, we are seeing a common trend in outpatient visits for symptoms such as cough, runny nose, hoarseness, respiratory distress, vom...[Read More] Understanding Your Baby's Runny Nose and Skin Reactions: A Pediatric Guide
Understanding Roseola: Symptoms, Causes, and Care for Your Child
Roseola Hello Doctor: My son has had an unstable temperature for the past few days, consistently above 37.5 degrees Celsius. After visiting the hospital, the doctor said there was nothing significant to worry about. Today, I asked the doctor about the red spots on my son's n...
Dr. Zhang Guozhen Reply:
The following response is from Dr. Chang Kuo-Chen of the Hsinchu County Hospital Pediatric Department regarding a condition that resembles roseola. Infantile roseola commonly occurs in children between six months and two years of age. This illness is characterized by a high fev...[Read More] Understanding Roseola: Symptoms, Causes, and Care for Your Child