Managing Underweight and Frequent Illness in Young Children
The child is underweight and frequently catches colds? Dear Dr. Chang, My daughter is almost five years old, but her weight has never exceeded 20 kg; it has been between 16 to 18 kg for over two years. Her height is 113 cm. She is not very picky with food but cannot eat much; in...
Dr. Zhang Wenwang Reply:
1. Relying on medication is not the best option. Your baby's growth curve is still acceptable and falls into the tall and thin category. Paying more attention to a balanced diet is the best approach. 2. If the symptoms are not too severe and do not significantly affect dai...[Read More] Managing Underweight and Frequent Illness in Young Children
Understanding Pediatric Kidney Stones: Symptoms and Solutions
What to do about pediatric kidney stones? A 4-year-old child recently went to the bathroom and, less than half an hour later, expressed the need to urinate again. After a visit to the clinic, there was no inflammation found, but there were crystals of stones in the urine. Could t...
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen, Chief of Pediatrics at Hualien Tzu-Chiang Hospital, respectfully responds as follows: When a child presents with frequent urination, the primary concern is whether there is a urinary tract infection causing persistent high fever. If the urinalysis shows no sig...[Read More] Understanding Pediatric Kidney Stones: Symptoms and Solutions
Understanding Baby's Bloating and Diarrhea: Tips for Parents
I'm sorry, but I need more context or content to provide a translation. Please provide the specific text Hello! My baby is almost one year old. She vomited once at 5 AM on Saturday and had two bowel movements at 10 AM on Sunday. The stools didn't seem very loose. Howeve...
Dr. Pei Rensheng Reply:
Hello: Recently, there has been an outbreak of rotavirus gastroenteritis, which primarily affects children under six years old. Patients may experience fever and vomiting, followed by diarrhea. Your baby is likely infected with rotavirus gastroenteritis, which can be confirmed th...[Read More] Understanding Baby's Bloating and Diarrhea: Tips for Parents
Understanding Hoarseness in Children: When to See a Pediatrician or ENT
Hoarseness in children If a child is nearly four years old and has been experiencing hoarseness for over a month without fever or cough, should they see a pediatrician or an otolaryngologist (ENT specialist) for evaluation?
Dr. Lin Huizhen Reply:
Tainan Hospital Pediatrics Dr. Lin Huizhen responds to wkHuang: Hello, the issue of hoarseness is often related to the development of the vocal cords or nodules. If further examination is needed, it is advisable to consult an otolaryngologist. Tainan Hospital wishes you good heal...[Read More] Understanding Hoarseness in Children: When to See a Pediatrician or ENT
Understanding Fever in Infants: Key Concerns Beyond Hearing Loss
Pediatric Fever Hello, doctor... My daughter is currently six months old. A few days ago, she had a fever that reached 40 degrees Celsius, which lasted for about 4-5 hours before subsiding. The next day, due to a sore throat, we took her to see a doctor. The doctor informed us th...
Dr. Chen Rongtai Reply:
Fever in children is a common concern among pediatric patients, often causing anxiety for parents and sleepless nights. In addressing this issue, it is crucial to investigate the underlying cause. Is it merely a case of viral nasopharyngitis, or could there be complications such ...[Read More] Understanding Fever in Infants: Key Concerns Beyond Hearing Loss
Concerns About Vaccination Reactions in Young Children: A Parent's Dilemma
Vaccine Issues Dr. Lin: Hello, my child turned one and a half years old on the 15th of this month and needed to receive the diphtheria, tetanus, and pertussis (DTaP) combination vaccine. He had previously received the pentavalent vaccine for his first three doses, but when I took...
Dr. Lin Huizhen Reply:
Dear Mother of the Child, I hope this message finds you well. I wanted to check in to see if your child’s fever has subsided and how their overall condition is. It is important to note that the likelihood of developing a fever from the pentavalent vaccine is similar to that of...[Read More] Concerns About Vaccination Reactions in Young Children: A Parent's Dilemma
Understanding Chickenpox: Key Questions for Parents of Infants
Questioning individuals Hello, my son is just over 8 months old. He got chickenpox because someone at home had it, and he has developed spots all over his body. I took him to see a doctor, and I would like to ask if a person who has had chickenpox will not get it again in the fut...
Dr. Lin Huizhen Reply:
Dear Ms. He, This is Dr. Lin Huizhen from the Pediatrics Department of Tainan Hospital, Ministry of Health and Welfare. 1. The contagious period for chickenpox generally starts 2-3 days before the appearance of the rash and lasts until the lesions have crusted over. Once the le...[Read More] Understanding Chickenpox: Key Questions for Parents of Infants
Understanding High Fever and Rashes in Young Children: Causes and Concerns
Pediatric fever Hello Doctor, my daughter is currently 1 year and 4 months old and often has sudden high fevers. Initially, her fever reaches 39 to 40 degrees Celsius. When we see the doctor, it is almost always diagnosed as tonsillitis. After taking medication, her fever usually...
Dr. Lin Huizhen Reply:
Dear Judy, When children aged 1-2 years experience a fever that subsides, some may develop a rash afterward. Generally, if the rash appears after the fever has resolved and starts from specific areas of the body, such as the face or neck, before spreading to the body and legs, i...[Read More] Understanding High Fever and Rashes in Young Children: Causes and Concerns
Understanding Pediatric Cold Symptoms: Cough, Stomach Pain, and Rashes
Symptoms of a cold include cough, runny nose, abdominal cramping, and the presence of a rash? Last week, my eldest child had symptoms of a cold, including coughing, runny nose, and a slight fever. However, after taking medication, the runny nose improved somewhat, and the coughin...
Dr. Zhang Wenwang Reply:
Hello Song: You have described many symptoms, and since I haven't seen the child in person, I recommend taking them to a pediatric specialist for further evaluation and examination. Wishing for a speedy recovery. Zhang Wenwang[Read More] Understanding Pediatric Cold Symptoms: Cough, Stomach Pain, and Rashes
Understanding Your Child's Health Issues: A Parent's Guide
My child has a problem? Hello, my daughter is one year and eight months old. She started having a fever on October 20, after which she developed otitis media. Although the bleeding from her ear has decreased after taking medication, recently she has been experiencing vomiting at ...
Dr. Zhang Wenwang Reply:
Hello Meijun: It is recommended to have a pediatric subspecialist further evaluate, such as a pediatric neurologist or a pediatric gastroenterologist. Wishing for a speedy recovery, Zhang Wenwang.[Read More] Understanding Your Child's Health Issues: A Parent's Guide
Persistent Nasal Congestion and Sore Throat in a 5-Year-Old
Nasal congestion and dry throat have persisted for one month? Hello, my child is currently 5 years old and has been experiencing nasal congestion and a sore/dry throat. The symptoms are not very severe but have persisted for a month. Two weeks ago, he had a fever, and the doctor ...
Dr. Zhang Guozhen Reply:
Dear Dr. Chang Kuo-Chen in Pediatrics: Children with colds are most at risk for complications such as pneumonia, otitis media, or sinusitis. However, since children live in group settings like kindergartens, they are more susceptible to recurrent infections. As a result, parents ...[Read More] Persistent Nasal Congestion and Sore Throat in a 5-Year-Old
Understanding Febrile Seizures in Young Children: What Parents Should Know
About heat cramps? Dear Doctor, a few days ago, my child (now 1 year and 10 months old) suddenly developed a high fever in the middle of the night, and in the morning, we noticed signs of convulsions, with his eyes rolling back. This lasted for about three to four minutes. My hus...
Dr. Lin Huizhen Reply:
Dear Ms. Jin Ma, Dr. Lin Huizhen, Chief of Pediatrics at Tainan Hospital, Department of Health, Executive Yuan, would like to inform you: Any infection that causes a high fever (including enterovirus) can trigger febrile seizures in children who are predisposed to them. Therefor...[Read More] Understanding Febrile Seizures in Young Children: What Parents Should Know
Midnight Nosebleeds in Toddlers: When to Seek Medical Advice
Nosebleed during sleep at night? My daughter is currently 2 years and 2 months old. Last night, after she fell asleep, I suddenly noticed that she had a nosebleed (by the time I saw it, the blood had already dried). She does not have a cold, fever, or runny nose; everything seems...
Dr. Lin Huizhen Reply:
Dear Ron, Dr. Lin Huizhen, Chief of Pediatrics at Tainan Hospital, Department of Health, Executive Yuan, would like to inform you that it is not uncommon for children to experience nosebleeds at night. This is often due to damage to the nasal mucosa, which can occur from nose pi...[Read More] Midnight Nosebleeds in Toddlers: When to Seek Medical Advice
Understanding Hydronephrosis in Infants: Causes, Effects, and Care Tips
Pediatric hydronephrosis Hello Dr. Zhang, My daughter is now 11 months old. In April, I noticed that she didn't urinate much throughout the day (she also had a poor appetite and didn't drink much milk). The next day, I took her to the hospital for a renal ultrasound, a...
Dr. Zhang Peixin Reply:
Hello concerned mother: Hydronephrosis refers to the dilation of the renal pelvis, which is the part of the kidney where urine is collected before it flows into the ureters and bladder. When there is a narrowing or complete obstruction in this pathway within the kidney, urine acc...[Read More] Understanding Hydronephrosis in Infants: Causes, Effects, and Care Tips
Teething in Toddlers: Understanding Symptoms and Concerns
Teething in children Hello: My child is now one year and 7 days old. Recently, he has grown 4 teeth and is currently experiencing fever symptoms, around 37-38.4 degrees Celsius. Occasionally, he has been vomiting. Is vomiting common when teething? Is this a normal phenomenon? He ...
Dr. Zhang Wenwang Reply:
Hello Yuanqi, 1. During the teething period in infants, it is possible to experience the aforementioned symptoms, especially when multiple teeth erupt at once, but this is not absolute. If a child has a prolonged fever, vomiting, diarrhea, or poor appetite, it is advisable to ta...[Read More] Teething in Toddlers: Understanding Symptoms and Concerns
Essential Guide to Flu Vaccines and Nutritional Needs for Infants
About the influenza vaccine? Hello Dr. Lin, (1) Thank you for your previous response. However, my daughter has recently had a decreased appetite. You mentioned that we could focus on complementary foods rather than solely on milk, but she is eating very little of those as well ...
Dr. Lin Huizhen Reply:
Dear Xiaofen, This is Dr. Lin Huizhen from the Pediatrics Department of Tainan Hospital, Department of Health, Executive Yuan. (1) As long as the additives in regular milk are within appropriate limits, they do not pose a significant burden on children. If the intake of milk ex...[Read More] Essential Guide to Flu Vaccines and Nutritional Needs for Infants
Understanding Your Baby's Head Shaking and Skin Reactions
Infants and toddlers shaking their heads back and forth continuously? Hello Dr. Chang: My daughter is currently seven and a half months old, measuring 68 cm in height and weighing 7.5 kg. She is very active and curious. (1) Recently, for the past two weeks, she has been shaking h...
Dr. Zhang Wenwang Reply:
Hello, Wen: 1) Your daughter's height and weight are around the 50th percentile on the growth chart. As for her shaking her head, it depends on her mental state and expression at that moment. If she appears happy and is laughing or imitating others, there is no need for co...[Read More] Understanding Your Baby's Head Shaking and Skin Reactions
Understanding Rash in Toddlers: When to Seek Further Medical Help
Rash Hello: My child is currently two and a half years old. Four days ago, he started developing a rash, and two days ago it turned into widespread redness, fever, itching, and he has been complaining of pain. Yesterday, after eating, he vomited everything about an hour later. Hi...
Dr. Zhang Guozhen Reply:
The following is a response from Dr. Chang Kuo-Chen of the Pediatric Department at Hualien Tzu Chi Hospital: In cases of fever accompanied by pruritic rash, the possibility of a bacterial infection should be considered. If the current medication is ineffective, please return to t...[Read More] Understanding Rash in Toddlers: When to Seek Further Medical Help
Understanding Blood-Streaked Stool in Infants: Causes and Concerns
There are streaks of blood in the stool? 1. My daughter is almost 1 year old and frequently experiences one soft stool followed by one acidic stool. Should this be considered chronic diarrhea? 2. A few days ago, when my daughter switched formulas, she experienced severe diarrhea...
Dr. Lin Huizhen Reply:
Dear Amie, Dr. Lin Huizhen, Chief of Pediatrics at Tainan Hospital, Department of Health, Executive Yuan, respectfully responds: 1. Children with chronic diarrhea typically experience frequent watery stools leading to weight loss. Based on your child's situation, it does n...[Read More] Understanding Blood-Streaked Stool in Infants: Causes and Concerns
Essential Pediatric Care: Addressing Common Injuries and Concerns
I am injured..? Hello Dr. Lin, I would like to ask you a few questions: 1. My daughter is currently over nine months old. A few days ago, while playing with her toys, she accidentally scratched her cheek with a sharp edge of a toy. A red scratch appeared immediately on her chee...
Dr. Lin Huizhen Reply:
Dear Xiaofen, This is Dr. Lin Huizhen, the Director of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare. 1. Yes, it is possible. 2. Generally, there will be no significant fever or cough afterward, and there will be no sequelae. 3. Typically, if chil...[Read More] Essential Pediatric Care: Addressing Common Injuries and Concerns