Determining the Right Dosage for Pediatric Fever Relief
Medication dosage inquiry? Hello Doctor, I have a question about medication dosage. Recently, my child has been infected with a virus and has been experiencing high fevers, reaching 39.5 degrees Celsius or even above 40 degrees. Since my daughter had a high fever over the weekend...
Dr. He Zongxian Reply:
Hello, Zhixuan. The recommended dosages for antipyretics vary depending on the active ingredients. Before administering medication, you can refer to the drug leaflet (package insert) to ensure the dosage is correct. It is also important to remind you that if you have any doubts a...[Read More] Determining the Right Dosage for Pediatric Fever Relief
Understanding Adenovirus Symptoms in Children Before Air Travel
Adenovirus and Air Travel Hello Doctor, my child started having a high fever of 38.8°C on the evening of Sunday, May 21. After visiting the emergency room, it was confirmed that it is neither COVID-19 nor influenza. After returning home, the fever has been intermittent, reaching ...
Dr. He Zongxian Reply:
Dear Parent of the Little One, Based on the symptoms you described (without mentioning the child's age), your child's symptoms (high fever, loss of appetite, diarrhea, and red eyes) are indeed consistent with adenovirus infection. However, I would like to remind you th...[Read More] Understanding Adenovirus Symptoms in Children Before Air Travel
Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?
Is it necessary to conduct cardiovascular examinations after a positive rapid test for adenovirus? My daughter is 3 years old and 10 months. Since April 23, she had a fever for 5 days and tested positive for adenovirus at the clinic. Her symptoms included 1. high fever 2. unilate...
Dr. Xie Wanghu Reply:
Hello, 1. A 1.3-year-old child. 2. Has had a fever for 5 days since April 23. 3. Positive for adenovirus rapid test. 4. Related to Kawasaki disease, with only 5 days of fever and conjunctivitis. 5. Should not meet the diagnostic criteria for Kawasaki disease. 6. If there i...[Read More] Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?
Managing Fever in Children: Concerns About Seizures and Medication Timing
Fever in children Hello, Doctor: My daughter is about 11 years old now. When she was around 5 years old, she had a fever that caused febrile seizures, so I would give her antipyretics early. If her temperature was between 37.5°C and 38°C, I would give her liquid fever medicine, a...
Dr. Xiao Kaiwen Reply:
The brain of an 11-year-old child is fully developed, and they will not experience febrile seizures again. If seizures or convulsions occur, regardless of whether there is a fever, it is considered abnormal and requires prompt medical evaluation. Therefore, there is no need to ex...[Read More] Managing Fever in Children: Concerns About Seizures and Medication Timing
Understanding Tongue Coating in Children: Causes and Concerns
Tongue papillae The tongue coating is noticeably granular. It's unclear whether this is due to brushing the tongue too vigorously or if it is a sign of an underlying health issue.
Dr. Xiao Kaiwen Reply:
The presence of prominent papillae on the tongue, unless accompanied by a high fever indicative of strawberry tongue, does not have significant clinical implications. The reasons for this phenomenon are unclear, but it does not affect health, so there is no need for excessive con...[Read More] Understanding Tongue Coating in Children: Causes and Concerns
COVID-19 in Infants: When to Seek Medical Advice for Your Baby
Infant COVID-19 I would like to ask about my baby, who is currently 4 months old. On November 29, my baby tested positive and had a fever reaching nearly 38 degrees Celsius. However, after taking fever-reducing medication, the fever subsided. My baby occasionally sneezes and coug...
Dr. Xiao Kaiwen Reply:
COVID-19 may not always test negative quickly on rapid tests, and a persistent positive result does not necessarily indicate more severe symptoms or a higher risk of progression to critical illness. The primary approach to managing COVID-19 is symptomatic treatment and monitoring...[Read More] COVID-19 in Infants: When to Seek Medical Advice for Your Baby
Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery
Mycoplasma pneumonia Hello, doctor. I would like to ask about a 5-year-old child who contracted mycoplasma pneumonia, resulting in right lung infiltration. The child was treated with medication for three days and discharged from the hospital. During the hospitalization, the child...
Dr. He Zongxian Reply:
Hello, generally speaking, mycoplasma infections initially present with symptoms similar to those of a cold. After three to five days of fever, a cough often develops, frequently manifesting as a dry cough. This cough can persist for about three to four weeks. As long as the body...[Read More] Understanding Mycoplasma Pneumonia in Children: Symptoms and Recovery
Understanding Pediatric Fever: When to Seek Emergency Care for Your Child
Pediatric Fever Hello, Doctor. I apologize for bothering you. I would like to confirm something with you. My daughter, who is currently 3 years old, started having a fever on Saturday, October 22nd. By Sunday night, her temperature reached nearly 40 degrees Celsius, and she has b...
Dr. Xiao Kaiwen Reply:
These three viruses do not have specific antiviral medications; however, the majority of children can gradually recover through their own immune response, so there is no need for excessive concern. However, if a high fever persists for more than three days or if any of the follow...[Read More] Understanding Pediatric Fever: When to Seek Emergency Care for Your Child
Understanding Pediatric Urinary Tract Infections and Fever: Key Insights
Fever and urinary tract infection? Thank you, Dr. Hsiao, for your response. I have a few questions to ask you: 1. Is it true that a urinary tract infection (UTI) always causes a fever? 2. If there is no fever and the urinalysis results are normal, can we rule out a urinary trac...
Dr. Xiao Kaiwen Reply:
1. Not necessarily. 2. It cannot be completely ruled out, but the chances are indeed low. The standard sterile collection method for urine culture is through a catheter or suprapubic aspiration; however, these methods are very invasive and can cause significant discomfort for chi...[Read More] Understanding Pediatric Urinary Tract Infections and Fever: Key Insights
Understanding Urine Culture Results in Infants: Is There a UTI?
Urine culture Hello, doctor. I apologize for asking you again. My baby boy is 5 months old and has mild hydronephrosis, with a left kidney measurement of 0.6 cm and a right kidney measurement of 0.3 cm. He had a fever of 38.4 degrees Celsius and was taken to see a pediatrician, w...
Dr. Xiao Kaiwen Reply:
1. The fever resolved without the use of antibiotics, and the urine test showed no evidence of a urinary tract infection, so antibiotics are not necessary. 2. Urine ultimately passes through the mucous membranes and skin before reaching the urine bag, so it is still possible to c...[Read More] Understanding Urine Culture Results in Infants: Is There a UTI?
Post-Vaccine COVID-19 Diagnosis in Children: What Parents Should Know
Diagnosis of COVID-19 after receiving the varicella and measles vaccine? Hello Dr. Hsiao, I have twin babies who just turned one year old. They received the varicella and measles vaccine on July 14. Baby B had a fever from July 16 to July 18, and Baby A also developed a fever on ...
Dr. Xiao Kaiwen Reply:
A one-year-old infant is still very young, and their immune system is not fully developed. It is important to be cautious of the warning signs of severe illness in the case of a COVID-19 infection (though it is emphasized that the likelihood of severe illness is extremely low, so...[Read More] Post-Vaccine COVID-19 Diagnosis in Children: What Parents Should Know
Managing Salmonella Infection in Toddlers: Symptoms and Treatment Tips
Salmonella, diarrhea with blood and mucus? Hello, doctor. My daughter is currently 2 years old and started experiencing mild diarrhea two days ago, about four times a day, with both watery and soft, mushy stools. The total amount is roughly equivalent to her normal bowel movement...
Dr. Xiao Kaiwen Reply:
Blood-streaked mucus in diarrhea may indicate a Salmonella infection, which can be confirmed through stool culture. Salmonella enteritis is a self-limiting disease, meaning that most healthy children can recover on their own. The focus of treatment should be on monitoring and man...[Read More] Managing Salmonella Infection in Toddlers: Symptoms and Treatment Tips
Child Experiences Altered Perception After Fever: What to Know
After a fever, the surrounding speed feels accelerated? Hello, doctor. Last week, my child was suspected to have gastroenteritis (with a fever ranging from 37.8 to 39.1°C, vomiting, and diarrhea). After medication and rest, the symptoms have alleviated. However, my child reports ...
Dr. He Zongxian Reply:
Please first visit a pediatrician or an otolaryngologist. Thank you.[Read More] Child Experiences Altered Perception After Fever: What to Know
How Long After COVID Recovery Can Kids Get the Flu Vaccine?
How long after recovering from COVID-19 can one receive the flu vaccine? Hello Dr. Chang, my 5-year-old son has recovered from COVID-19 (Omicron variant). How long should we wait before he can receive the influenza vaccine?
Dr. Zhang Yingwen Reply:
Hello! If the baby no longer has a fever or acute symptoms and is no longer in the self-health management period, they can receive routine vaccinations or the influenza vaccine.[Read More] How Long After COVID Recovery Can Kids Get the Flu Vaccine?
Managing Diarrhea and Hoarseness in Infants: A Parent's Guide
Diarrhea and hoarseness? Recently, my baby has had diarrhea for three days. He is currently over three months old, and every time he drinks milk, he has a bowel movement right after. The stools were thick and contained blood for the first two days, but today there is no blood, ye...
Dr. Xiao Kaiwen Reply:
Most cases of diarrhea are caused by viral infections leading to gastroenteritis, while less common causes include bacterial gastroenteritis, milk protein allergy, and megacolon, among others. If there are signs of dehydration (such as not urinating for 8 hours and decreased vita...[Read More] Managing Diarrhea and Hoarseness in Infants: A Parent's Guide
Understanding Fever in Your One-Year-Old: When to Worry
A baby who has just turned one year old? Yesterday afternoon, I noticed my baby felt a bit warm. I took his temperature and it was 37.5°C. An hour later, it was 37.6°C. Since he seemed a bit warm, I gave him some water. By around 5 PM, his temperature was 37.1°C, and at 8 PM, it ...
Dr. Xiao Kaiwen Reply:
If measuring ear temperature, a reading above 37.8 degrees Celsius indicates a slight elevation in temperature, while a reading above 38 degrees Celsius is considered a fever. Therefore, if the individual's activity level is normal, it is advisable to monitor their activity ...[Read More] Understanding Fever in Your One-Year-Old: When to Worry
High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
High inflammatory index at birth? I would like to ask the doctor, when the baby was born, the inflammation index spiked to 31 and there was originally a plan to perform a lumbar puncture, but it was not successful. After that, the inflammation index decreased, and no definitive c...
Dr. He Zongxian Reply:
Hello, generally speaking, the tests commonly referred to as inflammatory markers include at least CRP (C-reactive protein) and PCT (Procalcitonin). It's unclear which one you are referring to, but typically, these two markers reflect the acute inflammatory status at the tim...[Read More] High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
High inflammatory index at birth? I would like to ask the doctor, when the baby was born, the inflammation index spiked to 31 and there was initially a plan to perform a spinal tap, but it was not successful. The inflammation index has since decreased, and no definitive cause has...
Dr. He Zongxian Reply:
Hello, generally speaking, the tests commonly referred to as inflammatory markers include at least CRP (C-reactive protein) and PCT (Procalcitonin). It is unclear which one you are referring to, but typically, these two markers reflect the acute inflammatory status at the time of...[Read More] High Inflammation Index at Birth: Should Parents Monitor Their Baby's Health?
Vaccination Guidelines for Infants After COVID-19 Diagnosis
Vaccination A six-month-old baby tested positive for COVID-19 the day before receiving vaccinations! Currently, the baby is at home. How long should we wait before returning to get the originally scheduled vaccinations? The baby had a fever for three days, with a maximum temperat...
Dr. Pei Rensheng Reply:
Hello: After a confirmed diagnosis, you can receive the vaccine for six-month-olds at least 14 days later, provided there is no fever or discomfort (mild cough and runny nose are acceptable). If there is decreased activity after the fever subsides, it is likely due to the side ef...[Read More] Vaccination Guidelines for Infants After COVID-19 Diagnosis
Assessing Choking Risks in Infants During Feeding: A Pediatric Guide
Milk consumption issues? Hello Doctor: My baby is currently two and a half months old. I am using a round hole nipple (suitable for 0-3 months) for feeding. Sometimes, my baby chokes while feeding, and I am worried about whether this could cause lung problems, which adds a lot of...
Dr. Pei Rensheng Reply:
Hello: If a foreign object enters the trachea or lungs, it may cause severe coughing. If this foreign object cannot be expelled or absorbed, it may further lead to pneumonia or lung collapse, which can result in fever and decreased exercise tolerance (shortness of breath with min...[Read More] Assessing Choking Risks in Infants During Feeding: A Pediatric Guide