Vaccination Schedule and Nutritional Concerns for Young Children
Vaccination 1. The child is currently one year and nine months old (male). He received the first dose of the influenza vaccine on October 6. However, he still needs to receive the diphtheria, pertussis, and tetanus (DPT) combination vaccine, the oral polio vaccine, and the varice...
Dr. Lin Wenxian Reply:
Director Lin Wen-Hsien of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare, responds to Carol: Dear Parent, I would like to address your questions in order: A. Regarding the sequence of influenza vaccination and other vaccines: they can be administe...[Read More] Vaccination Schedule and Nutritional Concerns for Young Children
Why Is My Baby Refusing Milk? Common Pediatric Concerns
The baby is not drinking milk? Dr. Chang: The baby is already four months old and used to drink 180cc of milk per feeding. However, recently he has not been interested in drinking milk, seems to be fussy, and gets upset when offered milk, reluctantly drinking only 120cc. I am ver...
Dr. Zhang Peixin Reply:
Hello: If the baby is active and alert but has a poor appetite, it may be entering a phase of milk aversion. At this time, it is important to ensure that the urine output is normal and there are no signs of dehydration. Long-term monitoring of weight should show stable growth, wh...[Read More] Why Is My Baby Refusing Milk? Common Pediatric Concerns
Understanding Enterovirus Infections in Children and Risks for Pregnant Women
Enterovirus testing Dear Dr. Lin: My daughter is infected with enterovirus today. Could it be transmitted from her cousin who attends daycare? Will this affect pregnant women? Thank you.
Dr. Lin Huizhen Reply:
Dr. Lin Huizhen from the Tainan Hospital of the Department of Health, Executive Yuan, replies to Ah Yong: Most viral infections in children are transmitted by close contact with family members. If your child is infected with a virus and has multiple sores in the mouth, it may aff...[Read More] Understanding Enterovirus Infections in Children and Risks for Pregnant Women
Understanding Oral Thrush in Toddlers: Symptoms and Treatment Guidance
Children with oral thrush? Hello Dr. Zhang, My child is 13 months old and has recently been ill with diarrhea for two to three days. We visited the hospital, received medication, and his bowel movements have returned to normal. However, he has developed oral thrush. The doctor p...
Dr. Zhang Jinglong Reply:
Dear user, due to the busy schedule of Dr. Chang Ching-Lung, Dr. Chang Kuo-Chen is responding on his behalf. We apologize for any inconvenience. Generally, a fever should not persist for so many days, and oral thrush is unlikely to cause a fever. Based on the reported symptoms, h...[Read More] Understanding Oral Thrush in Toddlers: Symptoms and Treatment Guidance
Feeding Concerns for Your 3-Month-Old: Tips for Nutrition and Comfort
Could you please clarify your question for Dr. Tsai? My baby is over three months old. I am feeding my baby a mixture of Enfamil formula, Karotani goat milk powder, and a small amount of Karotani vegetable and fruit rice cereal. The mixing ratio is correct. Is this combination ha...
Dr. Cai Zhengxian Reply:
Dear Mama Bear, I apologize for the delay in my response. Goat milk formula generally contains added calcium, phosphorus, zinc, iron, folic acid, probiotics, and fructooligosaccharides, making it a good nutritional supplement for infants and children. However, for infants under ...[Read More] Feeding Concerns for Your 3-Month-Old: Tips for Nutrition and Comfort
Managing Your Baby's Severe Cough and Vomiting After Chlamydia Infection
After a child has a Campylobacter infection and is experiencing persistent vomiting, what should be done? Hello Dr. Chen: My baby (4 months old) started experiencing severe coughing, occasional vomiting, and a runny nose a few days ago. After a doctor's diagnosis, it was det...
Dr. Chen Rongtai Reply:
Pneumonia caused by Chlamydia in newborns typically occurs within the first one to three months after birth. Clinically, it is often characterized by persistent coughing and shortness of breath, but fever is rare. Physical examination may reveal notable lung crackles. In cases of...[Read More] Managing Your Baby's Severe Cough and Vomiting After Chlamydia Infection
Understanding Fever and Diarrhea in Infants: Causes and Care
Fever and diarrhea in children? Hello, I am a teacher at a childcare center in Hsinchu. Recently, several babies (around 8 months to 1 year old) at the center have been experiencing recurrent fevers. Their appetite and activity levels are normal, with occasional loose stools occu...
Dr. Zhao Yongkang Reply:
Hello Stella: Throat inflammation is a common infectious issue in young children, and it may be accompanied by fever and diarrhea. It is essential to seek medical evaluation to assess the severity of the condition. Additionally, this can lead to transmission among children, so if...[Read More] Understanding Fever and Diarrhea in Infants: Causes and Care
Understanding Kawasaki Disease: Symptoms, Risks, and Long-term Effects in Children
Kawasaki disease Hello Director Zhao, my nephew was hospitalized for a fever from 1990 to 2001 and was diagnosed with Kawasaki disease. I would like to know if this condition can cause serious long-term complications for the child, as well as what symptoms or damage it may cause....
Dr. Zhao Yongkang Reply:
Hello, Kawasaki disease is a condition characterized by systemic vasculitis. If the coronary arteries of the heart become inflamed and dilated, there may be no lasting effects. However, if the inflammation and dilation of the cardiac vessels do not resolve, it often leads to my...[Read More] Understanding Kawasaki Disease: Symptoms, Risks, and Long-term Effects in Children
Kawasaki Disease vs. Scarlet Fever: Key Differences in Pediatric Care
Kawasaki disease is different from scarlet fever? In general, Kawasaki disease and scarlet fever differ in terms of age, immune system status, viral infections, complications, and other factors. I would like to ask if the clinical manifestations of these two conditions are the sa...
Dr. Gu Qingxian Reply:
To differentiate between these two diseases: 1. If antibiotics are administered for three days and the fever subsides with improvement in the patient's symptoms, it indicates scarlet fever. 2. A throat swab culture can be performed to identify streptococcus, which confirms s...[Read More] Kawasaki Disease vs. Scarlet Fever: Key Differences in Pediatric Care
Do Kids Need Chickenpox Vaccine? Free Vaccination Updates in Taiwan
Varicella vaccine Is it necessary for children to receive the varicella vaccine? Previously, residents of Taichung City could receive the varicella vaccine for free, but now only children born after 2003 can receive it for free, correct? Do children born in 2002 have to pay out o...
Dr. Zhang Peixin Reply:
Hello: 1. Yes, it is best to get the varicella vaccine because the chance of contracting chickenpox is quite high. Once infected, one may experience fever, develop blisters, and leave scars. Do you understand? 2. For babies born after 1992, the government provides the vaccine; ot...[Read More] Do Kids Need Chickenpox Vaccine? Free Vaccination Updates in Taiwan
Understanding Pediatric Fever: Symptoms, Treatments, and Rash Concerns
Fever Hello Dr. Liang, My child started having a fever on the night of July 25, accompanied by vomiting and leg pain. Despite continuous use of anti-nausea and antipyretic medications, there was no improvement. On the fifth day, we went to a large hospital for blood tests, which...
Dr. Liang Hongjian Reply:
Hello: Based on the description, your second child appears to have roseola. It is caused by infection with human herpesvirus type 6 and is most common in children aged two to three years, so older children may not exhibit typical symptoms. One characteristic of this condition is ...[Read More] Understanding Pediatric Fever: Symptoms, Treatments, and Rash Concerns
Understanding Fever in Children: Symptoms, Diagnosis, and Treatment
Fever Dear Dr. Liang, My child developed a fever on July 25, accompanied by leg pain, abdominal pain, and vomiting. Despite administering antiemetics and antipyretics, the fever did not subside. On the fifth day, we went to a large hospital where the doctor suspected typhoid fev...
Dr. Liang Hongjian Reply:
Hello: Thank you for your response to the previous question. Wishing you good health and happiness.[Read More] Understanding Fever in Children: Symptoms, Diagnosis, and Treatment
Concerns After 5-in-1 Vaccine: What Parents Should Know
The condition of the 5-in-1? My baby is now two months old, and when I took him to get the DTaP-Hib-IPV-HepB (5-in-1) vaccine, the nurse administered it. Afterward, while preparing to give the oral Sabin vaccine, I reminded her that it was the 5-in-1 vaccine that was given. She r...
Dr. Liang Hongjian Reply:
Hello: Every type of vaccine carries varying degrees of risk. The likelihood of developing complications from Japanese encephalitis after receiving the vaccine, according to the literature, is very low. Currently, your situation involves an excessive amount of vaccine, which may ...[Read More] Concerns After 5-in-1 Vaccine: What Parents Should Know
Can Multivitamins Boost Immunity in Young Children?
Children's multivitamins Dr. Gu, I would like to ask you about my child who is one year and three months old. He frequently catches colds and has fevers. Is it advisable to give him a children's multivitamin to boost his immune system? Could it be too early for him and ...
Dr. Gu Qingxian Reply:
Cold and fever are symptoms of an infectious disease. It is advisable to avoid contact with symptomatic patients. As for multivitamins, they are merely a nutritional supplement. For a child who is one year and three months old, it is best to use a liquid form of multivitamins; pl...[Read More] Can Multivitamins Boost Immunity in Young Children?
Understanding EB Virus Infection in Children: Symptoms, Transmission, and Long-Term Effects
EB virus infection What are the symptoms of Epstein-Barr virus (EBV) infection? How is it transmitted? Are there any long-term effects? My relative's child (1 year and 6 months old) recently had a fever, abdominal swelling, and loss of appetite, and was suspected of having E...
Dr. Gu Qingxian Reply:
EB virus infection is primarily transmitted through close contact and saliva. Symptoms include general fatigue, fever, sore throat, generalized lymphadenopathy, and hepatosplenomegaly. In young children, symptoms may be less pronounced. Laboratory diagnosis: leukocytosis, incre...[Read More] Understanding EB Virus Infection in Children: Symptoms, Transmission, and Long-Term Effects
Can I Introduce Rice Cereal to My 4-Month-Old Baby with Allergies?
Can a four-month-old baby eat rice cereal? My baby has a high IgE level, and the father has nasal allergies while the mother has sensitive skin. Currently, he shows no signs of allergies, but I am still feeding him Nestlé HA1. May I ask if it is appropriate to introduce rice cere...
Dr. Zhao Yongkang Reply:
Dear Mom, 1. It is generally recommended that for children with a history of allergies, complementary foods should be introduced after they reach six months of age. Using rice cereal is acceptable, but wheat cereal can be introduced more slowly, ideally around one year of age. ...[Read More] Can I Introduce Rice Cereal to My 4-Month-Old Baby with Allergies?
Managing Allergic Rhinitis in Children: Causes and Solutions
Nasal allergies Dr. Liang: Hello, my young daughter had bronchitis when she was about six years old, and after experiencing a high fever, she has had abnormal sounds from her bronchial tubes every time the weather changes. She also suffers from nasal allergies, waking up every mo...
Dr. Liang Hongjian Reply:
Hello: According to current research, genes located in human chromosome regions 5 and 11 are responsible for the inheritance of allergies, which means that children may inherit this condition from their parents. As you mentioned, changes can be made in the environment and diet. I...[Read More] Managing Allergic Rhinitis in Children: Causes and Solutions
Understanding Nighttime Fever in Children: Causes and Solutions
Nighttime fever Hello, Director Zhao. My niece has been frequently experiencing fever and cold symptoms since the Lunar New Year. Since January, she has been visiting the clinic regularly and has been continuously taking medication, yet she still often coughs, has a runny nose, o...
Dr. Zhao Yongkang Reply:
Hello, 1. As you mentioned, it is highly likely that this is an allergic reaction. Allergies typically present with chronic cough in the respiratory tract, which may be more pronounced in the early morning or at night. There may also be symptoms such as chest tightness, deep bre...[Read More] Understanding Nighttime Fever in Children: Causes and Solutions
Is Your Baby Crying Excessively? When to Seek Medical Advice
Crying and fussing? Hello: Our baby is 5 months old. This week, he/she has been crying continuously both day and night, and the amount of milk he/she drinks has decreased significantly. This has been going on for 3 days. Each time he/she cries, his/her body twists and turns. The ...
Dr. Chen Qianyi Reply:
Hello, Mom: When a baby cries continuously, it is often due to discomfort. Therefore, when your baby is crying and cannot be soothed, you should check for any sources of discomfort. There are many potential causes, including colds, bloating, abdominal pain, teething, diaper rash,...[Read More] Is Your Baby Crying Excessively? When to Seek Medical Advice
Understanding Sinus Tachycardia in Children: Causes and Concerns
What is sinus tachycardia? Recently, I had a health check-up and found that my pulse was 109 beats per minute. The electrocardiogram showed sinus tachycardia. What does sinus tachycardia mean? Thank you!
Dr. Zhang Peixin Reply:
Hello: Sinus tachycardia generally refers to a condition where the heart is healthy but the heart rate increases due to factors such as fever, medications (such as bronchodilators), dehydration, and other causes. This is respectfully submitted by Dr. Chang Pei-Hsin, Director of t...[Read More] Understanding Sinus Tachycardia in Children: Causes and Concerns