Understanding Pediatric Tonsillitis: Fever, Blood in Stool, and Medication Concerns
Medical issues Hello Doctor, I have a question I would like to ask you. My son is currently 7 years old and has been experiencing tonsillitis with pus-filled white spots for the past few days, along with intermittent fever (usually every 4-6 hours; he spikes a high fever as soon...
Dr. Huang Zheming Reply:
Hello: The presence of blood clots in bowel movements may be caused by constipation or inflammation of the anal sphincter leading to anal fissures. Constipation can be triggered by factors such as a cold (tonsillitis), a diet low in fiber, and insufficient fluid intake. Additiona...[Read More] Understanding Pediatric Tonsillitis: Fever, Blood in Stool, and Medication Concerns
Managing Medication Allergies in Children with Favism: A Parent's Guide
To Pediatrician Dr. Hong Hello Dr. Hong, My 10-year-old son has G6PD deficiency and has a history of medication allergies. He frequently suffers from upper respiratory infections, and local clinics have run out of medications suitable for him. The doctor recommended that we seek...
Dr. Hong Shaohui Reply:
In the short term, aside from antipyretics, there are other methods to help reduce fever, such as increasing fluid intake and taking lukewarm sponge baths. In the long term, drug allergies are primarily a matter of individual constitution; however, if the allergic reactions are q...[Read More] Managing Medication Allergies in Children with Favism: A Parent's Guide
Can a 15-Day-Old Baby Catch a Cold? Pediatric Insights Explained
Can a 15-day-old baby catch a cold? Dr. Zhao: My daughter is only 15 days old. Three days ago, a child with a cold (who was coughing) sneezed in her face, and now my daughter has been sneezing continuously and has some nasal discharge! However, she does not have a fever and is qu...
Dr. Zhao Yongkang Reply:
Hello, sir: 1. Children can still catch a cold. 2. However, if they only have mild symptoms, without fever, and their energy and appetite are normal, there is no need for medication; just observe them first! Thank you for your message. Sincerely, Dr. Zhao Yongkang, Pediatrician.[Read More] Can a 15-Day-Old Baby Catch a Cold? Pediatric Insights Explained
Understanding Rheumatic Fever: Pediatric Cardiology and Referral Options
Rheumatic fever is an inflammatory disease that can develop after an infection with group A Streptococcus bacteria, which typically causes strep throat or scarlet fever. It primarily affects children and can lead Hello Dr. Zhao, I had rheumatic fever during my middle school yea...
Dr. Zhao Yongkang Reply:
1. Every month, Dr. Huang Bi-Tao, the director of the Pediatric Department at Taipei Veterans General Hospital, holds a special pediatric cardiology clinic at our hospital. Additionally, Dr. Lin Cheng-Hung is also available! (You can check our hospital's website for more inf...[Read More] Understanding Rheumatic Fever: Pediatric Cardiology and Referral Options
Understanding Pediatric Urinary Tract Infections and Related Complications
Pediatric urinary tract infection (UTI) My son was born on May 3rd of this year and was recently hospitalized due to a fever. The doctor diagnosed him with a urinary tract infection caused by Escherichia coli. After receiving antibiotic injections, he no longer has a fever or bac...
Dr. Zhao Yongkang Reply:
1. Escherichia coli is a type of bacteria and is the most common pathogen causing urinary tract infections in children. The urinary tract refers to the entire system from the kidneys through the ureters to the bladder and out through the urethra. Therefore, if a child has a urina...[Read More] Understanding Pediatric Urinary Tract Infections and Related Complications
Persistent Fever in Children: When to Seek Medical Help
What should I do if I have a persistent fever? Hello, my son suddenly developed a high fever of 39.3 degrees Celsius six days ago. I first gave him a dose of antipyretic medication and then took him to see a doctor. The doctor diagnosed him with tonsillitis. Now, nearly seven day...
Dr. Huang Zheming Reply:
If a physician diagnoses tonsillitis, fever typically lasts for at least 5-7 days; if it is purulent tonsillitis, it may last even longer. It is advisable to seek treatment from an otolaryngologist at a teaching hospital. In addition to providing intravenous fluids, bacterial cul...[Read More] Persistent Fever in Children: When to Seek Medical Help
Understanding Pediatric Symptoms: Fever, Sore Throat, and More
What disease? Fever, sore throat, and difficulty swallowing.
Dr. Zhao Yongkang Reply:
Hello Ms. Kitty: 1. It could be roseola infantum or it might be a viral infection. 2. Due to the similar nature of the infections, please make sure to have a physician evaluate it.[Read More] Understanding Pediatric Symptoms: Fever, Sore Throat, and More
Understanding Diarrhea in Infants: A Guide for Parents
How to determine diarrhea? The infant is currently one and a half months old, exclusively breastfed with some formula supplementation, and a small amount of boiled water. Previously, the infant had about 3-5 bowel movements per day. At one month of age, the infant was taken to th...
Dr. Huang Zheming Reply:
Diarrhea is commonly referred to as having loose stools, characterized by frequent bowel movements and redness or rashes around the anal area. Fever associated with diarrhea in infants is indicative of viral gastroenteritis. In cases of breastfeeding-related diarrhea, the stools ...[Read More] Understanding Diarrhea in Infants: A Guide for Parents
Understanding Diarrhea in Infants: Causes and When to Seek Help
Pediatric Diarrhea Issues Hello Doctor, my baby is currently 6 months old. Initially, he had a bowel movement once a day in a formed shape, but four days ago it suddenly changed to a watery, mushy consistency and now he has four bowel movements a day. I initially suspected it mig...
Dr. Hong Shaohui Reply:
Hello: It may be gastroenteritis caused by rotavirus (due to finger sucking), and you should see a doctor.[Read More] Understanding Diarrhea in Infants: Causes and When to Seek Help
Should Your Child Get the Haemophilus Influenzae Vaccine?
Should the Haemophilus influenzae type b (Hib) vaccine be administered? Dear Dr. Zhao, my child is currently 8 months old. A pediatrician suggested that I could choose to pay out of pocket for the Haemophilus influenzae type b (Hib) vaccine, but I am unsure whether to proceed wit...
Dr. Zhao Yongkang Reply:
Hello Ms. Lin: 1. Children are more likely to be infected with Haemophilus influenzae type b (Hib) before the age of 5-6, and the infections can be more severe, which is why physicians recommend vaccination. 2. There should be no major issues with administering combined vaccines....[Read More] Should Your Child Get the Haemophilus Influenzae Vaccine?
Understanding Enterovirus: Symptoms, Treatment, and Prevention in Children
Enterovirus How should enterovirus be treated and prevented? What are the symptoms? How can we determine if a child has contracted enterovirus, as its symptoms are very similar to those of a cold? What is the incubation period for enterovirus? How can we prevent children from bei...
Dr. Huang Zheming Reply:
The incubation period for enteroviruses is approximately 2 days to 2 weeks, with an average of 3 to 5 days. Enterovirus is a general term for a group of viruses. Symptoms include fever, cold-like symptoms, excessive salivation, vomiting, diarrhea, and oral inflammation, along wit...[Read More] Understanding Enterovirus: Symptoms, Treatment, and Prevention in Children
Teething and Ear Infections: Managing Fever and Boosting Immunity in Toddlers
Teething Hello Dr. Zhao, 1. Regarding a 1-year-old child who is teething and has a fever reaching 39 degrees Celsius for several days, along with drooling, is this a common occurrence? 2. For a child with upper respiratory tract infections leading to otitis media who has been o...
Dr. Zhao Yongkang Reply:
1. When children are teething, they may experience some discomfort, but it should not cause a high fever. If this occurs, it is important to have them examined by a pediatrician. 2. Antibiotics for otitis media typically need to be used for 2-3 weeks. If there is no improvement...[Read More] Teething and Ear Infections: Managing Fever and Boosting Immunity in Toddlers
Teething and Ear Infections in Toddlers: Managing Symptoms and Boosting Immunity
Teething Hello Dr. Zhao: 1. Regarding a 1-year-old child who is teething and has a fever reaching 39 degrees Celsius for several days, along with drooling, is this a common occurrence? 2. For a child with upper respiratory infections leading to otitis media, who has been on a...
Dr. Zhao Yongkang Reply:
1. When children are teething, they may experience some discomfort, but it should not lead to a high fever. If this occurs, it is essential to have them examined by a pediatrician. 2. Antibiotics for otitis media typically need to be used for 2-3 weeks. If there is no improveme...[Read More] Teething and Ear Infections in Toddlers: Managing Symptoms and Boosting Immunity
Identifying Long COVID Symptoms in Children: A Guide for Parents
Common virus A small child, who is three days into experiencing cold symptoms since August 8, has occasional fever and poor appetite. There is another child at home who has been diagnosed with a viral infection. How can we differentiate if the child has contracted the virus?
Dr. Hong Shaohui Reply:
Hello, to determine the specific type of enterovirus infection, testing must be conducted at a medical center for viral screening.[Read More] Identifying Long COVID Symptoms in Children: A Guide for Parents
Managing Fever in Infants with Congenital Heart Disease: Key Insights
The issue of body temperature in relation to heart disease? Hello Doctor: My baby has had a cold for over a month. She seems to be recovering, but for the past week, her temperature has been between 38 to 39 degrees Celsius (ear temperature) whenever she wakes up from sleep. Afte...
Dr. Huang Zheming Reply:
1. Children with congenital heart disease have poor immunity and inadequate temperature regulation. While hydration is essential when a child has a fever, it is important to ensure that they are urinating adequately, typically around 500cc, but this may be adjusted based on their...[Read More] Managing Fever in Infants with Congenital Heart Disease: Key Insights
Understanding Sudden High Fever in Children: Causes and Care Tips
Fever Hello Dr. Zhao, I would like to ask about my daughter (born on March 9, 2000) who suddenly developed a high fever of 40 degrees Celsius. After taking antipyretics, her fever gradually subsided, and she has no other symptoms. What are the possible conditions that could cau...
Dr. Zhao Yongkang Reply:
Fever indicates that there is inflammation in a certain part of the body, usually due to a viral or bacterial infection, while other causes are less common. Inflammation serves as a signal that informs us that the child is unwell, so it is advisable to have a physician examine wh...[Read More] Understanding Sudden High Fever in Children: Causes and Care Tips
Why Does My Child Have Mucus Without a Cold? Understanding Pediatric Concerns
No cold, but a lot of phlegm? Hello Dr. Zhao, my daughter is one year and seven months old and has congenital heart disease. Since she was little, even when we feel she doesn’t have a cold, we can often hear what seems like a lot of phlegm from her back. Aside from the phlegm-lik...
Dr. Zhao Yongkang Reply:
Based on your description, if a child has a persistent cough or produces phlegm but does not have a fever or other symptoms, it may be indicative of an allergic constitution. It is still important to consult a pediatric allergist for a thorough examination. If the child is indeed...[Read More] Why Does My Child Have Mucus Without a Cold? Understanding Pediatric Concerns
Concerns About Vaccine Errors in Infants: What Parents Should Know
The child received the wrong vaccine? My daughter is currently over 9 months old. She was taken to receive the measles vaccine but was instead administered the measles, mumps, and rubella (MMR) vaccine, which is typically given at 12 to 15 months of age, along with the first dose...
Dr. Zhao Yongkang Reply:
Dear Ms. Ivy, 1. Please have the physician check for any other symptoms of infection. 2. Generally speaking, if the vaccination schedule is not followed correctly and the child does not exhibit any specific symptoms, there should be no major issues, but observation is still nece...[Read More] Concerns About Vaccine Errors in Infants: What Parents Should Know
Understanding Febrile Seizures: Concerns for a 7-Year-Old Child
Heat cramps are painful, involuntary muscle contractions that occur during or after intense physical activity in hot weather. They are often associated with dehydration and electrolyte imbalances, When my daughter was 3 years old, she had a fever that caused febrile seizures, and...
Dr. Zhao Yongkang Reply:
Dear Mr. Jiang, Heat cramps are generally benign, and children typically develop and function normally. They usually occur between the ages of 6 months and 6 years, with the highest incidence between 1 and 2 years of age. If episodes persist beyond the age of 6, a more thorough ...[Read More] Understanding Febrile Seizures: Concerns for a 7-Year-Old Child
Understanding Ureteral Reflux in Children: Causes, Treatment, and Care Tips
Ureteral reflux My daughter had a high fever twice in four months. At six months, after an X-ray examination at the hospital, it was diagnosed as ureteral reflux. I would like to ask: (1) Is ureteral reflux always congenital? (2) After surgery, a nuclear medicine scan three month...
Dr. Shi Zhongxian Reply:
(1). They are all congenital. (2). The chance of recurrence after surgery is very low. (3). The buttocks and genital area of infants should be kept clean and dry. (4). Harmless, but prone to recurrent infections.[Read More] Understanding Ureteral Reflux in Children: Causes, Treatment, and Care Tips