Understanding Vaccine Side Effects in Infants: What New Parents Should Know
Vaccine side effects Hello doctor, my baby (2 months and 18 days old) received the pentavalent vaccine on Saturday the 29th. On Sunday the 30th, I noticed a lump and redness at the injection site. Today, the 10th, he has a slight fever. Is this a side effect of the vaccine? How l...
Dr. Xiao Kaiwen Reply:
If the pentavalent vaccine causes a fever, it typically occurs within 24 hours after administration. Since your child developed a fever 10 days later, this fever is likely not a side effect of the vaccine. Please closely monitor the fever and activity level. If the fever becomes ...[Read More] Understanding Vaccine Side Effects in Infants: What New Parents Should Know
Persistent Fever in Hospitalized Child: Seeking Answers and Next Steps
The child has been hospitalized for 8 days and is still experiencing a persistent fever? Dear Director, My younger sister is 4 years old. On the afternoon of August 30, she had a fever of 38.3°C, so we took her to Clinic A for treatment, where she was diagnosed with a common col...
Dr. Xiao Kaiwen Reply:
I have not personally examined the patient, so it is difficult to provide specific recommendations. However, there are many causes of fever in children, with the vast majority being due to infections. If possible, I recommend consulting a pediatric infectious disease specialist a...[Read More] Persistent Fever in Hospitalized Child: Seeking Answers and Next Steps
Understanding Your Child's Development: Nutrition and Health Concerns
Baby's developmental status Hello, doctor. My eldest son is over 6 years old and has an allergic constitution, but I feel that his immunity is poor as he often catches colds and has fevers. He also has chronic anemia. What should I supplement to improve his condition? Would ...
Dr. Pei Rensheng Reply:
Hello: Da Bao has chronic anemia, with the most common causes being iron deficiency or thalassemia. Mild thalassemia does not require treatment; if it is iron deficiency, increasing the intake of iron-rich foods or supplementing with iron prescribed by a physician can be benefici...[Read More] Understanding Your Child's Development: Nutrition and Health Concerns
Understanding Fever Without Symptoms in Children: A Pediatric Case Study
Asymptomatic fever? Hello, doctor. Continuing from the last question, my son is almost 8 years old, weighs 19 kg, and is 120 cm tall. He started having a fever on June 17, and on June 18, he had a fever four times, each time above 39°C. We went to the emergency room, but since he...
Dr. Xiao Kaiwen Reply:
Adenovirus infection can also cause diarrhea, which may be confused with salmonella infection. It is not possible to determine the type of infection just by looking at the stool; a stool culture is necessary for identification, and you should discuss this with your physician. Ade...[Read More] Understanding Fever Without Symptoms in Children: A Pediatric Case Study
Understanding Fever Without Symptoms in Children: Causes and Concerns
Asymptomatic fever? Hello, Doctor. My child will turn eight years old in July. He is 120 cm tall and weighs 196 kg. On the evening of June 17, my child said he had a stomachache. He has experienced discomfort from constipation before, and after an enema, he felt better. However, ...
Dr. Xiao Kaiwen Reply:
It is common for children to have a fever without obvious external symptoms, as there may be some underlying viral infections. The fever typically resolves as the immune system gradually kicks in. However, sometimes a physical examination by a pediatrician is necessary to identif...[Read More] Understanding Fever Without Symptoms in Children: Causes and Concerns
Concerns After Drinking Untreated Spring Water: A Pediatric Perspective
Accidentally drank untreated water? Hello, Doctor: My daughter is currently 1 year and 5 months old. Two weeks ago, she accidentally drank 2500cc of unboiled spring water for four consecutive days. I am currently 2 months pregnant, and I also drank the same amount of water during...
Dr. Xiao Kaiwen Reply:
We cannot determine whether the spring water flowing through the entire area is contaminated by heavy metals, pesticides, industrial waste, or wastewater from livestock or poultry farming. Naturally, young children, who have relatively weaker immune systems, are more susceptible ...[Read More] Concerns After Drinking Untreated Spring Water: A Pediatric Perspective
Understanding Pediatric Ear Swelling and Pain: When to Seek Medical Attention
Submandibular swelling and pain? Hello, doctor. My child (almost 4 years old) suddenly experienced swelling and pain under the ear in the early morning (with no prior warning, and it feels soft to the touch when gently pressed), causing him to cry. After waking up, I noticed that...
Dr. Xiao Kaiwen Reply:
Swelling and pain near the ear may be due to parotitis slightly anterior to the ear, acute lymphadenitis posterior and inferior to the ear, or the rare condition of mastoiditis. It is advisable to consult a pediatrician for evaluation.[Read More] Understanding Pediatric Ear Swelling and Pain: When to Seek Medical Attention
Understanding Enlarged Kidneys and Pancreas in Pediatric Patients
The kidneys are larger than the pancreas? Hello doctor, my son is currently over four years old. He had cold symptoms before January 20. On the night of January 27, he kept vomiting, so we took him to see a doctor. The doctor gave him an antiemetic, and afterward, he did not drin...
Dr. Xiao Kaiwen Reply:
There are many causes of abdominal pain in children, and it is not always due to a gastroenteritis. Even in cases of gastroenteritis, the severity of symptoms can vary greatly from mild or asymptomatic to severe dehydration. An enlarged kidney or pancreas is merely a finding from...[Read More] Understanding Enlarged Kidneys and Pancreas in Pediatric Patients
Understanding Elevated Platelet Counts After Kawasaki Disease in Children
Post-Kawasaki disease follow-up shows persistently elevated platelet levels? I would like to ask the doctor: My daughter is currently 1 year and 1 month old. When she was 6 months old, she was diagnosed with Kawasaki disease. Initially, her platelet count was measured at 410,000/...
Dr. Xiao Kaiwen Reply:
Although Kawasaki disease has passed the acute phase, there may still be a prolonged period of elevated platelet counts. There is no need to be overly concerned about the blood test results, but to prevent coronary artery lesions, please collaborate with your attending physician....[Read More] Understanding Elevated Platelet Counts After Kawasaki Disease in Children
Understanding Unexplained Pediatric Fever: Insights and Recommendations
Pediatric fever hospitalization with inconclusive test results? A year and a half ago, my child was hospitalized for 14 days due to a fever. During the hospitalization, many tests were conducted, but no clear results were found. The hospital kept suggesting additional tests, maki...
Dr. Xiao Kaiwen Reply:
The hospitalization process for infants and young children is quite complex. As your child's attending physician, I cannot fully understand the situation by merely reviewing the medical records, which may lead to potential misinterpretations and could also violate medical et...[Read More] Understanding Unexplained Pediatric Fever: Insights and Recommendations
Understanding Prolonged Fever in Toddlers: When to Seek Further Medical Help
Pediatric Fever Hello doctor, my son is currently about 1 year and 9 months old. He has had a fever for 4 days, starting from Saturday, with a maximum temperature reaching 39.6°C. After taking antipyretics, his temperature dropped to a minimum of 36.7°C. On average, his temperatu...
Dr. Xiao Kaiwen Reply:
If you experience fever accompanied by decreased vitality and wheezing, it is recommended to immediately go to a large hospital emergency department for a detailed examination. A negative rapid influenza test does not completely rule out influenza; conversely, it is important to ...[Read More] Understanding Prolonged Fever in Toddlers: When to Seek Further Medical Help
Understanding Your Child's Sudden Arm Pain and Fever: What to Know
My son keeps complaining about hand pain? Hello doctor, my son is currently 4 years old. Last week, he suddenly cried out that his foot hurt one night, but after a while, he was fine. However, today before his nap, he complained of pain in his hand. During his nap, he suddenly go...
Dr. Xiao Kaiwen Reply:
Due to the lack of a more meaningful specific complaint and the difficulty in determining the diagnosis without a personal examination of the patient (as there are too many possibilities), it is advisable to consult a pediatrician for a thorough examination, especially since ther...[Read More] Understanding Your Child's Sudden Arm Pain and Fever: What to Know
Understanding the Severity of Enterovirus in Pediatric Patients
Severity of Enterovirus Infection My friend's child is in the second grade of elementary school and started having a fever three days ago. The doctor at the clinic diagnosed it as hand, foot, and mouth disease. In addition to sores in the mouth, there are many blisters on th...
Dr. Xiao Kaiwen Reply:
Enterovirus infections typically resolve on their own, relying on the body's immune system. Fever usually lasts about three to four days, while hand and foot blisters and oral ulcers may take approximately seven to ten days to heal gradually. Therefore, supportive care is ge...[Read More] Understanding the Severity of Enterovirus in Pediatric Patients
Understanding BCG Vaccine Reactions and Kawasaki Disease in Children
BCG vaccine issues Hello, doctor. When my child was about 2 years old, he had a cold, and I noticed that the area where he received the BCG vaccine was pink. I can't remember if he had a fever for more than five days. Later, during a routine check-up at the hospital, I asked...
Dr. Xiao Kaiwen Reply:
Without directly observing the appearance of the BCG scar and conducting a physical examination, it is difficult to determine if it is normal. Kawasaki disease is an immune system issue with specific treatment methods; common cold medications typically do not reduce fever. Theref...[Read More] Understanding BCG Vaccine Reactions and Kawasaki Disease in Children
Understanding Hand, Foot, and Mouth Disease: Symptoms and Concerns
Enterovirus? A few days ago, I had a fever of about 38 degrees Celsius. I saw a doctor, and she said I had red spots in my throat, possibly indicating a hand, foot, and mouth disease (HFMD) caused by enterovirus. After taking medication, my temperature increased from 38 to 39 deg...
Dr. Zhong Ruixian Reply:
Thank you for your question, Xiao Mei. I hope your symptoms have improved by now. Based on your description, it is indeed possible that it could be an enterovirus infection, but a definitive diagnosis still requires a personal examination by a physician at a medical facility. Wis...[Read More] Understanding Hand, Foot, and Mouth Disease: Symptoms and Concerns
Understanding Muscle Jerks in Children: Is It Related to Viral Infections?
The patient has symptoms of a cold with muscle twitching, but there are no signs of enterovirus-related mouth sores or other symptoms? Dear Dr. Hsiao, I would like to consult you regarding the issues of enterovirus and cold symptoms. My child is currently 2 years and 1 month old...
Dr. Xiao Kaiwen Reply:
1. Not necessarily. 2. In cases of severe enterovirus infection, muscle twitching is typically observed during sleep (this reflex is suppressed when awake). Normal children may also experience occasional muscle twitching while asleep, but in severe cases of enterovirus infection ...[Read More] Understanding Muscle Jerks in Children: Is It Related to Viral Infections?
Is a Body Temperature of 35.6°C Normal for My Child After Medication?
Body temperature 35.6°C? Hello doctor, my son is four years old and weighs 24 kilograms. Since family members have contracted the flu, he had a temperature of 38.2°C two nights ago, and the doctor prescribed antiviral medication. After taking the antiviral and a white packet, his...
Dr. Xiao Kaiwen Reply:
I'm not sure how you measure your temperature. While measuring ear temperature is convenient, it can be influenced by many factors, such as excessive earwax, incorrect insertion angle into the ear canal, and lack of regular calibration. A method that is closer to core body t...[Read More] Is a Body Temperature of 35.6°C Normal for My Child After Medication?
Understanding Rash in Infants: Causes and When to Seek Help
A four-month-old baby has a rash issue..? My younger brother had a fever and unusual vomiting two days ago, so we took him to a nearby clinic for evaluation. The examination results indicated mild cold and fever symptoms (his appetite and activity levels were normal). After takin...
Dr. Xiao Kaiwen Reply:
There are many causes of fever accompanied by a rash, and it is difficult to make a diagnosis without seeing the actual rash. It is recommended to consult a pediatrician for evaluation and treatment.[Read More] Understanding Rash in Infants: Causes and When to Seek Help
Understanding Baby Growth: Is Coughing Due to Foreign Object or Cold?
Baby growth and development Hello, doctor. I would like to ask about my eight-month-old baby who accidentally swallowed a sticker a while ago and hasn't passed it. He is very active, drinks milk without any issues, and doesn't have any unusual sounds. However, in the pa...
Dr. Xiao Kaiwen Reply:
It is likely not related to a foreign body, but whether it is related to a cold is uncertain. It is recommended to consult a pediatrician for an on-site examination and diagnosis.[Read More] Understanding Baby Growth: Is Coughing Due to Foreign Object or Cold?
Strong Urine Odor in Infants: Causes and When to Seek Medical Advice
The baby's urine has a strong odor? Hello Dr. Hsiao: My baby is almost 7 months old, and recently I've noticed a very strong and pungent smell of urine in the diaper, which wasn't there before! However, the baby shows no signs of discomfort. If it were a urinary tr...
Dr. Xiao Kaiwen Reply:
It is recommended to promptly visit a pediatrician for a basic urinalysis, which can initially indicate the presence of urinary tract infections, hematuria, proteinuria, glycosuria, and other abnormalities. This is important because urinary tract infections do not always present ...[Read More] Strong Urine Odor in Infants: Causes and When to Seek Medical Advice