Understanding Premature Infants: Key Concerns for 20-Week Old Babies
Issues Related to Premature Infants I would like to ask about a premature infant born at approximately 20 weeks gestation but weighing 3 kilograms. Should we be concerned about the incomplete development of the child's organs? Are there any specific considerations we should ...
Dr. Ma Zhihao Reply:
Continuous outpatient follow-up for complications related to previous preterm birth, such as those affecting the heart, eyes, and brain. Other aspects should be monitored according to corrected age, including growth and developmental milestones such as sitting, crawling, and stan...[Read More] Understanding Premature Infants: Key Concerns for 20-Week Old Babies
Understanding Cough and Cold in Infants: Antibiotics and Concerns
A newborn over one month old has a cold? Hello, doctor. I would like to inquire about my baby, who is currently over a month old and has caught a cold. The symptoms include post-nasal drip and coughing. After the first visit, the doctor prescribed medication, and during the secon...
Dr. Xiao Kaiwen Reply:
The common cold is generally caused by a viral infection and does not require the use of antibiotics, which are intended for bacterial infections. It may be necessary to consult the prescribing physician to determine the suspected bacterial infection before using antibiotics. If ...[Read More] Understanding Cough and Cold in Infants: Antibiotics and Concerns
Understanding Unexplained Symptoms in Pediatric Patients: A Guide
Unexplained physical discomfort? Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone catheter ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours each day. He h...
Dr. Zhong Ruixian Reply:
Hello Ms. Chiu: 1. If you would like to seek a second opinion regarding heart issues, you may consider visiting the pediatric cardiology department at a medical center. 2. For bone-related issues, if there are no concerns from the pediatric rheumatology perspective, you may also ...[Read More] Understanding Unexplained Symptoms in Pediatric Patients: A Guide
Understanding Unexplained Symptoms in Pediatric Patients: A Guide
Unexplained physical discomfort? Your question: Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone catheter ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours...
Dr. Xiao Kaiwen Reply:
Your current symptoms have many possible causes. I believe your pediatric cardiologist should have the best understanding of your condition right now. If a referral to a specific pediatric subspecialty is needed, they will be most knowledgeable about that. I think the pediatric s...[Read More] Understanding Unexplained Symptoms in Pediatric Patients: A Guide
Unexplained Health Issues in Children: A Case Study of Cardiac and Bone Pain
Unexplained physical discomfort? Hello, I would like to ask a question. My 12-year-old child has a history of arrhythmia and has undergone radiofrequency ablation. Since last month, he has been experiencing a sensation of pressure on his heart, lasting about 2 to 3 hours each day...
Dr. Xie Wanghu Reply:
Hello, recommendations: 1. Take your child to the pediatric cardiology clinic at Taipei Veterans General Hospital to see Dr. Li Bi-Chang for an evaluation of the chest tightness and its possible relation to the radiofrequency ablation procedure. 2. For joint pain, it is advisable...[Read More] Unexplained Health Issues in Children: A Case Study of Cardiac and Bone Pain
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?
Unexplained Bone Pain in Children: Seeking Solutions for Relief
Unexplained bone pain? I would like to ask on behalf of my daughter, who has been experiencing unexplained pain in her left bones, such as the clavicle, knee, and hand joints, since March. She has undergone X-rays, blood tests for autoimmune diseases, and ultrasounds at an outpat...
Dr. Zhong Ruixian Reply:
Hello Wenwen: If it is confirmed that there are no immune system diseases, you may consider consulting with a pediatric hematology-oncology specialist or a pediatric neurologist regarding the issues with bones, joints, or nerves. For heart-related concerns, you can continue to mo...[Read More] Unexplained Bone Pain in Children: Seeking Solutions for Relief
Essential Ultrasound Checks for Infants: Timing and Importance
Neonatal ultrasound examination Hello, doctor! My baby is currently over four months old. We have not conducted various ultrasound examinations yet because we were waiting for insurance approval. I would like to ask if doing the checks now would mean missing the optimal period fo...
Dr. Xie Wanghu Reply:
Hello! If a baby belongs to a higher risk group, such as having a family history of genetic disorders, the mother did not have regular prenatal check-ups during pregnancy or was informed of abnormalities during high-level ultrasounds, there were abnormalities in prenatal genetic ...[Read More] Essential Ultrasound Checks for Infants: Timing and Importance
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
Managing Exercise for Children with Patent Foramen Ovale: Key Considerations
Patent foramen ovale Hello, doctor. My child, who is over two years old, has been diagnosed with a patent foramen ovale (PFO) that has not closed. Annual echocardiograms show mild mitral regurgitation and a PFO measuring approximately 0.2 cm. He rarely experiences chest tightness...
Dr. Xie Wanghu Reply:
The oval foramen measuring 0.2 cm typically closes by the age of 6 months. If it remains open, follow-up echocardiograms should be conducted every 6 months in a pediatric cardiology clinic. If the child is 6 years old and it has not closed, it is unlikely to close in the future, ...[Read More] Managing Exercise for Children with Patent Foramen Ovale: Key Considerations
Understanding Mitral Valve Regurgitation in Pediatric Patients: Treatment Options
Mitral valve regurgitation Hello, doctor. My child is currently 1 year and 8 months old. Due to a previous issue with a patent foramen ovale, we have been continuously monitoring with echocardiograms. During the recent follow-up yesterday, we were informed that there is mitral va...
Dr. Xie Wanghu Reply:
Mitral regurgitation (MR) is recommended to be monitored with an echocardiogram every six months. In some cases, MR may resolve by the age of 6 or 7. There are no specific pharmacological treatments for mitral regurgitation. MR is classified into four grades: grade 1 is mild, and...[Read More] Understanding Mitral Valve Regurgitation in Pediatric Patients: Treatment Options
Managing Pediatric Urinary Pain After COVID-19 Diagnosis
COVID-19 positive with urethritis? Hello, doctor. We are a family with a confirmed patient, and we came here to consult because it was inconvenient to seek emergency care. Please do not take offense. My 8-year-old son, weighing 25 kg, was diagnosed with COVID-19 in the early hour...
Dr. Xiao Kaiwen Reply:
Missing a day of antibiotics should not lead to antibiotic resistance. In some children, abdominal pain can indeed be caused by retained stool. I think trying a one-time enema is acceptable, but if the abdominal pain persists or worsens, it is important to discuss it with your te...[Read More] Managing Pediatric Urinary Pain After COVID-19 Diagnosis
Understanding Chest Pain in Children: When to Seek Medical Advice
My daughter feels a sharp pain in her chest area when breathing? Hello, Dr. Hsieh. My daughter is 12 years old and has been experiencing sharp pain in her chest area. Could this indicate a heart problem? She had similar symptoms in the second grade, where she felt a sharp pain wh...
Dr. Xie Wanghu Reply:
Ms. Su: Hello, I have received your message. If it is convenient for you, please bring your daughter to our pediatric department for a consultation (pediatric cardiology special clinic hours: Tuesday and Thursday mornings). We can arrange for a cardiac examination and explain the...[Read More] Understanding Chest Pain in Children: When to Seek Medical Advice
Impact of Early Pregnancy Flu and Fever on Baby's Development
The impact of fever due to influenza during early pregnancy on the baby? Hello doctor, I had the flu and a fever of 38 degrees Celsius during the early stages of my pregnancy at 6 weeks. I did not take any medication and recovered naturally. After my baby was born, I was very anx...
Dr. Pei Rensheng Reply:
Hello! There are research reports indicating that women hospitalized due to influenza are not only more likely to experience preterm labor and give birth to low birth weight infants, but their babies also have an eightfold increased risk of having low APGAR scores (indicating ins...[Read More] Impact of Early Pregnancy Flu and Fever on Baby's Development
Understanding Baby's Crooked Lower Lip: Causes and Solutions
The baby's lower lip is crooked? Hello, doctor. My child is not yet one month old, and his lower lip is tilted to the right, which is particularly noticeable when he cries. We took him for a heart examination, and they mentioned a diaphragmatic hernia. Will his mouth alignme...
Dr. Xie Wanghu Reply:
Hello, Mrs. Zhu! In pediatric cardiology, there is a condition known as the Soft Palate Heart-Facial Syndrome, which predicts congenital heart disease based on facial anomalies. Your child's echocardiogram currently shows an atrial septal defect. In infants under 6 months of...[Read More] Understanding Baby's Crooked Lower Lip: Causes and Solutions
Understanding Baby's Crooked Lower Lip: Causes and Solutions
The baby's lower lip is crooked? Hello doctor, my child is not yet one month old, and his lower lip is tilted to the right, which is particularly noticeable when he cries. We took him for a heart examination, and they mentioned a diaphragmatic hernia. Will the crooked mouth ...
Dr. Xie Wanghu Reply:
Hello, Zhu Bo's mother! In pediatric cardiology, there is a condition known as the Soft Palate Heart-Facial Syndrome, which predicts congenital heart disease based on facial anomalies. Your child's echocardiogram currently shows an atrial septal defect. In infants under...[Read More] Understanding Baby's Crooked Lower Lip: Causes and Solutions
Understanding and Managing Postural Hypotension in Adolescents
Orthostatic hypotension This year, at 14 years old, I am 161 cm tall and weigh 47 kg. Sometimes when I stand up, I feel my heart rate increase, but it usually resolves after a few seconds. I am very worried about this issue. How can I improve this problem? It happens sometimes bu...
Dr. Xie Wanghu Reply:
A 14-year-old male weighing 47 kg is in the 15th to 50th percentile for weight and the 0th to 85th percentile for height at 161 cm, which falls within the normal range. A heart rate of less than 60 beats per minute is considered bradycardia, while a heart rate greater than 100 be...[Read More] Understanding and Managing Postural Hypotension in Adolescents
Understanding Patent Foramen Ovale in Children: Risks and Treatment Options
Patent foramen ovale Hello, doctor. A fourth-grade student was found to have a heart murmur, arrhythmia, and left axis deviation. They have been monitored at a major hospital for several years, and the diagnosis is an open foramen ovale. Now in the first year of junior high, is i...
Dr. Xie Wanghu Reply:
The foramen ovale typically closes between birth and six months of age. If it remains open, it is referred to as an atrial septal defect (ASD). The management depends on the size of the defect; if the opening is too large, it can affect blood flow direction and growth and develop...[Read More] Understanding Patent Foramen Ovale in Children: Risks and Treatment Options
Is My 5-Year-Old's Heart Rate Too Fast? Understanding Pediatric Heart Health
Is a 5-year-old child's heart rate considered too fast? Hello Doctor: I accidentally measured my five-year-old daughter's heart rate and found that it was quite fast, even while she was quietly watching TV and not exercising. Her heart rate was around 114 to 120 beats p...
Dr. Pei Rensheng Reply:
Hello: Generally speaking, the normal heart rate range for children is as follows: for infants under 1 year old, 80-140 beats per minute; for children aged 1 to 6 years, 80-120 beats per minute; and for children over 6 years old, 60-100 beats per minute. These rates should be mea...[Read More] Is My 5-Year-Old's Heart Rate Too Fast? Understanding Pediatric Heart Health