Should She Get Rechecked for Heart Concerns and Breathing Issues?
Would you recommend getting re-evaluated for this condition? Hello, doctor: I would like to ask if you would recommend her to get checked again based on the following conditions: 1. Her parents mentioned that she had a hole in her heart when she was a child, but they are unsure a...
Dr. Pei Rensheng Reply:
Hello: Based on your description, this 18-year-old girl seems to have physical abilities that are below her peers. There are many factors that could contribute to this, including body composition, heart function, lung capacity, airway health, brain function, musculoskeletal syste...[Read More] Should She Get Rechecked for Heart Concerns and Breathing Issues?
Swollen Eyelids in 2-Month-Old Baby: Causes and Concerns
A 2-month-old baby has swollen eyelids? Hello doctor, my baby is currently 2 months old. Recently, when he wakes up, the area around his eyes is swollen but not red or inflamed, just simply puffy. What could be the issue? Thank you.
Dr. Pei Rensheng Reply:
Hello: It may be due to nasolacrimal duct obstruction. Less common factors include deficiencies in the heart, liver, kidneys, or albumin and other nutrients. Wishing you health and happiness! Sincerely, Rensheng.[Read More] Swollen Eyelids in 2-Month-Old Baby: Causes and Concerns
Understanding Post-Emergency Seizures in Infants After Heart Surgery
Seizures following infant resuscitation? Hello doctor, my baby is three months old and underwent a cardiac catheterization due to a heart defect. However, the procedure was not smooth, as her heart rate dropped, and it took 50 minutes of resuscitation to stabilize her. She was sa...
Dr. Xiao Kaiwen Reply:
Infants who cannot undergo standard vision and hearing tests can have their visual and auditory functions assessed through visual evoked potential testing and hearing screening, which can help identify any abnormalities. Early detection of epilepsy and timely medication can signi...[Read More] Understanding Post-Emergency Seizures in Infants After Heart Surgery
Managing Congenital Pulmonary Stenosis in Infants: Risks and Precautions
Pulmonary artery stenosis Hello Dr. Pei, my child has been diagnosed with congenital pulmonary artery stenosis and is currently over 9 months old, with regular follow-ups. During the last visit, the pressure difference between the right ventricle and the pulmonary artery was over...
Dr. Pei Rensheng Reply:
Hello: When the degree of pulmonary valve stenosis is mild, there may be no clinical symptoms, but a systolic heart murmur can be heard upon auscultation. Patients with moderate to severe stenosis may experience symptoms such as dyspnea, chest pain, dizziness, arrhythmias, myocar...[Read More] Managing Congenital Pulmonary Stenosis in Infants: Risks and Precautions
Impact of Maternal Chocolate Consumption on Breastfeeding Infants
Breastfeeding while consuming a lot of chocolate? Hello Doctor, my baby is currently two weeks old and exclusively breastfed. We are still at the postpartum care center, and the nurses mentioned that my baby is very fussy and doesn't sleep much. They asked if I have been dri...
Dr. Xiao Kaiwen Reply:
Currently, there is no clear medical evidence proving that excessive consumption of chocolate by mothers (and the specific amount that qualifies as excessive) has permanent adverse effects on newborns. Therefore, I think you need not worry too much. However, long-term excessive i...[Read More] Impact of Maternal Chocolate Consumption on Breastfeeding Infants
Understanding Sleep Disturbances in Infants: Causes and Solutions
Sleep issues Hello, doctor. My baby is eight months old, and recently for the past week, he has been suddenly crying loudly with his eyes closed during the night (with tears, several times a night). Sometimes giving him a pacifier calms him down, and he goes back to sleep, but ot...
Dr. Pei Rensheng Reply:
Hello: It could be night terrors or nightmares! Has your child ever suddenly cried out loudly while sleeping, sometimes screaming and kicking, appearing very frightened? When you rush over to comfort them, they might be crying out for mom or dad but completely ignore you. The mor...[Read More] Understanding Sleep Disturbances in Infants: Causes and Solutions
Is There a Link Between Spitting Up and Colic in Premature Infants?
Is there a relationship between spitting up milk and colic or premature infants? Hello doctor, my child was born on July 28, at 36 weeks of gestation, with a birth weight of 2196g, which is somewhat low. At birth, his white blood cell count was elevated, and he was hospitalized f...
Dr. Pei Rensheng Reply:
Hello: 1. Premature infants are more likely to experience gastroesophageal reflux compared to full-term infants. 2. During the corrected age of 3 to 4 months, some babies may exhibit signs of colic. 3. Typical colic is characterized by crying for more than 3 days a week, with eac...[Read More] Is There a Link Between Spitting Up and Colic in Premature Infants?
Post-Kawasaki Disease Care: When Can Your Child Go Outside?
Post-treatment considerations for Kawasaki disease? Hello Doctor: My child is a 3-year-and-1-month-old boy who received treatment for Kawasaki disease last week and was discharged on August 13 (Saturday). The doctor advised us to avoid going out for the time being to prevent infe...
Dr. Pei Rensheng Reply:
Hello: After recovery and discharge from Kawasaki's disease, please pay attention to the following: 1. Monitor the heart and have regular echocardiograms. 2. Due to the use of aspirin, avoid exposure to influenza or varicella (chickenpox). 3. Live vaccines should be administ...[Read More] Post-Kawasaki Disease Care: When Can Your Child Go Outside?
Understanding Chickenpox in Infants After BCG Vaccination
Infants develop chickenpox? Hello doctor, my son is currently over five months old. He received the BCG vaccine last Friday, and unexpectedly, he developed chickenpox a week later. Is there any conflict between the BCG vaccine and chickenpox in his body? What should I be aware of...
Dr. Xiao Kaiwen Reply:
The BCG vaccine and varicella (chickenpox) do not conflict with each other. Aspirin and other salicylate medications should not be used as antipyretics. Complications of varicella include pneumonia, encephalitis, secondary bacterial infections, and sepsis. Therefore, the dangerou...[Read More] Understanding Chickenpox in Infants After BCG Vaccination
Is It Okay to Feed Your Baby Early When They're Crying for Milk?
If the baby is crying and it's not yet time for feeding, is it okay to feed them earlier? My baby is fed every 4 hours, but if it's not time yet, they cry continuously wanting to be fed. Is it okay to feed them earlier? Or should I stick to a regular schedule? Thank you...
Dr. Xiao Kaiwen Reply:
Infants have individual differences in gastric capacity, so it is not recommended to adhere to fixed feeding schedules or amounts unless there are pathological restrictions (such as heart disease requiring fluid restriction or excessive weight). Instead, feeding should be based o...[Read More] Is It Okay to Feed Your Baby Early When They're Crying for Milk?
Is It Normal for My Baby's Mouth to Tilt When Smiling?
The baby's smile is crooked? Hello doctor, I would like to ask about my daughter who is currently eight months old. When she smiles, her mouth tilts to the right, and I can see her lower teeth leaning to the right. Is this normal? She has two upper teeth and two lower teeth,...
Dr. Xiao Kaiwen Reply:
It is also important to observe if there is any asymmetrical crying, where one side of the mouth droops while crying. This condition, known as asymmetric crying, may rarely be associated with other issues, such as heart problems. It is advisable to have a pediatrician conduct an ...[Read More] Is It Normal for My Baby's Mouth to Tilt When Smiling?
Understanding Single Atrium and Ventricle in Congenital Heart Disease
Congenital heart disease, single atrium, single ventricle? Congenital heart disease, specifically single atrium and single ventricle conditions, can be treated. There are successful case histories of treatment for these conditions. Surgical interventions, such as the Fontan proce...
Dr. Xiao Kaiwen Reply:
This is a rather rare complex cyanotic heart disease, and the difficulty of the surgery is very high. The success rate, of course, also depends on other associated factors, such as the size of the defect, the spatial relationship between the atrioventricular structures, and the d...[Read More] Understanding Single Atrium and Ventricle in Congenital Heart Disease
Understanding Neonatal Brain Hypoxia and Its Impact on Development
Neonatal brain hypoxia Hello doctor, my baby was diagnosed with epilepsy (with twitching in the right hand and foot) on the second day after birth. Further examinations revealed brain injury, and the doctor speculated that it was due to oxygen deprivation during the delivery proc...
Dr. Xiao Kaiwen Reply:
Cerebral palsy has a strict definition, so developmental delay does not necessarily equate to cerebral palsy. The neurological development of infants is very nuanced, and it is not possible to predict the severity of future symptoms based solely on clinical neurological signs obs...[Read More] Understanding Neonatal Brain Hypoxia and Its Impact on Development
Understanding Your Baby's NICU Journey: Common Concerns and Conditions
Hello, doctor. My baby has been in the intensive care unit? Hello doctor, I would like to ask about my baby who was born at 33 weeks and 4 days, weighing 2100 grams. Currently, my baby is receiving treatment in the neonatal intensive care unit. The doctor mentioned that my baby&#...
Dr. He Shenglong Reply:
Hello: The baby was born at 33 weeks, so the alveoli were not fully developed, resulting in respiratory distress, and is currently receiving treatment in the neonatal intensive care unit (NICU). Over time, there will be gradual improvement. The heart duct (patent ductus arteriosu...[Read More] Understanding Your Baby's NICU Journey: Common Concerns and Conditions
Understanding Pediatric Anemia: What Low Hb and MCV Levels Mean
Results of the health examination? Hello Doctor, I am Xiao Hei. My Hb is 9.7 and MCV is 52.3. I would like to ask if this indicates anemia? If so, I have not experienced any dizziness or weakness since I was young. Does this have any significance, or is it just mild anemia? Thank...
Dr. Xiao Kaiwen Reply:
Your test results indicate microcytic anemia. In Taiwan, the most common types are iron deficiency anemia and thalassemia. It is recommended that you visit a pediatric hematology department at a major hospital for further evaluation and treatment. You may not have obvious symptom...[Read More] Understanding Pediatric Anemia: What Low Hb and MCV Levels Mean
Effective Solutions for Infant Constipation: What Parents Need to Know
If a baby is experiencing constipation and nothing seems to help, it may be necessary to consult a pediatrician for further evaluation and guidance? Hello, doctor. My baby is currently 7 months old. Since starting solid foods at 4 months, he has been experiencing constipation, wh...
Dr. Xiao Kaiwen Reply:
It is recommended to first visit a pediatric gastroenterology department at a major hospital to rule out any congenital bowel function issues, such as Hirschsprung's disease. If there are no congenital abnormalities, it is common for infants to experience temporary constipat...[Read More] Effective Solutions for Infant Constipation: What Parents Need to Know
Understanding Mild Fever in Toddlers: Is It Roseola or Just a Cold?
Mild fever Hello, Doctor. My daughter is currently one year and four months old. She suddenly had a fever of 38 degrees Celsius last night. We took her to see a pediatrician, who noted that her throat was slightly red but not serious, and there were no other cold symptoms. We hav...
Dr. Xiao Kaiwen Reply:
If there are no rashes present on the body, it cannot be definitively determined to be roseola; similarly, it cannot be arbitrarily concluded that it is merely a cold. The following symptoms require immediate medical evaluation: persistent high fever lasting more than four days, ...[Read More] Understanding Mild Fever in Toddlers: Is It Roseola or Just a Cold?
Understanding Seizures in Newborns: What Parents Need to Know
Epilepsy Inquiry Hello doctor, on July 13th in the early morning, my sister-in-law gave birth to a son via cesarean section. He was full-term and weighed 3000 grams. Initially, she planned for a natural delivery, but during labor induction, it was discovered that the baby's ...
Dr. He Shenglong Reply:
Hello: The emergency cesarean section was performed due to the baby's decreased heart rate. At birth, the baby had poor crying and difficulty breathing, and experienced a seizure the following day, which may be related. Fortunately, after treatment, the condition stabilized ...[Read More] Understanding Seizures in Newborns: What Parents Need to Know
Understanding Childhood Diabetes: Causes, Management, and Future Implications
Pediatric Diabetes Hello, Dr. Pei. I would like to ask you about my 3-year-old sister, who has experienced a decrease in activity and weight loss over the past two weeks. After being taken to the hospital, she was diagnosed with pediatric diabetes and is currently under observati...
Dr. Pei Rensheng Reply:
Hello! I have compiled information on pediatric diabetes as attached for your reference. Pediatric diabetes can only be treated with injections and cannot be managed with oral medications. Wishing you health and happiness. Sincerely, Dr. Pei Ren-Sheng, Director of Pediatrics, Tao...[Read More] Understanding Childhood Diabetes: Causes, Management, and Future Implications
Understanding Hand, Foot, and Mouth Disease: Symptoms and Recovery Insights
Enterovirus Hello, Doctor. I started experiencing a high fever (39-40 degrees Celsius) from last Thursday, which lasted for three days, and then I developed herpetic pharyngitis. The doctor diagnosed it as a viral infection. After three days of sore throat, it has gradually impro...
Dr. Xiao Kaiwen Reply:
Herpetic pharyngitis with high fever (39-40 degrees Celsius) can confirm a diagnosis of enterovirus infection. However, it is also possible for the patient to have concurrent infections, and it is medically impossible to guarantee that there will be no other infections. The key c...[Read More] Understanding Hand, Foot, and Mouth Disease: Symptoms and Recovery Insights