Understanding Fetal Oxygen Levels: Concerns After a Prolonged Labor
Is the fetus experiencing hypoxia? Hello Doctor: I am 38 weeks pregnant and gave birth to a son on June 5 using induction methods. The labor process was as follows: I started taking the induction medication at 8:00 AM on June 4, but there was no progress. Subsequently, I was give...
Dr. He Shenglong Reply:
Hello: The child cried at birth, and the Apgar score was 9, indicating that there was no evidence of hypoxia during that stage. As for the complications during labor or any brief episodes of hypoxia, your concerns about potential long-term effects currently seem to have no defini...[Read More] Understanding Fetal Oxygen Levels: Concerns After a Prolonged Labor
Timing and Safety of Pneumococcal and Japanese Encephalitis Vaccines for Kids
How long should one wait to administer the pneumococcal vaccine (Prevnar) after receiving the Japanese encephalitis vaccine? Hello Dr. Hsiao, 1. How long should I wait between administering the pneumococcal vaccine (Prevnar) and the Japanese encephalitis vaccine? My child (2 yea...
Dr. Xiao Kaiwen Reply:
1. Recently, according to the latest regulations from the Advisory Committee on Immunization Practices of the Ministry of Health in Taiwan, the Japanese encephalitis vaccine must be administered at least one month apart from the DTaP-Hib-IPV-HepB (pentavalent) vaccine. However, i...[Read More] Timing and Safety of Pneumococcal and Japanese Encephalitis Vaccines for Kids
When to Seek Hospital Care for Your Child's Illness: A Guide
Under what circumstances is it necessary to seek treatment at a major hospital? Hello, doctor. My child is almost 4 years old. On the night of February 7th, he had a fever of 38.5 degrees Celsius, and the doctor at the clinic said it was hand, foot, and mouth disease with ulcers ...
Dr. Xie Degui Reply:
Hello: Enterovirus can cause fever lasting 3 to 4 days. If there is no dehydration, the fever will resolve on its own. Generally, administering antipyretics during a fever does not have therapeutic effects, but it can reduce discomfort in children caused by fever. Therefore, it i...[Read More] When to Seek Hospital Care for Your Child's Illness: A Guide
Understanding Hypercalciuria in Children: Causes, Diagnosis, and Treatment
Hypercalciuria Hello Dr. Pei: I have two questions to ask you... (1) My eldest child is currently over four years old, and my second child is over one year old. I previously asked you about whether these two children have been tested for kidney stones (caused by melamine). When t...
Dr. Pei Rensheng Reply:
Dear Xiaofen, (1) The diagnostic criteria for hypercalciuria are a 24-hour urinary calcium excretion exceeding 4 mg/kg/day. However, collecting 24-hour urine can be challenging, so most physicians use a spot urine calcium-to-creatinine ratio (Ca/Cre) as a substitute. If the rati...[Read More] Understanding Hypercalciuria in Children: Causes, Diagnosis, and Treatment
Can Infant Formula for 0-12 Months Be Given to Older Children?
Can infant formula for babies aged 0-12 months be given to children over 2 years old or even those in elementary school? Hello, Doctor: I apologize for bothering you, but I would like to ask for your advice. I am personally serving at a children's home, and we have received ...
Dr. Xiao Kaiwen Reply:
The principle of infant formula is that older children can drink formula intended for younger infants, but younger infants should not drink formula meant for older children. Therefore, children over the age of 2, including elementary school students, can consume infant formula de...[Read More] Can Infant Formula for 0-12 Months Be Given to Older Children?
Understanding Scalp Scratching and Rashes in Infants: A Pediatric Guide
Frequently scratching the head? Hello Doctor: Our little boy is currently nine months old and often has small rashes on his neck. Each time it flares up, it becomes a large red area, and some people even mistake it for a birthmark. He also frequently pulls his hair. I heard that ...
Dr. Hong Shuokun Reply:
Hello Meimei: If a child over six months old has thick red patches in specific areas such as the neck, behind the ears, on the cheeks, at the elbow joints, or knee joints, and these patches are itchy, it is more indicative of atopic dermatitis. Allergy testing is only helpful in ...[Read More] Understanding Scalp Scratching and Rashes in Infants: A Pediatric Guide
Concerns About Developmental Delays in Infants: What Parents Should Know
Is there a problem with developmental delay? Hello Doctor: My baby was born on December 12, 1996, and is now 10 months old. I am a bit concerned that she may be experiencing developmental delays. At 7 months, she started teething (which gave me some relief). At 8 months, she lear...
Dr. Xiao Kaiwen Reply:
The development of gross motor skills typically includes rolling over at 6 months, bringing objects to the mouth, sitting steadily by 7 to 8 months, and crawling by 8 to 9 months (some may skip crawling and go directly to standing). Your child seems to be slightly delayed (but no...[Read More] Concerns About Developmental Delays in Infants: What Parents Should Know
Understanding Nasolacrimal Duct Obstruction in Infants: Causes and Treatments
Nasolacrimal duct obstruction Hello Dr. Pei: I would like to ask you two questions.... (1) My child is currently over eight months old. At birth, there was always an excessive amount of discharge from the right eye, and the doctor said it was due to a blocked nasolacrimal duct. H...
Dr. Pei Rensheng Reply:
Dear Xiaofen, (1) Generally speaking, nasolacrimal duct obstruction can be classified into congenital and acquired types. Acquired obstruction typically occurs in adults, often with an unknown cause, and is most common in the elderly or postmenopausal women. There is speculation...[Read More] Understanding Nasolacrimal Duct Obstruction in Infants: Causes and Treatments
Understanding Pediatric Heart Catheterization for Small Ventricular Defects
Cardiac catheterization? My child is currently 7 years old and has a small ventricular septal defect (VSD) measuring approximately 0.5 cm. We have been following up at Kaohsiung Veterans General Hospital. During the recent visit, the doctor mentioned that at this age, the defect ...
Dr. Zhang Yingwen Reply:
For small ventricular septal defects, most patients will spontaneously close before the age of one or two. Those that do close on their own typically do so before the age of four. In contrast, moderate to severe defects are less likely to close spontaneously. A defect measuring 0...[Read More] Understanding Pediatric Heart Catheterization for Small Ventricular Defects
Emergency Procedures for Infant Choking: CPR and Beyond
Emergency Procedures for Infant Choking When a newborn baby is five days old and experiences cyanosis and aspiration pneumonia due to choking, in addition to performing infant CPR, can defibrillation, tracheostomy, or ECMO be administered simultaneously? What is the recommended d...
Dr. He Shenglong Reply:
Hello: A newborn, five days old, experienced cyanosis and aspiration pneumonia due to milk aspiration. Basic cardiopulmonary resuscitation (CPR) was initiated, and in addition to providing oxygen, the first step was to clear the milk from the throat and nasal passages to maintain...[Read More] Emergency Procedures for Infant Choking: CPR and Beyond
Understanding Pediatric Bloating: Causes, Prevention, and Speech Concerns
Bloating Hello, doctor: (1) My son has been experiencing bloating for more than a week, and applying anti-bloating cream hasn't helped much. Could this indicate indigestion if it continues like this? How can we prevent it in the future? (2) My child is currently 2 years and ...
Dr. Pei Rensheng Reply:
Dear Xiao Min, Hello! (1) The condition of abdominal bloating is particularly noticeable in children after they eat, primarily due to the thinner abdominal wall muscles. Generally, this improves after the age of 5. However, one should be cautious of the following conditions: -...[Read More] Understanding Pediatric Bloating: Causes, Prevention, and Speech Concerns
How to Prevent Newborn Cold Transmission from Mother?
Common Cold in Newborns? Dear Doctor: I am about to give birth, but I have a slight cold. I am very worried about transmitting the cold to my baby after birth. How can I prevent my baby from getting infected with a cold? Is it serious if the baby catches a cold? A concerned mothe...
Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! The vast majority of colds do not have significant effects on the health of mothers and their fetuses. Common cold viruses may slightly increase the risk of miscarriage, but they do not raise the rate of fetal abnormalities, especially in early pregnancy. Re...[Read More] How to Prevent Newborn Cold Transmission from Mother?
Safe Medication Practices for Infants: Key Considerations for Parents
Medications for infants Hello, doctor: My daughter is currently 10 months old and has been coughing frequently since she was 6 months old, averaging a visit to the hospital every 1 to 1.5 months. The doctor prescribes cold syrup, allergy medication, and bronchodilator syrup, each...
Dr. Pei Rensheng Reply:
Dear Annma, Hello! 1. The safe dosage range for cold medications is relatively wide, often allowing for doses that are 1.5 to 2 times higher to still be considered safe. 2. However, taking an overdose may lead to some side effects; for example, antihistamines can cause drowsi...[Read More] Safe Medication Practices for Infants: Key Considerations for Parents
Understanding High Fever and Heart Rate in Children with VSD
High fever with tachycardia? Your daughter's fever of 38.4 degrees Celsius and heart rate of 136 beats per minute, while concerning, may not necessarily be related to her ventricular septal defect (VSD), especially since she is not experiencing significant distress. VSDs can...
Dr. Hong Shuokun Reply:
Dear David, Your daughter had a high fever accompanied by tachycardia. Tachycardia (rapid heart rate) is likely a physiological response to the fever itself, so there is no need to worry! However, the important issue is the underlying cause of the fever. It could be due to a com...[Read More] Understanding High Fever and Heart Rate in Children with VSD
Growth Hormone Treatment for Short Stature: Is It Worth the Risks?
Administering growth hormone Hello Dr. Wang, My daughter is currently ten years and nine months old. She started her menstrual cycle this month, and her height is 148 cm, with a bone age of thirteen years. My height is 162 cm, and my husband's height is 172 cm. The doctor p...
Dr. Wang Jiayi Reply:
Dear Concerned Mother, The desire for children to succeed is a sentiment shared by all parents. For those with shorter children, concerns about their child's growth may arise. Height is a subjective measure influenced by psychological factors, making it difficult to establi...[Read More] Growth Hormone Treatment for Short Stature: Is It Worth the Risks?
Understanding Pharyngitis in Children: Symptoms and Concerns
Pharyngitis Hello Doctor: My child developed a fever on the evening of August 6th. After an examination by a pediatrician, it was determined that he has pharyngitis, possibly due to an enterovirus infection. As of yesterday (August 7th), his ear temperature has been consistently ...
Dr. Xiao Kaiwen Reply:
The average duration of fever due to enterovirus infection is about three days. There are two key points to pay attention to: 1. Signs of dehydration: Encourage a cool diet; if there is poor fluid intake, excessive drooling, decreased urine output, and reduced activity level, deh...[Read More] Understanding Pharyngitis in Children: Symptoms and Concerns
Understanding Sleep Challenges in Infants: Insights for Concerned Parents
Children who cannot sleep for long periods? Dear Dr. Wang, Hello. My baby has just turned seven months old. Normally, infants are expected to have long sleep durations, but since birth, my baby has always struggled to sleep for extended periods. During the day, he often wakes up...
Dr. Wang Jiayi Reply:
I apologize for the delay in responding to your question due to personal matters. To assess a child's physical and mental growth and health, it is essential to first check if their height, weight, and head circumference are within normal ranges. A basic physical examination,...[Read More] Understanding Sleep Challenges in Infants: Insights for Concerned Parents
Managing Infant Constipation: Tips for Parents of Post-Surgery Babies
Infant constipation Hello Doctor, I am a father of a nine-month-old girl. My daughter underwent surgery for a ventricular septal defect on the 15th of last month. Everything was normal after the surgery, but after returning home for recovery, she started having difficulties with ...
Dr. Xiao Kaiwen Reply:
Dear Dad Zhou: 1. For infants, it is sufficient to change their diapers more than six times a day. Juice and breast milk also provide hydration, but juice contains higher sugar content and should be given in moderation, not as a complete substitute for water. 2. Fruit purees th...[Read More] Managing Infant Constipation: Tips for Parents of Post-Surgery Babies
Pediatric Medication Safety and Newborn Screening: What Parents Should Know
Medication consultation & neonatal ultrasound examination, hearing screening? Hello Doctor: My son is currently three months old (born on January 31). Last week, he had a severe cold with nasal congestion, so we took him to a nearby pediatric clinic for treatment. The doctor ...
Dr. Pei Rensheng Reply:
Hello! For a three-month-old baby weighing 6 kilograms, based on the principle of 40 kilograms per dose, the dosage should be approximately 1/6 to 1/7. Therefore, the dosages for Gascon (for gas relief) and Periactin (for appetite stimulation and treating runny nose) are appropri...[Read More] Pediatric Medication Safety and Newborn Screening: What Parents Should Know
Understanding Aortic Branch Vascular Loop Malformation in Children: Symptoms and Concerns
Inadequate curvature of the aortic branch vessels, dizziness? What is the vascular ring anomaly of the aortic branches? How is it related to heart murmurs? What impact does it have on the body? My child is currently in second grade and has been expressing that after running or ch...
Dr. Wang Jiayi Reply:
Hello, Ms. Lu: The issue you inquired about, "incomplete vascular ring due to aortic branch anomalies," must be explained by a pediatric cardiologist using echocardiography and diagrams. General pediatricians may only provide very limited assistance based on your descri...[Read More] Understanding Aortic Branch Vascular Loop Malformation in Children: Symptoms and Concerns