Understanding Newborn Jaundice: Blood Tests and Hospitalization Needs
Neonatal jaundice Hello Doctor: Regarding a bilirubin level of 15.2 mg/dL, what blood tests need to be performed? Is it necessary to admit the newborn to a moderate to severe neonatal care unit? Is it excessive to draw 50 cc of blood for testing? Thank you.
Dr. Cai Zhengxian Reply:
Dear Father with a Heavy Heart: When a newborn's bilirubin level exceeds 15 mg/dL, it is medically diagnosed as neonatal hyperbilirubinemia. There are many potential causes for this condition. For instance, if jaundice appears on the first day of life, one should consider ne...[Read More] Understanding Newborn Jaundice: Blood Tests and Hospitalization Needs
Understanding Baby's Digestive Issues: From Colic to Possible Congenital Conditions
What is happening with the baby? The baby is now almost five months old and has been suffering from chronic abdominal bloating and pain since birth. We have taken her to many clinics for consultations. The previous doctor diagnosed her with "colic" and recommended switc...
Dr. Zhang Peixin Reply:
Hello: It seems that your mother's condition is quite complex. Please consult a pediatric gastroenterologist nearby, but first, please pay attention to the following: 1. Congenital heart defect; please monitor for any signs of heart failure. 2. Total daily stool output. 3. W...[Read More] Understanding Baby's Digestive Issues: From Colic to Possible Congenital Conditions
Guidelines for Infant Head Shape and Sleep Positions: Expert Advice
Has Dr. Pei-Hsin Chang received this letter? Hello Dr. Chang, I would like to ask you about my one-month-old baby. Is it okay to trim the fine hair at such a young age? His head shape is slightly uneven; how can I correct it? I'm unsure if the commercially available baby p...
Dr. Zhang Peixin Reply:
Hello: 1. There should be no specific time restrictions for hair grooming. 2. For an irregular head shape, adjustments may need to be made based on individual circumstances; please consult a nearby physician for a decision. 3. Under normal circumstances, there should not be exces...[Read More] Guidelines for Infant Head Shape and Sleep Positions: Expert Advice
Understanding My 2-Month-Old Daughter's Health Issues: Gas and Heart Condition
What is wrong with my 2-month-old daughter? How can I help her? My daughter is currently 2 months old and has a congenital heart defect (a small atrial septal defect). Recently, after a mild cold, she has been crying frequently due to gastrointestinal discomfort from gas. She is ...
Dr. Gu Qingxian Reply:
Hello! The child has chronic abdominal distension, and drinking hydrolyzed protein formula seems to improve the condition. This suggests the possibility of lactose intolerance, digestive dysfunction, or milk protein allergy. Therefore, it is recommended to continue with the hydro...[Read More] Understanding My 2-Month-Old Daughter's Health Issues: Gas and Heart Condition
Understanding Pediatric Breathing Issues: Nocturnal Sounds and Exercise-Induced Symptoms
Pediatric respiratory issues A child experiences loud breathing sounds during sleep and occasionally has episodes of breathing cessation. During the day, when engaging in physical activity, the child also experiences significant shortness of breath and occasional mild chest pain....
Dr. Gu Qingxian Reply:
Hello, the symptoms you described may be related to lung disease or heart disease. Please come to our hospital for examination and treatment. Thank you![Read More] Understanding Pediatric Breathing Issues: Nocturnal Sounds and Exercise-Induced Symptoms
Understanding Pediatric Heart Pain: When to Seek Further Evaluation
Chest pain In 1990, a diagnosis of mitral valve prolapse was made, with occasional episodes of tachycardia and chest pain. Regular follow-up examinations each year showed no deterioration. However, this year, there have been several episodes of increased shortness of breath, whic...
Dr. Zhang Peixin Reply:
Hello: For heart issues, it is advisable to consult a cardiologist. The diagnosis you mentioned (left shoulder valve prolapse) may be incorrect; it should be mitral valve prolapse. I recommend seeing a cardiologist to confirm the diagnosis. Sincerely, Dr. Zhang Pei-Hsin, Pediatri...[Read More] Understanding Pediatric Heart Pain: When to Seek Further Evaluation
Understanding Hoarse Cry in Newborns: Causes and Solutions
The newborn's cry is hoarse? Hello, Doctor. I would like to ask about my baby, who was born about a week ago (full term, weighing 2700 grams). I noticed that his crying was quite normal in the hospital, and he cried loudly at birth. However, since returning home for the post...
Dr. Zhao Yongkang Reply:
Dear Ms. A-Wen's Mother, Hello! It seems that the issue of hoarseness has been troubling you for quite some time. If you notice that your baby has persistent hoarseness that is becoming more pronounced, and if there are any breathing difficulties, I recommend that you take ...[Read More] Understanding Hoarse Cry in Newborns: Causes and Solutions
Feeding Concerns for Your 3-Month-Old: Tips for Nutrition and Comfort
Could you please clarify your question for Dr. Tsai? My baby is over three months old. I am feeding my baby a mixture of Enfamil formula, Karotani goat milk powder, and a small amount of Karotani vegetable and fruit rice cereal. The mixing ratio is correct. Is this combination ha...
Dr. Cai Zhengxian Reply:
Dear Mama Bear, I apologize for the delay in my response. Goat milk formula generally contains added calcium, phosphorus, zinc, iron, folic acid, probiotics, and fructooligosaccharides, making it a good nutritional supplement for infants and children. However, for infants under ...[Read More] Feeding Concerns for Your 3-Month-Old: Tips for Nutrition and Comfort
When to Screen Infants for Genetic Heart Conditions in Families?
Genetic disorders If there are hereditary diseases in the family, such as cardiovascular diseases or congenital disorders, at what age should further detailed examinations be conducted for infants and young children? Additionally, where should these relevant tests be performed?
Dr. Gu Qingxian Reply:
Congenital heart disease is a multifactorial genetic condition, meaning it results from chromosomal abnormalities combined with environmental factors. During routine newborn examinations or health check schedules listed in pediatric health manuals, a pediatrician can perform a ca...[Read More] When to Screen Infants for Genetic Heart Conditions in Families?
Understanding Kawasaki Disease: Symptoms, Risks, and Long-term Effects in Children
Kawasaki disease Hello Director Zhao, my nephew was hospitalized for a fever from 1990 to 2001 and was diagnosed with Kawasaki disease. I would like to know if this condition can cause serious long-term complications for the child, as well as what symptoms or damage it may cause....
Dr. Zhao Yongkang Reply:
Hello, Kawasaki disease is a condition characterized by systemic vasculitis. If the coronary arteries of the heart become inflamed and dilated, there may be no lasting effects. However, if the inflammation and dilation of the cardiac vessels do not resolve, it often leads to my...[Read More] Understanding Kawasaki Disease: Symptoms, Risks, and Long-term Effects in Children
Understanding Childhood Asthma: Causes, Types, and Care Tips
Asthma 1. Why do children develop asthma? 2. What are the different types of asthma? 3. How can I care for them?
Dr. Zhang Jinglong Reply:
Dear Parents, 1. The primary cause of allergic asthma is a combination of a hereditary predisposition to allergies and exposure to allergens. Asthma is a chronic inflammatory response of the bronchial tubes. The persistence of this inflammatory response is closely related to the...[Read More] Understanding Childhood Asthma: Causes, Types, and Care Tips
Understanding Sinus Tachycardia in Children: Causes and Concerns
What is sinus tachycardia? Recently, I had a health check-up and found that my pulse was 109 beats per minute. The electrocardiogram showed sinus tachycardia. What does sinus tachycardia mean? Thank you!
Dr. Zhang Peixin Reply:
Hello: Sinus tachycardia generally refers to a condition where the heart is healthy but the heart rate increases due to factors such as fever, medications (such as bronchodilators), dehydration, and other causes. This is respectfully submitted by Dr. Chang Pei-Hsin, Director of t...[Read More] Understanding Sinus Tachycardia in Children: Causes and Concerns
Understanding Tricuspid Regurgitation in Infants: Key Considerations
Tricuspid regurgitation Hello Dr. Chen: My son is currently two months old and has a heart murmur graded 1-2, mild tricuspid regurgitation, and an unclosed defect (I forgot the exact location). He also experiences frequent sweating. What should we pay attention to? Does he need t...
Dr. Chen Rongtai Reply:
The letter mentions that your baby currently has mild tricuspid regurgitation, which you need not worry too much about. It also mentions an unclosed defect (is it a ventricular septal defect, atrial septal defect, or patent foramen ovale?). If it is a larger ventricular septal de...[Read More] Understanding Tricuspid Regurgitation in Infants: Key Considerations
Understanding High and Low Blood Pressure in Children: A Guide for Parents
Childhood Hypertension and Hypotension Hello Doctor: My daughter is 5 years old. On the evening of January 4th, I measured her blood pressure, which was "139/119" with a heart rate of 51. Is this normal? Could you please provide the correct measurement method? Thank you...
Dr. Zhao Yongkang Reply:
Dear Mom, A. 1. Generally, for children aged 5-6 years, the average resting heart rate is approximately 75-115 beats per minute. 2. The average blood pressure typically has a diastolic pressure of around 60-75 mmHg and a systolic pressure of about 95-115 mmHg. Therefore, it seem...[Read More] Understanding High and Low Blood Pressure in Children: A Guide for Parents
Understanding Heart Murmurs in Children: What Parents Should Know
Heart murmur Hello Doctor: My daughter is six years old and has received a notification from her first-grade health check-up indicating that she has a "heart murmur." How should we proceed? Should we schedule an appointment with a pediatrician or a cardiologist? Thank y...
Dr. Chen Qianyi Reply:
Asymptomatic heart murmurs are generally classified as functional murmurs; however, some may be associated with congenital heart defects. To differentiate between these two, an echocardiogram is necessary. Your child should see a pediatric cardiologist, who is a subspecialist wit...[Read More] Understanding Heart Murmurs in Children: What Parents Should Know
Understanding Mild Pulmonary Stenosis, Mitral Regurgitation, and Patent Foramen Ovale in Children
What is pulmonary artery stenosis, mitral regurgitation, and patent foramen ovale? Hello Doctor: My child is currently one year and two months old. After an examination (echocardiogram), it was found that there is mild pulmonary artery stenosis, mild mitral regurgitation, and a p...
Dr. Chen Rongtai Reply:
Congenital heart disease can be classified into cyanotic congenital heart disease and acyanotic congenital heart disease, with pulmonary artery stenosis falling under the category of acyanotic heart disease. Depending on the location of the stenosis within the pulmonary artery an...[Read More] Understanding Mild Pulmonary Stenosis, Mitral Regurgitation, and Patent Foramen Ovale in Children
Understanding Pediatric Coma: A Parent's Guide to CPR and Life Support Decisions
CPR in Unconsciousness A 5-month-old child fell off the bed (with the legs on the bed and the upper body hanging down) and was found with a cold body, complete weakness, slightly open eyes, and dilated pupils. The doctor stated that the child had already died before arriving at t...
Dr. Shi Zhongxian Reply:
Heartbroken mother: In the situation where your child has become a vegetative state, letting go, although difficult, is the wisest course of action under the circumstances. You can request an "automatic discharge" from the hospital, and after your child's passing, ...[Read More] Understanding Pediatric Coma: A Parent's Guide to CPR and Life Support Decisions
Understanding Kawasaki Disease: Recovery, Risks, and Heart Health in Children
Fear of Kawasaki disease The child just turned one year old this year and had Kawasaki disease six months ago. He still needs to take half a dose of aspirin daily. In six months, a follow-up echocardiogram will be performed to check if the cardiovascular system has returned to no...
Dr. Shi Zhongxian Reply:
Dear Mr. Wang Yonghua: Most children with Kawasaki disease recover fully, but some may develop cardiovascular complications such as myocarditis, pericarditis, valvulitis, and inflammation, dilation, or aneurysm of the coronary arteries, with coronary artery involvement being the ...[Read More] Understanding Kawasaki Disease: Recovery, Risks, and Heart Health in Children
Understanding Kawasaki Disease: Recovery, Care, and Heart Health Concerns
Kawasaki disease Dear Doctor: My child has previously been diagnosed with Kawasaki disease and is currently taking aspirin. Will this condition heal completely? Are there any potential long-term effects? How should I care for my child? What specific precautions should I take? Wil...
Dr. Zhao Yongkang Reply:
Dear Mr. Ahua Tian, In the recovery phase of Kawasaki disease, children typically continue to take aspirin and are monitored for any cardiac issues, as a small number of children may experience coronary artery dilation. Generally, if there are no cardiac problems after 3 to 6 mo...[Read More] Understanding Kawasaki Disease: Recovery, Care, and Heart Health Concerns
Understanding Thalassemia: Risks and Symptoms for Children of Affected Parents
Mediterranean anemia, also known as thalassemia? Hello Dr. Liang, I have some questions from my colleague: 1. What is thalassemia? 2. If a couple has two sons (elementary school students), and the husband has recently been diagnosed with beta-thalassemia while the mother’s h...
Dr. Liang Hongjian Reply:
Mediterranean anemia, also known as thalassemia, is a recessive hereditary hemolytic disorder caused by genetic mutations affecting RNA. Due to these genetic changes, it presents in various forms, such as alpha-thalassemia and beta-thalassemia. Routine blood tests can typically d...[Read More] Understanding Thalassemia: Risks and Symptoms for Children of Affected Parents