Understanding Early Puberty in Boys: Concerns and Next Steps
Development in Fifth Graders Hello, Doctor: My son, who is in fifth grade, seems to have started developing. He has a slight Adam's apple, his voice is a bit hoarse and deep, and he has even started to grow some fine pubic hair. Is it too early for a fifth-grade boy to be de...
Dr. Xie Degui Reply:
Precocious puberty is defined as the onset of secondary sexual characteristics in boys before the age of nine. With improved nutrition compared to the past, many individuals are experiencing the development of secondary sexual traits at an earlier age. It is important to pay atte...[Read More] Understanding Early Puberty in Boys: Concerns and Next Steps
Post-Fever Care for Toddlers: Nutrition and Health Tips
Antipyretics. Complementary foods? Dear Dr. Hsiao, Thank you for your response on December 4th. My baby has been observed for another four days, and he has been normal without any fever, only experiencing slight coughing. I would like to ask: 1. If it is a viral infection and e...
Dr. Xiao Kaiwen Reply:
1. The fever has subsided, appetite is normal, and there are no other specific symptoms; generally, the patient should be considered recovered and can be monitored at home. 2. Performing disinfection can help reduce the invasion of bacteria and viruses, thereby protecting healt...[Read More] Post-Fever Care for Toddlers: Nutrition and Health Tips
Vaccination and Gastrointestinal Issues in Infants: Common Concerns
Vaccination and gastrointestinal issues? Doctor, is the health center always available to administer vaccinations for babies? Also, why does my baby sometimes have clear liquid leaking from the mouth, mixed with some milk residue, even though they haven't had any water? Coul...
Dr. Xiao Kaiwen Reply:
1. The vaccination schedule at health clinics varies for different vaccines; please consult by phone first. 2. Infants have a small gastric capacity, and the junction between the esophagus and stomach is not yet fully developed, which can lead to some degree of milk regurgitation...[Read More] Vaccination and Gastrointestinal Issues in Infants: Common Concerns
Addressing Baby Weight Concerns: Pediatrician's Guidance on Nutrition
Baby Weight Issues - Follow-up Questions Doctor, I have some questions regarding your recommendations that I don't quite understand. 1. Should I consider supplementing for anemia and micronutrient deficiencies? Does your suggestion mean that besides low-dose vitamins and d...
Dr. Xie Degui Reply:
4. It is recommended to conduct tests (which may include blood tests) to determine if there is an iron deficiency. 6. If growth is inadequate, it is advised to monitor monthly, and developmental status will be assessed during preventive vaccinations.[Read More] Addressing Baby Weight Concerns: Pediatrician's Guidance on Nutrition
Nutrition and Growth Concerns for Toddlers: A Parent's Guide
Nutrition and Growth Hello, doctor. My son is two and a half years old. Previously, he would vomit everything, but now that he is in daycare, his appetite has improved, and he no longer vomits. However, he mostly eats white rice and meat, and he doesn't eat much vegetables. ...
Dr. Xiao Kaiwen Reply:
At two and a half years old, a height of nearly 90 cm is acceptable (25-50 percentile), but a weight of 10 kg is considered too low (<3 percentile). If other developmental milestones (such as walking, running, climbing stairs, speaking, and social behaviors) are normal, this i...[Read More] Nutrition and Growth Concerns for Toddlers: A Parent's Guide
Concerns About Growth and Nutrition in Pediatric Sleep Issues
Nutrition and Growth (2/2) In the evening, it takes him about two hours to fall asleep, often around 11 or 12 o'clock. I have heard that growth hormone is secreted around 10 PM, which worries me about his growth and nutrition. Given his situation, should I provide him with a...
Dr. Xiao Kaiwen Reply:
At two and a half years old, a height of nearly 90 cm is acceptable (25-50 percentile), but a weight of 10 kg is considered too low (<3 percentile). If other developmental milestones (walking, running, climbing stairs, speaking, and social behavior) are normal, this is mostly ...[Read More] Concerns About Growth and Nutrition in Pediatric Sleep Issues
Addressing Weight Concerns in Infants: Tips for Parents
Baby weight issues? Hello, doctor. My baby boy was born at 36 weeks and weighs 1500g. His corrected age is one year, with a height of 68 cm and a weight of 7 kg. He drinks milk every 3 hours, and previously he drank a maximum of 120 cc. After he caught a cold at 10 months old and...
Dr. Xie Degui Reply:
1. According to the description, the baby's development is not delayed, but growth is insufficient and height is below normal, indicating a lack of nutrition for some time. 2. Besides being premature and having a low birth weight (SGA), the baby may also have intestinal sen...[Read More] Addressing Weight Concerns in Infants: Tips for Parents
Should You Give High Protein Powder to Your Picky Toddler?
High-protein powder My son is 2 years and 4 months old, and his height has not yet reached 90 cm. He tends to be picky with food and will spit out what he doesn't like, and he easily gets nervous, leading to poor gastrointestinal absorption. Someone suggested that we give hi...
Dr. He Shenglong Reply:
Hello; for a 2-year and 4-month-old boy with a height of 90 cm, he is exactly at the 50th percentile, which is not necessarily bad. Height is significantly influenced by genetic factors. If a child's height is below the 3rd percentile, or if there is a drop in height percent...[Read More] Should You Give High Protein Powder to Your Picky Toddler?
Is Excessive Drooling in Toddlers Normal? When to Seek Medical Advice
Drooling issues in infants? Hello, I apologize for asking, but my child is already over two years old and still drooling continuously. Is this normal? Should we get it checked?
Dr. Xiao Kaiwen Reply:
Most children develop the coordination needed for swallowing completely by the age of two, which is why most toddlers stop drooling after this age. However, this is just an average age, and in our clinic, we occasionally encounter children over two who still drool. As long as the...[Read More] Is Excessive Drooling in Toddlers Normal? When to Seek Medical Advice
Concerns About Underweight Children: When to Seek Medical Advice
The child is underweight? Hello Doctor: My son is currently 9 years old, with a height of 119 cm and a weight of 19 kg. No matter how much he eats, he doesn't gain weight and is too thin, which is very concerning. I'm unsure if I need to take him to the hospital for an ...
Dr. Xiao Kaiwen Reply:
A 9-year-old boy with a height of 119 cm and a weight of 19 kg is indeed below the growth curve. There can be various reasons for this (such as malnutrition, picky eating, genetic factors, or endocrine issues). It is recommended to consult a pediatrician specializing in genetics,...[Read More] Concerns About Underweight Children: When to Seek Medical Advice
Understanding Growth Plate Closure: Pediatric Concerns and Solutions
Regarding the closure of growth plates! I'm not sure if I'm asking the right person! If not, please let me know which doctor I should consult! When I was in the third year of junior high school, I went to Chang Gung Memorial Hospital for an X-ray to check my growth plat...
Dr. He Shenglong Reply:
Hello: I can offer you some suggestions regarding your concerns. Height is not something that individuals can control, nor is it a necessary condition for success; please do not be too upset. According to the height and weight standards for military service, a height of 160 cm st...[Read More] Understanding Growth Plate Closure: Pediatric Concerns and Solutions
Concerns About Uneven Testicles in Toddlers: What Parents Should Know
One testicle is larger than the other? Hello Doctor, when I was checking my child's diaper to see if it needed to be changed (he was about 10 months old at the time), I accidentally pressed on his testicle three times while adjusting the reusable cloth diaper, which was quit...
Dr. Xiao Kaiwen Reply:
It is actually uncommon for men to have two testicles that are identical in shape, size, and height. Therefore, it is quite common for one testicle to be higher or lower, or for them to differ in shape or size. Having one testicle larger than the other does not affect future fert...[Read More] Concerns About Uneven Testicles in Toddlers: What Parents Should Know
Is My 6-Month-Old Daughter's Development Normal? Pediatric Insights
Not yet able to crawl or sit? Hello, doctor: I would like to ask you about my daughter, who is currently over 6 months old, weighs 7.5 kg, and is 65 cm tall. Is this within the normal range? (The pediatricians haven't told me if it's considered normal.) She is not sitti...
Dr. He Shenglong Reply:
Hello: The increase in weight and height indicates growth. According to the growth chart, your daughter's weight is between the 50th and 75th percentiles, while her height is at the 50th percentile, which is currently within the normal range. For different age groups, if the...[Read More] Is My 6-Month-Old Daughter's Development Normal? Pediatric Insights
Managing Cold Symptoms and Digestive Issues in Infants
Cold and bowel issues? Hello, Doctor He: 1. I would like to ask about my daughter, who is currently two and a half months old, weighing 4,700 grams and measuring 55 centimeters. She was born weighing 2,500 grams and measuring 47 centimeters. Currently, she is consuming 140 cc of...
Dr. Xiao Kaiwen Reply:
1. At two and a half months, the weight is 4700 grams (10-25 percentile), height is 55 cm (25 percentile), and the weight has increased by 2200 grams since birth. This growth is considered normal (typically, infants gain about 1 kg per month in the first few months). It is also n...[Read More] Managing Cold Symptoms and Digestive Issues in Infants
Can Growth Hormone Treatment Affect Height in Teenagers?
Growth hormone Hello Dr. Hsiao, I would like to ask about my niece who, at around 11 or 12 years old, received hormone suppression treatment for rapid growth for about a year. Now she is 15 years old and 150 cm tall. Do you think she still has a chance to grow taller? Thank you.
Dr. Xiao Kaiwen Reply:
To determine if a person will continue to grow taller, an X-ray or scan can be performed to assess the status of the growth plates. If the growth plates have fused (usually around the age of 18, though this can vary for some individuals), then further growth in height will not oc...[Read More] Can Growth Hormone Treatment Affect Height in Teenagers?
Is Breast Development Normal in a 2-Year-Old Girl?
Is it normal for a 2-year-old girl to have breast development? Hello Doctor, my daughter is currently 2 years and 4 months old, weighing 16 kg and measuring 95 cm. She is smart, beautiful, cheerful, and healthy, receiving praise from everyone and often mistaken for a 3-4 year old...
Dr. Wang Jiayi Reply:
Hello, Mrs. Hsi: Your daughter is in the 97th percentile for weight and the 95th percentile for height, indicating that she is on the larger side. It is possible that she has a higher amount of body fat, so the prominence of her breasts is likely normal. If you still have concern...[Read More] Is Breast Development Normal in a 2-Year-Old Girl?
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?
Addressing Pediatric Digestive Issues: Tips for Improving Baby's Appetite
Bowel issues Hello Doctor: My baby just turned 8 months old, weighing 7 kg and measuring 69 cm. At six months, we switched to Jin Ke Bei Ke formula, giving 150 cc four times a day along with complementary foods, and bowel movements were normal. However, after turning seven months...
Dr. Pei Rensheng Reply:
Hello: It is reasonable for bowel movements to occur three times a day to once every three days, so there is no need to worry too much. At 8 months old and weighing 7 kg, it is indeed a bit slow in growth, especially since there has been no weight gain in the past month. Lactose-...[Read More] Addressing Pediatric Digestive Issues: Tips for Improving Baby's Appetite
Is My Toddler Underweight? Growth Assessment for a 15-Month-Old
Underweight child Hello Doctor: My son is currently one year and three months old, with a height of 72.5 cm and a weight of 8.1 kg. Is he too small for his age? Should we consider a growth and development assessment? Thank you.
Dr. Wang Jiayi Reply:
Hello, Xiao Lin: Your son's height and weight are both below the 3rd percentile, which is outside the normal range. May I ask if he was a premature infant? What were his conditions before and at birth? Are there any other health abnormalities? What is his head circumference?...[Read More] Is My Toddler Underweight? Growth Assessment for a 15-Month-Old
Understanding Growth Delays in Children: A Pediatric Perspective
Growth issues in children? Hello Dr. Wang, My daughter was born weighing 3850 grams (75th percentile), measuring 53 cm in length (75th percentile), and with a head circumference of 36.5 cm (90th percentile). She started experiencing chronic constipation around one month old, whi...
Dr. Wang Jiayi Reply:
Dear Concerned Mother, Please do not worry too much! If your child's teeth are developing normally, there is no need for excessive concern. Currently, your child's weight is in the 10th percentile and height is between the 10th and 25th percentiles, which falls within ...[Read More] Understanding Growth Delays in Children: A Pediatric Perspective