Understanding Delayed Puberty: Concerns and Insights for Young Adults
Pubertal Growth and Development Hello Doctor, 1. I am currently 23 years old, born in the Year of the Pig. I have some concerns regarding my growth and development during puberty. My height is approximately 168 cm and my weight is 70 kg. To describe myself from head to toe: I h...
Dr. Lin Wenxian Reply:
Dr. Lin Wen-Hsien, the Chief of Pediatrics at Tainan Hospital under the Department of Health, Executive Yuan, responded to your inquiry: You mentioned several concerns, one regarding secondary sexual characteristics, including facial hair, Adam's apple, voice changes, armp...[Read More] Understanding Delayed Puberty: Concerns and Insights for Young Adults
Can Thinking About Height Issues Affect Growth in Children?
excuse me? Is it possible to be affected by constantly thinking about or touching words like "not growing tall" or "short person"? Can this lead to not growing taller?
Dr. Lin Wenxian Reply:
Dr. Lin Wen-hsien, the Director of Pediatrics at Tainan Hospital under the Department of Health, Executive Yuan, responded to DEAR BOY: "No, it is not contagious. Short stature is not infectious; it is often due to issues related to nutrition or metabolic problems. If there ...[Read More] Can Thinking About Height Issues Affect Growth in Children?
Understanding Sleep Issues and Head Development in 9-Month-Old Babies
A nine-month-old baby is having trouble sleeping well at night and has issues with head development? Hello Doctor: My baby is now nine months and ten days old, weighing 9.9 kg and measuring 76 cm in height, with a head circumference of 43.8 cm. Usually, he only takes a half-hour ...
Dr. Cai Zhengxian Reply:
Dear Ms. Liu, From your description, I noticed that your child's height and weight are in the 75th to 90th percentile, but the head circumference is only in the 10th to 25th percentile. This is an unusual phenomenon. Additionally, since your baby seems to be crying and rest...[Read More] Understanding Sleep Issues and Head Development in 9-Month-Old Babies
Understanding Early Menstruation in Young Girls: Treatment Options and Concerns
Menarche Hello, doctor: My daughter just turned 10 years old in November and is currently in the fourth grade. We discovered that she started menstruating, and after an examination, her bone age was determined to be 12 years old. The ultrasound results were normal, confirming tha...
Dr. Lin Wenxian Reply:
Dr. Lin Wen-Hsien, the Director of Pediatrics at Tainan Hospital under the Department of Health, Executive Yuan, responded to a concerned mother regarding her 10-year-old daughter who has started menstruating and has a bone age of 12 years. This issue can be addressed from two pe...[Read More] Understanding Early Menstruation in Young Girls: Treatment Options and Concerns
Feeding Guidelines for Babies: Addressing Solid Food Concerns
Baby complementary food issues 2 Dr. Chen, regarding the question I asked you last time, I apologize for asking again. When feeding my baby vegetable puree, fruit puree, and rice porridge as complementary foods, should I only feed them in the amounts you mentioned? My baby is now...
Dr. Chen Rongtai Reply:
The letter mentions concerns regarding complementary foods. In terms of feeding quantity, if the child's height and weight are developing appropriately, and bowel movements are normal without any signs of digestive issues or gastrointestinal discomfort, there is no need to s...[Read More] Feeding Guidelines for Babies: Addressing Solid Food Concerns
Understanding Puberty: Key Changes and What to Expect in Adolescence
Puberty Puberty is the developmental stage during which a child's body matures into an adult body capable of sexual reproduction. This process involves a series of physical, hormonal, and emotional changes, typically occurring between the ages of 9 and
Dr. Lin Huizhen Reply:
Dr. Lin Huizhen from the Tainan Hospital of the Department of Health, Executive Yuan, responds to Lanlong: For girls, this means transitioning into a true female. This process typically begins between the ages of 10 and 14, when the reproductive organs (ovaries) start to mature u...[Read More] Understanding Puberty: Key Changes and What to Expect in Adolescence
Vaccination Schedule and Nutritional Concerns for Young Children
Vaccination 1. The child is currently one year and nine months old (male). He received the first dose of the influenza vaccine on October 6. However, he still needs to receive the diphtheria, pertussis, and tetanus (DPT) combination vaccine, the oral polio vaccine, and the varice...
Dr. Lin Wenxian Reply:
Director Lin Wen-Hsien of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare, responds to Carol: Dear Parent, I would like to address your questions in order: A. Regarding the sequence of influenza vaccination and other vaccines: they can be administe...[Read More] Vaccination Schedule and Nutritional Concerns for Young Children
Understanding Growth Hormone Therapy for Height Increase in Adults
Regarding growth hormone therapy? Hello, I saw a news article online stating that Mr. Hsu Shan-Ching at Taichung Veterans General Hospital helped a 25-year-old man, Mr. Hu, grow 22 centimeters taller over two years using growth hormone injections. I would like to ask if there are...
Dr. Hong Shaohui Reply:
Dear LeChateau, Hello! Regarding height and the use of growth hormone, it is indeed necessary to conduct bone age assessments and some related examinations before determining the treatment direction. You are welcome to come to our hospital for further consultation. Please make a...[Read More] Understanding Growth Hormone Therapy for Height Increase in Adults
Impact of Multivitamins on Asthma and Allergies in Infants: What Parents Should Know
Infants who take vitamins at six months of age have a 10% higher rate of developing asthma? My baby was born at 32 weeks and 3 days, weighing 1990 grams, making him a preterm infant. The hospital prescribed a multivitamin and iron supplement for him, but news reports suggest that...
Dr. Zhang Peixin Reply:
Hello: 1. Iron supplements and vitamins may be considered for discontinuation after correcting deficiencies in children over six months of age. 2. As long as milk is consumed in adequate amounts, it provides sufficient nutrition and vitamin content. 3. Allergic reactions can be o...[Read More] Impact of Multivitamins on Asthma and Allergies in Infants: What Parents Should Know
How to Encourage Healthy Eating Habits in Picky Toddlers
The child does not allow me to feed them? Hello Dr. Chang, my sister is currently one year and one month old. At one year old, her height was 76 cm and her weight was 9.1 kg. Recently, it seems she has lost some weight. She was previously cared for by our grandparents, but we hav...
Dr. Zhang Peixin Reply:
Hello: Please consult a physician nearby to rule out any diseases such as throat inflammation that may affect eating habits. If it is confirmed that there is no illness, then it may be an issue related to growth and development. You can seek advice from an experienced nutritionis...[Read More] How to Encourage Healthy Eating Habits in Picky Toddlers
Understanding Lack of Sweating in Children: Causes and Concerns
Anhidrosis My son is in the first year of junior high school, with a height of 145.5 cm and a weight of 32 kg. He has mild asthma and nasal allergies. This year, I've noticed that he doesn't sweat much and doesn't seem to be sensitive to heat. When the whole family...
Dr. Liang Hongjian Reply:
Hello: Body shape is largely determined by genetics, and sweating varies from person to person. As long as the sweat glands are functioning normally and hydration is adequate, sweating will occur naturally. It is important to consider whether water intake is sufficient, and since...[Read More] Understanding Lack of Sweating in Children: Causes and Concerns
Understanding Developmental Delays in Toddlers: Key Signs to Watch For
Developmental delay Hello Doctor: I have a three-year-old son who is active and has good language development, but he often experiences peeling of the tongue coating and has poor appetite, primarily subsisting on milk (180cc each time, four times a day). His current weight is 11....
Dr. Liang Zhaoxuan Reply:
Based on your description, it seems that your child may have geographic tongue. Children with geographic tongue often prefer not to consume hot beverages and foods, as hot items can irritate the condition. However, there is no need to worry, as geographic tongue typically does no...[Read More] Understanding Developmental Delays in Toddlers: Key Signs to Watch For
Understanding Elevated Blood Uric Acid Levels in Young Children
Blood uric acid is a waste product formed from the breakdown of purines, which are substances found in certain foods and are also produced by the body. Elevated levels of uric acid in the blood can lead to conditions such I apologize for the inquiry. Our child (female) is 2 years...
Dr. Liang Hongjian Reply:
Hello: The term "acidemia" refers to a blood pH level of less than 7.4 ± 0.05, primarily due to an excess production of acids in the blood (commonly referring to HCO3) or inadequate elimination by the lungs due to dysfunction or insufficient capacity, leading to the acc...[Read More] Understanding Elevated Blood Uric Acid Levels in Young Children
Severe Spitting Up in Infants: Understanding Gastrointestinal Issues
Severe spitting up? Hello Dr. Chang: My daughter is currently 5 months old, weighing 8 kg and measuring 69 cm in height. She started experiencing milk regurgitation at 4 months, and sometimes she vomits severely, almost 60 cc at a time. In the past week, she has been drinking onl...
Dr. Zhang Peixin Reply:
Hello! The average weight of a 5-month-old infant is about 7 kilograms, so a weight of 8 kilograms is quite good. Additionally, spitting up generally starts from birth, while your infant began at four months, which may indicate the onset of a feeding aversion. Therefore, it is re...[Read More] Severe Spitting Up in Infants: Understanding Gastrointestinal Issues
Understanding Chromosomal Deficiency in Children: Causes and Solutions
What is chromosomal deficiency? Hello! My child is in the second grade this year, with a height of only 112 cm and a weight of 17 kg, which is considered very underweight. We previously took him to Chimei Medical Center for a physical examination, and the doctor mentioned a chrom...
Dr. Liang Hongjian Reply:
Hello: The causes of chromosomal abnormalities can be classified into numerical and structural abnormalities. Numerical abnormalities are further divided into euploid (2N or 3N) and aneuploid (such as Trisomy). If a chromosome is missing, it is referred to as monosomy (e.g., 45XY...[Read More] Understanding Chromosomal Deficiency in Children: Causes and Solutions
Understanding Precocious Puberty: Concerns for Your Daughters' Growth
Precocious puberty issues? Hello Dr. Liang, I am currently residing in Indonesia and have two daughters, one aged nine and the other aged six. My eldest daughter began breast development around seven and a half years old and started her first menstruation at nine years old. She h...
Dr. Liang Hongjian Reply:
Hello: Due to improved nutrition compared to the past, there is a trend of earlier onset of secondary sexual characteristics in children. However, your daughter's onset of menarche at the age of 9 is relatively early. You may want to consult a pediatric endocrinologist to as...[Read More] Understanding Precocious Puberty: Concerns for Your Daughters' Growth
Understanding Infant Vomiting: Causes and Concerns for Parents
Infant vomiting Hello Dr. Chen: My son is almost 11 months old and weighs less than 10 kg. He only wants to drink milk when he is sleeping, and when I feed him porridge while he is awake, he often vomits, even the milk that he managed to drink. Could this be pyloric stenosis? He ...
Dr. Chen Qianyi Reply:
Hello, there are many reasons why children may experience vomiting. First, it is important to determine whether it affects their growth and development. If there is a lack of weight gain or developmental delays, this could indicate a more serious issue, and a thorough examination...[Read More] Understanding Infant Vomiting: Causes and Concerns for Parents
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 Large Feet in Adolescents: Concerns and Solutions
Oversized feet? My daughter is thirteen years old, approximately 160 cm tall and weighs around 40 kg. She is very distressed about her feet because they are larger than those of her peers. She mentioned that they are still growing (her shoe size is 41, and she is worried that she...
Dr. Zhang Peixin Reply:
Hello! 1. Foot size may vary depending on individual constitution. 2. The internal pressure of the big toe should be evaluated based on the presence of symptoms and complications before determining treatment. 3. Dr. Huang Ya-Huang, a renowned rehabilitation specialist at Kaohsiun...[Read More] Understanding Large Feet in Adolescents: Concerns and Solutions
Understanding Low Weight in Toddlers: Causes and Next Steps
Underweight baby Hello Doctor, my daughter is now 14 months old, but she only weighs 8 kilograms and is quite short in height. I remember she was 6 kilograms at 9 months old, and she has hardly grown since then. Every doctor has said she is too light, but none have provided detai...
Dr. Liang Zhaoxuan Reply:
If a child consistently has a low body weight, they should be taken to a pediatrician for a more detailed examination. It is advisable to first have a pediatric gastroenterologist assess their daily caloric intake and nutritional adequacy, as well as check for any digestive issue...[Read More] Understanding Low Weight in Toddlers: Causes and Next Steps