Understanding Infant Feeding Issues: Burping, Gas, and Spitting Up
Milk consumption issues? Hello, doctor. My daughter has just turned two months old. I understand that there are issues with feeding amounts, mainly focusing on the total intake for the day. However, we have been experiencing a problem recently during feeding. For example, when we...
Dr. Xiao Kaiwen Reply:
Newborns have a more sensitive gastrocolic reflex, so sometimes when they drink milk, it can lead to increased intestinal motility, resulting in temporary colicky pain. This situation is a normal transient phenomenon, as long as there are no issues with frequent feedings or sever...[Read More] Understanding Infant Feeding Issues: Burping, Gas, and Spitting Up
Understanding Feeding Challenges in Infants: Gas, Spitting, and Hunger Issues
Milk consumption issues? Hello, doctor. My daughter has just turned two months old. I understand that there are issues with feeding amounts, primarily focusing on the total intake for the day. However, we have been facing a problem during feeding. For instance, when we prepare 11...
Dr. Xiao Kaiwen Reply:
Newborns have a more sensitive gastrocolic reflex, so sometimes when they drink milk, it can lead to increased intestinal motility, resulting in temporary colicky pain. This is a normal transient phenomenon, as long as there are no issues with frequent feedings or severe vomiting...[Read More] Understanding Feeding Challenges in Infants: Gas, Spitting, and Hunger Issues
Understanding Oil in Stool and Color Changes in Children
Could you please provide more details about the issues related to oily stools and color changes? My son is currently 8 years old. Since he was about 6, he has frequently experienced issues with oily stools or passing gas that results in a significant amount of oil, enough to stai...
Dr. Zhang Yingwen Reply:
1. Sometimes consuming excessively greasy foods can lead to the intestines being unable to absorb fats, which may result in oily stools. In such cases, it is advisable to start by improving the diet, reducing fat intake, and maintaining a light diet. 2. If a child frequently ha...[Read More] Understanding Oil in Stool and Color Changes in Children
Understanding Delayed Bleeding Risks After a Child's Fall
Delayed bleeding after a fall in children? Hello, doctor. My son, who is one year and ten months old, fell from his high chair onto the tile floor last night. He fell from a height of about 120 centimeters and cried immediately after the fall. We took him to a nearby surgical cli...
Dr. Pei Rensheng Reply:
Hello! In children with mild blunt head injury, there are several factors that can affect prognosis: 1. The younger the child, the more severe the injury. 2. The higher the fall, the more severe the injury; statistically, falls from heights greater than 90 cm should be monitored,...[Read More] Understanding Delayed Bleeding Risks After a Child's Fall
Understanding Patent Foramen Ovale in Children: Is Closure Necessary?
Both of my children have a patent foramen ovale? The older child is 9 years old, with a height of 145 cm and a weight of 56 kg. There is a patent foramen ovale measuring 0.66 cm, mild mitral regurgitation, and right-sided peripheral pulmonary artery stenosis. The child has experi...
Dr. Xie Wanghu Reply:
Hello, Mom. The foramen ovale is a valvular structure located between the right atrium and left atrium at birth. It typically closes within five days after birth; if it remains open beyond six months, it is referred to as an "atrial septal defect." Generally, if it has ...[Read More] Understanding Patent Foramen Ovale in Children: Is Closure Necessary?
Understanding Infant Head Growth: When to Seek Further Evaluation
Infant Head Circumference Development Hello, my baby boy (5 months and 2 days old as of October 4) has been growing quite quickly. His weight is 7.3 kg, height is 65.1 cm, and head circumference is 44.2 cm. He is approaching the 97th percentile and will likely exceed it in a few ...
Dr. He Zongxian Reply:
Hello, from your description, it is evident that you are a caring and attentive mother, and your son's check-up results appear to be normal. According to the updated WHO growth charts for children, his height is between the 25th and 50th percentiles, his weight is also betwe...[Read More] Understanding Infant Head Growth: When to Seek Further Evaluation
Understanding Growth Concerns: When to Seek Endocrine Evaluation for Your Child
Growth curve below the 3rd percentile? Hello, doctor. I would like to inquire about my child, who is over one year old and has been receiving vaccinations at the clinic. The doctor has measured his growth curve, which is consistently below the 3rd percentile. He is currently two ...
Dr. Xiao Kaiwen Reply:
A two-year and ten-month-old boy with a height of 87 cm is below the 3rd percentile. Being below the 3rd percentile warrants a consultation and evaluation at a major hospital's pediatric endocrinology department. Whether he has dwarfism can be determined by a specialized ped...[Read More] Understanding Growth Concerns: When to Seek Endocrine Evaluation for Your Child
Understanding Large Head Circumference in Infants: When to Seek Further Evaluation
A five-month-old infant has an enlarged head circumference? My baby boy is five months and one day old, weighing 7.3 kg, with a height of 65.1 cm and a head circumference of 44.2 cm, which is approaching the upper limit of 44.8 cm (97th percentile). I expect that in a little over...
Dr. Pei Rensheng Reply:
Hello! The tissues within an infant's head (brain, cerebrospinal fluid, bones, blood, tumors) can all contribute to an increase in head circumference. Ultrasound can often detect most abnormalities. Be attentive to symptoms such as vomiting, headaches, and changes in conscio...[Read More] Understanding Large Head Circumference in Infants: When to Seek Further Evaluation
Understanding Rapid Head Growth in Infants: When to Seek Further Evaluation
Infant head circumference Hello Doctor, my baby was born on May 2, 2022 (a boy). His height and weight are gradually increasing, but his head circumference is growing quite rapidly. On September 3 (4 months and 1 day old), his weight was 6.7 kg, height was 63 cm, and head circumf...
Dr. Xiao Kaiwen Reply:
If an infant's head circumference is greater than the 97th percentile or shows a significantly rapid growth rate, a pediatrician will typically recommend a cranial ultrasound examination. If an experienced pediatrician conducts an evaluation and finds no obvious issues, the ...[Read More] Understanding Rapid Head Growth in Infants: When to Seek Further Evaluation
Understanding Precocious Puberty: Height and Facial Hair in Children
The issue of long beards and height? Hello, doctor. My son is currently in the 6th grade and is 11 years old, with a height of 151 cm. In the 5th grade, I noticed that he seemed to have developed some facial hair, but he does not have an Adam's apple, has not experienced voi...
Dr. Xiao Kaiwen Reply:
Boys showing secondary sexual characteristics (such as the development of a prominent Adam's apple, pubic hair, axillary hair, enlargement of the scrotum, and penile growth) before the age of 9 may be experiencing precocious puberty. If a child grows less than 5 centimeters ...[Read More] Understanding Precocious Puberty: Height and Facial Hair in Children
Concerns About Low Appetite and Stagnant Weight in Toddlers
Reduced appetite and no progress in weight? Hello, doctor. My daughter is currently 1 year and 6 months old. Her weight has been around 9.2 to 9.4 kg since she turned 1 year old. Her eating habits have not been very good; whether she is given baby-specific solid foods or eats wit...
Dr. Xiao Kaiwen Reply:
A 1.5-year-old girl weighing 9.4 kilograms falls within the 25% to 30% percentile range, which does not indicate malnutrition at this stage. Additionally, if her height is growing normally, this situation can be considered acceptable. It is also important to take genetic factors ...[Read More] Concerns About Low Appetite and Stagnant Weight in Toddlers
Understanding Weight Loss in Growing Children: When to Seek Medical Advice
Child Growth and Development Hello: My daughter is 10 years old. I have noticed that her weight has not increased in the past 5 to 6 months and has actually decreased by about 1 kilogram. (Her current weight fluctuates around 22.8 kilograms, down from approximately 23.7 kilograms...
Dr. Xiao Kaiwen Reply:
A 10-year-old girl with a height of 128 cm and a weight of 23 kg falls into the 5th percentile for both height and weight, meaning she ranks among the lowest 5 out of 100 girls her age, indicating that she is underweight. It is advisable to consult a pediatric growth and developm...[Read More] Understanding Weight Loss in Growing Children: When to Seek Medical Advice
Concerns About Growth: Understanding Height Issues in Adolescents
Height issues Hello, doctor. My son is currently in 7th grade and is about to enter 8th grade. He is only 155 cm tall and has only grown 2 cm in the past six months. I am very worried, so I took him to see a doctor for an X-ray, and they said that his growth plates are almost fus...
Dr. He Zongxian Reply:
Dear concerned parents, One method to estimate your child's potential target height is to take the average of the father's and mother's heights, divide by 2, and for boys, add 6 cm to determine the target height at age 18. Based on the information you provided, y...[Read More] Concerns About Growth: Understanding Height Issues in Adolescents
Understanding Mediterranean Anemia in Children: Key Insights for Parents
Mediterranean anemia (also known as thalassemia) Hello Doctor: Both my husband and I have thalassemia. Before pregnancy, we underwent genetic testing for thalassemia, and the results showed that I have beta-thalassemia and my husband has alpha-thalassemia (Southeast Asian type). ...
Dr. Xiao Kaiwen Reply:
Question 1: RDW has relatively little clinical significance in the diagnosis of thalassemia. Question 2: The genetic variations of alpha thalassemia and beta thalassemia are completely different and theoretically do not influence each other, so there is no theory that a child wit...[Read More] Understanding Mediterranean Anemia in Children: Key Insights for Parents
Understanding Toddler Bowel Issues: Causes and Solutions
Toddler bowel issues? Hello Doctor, my child is currently 1 year and 2 months old. He had gastroenteritis around 5 months old and hasn't fully recovered for a month or two (he only doesn't have diarrhea for two to three days when taking medication, but starts again when...
Dr. Xiao Kaiwen Reply:
Diarrhea that lasts for more than two weeks is classified as chronic diarrhea. If a child aged one to two years experiences chronic diarrhea but has normal height and weight and exhibits normal vitality, the most common cause may be that the child is beginning to try various new ...[Read More] Understanding Toddler Bowel Issues: Causes and Solutions
Will I Still Grow Taller at 13? Tips for Height Growth
Could you please provide more details regarding the height issue? Doctor, I am almost 13 years old, my height is 152 cm, and I have developed a prominent Adam's apple, body hair, and pubic hair. I would like to know if I will still grow taller and what I can do to increase m...
Dr. He Zongxian Reply:
Hello, you can still grow taller! This includes getting enough sleep (try to go to bed before 11 PM and sleep at least 7 hours), consuming an adequate amount of protein-rich foods (limit candy and sugary drinks, reduce caffeine and carbonated beverages, and minimize chocolate and...[Read More] Will I Still Grow Taller at 13? Tips for Height Growth
Guidelines for Managing Overweight Toddlers and Pacifier Use
Baby Growth and Development Hello, Doctor: I would like to inquire about my child who is currently 1 year and 4 months old. On October 28, I took him for vaccinations, and his height is 78 cm and weight is 12.4 kg. The doctor mentioned that his weight is "overweight," b...
Dr. Xiao Kaiwen Reply:
Based on the growth and development curve, the height exceeds the weight by nearly two percent, indicating that the child is somewhat overweight. After the age of one, dairy products should no longer be the main staple, and other staple foods should take precedence. The principle...[Read More] Guidelines for Managing Overweight Toddlers and Pacifier Use
Common Concerns for 5-Month-Old Infants: Feeding, Development, and Health
5 months and 14 days old baby issues? Hello, doctor. I have the following questions: 1. My son, at this age, often experiences spit-up or small amounts of milk coming out when he burps. These symptoms occur at least once a day, but his activity level, height, and weight are all...
Dr. Pei Rensheng Reply:
Hello: 1. At my son's age, he often experiences spit-up or small amounts of milk coming out when he burps. These symptoms occur at least once a day, but his activity level and height and weight are fine. Is there a need for any examinations? ANS: You can discuss this with ...[Read More] Common Concerns for 5-Month-Old Infants: Feeding, Development, and Health
Addressing BCG Scar Issues and Nutritional Concerns in Toddlers
BCG scar and milk supply (complementary foods) Hello, doctor. My daughter just turned one year old. The healing period for the BCG vaccine is typically 2-3 months, but it took nearly 5 months for her to heal completely, during which she had no discomfort. Recently, I've noti...
Dr. Xiao Kaiwen Reply:
It is advisable to have a pediatrician personally examine the BCG vaccine scar at the hospital. One-year-old infants are typically at the peak of their aversion to milk and food. As long as they are not ill, such as with gastroenteritis or herpetic pharyngitis, have normal urine ...[Read More] Addressing BCG Scar Issues and Nutritional Concerns in Toddlers
Should You Worry? Baby Hit in the Eye by Teething Toy
The infant's eye area was struck by a teething toy? Hello Doctor, my baby is four months old. This Saturday night, while giving my baby a teething toy, it accidentally fell from a height of 20-30 cm and landed between the upper part of the right eye and the bridge of the nos...
Dr. Xiao Kaiwen Reply:
At four months old, a baby's vision should be able to see up to four meters away. You can try moving a brightly colored object that interests him back and forth in front of him. If his black pupils can follow the object and move accordingly, tracking is normal, which suggest...[Read More] Should You Worry? Baby Hit in the Eye by Teething Toy