Do Steroid Nasal Sprays Affect Child Growth? Expert Insights
Will steroid nasal sprays affect development? Hello Doctor: My son is six years old and has been experiencing long-term nasal congestion due to allergies, which has become more pronounced recently. Last winter, I gave him a steroid nasal spray, and the clinic physician said it wa...
Dr. Pei Rensheng Reply:
Hello: On November 14, 2020, I searched for information on "update": Older children and adults — For children aged 2 years and older, the approach to pharmacotherapy is essentially the same as that in adults and depends on the severity and persistence of symptoms. Mi...[Read More] Do Steroid Nasal Sprays Affect Child Growth? Expert Insights
Managing Congenital Hypothyroidism in Infants: Key Considerations for Parents
Congenital Hypothyroidism (2 months and 3 weeks old - male infant) Dear Dr. Lin, First of all, I sincerely thank you for taking the time to read this lengthy message and for your follow-up questions! My child will be turning 3 months old next week and is currently undergoing tre...
Dr. Lin Yishou Reply:
Dear Parent, I understand your concerns. However, there is no special solution; the best approach is to adhere to the medication regimen and monitor the blood levels. If you have any worries, please discuss them thoroughly with the attending physician. Thank you for your message.[Read More] Managing Congenital Hypothyroidism in Infants: Key Considerations for Parents
Understanding and Managing Postural Hypotension in Adolescents
Orthostatic hypotension This year, at 14 years old, I am 161 cm tall and weigh 47 kg. Sometimes when I stand up, I feel my heart rate increase, but it usually resolves after a few seconds. I am very worried about this issue. How can I improve this problem? It happens sometimes bu...
Dr. Xie Wanghu Reply:
A 14-year-old male weighing 47 kg is in the 15th to 50th percentile for weight and the 0th to 85th percentile for height at 161 cm, which falls within the normal range. A heart rate of less than 60 beats per minute is considered bradycardia, while a heart rate greater than 100 be...[Read More] Understanding and Managing Postural Hypotension in Adolescents
Understanding Vomiting in Children: When to Seek Further Medical Help
Child vomiting Hello doctor, I currently have a 4-year-old boy who has been experiencing nausea for the past three weeks whenever he hears about mealtime or smells food from restaurants. However, he has a good appetite and is very active. He is now vomiting about once a day, whic...
Dr. Xiao Kaiwen Reply:
It is recommended to consult a pediatric gastroenterologist at a major hospital to check for any physiological issues. If the eating problems are related to psychological factors or stress, a pediatric psychologist can also provide consultation. If there are no physiological prob...[Read More] Understanding Vomiting in Children: When to Seek Further Medical Help
Addressing Milk Aversion and Growth Concerns in Infants
Milk aversion and growth and development issues? Hello, Dr. Pei. My son is 11 months old, weighing 7.8 kg and measuring 67 cm. His weight has been stuck between 7.6 and 7.8 kg for a long time, approximately since he was 5 months old, and he hasn't gained weight for half a ye...
Dr. Pei Rensheng Reply:
Hello, it appears that your baby is experiencing delays in both weight and height, along with suboptimal food intake, which indeed necessitates a medical evaluation. This could potentially be related to nutritional or endocrine issues. It is advisable to consult a pediatric gastr...[Read More] Addressing Milk Aversion and Growth Concerns in Infants
Understanding Constipation in Infants on Formula Milk: A Guide for Parents
Formula milk and bowel movement issues? The child is currently 4 months and 15 days old, weighing 6 kg, measuring 61 cm in height, and having a head circumference of 39 cm. They have been drinking Enfamil A+ formula and are on their third can. The milk intake is 150 ml, approxima...
Dr. Pei Rensheng Reply:
Hello! For a baby over four months old, the daily food intake is approximately 100-200 gm/kg/day. Currently weighing 6 kg, this translates to a daily intake of 600-1200 gm of food. Formula milk accounts for about 600-750 mL, and along with other complementary foods, it seems the ...[Read More] Understanding Constipation in Infants on Formula Milk: A Guide for Parents
Can Short Parents Affect Their Child's Height Potential?
If parents are short, can their child still grow taller? Hello doctor, I am a male student currently in the first year of junior high and will be advancing to the second year. During my last check-up around March, my height was 147 cm and my weight was 35 kg. My parents' hei...
Dr. Lin Yishou Reply:
You can determine bone age by visiting Dr. Lin Yi's clinic.[Read More] Can Short Parents Affect Their Child's Height Potential?
Is My Baby's Milk Intake Too Low? Understanding Pediatric Feeding
Will the milk supply be very low? Is drinking three meals a day too little? It's been three months now. My son, born on February 11, has his first meal at 210 ml, the second at 180 ml, and the third meal at 210 ml. He has a fixed routine of bathing at 5:00 or 6:00 PM, then g...
Dr. Xiao Kaiwen Reply:
Each infant's stomach capacity and absorption vary, so how do we determine if they are getting enough milk? As long as they have more than six wet diapers a day that are not dark yellow and their height and weight are increasing normally, then their milk intake is sufficient...[Read More] Is My Baby's Milk Intake Too Low? Understanding Pediatric Feeding
Understanding Growth Spurts and Puberty Changes in Adolescents
Puberty Issues I would like to ask the doctor. I am 15 years old, and I had a bone age assessment that indicated my development is nearly complete. However, I feel that I only started growing taller in 2019. Before 2018, it seemed like I was only growing about 2 centimeters a yea...
Dr. Xiao Kaiwen Reply:
Boys typically reach their full height development around the ages of 16 to 17. Once the growth plates in the bones are fully closed, they will no longer grow taller. Therefore, if your growth plates are nearing closure, it indicates that you are in the final stages of height gro...[Read More] Understanding Growth Spurts and Puberty Changes in Adolescents
Understanding Increased Bowel Movements in Infants: Causes and Concerns
Sudden increase in bowel movements? The baby is now over seven months old and is exclusively breastfed. The growth curve is normal (8.9 kg, height 70.9 cm). On August 27, the baby suddenly had five to six bowel movements, but they were only small amounts, so I decided to observe ...
Dr. Xiao Kaiwen Reply:
1. It's okay; the complementary foods can be chopped into small pieces. However, you can also try mashing them a bit (it doesn't have to be pureed). 2. Based on the stool report, there may be a suspicion of bacterial gastroenteritis, such as Salmonella. Be aware of some...[Read More] Understanding Increased Bowel Movements in Infants: Causes and Concerns
Understanding Fontanelle Closure Issues in Toddlers: When to Seek Further Evaluation
Closure of the anterior fontanelle issue? Hello Doctor: My child is currently 2 years and 8 months old, with a head circumference of 52 cm, height of 92 cm, and weight of 14 kg. He has no issues with running, jumping, or language expression. Since he turned 2, I have been observi...
Dr. Lin Yishou Reply:
Hello parents, if you are concerned, you can start with an ultrasound.[Read More] Understanding Fontanelle Closure Issues in Toddlers: When to Seek Further Evaluation
Understanding Urination Issues in Children: Is Low Urine Output Normal?
Urinary problems It is normal for a 3-month-old child to drink 150 cc every 4 hours. However, if the child is urinating less than usual, it could be a concern. Reduced urine output can be influenced by factors such as dehydration, especially in hot weather. It is important to mon...
Dr. Xiao Kaiwen Reply:
A 3-month-old infant primarily relies on milk for nutrition. It is expected to have a urine output of more than 5 times a day, with urine not being consistently dark yellow and concentrated. Additionally, if the infant's height and weight are increasing normally, this indica...[Read More] Understanding Urination Issues in Children: Is Low Urine Output Normal?
Understanding Growth and Digestive Issues in Toddlers: A Pediatric Guide
Abdominal issues, growth problems? I have a few questions for the doctor: 1. My child is currently 1 year and 1 month old, a boy, with a height of 78 cm and a weight of 10.6 kg. He has two upper and two lower incisors. Is this within the normal range? 2. For the past week or so, ...
Dr. Pei Rensheng Reply:
Hello! 1. A 1-year and 1-month-old male child, with a height of 78 cm (60th percentile) and a weight of 10.6 kg (70th percentile). He has two upper and two lower incisors, all within the normal range. 2. Based on your description, it seems like toddler's diarrhea, which comm...[Read More] Understanding Growth and Digestive Issues in Toddlers: A Pediatric Guide
Understanding Your Toddler's Ongoing Loose Stools: Causes and Solutions
The baby's stools have always been loose and mushy (one and a half years old)? The baby was breastfed at birth and later switched to formula milk - Children's Growth 3 (which contains lactic acid and probiotics). Now at one and a half years old, the baby also eats two m...
Dr. Xiao Kaiwen Reply:
I want to note that as long as the frequency of bowel movements does not increase daily, and the stool does not become increasingly watery (which is defined as diarrhea) or contain blood, and growth and development are normal (with height and weight percentiles increasing appropr...[Read More] Understanding Your Toddler's Ongoing Loose Stools: Causes and Solutions
Understanding Loose Stools in Toddlers: When to Worry?
The baby's stool has always been loose and mushy (one and a half years old)? The baby was breastfed at birth and later switched to formula milk - Children's Growth Formula 3 (which contains lactic acid and probiotics). Now, at one and a half years old, the baby also eat...
Dr. Xiao Kaiwen Reply:
I want to note that as long as the frequency of bowel movements is not increasing daily, and the stools are not becoming more watery (which would define diarrhea) or containing blood, and growth and development are normal (with height and weight percentiles increasing appropriate...[Read More] Understanding Loose Stools in Toddlers: When to Worry?
Understanding Puberty: Height Growth and Adam's Apple Development
Puberty Issues Hello, I am 14 years old, and my erect penis is about 14 centimeters long. I have already developed armpit hair and pubic hair. The doctor asked me about my height, which is approximately 170 centimeters, and my Adam's apple is not very prominent; it can only ...
Dr. Lin Yishou Reply:
Hello, the size of the Adam's apple varies from person to person, and there is no specific method to enlarge it. To determine the possibility of growth, bone age assessment can provide that information. Thank you for your message.[Read More] Understanding Puberty: Height Growth and Adam's Apple Development
Optimal Milk and Solid Food Intake for 10-Month-Old Babies
Complementary foods and milk intake pairing? Hello, Dr. Hsiao. How many milk feedings does a 10-month-old baby need in a day? Currently, my child’s schedule is as follows: wakes up at 10 AM and has a formula feeding of 210 ml, then takes a short nap around noon for about an hour....
Dr. Xiao Kaiwen Reply:
At 10 months old, infants have reached the age where they can start eating a variety of complementary foods. There is no need to strictly adhere to replacing a certain number of milk feedings or to worry about how many milk feedings they should have each day. Each infant is diffe...[Read More] Optimal Milk and Solid Food Intake for 10-Month-Old Babies
Assessing Growth Delays in Infants: Head Circumference and Height Concerns
A 2-month-old baby with head circumference/height below the 3rd percentile of the growth curve? Hello, my baby was delivered via cesarean section at 37 weeks and 1 day due to an abnormal fetal position (during prenatal check-ups, my placenta function was normal, and no abnormalit...
Dr. Lin Yishou Reply:
Dear Parent, regarding your question, a physician's office examination is necessary for a more accurate assessment. It is not possible to make a direct judgment based solely on written descriptions. Thank you for your message.[Read More] Assessing Growth Delays in Infants: Head Circumference and Height Concerns
Is Zinc Deficiency Affecting My Child's Growth and Appetite?
Is it a zinc deficiency? Hello, Doctor: My eldest son is already 3 years old, but his height is only 90 cm and his weight is 13 kg. Is this normal growth and development? He usually has a poor appetite during meals, only eating 2 to 3 bites before refusing to eat more. Additional...
Dr. Lin Yishou Reply:
Dear Parent, Your child's height and weight are indeed on the lower side. Zinc deficiency can lead to poor appetite and hinder growth. It may be advisable to conduct a blood test for confirmation. Thank you for your message.[Read More] Is Zinc Deficiency Affecting My Child's Growth and Appetite?
Understanding Zinc Deficiency: Symptoms and Growth Concerns in Children
Is zinc supplementation necessary? Hello, doctor: What symptoms can occur if someone is deficient in zinc? I saw a report stating that zinc deficiency can affect height growth. My eldest son is already 3 years old and is only 90 cm tall and weighs 13 kg. Is this normal? I am real...
Dr. Lin Yishou Reply:
Dear Parent, Your child's height and weight are indeed on the lower side. Zinc deficiency can lead to decreased appetite and hindered growth. It may be advisable to conduct a blood test for confirmation. Thank you for your message.[Read More] Understanding Zinc Deficiency: Symptoms and Growth Concerns in Children