Understanding Growth Percentiles for Your 12-Year-Old Child
Height issues My child is 12 years old, with a height of 141.5 cm and a weight of 33 kg. What percentile does their height fall into compared to peers of the same age? Do they need to undergo any examinations?
Dr. Zhong Ruixian Reply:
The percentile range is around the 3rd to 15th; additionally, it is necessary to consider where his previous height fell within the range. If he has consistently been in the 3rd to 15th percentile, then observation and monitoring may suffice. However, if he was originally in the ...[Read More] Understanding Growth Percentiles for Your 12-Year-Old Child
Can Probiotics Be Added to Infant Formula for Fussy Babies?
Infant probiotics My baby is currently over three months old and has a severe aversion to milk. Can I add probiotics to the baby formula? Thank you.
Dr. Xiao Kaiwen Reply:
If the infant does not exhibit symptoms such as fever, throat inflammation, herpetic pharyngitis that prevents feeding, vomiting, or diarrhea, and shows normal activity levels, along with height and weight following their growth curve without significant deviation, this is consid...[Read More] Can Probiotics Be Added to Infant Formula for Fussy Babies?
Understanding Infant Refusal to Feed: Causes and Solutions for Parents
Three-month-old infant shows signs of milk aversion? Hello Doctor, my baby is currently three and a half months old. Usually, he/she consumes 130cc every three hours, with six feedings a day, and does not require night feedings. However, this week, he/she has only been drinking a...
Dr. Xiao Kaiwen Reply:
If the infant is not experiencing fever, throat inflammation, herpetic pharyngitis that prevents feeding, vomiting, diarrhea, or any signs of infection, and is active with height and weight following their growth curve without significant deviation, this is considered a benign ph...[Read More] Understanding Infant Refusal to Feed: Causes and Solutions for Parents
When Should Children Start Using a Pillow? Expert Advice on Timing and Height
When should a baby start using a pillow? Hello, doctor. I have a few questions about when to start using a pillow. I found information online stating that some say to start at three months, while others say one year or even two years. What is the recommended height for the pillow...
Dr. Xiao Kaiwen Reply:
The American Academy of Pediatrics recommends that cribs should not contain any soft objects, including pillows, stuffed toys, comforters, blankets, wool products, or soft bedding, to prevent the risk of infant suffocation. Therefore, it is not necessary for infants under one yea...[Read More] When Should Children Start Using a Pillow? Expert Advice on Timing and Height
Establishing Healthy Sleep Habits for Your Toddler
Children's Sleep Hello, doctor: I apologize for the interruption. I want to help my child develop a habit of going to bed at a reasonable hour. She is our younger sister and tends to stay up playing until one or two in the morning, even though she is still very energetic at ...
Dr. Zhang Yingwen Reply:
It is recommended that loving fathers help their children adjust their sleep habits. This is because the sleep patterns established at the age of three are likely to persist as they grow older. This means that if a child tends to stay up late and wake up late, they are likely to ...[Read More] Establishing Healthy Sleep Habits for Your Toddler
Understanding Infant Feeding Aversion: Causes and Solutions for Parents
More than a month of milk aversion? Hello Doctor: My baby is currently over one month old and weighs 4.8 kg. He is bottle-fed with breast milk five times a day, consuming about 130-140 cc each time. However, for the past week, he has shown less interest in drinking milk. He is fe...
Dr. Xiao Kaiwen Reply:
As long as the child has normal activity levels and their height and weight are increasing appropriately, and they are not experiencing illnesses such as fever, throat inflammation, herpetic pharyngitis from enterovirus, or gastroenteritis with vomiting and diarrhea (some of whic...[Read More] Understanding Infant Feeding Aversion: Causes and Solutions for Parents
Understanding Developmental Delays in Infants: Key Concerns and Insights
Pediatric developmental delay The child was born weighing 2300g and is currently 8.5 months old. He appears to have some hypotonia, with a weight of 6 kg and a height of 62 cm, both below the 3rd percentile, while his head circumference is at the 85th percentile. We have consulte...
Dr. Xiao Kaiwen Reply:
When can a child catch up to their same-age peers, and can hypotonia improve or recover? This depends on the underlying cause of their developmental delay. Conditions such as brain injury (e.g., birth asphyxia, meningitis, encephalitis, intracranial hemorrhage), chromosomal abnor...[Read More] Understanding Developmental Delays in Infants: Key Concerns and Insights
Persistent High Fever in Children: What to Do When It Reaches 39°C?
The child has a persistent fever above 39 degrees Celsius? If a child has a fever over 39 degrees Celsius and a consistently sore throat, and despite seeing a pediatrician and using rectal antipyretics, the condition remains unchanged, what should be done?
Dr. Xiao Kaiwen Reply:
The effects of various antipyretics can only last for a few hours, and their purpose is to provide temporary comfort for children. If the illness is not resolved (common viral infections typically cause fever for three to four days, and some may last up to a week), it is quite co...[Read More] Persistent High Fever in Children: What to Do When It Reaches 39°C?
Understanding Growth Curves: When to Worry About Your Baby's Head Circumference
Growth curve Hello Doctor: My baby was born in March. During the vaccination in April, the head circumference percentile was about 50%. In May, it was between the 50th and 25th percentiles. On July 16, during the vaccination, the head circumference percentile was between the 15th...
Dr. Xiao Kaiwen Reply:
The size of the head circumference is generally related to brain development. Therefore, if there are no associated developmental delays or abnormal increases in height and weight, or if they are not becoming increasingly extreme, there is usually no cause for concern. If there a...[Read More] Understanding Growth Curves: When to Worry About Your Baby's Head Circumference
Is My Baby Okay After Falling from Bed? Signs to Watch For
The baby fell off the bed? My baby is over eight months old! He accidentally fell off the bed... the bed is quite high (about 100 centimeters)! At that moment, he cried very loudly for about five minutes! After crying, he immediately fell back asleep! He was already sleeping befo...
Dr. Xiao Kaiwen Reply:
In cases of head trauma, it is important to monitor for intracranial hemorrhage. During the acute phase, observation should last for three days, while less common chronic bleeding requires observation for one week. It is essential to monitor the patient's level of consciousn...[Read More] Is My Baby Okay After Falling from Bed? Signs to Watch For
Assessing Nutritional Intake and Digestive Issues in Preterm Infants
Nutritional intake量 Hello, My daughter was born at 35 weeks with a birth weight of 1980g. Her corrected age is now 10 months. She has started supplementary foods, and her total daily milk intake is approximately 300cc. She receives solid foods three times a day (for example, up...
Dr. Xiao Kaiwen Reply:
Born at 35 weeks gestation with a birth weight of only 1980g, this infant meets the definition of "intrauterine growth restriction." At a corrected age of 10 months, the height and weight can reach the 15th percentile, indicating that growth may be catching up to that o...[Read More] Assessing Nutritional Intake and Digestive Issues in Preterm Infants
What to Do If Your Baby Hits Their Head: Concerns and Care Tips
If a child accidentally gets hit on the head, it is important to monitor them for any signs of a concussion or other head injury. Symptoms to watch for include headache, dizziness, confusion, nausea, vomiting, or changes in behavior. If any of these symptoms occur, or if the chil...
Dr. Xiao Kaiwen Reply:
Neurological symptoms following head trauma should be monitored for 3 to 7 days, including any changes in consciousness (such as drowsiness), limb weakness, persistent and significant vomiting, severe headaches, noticeable irritability, or even seizures. The presence of intracran...[Read More] What to Do If Your Baby Hits Their Head: Concerns and Care Tips
Understanding Menstruation and Growth Plate Concerns in Children
Menarche and its relation to growth plates? My daughter has just entered fifth grade and seems to be experiencing signs of menarche. I've heard that this could mean her height will no longer increase. Is this true? She is currently about 145 cm tall. Does she need to see a W...
Dr. Xiao Kaiwen Reply:
If precocious puberty occurs (defined as the appearance of secondary sexual characteristics in females before age 8, such as breast development and the emergence of pubic and axillary hair; or menstruation before age 10), adult height may be shorter than average. If there is no p...[Read More] Understanding Menstruation and Growth Plate Concerns in Children
Understanding Blue Sclera in Infants: Causes and Concerns
The baby's sclera appears bluish? Dear Dr. Chen, My daughter is currently about 82 days old. Around the time she was 2 months old, I suddenly noticed that her sclera appears bluish. She was born weighing 3432g and measuring 51 cm. Her current weight is approximately 5.7 kg,...
Dr. Pei Rensheng Reply:
Hello: The causes of blue sclera include: 1. Normal newborns. 2. Anemia. 3. Osteogenesis imperfecta, also known as brittle bone disease. 4. Ehlers-Danlos syndrome or Marfan syndrome (also referred to as rubber man syndrome). 5. Waardenburg syndrome: also known as "blue-eyed ...[Read More] Understanding Blue Sclera in Infants: Causes and Concerns
Understanding Normal Head Circumference for 6-Month-Old Babies
Head circumference size For a six-month-old male infant, a normal head circumference typically ranges from approximately 40 to 46 centimeters, depending on various factors including genetics and overall growth patterns. Your baby's height is 68 cm, weight is 7.5 kg, and head...
Dr. Xiao Kaiwen Reply:
The height, weight, and head circumference ratios for infants can be referenced from the Child Health Handbook. A head circumference greater than the 97th percentile is considered enlarged, or if there is a rapid and disproportionate increase in head circumference, a cranial ultr...[Read More] Understanding Normal Head Circumference for 6-Month-Old Babies
Understanding Early Puberty in Boys: What Parents Should Know
Puberty in boys Your son is currently 10 years and 2 months old and has developed fine, sparse pubic hair, along with noticeable changes in the size and length of his penis. He is 148 cm tall and weighs 45 kg. Is this situation normal? Should I take him to a doctor for a bone age...
Dr. Xiao Kaiwen Reply:
If a child shows "obvious" secondary sexual characteristics and experiences a rapid increase in height before the age of 8-9, it may indicate a condition known as precocious puberty. It is generally considered normal for children over the age of 10. In Taiwan, foods hig...[Read More] Understanding Early Puberty in Boys: What Parents Should Know
Can a 6-Month-Old Baby Safely Consume Nutritional Supplements?
Can a baby who has just turned 6 months old consume PediaSure nutritional products? On February 12th, I gave my baby some nutritional supplements mixed with water. Starting on February 13th, he began having loose stools, going more than 3-4 times a day, and his bottom became red....
Dr. Xiao Kaiwen Reply:
1. During diarrhea, it is advisable to limit dairy products. Generally, start with diluted half milk, and if diarrhea is severe, it is recommended to switch to lactose-free formula. 2. A 6-month-old infant weighing 7 kg has not yet reached the lower percentile curve (below 3%),...[Read More] Can a 6-Month-Old Baby Safely Consume Nutritional Supplements?
Concerns About Growth and Development in Preterm Infants
Request for Growth Status Hello, my daughter was born via cesarean section at 37 weeks and 3 days. The reason for the cesarean was that she stopped growing at 1800g after 31 weeks. An amniocentesis was performed during prenatal check-ups, and the results were normal. She was born...
Dr. Xiao Kaiwen Reply:
1. The prognosis for newborns with intrauterine growth restriction (IUGR) largely depends on the presence of any associated abnormalities. If there are chromosomal abnormalities, the prognosis is poor (normal chromosomal tests do not guarantee that all genes are normal; many gene...[Read More] Concerns About Growth and Development in Preterm Infants
Why Two-Year-Olds Don't Need Excessive Milk: A Pediatric Perspective
Reasons why a two-year-old child does not need excessive milk? My son is already two years old. At birth, his growth curve was only in the 3-15% range. Currently, he weighs 11 kg and is 84 cm tall, still around the 3-15% range. He drinks 200 ml of milk in the morning and before b...
Dr. Xiao Kaiwen Reply:
As long as a baby's growth percentiles for height, weight, and head circumference in their health booklet are consistently following their own curve without significant fluctuations, it is considered normal. Therefore, it is important to compare the baby to themselves rather...[Read More] Why Two-Year-Olds Don't Need Excessive Milk: A Pediatric Perspective
Understanding Growth and Development in Children: When to Seek Help
Pediatric Growth and Development My child (a boy) will turn five years old this September, and his height and weight are around the 15th percentile on the growth chart. Should he undergo any relevant examinations? If so, which specialty should we consult? What is the definition o...
Dr. He Shenglong Reply:
Hello: The height and weight of children are closely related to genetic factors. Generally speaking, if a child's growth percentile is below the 3rd percentile, or if there is a drop of two or more percentile curves compared to previous measurements (for example, originally ...[Read More] Understanding Growth and Development in Children: When to Seek Help