Height, Pediatrics FAQ

Is Long-Term Consumption of Ensure Safe for My 9-Year-Old Swimmer?

Is it safe for a 9-year-old to consume Ensure for an extended period? Hello, Doctor. My son is a swimmer and requires a high protein intake to support his energy and muscle development. I have chosen Abbott Ensure High Calcium and Peptamen, giving him two bottles daily. Will long...

Dr. Zhan Mingxuan Reply:
Hello: Thank you for your inquiry. To assess whether the protein intake is sufficient for children, it is necessary to evaluate their height, weight, daily physical activity, and daily caloric and protein intake. If you have any questions, please consult a nutritionist at any hos...

Understanding Developmental Delays in Infants: When to Seek Help

Developmental delay Hello, doctor. "My baby is currently 7 months and 9 days old. His neck is not very strong and tends to tilt to the side, but it is not a one-sided tilt; it tilts to both sides. I have mainly noticed signs of growth delay as he only slightly rolls over. He...

Dr. Xiao Kaiwen Reply:
A 7-month and 9-day-old baby should be able to hold their neck up well. Gross motor skills include rolling over, while fine motor skills involve grasping objects with their hands. It appears that your baby's motor development may be slightly delayed, and the most concerning ...

Understanding Developmental Delays in Infants: When to Seek Help

Developmental delay Hello doctor, my baby is currently 7 months and 9 days old, with a height of 68 cm, weight of 9.2 kg, and head circumference of 39 cm. It seems there may be developmental delays as he/she has very limited fine motor skills. He/She can roll over, smile at peopl...

Dr. Xiao Kaiwen Reply:
A 7-month and 9-day-old baby should be able to hold their head up well. Gross motor skills should include rolling over, and fine motor skills should involve grasping objects. It appears that your baby's motor development is slightly delayed, and the most concerning factor is...

Understanding Shaken Baby Syndrome: Risks of Jumping Activities in Infants

Shaken Baby Syndrome Hello Doctor: I would like to ask about Shaken Baby Syndrome. My puppy is currently over 7 months old, and my family often supports him under his armpits, allowing him to jump up and down on his tiptoes, similar to how adults jump rope. They keep doing this c...

Dr. He Ciyuan Reply:
Due to my absence, I am unaware of the force of the jumps at that time. If there are any further jumps, please intervene immediately. If there are concerns about Shaken Baby Syndrome, it is advisable to take the infant to a nearby hospital with a pediatric department for an exami...

Concerns About Probiotics Containing Plasticizers in Children

Children consuming probiotics containing plasticizers? Hello Dr. Hsiao, I have two children (a daughter in fourth grade and a son in second grade) who have been taking probiotics containing phthalates at 794 ppm for a year and a half (approximately one packet every two days). C...

Dr. Xiao Kaiwen Reply:
Attached is the latest statement from the Taiwan Pediatric Association regarding recommendations for health screening of children suspected of exposure to phthalate plasticizers, dated June 1, 2011. 1. Research from various countries indicates that populations worldwide may be e...

Optimal Milk Intake for Infants: Guidelines for Parents

Infant milk intake Hello Doctor: My child was born at 38 weeks and 3 days, a boy. His birth weight was 2855g. He is currently 4.5 months old. My child's current weight is approximately 6.8kg, height is about 62.4cm, head circumference is 41.2cm, and chest circumference is 40...

Dr. Xie Degui Reply:
Infants require a daily milk intake of at least 100cc per kilogram of body weight. If they want to drink more but become easily agitated, first check for any issues such as nasal congestion that may be interfering with their breathing. If their current weight is not a concern but...

Optimal Juice Intake for Your 11-Month-Old Baby: Expert Guidance

Please advise on the recommended juice intake for infants? Hello Doctor: My baby is currently 11 months and 7 days old, female, with a height of 75 cm and a weight of 8.2 kg. Her daily diet is as follows: (9:00 AM) breast milk 150 ml, followed by 150 ml of pureed food; (2:00 PM) ...

Dr. Zhang Yingwen Reply:
1. A baby weighing 8.2 kg requires at least approximately 820 cc of fluids daily. This fluid intake refers to substances containing water, so the total amount of breast milk, fruit puree, food puree, or formula should reach 820 grams or 820 cc to meet basic needs. 2. Your baby ...

Concerns About Medication Dosage for Children in Emergency Care

I have concerns about the medications and dosages prescribed for my child by the hospital? My child went to the emergency room due to a fever of 39.1 degrees Celsius without obvious cold symptoms. The doctor only noted that the throat was red and ordered blood tests and a chest X...

Dr. Xiao Kaiwen Reply:
The following are the recommended dosages for medications as per the textbook: Panadol: 10-15 mg/kg per dose, every 4-6 hours (commonly used is 60-65 mg/kg per day, every 4-6 hours). Erythromycin: 30-50 mg/kg per day, every 6-8 hours. Periactin: 0.25-0.5 mg/kg per day, ever...

Understanding Growth Concerns in Preterm Infants: A Pediatric Guide

Children's growth issues? Hello Doctor: My son is currently 2 months old, born at 38 weeks gestation. At birth, he measured 43 cm in height, weighed 2.17 kg, and had a head circumference of 30 cm, which classifies him as a low birth weight infant (due to my wife's uteri...

Dr. Xiao Kaiwen Reply:
1. Your baby is classified as a low birth weight infant. Since the degree of low birth weight varies among infants, the timeline for "catching up to the growth curve on the pediatric growth chart" also differs. Pediatricians typically do not focus on this issue. What is...

Essential Guide to Baby Food: Nutrition Tips for 11-Month-Olds

Infant complementary foods Hello Doctor, my daughter is currently 11 months and 18 days old, weighing 7.6 kg (her weight gain has been slow, with a birth weight of 2796 g) and measuring 72 cm in height. She is very active. Her daily feeding schedule is as follows: - 7:30 to 8:0...

Dr. Pei Rensheng Reply:
Dear Tina: Regarding the issue of infant complementary foods, please refer to the attached document for my response. Wishing you peace and health. Sincerely, Dr. Pei Ren-Sheng, Director of Pediatrics, Taoyuan General Hospital, Department of Health.

Understanding Developmental Issues in a 10-Year-Old Boy

Developmental issues in a 10-year-old boy? Hello Doctor: My son will turn ten this October. Recently, he mentioned that his breasts hurt when touched, and in the past few days, I noticed that there are hard lumps starting to form. Initially, there was only one on the right side, ...

Dr. Xiao Kaiwen Reply:
If it is located directly below the nipple, it is likely a normal phenomenon occurring "before" development. However, if there are noticeable accompanying secondary sexual characteristics (such as the growth of pubic and axillary hair, development of a male Adam's ...

Boosting Appetite in Toddlers: Effective Strategies for Parents

Appetite loss in toddlers? Hello Doctor: I have a 1 year and 9 months old child at home, with a height of 85 cm and a weight of 11 kg. On average, he consumes about 400 to 500 ml of milk per day, along with a bowl of pumpkin porridge. He is only curious about food and usually tak...

Dr. Xie Degui Reply:
Hello: The child is actually growing well, so there's no need to worry too much. Additionally, foods like cheese and French fries are not recommended for a balanced diet; sugars and fats can lead to fat accumulation, which is not ideal. Egg yolks should be consumed in modera...

Understanding Redness in Infant's Eyes: Causes and Concerns

Blood vessels in the sclera of infants? Hello, my younger brother was born at 34 weeks weighing 2465 grams. He is currently 6 months and 10 days old, weighing 8000 grams and measuring 64 cm. Is his development normal? I noticed that there are blood vessels visible in half of his ...

Dr. He Shenglong Reply:
Hello: The child is currently 6 months and 10 days old, but was born prematurely at 34 weeks. If we calculate based on a full-term birth, the child would be between 4 and 5 months old. To assess whether development is on track, you can refer to the section for 4-5 months in the c...

Is Your Baby Experiencing a Milk Strike at Three Months?

Are you lactose intolerant? This weekend, my baby turns three months old. Since last weekend, the amount of milk he drinks each time has decreased by more than half compared to before. He is exclusively breastfed, and previously, after feeding from both sides, I would feel a sens...

Dr. Xiao Kaiwen Reply:
The period of milk aversion is considered benign when pathological causes (such as fever, pharyngitis, enterovirus pharyngitis, gastroenteritis, etc.) have been ruled out, and the child's activity level is normal with appropriate growth in height and weight. Typically, the p...

Concerns About 4-Month-Old Baby Refusing Milk: Tips for Parents

A 4-month-old infant not drinking milk? My younger brother is 34 weeks old and weighs 2465 grams. He is currently over 5 months old and has not been drinking breast milk well since he was 3 months old, only consuming about 90 ml. His activity level is normal. Is it common for a b...

Dr. Xiao Kaiwen Reply:
The information you provided is somewhat insufficient, including the current height, weight, and head circumference. It is unclear whether the mentioned age in months is the corrected age (or simply the chronological age calculated from the date of birth). Additionally, it would ...

Can Growth Plates Close and Still Allow for Height Increase?

Hand length board Doctor, if the growth plates in the left hand have closed, does that mean that I will no longer grow taller? Is there still a chance for me to grow taller?

Dr. Xiao Kaiwen Reply:
Although the timing of the closure of the growth plates in the left hand is not completely consistent with the timing of the closure of the growth plates in the long bones related to height, they are relatively close. If the growth plates in the left hand, used for bone age asses...

Addressing Dietary and Bowel Concerns in Infants: A Pediatric Guide

Dietary and bowel issues Hello Doctor, my daughter is currently over seven months old, weighing 6.7 kg and measuring 67 cm (measured on June 12). She is breastfed, consuming about 100-150 cc per feeding, 4-5 times a day. She eats vegetable porridge (carrots, cabbage, spinach, bro...

Dr. Xiao Kaiwen Reply:
1. An increase in the frequency and water content of stools is defined as diarrhea. In infants, diarrhea can vary in severity, and it is advisable to consult a pediatrician. Diarrhea caused by inappropriate complementary foods (such as allergies) typically occurs within three day...

Concerns About Short Stature in Adolescents: Seeking Growth Solutions

If a student is about to transition from seventh grade to eighth grade and has a height of only 147 cm, it is important to consider several factors. Growth patterns can vary significantly among individuals, and height can be influenced by genetics, nutrition, and overall health. ...

Dr. Xiao Kaiwen Reply:
Currently, there is not much that the medical community can do for individuals with short stature. Growth hormone is generally most effective for those with growth hormone deficiency-related short stature. Children who do not have growth hormone deficiency may experience accelera...

Understanding Growth Plates: Why Hand X-rays Matter in Pediatrics

Height growth plate time Hello, doctor. May I ask if the growth plates in the hands are the last to heal? Why is it necessary to take X-rays of the hands to assess the growth plates? Also, when I had my X-ray taken, my hand was exerting force and fully extended; will this affect ...

Dr. Xiao Kaiwen Reply:
As early as 1929, Professor Todd and others in the United States began research in this area. He had taken X-rays of children's left shoulder, left elbow, left hand, left hip, left knee, and left foot. After twenty-one years of effort by scientists, in 1950, Professors Greul...

Assessing Growth Rates in Infants: Understanding Normal Development

Assessment of Growth Rate Hello, doctor. I would like to know if my baby's growth record indicates slow growth. My twins were born at 37 weeks and 2 days in October 1998, with a birth weight of 1750 grams, a height of 48 cm, a head circumference of 30.5 cm, and a chest circu...

Dr. Xiao Kaiwen Reply:
As long as your baby's growth proportions are consistent with their height, weight, and head circumference recorded in the child health handbook, and do not fluctuate significantly, it is considered normal. The growth rate you have noted for your baby appears to be within th...

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