Jaundice, Pediatrics FAQ

Impact of Antibiotic Overdose on Young Children: Key Concerns and Risks

Can accidentally consuming an excessive amount of antibiotics affect a child? Hello, doctor: My child (1 year and 9 months old) had a fever and went to the hospital for a consultation. The doctor prescribed medication, including two bottles that seem to be antibiotics (name: Amox...

Dr. Xiao Kaiwen Reply:
1. Diarrhea, rashes, and decreased body temperature may be caused by excessive antibiotic use, but they could also be manifestations of the underlying disease, making it difficult to determine the correlation between the two. 2. Most medications are metabolized by the liver and ...

Essential Vaccines for 3-Year-Olds: What Parents Need to Know

excuse me? Hello, Doctor: I would like to ask what additional vaccines, aside from the mandatory 5-in-1 vaccine, should a child over 3 years old receive that are not covered by insurance? 1. What additional vaccines should a child over 3 years old receive that are not covered...

Dr. Xiao Kaiwen Reply:
1. Children who are at least 3 years old can receive a pneumococcal vaccine and two doses of the hepatitis A vaccine at their own expense. 2. The pediatrician's stance is that as long as there are vaccines available and the family can afford it, vaccination is recommended ...

Common Skin Issues in Infants: Understanding Baby Acne and Treatment Options

Infant skin issues? Hello, Dr. Hsiao. I would like to ask you about my child who just turned one month old. There are some small red spots on their face. Initially, I thought it might be caused by jaundice, but jaundice has resolved after a month, and there are still some red spo...

Dr. Xiao Kaiwen Reply:
The reddish, pimple-like spots on newborns are mostly caused by the temporary overactivity of sebaceous glands due to the mother's hormones, which have not yet diminished. This condition will improve once the maternal hormones decrease, although the duration may vary from pe...

Understanding Newborn Hiccups: Causes and Concerns for Parents

The reason why a newborn's body may twitch while burping is often due to the immature nervous system and muscle control. During the burping process, the baby may experience a reflex response as air is expelled from the stomach, which can lead to involuntary muscle contractio...

Dr. Pei Rensheng Reply:
Hello: (1) The bilirubin levels will steadily decrease over time. If there are no conditions such as dehydration or hemolysis, the bilirubin levels will not reverse and rise again. (2) After a baby finishes feeding, gently patting their back to help them burp (the patting should ...

Impact of Phototherapy on Newborns' Eyesight: What Parents Should Know

Neonate Dear Doctor, a 3-day-old newborn is placed in a phototherapy incubator due to high bilirubin levels. Although the eyes are covered, will this have any impact on the child's eyes or vision?

Dr. Pei Rensheng Reply:
Hello: (1) The history of phototherapy for neonatal jaundice has been 30 years, and to date, there have been no reports of visual impairment under the protection of eye coverings. (2) However, care must be taken to ensure that the eye coverings do not become loose or obstruct bre...

Should My Child Switch Epilepsy Medications Based on EEG Results?

Please inquire about epilepsy medications? My daughter is 3 and a half years old and has been taking Lamotrigine for epilepsy for six months. Recently, we conducted a follow-up EEG after six months of medication and found that her entire brain starts to discharge as soon as she f...

Dr. Pei Rensheng Reply:
Hello! Although my specialty is pediatric gastroenterology and pulmonology, I will do my best to find answers for you. I hope this information is helpful! A. Tegretol (Carbamazepine) Indications: Generalized tonic-clonic seizures, complex partial seizures, mixed seizures, epil...

Growth Hormone Treatment for Short Stature: Is It Worth the Risks?

Administering growth hormone Hello Dr. Wang, My daughter is currently ten years and nine months old. She started her menstrual cycle this month, and her height is 148 cm, with a bone age of thirteen years. My height is 162 cm, and my husband's height is 172 cm. The doctor p...

Dr. Wang Jiayi Reply:
Dear Concerned Mother, The desire for children to succeed is a sentiment shared by all parents. For those with shorter children, concerns about their child's growth may arise. Height is a subjective measure influenced by psychological factors, making it difficult to establi...

Pediatric Medication Safety and Newborn Screening: What Parents Should Know

Medication consultation & neonatal ultrasound examination, hearing screening? Hello Doctor: My son is currently three months old (born on January 31). Last week, he had a severe cold with nasal congestion, so we took him to a nearby pediatric clinic for treatment. The doctor ...

Dr. Pei Rensheng Reply:
Hello! For a three-month-old baby weighing 6 kilograms, based on the principle of 40 kilograms per dose, the dosage should be approximately 1/6 to 1/7. Therefore, the dosages for Gascon (for gas relief) and Periactin (for appetite stimulation and treating runny nose) are appropri...

Understanding Thyroid Function Concerns in Infants: A Parent's Guide

Thyroid function concerns? Hello Doctor: Baby was born on January 1, 1996, and underwent newborn screening at birth. The screening report indicated an abnormal result, so blood was drawn again in the obstetrics and gynecology department (shouldn't the blood be drawn from the...

Dr. Pei Rensheng Reply:
Hello: The male infant was born weighing 4200 grams and measuring 57 cm; he is now 6.8 kg and 62.5 cm tall. His weight is at the 75th percentile according to the growth chart, and his height is also around the 75th percentile, both indicating above-average growth, so there is no ...

Understanding Growth and Development Issues in Infants: Key Concerns

Growth and development issues? Hello Doctor: My baby is almost one year old now (height 76 cm, weight about 10 kg, primarily consuming milk and breast milk, with a little bit of rice in between). When my baby was 7 days old, he had severe jaundice (around 23), and an X-ray of his...

Dr. Wang Jiayi Reply:
1. In addition to height, weight, and head circumference, the development of a child around 9 to 12 months should also consider whether they can sit well, use their fingers to pick up objects, place small items into a cup, wave goodbye, drink from a cup, call out "dad" ...

Understanding Liver Function Tests in Young Children: Normal Values and Implications

Liver function tests in infants? Dear Dr. Pei, I hope this message finds you well. Due to some issues with my previous email, I am sending this follow-up to ensure you received it. 1. What are the normal liver enzyme levels for infants? What is considered elevated? 2. What is t...

Dr. Pei Rensheng Reply:
Hello: 1. The normal liver enzyme levels in infants are similar to those in adults. According to pediatric textbooks (Nelson), the normal range for infants aged 0-5 days is 6-50 U/L; for those older than 5 days, it is 5-45 U/L. Values above this range are considered elevated. ...

Does G6PD Deficiency Affect Growth and Development in Children?

Will children with G6PD deficiency be affected in their growth and development? My child was born via cesarean section on October 31, 2006, and the newborn screening test indicated the presence of G6PD deficiency (favism). This is my third child, and since I am an advanced matern...

Dr. Hong Shuokun Reply:
Hello, Mom: Favism is a common congenital metabolic disorder among Chinese people, with an incidence rate of 3% in Taiwan, meaning that out of every 100 newborns, there are three cases, particularly higher among Hakka individuals. It is an X-linked genetic disorder, so it only oc...

Understanding Weight Issues in Infants: Common Concerns and Clarifications

Regarding issues related to infant weight? Dear Doctor, Thank you for the detailed information in the attached file. After reading it, I have a more concrete understanding of the causes of underweight in young children. However, I have a few questions that I hope you can clarify...

Dr. Pei Rensheng Reply:
Hello, You are a very dedicated mother. 1. The growth curve data provided by the Department of Health in June 1999 is now over seven years old and may not accurately reflect your baby's current situation. Theoretically, with advancements over time, babies tend to be tall...

Understanding Hepatitis B Transmission Risks in Newborns: A Parent's Concern

Hepatitis B immunoglobulin (HBIG) prophylaxis for newborns? Hello: During the prenatal check-up, the mother of the child was screened for Hepatitis B, and the e-antigen was negative. Doctor A indicated that the mother is a carrier but has normal liver function, and it would not a...

Dr. Lin Huizhen Reply:
Dear lukangsin, Hello, this is Dr. Lin Huizhen from the Pediatrics Department of Tainan Hospital, Ministry of Health and Welfare. 1. The presence or absence of Hepatitis B e-antigen (HBeAg) is currently used under the National Health Insurance regulations to determine eligibili...

Should an 18-Month-Old with UTI History Get Pneumococcal Vaccine?

A child who is currently 18 months old and has a history of urinary reflux should receive the pneumococcal vaccine? Hello, Doctor! My daughter is currently 18 months old and has been hospitalized due to infections a total of four times since birth (aside from jaundice, the other ...

Dr. Zhang Guozhen Reply:
The response from Dr. Chang Kuo-Chen of the Pediatric Department at Zhudong Hospital, Department of Health, is as follows: There is no correlation between the history of urinary reflux and the administration of the pneumococcal vaccine. Currently, there are two types of pneumococ...

Understanding Your Baby's Unusual Stool Color: When to Seek Help

Abnormal stool color in infants? Hello Dr. Chang: My baby boy is currently 5 months old and has atopic dermatitis. Two months ago, we switched to hydrolyzed protein formula. However, over the past three months, his stool has changed from dark black to gray, with a tubular shape a...

Dr. Zhang Yingwen Reply:
The stool color resembling volcanic mud (without any yellow mixed in) may be due to the use of intestinal adsorbents (such as Kopectin or Koline) or liver and biliary diseases that prevent bile from being excreted. It is recommended to promptly visit a pediatric gastroenterology ...

Is My Baby's Skin Color Healthy? Understanding Pediatric Concerns

Is the baby's skin color healthy? Hello, doctor... My baby was born at 35 weeks, weighing 2450 grams. His skin color is somewhat reddish and darker. He had a prolonged jaundice period and stayed in the hospital for one week. The doctor said that because he is smaller, the ja...

Dr. Zhang Guozhen Reply:
The Department of Pediatrics at Zhudong Hospital, Dr. Chang Guo-Zhen, respectfully responds as follows: Neonatal jaundice can be classified into physiological jaundice and pathological jaundice. Physiological jaundice typically resolves over time, while pathological jaundice may ...

Thyroid Dysfunction During Pregnancy: Impact on Infant Intelligence and Growth

Hypothyroidism? Low intelligence? I would like to ask the doctor: I gave birth to my first son on January 31 last year, and when he was about 5 months old, I became pregnant again (while breastfeeding). At that time, I had a cold shortly after becoming pregnant, and soon after, m...

Dr. Pei Rensheng Reply:
Hello! From the detailed records, it is clear that you are very attentive to your baby's growth and development. Here is an overview of congenital hypothyroidism: 1. According to the Department of Health, the incidence is approximately 1 in 2,800. Most cases are due to under...

Understanding Galactosemia in Children: Symptoms, Risks, and Dietary Management

Galactosemia is a genetic metabolic disorder that affects the body's ability to process galactose, a sugar found in milk and dairy products. Individuals with galactosemia lack the Hello, doctor. My child was recently screened and suspected to have galactosemia, and also has ...

Dr. Pei Rensheng Reply:
Hello: The most common cause is the lack of the enzyme (galactose-1-phosphate uridyl transferase) required for lactose metabolism in affected children, which prevents them from converting ingested lactose into glucose. The incidence provided by the Department of Health is approxi...

Understanding and Addressing Moro Reflex Issues in Infants

Helplessness Hello Dr. Chang, I would like to ask for your advice. My baby is now over four months old and had neonatal jaundice when he was less than a month old. What are the potential long-term effects of that? At that time, the doctor noted that he did not have a Moro reflex...

Dr. Zhang Guozhen Reply:
Dear Dr. Zhang Guozhen from Pediatrics, Based on your description, it does appear that the baby may have neurological sequelae from kernicterus. I recommend visiting the Pediatric Neurology Department at Changhua Christian Hospital. They will assess the baby and collaborate with...

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