Managing Nutcracker Syndrome in Children: Concerns and Alternatives
Children's Nutcracker Syndrome Hello Doctor, my daughter is in the first grade and has a problem with protein in her urine. After undergoing a kidney ultrasound and a CT scan, it was found that she has Nutcracker Syndrome (NCS). The doctor prescribed Losartan, which is a med...
Dr. Pei Rensheng Reply:
Hello: The main manifestation of NUTCRACKER SYNDROME is hematuria; if there is persistent proteinuria, other kidney diseases should be considered. If blood/urine tests do not provide a clear answer, a kidney biopsy should be considered. You may discuss this with the pediatric nep...[Read More] Managing Nutcracker Syndrome in Children: Concerns and Alternatives
Understanding Blood Test Results for a 5-Year-Old Boy with Suspected IgA Nephropathy
Blood report of a 5-year-old boy? Dear Doctor, a 5-year-old boy is suspected of having IgA nephropathy. After a blood test conducted by the physician, the nephrologist only mentioned that kidney function is normal. However, upon reviewing the report, there are several values that...
Dr. Xiao Kaiwen Reply:
This blood test should be a CBC/DC (Complete Blood Count/Differential Count). Based on this report, the results are generally normal. However, this blood test is only a very basic examination at the hospital. If there are any significant discomforting symptoms, please go to the h...[Read More] Understanding Blood Test Results for a 5-Year-Old Boy with Suspected IgA Nephropathy
Is It Safe for Kids to Drink Sweetened Soy Milk Daily?
Can sweetened soy milk be consumed daily? Hello Dr. Pei, my son is currently 12 years old. He has a poor appetite in the morning, but he eats quite a lot for lunch and dinner. However, he remains very thin, with a BMI of only 16. I send him to school with two bottles of 100% fres...
Dr. Pei Rensheng Reply:
Hello: According to the recommendations from the Ministry of Health and Welfare regarding the Body Mass Index (BMI) for children and adolescents, the BMI range for a 12-year-old boy is 15.2-21.3. Your son's BMI is 16, which is considered normal. If he wants to gain weight, a...[Read More] Is It Safe for Kids to Drink Sweetened Soy Milk Daily?
Is Your Baby Drinking Too Much Water? Pediatric Insights on Hydration
The issue of infants drinking water? Hello, doctor. My daughter is currently 7 months and 23 days old. She usually drinks water and even prefers it over milk compared to other children. When she's hungry, she drinks 120-150 ml of water at once, and she needs to drink 90-100 ...
Dr. Xiao Kaiwen Reply:
Infants under six months of age have immature kidneys and should not be given water. For infants over seven months, while their kidneys have developed the ability to excrete excess fluids, they are still relatively immature and should not be given excessive amounts of water. Adeq...[Read More] Is Your Baby Drinking Too Much Water? Pediatric Insights on Hydration
Understanding Pediatric Urinary Tract Infections: Symptoms, Diagnosis, and Care
Urinary tract infection (UTI) Hello Doctor, My daughter had a fever of 38 degrees Celsius on the first day. After taking a bath, she remained in a low-grade fever for two days but was active and normal otherwise. On the fourth day, she was still uneasy, so I took her for a urin...
Dr. Xiao Kaiwen Reply:
The urine test shows a leukocyte count of 8-10, which is at the upper limit of normal. This suggests a urinary tract infection (UTI) may be present, and it is acceptable to start antibiotics while awaiting a more accurate urine culture report. The majority of urinary tract infect...[Read More] Understanding Pediatric Urinary Tract Infections: Symptoms, Diagnosis, and Care
Is Your 5-Month-Old Preferring Water Over Milk? Key Concerns
At 5 months old, sometimes the baby prefers to drink water instead of milk? Hello, Doctor: My daughter is currently 5 months and 11 days old. Recently, after spitting up, an elder gave her some water to rinse her mouth, and since then, she has been asking for water continuously. ...
Dr. Xiao Kaiwen Reply:
Infants under 6 months old should not be given too much water because their kidneys are not fully mature. However, small amounts of water, such as rinsing the mouth after feeding milk, are acceptable. Since your baby is over 5 months old and only consumes 160 cc of pure water a d...[Read More] Is Your 5-Month-Old Preferring Water Over Milk? Key Concerns
Essential Ultrasound Checks for Infants: Timing and Importance
Neonatal ultrasound examination Hello, doctor! My baby is currently over four months old. We have not conducted various ultrasound examinations yet because we were waiting for insurance approval. I would like to ask if doing the checks now would mean missing the optimal period fo...
Dr. Xie Wanghu Reply:
Hello! If a baby belongs to a higher risk group, such as having a family history of genetic disorders, the mother did not have regular prenatal check-ups during pregnancy or was informed of abnormalities during high-level ultrasounds, there were abnormalities in prenatal genetic ...[Read More] Essential Ultrasound Checks for Infants: Timing and Importance
Understanding Preauricular Sinus in Infants: What Parents Should Know
Preauricular sinus Hello Doctor, my son is now 3 weeks old and I noticed a small pit in front of his ear. When I asked the physician during a follow-up visit, they said it is a preauricular sinus and that it doesn't require any treatment. However, as a new parent, I tend to ...
Dr. Pei Rensheng Reply:
Hello! The prevalence of preauricular sinuses is as follows: Caucasians: 1%; African Americans: 5%; Asians: 10%. There is a familial tendency. The likelihood of hearing loss associated with preauricular sinuses is five times that of the general population. A hearing assessment is...[Read More] Understanding Preauricular Sinus in Infants: What Parents Should Know
Understanding Urine Culture Results in Infants: Is There a UTI?
Urine culture Hello, doctor. I apologize for asking you again. My baby boy is 5 months old and has mild hydronephrosis, with a left kidney measurement of 0.6 cm and a right kidney measurement of 0.3 cm. He had a fever of 38.4 degrees Celsius and was taken to see a pediatrician, w...
Dr. Xiao Kaiwen Reply:
1. The fever resolved without the use of antibiotics, and the urine test showed no evidence of a urinary tract infection, so antibiotics are not necessary. 2. Urine ultimately passes through the mucous membranes and skin before reaching the urine bag, so it is still possible to c...[Read More] Understanding Urine Culture Results in Infants: Is There a UTI?
Understanding Hydronephrosis in Infants: Causes, Diagnosis, and Management
Hydronephrosis with renal pelvis dilation During my wife's prenatal check-ups, the doctor did not mention any kidney issues with the fetus. However, after the baby was born and at one month old, we discovered hydronephrosis during an ultrasound at a clinic. At that time, the...
Dr. Zhong Ruixian Reply:
Hello, sir: Hydronephrosis in newborns is often physiological due to increased urine output during the fetal period, followed by a brief reduction in urine output after birth and the ureters not being fully straightened. It typically improves after 1-2 years. The size of your bab...[Read More] Understanding Hydronephrosis in Infants: Causes, Diagnosis, and Management
Understanding Hydronephrosis in Infants: Causes, Diagnosis, and Management
Hydronephrosis (renal pelvis dilation) My wife did not receive any indication of kidney issues with the fetus during prenatal check-ups, but after the baby was born and reached one month of age, a renal ultrasound at a clinic revealed hydronephrosis. At that time, the report indi...
Dr. Pei Rensheng Reply:
Hello: According to UpToDate literature: 1. RPD <10mm, MILD, may not require follow-up. 2. RPD 10-15mm, MODERATE: ultrasound should be repeated in 4-6 months. 3. RPD >15mm, immediate renal ultrasound should be arranged; clinicians will adjust based on clinical circumstances...[Read More] Understanding Hydronephrosis in Infants: Causes, Diagnosis, and Management
Understanding Infant Hydronephrosis: Diagnosis and Monitoring Insights
Infant hydronephrosis (renal pelvis dilation) Dear Dr. He, I apologize for the additional questions. I would like to provide further information regarding my son's abdominal ultrasound data from when he was one month old for your review. During the prenatal check-ups, the d...
Dr. He Zongxian Reply:
Hello, based on the current information, it appears to be mild. However, since the two ultrasound examinations were performed by different physicians at different institutions, there may be discrepancies. It is recommended that you continue to collaborate with your son's ped...[Read More] Understanding Infant Hydronephrosis: Diagnosis and Monitoring Insights
Understanding Hydronephrosis in Infants: Causes, Concerns, and Care
Infant hydronephrosis Your question: Hello Doctor, during my wife's prenatal check-ups, the doctor did not mention any kidney issues with the fetus, but after our baby was born and reached one month old, we discovered hydronephrosis (this was found during an ultrasound at a ...
Dr. He Zongxian Reply:
Hello, based on your description, there is no detailed information regarding the degree of hydronephrosis, so I can only estimate it to be mild from the limited data provided. Statistically, hydronephrosis is the most common abnormality found in newborn ultrasound examinations. M...[Read More] Understanding Hydronephrosis in Infants: Causes, Concerns, and Care
Understanding Hydronephrosis in Infants: Causes, Symptoms, and Prognosis
Hydronephrosis Hello, doctor. During my wife's prenatal check-ups, the physician did not mention any kidney issues with the fetus. Now our baby boy is four months old and has a problem with hydronephrosis, with one kidney measuring approximately 0.6 cm and the other about 0....
Dr. Xiao Kaiwen Reply:
A renal pelvis dilation of less than 1 centimeter is classified as mild hydronephrosis. Approximately 60% of infants with renal pelvis dilation have a physiological condition, which tends to improve gradually with age, especially in cases of mild dilation. Parents should follow t...[Read More] Understanding Hydronephrosis in Infants: Causes, Symptoms, and Prognosis
Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
A two-and-a-half-year-old child accidentally ingested clobetasol? Currently, I am taking a cholesterol-lowering medication called "Crestor." Previously, I accidentally dropped a pill on the sofa, but I didn't think much of it when I couldn't find it at the tim...
Dr. Xiao Kaiwen Reply:
The main function of Rosuvastatin is to lower cholesterol and triglycerides. It is metabolized by the kidneys after administration. Rare side effects include myopathy and liver function abnormalities. Therefore, if a young child accidentally ingests an overdose of Rosuvastatin, i...[Read More] Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
A two-and-a-half-year-old child accidentally ingested clobetasol? Currently, I am taking a lipid-lowering medication called "Crestor." I accidentally dropped a pill on the sofa and didn't think much of it when I couldn't find it at the time. Today, my child wa...
Dr. Xiao Kaiwen Reply:
The main function of Rosuvastatin is to lower cholesterol and triglycerides. After administration, it is metabolized by the kidneys. Rare side effects include myositis, myalgia, and liver function abnormalities. Therefore, in the case of accidental overdose of Rosuvastatin in you...[Read More] Accidental Ingestion of Cholesterol Medication by Toddler: What to Know
Swollen Upper Eyelid in Infants: Causes and When to Seek Help
Upon waking up in the morning, the upper left eyelid is swollen? Hello, my baby is currently 2 months old and exclusively breastfed. Recently, in the mornings, the left upper eyelid becomes swollen (the eye can only open about 1/3 to 1/2) and appears a bit purplish (similar to a ...
Dr. Xiao Kaiwen Reply:
Allergies typically do not cause swelling in only one eye or just the upper eyelid. In two-month-old infants, lymphatic circulation is not fully developed, so it is common for them to experience swelling due to skin compression after sleeping. Additionally, the eyelids are the th...[Read More] Swollen Upper Eyelid in Infants: Causes and When to Seek Help
Understanding Kidney Atrophy in Infants: Causes, Risks, and Dietary Considerations
Renal atrophy Hello, doctor. My baby is currently 11 months old. Around 8 months, he experienced a urinary tract infection, and subsequent tests confirmed vesicoureteral reflux (grades 2 and 3). During the inflammation, an ultrasound showed that the kidney sizes were over 7 and o...
Dr. Pei Rensheng Reply:
Hello: According to statistics, the normal kidney size for infants aged 6-12 months is as follows: for females, the mean is 6.3 cm, with a standard deviation of 0.68 cm, and a range of 5.1-7.5 cm; for males, the mean is 6.4 cm, with a standard deviation of 0.78 cm, and a range of...[Read More] Understanding Kidney Atrophy in Infants: Causes, Risks, and Dietary Considerations
Understanding Pediatric Urinary Tract Infections and Kidney Monitoring
Urinary tract infection (UTI) Hello, doctor. My daughter has had three urinary tract infections within three months, and imaging has revealed bilateral grade III vesicoureteral reflux. The nephrologist has scheduled a DMSA scan to check for kidney scarring. I would like to ask: 1...
Dr. Pei Rensheng Reply:
Hello! My daughter has had three urinary tract infections in the past three months, and imaging has revealed bilateral grade III vesicoureteral reflux. The nephrologist has ordered a DMSA scan to monitor for kidney scarring. 1) Is the radiation dose from this test high? Answer...[Read More] Understanding Pediatric Urinary Tract Infections and Kidney Monitoring
Understanding Pediatric Urinary Tract Infections and Fever Management
Fever due to urinary tract infection? Hello Doctor: My daughter had a fever of 38°C on Thursday night without any cold symptoms and was a bit lethargic. We took her to the clinic where she was prescribed anti-inflammatory and antipyretic medications, which helped reduce the fever...
Dr. Lin Yishou Reply:
Hello Rain, the management of urinary tract infections varies depending on the child's age and any underlying conditions. For infants under one year old, the risk of complications is higher, and hospitalization is recommended. Additionally, if there is concurrent kidney infl...[Read More] Understanding Pediatric Urinary Tract Infections and Fever Management