Do Newborns Need Water? Guidelines for Parents on Hydration
Do newborns need supplemental hydration? Dear Doctor, my baby has been consuming formula milk along with breast milk and is about to turn one month old. I've noticed that my baby sometimes sticks out their tongue after eating and resting for a while. When my baby was two wee...
Dr. Xiao Kaiwen Reply:
In principle, the primary source of nutrition for newborns and young infants is milk, which contains a significant amount of water. If they urinate 6-8 times a day and the urine is light in color and not concentrated, it indicates that they are adequately hydrated and do not need...[Read More] Do Newborns Need Water? Guidelines for Parents on Hydration
Understanding Chronic Gastric Ulcers in Young Children: A Case Study
Chronic gastric ulcer Hello Dr. Fei, my child is 2 years and 10 months old. On October 4th, he was hospitalized due to edema in the limbs and was found to have low albumin levels. After an ultrasound examination, both the kidneys and liver were normal. After receiving six high-pr...
Dr. Pei Rensheng Reply:
Hello: Based on your description, the low albumin and elevated eosinophils may indicate conditions other than parasites, such as eosinophilic gastroenteritis. Patients with eosinophilic gastroenteritis can also be tested for IgE and allergens. It is advisable to avoid foods that ...[Read More] Understanding Chronic Gastric Ulcers in Young Children: A Case Study
Dietary Guidelines for Pre-Dialysis Kidney Patients: What to Know
I would like to ask about dietary issues for dialysis patients? My mother is currently 57 years old. Her kidney function index has reached 10.7, but she has not yet started dialysis. I would like to ask how to adjust her diet. Can we use healthy low-sodium salt for main dishes? W...
Dr. Ma Yiqun Reply:
Xiao Bu: I apologize, but issues related to adult nephrology are not my area of expertise. Please consult a nephrologist. Changhua Hospital cares about you.[Read More] Dietary Guidelines for Pre-Dialysis Kidney Patients: What to Know
Understanding Vasculitis in Children: Concerns and Treatment Options
Vasculitis refers to a group of disorders characterized by inflammation of the blood vessels, which can lead to changes in the vessel wall Hello Doctor: My daughter developed a rash on the sole of her foot at the end of November last year. Initially, we thought it was allergic pu...
Dr. He Ciyuan Reply:
Vasculitis is an inflammation of the blood vessels that can lead to vessel lumen collapse and ischemia. The etiology may involve abnormal immune mechanisms, particularly the deposition of immune complexes. There are many types of vasculitis, and it is unclear which type your chil...[Read More] Understanding Vasculitis in Children: Concerns and Treatment Options
Assessing Renal Development Issues in Newborns: Ultrasound and Further Testing
Pediatric renal hypoplasia If a newborn's renal ultrasound reveals that one kidney is not developed, can we confirm that the affected side has no kidney? What further examinations are needed for confirmation (such as nuclear medicine or CT scans)? Additionally, can newborns ...
Dr. He Shenglong Reply:
Hello: A self-paid renal ultrasound examination for a newborn revealed underdevelopment of one kidney. You may inquire with the hospital regarding whether to continue monitoring or refer to a pediatric nephrologist. If necessary, nuclear medicine or computed tomography scans can ...[Read More] Assessing Renal Development Issues in Newborns: Ultrasound and Further Testing
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...[Read More] Is Long-Term Consumption of Ensure Safe for My 9-Year-Old Swimmer?
Understanding Ureteral Stricture and Hydronephrosis in Infants
Ureteral stenosis in infants, hydronephrosis? Hello, doctor! My sister's baby was born with unilateral hydronephrosis. Now that the baby is one month old, a check-up revealed ureteral stricture, and the affected kidney has become twice the size of a normal one. Can a one-mon...
Dr. Pei Rensheng Reply:
Dear Ms. Wang, Hello, 1. According to http://www.healthcommunities.com/ureteropelvic-junction-obstruction/children/treatment-for-upj-obstruction.shtml 2. Treatment for Ureteropelvic Junction Obstruction: Newborns with UPJ obstruction and hydronephrosis are placed on antibioti...[Read More] Understanding Ureteral Stricture and Hydronephrosis in Infants
Understanding Pediatric Kidney Issues: Bedwetting and Urinary Concerns
Pediatric kidneys Hello Dr. Fei: My ten-year-old child was very underweight at birth and has a condition of ectopic kidney. He still experiences bedwetting, drinks a lot of water during the day, has a high frequency of urination, and his urine has a significant amount of bubbles ...
Dr. Pei Rensheng Reply:
Hello: "Nephroptosis" (also called floating kidney or renal ptosis) refers to a condition where the kidneys, located on either side of the spine in the abdominal cavity, become mobile. Normally, the kidneys are surrounded by a layer of fat that not only protects them bu...[Read More] Understanding Pediatric Kidney Issues: Bedwetting and Urinary Concerns
Understanding Asymmetrical Kidneys in Preterm Infants: Risks and Care
One kidney is larger than the other? My child, who is a preterm infant born at 34 weeks, is now almost one year old. Recently, we visited a pediatric clinic due to diarrhea, and the doctor discovered through an ultrasound that one of his kidneys is larger than the other. Both the...
Dr. Xie Degui Reply:
Hello: The kidneys are not of equal size, but if there is a difference greater than 1 cm, further evaluation is necessary. Of course, if both kidneys are atrophied or inflamed and enlarged, that is also a possibility. It is recommended to seek evaluation at a hospital.[Read More] Understanding Asymmetrical Kidneys in Preterm Infants: Risks and Care
Impact of Multiple CT Scans on Toddler's Brain Development and Health Risks
Repeated CT scans of the brain in young children? My 2-year and 7-month-old daughter had a car accident in mid-May, where her head hit the ground. She vomited once in the emergency room, and the doctor arranged for a CT scan of her head. She struggled a lot, so she ended up havin...
Dr. Pei Rensheng Reply:
Dear Zoe, Hello! The following article is for your reference. Reasons for the Popularity of Computed Tomography (CT) Scans The reason why computed tomography (CT) scanning technology is favored by both doctors and patients is that it can quickly provide diagnostic reports, is ...[Read More] Impact of Multiple CT Scans on Toddler's Brain Development and Health Risks
Understanding Frequent Urination in Toddlers: Causes and Concerns
Frequent urination in children? Hello, my child is currently 1 year and 4 months old. I have noticed that he frequently urinates without wearing a diaper. He urinates very often, about every 10 to 15 minutes, and the volume is not much. This situation has been ongoing for quite s...
Dr. Xiao Kaiwen Reply:
This situation may indicate the presence of frequent urination, but there are many potential causes for this condition, such as urinary tract infections, bladder dysfunction, urinary tract obstruction, diabetes, neurological control issues, psychological factors, and other tempor...[Read More] Understanding Frequent Urination in Toddlers: Causes and Concerns
Do Children Need Blood Tests for Phthalate Exposure? Costs Explained
Phthalate issues Is it necessary to conduct a blood test to detect any issues if my child has consumed products containing phthalates? Will there be an additional charge at your hospital for this? Thank you.
Dr. Pei Rensheng Reply:
Hello, currently regarding the intake of food containing DEHP (di(2-ethylhexyl) phthalate), it is generally excreted quickly under normal liver and kidney function (approximately 24-48 hours), so the concentration of metabolites in the blood and urine is very low. There are curre...[Read More] Do Children Need Blood Tests for Phthalate Exposure? Costs Explained
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...[Read More] Concerns About Probiotics Containing Plasticizers in Children
Long-Term Medication Effects on Children's Liver and Kidney Health
Will long-term medication use have an impact? Hello, doctor. My daughter is five years old and has a history of asthma, nasal allergies, and persistent runny nose. She has been coughing with phlegm, so she has been taking cold medication. Recently, she has had issues with fluid i...
Dr. Xiao Kaiwen Reply:
The key point is that it is safe to follow prescriptions issued by experienced and specialized pediatric allergists and immunologists, as they will not harm the body. In fact, excessive concern and failure to cooperate with a professional physician can worsen the situation (for i...[Read More] Long-Term Medication Effects on Children's Liver and Kidney Health
Understanding Kidney Development Issues in Infants: Concerns and Solutions
Kidney problems Hello Doctor: My child is 13 months old and recently had a kidney ultrasound. The doctor said that my child's right kidney is hypoplastic while the left kidney is normal. We are very concerned and have been wondering why this happened. Could it be due to medi...
Dr. Xiao Kaiwen Reply:
Polycystic kidney disease (PKD) is classified into infantile type (autosomal recessive inheritance, more severe) and adult type (autosomal dominant inheritance, less severe). Symptoms of the former may include renal dysfunction, hematuria, renal hypertension, and associated malfo...[Read More] Understanding Kidney Development Issues in Infants: Concerns and Solutions
Understanding Multicystic Dysplastic Kidney in Children: Causes and Treatment Options
Pediatric Multicystic Dysplastic Kidney Hello, my son is currently 13 months old and had diarrhea a month ago. An ultrasound now shows multiple renal cysts. What type of condition could cause multiple renal cysts in such a young child? At what age would this start to affect his k...
Dr. Pei Rensheng Reply:
Dear Mother Tseng, Hello. Polycystic kidney disease (PKD), also known as cystic kidney disease, is a hereditary kidney disorder characterized by the growth of numerous cysts in the kidneys, leading to an increase in kidney size and a decline in kidney function. Polycystic kidney...[Read More] Understanding Multicystic Dysplastic Kidney in Children: Causes and Treatment Options
Can Infants Safely Consume Traditional Chinese Medicine?
Can infants consume traditional Chinese medicine? Hello, I would like to ask you a question. My sister is about 1 year and 2 months old. She often catches colds when she is taken care of by her nanny (who looks after two children, including my sister) and frequently takes Western...
Dr. Pei Rensheng Reply:
Hello: I am a Western physician with limited knowledge of Traditional Chinese Medicine (TCM). Based on my online research, the following article is for your reference! The appropriate timing for giving Chinese medicine to infants depends on the purpose of the medication. Dr. Chen...[Read More] Can Infants Safely Consume Traditional Chinese Medicine?
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...[Read More] Understanding Growth Concerns in Preterm Infants: A Pediatric Guide
Managing Asthma and Sinusitis in a 5-Year-Old: Concerns and Medication Overview
Asthma and rhinitis in a 5-year-old child? Hello Doctor: My child (currently 5 years old) has been diagnosed with an allergic constitution, asthma, and sinusitis. For the past five months, he has been taking a considerable amount of medication daily. When he is not experiencing a...
Dr. Xiao Kaiwen Reply:
Children often suffer from frequent colds that take a long time to heal, and the most common cause is indeed respiratory allergies. Allergen testing can detect "overt" allergens, but many "hidden" allergens (such as cold air, cold-induced reactions, and exerci...[Read More] Managing Asthma and Sinusitis in a 5-Year-Old: Concerns and Medication Overview
Understanding Pink Urine in Infants: Nutrition and Dietary Concerns
Changes in urine color & nutritional issues Hello, my baby is currently over 8 months old. Following the doctor's instructions, we have been feeding him beets for 2 days, and I noticed that his urine has turned pink. Is this normal? I live abroad, and since my baby was 6...
Dr. Xiao Kaiwen Reply:
The color of urine can be influenced by food and medications, but pink urine is less common. It is advisable to seek medical attention for examination (a simple urinalysis can check for infections or hematuria, and a renal ultrasound can assess for hydronephrosis or kidney stones...[Read More] Understanding Pink Urine in Infants: Nutrition and Dietary Concerns