Kidney, Pediatrics FAQ

Child Experiences Back Pain While Urinating: What Parents Should Know

Children may experience lower back pain when urinating? Hello Doctor: My child complained of back pain while urinating today, and it took her three attempts to finish urinating. Upon further questioning, I found out that she did not use the restroom at school all day, nor did she...

Dr. Pei Rensheng Reply:
Dear Maggie: Hello, the symptoms in your child strongly suggest a urinary tract infection. Please ensure they drink plenty of water and urinate frequently. It is important to consult a pediatrician. Generally, the physician will perform a urinalysis, and if a urinary tract infect...

Understanding Fetal Hydronephrosis: Concerns and Next Steps for Parents

Fetal hydronephrosis Hello, my son is now 2.5 months old. During the prenatal check-up, the doctor mentioned that he has hydronephrosis, which was nearly 1 cm. An ultrasound of the kidneys was performed at birth, and it still showed nearly 1 cm. Later follow-up showed the right k...

Dr. He Shenglong Reply:
Hello: Generally speaking, if an infant has hydronephrosis, I would refer them to a pediatric nephrologist for follow-up examinations. A renal ultrasound showed that the left kidney increased from 0.6 cm to 1.3 cm, and I believe that performing a voiding cystourethrogram at that ...

Common Concerns for Newborns: Feeding, Hydration, and Comfort Tips

A bunch of questions..? Dear Doctor, I have a few questions to ask you regarding my baby sister who is just over a week old. 1. After the baby has a bowel movement, does she tend to get hungrier? (Because right after feeding her milk, she starts searching for something to suck ...

Dr. Xiao Kaiwen Reply:
1. The gastrocolic reflex is more pronounced in newborns, so it is normal for them to have a bowel movement right after feeding and to feel hungry after a bowel movement. 2. Infants under 6 months have immature kidneys and should not drink too much water (which can place a burd...

Should You Supplement Your Toddler's Diet? Expert Advice on Probiotics and Calcium

Regarding supplements? Hello, doctor. I would like to ask if it is appropriate to supplement with nutritional products. My child is 1 year and 3 months old. I have been adding probiotics (since before he turned one) and calcium powder (after he turned one) to his milk, about 1 to...

Dr. Xiao Kaiwen Reply:
Theoretically, adding probiotics is intended to adjust the intestinal environment to achieve better digestibility and enhance the gut's defense functions. However, there is no consensus on whether adding probiotics will yield the desired effects, how much should be added to ...

Can Cordyceps Benefit Toddlers? Vaccine Differences Explained

Cordyceps sinensis Hello, Dr. Pei: I would like to ask you two questions... (1) My child is currently one and a half years old. Is it safe to give him Cordyceps (in powder form) to improve his constitution and enhance his immunity? (2) What are the differences in the components b...

Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! (1) According to the literature on Traditional Chinese Medicine, the effects of Cordyceps sinensis are as follows: 1. It has the ability to regulate immune system function, and long-term use helps to nourish a weak constitution, restoring vitality and ene...

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 ...

How Often Should Newborns Be Fed Formula Milk? Expert Advice

How often can a newborn drink formula? My baby is seven days old. Due to insufficient breast milk, I switched to formula feeding and currently give 60cc at a time. How long should I wait before feeding again? Sometimes my baby wants to eat shortly after finishing, and I'm wo...

Dr. Xiao Kaiwen Reply:
There is no specific guideline for how often newborns should be fed formula. Some babies have a small stomach capacity and may experience spitting up, so they should be fed smaller amounts more frequently. Other babies can tolerate larger amounts with longer intervals between fee...

Managing High Cholesterol in Children: Dietary Tips and Next Steps

Childhood Hypercholesterolemia My sister-in-law's child is 5 years old and recently had a blood test that showed a cholesterol level of 200. My sister-in-law's family has a history of high cholesterol, and she believes it is genetic. What dietary and lifestyle considera...

Dr. He Shenglong Reply:
Hello: High cholesterol may be influenced by genetic factors, or it could result from excessive dietary intake of cholesterol. Foods that are high in cholesterol should be consumed in moderation, such as egg yolks, whole eggs, pork kidneys, pork liver, bacon, pork, hot dogs, beef...

Understanding Hypercalciuria in Children: Causes, Diagnosis, and Treatment

Hypercalciuria Hello Dr. Pei: I have two questions to ask you... (1) My eldest child is currently over four years old, and my second child is over one year old. I previously asked you about whether these two children have been tested for kidney stones (caused by melamine). When t...

Dr. Pei Rensheng Reply:
Dear Xiaofen, (1) The diagnostic criteria for hypercalciuria are a 24-hour urinary calcium excretion exceeding 4 mg/kg/day. However, collecting 24-hour urine can be challenging, so most physicians use a spot urine calcium-to-creatinine ratio (Ca/Cre) as a substitute. If the rati...

Addressing Weight Concerns in Infants: Tips for Parents

Baby weight issues? Hello, doctor. My baby boy was born at 36 weeks and weighs 1500g. His corrected age is one year, with a height of 68 cm and a weight of 7 kg. He drinks milk every 3 hours, and previously he drank a maximum of 120 cc. After he caught a cold at 10 months old and...

Dr. Xie Degui Reply:
1. According to the description, the baby's development is not delayed, but growth is insufficient and height is below normal, indicating a lack of nutrition for some time. 2. Besides being premature and having a low birth weight (SGA), the baby may also have intestinal sen...

Concerns About Kidney Stones in Children: X-Ray Risks and Calcium Levels

Kidney stones? Hello Dr. Pei, I would like to ask you two questions... (1) Due to the recent contaminated milk powder incident, I took my two children (one is 11 months old and the other is 4 years old) for urine tests to check for kidney stones. One of the procedures involved ta...

Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! Currently, all hospitals under the Department of Health have special outpatient clinics for kidney stones. Individuals experiencing cloudy urine, decreased urine output, or suspected consumption of melamine-containing foods can seek medical attention. The fi...

Should You Give High Protein Powder to Your Picky Toddler?

High-protein powder My son is 2 years and 4 months old, and his height has not yet reached 90 cm. He tends to be picky with food and will spit out what he doesn't like, and he easily gets nervous, leading to poor gastrointestinal absorption. Someone suggested that we give hi...

Dr. He Shenglong Reply:
Hello; for a 2-year and 4-month-old boy with a height of 90 cm, he is exactly at the 50th percentile, which is not necessarily bad. Height is significantly influenced by genetic factors. If a child's height is below the 3rd percentile, or if there is a drop in height percent...

Concerns About Goat Milk Formula for Infants with Kidney Issues

Confusion about goat milk powder? I previously inquired with Dr. Hsiao about whether goat milk powder would impose a burden on the kidneys of infants with "polycystic kidney disease with renal hypoplasia." This time, I would like to ask for more detailed information. Ar...

Dr. Xiao Kaiwen Reply:
Goat milk infant formula is an adjusted formula made from goat milk (where the protein and mineral content is reduced, and the previously lacking folic acid and iron are added in sufficient amounts). This means that the nutrients have been modified to resemble those in breast mil...

Is Goat Milk Powder Safe for Babies with Kidney Issues?

Does goat milk powder impose a burden on the kidneys? Dear Doctor: My friend's baby has congenital "polycystic kidney disease with renal hypoplasia" and is under regular monitoring, with the current situation being stable. They are considering introducing goat milk...

Dr. Xiao Kaiwen Reply:
Goat milk contains more minerals than cow's milk, primarily phosphorus, calcium, chloride, sodium, and potassium. However, the levels of iron and folate in goat milk are lower. If a newborn exclusively consumes fresh goat milk, it may lead to severe anemia; therefore, fresh ...

Managing Severe Allergic Rhinitis in Infants and Young Children

Severe Allergic Rhinitis in Infants and Young Children Dear Dr. Hsiao, Hello! I have two sons, one just turned one year old and the other just turned four. I have taken both children to see both Western and Traditional Chinese Medicine practitioners, and they have both been diag...

Dr. Xiao Kaiwen Reply:
Allergic constitution requires persistence and patience to combat. Children are more likely to change their constitution (unlike adults, who find it more difficult to do so), and there is a possibility for improvement or even complete resolution. Conversely, if left unaddressed, ...

Assessing the Impact of Imaging Tests on Infants with Urinary Tract Infections

Urinary tract infection in infants and young children? Due to the frequent association of urinary tract infections in infants and young children with urinary tract abnormalities, further imaging studies using contrast agents and imaging equipment or X-ray examinations of the urin...

Dr. Xiao Kaiwen Reply:
I believe you are referring to a Voiding Cystourethrogram (VCUG), which is performed to rule out the possibility of congenital urinary tract structural abnormalities. In young infants, urinary tract infections may be associated with congenital anomalies of the urinary system. The...

Managing Cold Symptoms and Digestive Issues in Infants

Cold and bowel issues? Hello, Doctor He: 1. I would like to ask about my daughter, who is currently two and a half months old, weighing 4,700 grams and measuring 55 centimeters. She was born weighing 2,500 grams and measuring 47 centimeters. Currently, she is consuming 140 cc of...

Dr. Xiao Kaiwen Reply:
1. At two and a half months, the weight is 4700 grams (10-25 percentile), height is 55 cm (25 percentile), and the weight has increased by 2200 grams since birth. This growth is considered normal (typically, infants gain about 1 kg per month in the first few months). It is also n...

Understanding Pediatric Bloating: Causes, Prevention, and Speech Concerns

Bloating Hello, doctor: (1) My son has been experiencing bloating for more than a week, and applying anti-bloating cream hasn't helped much. Could this indicate indigestion if it continues like this? How can we prevent it in the future? (2) My child is currently 2 years and ...

Dr. Pei Rensheng Reply:
Dear Xiao Min, Hello! (1) The condition of abdominal bloating is particularly noticeable in children after they eat, primarily due to the thinner abdominal wall muscles. Generally, this improves after the age of 5. However, one should be cautious of the following conditions: -...

Is It Safe for Toddlers to Drink Diluted Sports Drinks?

Shu Pao Hello, Doctor: My child is currently 1 year and 8 months old and is in a private daycare. The teachers often give him diluted (about half) sports drinks like Gatorade. I would like to know if this could have long-term effects on my child's kidneys. He is not sick and...

Dr. Pei Rensheng Reply:
Hello: The main components of sports drinks are water, sugars, and electrolytes, with sodium ions being one of the more important electrolytes. Our daily sodium requirement is 2-3 meq/kg. Each 100 milliliters of Shupao contains 45 mg (approximately 2 meq) of sodium, which meets t...

Boosting Protein Intake for Your Toddler: Safe Tips and Guidelines

How to increase protein intake? Hello, doctor. Thank you for your previous response. I would like to help my son build a more solid physique. You mentioned that protein intake is very important. May I ask if it's okay for him to eat eggs every day? He is currently 1 year and...

Dr. Pei Rensheng Reply:
Hello: A deficiency in protein in children may lead to slow growth, weight loss, fatigue, anemia, shock, decreased immunity, and delayed healing of wounds and fractures. It can also cause the body to retain excess fluid, resulting in edema. Since the waste products from protein m...

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