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...[Read More] Pediatric Medication Safety and Newborn Screening: What Parents Should Know
Can Toddlers Drink Fresh Milk? Understanding Pediatric Guidelines
Can a toddler over one year old drink fresh milk? Hello! Recently, my baby has shown some signs of milk aversion. In the morning, after waking up, he should be very hungry, but he only drinks a few sips and then refuses to continue. He only reluctantly finishes when he is sleepy,...
Dr. Wang Jiayi Reply:
Dear Miss Lin: A one-year-old baby can drink commercially available whole milk without causing adverse effects on the kidneys. It is advisable to use whole milk rather than skim milk. Children should consume a variety of adult meal foods, but it is best to avoid greasy, fried, he...[Read More] Can Toddlers Drink Fresh Milk? Understanding Pediatric Guidelines
Foamy Urine in Children: Should You Worry About Kidney Issues?
Foamy urine? My child is 9 years old (third grade) and has a lot of bubbles in their urine. Could this indicate a kidney problem?
Dr. Wang Jiayi Reply:
Please take your child to a general pediatrician or a pediatric nephrologist for a urine test as soon as possible. Hualien Hospital Pediatrics cares about you![Read More] Foamy Urine in Children: Should You Worry About Kidney Issues?
Managing Water Quality for Children with Kidney Issues: Essential Tips
If there are issues with kidney function, should the quality of drinking water be more strictly regulated? Hello Doctor: My daughter was diagnosed with "two sets of ureters = four kidneys" while still in the womb, but one of the kidneys has "cystic dysplasia" ...
Dr. Pei Rensheng Reply:
Hello: 1. Although there are congenital kidney malformations, most kidney functions are normal at birth. Of course, infants under one year old still have developing kidneys, and drinking water with high mineral content can increase the burden on their kidneys, making it unsuitab...[Read More] Managing Water Quality for Children with Kidney Issues: Essential Tips
Concerns About Overconsumption of Children's Vitamins: What Parents Should Know
Ingestion of a large amount of vitamins? Hello, my child recently consumed nearly 90 gummy vitamins (like Gummy Bears) at home when adults were not paying attention. Is there any concern regarding such a large intake of vitamins? Should we take her to a doctor for an examination?...
Dr. Pei Rensheng Reply:
Hello! Not only are the well-known fat-soluble vitamins (vitamins A, D, E, K) at risk of toxicity when taken in excess, but water-soluble vitamins can also lead to toxicity when consumed in large amounts, although this is more commonly seen in high-dose treatments for specific co...[Read More] Concerns About Overconsumption of Children's Vitamins: What Parents Should Know
Is Severe Hydronephrosis Leading to Kidney Atrophy a Major Health Concern?
Is having a single kidney due to severe hydronephrosis resulting in kidney atrophy considered a major illness? Dear Dr. Pei, I would like to ask you a few questions, and I appreciate you taking the time to respond amidst your busy schedule. When my child was four to five month...
Dr. Pei Rensheng Reply:
Hello: 1. According to the regulations on major illnesses from the Department of Health website (http://www.nhi.gov.tw/webdata/AttachFiles/Attach_1059_1_W0940043268衛署941221公告重大傷病範圍表.doc): - Chronic renal failure (uremia) requiring regular dialysis treatment is classified as...[Read More] Is Severe Hydronephrosis Leading to Kidney Atrophy a Major Health Concern?
Understanding Pediatric Leg Pain After a Cold: When to Seek Help
A cold can cause difficulty in standing and walking? Hello, my dog was born in 1989. On Sunday night, he had a fever of 39.8 degrees Celsius, fluctuating throughout the night, and he complained of pain in his legs and arms, asking me to massage him. The next day, we went to the c...
Dr. Pei Rensheng Reply:
Hello, Indeed, there have been many children recently presenting to the clinic with lower limb pain and difficulty walking. The vast majority of these cases are due to viral infections leading to myositis. It is advisable to first consult a general pediatrician. Depending on th...[Read More] Understanding Pediatric Leg Pain After a Cold: When to Seek Help
Concerns About Milk Feeding and Introducing Solids for Infants
Milk Hello, Doctor: I have a four-month-old baby, and as a first-time parent, I have no experience. I am concerned because I did not follow the proper formula mixing instructions when feeding my baby for the past four months. I am worried about whether this could affect my baby...
Dr. Wang Jiayi Reply:
Careless Moms: Children should receive vaccinations on schedule and undergo health check-ups. The pediatrician will determine if additional tests, such as kidney evaluations, are necessary based on the current examination results. Generally, infants can start trying simple baby f...[Read More] Concerns About Milk Feeding and Introducing Solids for Infants
Understanding Green Stool and Constipation in Infants: Expert Insights
Green stools and constipation issues? Thank you, doctor, for taking the time to answer my questions. My child is currently one and a half months old and will turn two months on October 20. He weighs about 5.7 kg and is consuming Abbott Similac formula. Since birth and up to one m...
Dr. Wang Jiayi Reply:
Hello, Aunty: It is best for your child's gastrointestinal condition to be examined by a pediatric gastroenterologist. Since formula milk contains a large amount of water, it is not recommended for infants to drink plain water. Unless advised by a pediatrician, do not change...[Read More] Understanding Green Stool and Constipation in Infants: Expert Insights
Understanding Decreased Urine Output in a Five-Month-Old Baby
The urine output of a five-month-old baby has decreased? Doctor, is this related to the kidneys? 1. The baby is almost six months old. 2. There was a diagnosis of hydronephrosis at birth, but during the three-month check-up, the doctor said it had not increased in size and that w...
Dr. Pei Rensheng Reply:
Hello: According to statistics, 20% of newborns have varying degrees of hydronephrosis. If it is mild hydronephrosis, ultrasound examinations can be performed every three to six months. The normal urine output for children is 1-4 cc/kg/hr, and it is advisable to observe for a per...[Read More] Understanding Decreased Urine Output in a Five-Month-Old Baby
Understanding Hydronephrosis in Infants: Risks and Surgical Options
Infant hydronephrosis Hello Doctor: My baby was born about 37 days ago and was hospitalized due to a fever. After examination, the doctor found a urinary tract infection that has affected the kidneys. The doctor mentioned that both kidneys are at grade 4 hydronephrosis and that s...
Dr. Pei Rensheng Reply:
Hello: For infants with urinary tract infections, general practitioners typically perform ultrasound examinations and arrange for a voiding cystourethrogram after treatment. The doctor mentioned that both kidneys are classified as grade 4 hydronephrosis, which likely refers to th...[Read More] Understanding Hydronephrosis in Infants: Risks and Surgical Options
Understanding Frequent Colds and Ear Infections in Infants
An 8-month-old baby has been experiencing frequent colds? Hello Dr. Zhang, my baby is currently 8 months old, and his height, weight, and head circumference growth curves are all good. However, since he was 3 months old, he has caught a cold once a month, totaling 5 times. The pe...
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen from the Hsinchu County Hospital writes as follows: Infants and young children generally have weaker immune systems compared to adults, especially after six months of age, making them more susceptible to illnesses. However, as they grow older, their immune stre...[Read More] Understanding Frequent Colds and Ear Infections in Infants
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...[Read More] Should an 18-Month-Old with UTI History Get Pneumococcal Vaccine?
Is My Baby's Milk Intake Too Low? Understanding Urinary Tract Infections
Is the milk supply too low? Urinary tract infection? Hello Doctor, I would like to ask you about my son, who has just turned 5 months old. Since he was 2 months old, he hasn't been eating much. At 4 months, he weighed 5.5 kg, and now he is 6.5 kg. Is this growth too slow? C...
Dr. Lin Huizhen Reply:
Dear Dr. Lin Huizhen of the Pediatrics Department at Tainan Hospital, Ministry of Health and Welfare: 1. Based on your child's age and weight, they are approximately at the 25th percentile on the growth curve. Generally speaking, the milk intake is indeed slightly lower, bu...[Read More] Is My Baby's Milk Intake Too Low? Understanding Urinary Tract Infections
Is It Safe to Give Nutritional Supplements to My One-Year-Old?
Is it good for a one-year-old baby to take nutritional supplements? My baby just turned one year old. I'm unsure whether to add nutritional supplements for infants and toddlers, such as calcium powder, multivitamins, lactoferrin, and probiotics. Will these increase the burde...
Dr. Pei Rensheng Reply:
Hello: The baby has just turned one year old. The main diet for infants and toddlers should consist of the same meals as adults, while formula milk (stage three, growth milk powder for children aged 1-3 years) should be considered a supplementary food. Unless there are specific h...[Read More] Is It Safe to Give Nutritional Supplements to My One-Year-Old?
Concerns About Child's Breath Smelling Like Disinfectant: What to Know
The exhalation has a disinfectant smell? 1. My son is three and a half years old. He drinks a bottle of sports drink every day and does not drink water. This has been the case for a year. Will this have any impact on his health? 2. Recently, he has had a disinfectant smell in h...
Dr. Lin Huizhen Reply:
Dear Dr. Lin Huizhen, Director of Pediatrics at Tainan Hospital, Department of Health, Executive Yuan: 1. Regular sports drinks have a higher ion content, which can increase the burden on the kidneys in the long term. If children are unable to make a sudden change, it is recomme...[Read More] Concerns About Child's Breath Smelling Like Disinfectant: What to Know
Understanding Pediatric Kidney Stones: Symptoms and Solutions
What to do about pediatric kidney stones? A 4-year-old child recently went to the bathroom and, less than half an hour later, expressed the need to urinate again. After a visit to the clinic, there was no inflammation found, but there were crystals of stones in the urine. Could t...
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen, Chief of Pediatrics at Hualien Tzu-Chiang Hospital, respectfully responds as follows: When a child presents with frequent urination, the primary concern is whether there is a urinary tract infection causing persistent high fever. If the urinalysis shows no sig...[Read More] Understanding Pediatric Kidney Stones: Symptoms and Solutions
Flu Vaccine Considerations for Children with Chronic Kidney Disease
Chronic Kidney Disease and Influenza Vaccine Dear Dr. Chang, Hello. My child has been diagnosed with chronic kidney disease (glomerulonephritis) for about three years now. We have been monitoring blood and proteinuria every three months, and the results have been relatively norm...
Dr. Zhang Peixin Reply:
Hello: If there is no allergy to egg white, the influenza vaccine should be administered. Sincerely, Dr. Pei-Hsin Chang, Pediatrics.[Read More] Flu Vaccine Considerations for Children with Chronic Kidney Disease
Understanding Hydronephrosis in Infants: Causes, Effects, and Care Tips
Pediatric hydronephrosis Hello Dr. Zhang, My daughter is now 11 months old. In April, I noticed that she didn't urinate much throughout the day (she also had a poor appetite and didn't drink much milk). The next day, I took her to the hospital for a renal ultrasound, a...
Dr. Zhang Peixin Reply:
Hello concerned mother: Hydronephrosis refers to the dilation of the renal pelvis, which is the part of the kidney where urine is collected before it flows into the ureters and bladder. When there is a narrowing or complete obstruction in this pathway within the kidney, urine acc...[Read More] Understanding Hydronephrosis in Infants: Causes, Effects, and Care Tips
Impact of Long-Term Magnesium Hydroxide Use on Children's Urine and Health
Drugs and Urine Hello, my child is currently 2 years old and has been taking magnesium hydroxide since he was a month old to help with bowel movements. Recently, I have noticed a strong unusual odor in his urine, which was not present initially. Could this be related to the long-...
Dr. Zhang Peixin Reply:
Hello: Theoretically, the absorption of magnesium oxide (MgO) is minimal, and this can be excreted by the kidneys in healthy individuals, so it should not cause any odor. If your mother is concerned, she may consider testing the blood magnesium ion concentration. Additionally, tr...[Read More] Impact of Long-Term Magnesium Hydroxide Use on Children's Urine and Health