Understanding Lymph Node Issues in Infants: A Parent's Guide
Lymphatic issues Hello Doctor: My child is over 9 months old. A few days ago, he had a high fever and we went to the emergency room, where the doctor prescribed antibiotics and suppositories. After three days, the fever subsided, but a rash appeared. Today, I suddenly noticed thr...
Dr. Pei Rensheng Reply:
Hello: It is very likely a lymph node. Observation is sufficient. If there is redness in the epidermis and purulent changes in the center, it may indicate a skin infection, such as a boil or carbuncle; treatment may be necessary. Wishing you health and happiness! Dr. Pei Ren-Shen...[Read More] Understanding Lymph Node Issues in Infants: A Parent's Guide
Is Four Feedings a Day Enough for My Four-Month-Old Baby?
Is drinking four meals a day too little for someone over four months old? Hello doctor, my child is currently four and a half months old and weighs 6.7 kg. She is currently having four meals a day, drinking 200 cc each time. Is this sufficient? Is the interval between her last fe...
Dr. Xiao Kaiwen Reply:
Typically, a five-month-old infant's weight is double their birth weight, so it appears that your child's weight gain is normal, indicating that her milk intake should be sufficient. Similarly, if the child's weight gain is normal and based on her own needs, there ...[Read More] Is Four Feedings a Day Enough for My Four-Month-Old Baby?
Understanding Mycoplasma Pneumonia in Children: Symptoms and Treatment Options
About Mycoplasma pneumoniae! Hello Dr. Hsiao: My younger sister has been coughing for over a month. Last week, she had a blood test, and the results were as follows: - White blood cell count: 13.5 (units: 1000/uL, normal range: 6.7–11.8) - Red blood cell count: 4.89 (units: mil...
Dr. Xiao Kaiwen Reply:
A normal two-year and one-month-old child should have sufficient strength to cough up phlegm (although sometimes they may swallow it). Chest physiotherapy is not necessary. The blood test report you provided is just a basic blood examination, with the only notable abnormality bei...[Read More] Understanding Mycoplasma Pneumonia in Children: Symptoms and Treatment Options
Can My 1-Year-Old Switch to 13-Valent Pneumonia Vaccine?
13-valent pneumococcal vaccine Hello doctor, my sister is currently one year old. Before she turned one, due to spitting up, the doctor recommended the 10-valent vaccine. She has completed 4 doses and only has one dose left. Can I give her the 13-valent vaccine for the last dose,...
Dr. Xiao Kaiwen Reply:
1. Lymphoid tissue will gradually enlarge steadily until puberty, after which it will naturally decrease and disappear. The absence of inflammation (redness, swelling, heat, pain) and malignancy (hardening, irregular borders, fixation, continuous enlargement) is considered normal...[Read More] Can My 1-Year-Old Switch to 13-Valent Pneumonia Vaccine?
Understanding Hard Lumps on Your Baby's Legs: When to Seek Help
The baby has hard lumps below the knees on both calves? Hello, Dr. Hsiao. My baby is currently 11 months old and I have noticed hard lumps on both sides of his feet. Sometimes, after mosquito bites, there is an additional swollen lump, and there are also dark pigmented spots wher...
Dr. Xiao Kaiwen Reply:
If there are hard lumps below the knees on both sides of the calves and they are symmetrically located, it is usually considered normal. Consultation with a pediatric orthopedic specialist or pediatric rehabilitation specialist is advisable. Infants have relatively more sensitive...[Read More] Understanding Hard Lumps on Your Baby's Legs: When to Seek Help
Safety of Antiperspirants for Breastfeeding Moms: What You Need to Know
Antiperspirants for breastfeeding? Hello Doctor, I am a breastfeeding mother and have been breastfeeding for 10 months. I have been using an antiperspirant under my arms, but I recently came across an article stating that it could be passed to my baby through breast milk. I am ve...
Dr. Xiao Kaiwen Reply:
I believe that the amount of legally topical medications absorbed through the skin into the lymphatic and circulatory systems, and subsequently secreted into breast milk for the baby, is negligible and unlikely to affect the baby. If there are still concerns, it is advisable to c...[Read More] Safety of Antiperspirants for Breastfeeding Moms: What You Need to Know
Newborn Cough: Understanding Symptoms and Care for Your Baby
Urgent~~Newborn Cold Hello, doctor. I am a new mother and I would like to ask about my baby. She is just under two months old and has recently started coughing, initially just 1 or 2 times, but in the last couple of days, her cough has worsened, resembling an adult's cough d...
Dr. Xiao Kaiwen Reply:
1. A weight gain of 1400 grams in a little over a month after birth is an acceptable growth rate; others may perceive the baby as small due to a lower birth weight. 2. It is quite common for infants to have small lymph nodes near the back of the neck, and this is generally cons...[Read More] Newborn Cough: Understanding Symptoms and Care for Your Baby
Understanding Lumps on Your Child's Head: When to Worry
Small hard lump on the head? Hello, Doctor He: I have a daughter who is currently 1 year and 6 months old. When she was a newborn, we accidentally discovered multiple small lumps at the back of her head, located about 1 to 2 centimeters above her neck. At that time, we consulted ...
Dr. He Shenglong Reply:
Hello: After a child contracts a respiratory infection, it is common to find painless, movable small hard nodules (lymph nodes) in the neck, posterior neck, or behind the ears. Generally, these can be monitored as they will gradually decrease in size. However, if there is localiz...[Read More] Understanding Lumps on Your Child's Head: When to Worry
Understanding Pediatric Intestinal Parasite Infections: Diagnosis and Treatment
Intestinal parasitic infection Dear Dr. Pei, I apologize for bothering you again. During the hospitalization, the doctors conducted tests for IgE allergens and immune system evaluations, and the reports came back normal. Therefore, the attending physician ruled out allergic gast...
Dr. Pei Rensheng Reply:
Hello: Patients with elevated eosinophils and protein loss can still undergo gastrointestinal endoscopy and pathology sampling. Elevated eosinophils may indicate not only allergies and parasitic infections but also certain forms of malignancies, such as Hodgkin's lymphoma an...[Read More] Understanding Pediatric Intestinal Parasite Infections: Diagnosis and Treatment
Understanding Fever, Rash, and Diarrhea in Young Children: A Guide for Parents
Fever, rash, and diarrhea in children? My child will turn one at the end of August. Last Saturday at 9 AM, he received two vaccinations for chickenpox and measles. Before the shots, I felt that his temperature was slightly elevated, but I didn't measure it at that time. Afte...
Dr. Xiao Kaiwen Reply:
The following is a brief overview of diseases associated with fever and rash in infants and young children (refer to items 1, 2, 3, 4, 5): 1. Measles 2. Rubella 3. Scarlet Fever 4. Roseola Infantum 5. Kawasaki Disease **Age of Onset:** 1. > 6 months 2. > 6 months 3. > ...[Read More] Understanding Fever, Rash, and Diarrhea in Young Children: A Guide for Parents
Is Thymic Hypertrophy Serious in Infants? Key Concerns and Insights
Is a protruding chest line serious? Hello Doctor, DD is now 5 months old. When he was a little over 1 month old, he was hospitalized for pneumonia with a fever of 39 degrees Celsius for a week at Chang Gung Memorial Hospital. He had a follow-up appointment a week after discharge,...
Dr. Pei Rensheng Reply:
Dear Elaine, The thymus is one of the glands in the human body where some bone marrow cells mature. It is located at the upper part of the sternum, between the two lung lobes, and beneath the thyroid gland. As a person ages, the thymus gradually shrinks, but it still retains its...[Read More] Is Thymic Hypertrophy Serious in Infants? Key Concerns and Insights
Understanding Frequent Throat Infections in Children: Causes and Solutions
Frequent throat purulence? Hello Doctor: My child was born in 2002 and has been getting sick almost twice a month since childhood, with each episode accompanied by a fever close to 104°F (40°C). Over the past two years, the frequency of colds has remained the same, but now each t...
Dr. Ma Yiqun Reply:
Hello: The tonsils are part of the lymphatic tissue and serve as the body's first line of defense against bacteria, preventing pathogens from entering the respiratory tract. The most common cause of acute suppurative tonsillitis is viral infection, with bacterial infection (...[Read More] Understanding Frequent Throat Infections in Children: Causes and Solutions
Understanding Chylothorax in Infants: Treatment and Prognosis Explained
Chylothorax in newborns Hello Doctor: We have a 2-month-old baby who has been hospitalized for two weeks. The doctor diagnosed him with chylothorax. Currently, the treatment involves fasting and draining the pleural effusion. Could you please explain the prognosis and management ...
Dr. He Shenglong Reply:
Hello: The accumulation of lymphatic fluid in the thoracic cavity can lead to chylothorax. Congenital malformations of the thoracic duct, as well as trauma, surgery, or tumors, can cause obstruction of the thoracic duct, which is one of the causes; however, many cases remain idio...[Read More] Understanding Chylothorax in Infants: Treatment and Prognosis Explained
Understanding Abnormal Blood Test Results in Pediatric Infections
Abnormal blood test results? Hello Doctor: My daughter is 9 years old. Last week, she was infected with the new influenza (rapid test positive on 11/30), and she was treated with Oseltamivir for five days. Over the past few days, aside from having a fever on 12/1, she seems to be...
Dr. Xiao Kaiwen Reply:
In general blood tests, parameters such as white blood cell count (WBC), neutrophils (segments), and lymphocytes cannot definitively determine the type of infection. Additional tests are required (such as a chest X-ray to check for pneumonia or a urinalysis to assess for urinary ...[Read More] Understanding Abnormal Blood Test Results in Pediatric Infections
Understanding Pediatric Neck Lumps: When to Seek Medical Advice
Infant neck Hello Dr. Hsieh, my child is 13 months old. When he was over 6 months old, I noticed a movable lump in his neck that appears when he turns his head to the left, and it is not painful. Should I take him to see a doctor? I've heard that other children have this iss...
Dr. Xie Degui Reply:
Hello: There are many normal lymph nodes in the head. When experiencing illness with fever (such as pharyngitis or otitis media), they may enlarge. If they continue to enlarge, are larger than 1.5 centimeters, or are red, swollen, hot, and painful, further examination and evaluat...[Read More] Understanding Pediatric Neck Lumps: When to Seek Medical Advice
Differences Between Kawasaki Disease and Roseola in Young Children
excuse me? What is the difference between Kawasaki disease and roseola? A 1.8-year-old girl started having a fever of 40 degrees Celsius on the night of April 19. She was diagnosed with a general fever and was admitted to the hospital on the night of April 20 due to persistent fe...
Dr. Xie Degui Reply:
Kawasaki disease, in addition to skin rashes, lymphadenopathy, conjunctivitis or oral inflammation, and peripheral extremity redness or desquamation, is primarily diagnosed based on a fever lasting for five days. Sometimes the clinical symptoms can be quite similar, but a diagnos...[Read More] Differences Between Kawasaki Disease and Roseola in Young Children
Understanding Pediatric Ear Lumps: What Parents Should Know
Adenoma Hello Dr. Pei, I apologize for asking you another question. Today, I noticed a small bump about the size of a pearl located on the skull behind my one-year-old child's right ear, rather than on the ear itself. Initially, I thought it was a bone structure, but when I...
Dr. Pei Rensheng Reply:
Dear Xiaofen, Hello! In normal infants, lymph nodes are not easily palpable. However, it is acceptable to feel lymph nodes in certain areas of the body with exposure to antigens. These areas include the neck, armpits, groin, and the area behind the ears. If the lymph nodes are l...[Read More] Understanding Pediatric Ear Lumps: What Parents Should Know
Managing Allergies and Lymph Node Swelling in Children: A Guide
excuse me? I have a history of respiratory and skin allergies, and I am increasingly reacting to foods that I used to be able to eat, such as rice, which now causes itching and scratching. Currently, I have many painless swollen lymph nodes all over my body. What should I do?
Dr. Xiao Kaiwen Reply:
Individuals with skin allergies should avoid known allergens (if unknown, they can undergo testing at a dermatology or allergy/immunology clinic). Those with chronic long-term skin allergies may need to take antihistamines for an extended period to manage their condition and may ...[Read More] Managing Allergies and Lymph Node Swelling in Children: A Guide
Understanding Nasolacrimal Duct Obstruction in Infants: Causes and Treatments
Nasolacrimal duct obstruction Hello Dr. Pei: I would like to ask you two questions.... (1) My child is currently over eight months old. At birth, there was always an excessive amount of discharge from the right eye, and the doctor said it was due to a blocked nasolacrimal duct. H...
Dr. Pei Rensheng Reply:
Dear Xiaofen, (1) Generally speaking, nasolacrimal duct obstruction can be classified into congenital and acquired types. Acquired obstruction typically occurs in adults, often with an unknown cause, and is most common in the elderly or postmenopausal women. There is speculation...[Read More] Understanding Nasolacrimal Duct Obstruction in Infants: Causes and Treatments
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...[Read More] Growth Hormone Treatment for Short Stature: Is It Worth the Risks?