Addressing Pediatric Concerns: Constipation and Circumcision Issues
The issues of two babies? The older child is currently attending kindergarten and has a normal diet with three meals a day plus snacks at school. The main issue is related to bowel movements. He goes to the bathroom five times a week, but most of the time his stools resemble smal...
Dr. Xiao Kaiwen Reply:
Hard, pellet-like stools are defined as constipation. When hard stools accumulate, it is inevitable that some may be expelled involuntarily. Generally, issues with the anal sphincter are rare (the likelihood is low; symptoms typically present during infancy, and if necessary, ana...[Read More] Addressing Pediatric Concerns: Constipation and Circumcision Issues
Managing Milk Intake and Solid Foods for Your Baby's Nutrition
Milk supply and complementary foods? Dear Dr. Pei, My baby girl was born on August 28, 1997, and she is currently about 4 and a half months old. Her weight is approximately 7.6 kg, and her height is about 65 cm. She has been refusing milk for over a month now and rejects all mi...
Dr. Pei Rensheng Reply:
Hello: A normal baby weighs about three kilograms at birth, and by the fourth or fifth month, their weight will double to approximately six kilograms. By the age of one, they should weigh about three times their birth weight, which is around ten kilograms. After that, they typica...[Read More] Managing Milk Intake and Solid Foods for Your Baby's Nutrition
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
Understanding Early Puberty in Boys: Concerns and Next Steps
Development in Fifth Graders Hello, Doctor: My son, who is in fifth grade, seems to have started developing. He has a slight Adam's apple, his voice is a bit hoarse and deep, and he has even started to grow some fine pubic hair. Is it too early for a fifth-grade boy to be de...
Dr. Xie Degui Reply:
Precocious puberty is defined as the onset of secondary sexual characteristics in boys before the age of nine. With improved nutrition compared to the past, many individuals are experiencing the development of secondary sexual traits at an earlier age. It is important to pay atte...[Read More] Understanding Early Puberty in Boys: Concerns and Next Steps
Understanding Breast Enlargement in Infants: Causes and Concerns
Breast enlargement in infants? Hello, doctor. I have an 8-month-old baby girl whose development is normal, but her breasts are larger than those of other infants. What could be the reason for this, and is it normal? Thank you.
Dr. Xiao Kaiwen Reply:
It is generally believed that breast enlargement and ductal dilation in infants are responses from the infant's own endocrine system. If growth and development are normal, the infant is likely healthy, as long as there are no other secondary sexual characteristics (such as a...[Read More] Understanding Breast Enlargement in Infants: Causes and Concerns
Understanding Café-au-Lait Spots in Children: What Parents Should Know
Café au lait spots My child is currently 10 years old. A few days ago, during a medical visit, the doctor pointed out that he has café-au-lait spots on his body. I always thought they were birthmarks that just increased in number as he grew. The doctor mentioned that birthmarks d...
Dr. Pei Rensheng Reply:
Hello: I have organized the information as attached, hoping it will be helpful to you. Wishing you health and happiness! Sincerely, Pei Ren-Sheng.[Read More] Understanding Café-au-Lait Spots in Children: What Parents Should Know
Is It Normal for a Newborn Boy's Genitals to Appear Darker?
Is it normal for a newborn's genitalia to appear dark? Hello Dr. Hsiao, I am a new mother. I recently gave birth to a baby boy, but I noticed that his genitalia, specifically the testicles, are much darker in color compared to other babies (as I observed at the postpartum ca...
Dr. Xiao Kaiwen Reply:
Actually, the color of full-term male infants' testicles tends to be darker, which is also influenced by the individual's melanin cell quantity, maturity, and distribution, leading to individual differences. The variation in the skin color of the testicles is not signif...[Read More] Is It Normal for a Newborn Boy's Genitals to Appear Darker?
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?
Understanding Growth and Weight Changes in Preteens: What to Watch For
Growth. Weight? Hello. My child is currently in the 6th grade and started showing signs of puberty in January 1996, such as voice changes and acne. Their current weight is 37.5 kg and height is 155 cm. Last year, when they were in 5th grade, their weight was 38 kg and height was ...
Dr. Wang Jiayi Reply:
Hello, Xiao Jin: I apologize for the delayed response due to my personal leave, and I sincerely regret taking up your valuable time! May I ask how old your child is in years and months? If they are 12 years old, a weight in the 25th to 50th percentile and a height in the 75th to ...[Read More] Understanding Growth and Weight Changes in Preteens: What to Watch For
Early Tooth Loss in Children: Impacts on Development and Health
Early tooth loss and child development? Consulting a doctor: My child, who is around eight years old and in second grade, was diagnosed by the dentist with the beginning of the eruption of their premolars. Is this too early, and is there any correlation with early development?
Dr. Wang Jiayi Reply:
Hello Vincent: I apologize for the delayed response due to personal leave, and I'm truly sorry for taking up your valuable time! From a pediatrician's perspective, the eruption of the primary molars at the age of 8 does not seem to be too early and is not directly relat...[Read More] Early Tooth Loss in Children: Impacts on Development and Health
Concerns About Low Milk Intake in Infants: What Parents Should Know
Low milk supply? Hello, doctor; my baby is already three months old. He drinks very little milk, only about 100 ml every four hours. Recently, due to possible gas and the change of seasons, his intake has decreased from 100 ml to 60 ml. I'm really worried! He also drinks a l...
Dr. Pei Rensheng Reply:
Hello: A normal baby weighs about three kilograms at birth, and by the fourth or fifth month, their weight will double to around six kilograms. By the age of one, they will weigh approximately three times their birth weight, which is about ten kilograms. After that, until puberty...[Read More] Concerns About Low Milk Intake in Infants: What Parents Should Know
Understanding Early Growth Plate Closure: Can Doctors Identify the Cause?
If you want to know why the developmental period has ended prematurely, can a medical examination identify the cause? Hello, doctor. I really need to know the truth! So may I ask you~~ I had an X-ray of my growth plates when I was in high school, and the results showed that there...
Dr. Wang Jiayi Reply:
Hello, Yin: Generally, male adolescents experience a rapid increase in height between the ages of 12 and 16, after which the growth plates gradually fuse, leading to a stable adult height. Issues related to this are typically examined and treated by pediatric endocrinologists at ...[Read More] Understanding Early Growth Plate Closure: Can Doctors Identify the Cause?
Can Stopping Menstruation Shots Help My Child Grow Taller?
A girl with a bone age of 13.5 years can receive medication to induce menstruation in order to help promote growth. However, it is essential to consult a healthcare professional before proceeding, as they can provide personalized advice based on the individual's health statu...
Dr. Wang Jiayi Reply:
This issue is quite specific and may require a specialized pediatric metabolic physician at a medical center to diagnose and explain based on the growth details of your child. Hualien Hospital's Pediatrics Department is here to assist you![Read More] Can Stopping Menstruation Shots Help My Child Grow Taller?
Understanding Dark Circles in Babies: Causes and Concerns
Dark circles under the eyes? The baby is almost eight months old. Recently, there has been a light red bruise appearing under the eyes. Can babies also have dark circles? Is it caused by lack of sleep, or could it be due to allergies? Growth status: approximately 8.6 kg and 72 cm...
Dr. Pei Rensheng Reply:
Hello, I apologize for the delayed response as I have been traveling abroad recently. Allergic diseases in children manifest like a symphony, not only presenting different conditions at various ages but also showing changes in the same condition as they grow. Take atopic dermat...[Read More] Understanding Dark Circles in Babies: Causes and Concerns
Understanding Precocious Puberty in Young Children: Concerns and Treatments
Precocious puberty in children My daughter is 2 years and 2 months old. A few days ago, we noticed that her breasts were slightly enlarged, so we went to a medical examination at the Veterans General Hospital. The director of the metabolism department checked her bone age and ute...
Dr. Zhang Wenwang Reply:
It is recommended that you ask the metabolic specialist to explain in detail during your follow-up appointment.[Read More] Understanding Precocious Puberty in Young Children: Concerns and Treatments
How to Increase Height: Tips for Growing Taller in Childhood
Height I am currently only about 150 centimeters tall, but I am not satisfied. What can I do to grow taller?
Dr. Zhang Wenwang Reply:
If puberty has already passed, you may only grow a few more centimeters. If it hasn't, it's recommended to engage in activities that counteract gravity, such as jumping rope or playing basketball.[Read More] How to Increase Height: Tips for Growing Taller in Childhood
Understanding Breast Development Issues in Fifth-Grade Boys
Developmental issues related to breast tissue in fifth-grade boys? Consulting a physician: During puberty, it is normal for girls to experience the development of lumps in their breasts, which can be painful to the touch. However, if a fifth-grade boy experiences similar symptoms...
Dr. Zhang Guozhen Reply:
Dr. Chang Kuo-Chen from the Zhudong Branch of the Hsinchu County Hospital responded that it is indeed unusual for an 11-12 year old boy to have a hard lump in the chest that is painful to the touch. However, as you mentioned, this phenomenon may also be related to diet (such as t...[Read More] Understanding Breast Development Issues in Fifth-Grade Boys
Understanding Autonomic Nervous System Issues in Children: A Parent's Guide
Autonomic nervous system disorders My child has unstable emotions, is easily angered, has tendencies toward violence, and has a large appetite. She is a 6th-grade girl.
Dr. Zhang Yingwen Reply:
By the sixth grade, students have entered puberty, during which significant endocrine changes occur, leading to rapid physical development and transformation. This can leave adolescents feeling confused and unsure of how to cope, often feeling too shy to ask questions. Coupled wi...[Read More] Understanding Autonomic Nervous System Issues in Children: A Parent's Guide
Should I Be Concerned About My Child's Early Breast Development?
Should I take my child to see a doctor for early development? Hello, my daughter is in the second grade and is over 8 years old. Recently, I noticed that her left breast has been experiencing some swelling and tenderness, and it hurts when touched. Is this too early for her age? ...
Dr. Cai Zhengxian Reply:
Dear Ms. Wang, Greetings from Dr. Tsai Cheng-Hsien, attending physician of the Pediatrics Department at Tainan Municipal Hospital. The process by which children undergo physiological changes and physical development to become reproductively capable adults is known as puberty. ...[Read More] Should I Be Concerned About My Child's Early Breast Development?
Is a Hard Lump in One Breast Normal for a 10-Year-Old Girl?
Is it normal for a 10-year-old girl to have a hard lump in one breast as part of her development? Doctor: My daughter is 10 years old and she told me that she has a hard lump in her breast that hurts when pressed, but it is only on the left side; the right side is normal. Is this...
Dr. Cai Zhengxian Reply:
Dear Miss Chang, This is Dr. Tsai Cheng-Hsien, attending physician of the Pediatrics Department at Tainan Municipal Hospital. Regarding the breast lump, it is not uncommon for one side to develop earlier during puberty, and localized tenderness (or a feeling of fullness) may o...[Read More] Is a Hard Lump in One Breast Normal for a 10-Year-Old Girl?