Rash, Pediatrics FAQ

Transitioning from Breast Milk to Formula: Managing Vomiting and Rashes

Switching from breast milk to formula can lead to vomiting, rashes, and coughing? Hello Doctor, my son is about to turn 1 year old. Since he was two months old and had enough breast milk, he has been exclusively breastfed until now. Due to insufficient milk supply, I want to swit...

Dr. Xiao Kaiwen Reply:
Breastfeeding is recommended to continue until the age of two. In fact, once a child turns one, they can start eating regular meals that are chopped or mashed from the family table, while dairy products become more of a supplementary food rather than a necessity. There is no stri...

Understanding Autoimmune Disorders and Blood Issues in Children

Autoimmunity / Coagulation / Rash Hello Doctor, in October 2019, my son (7 years old) was infected with influenza B. Later, he developed some red spots on his hands, and after a blood test at the hospital, the emergency doctor said everything was normal, with a platelet count of ...

Dr. Xie Wanghu Reply:
Hello, in the case of a viral infection in children, a platelet count of over 100,000 is acceptable. APTT is 23.9-35.5 seconds and PT is 9.4-12.5 seconds, both of which are within the normal range. The diagnostic criteria for hemophilia include: 1. Normal PT, 2. Prolonged APTT, 3...

Understanding Red Spots on Children's Face and Neck: Causes and Concerns

Red spots on a child's face/neck? Hello, doctor. My child is currently 7 and a half years old, and he is a boy. At the end of December last year, he developed a red spot on his face. We took him to see a dermatologist, who said it was a red spot caused by vascular dilation, ...

Dr. Xiao Kaiwen Reply:
Boys with precocious puberty may exhibit other signs, such as the development of secondary sexual characteristics, including enlargement of the glans penis, lengthening of the penis, darkening and enlargement of the scrotum, development of pubic and axillary hair, and a significa...

Understanding Hand, Foot, and Mouth Disease: Symptoms and Recovery

Enterovirus blisters My eldest daughter showed symptoms of enterovirus last Friday, and my youngest son was diagnosed on Sunday. However, my daughter’s throat ulcer healed by this Wednesday, and my son’s appetite has also improved. But my son has a large blister on his foot; will...

Dr. Xiao Kaiwen Reply:
Hand, foot, and mouth disease caused by enterovirus infection typically results in blisters that will resolve on their own within two weeks, without leaving scars. There are over 60 types of enteroviruses, so it is still possible to be infected by a different strain even after ha...

Are Shepherd's Skin Products Safe for Children with G6PD Deficiency?

Is there any concern regarding the use of silk protein in this butt cream and skin lotion? Hello Doctor, my son is currently 14 months old and has G6PD deficiency. Previously, I purchased Penaten diaper cream and the same brand's moisturizing lotion. I checked the ingredient...

Dr. Zhong Ruixian Reply:
Hello Rita: Regarding the ingredients of the two types of diaper rash cream and moisturizing lotion mentioned above, I did not find them listed among high-risk substances. Generally speaking, substances that clearly induce hemolysis and should be avoided include: naphthalene, gen...

How to Help Your Two-Year-Old Stop Thumb Sucking

A two-year-old child sucking their thumb? My child is two years old and still loves to suck his thumb. How can I help him stop? I’ve noticed that his mouth area gets wet from the thumb sucking, and occasionally there are a few spots that look like rashes. Could that be saliva ras...

Dr. Xiao Kaiwen Reply:
When babies enter the oral stage, they often exhibit thumb-sucking behavior, which is not entirely negative. Thumb-sucking can provide a sense of satisfaction and security for the baby, and it may contribute to emotional and personality development in the future. It is also a for...

Understanding Newborn Bowel Movements: Is Formula Feeding the Cause?

Newborn bowel movement issues? Hello, doctor. My child is 22 days old and has been exclusively on S26 formula. He is currently consuming 100 ml every four hours and finishes every meal smoothly. However, he has bowel movements 10-14 times a day and urinates about 16 times. His st...

Dr. Xiao Kaiwen Reply:
Newborns have a stronger gastrocolic reflex, meaning it is common for them to feed from the mouth and immediately have a bowel movement. If there is an abnormal reaction to cow's milk protein, the stool may contain blood, be watery, or the baby may develop rashes. It is advi...

Choosing the Right Formula for Your Baby: A Guide for Parents

How to choose formula milk? My child is currently over 3 months old and has been exclusively breastfed. For the first two months, the stools were yellow and watery, about 5 to 6 times a day. Since March 26, the bowel movements have changed to 1 to 2 times a day, sometimes just a ...

Dr. Pei Rensheng Reply:
Hello! 1. The priority for allergy prevention is breastfeeding first, followed by hydrolyzed formula. For example, Enfamil HA1 has been on the market for many years and has substantial evidence supporting its role in allergy prevention. 2. The average daily milk intake is 100...

Understanding White Clumps in Baby's Stool: Is It Normal?

Suspected milk clot? Hello, doctor. I would like to ask a question. Thank you. My son was previously drinking a combination of breast milk and formula (Abbott's hydrolyzed formula), and his stools were relatively normal. However, around four months old, we switched to Meiji ...

Dr. Xiao Kaiwen Reply:
It is normal for infants to have undigested white milk particles in their stool. Symptoms of formula intolerance typically include vomiting, diarrhea, and rashes on the skin (excluding stool odor), so your situation is likely not due to formula intolerance. You can continue to mo...

Do Symptoms of the Same Enterovirus Vary Among Different Individuals?

Can the manifestations of the same enterovirus differ among different individuals? Hello, doctor. Last week, my eldest child was diagnosed with enterovirus, experiencing only a sore throat and fever. However, I got infected as well, and in addition to a sore throat and fever, I h...

Dr. Pei Rensheng Reply:
Hello: Yes, the manifestations of the same enterovirus can vary among different individuals. Some people may be asymptomatic, while others may experience oral ulcers, rashes on the limbs, or even severe symptoms, making it difficult to predict. However, it is generally believed t...

Managing Pediatric Skin Issues: Understanding Seborrheic vs. Eczema

Medication issues, skin problems? Hello doctor, my baby will turn four months old on November 7th and has not started solid foods yet. After the first month, his skin condition worsened. The pediatrician diagnosed him with seborrheic dermatitis, while the dermatologist said it is...

Dr. Xiao Kaiwen Reply:
1. Occasional short-term use of hydrocortisone is not harmful for itching, but long-term management should focus on skin care to avoid dependency. 2. Hydrocortisone has a wide safety margin; in more severe cases, a higher dosage may be permissible, so discuss this with your phy...

Understanding Infant Adjustment: Tips for Transitioning to Daycare

Infants go to family daycare? Currently, the baby is three and a half months old. Recently, we have been staying at both maternal and paternal grandparents' homes for about a week each. Just the day before going to the nanny's house, we returned from the maternal grandp...

Dr. Xiao Kaiwen Reply:
The primary principle is to find a qualified caregiver. It is advisable to personally visit the caregiver's home to assess whether the environment is suitable for the infant. You should also communicate directly with the caregiver about your baby's care preferences. As ...

Understanding Language Development and Diaper Rash in Toddlers

Baby language development & skin issues Hello, I have a daughter who is 1 year and 7 months old. Currently, she can only say "mama," "grandma," "hug," "woof woof," and some variations of "dada" (though not often). Besides that...

Dr. Xiao Kaiwen Reply:
At 1 year and 7 months, a toddler's language development includes several words, which is not considered delayed. Increased verbal stimulation from adults or interaction with older children can certainly aid in the child's language development. When applying ointment, a...

Understanding Itchy Palms and Soles in Children: Causes and Solutions

Skin issues A 6-year-old child is experiencing itching in the palms and soles of the feet. Upon examination, there are no signs of redness, swelling, or rashes on the skin. The child reports that the itching feels like it is coming from within. The symptoms are milder during the ...

Dr. Xiao Kaiwen Reply:
This symptom is relatively uncommon and special; it is recommended to visit a pediatric department at a medical center with various subspecialties and comprehensive testing capabilities.

Understanding Prolonged Fever in Young Children with Enterovirus

About enterovirus fever lasting 10 days? Hello Dr. Hsiao: My daughter (2 years and 3 months old) started having a high fever of 38.6°C on the night of April 6. I planned to take her to the clinic the next day, but when she woke up in the morning, her fever was gone, and she was a...

Dr. Xiao Kaiwen Reply:
The duration of fever caused by a viral infection can vary and depends on individual immune response, the type of virus, and the viral load. On average, it lasts about 3 to 5 days (this is an average; some may have shorter or longer durations). It is also possible to be infected ...

Understanding Roseola in Children: Causes of Skin Changes After Rash

Regarding roseola? Hello, I would like to ask about my child who is currently 1 year and 3 months old. Two weeks ago, they developed roseola, which started to fade after about 3 to 4 days. However, it seems like there is some pigmentation left, and their skin has developed a spec...

Dr. Pei Rensheng Reply:
Hello: Roseola generally resolves within 2 days; it rarely causes pigmentation similar to measles. A small number of roseola cases may be associated with thrombocytopenic purpura; if pigmentation becomes increasingly noticeable, please return for a follow-up visit and consider bl...

Understanding Underarm Rashes in Toddlers: Causes and Care

Axillary rash My brother's child, who is around two years old, suddenly developed many red rashes under the left armpit a few days ago. It doesn't seem to be very itchy since he hasn't been scratching it, and there is no fever. His activity level and appetite are n...

Dr. Xiao Kaiwen Reply:
There are many causes of rashes, such as heat rash, prickly heat, or insect bites, among others. It is difficult to assess without seeing the rash in person, so it is advisable to take the child to a pediatrician for a proper evaluation and treatment.

Understanding Fever After Vaccination: A Parent's Guide

Vaccine issues? Hello, doctor. My baby is 6 months old and received the pentavalent vaccine, hepatitis B vaccine, and oral rotavirus vaccine last Friday. Two days later, on Monday night, he developed a fever. We took him to the clinic, and they said that since it was the third da...

Dr. Xiao Kaiwen Reply:
The situation with your child is likely not due to a fever caused by the vaccine, as fever from the pentavalent vaccine and hepatitis B vaccine (which can be administered simultaneously) typically occurs within 24 hours post-vaccination and does not last longer than 48 hours. Mos...

Understanding Infant Hives: Causes and Care Tips for Parents

Facial rash? Hello Doctor, my son is currently three months old. On December 11, he developed numerous raised red rashes on his face, accompanied by slight coughing, sneezing, and nasal congestion. When we took him to the pediatrician, the doctor diagnosed it as hives caused by a...

Dr. Xiao Kaiwen Reply:
Without seeing the rash in person, I cannot definitively say it is urticaria (hives). Even if it is urticaria, there are numerous potential causes, including the introduction of new complementary foods that may not be well-tolerated, contact with allergens, insect bites, viral in...

Understanding Skin Rashes in Infants After Flu Vaccination

Skin red spots Hello, doctor: My child received the flu vaccine on October 18, and he is just over 11 months old. Around early November, approximately three weeks after the flu vaccination, he developed small red spots on his limbs that resembled mosquito bites. These spots appea...

Dr. Xiao Kaiwen Reply:
The most common side effects of the influenza vaccine are soreness at the injection site and mild fever, typically occurring within 24 hours after the injection. However, these usually resolve within one to two days post-vaccination, and severe side effects are very rare. Therefo...

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