Understanding Brown Discharge in Infants: Causes and Concerns
Inquiry about urethral discharge in infants? A 5-month-old male infant has occasionally (not every time, but sporadically) had thick, tea-brown discharge adhering to the glans when the diaper is opened over the past month. We have visited a clinic, and it was suggested that it mi...
Dr. Xiao Kaiwen Reply:
The presence of discharge from an infant's glans requires ruling out a urinary tract infection (UTI). Infants with UTIs may not necessarily exhibit fever or cry during urination. UTIs require treatment with oral or injectable antibiotics; simply applying topical antibiotics ...[Read More] Understanding Brown Discharge in Infants: Causes and Concerns
Understanding Pediatric Urinary Tract Infections: Symptoms, Diagnosis, and Care
Urinary tract infection (UTI) Hello Doctor, My daughter had a fever of 38 degrees Celsius on the first day. After taking a bath, she remained in a low-grade fever for two days but was active and normal otherwise. On the fourth day, she was still uneasy, so I took her for a urin...
Dr. Xiao Kaiwen Reply:
The urine test shows a leukocyte count of 8-10, which is at the upper limit of normal. This suggests a urinary tract infection (UTI) may be present, and it is acceptable to start antibiotics while awaiting a more accurate urine culture report. The majority of urinary tract infect...[Read More] Understanding Pediatric Urinary Tract Infections: Symptoms, Diagnosis, and Care
Understanding Prolonged Fever in Children: When to Seek Medical Help
Child has had a fever for 4 days? Hello, doctor. My child is 3 years old and started having a fever of about 39-39.5°C on Saturday night. We visited a clinic on Sunday and were prescribed antipyretic syrup. After taking it, the temperature dropped to 38-39°C. On Monday morning, w...
Dr. Pei Rensheng Reply:
Hello! A 3-year-old has had a fever for 4 days. It is recommended to check for: COVID-19, influenza, adenovirus, urinary tract infection, chest X-ray, and even blood tests; it could also be roseola. It is advisable to go to the hospital for evaluation! Wishing for a speedy recove...[Read More] Understanding Prolonged Fever in Children: When to Seek Medical Help
Effective Handwashing Techniques to Prevent Enterovirus and Other Infections
Prevention of Enterovirus Hello, Doctor. I would like to ask if it is feasible to pick up items that have fallen on the ground in public environments or public restrooms, and then wash my hands with hand sanitizer or soap? I am concerned about the possibility of not cleaning them...
Dr. Xiao Kaiwen Reply:
Before eating in public places, it is important to use the restroom and wash your hands properly with soap (proper handwashing involves specific steps). Additionally, try to avoid touching your eyes, mouth, and nose, as these are good hygiene practices.[Read More] Effective Handwashing Techniques to Prevent Enterovirus and Other Infections
Understanding Urine Culture Results in Infants: What Parents Need to Know
Urine culture Doctor, my baby is five months old. The urine culture report is as follows: Test Name: Aerobic Culture Results: Mixed flora of clinical insignificance Reference Value: None What does this result mean? Is there a urinary tract bacterial infection? Does my baby...
Dr. He Zongxian Reply:
Hello, based on the limited information you provided, no pathogenic bacteria were cultured from the urinary tract. However, the diagnosis of a urinary tract infection should be assessed in conjunction with clinical conditions and laboratory test results. It is recommended that yo...[Read More] Understanding Urine Culture Results in Infants: What Parents Need to Know
Understanding Pediatric Urinary Tract Infections and Fever: Key Insights
Fever and urinary tract infection? Thank you, Dr. Hsiao, for your response. I have a few questions to ask you: 1. Is it true that a urinary tract infection (UTI) always causes a fever? 2. If there is no fever and the urinalysis results are normal, can we rule out a urinary trac...
Dr. Xiao Kaiwen Reply:
1. Not necessarily. 2. It cannot be completely ruled out, but the chances are indeed low. The standard sterile collection method for urine culture is through a catheter or suprapubic aspiration; however, these methods are very invasive and can cause significant discomfort for chi...[Read More] Understanding Pediatric Urinary Tract Infections and Fever: Key Insights
Understanding Urine Culture Results in Infants: Is There a UTI?
Urine culture Hello, doctor. I apologize for asking you again. My baby boy is 5 months old and has mild hydronephrosis, with a left kidney measurement of 0.6 cm and a right kidney measurement of 0.3 cm. He had a fever of 38.4 degrees Celsius and was taken to see a pediatrician, w...
Dr. Xiao Kaiwen Reply:
1. The fever resolved without the use of antibiotics, and the urine test showed no evidence of a urinary tract infection, so antibiotics are not necessary. 2. Urine ultimately passes through the mucous membranes and skin before reaching the urine bag, so it is still possible to c...[Read More] Understanding Urine Culture Results in Infants: Is There a UTI?
Understanding Mixed Flora of Clinical Insignificance in Pediatric Urine Cultures
Urine culture Hello doctor, my baby (5 months old) had a urine culture test in the hospital, and the report states "Mixed flora of clinical insignificance." What does this mean? Does it indicate a urinary tract infection? Does my baby need to take antibiotics?
Dr. Xiao Kaiwen Reply:
This report indicates the cultivation of several types of bacteria, which we clinically consider to be contaminants of no clinical significance. For example, harmless bacteria that are inadvertently collected from the skin or mucous membranes during urine sampling, rather than pa...[Read More] Understanding Mixed Flora of Clinical Insignificance in Pediatric Urine Cultures
Managing Pediatric Urinary Pain After COVID-19 Diagnosis
COVID-19 positive with urethritis? Hello, doctor. We are a family with a confirmed patient, and we came here to consult because it was inconvenient to seek emergency care. Please do not take offense. My 8-year-old son, weighing 25 kg, was diagnosed with COVID-19 in the early hour...
Dr. Xiao Kaiwen Reply:
Missing a day of antibiotics should not lead to antibiotic resistance. In some children, abdominal pain can indeed be caused by retained stool. I think trying a one-time enema is acceptable, but if the abdominal pain persists or worsens, it is important to discuss it with your te...[Read More] Managing Pediatric Urinary Pain After COVID-19 Diagnosis
Is Your 18-Month-Old's Fever Linked to Recent Vaccinations?
Fever in an 18-month-old toddler? On Thursday, the child received the second dose of the hepatitis A vaccine and the fourth dose of the pentavalent vaccine. After the previous vaccinations, there were no fever reactions. However, on Saturday morning, the child's ear temperat...
Dr. He Zongxian Reply:
Hello, experiencing a fever two days after receiving an inactivated vaccine is not a typical post-vaccination reaction. If the fever persists, it is recommended that you take your child to a pediatric medical facility for evaluation, as there may be a risk of urinary tract infect...[Read More] Is Your 18-Month-Old's Fever Linked to Recent Vaccinations?
Understanding Fever in Infants: When to Seek Medical Attention
Pediatric Fever Hello Doctor: My child is 10 months old and on the afternoon of April 9th, I noticed that his forehead and palms felt warm. I measured his ear temperature and found he had a fever (38.1°C), but he did not exhibit any significant symptoms such as coughing or runny ...
Dr. Xiao Kaiwen Reply:
To determine if there is a urinary tract infection (UTI), a urinalysis is necessary. In cases of viral infections, blood tests may sometimes be required for a preliminary assessment. If a young child has a fever without an obvious cause, a urinalysis can be performed first, as UT...[Read More] Understanding Fever in Infants: When to Seek Medical Attention
Understanding Kidney Atrophy in Infants: Causes, Risks, and Dietary Considerations
Renal atrophy Hello, doctor. My baby is currently 11 months old. Around 8 months, he experienced a urinary tract infection, and subsequent tests confirmed vesicoureteral reflux (grades 2 and 3). During the inflammation, an ultrasound showed that the kidney sizes were over 7 and o...
Dr. Pei Rensheng Reply:
Hello: According to statistics, the normal kidney size for infants aged 6-12 months is as follows: for females, the mean is 6.3 cm, with a standard deviation of 0.68 cm, and a range of 5.1-7.5 cm; for males, the mean is 6.4 cm, with a standard deviation of 0.78 cm, and a range of...[Read More] Understanding Kidney Atrophy in Infants: Causes, Risks, and Dietary Considerations
Concerns About Yellow-Green Diaper Discharge in 11-Month-Old Baby
11-month-old infant diaper discharge? Hello Doctor, on December 8th, I noticed yellow-green spots on my daughter's diaper (she is 11 months old). On December 10th, we went to the hospital for a urine test, and the doctor said there was no issue. However, it has been nearly t...
Dr. Xiao Kaiwen Reply:
If the baby is eating normal complementary foods, this phenomenon should not occur. If feces can be ruled out, it may be worth considering a urine culture, as approximately 5 to 10% of urinary tract infections may not be detected in a routine urinalysis and could appear normal.[Read More] Concerns About Yellow-Green Diaper Discharge in 11-Month-Old Baby
Understanding Pediatric Urinary Tract Infections and Kidney Monitoring
Urinary tract infection (UTI) Hello, doctor. My daughter has had three urinary tract infections within three months, and imaging has revealed bilateral grade III vesicoureteral reflux. The nephrologist has scheduled a DMSA scan to check for kidney scarring. I would like to ask: 1...
Dr. Pei Rensheng Reply:
Hello! My daughter has had three urinary tract infections in the past three months, and imaging has revealed bilateral grade III vesicoureteral reflux. The nephrologist has ordered a DMSA scan to monitor for kidney scarring. 1) Is the radiation dose from this test high? Answer...[Read More] Understanding Pediatric Urinary Tract Infections and Kidney Monitoring
Understanding Pediatric Urinary Tract Infections and Fever Management
Fever due to urinary tract infection? Hello Doctor: My daughter had a fever of 38°C on Thursday night without any cold symptoms and was a bit lethargic. We took her to the clinic where she was prescribed anti-inflammatory and antipyretic medications, which helped reduce the fever...
Dr. Lin Yishou Reply:
Hello Rain, the management of urinary tract infections varies depending on the child's age and any underlying conditions. For infants under one year old, the risk of complications is higher, and hospitalization is recommended. Additionally, if there is concurrent kidney infl...[Read More] Understanding Pediatric Urinary Tract Infections and Fever Management
Managing Urinary Tract Infections in Infants: Cranberry Juice and Care Tips
Urinary tract infection (UTI) Hello, doctor. My baby is currently 9 months old and has had two urinary tract infections. Can she drink 100% cranberry juice? How much can she have in a day? What is the recommended way to dilute it? After urination, should I use wet wipes to clean ...
Dr. Pei Rensheng Reply:
Hello, regarding the latest literature as of September 14, 2021, there is no preventive effect of cranberry on urinary tract infections in children. This conclusion is based on a synthesis of 13 studies involving 2,462 children. Consuming more cranberries may even increase the ri...[Read More] Managing Urinary Tract Infections in Infants: Cranberry Juice and Care Tips
Understanding Yellow-Green Discharge in Infants: Causes and Concerns
Vaginal discharge in female infants? Hello, my daughter is 8 months old, and recently I have noticed yellow-green discharge on her diaper during changes. Sometimes there is also a small amount of yellow-green discharge in the genital area. Could this be a urinary tract infection ...
Dr. Lin Yishou Reply:
Dear Parent, Basically, it is related to infection or local hygiene. Other causes are less common. It is recommended to have a urine test at a hospital or clinic. Thank you for your message.[Read More] Understanding Yellow-Green Discharge in Infants: Causes and Concerns
Understanding Yellow Urine in Infants: Causes and Concerns
Dark yellow urine? Hello doctor, I have a three-month-old baby boy whose urine is very yellow. We tested for urinary tract infection, but the results were negative. However, after returning home, his urine is still very yellow. What could be the implications of this?
Dr. Lin Yishou Reply:
The color of urine is related to the amount of water intake and sweating. Babies who drink plenty of water and sweat less will have a larger volume of urine that is light in color, while those who drink less water and sweat more, or have a fever, will have a smaller volume of uri...[Read More] Understanding Yellow Urine in Infants: Causes and Concerns
How to Restore Appetite in a 1.5-Year-Old After Salmonella Infection?
The child, aged 1.5 years, has been experiencing a Salmonella infection for 2 weeks and is showing a lack of appetite? My daughter is 18 months old. On the morning of November 16, she had a fever without any cold symptoms, and experienced her first febrile seizure, which led us t...
Dr. Xiao Kaiwen Reply:
Although antibiotic treatment is not always necessary for Salmonella enteritis (as it may prolong the duration of bacterial shedding), it is still recommended for more severe infections. Given that your child is younger and has significantly elevated white blood cell counts, anti...[Read More] How to Restore Appetite in a 1.5-Year-Old After Salmonella Infection?
Understanding Infant Urination Issues: Strong Odor and Constipation Concerns
Pediatrics - Infant Urination Issues - Strong Urine Odor and Constipation? Hello doctor, my baby is currently 8 months old. Today, March 6 (Friday), when I changed his diaper in the morning, I noticed that the urine output was significantly less than usual; usually, the diaper is...
Dr. Xiao Kaiwen Reply:
Having bowel movements two to three times a day or once every two to three days can be considered normal, as long as the stool is not watery diarrhea or excessively hard and pellet-like. Ideally, urination should occur four to five times a day or more, with urine that is not dark...[Read More] Understanding Infant Urination Issues: Strong Odor and Constipation Concerns