Concerns About My 1-Year-Old's Development and Health Issues
The baby is currently 1 year and 7 months old, and there is a depression in his fontanelle? Hello doctor, my baby is currently one year and seven months old. He has a depression in his fontanelle that is about 10 centimeters long and one and a half fingers wide. He often has diar...
Dr. Xiao Kaiwen Reply:
Infants with abnormal head shapes and developmental delays, characterized by wide cranial sutures and a prominent forehead, may require an evaluation for potential brain abnormalities. It is recommended to consult a pediatric neurologist at a major hospital for further assessment...[Read More] Concerns About My 1-Year-Old's Development and Health Issues
Timing for Measles and Chickenpox Vaccines After Flu Shot
Preventive vaccination Hello, doctor. I would like to ask how long after my son received his second dose of the flu vaccine on February 20 can he receive the measles, mumps, and rubella (MMR) vaccine and the varicella (chickenpox) vaccine, considering he will be 12 months old? Th...
Dr. Ma Zhihao Reply:
Basically, if the child is not feeling unwell, vaccinations can be administered at any interval. I recommend spacing them one to two weeks apart. Fengyuan Hospital Pediatrics cares about you and your baby. ☺☺[Read More] Timing for Measles and Chickenpox Vaccines After Flu Shot
Understanding Pediatric Lymph Node Issues and Tonsillectomy Concerns
Cervical lymphadenopathy? Hello, Doctor: My child is 7 years old and had swollen lymph nodes two years ago. We went to the hospital for an ultrasound and blood tests, and the doctor said they were benign lymph nodes. They are still present now, sometimes getting larger and someti...
Dr. Pei Rensheng Reply:
Hello: 1. In children, lymphadenopathy is most commonly caused by infections. There are rare cases where it may be due to malignant tumors, autoimmune diseases, Kawasaki disease, drug reactions, or post-vaccination responses. 2. If the lymph nodes are less than 2 cm, there is usu...[Read More] Understanding Pediatric Lymph Node Issues and Tonsillectomy Concerns
How Many Vaccines Can Be Administered Together for Infants?
Vaccination Hello Doctor, I would like to inquire about the maximum number of vaccines that can be administered simultaneously. I am currently scheduled to receive the second dose of the Enterovirus 71 vaccine, the second dose of the rotavirus vaccine, the second dose of the pneu...
Dr. Ma Zhihao Reply:
There are generally no contraindications to administering vaccines simultaneously or at any interval. My recommendation is to administer the DTaP-Hib-IPV-HepB combination vaccine, the pneumococcal vaccine, and the rotavirus oral vaccine at two months and four months of age as per...[Read More] How Many Vaccines Can Be Administered Together for Infants?
Understanding Your Child's Frequent Hospitalizations: Is It Immunity Issues?
Constitutional issues? The physician would like to inquire about their child, who seems to be prone to hospitalization due to bronchitis, tonsillitis, or pneumonia. Is this an indication of poor immune function? This year alone, the child was hospitalized in March for mycoplasma ...
Dr. Xiao Kaiwen Reply:
Children's immune systems are not fully mature, and when they are in a school environment with close contact, they are more susceptible to infectious diseases. This is considered a normal process. In medicine, we suspect immunodeficiency when a child experiences frequent and...[Read More] Understanding Your Child's Frequent Hospitalizations: Is It Immunity Issues?
Understanding Vaccine Reactions in Infants: A New Mom's Concerns
Vaccine issues Hello, doctor. I am a very anxious new mother. On July 1st, I took my baby to receive the 13-valent and pentavalent vaccines, with one injection in each leg (both of these were the third doses). On the first day after the vaccinations, there was redness and swellin...
Dr. Xiao Kaiwen Reply:
The pentavalent vaccine and the 13-valent pneumonia vaccine may have a higher likelihood of side effects in subsequent doses compared to the initial doses. This is because the immune system has already developed some memory, making reactions more pronounced later on. Localized lu...[Read More] Understanding Vaccine Reactions in Infants: A New Mom's Concerns
Best Supplements to Boost Immunity in Children and Reduce Colds
What dietary supplements can enhance children's immunity and reduce the frequency of colds and fevers? Due to my 2-year-old child frequently catching colds and having fevers every 1-2 weeks, and considering my busy work schedule, I would like to purchase health supplements t...
Dr. Xiao Kaiwen Reply:
Methods to enhance children's immunity include maintaining healthy lifestyle and dietary habits, such as having a balanced diet without snacks, ensuring adequate sleep, keeping a positive mood, engaging in regular and sufficient physical activity, and staying up to date with...[Read More] Best Supplements to Boost Immunity in Children and Reduce Colds
Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?
Is it necessary to conduct cardiovascular examinations after a positive rapid test for adenovirus? My daughter is 3 years old and 10 months. Since April 23, she had a fever for 5 days and tested positive for adenovirus at the clinic. Her symptoms included 1. high fever 2. unilate...
Dr. Xie Wanghu Reply:
Hello, 1. A 1.3-year-old child. 2. Has had a fever for 5 days since April 23. 3. Positive for adenovirus rapid test. 4. Related to Kawasaki disease, with only 5 days of fever and conjunctivitis. 5. Should not meet the diagnostic criteria for Kawasaki disease. 6. If there i...[Read More] Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?
Essential Ultrasound Checks for Infants: Timing and Importance
Neonatal ultrasound examination Hello, doctor! My baby is currently over four months old. We have not conducted various ultrasound examinations yet because we were waiting for insurance approval. I would like to ask if doing the checks now would mean missing the optimal period fo...
Dr. Xie Wanghu Reply:
Hello! If a baby belongs to a higher risk group, such as having a family history of genetic disorders, the mother did not have regular prenatal check-ups during pregnancy or was informed of abnormalities during high-level ultrasounds, there were abnormalities in prenatal genetic ...[Read More] Essential Ultrasound Checks for Infants: Timing and Importance
COVID-19 Vaccination for Toddlers: Insights on Moderna and China Vaccines
COVID-19 vaccine Hello, doctor. My child is currently two years and seven months old and is in mainland China. Would you recommend getting vaccinated there before returning to Taiwan, or should we get the Moderna vaccine in Taiwan, or not vaccinate at all? My child has been hospi...
Dr. Xiao Kaiwen Reply:
The COVID-19 vaccines from mainland China have not been legally granted emergency authorization in Taiwan, and the assessment of their efficacy is not very clear. Therefore, we do not have a thorough understanding of the COVID-19 vaccines produced in mainland China. However, the ...[Read More] COVID-19 Vaccination for Toddlers: Insights on Moderna and China Vaccines
Impact of Incomplete BCG Vaccination on Infant Immunity: What Parents Should Know
What are the issues related to incomplete administration of the BCG vaccine? Hello Doctor, my baby turned five months old last week and received the BCG vaccine. During the vaccination, the nurse inserted the needle into my baby's arm, but when she pushed the plunger to inje...
Dr. Xiao Kaiwen Reply:
Principles for handling suspected insufficient doses of the BCG vaccine: 1. Check for the presence of a BCG scar three months after vaccination; if a scar is present, no booster is needed. 2. If no scar is present, a tuberculin skin test can be performed. 3. For those with a nega...[Read More] Impact of Incomplete BCG Vaccination on Infant Immunity: What Parents Should Know
Black Spot at Vaccine Injection Site: Is It Normal for Kids?
The injection site of the COVID-19 vaccine developed black spots? Hello doctor, my baby received the first dose of the Moderna vaccine at the beginning of September. Recently, I noticed that the injection site has developed a small black dot (it is not a scab and cannot be remove...
Dr. Xiao Kaiwen Reply:
It may be what is referred to as post-inflammatory hyperpigmentation, which is a reaction of the skin following injury and inflammation. Melanocytes are stimulated by external factors to produce an excess of melanin. Once the inflammatory symptoms subside, the excess melanin rema...[Read More] Black Spot at Vaccine Injection Site: Is It Normal for Kids?
Understanding Growth Concerns: When to Seek Endocrine Evaluation for Your Child
Growth curve below the 3rd percentile? Hello, doctor. I would like to inquire about my child, who is over one year old and has been receiving vaccinations at the clinic. The doctor has measured his growth curve, which is consistently below the 3rd percentile. He is currently two ...
Dr. Xiao Kaiwen Reply:
A two-year and ten-month-old boy with a height of 87 cm is below the 3rd percentile. Being below the 3rd percentile warrants a consultation and evaluation at a major hospital's pediatric endocrinology department. Whether he has dwarfism can be determined by a specialized ped...[Read More] Understanding Growth Concerns: When to Seek Endocrine Evaluation for Your Child
How Long After COVID Recovery Can Kids Get the Flu Vaccine?
How long after recovering from COVID-19 can one receive the flu vaccine? Hello Dr. Chang, my 5-year-old son has recovered from COVID-19 (Omicron variant). How long should we wait before he can receive the influenza vaccine?
Dr. Zhang Yingwen Reply:
Hello! If the baby no longer has a fever or acute symptoms and is no longer in the self-health management period, they can receive routine vaccinations or the influenza vaccine.[Read More] How Long After COVID Recovery Can Kids Get the Flu Vaccine?
Bleeding at Vaccine Site in Children: What Parents Should Know
Bleeding at the vaccination site? Hello, a 7-year and 11-month-old child noticed a large bloodstain (about the size of a five-dollar coin) on the cotton ball at the injection site after receiving the second dose of the pediatric BNT vaccine. This has never happened with previous ...
Dr. Xiao Kaiwen Reply:
The current BNT COVID-19 vaccine for children aged 5-11 is administered via intramuscular injection into the deltoid muscle of the upper arm, rather than through intravenous injection. The depth of this intramuscular injection does not pass through major blood vessels, so the the...[Read More] Bleeding at Vaccine Site in Children: What Parents Should Know
Bleeding at Vaccine Injection Site in Children: What to Know
Bleeding at the vaccination site? Hello, a 7-year and 11-month-old child experienced a large blood stain (approximately the size of a five-dollar coin) on the cotton ball at the injection site after receiving the second dose of the pediatric BNT vaccine. This has never happened a...
Dr. Xiao Kaiwen Reply:
The current BNT COVID-19 vaccine for children aged 5-11 is administered via intramuscular injection in the deltoid muscle of the upper arm, rather than intravenously. The depth of this intramuscular injection does not involve major blood vessels, so the theoretical risk of the va...[Read More] Bleeding at Vaccine Injection Site in Children: What to Know
Vaccination Guidelines for Infants After COVID-19 Diagnosis
Vaccination A six-month-old baby tested positive for COVID-19 the day before receiving vaccinations! Currently, the baby is at home. How long should we wait before returning to get the originally scheduled vaccinations? The baby had a fever for three days, with a maximum temperat...
Dr. Pei Rensheng Reply:
Hello: After a confirmed diagnosis, you can receive the vaccine for six-month-olds at least 14 days later, provided there is no fever or discomfort (mild cough and runny nose are acceptable). If there is decreased activity after the fever subsides, it is likely due to the side ef...[Read More] Vaccination Guidelines for Infants After COVID-19 Diagnosis
Does COVID Vaccine Still Offer Protection After Positive Test in Kids?
COVID-19 vaccine Doctor, my child is 12 years old and received the first dose of the BNT vaccine, but tested positive for COVID-19 two days later through a rapid test and was confirmed positive during a telemedicine consultation. Does this mean the BNT vaccine was ineffective? Wi...
Dr. Pei Rensheng Reply:
Hello: After vaccination, it takes an average of two weeks to develop protective immunity. After contracting COVID-19, you must wait 90 days before receiving another COVID-19 vaccine. The previously administered vaccine still counts as the first dose, and you should start from th...[Read More] Does COVID Vaccine Still Offer Protection After Positive Test in Kids?
Is BNT Vaccine Safe for My Son with a History of Allergic Purpura?
Is it suitable for children who have a history of allergic purpura to receive the BNT vaccine? My son is currently in the first year of junior high school and just turned thirteen. He experienced allergic purpura at the age of six, which has not recurred since then. The diagnosin...
Dr. Xiao Kaiwen Reply:
Allergic purpura is an autoimmune vasculitis characterized by inflammation of the blood vessels. The cause of the production of autoimmune antibodies is unknown, but it is speculated that it may be triggered by previous viral infections. However, if there have been no recurrences...[Read More] Is BNT Vaccine Safe for My Son with a History of Allergic Purpura?
Guidelines for Administering BNT Vaccine to Children After COVID Exposure
Administration of the BNT vaccine for children? Hello, doctor. I would like to inquire about vaccination issues. Since I am unsure whether my 5-year-old child has been infected with COVID-19 (the mother, who lives with him, has tested positive), the child experienced a high tempe...
Dr. Xiao Kaiwen Reply:
Unless there is a "confirmed" case of COVID-19, a three-month interval is required before administering the COVID-19 vaccine. Since your child is not a confirmed case, as long as their current health status is suitable, they can receive the BNT COVID-19 vaccine.[Read More] Guidelines for Administering BNT Vaccine to Children After COVID Exposure