Understanding Soft Stools in Toddlers: Causes and Solutions
Bowel issues Hello Doctor, my child is currently 2 years and 8 months old. Since birth, her bowel movements have consistently been soft or mushy, rarely forming solid stools. However, she is in good health and very active. Since she turned 1.5 years old, she has become a picky ea...
Dr. Zhang Yingwen Reply:
Hello! Based on your description, 1. Although the stools are soft, the absence of a foul odor and having fewer than three bowel movements per day, along with normal weight gain, may not indicate a problem. 2. Replacing cow's milk with goat's milk may not necessarily imp...[Read More] Understanding Soft Stools in Toddlers: Causes and Solutions
Is My 5-Year-Old's Heart Rate Too Fast? Understanding Pediatric Heart Health
Is a 5-year-old child's heart rate considered too fast? Hello Doctor: I accidentally measured my five-year-old daughter's heart rate and found that it was quite fast, even while she was quietly watching TV and not exercising. Her heart rate was around 114 to 120 beats p...
Dr. Pei Rensheng Reply:
Hello: Generally speaking, the normal heart rate range for children is as follows: for infants under 1 year old, 80-140 beats per minute; for children aged 1 to 6 years, 80-120 beats per minute; and for children over 6 years old, 60-100 beats per minute. These rates should be mea...[Read More] Is My 5-Year-Old's Heart Rate Too Fast? Understanding Pediatric Heart Health
Can Vaccines Be Administered While Taking Antibiotics?
Can vaccines be administered while taking antibiotics? Hello, the dog previously had a urinary tract infection and was treated with the antibiotic Amoxicillin. It has been discharged and is still on the medication. I would like to know if it is safe to administer vaccines (includ...
Dr. Xiao Kaiwen Reply:
One situation in which vaccination is not recommended is when an individual is currently suffering from an acute illness. I believe that since I am still taking antibiotics for a urinary tract infection, indicating that my treatment course has not yet concluded, it would be more ...[Read More] Can Vaccines Be Administered While Taking Antibiotics?
Is My Baby Getting Enough Formula? Pediatric Feeding Concerns
Milk consumption issues? Hello, doctor! My son was born on January 16 this year, and today he is 2 months and 3 days old. I measured his weight to be approximately 4700-4900 grams, his length is 57 cm, and his head circumference is 38 cm (all measurements are self-reported as I h...
Dr. Pei Rensheng Reply:
Hello, the birth weight was 2470 grams, which is classified as low birth weight if born at term. Currently, the baby weighs 4.8 kilograms, which is approximately at the 10th percentile according to growth charts, indicating that the weight is still on the lighter side but within ...[Read More] Is My Baby Getting Enough Formula? Pediatric Feeding Concerns
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...[Read More] Understanding Fever After Vaccination: A Parent's Guide
Understanding BCG Vaccine Side Effects in Infants: What Parents Should Know
Side effects of the BCG vaccine? Hello, I would like to ask about my baby who received the BCG vaccine on December 17, after turning five months old. On December 25, during a bath, I noticed swelling in the right armpit, which feels soft and does not have any hard lumps. I read o...
Dr. Pei Rensheng Reply:
Hello! The side effects of the BCG vaccine indeed include swelling of the lymph nodes in the neck or armpit, typically on the same side as the vaccination site. If the swelling occurs on the opposite side or exceeds 1.5 centimeters, it is recommended to follow up with a pediatric...[Read More] Understanding BCG Vaccine Side Effects in Infants: What Parents Should Know
Important Considerations for 5-in-1 and Hepatitis A Vaccines
The five-in-one vaccine, which includes the hepatitis A vaccine, has certain precautions to consider? Regarding the five-in-one vaccine and the hepatitis A vaccine, is there any impact if a topical steroid ointment is applied before or after the injection? What is the safe amount...
Dr. Xiao Kaiwen Reply:
Topical ointments will not affect the pentavalent vaccine and the hepatitis A vaccine. Medications that can impact immune function, such as high-dose corticosteroids and immunosuppressants, should not be taken before vaccination. The administration of immunoglobulin primarily aff...[Read More] Important Considerations for 5-in-1 and Hepatitis A Vaccines
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...[Read More] Understanding Skin Rashes in Infants After Flu Vaccination
Assessing Growth Delays in Infants: Head Circumference and Height Concerns
A 2-month-old baby with head circumference/height below the 3rd percentile of the growth curve? Hello, my baby was delivered via cesarean section at 37 weeks and 1 day due to an abnormal fetal position (during prenatal check-ups, my placenta function was normal, and no abnormalit...
Dr. Lin Yishou Reply:
Dear Parent, regarding your question, a physician's office examination is necessary for a more accurate assessment. It is not possible to make a direct judgment based solely on written descriptions. Thank you for your message.[Read More] Assessing Growth Delays in Infants: Head Circumference and Height Concerns
Is My 7-Month-Old Baby's Sitting Development Normal?
Baby growth issues Hello Doctor: My daughter is currently 7 months and 22 days old. When I hold her on my lap, she can sit up fairly steadily (but still needs support or to lean against me). However, she is not yet able to sit up on her own. Is this considered normal development ...
Dr. Lin Yishou Reply:
Hello parents, this level of development is normal. If you have concerns, you can ask the physician to reassess during the vaccination appointment.[Read More] Is My 7-Month-Old Baby's Sitting Development Normal?
Vaccination Guidance for Infants: Navigating Delays and Combination Shots
Children receiving vaccinations? Hello Dr. Hsiao! I would like to ask you about my daughter, who was born on April 30th this year and is now over 2 months old. She is due for her first dose of the pentavalent vaccine, but since we are currently in Shanghai and there is a shortage...
Dr. Xiao Kaiwen Reply:
There will be no impact. Generally, it is less common to administer them this way. At that time, it is possible to receive the 13-valent pneumococcal vaccine and the oral rotavirus vaccine simultaneously. The only risk of delaying the vaccination is the lack of protection, which ...[Read More] Vaccination Guidance for Infants: Navigating Delays and Combination Shots
Understanding Your Child's Development: Nutrition and Health Concerns
Baby's developmental status Hello, doctor. My eldest son is over 6 years old and has an allergic constitution, but I feel that his immunity is poor as he often catches colds and has fevers. He also has chronic anemia. What should I supplement to improve his condition? Would ...
Dr. Pei Rensheng Reply:
Hello: Da Bao has chronic anemia, with the most common causes being iron deficiency or thalassemia. Mild thalassemia does not require treatment; if it is iron deficiency, increasing the intake of iron-rich foods or supplementing with iron prescribed by a physician can be benefici...[Read More] Understanding Your Child's Development: Nutrition and Health Concerns
Understanding the Timing for Pediatric Japanese Encephalitis Vaccination
Interval between vaccinations Hello, doctor: I would like to ask if my child is scheduled to receive the third dose of the Japanese encephalitis vaccine this month (at 2 years and 3 months old). Does the third dose need to be administered at least one year after the second dose? ...
Dr. Xiao Kaiwen Reply:
Due to the recent change by the Centers for Disease Control in Taiwan to administer a live attenuated Japanese encephalitis vaccine, the second dose of the Japanese encephalitis vaccine must now be spaced at least one year apart. This means that the second dose can be delayed but...[Read More] Understanding the Timing for Pediatric Japanese Encephalitis Vaccination
Managing Persistent Cough and Infections in Young Children
Children with colds and coughs? I would like to ask the doctor, my child is about 4 years old and was hospitalized for pneumonia in mid-February this year. However, since last year, he has been experiencing intermittent coughing. Every time he catches a cold, he either has yellow...
Dr. Pei Rensheng Reply:
Hello! 1. Children who just started kindergarten are particularly susceptible to respiratory or gastrointestinal infections, and this situation may not improve until they reach the upper grades of elementary school. 2. Ways to boost immunity include vaccinations, exercise, and a ...[Read More] Managing Persistent Cough and Infections in Young Children
Concerns About Baby's Feeding, Urination, and Skin Health
Milk volume and urination time? Hello, doctor. Our baby has just turned three months old. I'm not sure about the current weight, but I know that at two months, during the vaccination, the weight was 5.6 kg. The baby is fully formula-fed and currently drinks about 150-180 cc ...
Dr. Lin Yishou Reply:
Please consult a neonatologist or a pediatric nephrologist. Thank you.[Read More] Concerns About Baby's Feeding, Urination, and Skin Health
Understanding Large Head Circumference in Infants: When to Seek Further Evaluation
Issues with increased head circumference in infants? Hello Doctor: My child was born in Taoyuan, Taiwan, but we are currently living in South Korea and are unable to return to Taiwan for follow-up. Since the prenatal check-ups until birth, my child's head circumference has b...
Dr. Pei Rensheng Reply:
Hello! The standard for head circumference can be referenced from the Child Health Handbook. If it is greater than the 97th percentile, it is important to be cautious and rule out conditions such as hydrocephalus, brain tumors, and chondrodysplasia. The out-of-pocket ultrasound a...[Read More] Understanding Large Head Circumference in Infants: When to Seek Further Evaluation
Understanding Speech Delays in Toddlers: When to Seek Help
Speech issues in children Hello Doctor: The child is currently one year and nine months old (with a four-year-old sister). During the day, the grandparents take care of him, and the parents only care for him after work in the evening. He started walking at one year old and is now...
Dr. Lin Yishou Reply:
Hello, parents. Based on your description, your child is developing well. If you still have concerns, you can ask the physician to evaluate your child during the routine vaccination visit.[Read More] Understanding Speech Delays in Toddlers: When to Seek Help
Can Flu and Combination Vaccines Be Given Before Brain Injection for Kids?
Influenza vaccine and lumbar puncture? My child is 10 months old and recently received two vaccinations on December 14th - the flu vaccine and the hexavalent vaccine. Since then, my child has fallen multiple times and has developed a large bruise. I am concerned about the potenti...
Dr. Xiao Kaiwen Reply:
Yes, it will not have any impact.[Read More] Can Flu and Combination Vaccines Be Given Before Brain Injection for Kids?
Understanding Vaccine Side Effects vs. Common Cold in Infants
Side effects of the varicella (chickenpox) and measles vaccine? Hello, Dr. Hsiao: My baby turned 1 year old on December 8 and received the varicella and measles, mumps, rubella (MMR) combination vaccine on December 11. Starting December 12, he began coughing and had trouble sleep...
Dr. Xiao Kaiwen Reply:
The varicella, measles, rubella, and mumps combination vaccine is a live attenuated vaccine. If there are side effects, they typically occur 5 to 12 days after vaccination. Since your child is experiencing cold symptoms one or two days after vaccination, it is unlikely to be a si...[Read More] Understanding Vaccine Side Effects vs. Common Cold in Infants
Understanding Infant Phimosis: When to Consider Surgery for Boys
Male infant genitalia My brother's child is almost five months old and during a recent visit for vaccinations, the doctor examined the baby and found that the fat pad at the base of the penis is too thick, causing most of the penis to be buried with only a small portion visi...
Dr. Xiao Kaiwen Reply:
Common causes of genital abnormalities in male infants include hypospadias, cryptorchidism, penile curvature abnormalities, or a penile length of less than two centimeters (if the fat pad at the base is too thick, one end of the measuring tape should be placed against the pubic b...[Read More] Understanding Infant Phimosis: When to Consider Surgery for Boys