Timing for German Measles Vaccine: What Parents Need to Know
The vaccination schedule for the German measles (rubella) vaccine typically includes the following: 1. The first dose is usually administered between 12 to 15 months of age. 2. A second dose is recommended between 4 to Hello Doctor, the maternal handbook indicates that the first...
Dr. Xiao Kaiwen Reply:
Over two years ago, research found that the levels of measles and rubella antibodies in children before entering elementary school were relatively low. To enhance immunity, the Centers for Disease Control (CDC) held a vaccination advisory meeting at that time and decided to advan...[Read More] Timing for German Measles Vaccine: What Parents Need to Know
Strong Urine Odor in Infants: Causes and When to Seek Medical Advice
The baby's urine has a strong odor? Hello Dr. Hsiao: My baby is almost 7 months old, and recently I've noticed a very strong and pungent smell of urine in the diaper, which wasn't there before! However, the baby shows no signs of discomfort. If it were a urinary tr...
Dr. Xiao Kaiwen Reply:
It is recommended to promptly visit a pediatrician for a basic urinalysis, which can initially indicate the presence of urinary tract infections, hematuria, proteinuria, glycosuria, and other abnormalities. This is important because urinary tract infections do not always present ...[Read More] Strong Urine Odor in Infants: Causes and When to Seek Medical Advice
Understanding Speech Development in Preterm Infants: When to Seek Evaluation
Baby talking? Hello doctor, my son is a premature baby. His actual age is 1 year and 5 months, and his corrected age is 1 year and 2 months. He understands about 80% of what I say and can follow instructions. He also pulls adults' hands to get what he wants, but he doesn...
Dr. Xiao Kaiwen Reply:
In the development of pediatric neurology, for premature infants, corrected age should be considered (while others may think the infant is currently 1 year and 5 months old, the corrected age is 1 year and 2 months). At this age, the child can say a few reduplicated words, which ...[Read More] Understanding Speech Development in Preterm Infants: When to Seek Evaluation
Impact of Cold Symptoms on Hepatitis B Vaccination and Antibody Testing
Hepatitis B vaccine Hello doctor, my son had a blood test that showed no hepatitis B antibodies. He later received the hepatitis B vaccine, but he had a cold at the time of vaccination. When he had another blood test while still having a cold, the results showed that he had antib...
Dr. Xiao Kaiwen Reply:
The presence of a cold will not affect the blood test results for hepatitis B antibodies.[Read More] Impact of Cold Symptoms on Hepatitis B Vaccination and Antibody Testing
Understanding Constipation in Infants: Causes and Solutions
It has been several days since I last had a bowel movement? Hello, doctor. My baby is currently four months old. She started having episodes of intense crying and screaming at three and a half months. Initially, she was drinking a little breast milk mixed with formula, but after ...
Dr. Xiao Kaiwen Reply:
Infants have immature muscles for bowel movements, which may result in difficulty passing stool at times. As they grow older and begin to consume solid foods (such as vegetable and fruit purees that are high in fiber), this situation typically improves. Magnesium-containing antac...[Read More] Understanding Constipation in Infants: Causes and Solutions
Understanding Vaccine Reactions in Infants: When to Seek Medical Advice
Preventive vaccination My friend's child is a little over two months old. Yesterday morning, they received both the pneumococcal vaccine and the DTaP (diphtheria, tetanus, and pertussis) combination vaccine at the health clinic. In the evening, the child developed a high fev...
Dr. Xiao Kaiwen Reply:
These two vaccines can be administered simultaneously at different sites without any issues. The occurrence of fever is consistent with potential side effects after vaccination; however, fever caused by vaccination typically resolves within 24 hours. Therefore, if the child’s act...[Read More] Understanding Vaccine Reactions in Infants: When to Seek Medical Advice
Which Medical Specialty Should You Choose for Your Child's Skin Concerns?
Which specialty should I see? I took my child to the clinic for a common cold, and the doctor noticed an unknown lump on her face. He recommended that we go to a larger hospital for further examination. I live in Taichung, and my daughter is currently 4 years and 2 months old. At...
Dr. Xiao Kaiwen Reply:
Neurofibromas on the skin are sebaceous gland proliferations and can be evaluated by a pediatric neurologist.[Read More] Which Medical Specialty Should You Choose for Your Child's Skin Concerns?
Understanding Fever After Varicella and MMR Vaccination in Infants
Fever after receiving the varicella (chickenpox) and MMR (measles, mumps, and rubella) vaccines at 1 year of age? Hello Doctor, my baby received the varicella and MMR vaccines on February 18. Starting from February 22, the temperature has been fluctuating between 36.5 and 38 degr...
Dr. Pei Rensheng Reply:
Hello, the possible side effects of the varicella (chickenpox) and MMR (measles, mumps, and rubella) combination vaccine may occur approximately 4 to 12 days after vaccination. Symptoms may include fever or a rash. If a fever occurs, it typically lasts for 1 to 2 days and is not ...[Read More] Understanding Fever After Varicella and MMR Vaccination in Infants
Can My Baby Get Vaccinated After a Cold? Pediatric Vaccine Timing Explained
Vaccination schedule? Hello Doctor, I was originally scheduled to administer the varicella and rubella vaccines at the beginning of this month. However, my baby developed roseola and had a fever, and after a week, he caught a cold. Now, after another week, my baby is one year and...
Dr. Xiao Kaiwen Reply:
As long as there is no fever, severe acute illness, or the individual is not taking high doses of corticosteroids, vaccination can be administered. Mild nasal congestion is acceptable for vaccination. I believe the diseases that the vaccine prevents are still quite dangerous, so ...[Read More] Can My Baby Get Vaccinated After a Cold? Pediatric Vaccine Timing Explained
Transitioning from Formula to Breast Milk: Key Considerations for Infants
Issues with Switching from Formula to Breast Milk Hello Dr. Hsiao, My baby is currently 2 months and 11 days old. At birth, the weight was 3165g, and during the vaccination on February 13, the weight was 6.3kg, with a length of 59.1 cm and a head circumference of 39.7 cm. Due to...
Dr. Xiao Kaiwen Reply:
If the baby is experiencing gastrointestinal discomfort, it may result in diarrhea or the presence of rashes on the skin. If the infant's activity level is normal, weight gain is appropriate, and the decreased appetite is not due to illness (such as gastroenteritis or entero...[Read More] Transitioning from Formula to Breast Milk: Key Considerations for Infants
Understanding Infant Feeding Issues: Decreased Milk Intake and Spitting Up
Issues with milk consumption (decreased milk supply and spitting up) Hello, doctor. My younger brother is currently 8 days old, with a birth weight of 3400 grams and now weighs 5300 grams at two months old. Since receiving his two-month vaccinations (the pentavalent vaccine and t...
Dr. Xiao Kaiwen Reply:
As long as the infant's height and weight increase normally (a two-month-old gaining 1.9 kg from birth weight is considered normal), and there are no illness-related issues such as enterovirus or gastroenteritis causing feeding difficulties, with normal urine output, this is...[Read More] Understanding Infant Feeding Issues: Decreased Milk Intake and Spitting Up
Probiotics for Infants: Managing Diarrhea and Digestive Health
Infant Diarrhea / Probiotics The baby is currently on a diet of 2/3 breast milk and 1/3 formula (if there is gastroenteritis, breast milk will be the main source). The primary caregiver has been a nanny since the baby was two months old. The baby has had issues with colic since t...
Dr. Xiao Kaiwen Reply:
At 4 months old, the baby has gained nearly 4 kilograms compared to their birth weight, which is more than double the birth weight, indicating that the birth weight is normal. At this age, the baby can only consume infant rice cereal and diluted fresh fruit juice, making it diffi...[Read More] Probiotics for Infants: Managing Diarrhea and Digestive Health
Impact of Delayed Infant Vaccination on Effectiveness: What Parents Should Know
If the vaccination schedule for infants and young children is delayed, does it affect the efficacy of the vaccines? Hello! Thank you, Dr. Hsiao, for taking the time to answer questions on this platform. I would like to inquire about the impact of delayed vaccination on vaccine ef...
Dr. Xiao Kaiwen Reply:
Vaccination administered earlier than recommended generally affects the efficacy of the vaccine, so early vaccination is not advised. Conversely, the current guidelines for vaccination state that if there is a delay, the vaccine should be administered as soon as possible, which w...[Read More] Impact of Delayed Infant Vaccination on Effectiveness: What Parents Should Know
Do Kids Need a Second Flu Vaccine Dose After First Injection?
Influenza vaccine injection issues? My child is over seven years old and has never received a flu vaccine before. This year, he just started first grade and received the flu vaccine at school on the 18th of last month. I heard that for those who have never received the flu vaccin...
Dr. Xiao Kaiwen Reply:
Yes, for children under 8 years old who have never received the influenza vaccine, the first vaccination requires two doses administered one month apart.[Read More] Do Kids Need a Second Flu Vaccine Dose After First Injection?
Addressing Milk Refusal and Vaccination Concerns in Infants
Milk consumption issues + vaccinations Hello Doctor: My baby was born on July 4, 2016 (currently 3 months and 21 days old). Around September 23 (about two and a half months old), he started refusing to drink milk (at that time maintaining 3 hours/110cc), with a total intake of ab...
Dr. Xiao Kaiwen Reply:
If an infant refuses to eat not due to illness (such as gastroenteritis or hand, foot, and mouth disease), and is growing and developing normally (for example, your 3-month-old child has already doubled their birth weight, which is normal), and has normal activity levels, this is...[Read More] Addressing Milk Refusal and Vaccination Concerns in Infants
Understanding Hepatitis B Vaccination for Children and Adults
Hepatitis B vaccination? My child has just entered the first year of junior high school, and the school check showed no antibodies for hepatitis B. They recommended a booster dose of the hepatitis B vaccine. Can you tell me if the hepatitis B vaccine for adults and children is th...
Dr. Xiao Kaiwen Reply:
In Taiwan, the hepatitis B vaccine for adults and children is the same. Additionally, because Taiwan is an endemic area for hepatitis B, the dosage for children is the same as that for adults.[Read More] Understanding Hepatitis B Vaccination for Children and Adults
Should I See a Doctor After My Child's Vaccination Reactions?
Vaccine injection My child is over 7 months old. After receiving the pneumococcal vaccine and the DTaP (diphtheria, tetanus, and pertussis) combination vaccine last Friday, they have had a slight fever and developed a rash near the injection site. Should I take them to see a doct...
Dr. Xiao Kaiwen Reply:
The symptoms you described do not resemble the side effects typically associated with vaccination. Fever after vaccination usually does not last more than 24 hours, and rashes near the injection site are not common. It is advisable to consult a pediatrician for further evaluation...[Read More] Should I See a Doctor After My Child's Vaccination Reactions?
Impact of Delaying Japanese Encephalitis Vaccine for Children
Japanese Encephalitis Vaccine My child is scheduled to receive the second dose of the Japanese encephalitis vaccine, but we are unavailable on that day. If we postpone the vaccination, will it have any implications? Will it affect the efficacy of the first dose?
Dr. Xiao Kaiwen Reply:
It is acceptable to delay the second dose of the Japanese encephalitis vaccine; it can be administered later without the need to catch up on the first dose.[Read More] Impact of Delaying Japanese Encephalitis Vaccine for Children
Understanding Chickenpox in Infants After BCG Vaccination
Infants develop chickenpox? Hello doctor, my son is currently over five months old. He received the BCG vaccine last Friday, and unexpectedly, he developed chickenpox a week later. Is there any conflict between the BCG vaccine and chickenpox in his body? What should I be aware of...
Dr. Xiao Kaiwen Reply:
The BCG vaccine and varicella (chickenpox) do not conflict with each other. Aspirin and other salicylate medications should not be used as antipyretics. Complications of varicella include pneumonia, encephalitis, secondary bacterial infections, and sepsis. Therefore, the dangerou...[Read More] Understanding Chickenpox in Infants After BCG Vaccination
Understanding Blood in Baby's Stool: When to Seek Medical Advice
Passage of stool with fresh blood and blood streaks? Hello Doctor, my baby is currently 4 and a half months old and is being fed a combination of formula and breast milk. He was born weighing 2.6 kg and now weighs 6.3 kg. Initially, he had issues with bowel movements that include...
Dr. Pei Rensheng Reply:
Hello: 1. Formula milk for infants under 6 months does not contain probiotics; however, if the baby's immune function is normal, probiotics can still be prescribed for infants under 6 months. 2. Haominy is a highly hydrolyzed and lactose-free formula that is beneficial for s...[Read More] Understanding Blood in Baby's Stool: When to Seek Medical Advice