Understanding Y Chromosome Deletions: Risks and Concerns for Your Baby
Chip, Y chromosome mutation abnormalities? Hello Doctor, I have a baby boy. I underwent amniocentesis, and the results were normal. However, the chromosomal analysis indicated a deletion in the AZFc region of the Y chromosome, which is a mutation rather than hereditary. I am curr...
Dr. Chen Ming Reply:
In principle, it only affects fertility, but it is recommended to consult a specialist in an outpatient clinic for formal advice.[Read More] Understanding Y Chromosome Deletions: Risks and Concerns for Your Baby
Supporting a Baby with Hypotonia: Music Therapy and Developmental Strategies
Hypotonicity, music therapy The baby girl is currently over 3 months old, weighing 4700g (birth weight 2950g), measuring 61cm in height (birth length 53cm), and has a head circumference of 38.4cm (birth head circumference 33cm). She was induced at 41 weeks and delivered vaginally...
Dr. Lin Guanglin Reply:
1. The tension is relatively low, and continuous rehabilitation is necessary while searching for possible underlying causes, which may require some time for observation and examination. 2. Based on your description, the child seems to have weakness on the left side of the body,...[Read More] Supporting a Baby with Hypotonia: Music Therapy and Developmental Strategies
Should I Be Concerned About Marfan Syndrome Symptoms?
Is there a high suspicion of Marfan syndrome? Recently, I've been experiencing some tightness in my chest and a desire to cough. After researching online, I discovered that this could be related to a genetic condition, and I find that I match many of the characteristics. I w...
Dr. Jian Yingxiu Reply:
It is recommended that you first visit an internal medicine or family medicine specialist to determine the cause of your chest discomfort and assess your heart function. If you have any questions, please consult at one of the genetic counseling centers. Thank you.[Read More] Should I Be Concerned About Marfan Syndrome Symptoms?
Understanding Blue Sclera in Infants: Causes and When to Seek Help
The sclera of the daughter appears bluish? Dear Dr. Jian, Hello. My daughter is currently about 82 days old. Around the age of 2 months, I suddenly noticed that her sclera appears bluish. She was born weighing 3432 grams and measuring 51 centimeters. Her current weight is approx...
Dr. Jian Yingxiu Reply:
It is normal for some babies to have a blue sclera. Please check if there are other family members with blue sclera, and monitor the baby's height and weight, as well as any unusual or excessive crying. Thank you.[Read More] Understanding Blue Sclera in Infants: Causes and When to Seek Help
Seeking Medical Guidance for Short Stature and Rare Disorders
Adults with a stature resembling that of children should consult an endocrinologist? I am currently 44 years old and 131 cm tall. I would like to apply for a disability certificate. When I visited the endocrinology department at Taoyuan Hospital, I encountered Dr. Dong, who quest...
Dr. Jian Yingxiu Reply:
Hello: For height-related issues, please consult the "Pediatric Endocrinology Department" at major medical centers to investigate the underlying causes. Regarding the disability handbook, under the new regulations, in addition to the diagnosis made by a specialist, the ...[Read More] Seeking Medical Guidance for Short Stature and Rare Disorders
Understanding Growth Delays in Children: When to Seek Medical Advice
excuse me? Hello Dr. Hsu, I have a 5-year-and-1-month-old boy who is 102 cm tall and weighs 14 kg. Is there a concern regarding developmental delay? He has two older brothers, and his energy and learning abilities are normal. However, there is a significant difference in his gr...
Dr. Xu Shanjing Reply:
The child's mother is doing well! Each person's growth is different; children may take after their father or mother, and growth can occur early or late. If they are healthy and show no gastrointestinal symptoms, there is no need to worry! I recommend reading the informa...[Read More] Understanding Growth Delays in Children: When to Seek Medical Advice
Understanding Precocious Puberty: Concerns and Solutions for Your Child
Precocious puberty? Hello, Doctor: My daughter is 10 years old and is about to enter the fourth grade, with a height of only 139 cm. She has recently started menstruating and is showing signs of breast development. Is this considered precocious puberty? Is it possible to artifici...
Dr. Xu Shanjing Reply:
Hello! The average age for girls to start menstruating is 12 years, with a normal range of 10 to 14 years. Typically, they will grow about 10 to 13 centimeters more, completing this growth within three years. Bone age can provide a more accurate indication of their growth potenti...[Read More] Understanding Precocious Puberty: Concerns and Solutions for Your Child
Addressing Growth Concerns in Children Below the 3rd Percentile
Long-term weight issues below 3% body weight? Dr. Hsu: Hello, my daughter is currently nearly 1 year and 8 months old and weighs only 7.5 kg, which is far below the growth chart's 3rd percentile. She was born full-term (38 weeks and 4 days) at only 2308 grams, and this has b...
Dr. Xu Jiaqi Reply:
Apple Mom: Based on the content of the letter, it appears that my daughter is experiencing underweight due to long-term inadequate nutrition. If we consider visiting the pediatric gastroenterology department at Taichung Veterans General Hospital, we can consult with Director Lin ...[Read More] Addressing Growth Concerns in Children Below the 3rd Percentile
Addressing Growth Delays in Children: Understanding Rare Disorders
Growth delay issues!! Hello! My child is a boy, born in November 2004. He is currently 101 cm tall and weighs 14.5 kg. Last time, he had a cold and we took him to see Dr. Long Yao-jin at Madou New Building Hospital. Dr. Long suggested that we take our child to you for an evaluati...
Dr. Lin Xiujuan Reply:
A boy born in November 2004 is currently 4 years and 3 months old (or 4 years old if born before November 3). 1. For a 4-year and 3-month-old boy, a height of 101 cm is in the 10-25th percentile, and a weight of 14.5 kg is in the 3-10th percentile. His height and weight can be mo...[Read More] Addressing Growth Delays in Children: Understanding Rare Disorders
Understanding CNP Growth Factor for Achondroplasia Treatment in Taiwan
Regarding medications for achondroplasia? Hello, doctor! I would like to ask about medications for achondroplasia. I have seen other websites introducing "CNP protein growth factor" as a medication for patients with achondroplasia. I would like to know if "CNP prot...
Dr. Hou Jiawei Reply:
CNP (C-type natriuretic peptide) growth factor was proposed in 2005 by a research team led by Professor Kazuhisa Nakao at Kyoto University, based on experiments conducted on mice, suggesting it may help individuals with achondroplasia to increase height. This drug has not yet bee...[Read More] Understanding CNP Growth Factor for Achondroplasia Treatment in Taiwan
Understanding Growth Delays: When to Seek Medical Advice for Your Child
Growth retardation My child is in the third grade of elementary school, but their height is only 120.2 cm. Their daily routine is normal, appetite is good, and they are very active. The mother is 152 cm tall and the father is 170 cm tall. Should I be concerned that this is a meta...
Dr. Xu Shanjing Reply:
It is generally necessary to know whether the child is a boy or a girl. A height of 120.2 cm corresponds to an 8-year-old child. If the child is 9 years old, this height would be considered short, falling below the 2nd percentile; otherwise, it is within the normal range. The mos...[Read More] Understanding Growth Delays: When to Seek Medical Advice for Your Child
Understanding Growth Disorders in Children: Causes and Solutions
Pediatric Growth Abnormalities Dear Dr. Jian, My son is a sixth grader and stands at 179.5 cm tall. While many parents would be pleased with such height, he has several concerning issues that I would like your advice on regarding management or further medical evaluation. 1. He ...
Dr. Jian Yingxiu Reply:
In this situation, in addition to parathyroid issues, it may be necessary to consider structural abnormalities of the bones or other congenital metabolic disorders. It is recommended that you bring your previous test results and promptly visit a genetic counseling clinic at a med...[Read More] Understanding Growth Disorders in Children: Causes and Solutions
Concerns About Short Stature: Understanding Growth and Development in Adolescents
Short stature? Hello, doctor. My son is going to start junior high school this year and he is a boy currently measuring 158 cm in height. I have been worried about whether he will grow taller because his Adam's apple is already quite prominent, and he has a lot of pubic hair...
Dr. Lin Xiujuan Reply:
To schedule an appointment for the Pediatric Endocrinology Special Clinic at our hospital, please visit the Pediatric Genetics and Endocrinology Department during the consultation hours and obtain the physician's consent for an additional appointment.[Read More] Concerns About Short Stature: Understanding Growth and Development in Adolescents
Can Delaying Development Help My Child Grow Taller?
Is it feasible to delay development in order to gain time for height increase? Dear Dr. Lin, My daughter seems to have inherited her short stature from her father's side, as her height has consistently been below the 5th percentile on growth charts since she was young. We c...
Dr. Lin Xiujuan Reply:
Due to the need to review past medical records, it is recommended to schedule an appointment with the Pediatric Genetics and Endocrinology Department.[Read More] Can Delaying Development Help My Child Grow Taller?
Understanding Rare Diseases: A Journey of Resilience in Childhood
I want to grow up? The child is seven years old this year. She is in the first grade of elementary school, with a height of 70-75 cm and a weight of 7-7.5 kg. She is unable to express herself and cannot walk, and is currently undergoing rehabilitation. Chromosomal testing has ret...
Dr. Jian Yingxiu Reply:
Your baby appears to be small at birth, which may suggest a congenital abnormality or possible prenatal injury. The exact cause should be evaluated by consulting a pediatric neurologist or a genetic specialist at a medical center.[Read More] Understanding Rare Diseases: A Journey of Resilience in Childhood
Can You Still Grow Taller After a Certain Age? Exploring Rare Conditions
Increase in height? I would like to ask the doctor if I can still grow taller at my age. I used to take traditional Chinese medicine (bone growth medicine) but it didn't seem to work, and I'm currently only 150 cm tall. I heard from my instructor that her daughter grew ...
Dr. Hou Jiawei Reply:
Taking traditional Chinese medicine (bone growth medicine) does not directly stimulate height increase. It is recommended to first assess the bones and growth plates. If there is still space in the growth plates, specific medications may be used to assist growth after a detailed ...[Read More] Can You Still Grow Taller After a Certain Age? Exploring Rare Conditions
Concerns About My Nephew's Health: Signs of Rare Disorders
My nephew was suspected of having Down syndrome? Dear Dr. Lin, Hello, my nephew is nine months old. He was previously seen at your clinic (Taipei Mackay Memorial Hospital) and there were concerns about the possibility of Down syndrome. However, I am unsure of the results. Recent...
Dr. Lin Xuanpei Reply:
It is uncertain whether the mentioned "Tang baby" refers to Down syndrome. If so, a chromosomal test can confirm the diagnosis. For the described infant's condition, if there are no urgent respiratory or sleep-related issues, it is recommended to utilize preventive...[Read More] Concerns About My Nephew's Health: Signs of Rare Disorders
Best Treatment Options for Congenital Adrenal Hyperplasia in Children
Where is the best place to receive treatment for congenital adrenal hyperplasia? Hello Dr. Jian, My child is a boy, currently 5 years and 8 months old, attending kindergarten. He is not yet six years old. Due to his height growth, we recently took him to the hospital for an exa...
Dr. Jian Yingxiu Reply:
You can seek treatment at hospitals with pediatric endocrinology departments, such as Dr. Li Yen-Chin at Mackay Memorial Hospital, Dr. Tsai Wen-Yo at National Taiwan University, Dr. Tong Yi-Ching, Dr. Yang Chen at Taipei Medical University, and at Beirong or other hospitals. Plea...[Read More] Best Treatment Options for Congenital Adrenal Hyperplasia in Children
Understanding Mitochondrial Disorders: Treatment Options for Children
Mitochondrial pathology Hello Dr. Hou, my son is currently five years old, weighing 9 kilograms and measuring 90 centimeters in height. He has been diagnosed with mitochondrial disease and has poor kidney development at birth, along with renal tubular acidosis. He is currently on...
Dr. Hou Jiawei Reply:
Mitochondrial dysfunction is one of the causes of primary renal tubular acidosis, which can lead to growth and developmental delays. Renal tubular acidosis can be classified into distal and proximal types. Distal renal tubular acidosis occurs when the kidneys are unable to excret...[Read More] Understanding Mitochondrial Disorders: Treatment Options for Children
Understanding Recurring Vaginal Infections: Seeking Answers and Solutions
Vaginal infection!!! I experience vaginal infections 1 to 2 times every month, and this has been ongoing for several years. Each infection is accompanied by white and yellow-green chunky discharge, and there is also itching in the vulvar area. This year, I had one instance of hav...
Dr. Lin Zhenru Reply:
White and yellow-green, clumpy discharge resembling cottage cheese, along with itching in the vulvar area, are common symptoms of a vaginal yeast infection. Vaginal yeast infections are quite prevalent gynecological infections, and many individuals experience recurrent infections...[Read More] Understanding Recurring Vaginal Infections: Seeking Answers and Solutions