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Dr Soo Child Specialist, Firststep Child Specialist Clinic, Kuala Lumpur (2026)

29/05/2026

Recently, we have been seeing more chicken pox cases around 👀

Do you know how chicken pox rash usually changes over time?

Chicken pox rash can look different from day to day ✨
It often starts as small red spots over the chest, back or tummy, before turning into itchy water-filled blisters and later drying into scabs.

One important clue: different stages of the rash can appear at the same time!

Most children recover well with rest, fluids and supportive care 💛

Important reminder: chicken pox is contagious until ALL the blisters have dried and crusted over.

Please seek medical attention if your child has breathing difficulty, is not drinking well, becomes very sleepy, has persistent high fever or if the rash looks infected 🩺

17/05/2026

HFMD or just a normal rash? 👀
Here’s how parents can spot the difference👇

🦶 HFMD usually affects:
✔ Hands
✔ Feet
✔ Around the mouth
✔ Buttocks

⚠ One BIG clue = mouth ulcers
Your child may:
🥺 refuse food
🥺 drool more
🥺 complain of pain when eating

💧 HFMD spots often look like:
• small blisters
• red bumps
• tiny water-filled spots

🤒 Fever usually comes BEFORE the rash.

✨ Normal viral rashes are more likely to:
• appear on chest/back/tummy
• be flat pink spots
• have NO mouth ulcers
• happen when child still active & eating well

📌 Early HFMD can start with only a few spots, so it may become clearer after 1–2 days.

🚩 Please seek medical review if:
❌ poor drinking
❌ lethargic
❌ breathing difficulty
❌ persistent high fever
❌ dehydration signs

💛 Save this post for future reference & share with another parent!

#儿童健康 #育儿知识 #小儿科 #宝宝健康 #育儿日常

15/05/2026

Part 2 - 👃🏻Continuation of "something stuck in the nose?"

Here’s what parents should know first 👇🏻

❌ DO NOT:
• use cotton buds
• blindly use tweezers
• repeatedly dig inside the nose

⚠️ This may push the object deeper and increase:
• bleeding
• injury
• choking risk

✅ What you CAN do:
• keep your child calm
• keep them sitting upright
• encourage mouth breathing
• seek medical attention if unsure

🚫 Seek urgent medical care if:
🔋 button battery
🧲 magnet
😮‍💨 breathing difficulty
🩸 persistent bleeding

✔️ Prevention is always better:
• supervise play
• keep small objects away
• store batteries safely

11/05/2026

Last Saturday, I saw a 4-year-old boy who came into my clinic because he said something was stuck inside his nose 👃🏻

Luckily, it was only a bead — and he was fortunate it didn’t go deeper.

But nasal foreign bodies in children can sometimes become dangerous very quickly.

⚠️ Common things kids insert into their nose:
• beads
• tissue
• toy parts
• seeds
• erasers
• stickers

🚨 Why can it be dangerous?

Some objects may suddenly move backward into the airway and cause:
• choking
• coughing
• wheezing
• breathing difficulty

🔋 Button batteries are especially dangerous because they can burn through tissue within HOURS.

Warning signs:
⚠️ foul-smelling discharge
⚠️ bleeding
⚠️ nose pain
⚠️ one-sided blocked nose

👉 Seek urgent medical care immediately if button battery or magnet insertion is suspected.

07/05/2026

💉 “Why does my child need TWO flu vaccine doses the first time?”

Many parents ask this during vaccination visits 👶🏻

If your child is receiving the Influenza vaccine for the FIRST time and is below 9 years old, they usually need:

✅ 2 doses
✅ 4 weeks apart

But why? 🤔

The FIRST dose mainly acts as an “introduction” to the immune system.
It helps the body recognize the influenza virus.

The SECOND dose is the important BOOSTER 💪
👉 It strengthens the immune response
👉 Produces higher antibody levels
👉 Gives better and longer protection against influenza infection

Without the second dose, protection may not be strong enough — especially in younger children whose immune systems are still developing.

After completing the initial 2-dose schedule once, future yearly flu vaccines are usually just:
✔️ ONE dose per year

Influenza is NOT just “normal flu” in children.
It can lead to:
⚠️ High fever
⚠️ Bronchiolitis
⚠️ Pneumonia
⚠️ Wheezing/asthma flare
⚠️ Hospitalization

Protecting them early matters ❤️

23/04/2026

What HFMD REALLY looks like day by day (no one tells you this) 😳

Most parents think it’s just a mild illness…
Until their child refuses to eat, drink, and cries non-stop.

Here’s the realistic timeline of HFMD — what we commonly see in clinic 👇

👉 Day 1–2:
Fever starts, child becomes cranky, appetite drops

👉 Day 3 (worst day 😭):
Painful mouth ulcers appear
Your child may refuse even water

👉 Day 4–5:
Rash/blisters show up on hands, feet, mouth (sometimes buttocks)
Fever may settle, but discomfort continues

👉 Day 6–7:
Child slowly improves
Eating & drinking better
Rash starts to dry

⚠️ Important:
Not eating is common
👉 But NOT drinking is dangerous (risk of dehydration)

💡 When to worry:

Not drinking at all
Passing urine less
Very drowsy / weak
Persistent vomiting

👉 Please seek medical attention

📌 Save this — you’ll need it during HFMD season
📤 Share with parents & teachers

👩‍⚕️ Dr Soo | Child Health & Parenting

15/04/2026

Hi, I’m Dr Soo 👩‍⚕️
One of the most common concerns I hear from parents is:

“My toddler is so picky!”
“My toddler refuses to eat vegetables…” 🥦😩

And I want to reassure you—this is very common at this age and usually just a normal developmental phase.

Toddlers naturally prefer sweet tastes, may be cautious with new foods (food neophobia), and are also learning independence—so saying “no” is often part of this process.

So what can you do?

Keep offering vegetables consistently (it can take 10–15 tries). Eat together so they learn by imitation, make meals fun and colourful, and avoid forcing or bribing.

Most picky eating is just a phase 💛

I’m Dr Soo 👩‍⚕️ — follow for more parenting tips 👶

14/04/2026

Hi, I’m Dr Soo 👩‍⚕️
One of the most common concerns I hear from parents is:

“My toddler is so picky!”
“My toddler refuses to eat vegetables…” 🥦😩

And I want to reassure you—this is very common at this age and usually just a normal developmental phase.

Toddlers naturally prefer sweet tastes, may be cautious with new foods (food neophobia), and are also learning independence—so saying “no” is often part of this process.

So what can you do?

Keep offering vegetables consistently (it can take 10–15 tries). Eat together so they learn by imitation, make meals fun and colourful, and avoid forcing or bribing.

Most picky eating is just a phase 💛

I’m Dr Soo 👩‍⚕️ — follow for more parenting tips 👶

09/04/2026

Is your child exposed to BPA? 🤔

What is BPA?
BPA (Bisphenol A) is a chemical used in some plastics and the lining of canned foods. It’s commonly found in plastic bottles, sippy cups, food containers, and canned drinks.

It makes plastics strong and durable—but the concern is that BPA can leach into food and drinks, especially when plastic is heated, scratched, or worn out.

Why is BPA a concern for children?
BPA can act like a hormone in the body by mimicking estrogen. In young children, whose bodies are still developing, this may affect:
🧠 Brain development
⚖️ Hormone balance
📏 Growth patterns

Some studies also suggest links to:
• Behavioural changes (e.g. hyperactivity, anxiety)
• Learning and memory issues
• Increased risk of obesity and metabolic problems

Why are children more vulnerable?
Children are more sensitive because their organs and hormones are still developing. On top of that, their smaller body size means the same exposure can have a bigger effect.

What can parents do?
✔️ Choose BPA-free bottles and containers
✔️ Avoid heating food in plastic
✔️ Use glass or stainless steel when possible
✔️ Reduce use of canned foods

💛 Small changes today can make a big difference to your child’s long-term health.

Dr Soo | Follow for more child health & parenting tips 👶

25/02/2026

🫁 TB & Children – What Every Parent Should Know

Tuberculosis (TB) is an infectious disease caused by bacteria and spreads through the air when a person with active lung TB coughs, sneezes, talks, or sings.

👶 Why are children more at risk?
Children’s immune systems are still developing, making them more vulnerable to infection and severe complications. Most children who get TB are infected by close household contacts, such as parents, grandparents, or caregivers — not from brief or casual encounters.

🏠 How does TB spread?
TB transmission usually requires prolonged, repeated indoor exposure, such as:
• Living in the same house
• Sharing the same bedroom
• Spending many hours daily in a closed space

Short visits, brief contact, or outdoor exposure carry very low risk, especially in well-ventilated areas.

🌬️ Ventilation matters!
Good airflow — open windows, fans, cross ventilation — can reduce TB transmission risk by more than 50%. Simple steps at home make a big difference.

💉 What about the BCG vaccine?
The BCG vaccine does not fully prevent TB infection, but it plays a crucial role in protecting young children from severe and life-threatening forms of TB, such as TB meningitis and disseminated (miliary) TB.

🔍 Why early screening is important?
Children who have been exposed to TB should be screened early, even if they have no symptoms. Early detection allows timely treatment and prevents complications.

⚠️ Watch out for symptoms:
• Persistent cough (>2–3 weeks)
• Prolonged fever
• Poor weight gain or weight loss
• Night sweats
• Swollen lymph nodes

✨ Key takeaway for parents:
TB spreads mainly through long, close indoor contact — not casual contact.
Ensure good ventilation, keep vaccinations up to date, and seek medical advice early if there is known exposure.

Saving this post may help protect your child ❤️

Dr Soo Child Specialist

29/05/2026

17/05/2026

15/05/2026

11/05/2026

07/05/2026

23/04/2026

15/04/2026

14/04/2026

09/04/2026

25/02/2026

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