Question
My daughter is 18 months old, and I noticed hard lumps under both sides of her chest while bathing. I suspect precocious puberty. What tests should be conducted? How can we differentiate between true and false precocious puberty?
Answer
Based on your description, the possibility of precocious puberty cannot be ruled out. It is recommended to undergo a comprehensive breast ultrasound examination and, if necessary, hormone level tests to confirm the diagnosis and receive timely treatment. It is best to go to the endocrinology department of the hospital for the corresponding examinations and treatment. At the same time, control your child’s dietary intake in daily life, reducing the consumption of high-sugar and high-fat foods such as refined sugars, chocolate, honey, fruit canned goods, soda, sweet drinks, jam, ice cream, sweet biscuits, cakes, sweet breads, and sweet pastries, and increase the intake of healthy foods such as milk, green vegetables, spinach, carrots, and mushrooms. Please note that the above is a general recommendation based on the information you provided. Specific diagnoses and treatments should be carried out under a doctor’s guidance.