Does a four-month-old baby need a neurological assessment?

Patient's question:

Two days have passed. I've noticed that she isn't very responsive to the outside world. For example, when I take her outdoors, she doesn't seem very excited. If someone teases her, she doesn't laugh, and sometimes she even avoids looking at people. She often frowns (this has been the case since she was born). When I hold her on my lap, she frequently curls up, keeps her head down, and her little feet are always tight. It seems she's very tense. Additionally, she doesn't laugh out loud very often now—only twice so far. Most of the time, her mouth is open, but she doesn't make any sound.
However, at home, she's much more active. When lying in bed, she'll wave her hands around and shout loudly. Sometimes, she even spins quickly and sleeps in a vertical position. In the past two days, she has also been able to use the strength of her shoulder, back, and feet to lift her waist off the bed, staying suspended for over a second.
Her little hands seem quite flexible now. She can interlock her hands, grasp objects, squeeze my fingers tightly, and sometimes even touch my face or scratch my hair.
Today, I took her to the hospital. The doctor pressed a pen against her ear to make a sound, but she didn't react. Later, when the doctor shone a flashlight in front of her, she still didn't react until he shone it directly at her eyes, at which point she began to turn her head quickly in response. The doctor tried to make her stand, but she often stood on her toes (though tonight, when I made her stand, she stood on her entire foot, though her body wasn't straight and her buttocks were sticking out).
So the doctor recommended that I have a neurological examination. I'm wondering if it's really necessary? I'm really heartbroken. If something is wrong, I'm afraid I won't be able to face it.
What kind of help I need: I want to know if it's really necessary? I'm really heartbroken. If something is wrong, I'm afraid I won't be able to face it.

Doctor's answer:

It's not a big deal. Based on your description, the doctor is just taking precautions. The advice is: If there is really something, early intervention treatment is more effective. Wait until it grows up, and it can be completely restored to normal. If you don't, aren't you delaying the child? The above is the advice for the question "Does a four-month-old baby need to have a neurological examination?" I hope it helps you. Wish you health!

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