What are the criteria for diagnosing precocious puberty?

Patient's question:

My daughter is more than eight years old this year and is currently in third grade. Yesterday when she came home, relatives asked if she has already started to grow and develop. I took a look at her chest and noticed it was slightly protruding, but she's only eight years old. Is it precocious puberty? What are the criteria for diagnosing true precocious puberty?

Doctor's answer:

A 5-year-old child has inguinal hernia, which frequently recurs with symptoms of a hard lump in the affected area, and the pain is difficult to heal on its own. The child can be taken to the general surgery department of the hospital for a follow-up visit. If it is not severe, a hernia belt can be used for the child. It is essential to drink plenty of water and eat fruits that promote bowel movement to keep the stool smooth. Avoid strenuous activities and increased exertion. Surgery may be necessary if needed.

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