Subscribe
118
Yan Xin Liang
Pediatrics
About me
Graduated from Nanhua University, engaged in pediatric work for over 10 years, and have further studied at Hunan Children's Hospital, Xiangya Hospital, and Beijing Children's Hospital.
Proficient in diseases
Diagnosis and treatment of common diseases in pediatric internal medicine, especially skilled in the diagnosis and treatment of pediatric respiratory system and neurological diseases, such as pediatric convulsions, epilepsy, asthma, and lung infections...
Voices
Precursors to epileptic seizures in children
The majority of childhood epilepsy seizures occur without any precursors, as they arise and cease suddenly with stereotyped movements. However, some seizures are preceded by prodromes, such as sudden onset of consciousness disturbances, or fainting symptoms. Other seizures can present with motor dysfunctions, displaying sudden weakness or fatigue in certain limbs, followed by an epileptic attack. Additionally, some may experience abnormal sensations, such as numbness in a specific area or visual disturbances, including sudden flashes or even visual distortions, leading to convulsive seizures.
What can a baby eat when they have a cold?
When a baby catches a cold, they typically exhibit symptoms such as fever, cough, and runny nose. Some may also experience nausea, vomiting, diarrhea, and other digestive system symptoms. Therefore, during this period, it is important that the diet is light and easy to digest. For instance, if the baby is breastfed, they can continue breastfeeding, but the mother should also maintain a light and easily digestible diet. Continuing with milk is fine, but it should be diluted to aid digestion. Additionally, light meals like porridge, noodles, rice paste, some vegetables, and a moderate amount of fruits as supplements can be given. Spicy, greasy, and stimulating foods should be avoided during this time.
What is infantile dry eczema?
Infant dry eczema, also known as fissure eczema, is mainly due to loss of skin moisture, reduced sebum secretion, dryness, and fine cracks in the epidermis and stratum corneum. The skin appears pale red, with cracks being more pronounced and resembling cracked porcelain. It can occur on many parts of the body, mostly seen on the limbs. This condition is commonly seen in winter when the air is dry and secretion decreases, further exacerbated by frequent hot water washing. Infant dry eczema is actually due to irritant contact dermatitis. Treatment can involve the application of emollients, such as petroleum jelly, vitamin E cream, and mineral oil, while also protecting the moisture within the skin. It is best not to use corticosteroids for treatment.
How to treat infant eczema
Eczema is an intensely itchy skin inflammation reaction caused by a variety of factors, including both external and internal causes. External factors include environmental climate changes, sunlight exposure, animal fur, cosmetics, etc. Internal factors mainly involve food, endocrine disorders, stress, and more. Treatment primarily targets these causes. If caused by external factors, efforts should be made to avoid them. If related to food allergies, such as milk or eggs, these allergenic foods should be avoided. Treatment can also include the use of anti-allergic ointments, commonly corticosteroid ointments, as well as oral anti-allergy medications to assist in treatment.
Symptoms and Treatment of Whooping Cough in Children
The common symptoms of whooping cough are coughing, prolonged coughing, and spasmodic coughing, which ends with a crowing sound, and it mainly occurs during the night. The face may turn bright red during coughing, which is a typical symptom of whooping cough. For treatment, in the early stages of whooping cough, erythromycin is definitely used and can be effective. However, in pediatrics, if the whooping cough has lasted for a long time, the effectiveness of the treatment is relatively not as good. If the coughing period is long and medication is used in the middle to late stages, even with some treatment, it might still continue for two to three months. Although treatments like cough suppressants and expectorants can alleviate the symptoms, a cough usually still persists to some degree.
The earliest manifestation of phenylketonuria
Children with phenylketonuria usually start showing symptoms within 3 to 6 months after birth: Firstly, the nervous system is affected, which can be seen in developmental delays in intelligence, often with IQs lower than normal. Symptoms may include restlessness, depression, hyperactivity, or minor epileptic seizures. A few may exhibit increased muscle tone or heightened tendon reflexes. A few months after birth, due to insufficient melanin synthesis, the skin and hair undergo changes. Hair color may shift from black to yellow, the skin may appear very pale, and eczema is also more common. Additionally, because of the excretion of greater amounts of phenylacetic acids in urine and sweat, there may be a distinct mouse-like urine odor.
Do children with myocarditis have a fever?
In general, viral myocarditis is the most common form of myocarditis in children. This condition can be caused by various viruses such as influenza, parainfluenza, Coxsackie virus, adenovirus, etc., affecting the pediatric cardiac muscle tissue, which in turn can lead to symptoms of myocarditis. Since it is an infectious disease, fever is a common symptom. Fevers associated with myocarditis might present as high or moderate. Treatment primarily focuses on cardiac recovery, nourishing the cardiac muscle, steroids, and immunoglobulins, among others. Severe myocarditis is a critical condition that requires timely diagnosis and treatment to avoid worsening the situation.
What to do if the baby has thrush?
Oral thrush is caused by the parasitic proliferation of Candida albicans in the mucous membrane of the mouth. It is a secondary infection typically seen in individuals with weakened immune systems or those who have been using antibiotics for an extended period. In such cases, initially, one can use a 2.5% sodium bicarbonate solution to rinse the mouth, specifically targeting the areas affected by thrush. After meals, crush nystatin tablets and apply the powder to the areas with thrush, using this method three times a day. Additionally, taking probiotics orally, such as Bifidobacteria, can aid in treatment. Generally, these measures can control the condition within 3 to 5 days.
Tetralogy of Fallot shadow on the radiograph
Tetralogy of Fallot is the most common cyanotic heart disease in children over the age of one, accounting for about 10 percent of all congenital heart diseases. Tetralogy of Fallot includes four anatomical abnormalities: a ventricular septal defect, right ventricular outflow tract obstruction, an overriding aorta, and right ventricular hypertrophy. In patients diagnosed through X-ray, the heart size is often within normal limits, typically appearing boot-shaped, with markedly reduced pulmonary vascular markings. The aortic arch may be located on the right side, and the ascending aorta is usually dilated. Patients with rich collateral circulation display prominent pulmonary markings.
How to treat enteritis in children
How to treat enteritis in children? First, it is necessary to assess whether the enteritis is caused by a virus or a bacterial infection. If it is simply viral enteritis, the first step generally involves rehydration, which can be provided through oral rehydration salts to replenish fluids and electrolytes. Additionally, probiotics such as Bifidobacterium or Lactobacillus acidophilus can be given to regulate the intestinal flora, and smectite can be used to protect the gastrointestinal mucosa. If it is viral diarrhea, antiviral medications can also be added to the treatment. If the diarrhea is considered to be caused by a bacterial infection in the intestines, some antibiotics can be administered orally, including cephalosporins or penicillin antibiotics. If the infection is severe, intravenous therapy may be necessary.