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Li Jiao Yan
Neonatology
About me
Li Jiaoyan, female, attending physician, Master of Pediatric Medicine integrating Chinese and Western medicine. Graduated from Hunan University of Chinese Medicine.
Research interests include integrating Chinese and Western medicine for neonates and pediatric internal medicine, with expertise in treating common and frequent diseases in neonates and children, as well as emergency rescue of critical conditions. Proficient in monitoring the growth and development of children in early stages, assessing their developmental levels, and providing guidance.
Proficient in diseases
Treatment of common and multiple diseases in newborns and children, as well as emergency treatment of critical illnesses, monitoring of early childhood growth and development, assessment of early childhood developmental levels, and guidance.
Voices
What medicine should a child take for cough and cold?
If children develop a cough due to a cold, like occasional mild coughing, slight nasal congestion, and runny nose, without obvious fever, and they maintain a good spirit and appetite, parents do not need to worry too much. Let the children rest appropriately, drink more warm water, and eat a light, easily digestible, and nutritious diet. A common viral cold generally has a certain self-healing capability. However, if the cough is more severe with noticeable phlegm, a significant decline in spirits, or if high fever occurs, it is then essential to visit a hospital promptly for doctors to treat the child based on their condition. Typically, children should not take cold medicines that are meant for adults, as these can have significant side effects on children. A usual viral cold infection tends to be self-limiting, so parents should closely monitor the progress of the illness, and seek medical attention promptly if the condition worsens.
What department should I go to for rickets?
Rickets, fully known as nutritional vitamin D deficiency rickets, is a chronic nutritional disease characterized by skeletal lesions in children caused by insufficient vitamin D leading to disturbances in calcium and phosphorus metabolism. In the early stages of rickets, the main issues are disturbances in calcium and phosphorus metabolism and low levels of vitamin D. At this time, one can consult the endocrinology department to check the child's trace elements. If sequelae have already formed, such as obvious pigeon chest or developmental deformities of the lower limbs bones, then it would be appropriate to consult an orthopedic department for corrective treatment.
How to determine if a full moon baby has a cold
Generally, a one-month-old baby cannot express discomfort, so it is difficult to determine whether they have caught a cold. To judge if a baby has a cold, you need to observe if there are any changes in their usual behavior such as obvious spit-ups, decreased milk intake, increased sleep duration, deeper sleep, inconsolable crying or restlessness, labored breathing, nasal congestion, phlegm sounds in the throat, or frequent bubbles at the corners of the mouth. If the baby's breathing appears faster than usual, it likely indicates sickness. If parents notice their one-month-old is uncomfortable, it is imperative to promptly take the baby to a hospital for a thorough examination and treatment guidance from a specialist doctor.
Is neonatal jaundice pneumonia serious?
Neonatal jaundice is one of the common symptoms in the newborn period, especially in early newborns. It can be a symptom of the normal developmental process in newborns or a manifestation of certain diseases. If a newborn has jaundice combined with pneumonia, it is possible that the pneumonia is infectious, and infection is also one of the common causes of jaundice. Therefore, if the inflammation is not controlled, it may repeatedly rebound or continue to rise. If the symptoms of pneumonia are not very severe and the baby is generally in good condition with not particularly high infection indicators, general anti-infective treatment for pneumonia along with corresponding treatment to reduce jaundice will generally have no lasting impact on the baby, as long as it is cured. However, if it is a severe case of pneumonia and the situation is not particularly good, and the jaundice remains very high and severe, it might have a slight impact on the baby later on. If bilirubin encephalopathy occurs, the possibility of neurological sequelae may be greater. Generally, ordinary pneumonia combined with jaundice does not have much impact on the baby.
Is IgE high in Kawasaki disease?
Kawasaki disease, also known as mucocutaneous lymph node syndrome, has an unclear pathogenesis. It is speculated that certain components of infectious sources, such as superantigens, can activate CD30 T cells and CD40 ligand expression directly by binding with T cell antigen receptor fragments without going through mononuclear macrophages. Under the induction of carrier cells, there is polyclonal activation and reduced apoptosis of B08 cells, resulting in the production of large amounts of immunoglobulins such as IgG, IgM, IgA, and IgE, and cytokines. Therefore, the IgE levels in Kawasaki disease are elevated.
How to care for a baby with a cold in the summer
If a baby catches a cold in the summer, it is essential to take care of them by avoiding cross-infection. Additionally, pay attention to how the baby is dressed. If someone in the house has a cold, they should minimize contact with the baby and avoid sneezing, coughing, or kissing the baby to prevent cross-infection. Dressing the baby should be moderate during a summer cold; it's not about wearing more layers. The clothing should make sure the baby’s neck or chest and abdomen are warm without causing sweating. Keep the baby away from crowded places and, if possible, have them stay at home. If air conditioning is used, ensure to ventilate the room by opening windows 1-2 times a day, and keep the baby away from direct drafts. If the baby experiences nasal congestion or tends to choke while feeding due to the cold, it is crucial to avoid lying them down flat immediately after feeding. Instead, hold the baby upright or slightly elevate their head to prevent choking and worsening of the condition.
How to determine if it is food stagnation or a cold?
The common cold is characterized by symptoms such as fever, chills, nasal congestion, runny nose, sneezing, coughing, headache, and body aches. It is an externally contracted disease that can occur throughout the year but is most common in the winter and spring seasons, and when there is a sudden change in the climate. Overeating mainly results from dietary imbalances, leading to symptoms like loss of appetite, indigestion, bloating or pain in the stomach area, frequent belching, sour regurgitation, or vomiting, and having foul-smelling or irregular stools. This is more common in infants and toddlers, typically occurring after binge eating. Symptoms can suddenly include abdominal bloating, vomiting, or changes in the frequency and nature of bowel movements, without the general signs of an upper respiratory tract infection. If the issue is overeating, the baby may feel relief after passing stools or vomiting; however, if it is a cold, symptoms might include gastrointestinal issues like vomiting, abdominal pain, or diarrhea, usually accompanied by mild fever and respiratory symptoms such as nasal congestion, runny nose, sneezing, or coughing. If vomiting or diarrhea occurs, the symptoms generally do not alleviate, and the baby would still feel very uncomfortable. Therefore, whether it is overeating or a cold can be determined by analyzing the specific conditions of the child.
Symptoms of baby brain atrophy
The symptoms of baby brain atrophy include the following: First, the child shows no interest in the surroundings, poor responsiveness, significantly reduced movements, poor sucking ability, and often chokes on milk. Second, the child with brain atrophy exhibits abnormal muscle tone and posture. Symptoms of cerebellar atrophy include difficulty in abducting the thighs, difficulty in extending the knees, legs straightened and adducted when held upright, legs crossed in a scissor-like manner, bent elbow and wrist joints, and the hands often clenched with the thumb turned inward. Third, congenital reflexes are weakened or may not appear at all, such as the rooting reflex, grasp reflex, and embrace reflex, which are either weakened or completely absent. Fourth, there is limited voluntary movement; the baby cannot reach out voluntarily to grab liked objects after five months or always uses one hand to reach for things. Fifth, there are signs of intellectual disability, delayed language development, or language disorders.
How to treat diaper rash dermatitis?
Diaper dermatitis is primarily a type of contact dermatitis that occurs because the diapers soaked with urine and feces are not changed in time. Decomposition materials in urine and feces irritate the skin, causing inflammation. The main treatment involves keeping the buttocks dry and changing diapers frequently. It is necessary to wash the buttocks, genital area, and surrounding skin with clean water daily, and to rinse the anus and surrounding skin with water after bowel movements. Diapers should be thoroughly rinsed with clean water and not wrapped with plastic on the outside. If using disposable diapers, choose ones that are soft, not rough, and breathable. If there is a bacterial or fungal infection, topical antibiotics or antifungal medications should be used. For mild cases with only redness, consider keeping the buttocks dry. In cases where there is significant erosion, some medications may be used for intervention. If there is skin redness, topical calamine lotion can be applied. If the diaper dermatitis is severe and the baby is fussy and uncomfortable, it is advised to visit a hospital for a doctor to provide treatment based on the specific condition of the baby.
Is oral thrush contagious?
Oral thrush is an infection caused by Candida albicans due to certain specific conditions, such as a weakened immune system or long-term malnutrition, prolonged use of broad-spectrum antibiotics or corticosteroid hormones, and dysbiosis in the intestinal flora. It primarily manifests as white patches on the oral mucosa. During breastfeeding, if Candida contaminates the nipples or nursing equipment, it can also lead to oral thrush. Generally, oral thrush is not highly contagious. It is recommended to maintain good hygiene and proper oral care. Generally, breastfeeding is not significantly affected under normal circumstances.