Li Jiao Yan
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
Do newborns with jaundice love to sleep?
In newborns with jaundice, it is important to determine whether it is physiological or pathological jaundice. Typically, babies with normal physiological jaundice are generally in good condition, able to eat and sleep well. If they are hungry or uncomfortable, they will cry and wake up. However, if a baby continuously sleeps without waking up for a long period of time, does not wake up even when stimulated, it might indicate a condition of excessive sleepiness, which then falls into a pathological state. If the jaundice significantly worsens and affects the brain, it is often referred to as bilirubin encephalopathy, which might initially manifest as excessive sleepiness. Severe infections or other diseases can also present excessive sleepiness as a symptom. Therefore, if you notice that the baby is sleeping significantly more than usual, and appears lethargic and unresponsive, it is advisable to seek medical attention promptly.
Is it useful for newborns with jaundice to take probiotics?
Probiotics are useful for newborn jaundice. After oral administration of probiotics, they help establish a normal gut microbiota in babies and then reduce the enterohepatic circulation of bilirubin, which aids in the treatment of jaundice. Common probiotics, often referred to in layman's terms as live bacteria, include species like Saccharomyces boulardii, Bifidobacterium, or Lactobacillus, among others. These probiotics are available in pharmacies. Generally, for newborns, especially those who are breastfed and do not recover well from jaundice, oral probiotics can have a therapeutic effect on reducing jaundice, so it is suitable for newborn babies to consume certain probiotics.
Is neonatal jaundice seriously high?
Neonatal jaundice is a common phenomenon in the neonatal period, divided into physiological jaundice and pathological jaundice. If it is pathological jaundice and there is no active intervention, the continuous increase of jaundice can significantly affect the baby. There might be severe sequelae, such as a significant rise in indirect bilirubin, which could lead to bilirubin encephalopathy, affecting the normal function of his nervous system, leading to abnormalities in hearing or cognitive and motor development delays. In severe cases, it could even lead to the baby's death. If conjugated bilirubin is elevated, there might be abnormalities in liver function. If not promptly treated, there could be liver damage or failure, which in severe cases may also threaten the baby's life. Therefore, it is advisable to seek prompt medical attention and treatment if jaundice levels are high.
How to treat rickets in a 2-year-old baby?
Rickets in two-year-old infants is caused by a deficiency in vitamin D leading to a disturbance in calcium and phosphorus metabolism, resulting in abnormal skeletal development. This class of systemic, chronic, nutritional diseases typically manifests in two-year-olds who are able to walk and stand. Due to the force of gravity, lower limb deformities may develop, leading to bowlegs or knock-knees, and possibly even a 'K'-shaped limb deformity. The spine may also develop kyphosis or scoliosis. Around the age of two, it is generally the residual stage of the disease, which often does not require pharmacological treatment. For mild to moderate cases, physical exercise should be enhanced, and active or passive rehabilitation methods should be used to correct skeletal deformities. It is recommended to seek treatment in the pediatric rehabilitation department; severe skeletal deformities may require surgical correction.
Newborn jaundice, how long does it fade?
Neonatal jaundice is one of the common symptoms during the neonatal period. It can be a normal physiological phenomenon, or it may be an external manifestation of certain diseases. Neonatal jaundice is divided into physiological jaundice and pathological jaundice. Physiological jaundice does not require intervention, and the baby's general condition is still acceptable. Typically, physiological jaundice in full-term infants appears between two to three days after birth, peaks at four to five days, and subsides around ten days, generally not lasting more than two weeks. In preterm infants, it may last slightly longer, but generally, jaundice does not exceed four weeks. If the progression of jaundice is rapid, severe, or appears early, pathological jaundice might be considered. Pathological jaundice may be due to certain pathological factors causing abnormal jaundice. Depending on the cause of the disease and whether there is timely intervention and treatment for jaundice, the resolution time may also vary.
How is rickets diagnosed?
Rickets is a chronic nutritional disease caused by a deficiency in vitamin D, which leads to a disruption in calcium and phosphorus metabolism, resulting in abnormal bone development. Typically, the initial symptoms of rickets are most commonly seen 2-3 months after birth. At this stage, affected children often show neurological symptoms such as excessive sweating unrelated to the season, irritability, particularly in infants under three months old who can become easily agitated, and exhibit straining as if constipated, but these are not specific symptoms of rickets. Early diagnosis generally requires specific tests such as blood biochemistry to check the levels of 125 dihydroxy vitamin D3, as well as calcium and phosphorus levels in the blood, and to see if there is any change in serum alkaline phosphatase. The active phase is mainly characterized by skeletal changes, such as early signs of enlarged fontanelles or delayed closure, late teething, and sometimes a softening of the skull resembling a ping-pong ball, gradually leading to a square skull. Subsequently, changes like pigeon chest or noticeable deformities in the lower limbs such as X-shaped legs, O-shaped legs, or K-shaped legs may appear. Sometimes, there may also be curvature of the spine, with occasional scoliosis. These obvious skeletal changes make the condition more recognizable, though the initial presentations are not very typical, necessitating related biochemical blood tests.
How to treat rickets X-type legs?
If rickets presents with an X-shaped deformity, it generally indicates either an active phase of the disease or the residual phase. During this time, it is advisable to minimize the child's standing and walking at home. For lower limb deformities, muscle massages can be performed. For X-shaped legs, massage the inner muscle groups, followed by internal rotation exercises after massaging the double sliding joints. Typically, early treatment involves corrective rehabilitation techniques, and it is possible to visit a pediatric rehabilitation department for relevant manual treatments. If there is a significant skeletal deformity, surgical intervention may be necessary for correction.
Can children with diarrhea eat fruit?
When a child experiences diarrhea, their gastrointestinal function is clearly disordered. They have absorption dysfunction, meaning the nutritional substances they consume are not easily absorbed. There may even be a bacterial infection in the intestines, leading to inflammatory exudation and consequently, a noticeable increase in the frequency of bowel movements and watery stools. If the child consumes cold fruits during this period, it could aggravate the diarrhea. Therefore, if parents need to give fruits to a child with diarrhea, they should choose fruits like apples or oranges and serve them warm. Other fruits, such as bananas, could increase gastrointestinal motility and thus worsen the symptoms of diarrhea. During a diarrhea episode, it is important to select appropriate fruits and avoid cold foods.
How to treat bronchitis in children
The main symptoms of bronchitis in children are coughing and excessive phlegm, and there may also be symptoms such as fever, vomiting, and diarrhea. Generally, when caring for a sick child at home, it’s important to pay attention to their diet. The diet should be light and easy to digest, with an appropriate increase in nutrition. Foods that are too sweet, too salty, or cold should be avoided. Also, avoid giving the child big tonic foods or foods that are rich and greasy, like fish, shrimp, or crab, which can cause allergies. Additionally, ensure the air has adequate humidity, typically maintaining it between 55%-65%. Let the child drink warm water frequently, change positions regularly, and pat their back to help expel phlegm. Proper rest is also important. If the child is really uncomfortable, has persistent coughing, or shows clear signs of fever and irritability, it is advised to go to the hospital promptly, so a doctor can assess the child’s condition and treat them accordingly.
Can children with diarrhea eat noodles?
Children experience diarrhea because various factors cause disturbances in their gastrointestinal function, leading to malabsorption of nutrients. This manifests as a significant increase in the frequency of defecation and a noticeable change in the nature of the stool, even resulting in watery stools. When children have diarrhea, it is recommended to eat easily digestible, bland foods; noodles and porridge are good dietary options.