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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
Symptoms of a cold in a baby over 40 days old
The symptoms of a cold in a baby over 40 days old are definitely different from those in adults. Parents should observe whether the baby's behavior has changed. For example, if the baby becomes noticeably fussy or irritable, especially while sleeping, or if the baby has nasal congestion, a runny nose, or sneezing, these could be signs. Also, if the baby drools bubbles at the corners of the mouth while sleeping quietly, breathes noticeably faster, vomits milk after feeding more frequently than usual, or if there is an increase in the frequency and looseness of stools and bloating, these may indicate a cold. If cold symptoms appear, please seek medical attention promptly, as babies have weaker immune systems and their conditions can progress quickly. Without timely intervention, it is easy for the condition to develop into pneumonia.
Can children with diarrhea drink yogurt?
Yogurt is made by fermenting pure milk and retains all the nutritional components of fresh milk. During the fermentation process, lactic acid bacteria can produce a variety of vitamins essential for human nutrition. Yogurt contains a large amount of lactic acid bacteria, which have the effect of resisting the production of harmful bacteria. Therefore, children with diarrhea can appropriately drink some yogurt. However, it is not recommended to drink it on an empty stomach. Additionally, if a baby has diarrhea, drinking chilled yogurt might aggravate their condition, so it is also not advised to consume large amounts of yogurt on an empty stomach.
How to reduce fever in children with roseola?
Roseola in infants is a common febrile exanthematous disease observed in toddlers and infants. Its primary characteristic is the sudden onset of high fever without obvious triggers, with body temperatures reaching 39 to 40 degrees Celsius. Typically, the fever lasts three to five days. During periods of high fever, the child may become irritable or even experience convulsions. Therefore, when confronted with high fever associated with roseola, appropriate fever-reducing treatments can be given. Generally, if the child's overall condition is good, physical cooling methods like a lukewarm bath, cooling patches, or the oral intake of traditional Chinese medicine that reduces fever may be chosen. In cases of persistent high fever—temperatures above 38.5 degrees Celsius at night or above 39 degrees Celsius—children who have previously experienced febrile convulsions may require appropriate fever-reducing medications, dosed according to the child’s weight.
Late-stage symptoms of rickets pigeon chest
If a child has developed rickets and has already shown deformities such as pigeon chest, this indicates that the child is in the later stages of the active phase, meaning that a clear skeletal deformity has occurred. As the child ages, there may also be deformities in the lower limbs as the child begins to stand and walk, such as bowlegs or knock-knees, or a K-shaped leg deformity. Gradually, the child will enter the sequelae phase, which is more common in children over the age of two. In infancy, due to severe rickets, different skeletal deformities may remain without any other clinical symptoms. Blood biochemical indicators are normal, and X-ray examinations will show that the pathological changes at the epiphyseal ends of the bones have disappeared. Generally, no treatment is required, but if there are obvious deformities, corrective treatment may be necessary.
Is it normal for Kawasaki disease to have a lower temperature?
The etiology of Kawasaki disease is currently unclear; its primary pathological feature is systemic vascular inflammation. Kawasaki disease typically presents with fever, high fevers ranging from 39 to 40 degrees Celsius. If a patient with Kawasaki disease has a lower temperature, it may indicate that the condition is quite severe. For example, children generally have weaker immune systems, or if they have a severe co-infection, hypothermia may occur. In this case, it is recommended that doctors perform further examinations and intensify treatment. Therefore, a lower temperature in Kawasaki disease is also abnormal. Normally, the body temperature should gradually return to the normal range, and both hypothermia and hyperthermia are definitely abnormal conditions.
What should I do about baby rash?
Roseola infantum, also known as baby rose rash, is an acute contagious disease in children caused by viral infection. The characteristics of the disease include a sudden onset, with an initial fever lasting 3 to 5 days, followed by a rash after the fever subsides, usually resolving on its own. Roseola infantum is a self-limiting disease with a duration of about one week. Treatment does not shorten the recovery time but can help alleviate uncomfortable symptoms. Treatment measures include: 1. Rest and hydration – Encourage the child to rest and drink plenty of fluids. If the child is very uncomfortable or refuses to drink, hospital treatment may be necessary. 2. Fever management – If the child is very uncomfortable due to high fever, fever-reducing medication can be taken under a doctor's guidance, according to the child's weight.
What to do with pediatric encephalitis
If a child develops encephalitis, it is definitely recommended that they be hospitalized for treatment. It is necessary to assess their condition and determine the cause of the encephalitis: is it viral? Bacterial? Or caused by other pathogens? If encephalitis occurs, aggressive treatment is certainly required. In such cases, if the child is discharged from the hospital, they must regularly revisit the hospital for follow-up examinations, and the development of the child's nervous system must be monitored, focusing on motor and cognitive development. Regular assessments at the hospital are definitely required.
Initial symptoms of chickenpox in children
Chickenpox is a contagious respiratory disease caused by a virus, characterized by a rash. Initially, symptoms resemble those of upper respiratory infections such as coughing, runny nose, mild fever, and decreased appetite. Subsequently, maculopapular rashes appear on the scalp and face, which gradually develop into vesicles. These vesicles contain a clear fluid, surrounded by reddened skin and are accompanied by itching. Therefore, if a child exhibits symptoms of an upper respiratory infection followed by vesicular rash, it is important to seek medical advice promptly to confirm if it is chickenpox. If diagnosed with chickenpox, isolation is necessary to prevent cross-infection.
Can rickets be treated?
Rickets is a disorder caused by a deficiency of vitamin D, leading to impaired calcium and phosphorus absorption, which then results in abnormal skeletal development. It is a chronic nutritional disease. Generally, the rickets commonly mentioned is due to nutritional vitamin D deficiency, which is treatable. Typically, encouraging children to engage in appropriate physical activities while supplementing with an adequate level of vitamin D can effectively control the disease, and it can even be cured. However, if there are special circumstances, such as significant liver abnormalities, renal function abnormalities, renal failure, or abnormalities in the thyroid or parathyroid glands, including parathyroid tumors, or congenital hereditary diseases, the treatment needs to be based on the cause in order to effectively control the disease and promote normal calcium and phosphorus metabolism in the body. Congenital hereditary diseases generally make treatment more challenging. Therefore, it is crucial for children with rickets to seek timely medical examination at a hospital. If it is a common case of nutritional vitamin D deficiency, parents should supplement vitamin D promptly according to the doctor's advice for treatment.
How should newborns with jaundice sunbathe?
Generally, when we say that the jaundice level is high, doctors might suggest sunbathing when it approaches pathological values, and possibly taking probiotics with live bacteria to help the baby recover from jaundice. Normally, for sunbathing, it is advised not to do it through glass, and to expose the skin directly to the sun, but you should not expose the baby's eyes directly to the sun because the ultraviolet rays are too strong and may damage the eyes. Additionally, when sunbathing, if it is during the cooler seasons like winter, spring, or autumn, it is important to ensure the baby does not catch a cold. If it is summer, avoid sunbathing during times when the sun is too strong, as the baby's delicate skin might get sunburned, potentially causing harm. Therefore, it is generally best to choose conditions when the temperature is mild and the wind is not too strong, then pay attention to keeping warm or avoiding sunburn. Generally, it is not recommended to use sunscreen or shade for sunbathing; direct exposure of the skin is needed. Parents should consider the actual condition of the disease and try to make the baby as comfortable as possible, avoiding colds or sunburn. If sunbathing is not effective, it is advisable to promptly visit the hospital for a doctor to determine if treatment intervention is necessary.