

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

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.

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.