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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
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.
Early Symptoms of Baby Epilepsy
The early symptoms of epilepsy in babies include excessive sweating on the head during feeding and sleep. Due to the irritation of the sweat, the child likes to shake their head, which causes friction on the back of the head, leading to hair loss over time. Additionally, the child appears restless and easily wakes up during sleep. If parents notice these symptoms of epilepsy, they should seek treatment for their child early to avoid delays and recurrent conditions.
Does Kawasaki disease rash itch?
Kawasaki disease, once called mucocutaneous lymph node syndrome, is a disease of unknown cause and unclear pathogenesis. It is characterized by systemic vasculitis. Clinically, it mainly presents with fever, conjunctival congestion, cracked lips, congested oral mucosa, diffuse congestion, strawberry tongue, acute stage swelling and erythema of the hands and feet, polymorphous rash, and scarlet fever-like skin rash. It is often associated with unilateral or bilateral lymphadenopathy, which is not red on the surface, but the lymph nodes are hard and tender to the touch. It frequently involves complications such as myocarditis or pericarditis, with common coronary artery damage. The rash seen in Kawasaki disease is a manifestation of vasculitis and is generally non-itchy.
How many doses are there for the pneumonia vaccine?
Currently, there are two types of vaccines commonly used to prevent pneumococcal diseases. One type is the 23-valent polysaccharide vaccine, suitable for high-risk populations over two years old. The other type includes the 7-valent or 13-valent conjugate vaccines, used for vaccinating infants under two years old. The vaccination schedule for the 7-valent or 13-valent vaccines follows a "three plus one" program, which means three primary immunization doses with at least one month between each dose, followed by a booster dose. For the 23-valent vaccine, high-risk individuals over two years old generally require only a single dose; however, immunocompromised patients may need a booster shot, typically recommended five years after the initial vaccination.
Causes of neonatal jaundice
Neonatal jaundice is generally divided into physiological jaundice and pathological jaundice. Physiological jaundice is usually considered a normal phenomenon, where the baby's jaundice can naturally recede without much impact on the baby. If it is pathological jaundice, it means that the jaundice level is high, indicating a pathological condition. Pathological jaundice can be further divided into several types, the most common being elevated direct bilirubin and elevated indirect bilirubin, each with different causes. Common causes of jaundice include increased indirect bilirubin due to infections, hemolysis, and mother-infant blood type incompatibility, such as ABO incompatibility where the mother is type O and the baby is not, or the mother has HR-negative blood and the baby has HR-positive blood. Other factors include reduced thyroid function, enzyme deficiencies such as G6PD deficiency, various types of bleeding like gastrointestinal bleeding, intracranial bleeding, or asphyxia at birth. Conditions like hypoxia or acidosis in the baby can also lead to increased jaundice. Additionally, liver function damage due to viral infections like hepatitis B, cytomegalovirus, and other infectious diseases such as syphilis, as well as other viruses like rubella virus and herpes virus can elevate jaundice levels. Developmental abnormalities of the biliary tract, commonly biliary atresia or congenital bile duct dilation, can cause elevated conjugated bilirubin levels. The causes of jaundice are complex, and some causes might remain unidentified. However, if the baby's general condition is good and the jaundice is manageable, it generally does not affect the baby. If jaundice levels are high, it is advised to visit a hospital where doctors can conduct relevant tests based on the baby's specific condition to determine if treatment is needed.
Can children with diarrhea eat potatoes?
Pediatric diarrhea is caused by various factors leading to gastrointestinal dysfunction, resulting in malabsorption of nutrients, characterized by increased frequency and changed nature of stools. Potatoes contain a rich amount of starch and a large amount of dietary fiber. A large amount of dietary fiber can enhance gastrointestinal motility and has a laxative effect; therefore, it is advisable for children with diarrhea to eat fewer potatoes or avoid them altogether.
What to do when a one-year-old baby has a cold?
For treating a cold in a one-year-old baby, we mainly handle symptoms as they appear. If the baby has only occasional mild coughing or a slight fever, if they can eat and drink, and if their spirits are good, then parents don't need to worry too much, and special treatment generally isn't necessary. However, if the baby has a severe cough that affects their breathing, a fever over 38 degrees Celsius, and their spirits are not good, it is important to take the baby to the hospital for timely treatment. It's important to emphasize that parents should not arbitrarily use medications to treat the baby, as many cold medicines intended for adults should not be used for babies.
What should a baby eat when they have a cold?
During a cold, both babies and adults generally prefer liquid food over solid food. Babies who haven't started on solid food should drink as much milk as possible. For those who are beginning to eat solid foods, in addition to drinking more milk, you can also appropriately increase their intake of plain water and rice porridge. Older children, besides the aforementioned, can also appropriately consume some light soups and can increase their intake of fresh vegetables and fruits. These can be made into vegetable purees or juiced according to the baby's needs. Babies are more prone to dehydration when they have a cold or fever. To prevent dehydration or treat mild dehydration, fresh apple juice can be used as a substitute. For moderate or severe dehydration, seek medical attention promptly; the doctor will take necessary measures for rehydration.