Subscribe
153
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
Can a perianal abscess in children heal by itself?
Although they are all perianal abscesses, each child's condition is different. The size of the perianal abscesses varies; some are as small as a grain of rice and may heal on their own, but there are also larger ones the size of a walnut, or even cause the entire buttock area to become swollen and red. Such cases require hospitalization, especially for younger children who also exhibit systemic symptoms like fever. They generally require hospital treatment. Meanwhile, it is recommended that parents take good care of the baby's perianal area, maintain a healthy diet and bowel habits, avoid diarrhea and constipation, ensure cleanliness around the anal area, and use soft, non-irritating wet wipes when cleaning the area to avoid friction injuries that could lead to infections, as the skin of small infants is very delicate.
Can infantile roseola cause vomiting?
Roseola infantum is a common febrile exanthematous skin disease in infants and toddlers, primarily caused by viral infection. Its clinical presentation includes a sudden onset of high fever without obvious triggers in the child, with temperatures reaching up to 40 degrees Celsius. After 3-5 days of fever, the temperature suddenly drops, generally returning to normal within 24 hours. As the temperature decreases or after the fever subsides, a rash starts appearing. During the illness, the child often also experiences swelling of the lymph nodes behind the ears and neck, along with mild irritability, discomfort, and diarrhea. If vomiting occurs, it might indicate additional discomfort such as a gastrointestinal type of flu, potentially accompanied by symptoms like diarrhea and vomiting. If the child exhibits significant vomiting, along with other symptoms such as decreased urine output or diarrhea, it is advised to take the child to the hospital promptly for medical consultation and timely intervention treatment by a doctor.
How should fatty liver be managed in children?
The formation of fatty liver is mainly due to overeating foods that are greasy, overly sweet, or have a high fat content. This leads to a significant increase in fat content in the blood, which accumulates in the liver. Severe fatty liver can progress to cirrhosis, so it is important to intervene promptly. The intervention generally involves dietary management; specifically, children should avoid eating overly greasy foods, as well as high-calorie items like sugars, chocolates, candies, which are better consumed in moderation or not at all. Additionally, increasing physical exercise, which refers to managing and reducing weight, is recommended. Depending on their personal circumstances, children should appropriately increase their amount of physical activity, as more exercise also accelerates the metabolism of fat in the body. It is advised for individuals with fatty liver to undergo a detailed examination at a hospital, and for doctors to determine whether medical intervention is necessary based on the specific conditions of the child. If it is only a mild to moderate case of fatty liver, doctors will likely suggest diet modification or physical exercise to help reduce it.
Which department should I go to for rickets?
Rickets, known as nutritional vitamin D deficiency rickets, is a chronic nutritional disease characterized by skeletal lesions, caused by a deficiency of vitamin D in the body leading to disturbed calcium and phosphate metabolism. In the early stages of rickets, it is primarily due to insufficient levels of vitamin D, which then leads to abnormal calcium and phosphate metabolism; at this stage, it is necessary to consult the endocrinology department to correct it timely. If rickets has already caused developmental deformities of the bones, orthopedic consultation is required for corrective treatment. For instance, if children exhibit pigeon chest, or noticeable bow legs or knock knees, they need to see an orthopedic specialist.
Early symptoms of rickets
Rickets is a chronic nutritional disease primarily caused by a deficiency of Vitamin D, which leads to disturbances in calcium and phosphorus metabolism in the body, resulting in abnormal bone development. It is mostly seen in infants, especially common within the first six months, and particularly in babies younger than three months. Clinically, the symptoms are not very specific; the children may appear irritable and restless, they might cry suddenly, or become agitated and restless to the touch. Some children may exhibit excessive sweating, frequent head shaking, or even hair loss, leading to noticeable baldness at the back of the head. However, these symptoms are not very specific. Generally, blood biochemistry and Vitamin D levels need to be tested. Early X-ray findings of the bones can be normal.
What is Kawasaki disease?
Kawasaki disease is a disease possibly related to viruses. Currently, the exact cause of Kawasaki disease is unclear, and the mechanism of its onset is also not well understood. It is characterized primarily by systemic vasculitis and is an acute febrile exanthematous disease. Clinically, it presents with symptoms such as rash, fever, conjunctival congestion, cracked lips, oral mucosal congestion, enlarged cervical lymph nodes, and peeling of the skin on the extremities. The cause of Kawasaki disease is unclear, but various viral infections observed clinically could potentially exacerbate the progression of Kawasaki disease. It mainly affects the coronary arteries, so there is a certain link between Kawasaki disease and viruses. However, it is not necessarily the direct cause of Kawasaki disease but could worsen or be a concomitant disease.
What should be done about pigeon chest in children?
Childhood pigeon chest, also known as rickets, is caused by a deficiency in Vitamin D or calcium, leading to bone development issues. If pigeon chest is suspected, it is advised to visit a hospital for a detailed examination and receive treatment accordingly. If the pigeon chest is quite pronounced and there is significant deformity of the chest wall, rehabilitation or correction can be sought in relevant medical departments. Rickets is typically active before the age of 3, and stabilizes after this age. Treatment primarily focuses on addressing rickets in cases identified before the age of 3, and correcting deformities in cases identified afterwards.
Can rickets be cured?
The rickets we commonly talk about is nutritional Vitamin D deficiency rickets, which is due to a deficiency of Vitamin D in the body leading to a disorder of calcium and phosphorus metabolism. This results in a systemic nutritional disease characterized by skeletal lesions. If rickets is caused by insufficient intake, it can be self-healing and is a self-limiting disease. Once infants and young children spend enough time outdoors and receive physiological doses of Vitamin D treatment, rickets can be treated. However, treatment becomes significantly challenging in cases of congenital developmental abnormalities causing skeletal lesions, or any genetic diseases that lead to Vitamin D absorption disorders. Such cases often result in severe complications, including prominent kidney dysfunction leading to further disturbances in calcium and phosphorus metabolism, as well as liver function abnormalities causing Vitamin D synthesis disorders. Therefore, it is important to understand the specific causes of Vitamin D deficiency in children, and if the deficiency is due to common reasons that can be promptly controlled, then supplementation with Vitamin D and trace elements like calcium can effectively treat the condition.
How to care for toddler's sudden rash in winter?
Roseola infantum, also known as baby roseola, is a common acute febrile rash skin disease in infants and toddlers. It is characterized by sudden fever in children under three years old that lasts for 3-5 days, followed by a sudden drop in temperature and the appearance of rosy-pink maculopapular rashes. Typically, there is no apparent cause for roseola, with sudden high fevers reaching about 39 to 40 degrees Celsius, lasting for 3-5 days, after which the fever drops suddenly, and then rashes appear as the temperature falls. In winter, if a child contracts roseola, it is particularly important to pay attention during periods of high fever. Make sure the child does not wear too much clothing. Overdressing or wrapping the child too tightly during a fever can lead to overheating syndrome, which, in severe cases, could be accompanied by damage to other organs. Additionally, if the child sweats during the fever, clothing should be changed promptly to prevent catching cold. Furthermore, avoid exposing the child to drafts. If the child experiences wind chill during a feverish sweat, it makes them more susceptible to other infections, like upper respiratory infections or potentially pneumonia. Therefore, during winter, when children exhibit high fevers from roseola, close monitoring of their body temperature is essential, as well as avoiding overheating syndrome. Close observation of the child's mental state is crucial if they exhibit high fever. If their mental condition worsens or if they show signs of convulsions, medical attention should be sought immediately.
Rickets is a disease characterized by the softening and weakening of bones in children, typically due to inadequate vitamin D.
Rickets is a disease, and its full name is Nutritional Vitamin D Deficiency Rickets. It is caused by a lack of vitamin D in children, leading to a disorder in calcium and phosphorus metabolism in the body. It is a chronic nutritional disease characterized by bone lesions. Its typical manifestation is incomplete mineralization of the growing long bone ends and bone tissue. The symptoms include abnormal development of the bones. Generally, without timely and effective intervention, it may lead to conditions such as pigeon chest, or S-shaped or O-shaped legs, which can seriously affect the child's life later on.