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Quan Xiang Mei
Pediatrics
About me
Quan Xiangmei, female, associate chief physician. From 2005 to 2017, she worked in pediatric clinical practice, specializing in the combined treatment of recurrent respiratory infections, bronchopneumonia, allergic cough, allergic rhinitis, and other respiratory diseases with a combination of Chinese and Western medicine. She uses Chinese medicine and manual techniques to treat pediatric anorexia, constipation, abdominal pain, and other digestive system diseases. She has extensive clinical experience in addressing issues such as low immunity in children. Since 2017, she has been mainly focused on pediatric health and nutritional diseases, pediatric growth and development, precocious puberty, dwarfism, and other pediatric endocrine diseases, providing tailored health and treatment plans for children.
Proficient in diseases
With 15 years of experience working in pediatric clinical practice, I have a wealth of clinical experience and theoretical knowledge. I specialize in treating pediatric endocrine disorders, pediatric growth and development, and abnormalities in sexual development, such as precocious puberty, growth retardation, and obesity. I excel in combining traditional Chinese and Western medicine to treat pediatric recurrent respiratory tract infections, bronchopneumonia, allergic cough, allergic rhinitis, and other respiratory system diseases. I use Chinese medicine and techniques to treat pediatric anorexia, constipation, abdominal pain, and other digestive system diseases. Particularly in children's health and nutritional diseases, pediatric growth and development, and low immunity, I have rich clinical experience in designing personalized health and treatment plans for children.
Voices
What should a child with oral ulcers eat?
When children have oral ulcers, their oral intake of vegetables should primarily consist of green vegetables, while maintaining a balanced and reasonable diet that includes a variety of fruits and sources of protein such as fish, shrimp, and meat. For treating pediatric oral ulcers, topical medications can be applied, or oral ulcer patches can be used to promote healing at the ulcer site. Additionally, during the illness, it is crucial to drink plenty of water, rinse the mouth frequently, and remain hydrated to facilitate the healing of oral ulcers. During the illness, it is advisable to avoid consuming foods that might irritate the ulcers and cause pain, such as persimmons or granulated sugar, to prevent discomfort in children.
How to alleviate vomiting in Kawasaki disease
When children with Kawasaki disease experience vomiting, the first step is to refrain from eating and drinking, including water, for one to two hours after vomiting to avoid burdening the stomach and intestines. If vomiting subsides after fasting, there is no need for medication temporarily. However, if there is no significant relief and bloating is evident, it is necessary to treat for bowel movement and gas release. At this time, oral medications that aid in digestion, such as digestive tonics, are acceptable. If relief is still not achieved, intravenous fluid supplementation and medications that enhance gastrointestinal motility can be administered. Parents can also keep the abdomen warm and, centering around the navel, perform clockwise abdominal massages to help alleviate the symptoms of vomiting.
What is the reason for a child's cold and persistent low fever?
During a cold, children may experience a low fever or even persistently high fever. A persistent low fever indicates that the child has not fully recovered from the illness, reflecting the recovery phase, or that the fever-reducing method being used may be inappropriate. In addition to administering oral cold medications based on the child's symptoms during a cold, oral antiviral medications can also be given to treat the illness jointly. Simultaneously, timely fever reduction measures should be implemented for children. A low fever, typically defined as a body temperature below 38.1°C, does not require oral fever-reducing medications. One can encourage the child to drink more water, frequently feed warm water, or repeatedly wipe the body with warm water, all of which can effectively reduce fever. If the low fever persists, it may be necessary to take the child to the hospital for a blood test to determine the appropriate medication for treatment based on the actual situation.
What should a baby eat when they have a cold?
Most colds in children are caused by viral infections. During a cold, it is normal to take oral cold medications and antiviral drugs. Additionally, we should consider the specific condition of the child's cold. For simple symptoms like sneezing and a runny nose, just taking cold medications and antivirals should suffice. However, if the child has other symptoms such as gastrointestinal nausea and vomiting, it may be necessary to also use digestive aids to adjust the stomach and intestines. If the cold is accompanied by fever, with temperatures exceeding 38.5 degrees Celsius, antipyretics are also needed for treatment. Besides medication, it is important to maintain a light and reasonable diet and ensure proper rest during a cold. (The use of medications should be under the guidance of a doctor.)
What to do if a child has a cold and is short of breath?
There are two common causes of shortness of breath in children with colds, and the corresponding treatments are as follows: First, shortness of breath in children with colds is mainly due to respiratory obstruction caused by cold symptoms, leading to blockages in the nasal mucosa. This can easily lead to breathing difficulties, so shortness of breath occurs. We can use warm, damp towels or drop vitamin AD drops into the nasal cavity, among other methods. A warm, damp towel can be placed near the nasal cavity, and the principle of water vapor evaporation can effectively alleviate the blockage of the nasal mucosa. Dropping vitamin AD drops into the nasal cavity can also effectively moisten and lubricate the nasal mucosa, relieving nasal blockages and thus improving symptoms of shortness of breath from a cold. The second cause of shortness of breath from a cold is due to myocarditis or cardiac damage following a viral cold. For mild cases, oral medications that nourish the heart muscle should be administered for treatment, and children must ensure they rest and avoid strenuous activity. For severe cases, intravenous infusions and medications that nourish the heart muscle are needed for treatment. (Please follow medical advice when using medications.)
Where is precocious puberty manifested?
Precocious puberty is primarily characterized by the development of breasts in girls before the age of 8, which leads to a diagnosis of precocious puberty. In boys, an increase in testicular volume and thickening of the penis before the age of 9 or 9.5 years also constitutes a diagnosis of precocious puberty. Once children show signs of precocious puberty, it is crucial to promptly take them to a hospital for the following relevant examinations to determine whether the condition is affecting the child's physical and psychological health. 1. An examination of bone age to determine if it impacts the child's height; 2. An ultrasound of the gonads to verify the severity of sexual development; 3. Under the detailed examination of a doctor, observe whether it affects the child's psychology, thereby providing further reasonable treatment based on the actual manifestations of the child.
What are good foods for girls with precocious puberty to eat?
Girls with precocious puberty should primarily consume green, seasonal foods with no added ingredients, such as vegetables, fruits, and meats. It's best to eat seasonal products and avoid off-season fruits, like those transported from far away, as they often contain additives that can exacerbate precocious puberty. Additionally, in everyday life, including snacks and fried foods, as well as some fast foods, it is best not to consume these at all. Dairy products, soy products, and honey products, which tend to contain higher levels of estrogen, should also be avoided or consumed minimally.
Can precocious puberty be inherited by children?
Precocious puberty may have a hereditary factor, but it is not very typical. This means that if the parents experienced early puberty or development, their children might also potentially display early signs of puberty or development, but it is not a certainty. Children with precocious puberty typically refer to those who undergo sexual development too early, which can affect their height or their sexual development. This usually impacts their adult height. If parents show signs of early puberty or development, we need to closely monitor the sexual development of their children, observing the development of the nipples in girls and the development of the testicles and penis in boys.
Manifestations of precocious puberty in an 11-year-old boy
If an 11-year-old boy exhibits precocious puberty, it typically manifests as increased testicular volume and thickening of the penis, along with the development of pubic and axillary hair. In more severe cases, there may also be the growth of facial hair, voice changes, and the appearance of an Adam's apple, among other signs of male sexual organ development. In cases of very advanced precocious puberty, such as full maturity, nocturnal emissions may also occur. If we consider that an 11-year-old boy is exhibiting early signs of puberty, we can take him to the hospital for bone age and gonadal ultrasound examinations. Based on the initial diagnosis, if sexual development is deemed premature and the symptoms are pronounced, further tests such as blood hormone levels can be conducted. With assistance from diagnostic aids like bone age, gonadal ultrasound, and hormone levels, a doctor can guide appropriate intervention treatments to prevent issues associated with precocious puberty, such as significantly shorter adult stature.
Premature breast pain has now stopped hurting, does that mean it's healed?
When girls develop breasts before the age of eight, they may experience pain at the breast bud nodules. Pain does not necessarily mean recovery; it is possible that as the breast bud enlarges, the pain will naturally disappear. Whether treatment is needed once precocious puberty occurs and whether it has reached a level of cure mainly depends on the assessment through pediatric bone age, gonadal ultrasound examinations, or a combination of brain pituitary MRI and blood hormone levels to analyze the severity of the condition. For mild cases, with appropriate medication, diet, and exercise guidance, children can reach a basic level of clinical cure. Severe cases require the control of the child's sexual development through the injection of gonadal hormones or hormone-releasing analogues. Psychological impacts due to early sexual development may also necessitate behavioral and psychological interventions.