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Yao Li Qin
Pediatrics
About me
Practicing physician, graduated from the Department of Pediatrics with a bachelor's degree from university, has been working in pediatric internal medicine for twenty-five years.
Proficient in diseases
Specializes in common pediatric diseases such as colds, pneumonia, diarrhea, eczema, neonatal jaundice, infant feeding, and more.
Voices
What should not be eaten with baby sudden rash?
Roseola infantum is caused by human herpesvirus types 6 and 7, a common acute rash infectious disease in pediatrics, also known as baby roseola. Its main characteristic is high fever for 3-4 days, followed by a rash as the fever subsides. Since roseola infantum is clearly a viral infection, its treatment mainly involves symptomatic management. For children in pediatric emergency care, while actively managing symptoms, it is essential to ensure adequate hydration and nutrition, so normal diet is still necessary. However, the diet should be light and easy to digest. Foods that are difficult to digest, such as large fish, large pieces of meat, or raw and cold irritants like some beverages or colder foods, should be avoided.
Tetralogy of Fallot surgery success rate
Tetralogy of Fallot is a common cyanotic congenital heart disease in children after the age of one. It consists of four abnormalities: ventricular septal defect, obstruction of the right ventricular outflow tract, overriding aorta, and right ventricular hypertrophy. Once Tetralogy of Fallot is diagnosed, the ultimate treatment is surgical. With the development of pediatric cardiothoracic surgery, there are no specific requirements regarding the birth month or weight of the child for the surgery, so the success rate of Tetralogy of Fallot surgery is now very high. If a child has Tetralogy of Fallot, it is crucial to seek active treatment and not to give up.
Can neonatal jaundice be effectively treated?
Neonatal jaundice refers to the development of jaundice involving the whole body's skin and mucous membranes in newborns. For physiological jaundice in newborns, it can heal naturally. For pathological jaundice in newborns, with active treatment, including phototherapy, etiological treatment, and when necessary, administration of medications such as albumin and globulin, the more severe cases may require blood exchange treatment. Through the aforementioned treatments, neonatal jaundice can be effectively managed, so parents need not worry. If you notice jaundice in your child, actively take them to the hospital to cooperate with the doctor's treatment. In most cases, a satisfactory treatment outcome can be achieved. Parents can be reassured in this regard. (Please follow the guidance of a specialist for specific medications and do not medicate on your own.)
Hand, foot and mouth disease characteristics
Hand, foot, and mouth disease is an infectious disease caused by enterovirus, primarily characterized by scattered maculopapular or vesicular rashes on the hands, feet, mouth, and buttocks. These rashes are quite distinctive; initially, there is a fever, followed by rashes on hands and feet. These are commonly found between the fingers, starting as maculopapular rashes and gradually turning into vesicular rashes. The rashes, measuring three to seven millimeters, have a firm base with slightly thickened skin over the blisters and are surrounded by erythema. They occur mainly on the extremities but can sometimes spread to the arms, legs, buttocks, or perineal area. The distribution of the rash is centrifugal, ranging from a few to dozens in number. Generally, the rashes absorb on their own within two to three days without scaling, scarring, or pigmentation, and oral blisters or ulcers usually heal within a week.
What should I do if the baby has a cold and is vomiting milk?
Baby colds accompanied by vomiting of milk indicate that the child has an upper respiratory infection along with gastrointestinal symptoms. A cold can cause poor digestion or stomach discomfort, which might lead to vomiting of milk. First, ensure the child's diet is light and easy to digest. For babies who are formula-fed, you can give them probiotics or gastric protease granules, which can help alleviate gastrointestinal discomfort and are also beneficial for reducing vomiting. Additionally, after each feeding, it's important to hold the baby upright and pat their back to burp them, then hold them a bit longer. When sleeping, place the baby in a right-side lying position with the head of the cot elevated at a 15-degree angle. By managing this way, the vomiting in most children can be alleviated. (Note: The answer is for reference only. For medication, please consult a doctor under the guidance of a professional physician, and do not self-medicate.)
Can a baby swim when they have a cold?
If the baby has a cold, it is not recommended to go swimming. A cold, also known as acute upper respiratory tract infection, is the most common illness in children. It primarily manifests as inflammation of the nasal, nasopharyngeal, and pharyngeal mucosa, which can lead to rhinitis, pharyngitis, and tonsillitis, among others. The majority of colds are caused by viruses and bacteria, with 90% being viral infections. During this period, a child's resistance is generally weaker. Therefore, in such cases, it is advisable for the child to rest more, drink plenty of water, and avoid vigorous activities. Hence, it is not recommended for children to go swimming in this situation; they should rest more instead.
Clinical manifestations of childhood diarrhea
Childhood diarrhea is caused by various factors that increase the frequency of bowel movements in children and also change the characteristics of the stool. The common clinical manifestations of childhood diarrhea are primarily gastrointestinal symptoms. The child may experience poor appetite, spitting up milk and vomiting, and an increased frequency of bowel movements. However, the volume of stool in mild cases is not too large, appearing thin or watery, and is yellow or yellow-green in color with a sour smell. Most cases of diarrhea without dehydration or systemic poisoning recover within a few days. In more severe cases of diarrhea, where the child experiences an increased frequency of bowel movements and the stools are watery, there can also be significant dehydration, electrolyte imbalance, and symptoms of systemic infection. These mainly manifest as either fever or lack of fever increase, irritability or lethargy and drowsiness, pale complexion, confused consciousness, and even fainting, shock symptoms.
Can children with diarrhea drink milk?
When a child experiences diarrhea, it indicates an increase in the frequency of bowel movements and a change in the nature of the stools. The first principle of treating diarrhea is to continue feeding the child, so it is acceptable for children who drink cow's milk to continue doing so. However, if the diarrhea persists for a long time and the child develops lactose intolerance, it may be considered to switch to a diarrhea-specific formula, which is lactose-free, as this will be more beneficial for the child's recovery from diarrhea. Normally, it is possible to continue giving cow's milk, as the feeding must continue to ensure the child's adequate nutritional needs. Otherwise, fasting the child and providing nothing to eat, coupled with diarrhea, can quickly lead to dehydration, acidosis, and electrolyte imbalances.
Pediatric viral diarrhea infections are most commonly caused by what?
Children are prone to diarrhea due to the immature development of their gastrointestinal tract, with viral infections being very common among them. The most common virus causing diarrhea in children is the rotavirus. Initially, children may show symptoms similar to a cold, followed by watery or soup-like stools. Children can easily become dehydrated and suffer from electrolyte imbalances, so it is crucial to seek medical attention promptly. Another common virus causing diarrhea in children, similar to rotavirus but often more severe, is the norovirus. Norovirus also damages the intestinal mucosa, leading to watery stools and rapid dehydration and electrolyte imbalances. Therefore, it's essential to be highly vigilant and take preventive measures against these viral infections.
How is intussusception diagnosed?
Intussusception is one of the common acute abdominal conditions in infants and young children. The primary clinical symptoms include abdominal pain, vomiting, and "jam-like" stools, with a mass often palpable in the abdomen. Initially, the overall condition of the child is generally fine, but in the later stages, symptoms such as dehydration, lethargy, coma, and shock can appear. Any healthy infant or young child who suddenly experiences episodic abdominal pain or periodic, regular bouts of crying, accompanied by vomiting, bloody stools, and a sausage-shaped mass in the abdomen, should be highly suspected of having intussusception. Once intussusception is confirmed, timely enema treatment should be administered to the child, and if the opportunity for an enema has passed, surgical treatment should be considered.