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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
Early signs of rash in toddlers
Roseola infantum is a common pediatric febrile rash disease caused by viral infection. There are no specific warning signs before the rash appears in roseola. If it is roseola, the child will definitely have a fever for 3-4 days, followed by the disappearance of the fever as the rash appears. However, one characteristic of children with roseola in emergency situations is that although they have a persistent high fever, as long as their temperature drops below 38.5°C, they generally remain in good spirits and usually do not show other symptoms such as runny nose, sneezing, or coughing. This means that if a child between four months and two years old suddenly develops a fever and maintains good spirits, and the fever persists for almost two to three days without subsiding, we need to be highly alert to the possibility of roseola. At this point, parents should not panic; just wait it out for over 72 hours. If the child's temperature suddenly drops and a rash appears, this confirms roseola. If this rash does not appear, then it is not roseola. This means that there aren't any specific symptoms to look for before the rash in roseola; the diagnosis is mainly based on clinical presentation and the doctor's clinical experience.
Can air conditioning be used for children with roseola infantum?
Exanthema subitum, also known as roseola infantum, is a common pediatric disease caused by a viral infection that results in fever and rash. When a child's temperature exceeds 38.5℃, it is necessary to administer antipyretic medication. If the temperature is below 38.5℃, physical methods to reduce the fever are sufficient. Since the child is in a continuous state of high fever, it is acceptable to use air conditioning. Air conditioning can maintain a suitable indoor temperature and humidity level. The appropriate temperature and humidity can make the child more comfortable and also aid in reducing the fever. Of course, it is crucial to avoid exposing the child directly to the airflow from the air conditioner. Additionally, the air in air-conditioned rooms can be quite dry, so it is essential to ensure that the child drinks plenty of fluids.
What is a good medicine for children's diarrhea?
An increase in the frequency of bowel movements in children, accompanied by a change in stool characteristics, indicates diarrhea. When a child has diarrhea, the first step should be to test a stool routine to determine whether it is infectious diarrhea or non-infectious diarrhea. In cases of infectious diarrhea, antibiotics should be used under the guidance of a hospital doctor. If the diarrhea is caused by indigestion or rotavirus infection, symptomatic treatment is generally used. Firstly, feeding should continue. For children with watery stools, we should give them oral mucosal protectants, probiotics, and oral rehydration salts. For those with prolonged diarrhea, specifically diagnosed as caused by rotavirus infection, children should be supplemented with zinc for a period, as zinc can promote the repair of intestinal mucosal damage. This means that it can speed up the improvement of diarrhea, while also preventing the recurrence of diarrhea symptoms. (The use of medications should be conducted under the guidance of a professional doctor.)
Do babies with roseola fear water?
Roseola infantum is a common pediatric rash disease caused by a viral infection. The main symptoms are a persistent high fever lasting 3 to 4 days, followed by a sudden drop in body temperature and the appearance of a rash. Roseola is caused by a viral infection and is not aggravated by water exposure. During the fever period, if the body temperature is below 38.5°C, it is acceptable to use a warm towel to wipe the child's forehead, neck, armpits, and groin to physically reduce the temperature. At the same time, it is important to ensure that the child drinks plenty of fluids. There is no relationship between roseola and water, and during the period of continuous high fever, it is crucial to keep the child hydrated, as a high fever causes significant fluid loss. Moreover, if the child does not receive adequate fluids, the fever may be difficult to reduce, which is an important point to note. Parents should understand that roseola is not exacerbated by exposure to water.
Can babies spit up milk when they have a cold?
After a baby catches a cold, symptoms such as vomiting milk can occur. Following a cold, the secretion of digestive enzymes decreases, which can lead to gastrointestinal symptoms including sudden nausea, vomiting, and diarrhea. When cold-induced vomiting is severe, it's important to feed the child a light, easily digestible diet and administer antiemetic medications, such as Vitamin B6, compound rennin, or aluminum phosphate gel, which can effectively stop the vomiting. Additionally, it is crucial to actively treat the cold, primarily through symptomatic treatment, increased fluid intake, and taking cold medicine.
Kawasaki disease incubation period
Kawasaki disease, also known as mucocutaneous lymph node syndrome, is a common pediatric fever and rash illness, primarily a systemic small vessel vasculitis. Kawasaki disease is not contagious, so it has no incubation period; only infectious diseases have incubation periods. If it were contagious, typical manifestations would include persistent high fever, pinpoint appearances around the eyes and mouth, typical rash, swelling of the hands and feet, and non-purulent swelling of the cervical lymph nodes. Therefore, Kawasaki disease has no incubation period and is a vasculitis mediated by immune mechanisms.
Does baby eczema spread?
Babies with eczema indicate that the child has skin damage. Eczema is a common skin disease in infants and is not contagious, so eczema does not spread as only infectious diseases are contagious. When a child has eczema, the first step is to ensure proper moisturizing. On this basis, under the guidance of a doctor, some mild corticosteroids can be used. Normally, if we come into contact with a child who has eczema, we will not contract it ourselves. Parents can be reassured about this, as this is an inherent immune response of the child and is not spread through contact or the respiratory or digestive tracts.
Which department should a newborn with jaundice go to?
If a newborn has jaundice, it is first necessary to distinguish whether it is physiological jaundice or pathological jaundice. For physiological jaundice, it is self-healing, so there is no need to visit a hospital. As for pathological jaundice, it occurs within 24 hours after birth, or the daily increase in jaundice is particularly large, exceeding the normal range. In such cases, the child should be taken to the hospital for timely medical treatment. Generally, for general hospitals, it is appropriate to visit the pediatric department. If it is a children's hospital or a municipal maternal and child health hospital, then the child should be taken to the neonatology department. Neonatologists will actively treat the child's jaundice and, as a rule, pathological jaundice requires hospitalization.
Causes of Hand, Foot, and Mouth Disease
Hand, foot, and mouth disease is a rash illness characterized by scattered papules and vesicles on the hands, feet, mouth, and buttocks, caused by an enterovirus infection. It is a contagious disease caused by a viral infection, specifically by Coxsackievirus A16 and Enterovirus 71, which are part of the enterovirus group. Other Coxsackie enteroviruses can also cause hand, foot, and mouth disease. Common enterovirus infections can also lead to hand, foot, and mouth disease. This means that children who have had hand, foot, and mouth disease can potentially get it again, and this is important knowledge for everyone to understand.
What are the symptoms of a cold in children?
Pediatric colds, also known as acute upper respiratory infections, exhibit symptoms that can be categorized into local and systemic symptoms. Local symptoms include nasal congestion, sneezing, runny nose, mild coughing, discomfort in the throat, and sore throat. Systemic symptoms primarily consist of overall weakness, fever, reduced appetite, nausea, vomiting, diarrhea, abdominal pain, and generalized aches. In infants and toddlers, local symptoms are generally not as pronounced, while systemic symptoms tend to be more severe. For some children aged six months to three years, colds accompanied by fever can also lead to febrile convulsions. In older children, local symptoms are usually more prominent, while systemic symptoms are milder. Regarding this type of acute upper respiratory infection, there are two common specific types in children: herpangina and pharyngoconjunctival fever.