Subscribe
20
Bai Yan Hui
Pediatrics
About me
Changzhi Maternal and Child Health Hospital, Pediatrics, attending physician.
Proficient in diseases
Common pediatric diseases.
Voices
How to check for intussusception?
Intussusception is primarily diagnosed based on medical history, symptoms, physical signs, and auxiliary examinations. Medical history is mainly gathered by asking the parents, which is very important. Physical signs involve the doctor performing an abdominal palpation, where generally a mass can be felt on the abdominal wall. Auxiliary examinations usually include abdominal ultrasonography and upright abdominal plain films. For more complicated cases or when the location is unique and difficult to detect, a CT scan of the intestines may be performed to make the final diagnosis.
Intussusception should visit which department?
Intussusception generally falls under pediatric surgery, but many children arrive at the hospital without a clear self-diagnosis of intussusception; they often come due to abdominal pain. They can visit either the internal medicine department or the surgical department. At this point, the attending physician will conduct a thorough medical history inquiry, such as a standing abdominal radiograph, abdominal ultrasonography, and physical examination, to aid in diagnosis. If a diagnosis confirms the need for surgical intervention, whether it involves air enema or surgery, it is definitely within the scope of the surgical department.
What to do with acute laryngitis in children?
Acute laryngitis in children is considered a pediatric emergency, but the severity of laryngitis varies. Mild cases can be managed at home with symptomatic treatment, while severe cases should seek medical attention promptly. To distinguish whether to visit a hospital or manage at home, first observe the overall condition, including mental status, eating habits, and whether there is persistent or recurrent fever, cyanosis, or difficulty breathing. If these symptoms are present, visit the hospital promptly to receive symptomatic treatment and quickly address the inflammation of the larynx to alleviate the worsening of the disease.
What foods should not be eaten with laryngitis?
If it's just a simple case of laryngitis, depending on the general condition of the child, if it's only hoarseness and the overall symptoms are not severe, there are usually no special restrictions. However, if there is significant laryngeal obstruction, difficulty in swallowing, or difficulty in breathing, a liquid diet should be the main focus. A light diet is easier for the child to accept and helps with a quicker recovery. The general rule is to avoid spicy and irritating foods temporarily, as these can exacerbate swelling in the throat and hinder recovery. This is something that needs attention.
The symptoms of acute laryngitis in children
First and foremost, the most typical symptom is hoarseness of voice, with accompanying symptoms varying depending on the severity of the laryngitis, and symptoms differ. Generally, mild cases may present with cough or fever; a few children might also have gastrointestinal symptoms, such as vomiting and diarrhea. If there is laryngeal obstruction, some signs of hypoxia will appear, such as cyanosis, intermittent stridor, profuse sweating, the three-concavity sign, flaring of the nostrils, listlessness, and even some convulsive symptoms.
How to Prevent Acute Laryngitis in Children
Acute laryngitis in children is generally caused by viral infections, and a smaller portion by bacterial infections. Thus, preventing acute laryngitis in children is essentially about preventing infectious diseases. Firstly, it is advisable to avoid crowded places, especially poorly ventilated public areas. Also, avoid contact with individuals suffering from respiratory infections. Furthermore, enhancing the child's physical constitution, getting more sunlight, and supplementing with vitamin D to boost immune function can reduce the occurrence of acute laryngitis in children.
Is acute laryngitis in children contagious?
The situation varies depending on the cause. If it is acute laryngitis caused by an injury, it is not contagious. However, if it is caused by an infection, such as by the epidemic influenza virus, or by Bordetella pertussis causing acute laryngitis, these infectious diseases cause inflammation of the larynx and are contagious. Or in cases of general bacterial and viral infections, there can be cross-infection, but they are not contagious.
Is acute laryngitis in children contagious?
Is acute laryngitis in children contagious? It depends on the pathogen causing the infection. If the infecting pathogen is contagious, then certainly it can be transmitted. If the infecting pathogen is not infectious, then of course it will not be contagious. Contagious examples include diphtheria, influenza virus, and Coxsackie virus, which can cause transmission, so it is important to isolate as much as possible. If it is a bacterial infection, it is generally not contagious. Therefore, one cannot simply say whether acute laryngitis in children is contagious or not; it depends on what the infection source is for this particular case to determine whether it is contagious or not.
What tests are done for acute laryngitis in children?
Generally speaking, laryngitis is classified as an inflammatory disease. To determine whether it might be a bacterial or viral infection, we typically recommend a complete blood count and C-reactive protein test. Based on the white blood cell count, the classification of white blood cells, and the level of C-reactive protein, we can make an initial judgment about whether the cause is likely viral or bacterial, and then proceed with the corresponding treatment. Additionally, laryngoscopy can also be performed to examine the condition of the laryngeal tissues and other structures for differential diagnosis.
Does acute laryngitis in children cause fever?
Generally speaking, acute laryngitis in children is accompanied by fever, as it is caused by viral or bacterial infection. Inflammatory response: redness, swelling, heat, and pain. Local reaction: In children, local infections can easily lead to systemic symptoms, especially fever, which can vary in intensity but generally remains relatively easy to reduce. It is unlikely to be extremely high fever. If the body temperature exceeds 38 degrees Celsius, or if the child shows poor spirits during fever, oral antipyretics or rectal fever suppositories can be used to alleviate the symptoms of fever.