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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 newborns with jaundice eat probiotics?
Neonatal jaundice can be treated with probiotics. Probiotics primarily help establish a normal gut flora in newborns. Once the gut flora is established, bacteria break down bilirubin into urobilinogen, significantly reducing bilirubin's circulation in the liver, which aids in alleviating jaundice. Clinical studies have shown that formulations such as lactobacillus and bifidobacterium can alter the intestinal environment and reduce jaundice, especially breast milk jaundice, serving as an adjunct treatment. The reduction of jaundice with live bacteria treatment has proven effective, so probiotics can be used for neonatal jaundice.
Rickets lacks what element
Rickets, also known as Vitamin D deficiency rickets, is caused by a deficiency in Vitamin D, which leads to abnormal calcium and phosphorus metabolism in the body. Calcium salts cannot deposit normally in the growing parts of bones, resulting in incomplete mineralization of bone tissue during growth phases and ultimately leading to skeletal abnormalities. This condition is characterized by a chronic nutritional disease closely related to lifestyle. The main symptoms are a deficiency of Vitamin D levels in the blood, followed by low levels of calcium and phosphorus, meaning that the levels of these elements significantly drop. The primary treatment for rickets involves supplementing Vitamin D, thus the main cause of rickets is due to a deficiency of this vitamin.
When does neonatal jaundice completely disappear?
Neonatal jaundice is one of the most common conditions in newborns. Due to the metabolic characteristics of bilirubin in newborns, about 50%-60% of full-term infants and 80% of preterm infants experience jaundice. Jaundice is categorized into physiological jaundice and pathological jaundice. If it is physiological jaundice, the duration typically does not exceed two weeks in full-term infants, and in preterm infants, it can extend up to three to four weeks, generally not exceeding four weeks. If the jaundice progresses quickly and is severe, and if its resolution is delayed, there might be an underlying pathological jaundice. Pathological jaundice may involve certain pathological factors, necessitating a hospital visit. Based on the baby’s specific conditions, targeted examinations should be conducted, and treatment should focus on the underlying cause to actively manage the jaundice. The length of time jaundice takes to resolve may vary depending on the cause or the condition of the baby. How the jaundice subsides depends on the condition. If pathological jaundice is not promptly managed, the severity of the jaundice may increase, and there may be a risk of severe complications. Therefore, if the jaundice level is high and parents are unsure, it is advised to have it checked at a hospital. If pathological jaundice is confirmed, timely intervention and treatment are necessary.
Can rickets be inherited by the next generation?
Rickets, called vitamin D-deficiency rickets, is caused by a lack of vitamin D which leads to abnormal calcium and phosphorus metabolism in the body. This prevents calcium salts from properly depositing in the growing parts of the skeleton, resulting in incomplete mineralization of bone tissue during growth. It produces a systemic, chronic nutritional disease characterized by skeletal lesions and closely related to lifestyle. The primary causes of rickets are due to a combination of factors leading to vitamin D deficiency. Feeding methods, cod liver oil supplementation, living environment, time spent outdoors, recurrent respiratory infections, maternal calcium deficiency during pregnancy, and the season of birth are all significant contributing factors to the incidence of rickets. Generally, most cases of rickets are not inherited to the next generation. However, if there is a clear hereditary disease causing insufficient levels of vitamin D, it could potentially be inherited by the next generation.
What should mothers not eat if their newborn has jaundice?
Neonatal jaundice is one of the most common symptoms during the neonatal period, especially in early neonates. Neonatal jaundice is divided into physiological jaundice and pathological jaundice. Physiological jaundice is due to the physiological characteristics of the child and is considered a normal phenomenon. Generally, the degree of jaundice is not very high, so there is no need for the family to worry too much as the jaundice will subside on its own. If it is pathological jaundice, where jaundice appears earlier, progresses faster, and is more severe, then intervention and treatment are needed. Generally, jaundice is not significantly related to the mother's diet. If the baby has jaundice, the mother should strengthen breastfeeding, encouraging the baby to eat, drink, and excrete more. Good bowel and bladder movements can help with the excretion of jaundice. Therefore, if the newborn has jaundice, the mother does not need to make special changes to her diet; she should just maintain a normal diet, enhance nutrition, and promote milk secretion.
Can rickets be cured?
Can rickets be cured? Rickets is a type of nutritional disease caused by a deficiency of vitamin D, which disrupts the body's calcium and phosphorus metabolism and leads to abnormal bone development. The common form is nutritional vitamin D deficiency rickets. This type of disease is self-limiting and can be cured. Once children engage in sufficient outdoor activities and supplement their vitamin D levels, they can be completely cured. There are also some special cases, such as severe liver and kidney diseases caused by vitamin D deficiency, and some genetic diseases. These diseases require treatment to promote the absorption of vitamin D. However, for genetic diseases, treating rickets with vitamin D is ineffective, and these cases are more difficult to treat. For liver and kidney diseases, if the condition can be effectively controlled, they can also be cured.
Why does neonatal jaundice recur?
Neonatal jaundice is one of the most common conditions in newborns, especially in early-born infants. If a baby has jaundice, it is important to determine whether it is physiological or pathological jaundice. If it is physiological, the jaundice will not appear too early or be too severe, and will gradually subside on its own within a certain period, typically without recurrence. If the jaundice decreases or has already subsided and then reoccurs, be vigilant for pathological jaundice. The causes of pathological jaundice are numerous and depend on the increase in bilirubin. If direct bilirubin is elevated, liver and biliary diseases should be suspected. If indirect bilirubin is elevated, it may indicate pathological factors causing destruction of red blood cells, leading to an increase in jaundice. Therefore, if there is recurring jaundice, it is advisable to seek timely medical attention at the hospital.
What department should I see for rickets?
Rickets is a nutritional disease caused by a deficiency of vitamin D, which leads to a disorder of calcium and phosphorus metabolism and consequently abnormal bone development. In the early and active stages of rickets, the main symptoms are low levels of vitamin D and disordered calcium and phosphorus metabolism. At this stage, bone development abnormalities may not be clearly noticeable, so it is recommended to consult an endocrinology department. During the residual stage, when skeletal deformities appear, rehabilitation treatment is necessary, and consultation with a pediatric rehabilitation department is advisable. Severe skeletal deformities may require surgical correction, necessitating consultation with an orthopedic department.
Can newborns with jaundice drink water?
Neonatal jaundice is one of the common symptoms in newborns. It can be a normal physiological phenomenon or an external manifestation of certain diseases. Jaundice is generally divided into physiological jaundice and pathological jaundice. The treatment of jaundice generally involves observing the progression and severity of the baby's jaundice and any accompanying symptoms. The causes of jaundice are numerous. Regarding the feeding of jaundiced infants, it is important to feed on demand and increase feeding to promote the excretion of urine and stool, which can help reduce jaundice. However, it is not advisable to feed water to newborns with jaundice. Typically, the growth and development of babies are relatively rapid in the early stages, requiring nutritional supply. Water has virtually no nutrients, but breast milk or formula feeding provides sufficient hydration for the baby's needs. Therefore, for jaundiced babies, usually within the first six months of life, exclusive breastfeeding is recommended. In special circumstances, formula supplementation may be appropriate, but feeding water is not recommended.
The recurrence rate of Kawasaki disease
Kawasaki disease, also known as mucocutaneous lymph node syndrome, is a type of pediatric autoimmune disease that commonly affects infants and young children, especially those under the age of five. The exact mechanisms and causes of the disease are still unclear. The primary pathological change is systemic vasculitis, frequently affecting the coronary arteries. The recurrence rate of Kawasaki disease is between 1%-3%, with a few cases experiencing three or even four occurrences. The interval between recurrences ranges from three months to one year, averaging one year and five months. Studies have shown that being younger than three years old at the time of the first episode and having vascular damage are risk factors for recurrence.