Subscribe
113
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
How to determine baby rash?
Roseola infantum is a common acute exanthematous infectious disease in pediatrics, also known as baby roseola, caused by human herpesvirus types 6 and 7. To determine whether it is roseola, the main criteria are if the child is under two years old, especially infants aged 7 to 13 months, who exhibit a persistent high fever. During the fever, if the child’s fever subsides, they appear in good spirits and do not have other complications, then roseola should be highly suspected. In such cases, symptomatic treatment should be provided first, with a focus on hydration. If the temperature exceeds 38.5℃, give the child fever-reducing medication and continue to observe at home due to the persistent high fever, which lasts three to four days. Once the child’s temperature suddenly drops, carefully observe whether a rash appears on the trunk, neck, limbs, and facial area. If these symptoms are present, which match with the history of a high fever lasting three to four days followed by the appearance of a rash, the diagnosis is roseola infantum.
How to Treat a Child's Cold in the Early Stages
Children's colds are mostly viral infections and are self-limiting, which means they can resolve on their own. Therefore, no special treatment is needed in the early stages of a child's cold, but it is important for the child to drink plenty of water and get plenty of rest. If an adult at home has a cold, avoid contact with the child and ensure good ventilation; windows should be opened daily for air circulation. Additionally, feed the child light, easily digestible foods. If the child experiences significant nasal congestion or runny nose causing discomfort, child-specific cold granules or physiological saline nasal wash can be used to relieve the symptoms of the cold. (Please use medications under the guidance of a doctor.)
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.