The baby is not yet a month old played with the mouth spitting bubbles, parents think the child is smart and playful, the doctor diagnosed is suffering from neonatal pneumonia. The day before yesterday, the doctor found that the baby had many small white bubbles around the mouth, appeared irritable and unresponsive, fed milk and did not eat, the temperature was only 35.5 degrees Celsius. The young parents were puzzled, the baby did not cough or wheeze, how could it be pneumonia?
Because of the poorly developed nervous system and poor regulation, newborns with pneumonia do not show a cough or other typical symptoms in the early stages. This is because the newborn’s trachea is short and narrow and funnel-shaped. When exhaling, the gas in the lungs rushes out through the narrow trachea, rushing the phlegm in the trachea out of the mouth through the short respiratory tract and producing bubbles as the gas passes through the foul phlegm.
The central nervous system and salivary glands of newborns are still immature, saliva secretion is small, 3-4 months salivary glands begin to develop, saliva secretion increases. However, at this time, the baby’s mouth is relatively shallow, swallowing energy is not well developed, lip closure and swallowing movements are not coordinated, will not regulate the excess saliva in the mouth, so it is easy to appear drooling and spitting bubble phenomenon. No treatment is needed, it will disappear on its own!
Symptoms of neonatal pneumonia
Symptoms of pneumonia are not obvious in newborns, especially if they are small for their age, and they usually do not have a cough and their body temperature is not elevated, or even lower than normal! Sometimes the only thing that can be observed is the phenomenon of “bubbles in the mouth” or digestive symptoms such as diarrhea.
From the above characteristics, if your baby is spitting up bubbles, you should pay attention to it. If it is less than three months old, it is likely to be pneumonia; if it is three or four months old, it is mostly normal. To determine if there are signs of pneumonia, you can look at your baby’s breathing, feeding, mental status, and any other abnormalities to get a closer look to further decide if you should see a doctor.
Characteristics and treatment of neonatal pneumonia
About pneumonia
My baby had pneumonia before he was out of the full month, and it took a whole month for him to recover. Now analyze the reason, mainly because his father and I are dalai birds, inexperienced and neglected some obvious symptoms.
1, wheezing (phlegm sound)
The first symptom is wheezing, especially more obvious at night, the baby often suffocated breath, I had to hold him to sleep from 2 am onwards, because the angle of inclination will make him comfortable, such a situation, did not last two weeks, at my insistence, finally went to the hospital. The doctor said it was pneumonia. But to be distinguished from congenital calcium deficiency, laryngeal wheezing.
2. Spitting up
As a newborn, another obvious symptom of pneumonia is foaming at the mouth, much like spitting bubbles, especially when the baby is asleep, and usually pneumonia develops to a certain level before foaming. Of course newborns over 3 months old are not included here, because over 3 months old they have saliva. Teething is starting.
3. Number of breaths
Pneumonia when the baby’s breathing times increase significantly, the newborn baby quiet sleep, the number of breaths do not exceed 40, 40-50 times need to go to the hospital diagnosis, either the flu, or pneumonia. The newborn period of the baby with the growing amount of movement, the number of breaths also continue to reduce, usually to no more than 40 times, to measure, but now my little baby sleeps on weekdays, but only 20-25 times, because he is one year old.
4.Breathing method
Deep breathing, also called abdominal breathing, in which the chest is deeply concave while breathing.
5.Spitting up milk (spitting up water)
The main manifestation is spitting up milk, inexperienced people may think that they have eaten air into their stomachs, and then they even spit up “water” for a few days before they realize the seriousness of the problem.
6.Listen to the sound
Stethoscope listen to the baby’s lungs, common cold “breath sound coarse”, pneumonia “dry rosacea” “wet rosacea”, through treatment to “small and medium blister sound “Then, after recovery, the sound is “no obvious abnormality”.
Caution
Small babies with pneumonia usually do not have a fever or high fever and have less coughing, especially in newborns. I usually like to use the method of counting breaths to determine the onset of the baby.
Treatment methods
Combination of Chinese and Western medicine
1. Western medicine, we need to use sufficient antibiotics, usually for 8-14 days, especially until the “breath sounds are coarse” and then use antibiotics for 2-4 days to maintain the treatment.
2, Chinese medicine, Chinese medicine for phlegm treatment, because there is phlegm in the lungs, pneumonia is not easy to get well, usually to feed 4-6 Chinese medicine for phlegm, often placed after antibiotic treatment. This is when the baby gets up first thing in the morning is to spit, a big mouthful of phlegm, when the phlegm spit out, the day will be very easy.
3, probiotics, probiotics with adjuvant therapy, after 4-7 days of antibiotics, the baby will appear intestinal flora disorders of the abdominal discharge, then you need to carry out probiotics with adjuvant therapy, usually taken 2-4 hours after the antibiotics, with milk can be. Some of this is quite important, there are some babies who are not cured of pneumonia and diarrhea starts again.
Healing: Pneumonia in the neonatal period can be completely cured, basically leaving no sequelae, and recurring within a year is rare, although often the mother will be more careful to take care of the baby due to this major illness, but instead plays a bad role. Perform cold air exercise, now this season is the best, every day outdoor play for more than 3 hours, nature is the best teacher. Insist on bathing, it is equally beneficial to the baby.
Warm reminder: many newborn diseases do not have special symptoms, parents who find that the usual performance in all aspects of normal children suddenly do not cry, do not make a fuss, do not eat, do not move, abnormal body temperature, parents should pay attention to, early take the child to the doctor.