Question
The baby’s mouth surrounding area appears blue, but feeding is normal, only frequently spitting up. Should one be concerned about neonatal pneumonia? How should it be handled?
Answer
Hello, the typical symptoms of neonatal pneumonia include poor mental state, refusal to eat, difficulty breathing, purple lips, frothy saliva, nasal congestion, and choking. According to your description, the possibility of pneumonia is low. Since neonates have a horizontal stomach and a relaxed lower esophageal sphincter, they are prone to spitting up when abdominal pressure increases. If the blue discoloration around the mouth is significant, consider ischemic hypoxia, which may be related to heart disease. It is recommended to closely monitor and enhance care, pay attention to the baby’s feeding status, mental state, and weight gain. If necessary, a cardiac ultrasound examination and lung auscultation can be performed.