Is it normal for a newborn to have these symptoms at 16 days?

Patient's question:

Newborn 16 days old, respiratory rate 57, heartbeat sound between 110 and 120. Sometimes breathing may involve movement of the sides of the nose. Occasionally coughs a few times. Feels short of breath and tight during breastfeeding for a few sips, then needs to calm down for a while after finishing feeding. There is sticky saliva in the mouth with bubbles, but no bluish discoloration around the mouth and nose. Breathing shows irregular movement of the abdomen, no symptoms observed in the chest. When held in the arms with the head supported, breathing is more noticeable, but it becomes less apparent when placed on the bed. Yesterday, the doctor performed percussion and listened in both calm and crying states, stating there were no issues. I would like to ask if these symptoms are normal and if it can be ruled out as pneumonia?

Doctor's answer:

According to your detailed description, it is recommended that you take your child to a formal hospital's neonatal department for a systematic and thorough examination, such as chest X-ray, blood routine tests, etc. It cannot be determined solely based on percussion and symptoms to speculate whether pneumonia is present. I hope my explanation helps you. The above is the suggestion for the question "Newborn, 16 days, respiratory rate 57," and I hope it is helpful to you. Wishing the patient a speedy recovery!

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