Does neonatal pneumonia have to be diagnosed through chest X-rays?

Patient's question:

How to judge newborn pneumonia? My baby is 11 days old. At night while sleeping, there is a sensation of phlegm in the throat, daytime sleepiness, sometimes rapid breathing, and sometimes slightly head breathing. Is this a symptom of newborn pneumonia?

Doctor's answer:

Physiological neonatal jaundice usually disappears after about a week, but some may take around 1.5 months to clear. Neonatal pneumonia is the most common severe respiratory disease during the neonatal period. Its characteristics include diffuse lung lesions and atypical clinical manifestations, requiring early diagnosis and proper treatment. Diagnosis is primarily based on medical history and the features of chest X-rays. I wish you a speedy recovery.

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