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Tong Peng
Pediatrics
About me
Deputy chief physician, has been engaged in pediatric clinical work since 2004, has studied in the Department of Pediatrics at Wuhan Union Hospital and the Neurorehabilitation Department of Qingdao Women and Children's Hospital, and has certain experience in the diagnosis and treatment of pediatric diseases.
Proficient in diseases
Have certain insights into the diagnosis and treatment of pediatric neurological disorders and cerebral palsy, as well as into the diagnosis and treatment of allergic rhinitis and epilepsy. Rich experience in eczema, pediatric diarrhea, allergic rhinitis, and asthma, and abundant guidance experience in infant feeding and healthy nutritional development.
Voices
Can children with Tetralogy of Fallot heal on their own?
Children with Tetralogy of Fallot cannot be cured, as this condition is a congenital disease, primarily involving vascular malformations, characterized by ventricular septal defects, overriding aorta, pulmonary hypertension, and right ventricular hypertrophy. Due to pulmonary atresia or near-atresia, leading to numerous collateral vessels, it might only present with a ventricular septal defect with shunting or mild pulmonary valve stenosis. The effectiveness of surgery for this type of Tetralogy of Fallot may not be particularly good, and the chances of a cure are very low. Therefore, for this category, early detection and surgical treatment are crucial, and it is important to enhance dietary nutrition and care in daily life, as it is prone to pulmonary infections, which can lead to serious conditions such as respiratory failure and heart failure.
Does infantile colic occur every day?
Episodes of infantile colic are unpredictable, yet if digestive system abnormalities occur frequently over a short period, they can lead to daily colic episodes with a variety of causes. For instance, babies tend to cry or swallow large amounts of air due to rapid feeding, leading to intestinal gas and stimulating the intestinal mucosal nerves, resulting in colic. Additionally, certain substances in breast milk or formula, such as excessive sugars or fats, can cause indigestion and excessive intestinal gas production, further stimulating colic. When such symptoms appear, parents should first rule out surgical issues like intestinal intussusception or obstruction. Colic episodes can be alleviated through abdominal massage and dietary adjustments.
What should I do about the hemangioma on the baby's face?
If the hemangioma on the baby's face affects the baby's facial appearance, or if it is located in some special areas, such as above the trigeminal nerve, then it is necessary to intervene and treat as early as possible. Hemangiomas are vascular malformations in the body and often have no impact on the body; they mainly affect appearance. However, if the location of the growth has certain specificities, it can affect future life or induce some diseases. In such cases, it is necessary for a specialist doctor to make a differential diagnosis and then select a surgical method for targeted treatment.
Should a baby's decayed front teeth be filled?
Children's front teeth cavities require filling treatment, because if the front teeth are extensively damaged, it not only affects eating and appearance but also impacts the child's psychological development. Therefore, if a child's tooth color is abnormal, it is advisable to visit a hospital for fluoride treatment as soon as possible, which is beneficial for mineralization on the tooth surface. However, if cavities have developed in the front teeth, filling treatment is needed, otherwise it will progressively worsen, affecting the child's normal eating habits. Generally, children under three years of age have poor cooperation and cannot undergo routine outpatient treatment, so it is crucial to strengthen oral hygiene care in daily life.
Does rickets cause dry skin and an absence of sweating?
Rickets does not cause dry skin or an absence of sweat. Rickets is a disorder of calcium and phosphorus metabolism caused by a deficiency in vitamin D, and it may also be associated with bone deformities. In infants, it often presents with neurological symptoms such as being easily startled during sleep, increased night sweats, and a variety of symptoms including bald patches on the back of the head. However, an absence of sweating is often a symptom of sweat gland disorders and is not necessarily related to rickets. In some cases, babies sweat less because their sweat glands are underdeveloped, so if a child with rickets has symptoms of dry skin, they are not particularly prominent. If rickets is confirmed, it is crucial to actively supplement vitamin D, spend more time in the sun, and engage in outdoor exercise to facilitate the body's natural synthesis of vitamin D. Severe cases require oral or injected high doses of vitamin D to prevent the condition from worsening and causing bone deformities.
What to do if a child's eczema does not improve?
If childhood eczema is not improving, then it is crucial to actively search for the cause, rather than merely treating the symptoms. The care for childhood eczema mainly involves moisturizing and applying eczema ointment, but treating the primary cause is most important. The causes of eczema are varied, with common factors including genetics. If a child's parents have allergic rhinitis, eczema, or asthma, it suggests that the baby might have an allergic constitution, which can lead to recurrent episodes of eczema. Additionally, diet plays a role; consuming foods that are allergens can also trigger eczema flare-ups, especially foods containing proteins such as dairy products, eggs, and seafood products. Furthermore, contact with allergenic substances like animal dander and plant pollen can also induce eczema. Moreover, certain specific pathogens colonize on the surface of eczema-affected skin, leading to repeated outbreaks. These factors make the treatment of eczema less than ideal, so it is essential to understand the specific reasons behind the baby's eczema to tailor the treatment effectively.
Can people with rickets swim?
Rickets is a metabolic disease caused by a deficiency in vitamin D, and its clinical manifestations primarily include symptoms in infants such as a square skull, night sweats, pigeon chest, eversion of the rib cage, as well as bowlegs or knock-knees. Severe cases can lead to skeletal deformities in the chest and developmental disorders. Therefore, for the treatment of children with rickets, it is necessary to intake vitamin D and calcium to promote bone development. Swimming is also a form of exercise that can enhance the absorption of calcium by the bones, which can help prevent the progression of rickets. It is also important to engage in outdoor activities and expose to sunlight, as vitamin D can be synthesized through sun exposure, effectively supplementing it. If a child's symptoms of rickets are relatively severe, it is advisable to take the child to a specialist hospital for a 25-hydroxy vitamin D test and supplement vitamin D based on the specific results.
What should I do if I am lactose intolerant?
If lactose intolerance occurs, it is essential to adjust the diet and medication. Lactose intolerance can cause an increase in the frequency of bowel movements and changes in stool characteristics in children. If it persists for a long time, it can lead to indigestion and malnutrition. In cases where the symptoms are not severe, reducing the intake of lactose-containing foods and adding lactase can help alleviate the symptoms. However, if the condition has been prolonged and is accompanied by complications such as malnutrition, it is advisable to temporarily stop the intake of formula and dairy products and feed lactose-free formula until the symptoms improve and then resume a normal diet. Lactose intolerance can be congenital or acquired, but the treatment method is through dietary control.
Will rickets lead to hunchback when grown up?
Rickets generally does not result in hunchback when one grows up, as rickets is a disease caused by a vitamin D deficiency leading to disturbances in calcium and phosphorus metabolism. If not cured before development is completed, it often leaves sequelae such as square skull, Harrison's groove, beaded ribs, as well as bow legs, knock knees, and pigeon chest. However, hunchback is mainly caused by developmental deformities of the thoracic and lumbar spine, and is not greatly related to a lack of vitamin D. However, it is also important to note that a deficiency in vitamin D can lead to osteoporosis, and if one does not maintain proper posture in daily life, such as bending the back while sitting, standing, or walking and not being able to stand straight, it may eventually lead to pathological curvature of the spine and thoracic vertebrae. Therefore, in daily life, it is still important to be conscious of using one’s lumbar and thoracic spine correctly to avoid developing a hunchback over time.
Does phenylketonuria easily cause a cold?
Phenylketonuria does not easily cause a cold, as a cold is a type of infectious disease mainly caused by various pathogen infections and stimuli, leading to symptoms such as cough, fever, and runny nose. Phenylketonuria is a common amino acid metabolism disorder caused by a deficiency of the enzyme required for phenylalanine to convert into tyrosine, resulting in excessive excretion of phenylalanine in urine. This disease is a recessive hereditary disorder, which can lead to intellectual disability, neuropsychiatric symptoms, and pigment loss. Due to the lack of melanin, affected children often present with yellow hair, pale skin and sclera, and their urine has a mousy odor. They may also suffer from eczema, vomiting, and diarrhea. Phenylketonuria is one of the few treatable hereditary metabolic diseases, so it generally does not cause symptoms of a cold.