

Tong Peng

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

How many days does infant thrush heal on its own?
Thrush in infants generally relieves within a week, but the full recovery period depends on the baby’s own immune system and the medication used. Since thrush is a fungal infection, predominantly caused by the Candida species, which is a conditional pathogen. If a baby has low immunity and a disrupted intestinal flora balance, it can lead to recurrent episodes of thrush, facilitating the growth and infection of fungi. Treatment can be administered using sodium bicarbonate solution for cleaning, along with antifungal agents and oral probiotics, which often alleviate symptoms within a week. However, if the baby's immunity is not effectively improved later, and the imbalance of the body's flora is not effectively controlled, recurrence is likely. Therefore, the treatment of thrush is comprehensive and not solely reliant on medication. (Medication should be used under the guidance of a physician.)

What should I do if a baby gets prickly heat?
If babies develop prickly heat, it should be considered that their sweat glands are underdeveloped, making them susceptible to changes in temperature which can lead to increased sweating. Their sweat can block the sweat glands and increase the occurrence of prickly heat. In terms of treatment, first of all, it's important to pay attention to the temperature of the baby's living environment, ensuring a certain level of humidity and temperature to reduce the stimulus of sweating. Additionally, care should be taken that the clothing is not too tightly wrapped; preferably choose cotton and loose clothing to keep the skin breathable. Furthermore, if prickly heat occurs, you can apply baby-specific prickly heat powder for topical application. Also, pay attention to any symptoms of skin infection, and if present, timely medication should be administered to avoid exacerbation of symptoms leading to infection.

Does Tetralogy of Fallot easily lead to heart failure?
Tetralogy of Fallot often leads to symptoms of heart failure because it is a severe congenital disease. Affected children tend to present with cyanosis of the lips, impaired growth and development, and a simple echocardiography can reveal specific indicators such as aorta overriding, pulmonary stenosis, right ventricular hypertrophy, and ventricular septal defect. These children have limited lung and heart function, making them prone to increased cardiac load and symptoms of heart failure following infections or physical activity. Therefore, early surgical treatment is necessary for these children to prevent recurrent infectious diseases and heart failure, which can affect their normal growth and development. Additionally, it is crucial to enhance nutrition and exercise in their daily lives to boost their immune system. For Tetralogy of Fallot, early detection and treatment are essential.

How to treat eczema with broken skin in children?
In cases of eczema in children, if there is broken skin, it is necessary to enhance skin care to prevent infection. Disinfectant solutions can be used to clean the skin, followed by the application of anti-inflammatory ointments to prevent infection of the wound. Additionally, attention should be paid to the fact that the skin in areas affected by eczema is sensitive and has lower self-immune capabilities, which can lead to worsening of the condition after infection, causing symptoms such as fever and sepsis. Therefore, once there is broken skin in the area affected by eczema, it is important to clean the wound promptly. If there are signs of pus formation, a specialist should examine and clean the wound, and oral anti-inflammatory medications may be necessary to prevent worsening of the infection. Also, dietary considerations should include avoiding spicy foods and those likely to cause allergies.

Can children take a bath when they have a cold?
Children with colds can take baths, but care should be strengthened during the bath to avoid catching cold, thus preventing the symptoms of the cold from worsening. Since a cold in children is an infectious disease, bathing can keep the child's skin clean and make the child feel comfortable. Appropriate water temperature is beneficial for promoting blood circulation in babies and speeding up metabolism, which is conducive to the recovery of the baby's condition. However, if warming is not promptly ensured during the bath, or if the water temperature is too low or too high, it can cause repeated or even worsened symptoms of the cold in babies. Therefore, parents must pay attention to some nursing details during the bath.

Can infantile colic cause constipation?
Infantile colic can cause constipation. It is first important to understand that colic is caused by abnormal intestinal movements and stimulation of the intestinal mucosa, leading to pain symptoms. This is often due to increased intestinal gas or constipation, which disrupt normal intestinal movements and thus also cause symptoms of constipation. In such cases, one can first try abdominal massage to promote intestinal movements and help the expulsion of gas and stool, thereby alleviating symptoms. Additionally, taking probiotics orally can regulate gastrointestinal function and aid in digestion and absorption. Attention should also be paid to dietary adjustments, preferably eating light and easily digestible food to reduce the production of intestinal gas and alleviate its symptoms. If symptoms persist for a long time without significant relief, it is still necessary to have a specialist doctor examine and prescribe medication accordingly.

Why do children develop hemangiomas?
Pediatric hemangiomas are strictly considered a benign condition within vascular malformations. There are various causes, often due to arteriovenous malformations in children during prenatal development, especially due to abnormal proliferation of blood vessel cells during embryonic development, resulting in hemangiomas after birth. As the child ages, the hemangioma tends to grow larger. Additionally, some hemangiomas are caused by trauma in children. During this period, children's skin and mucous membranes are relatively delicate, leading to hemangiomas due to local stimulation of the capillaries by injuries. Therefore, it is best to classify hemangiomas through examination at a reputable hospital. If the hemangioma is located in a particularly sensitive area, early intervention and treatment are necessary.

What are the early symptoms of rickets?
The early symptoms of rickets are mainly due to the inadequate intake of vitamin D in children, leading to disturbances in the body's calcium and phosphorus metabolism. Early signs usually appear around three months of age in infants, characterized by changes in mental state, restless sleep, frequent crying, and excessive sweating. Increased sweating is often accompanied by cradle cap, where circular bald patches appear on the back of the head. In such cases, it is important to include vitamin D-rich foods in the diet and supplement with vitamin D. Continued breastfeeding, engaging in outdoor activities, and exposure to sunlight are recommended to promote the body’s own synthesis of vitamin D. Regular physical examinations are also advised, and if symptoms of rickets occur, an appropriate increase in vitamin D intake may be necessary.

What causes benign epilepsy in children?
There are multiple causes of benign epilepsy in children, with significant genetic factors often involved. It generally occurs during a specific developmental period in childhood due to localized diseases, and the prognosis is usually good. Such seizures in children may be caused by conditions like tuberous sclerosis, cerebral trigeminal angioma, and neurofibromatosis. Intracranial infections, such as viral encephalitis, bacterial meningitis, and tubercular meningitis, can also trigger benign epilepsy in children. Therefore, once diagnosed, early intervention treatments should be initiated to prevent the symptoms from worsening. Regular follow-ups with electroencephalograms are also necessary to understand the effects of epilepsy medications and treatments.

How to remove baby's prickly heat
Baby prickly heat is mainly caused by the hot and humid living environment, which damages the skin. Therefore, it is important to enhance skin care, especially by improving the environmental temperature. Keeping the room ventilated by exchanging air is the best treatment method. If the skin symptoms are severe, Calamine lotion can be used, which can effectively alleviate the symptoms of prickly heat. The main treatment for prickly heat is prevention. Therefore, especially in summer, the clothes worn by infants should be loose and made of pure cotton. Avoid tight clothes or synthetic fabrics, as these can aggravate the symptoms of prickly heat by causing friction between the skin and the clothing. Also, pay attention to the diet and try to eat less spicy and stimulating food, choosing instead light and liquid-based foods. (The use of medication should be carried out under the guidance of a physician.)