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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 rickets be treated with vitamin D3?
Rickets can be treated with Vitamin D3; first, we need to understand the pathology of the disease. It is a metabolic, obstructive disease caused by a deficiency of Vitamin D. Often, this deficiency leads to impaired calcium absorption in the body, causing osteoporosis and bone deformity. Infants typically exhibit symptoms like square skulls, pigeon chests, outward flaring ribs, bow legs, and knock knees. Additionally, it affects the baby's sleep quality. The lack of Vitamin D can increase the baby's neural excitability, leading to poor sleep and easy waking. Moreover, severe cases can affect growth and development. Presence of these symptoms should be confirmed by laboratory testing of 25-hydroxy Vitamin D3 to determine specific levels and choose the appropriate dose of Vitamin D3 supplementation. It is also encouraged to promote children's physical activity and exposure to sunlight to enhance the body's synthesis of Vitamin D, which is beneficial for bone development. (Medication should be administered under the guidance of a professional doctor.)
The difference between pertussis and allergic cough
Pertussis (whooping cough) and allergic cough are different. Firstly, pertussis is an acute respiratory infectious disease caused by Bordetella pertussis. Its symptoms include paroxysmal and frequent coughing, sometimes accompanied by a deep, crowing, inspiratory whoop sound. If not treated promptly, the condition can last for several months, which is why it is called whooping cough. Due to its high contagiosity and epidemic history, if infants contract pertussis, their condition can worsen, making them prone to complications like severe pneumonia or heart failure. However, allergic cough is a non-infectious condition primarily caused by hypersensitivity of the airways, easily triggered by various external allergens, leading to irritating dry coughs, but not worsening to lower respiratory tract infections. In daily life, by avoiding environmental allergens and using treatments such as nebulization and oral antiallergic medications, management is possible.
Is thigh clamping in children a sign of precocious puberty?
Babies crossing their legs is not a sign of precocious puberty. There is a clinical sign in children called "leg crossing syndrome," primarily occurring in either sex, where children experience pleasure through the friction of the skin between their legs. This condition is often a form of masturbation, seeking self-comfort and stimulation to achieve a sense of relief. Possible causes include increased secretions due to poor local hygiene, leading to babies rubbing against each other, thus manifesting a sense of sexual satisfaction. Additionally, parasitic infections can cause itching in the perineal area, leading to symptoms of leg crossing syndrome. If parents notice this behavior, they should guide the child gradually and persuasively without scolding, while also maintaining cleanliness in the affected area and enhancing education about sexuality. Precocious puberty is mostly characterized by the development of breasts and other secondary sexual characteristics, so there is a difference between the two conditions.
What should I do if my baby's umbilical hernia doesn't go away?
Umbilical hernia in children is mainly caused by an unsealed navel ring. Its treatment should be based on specific clinical symptoms and age. If the hernia does not retract, it can be treated conservatively or surgically. Conservative treatment involves returning the hernia contents to the abdominal cavity and using an object the size of a coin, wrapped externally with gauze, to hold it in place and prevent movement. Generally, umbilical hernias in infants under six months can be cured with conventional treatment methods, and the treatment effect is very good. However, if the diameter of the navel ring exceeds 1.5 cm after the age of two, surgical treatment should be considered. For children over five years of age who still have symptoms of an umbilical hernia, conservative treatment is ineffective, and surgery should be performed as soon as possible. Umbilical hernias are a common condition, but not serious, requiring only dynamic observation and timely medical treatment if severe.
What should babies with colic not eat?
Infantile colic, and what not to eat, depends on the cause of the colic. First, it is necessary to understand that infant colic is due to the immature development of the gastrointestinal function in infants. If some foods are not fully digested and absorbed, it can lead to increased accumulation of gas in the gut, thereby stimulating the nerves of the intestinal mucosa and causing colic. For such infants, it is best to avoid spicy, stimulating, and indigestible foods in the diet, such as potatoes, sweet potatoes, corn, etc. These foods are not easily digested and tend to produce gas. Additionally, it is important to avoid overeating, which can overburden the stomach and intestines, leading to symptoms of indigestion. Therefore, for symptoms of colic, the main approach is to control the diet, eat smaller, more frequent meals, and avoid overeating, which can worsen the burden on the stomach and intestines and exacerbate the symptoms.
What to do with baby's sudden rash?
If a child develops sudden exanthema, parents need not be overly worried, as this condition is a rash-causing disease due to herpes virus infection and it can heal on its own. Often, the child may experience high fever for three to five days, during which physical cooling techniques and oral antipyretics can be used for symptomatic treatment. It is also appropriate to ensure the child drinks plenty of water and eats nutritious food. Once the fever symptoms alleviate, scattered rose-like rashes may appear on the child's face and trunk, which can fade on their own. During this period, symptoms of indigestion or itchy skin may occur, and taking calamine for itch relief and oral probiotics can help alleviate symptoms of digestive upset. (The use of medications should be conducted under the guidance of a physician.)
What are the symptoms of infantile colic?
Infantile colic is more common and mostly occurs in infants under three months of age. It is characterized by paroxysmal crying, with the infant crying loudly for several hours. During an attack, the face often turns flush, the area around the mouth is pale, and the abdomen is bloated and tense. This is usually accompanied by tightly clenched hands, and symptoms may slightly relieve after passing gas or having a bowel movement. There are many causes of colic, often related to the infant's own constitution, especially food allergies which can exacerbate symptoms. Additionally, respiratory infections, abdominal chilling, overeating, or accumulation of intestinal gas can also trigger symptoms of colic.
Can infants with colic drink probiotics?
Infants with colic can consume probiotics because colic is largely due to the immature digestive system of the infant. If the abdomen is exposed to temperature changes, overfeeding occurs, or certain nutrients in the food are improperly combined, it can lead to intestinal gas and indigestion, triggering symptoms of colic. Oral probiotics can alleviate these symptoms and reduce the incidence of colic. Additionally, it is important to strengthen abdominal care for the baby to prevent exposure to cold, and abdominal massages can also help. Massage around the navel in a clockwise direction for 5-10 minutes to promote intestinal gas expulsion, which can also help relieve colic. To gradually alleviate infant colic, the above methods should be used. As for the choice of probiotics, it is still necessary to first identify the cause and then provide targeted quality treatment.
Will eating oysters cause early puberty in children?
Children eating oysters will not lead to precocious puberty, because oysters mainly contain protein and the trace element zinc. Precocious puberty is primarily caused by the intake of hormone-like foods, which disrupts the endocrine function in children, especially sex hormones such as estrogen and androgen. Oysters do not generally contain hormones, so there is no necessary connection between eating oysters and precocious puberty. However, it should also be noted that although oysters are nutritious, they are not suitable for excessive consumption because they are seafood products, and overeating may cause allergies or symptoms of indigestion. For precocious puberty, it is mainly about avoiding the intake of high-calorie foods and hormone-like foods in daily life, especially some out-of-season foods and the use of cosmetics containing hormones, which can all lead to precocious puberty.
Do babies with colic always want to breastfeed?
If a baby has colic, they will not continuously want to nurse. This is because colic often occurs due to intestinal gas or unexpelled intestinal secretions, causing irritable spasms of the stomach and intestines. In this case, nursing might actually worsen the symptoms of abdominal pain. Therefore, the baby often exhibits inexplicable crying and appears to be in severe pain, with symptoms including curled legs, occasional abdominal distension, and abdominal tympany upon percussion. At this time, the baby may refuse to eat. Therefore, when colic occurs, we can alleviate it through abdominal massage and by performing gas-relieving exercises. Since colic is a clinical manifestation of digestive dysfunction, it is advisable in daily life to supplement with probiotics, and to provide abdominal massages and dietary adjustments, including eating light, liquid, and easily digestible foods, to help relieve colic.