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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 infant lactose intolerance be self-healing?
Whether infant lactose intolerance can self-heal needs to be identified as either congenital or secondary. If it is congenital lactose intolerance, it means that the baby's own intestines cannot produce lactase, and thus the symptoms of lactose intolerance cannot be alleviated. However, secondary lactose intolerance, such as that caused by chronic diarrhea or infection which leads to a reduction in lactase, can be recoverable. The reduction in lactase production caused by chronic diarrhea does not mean that the intestines have lost their normal function to secrete lactase. Therefore, by using lactose-free formula or avoiding foods containing lactose, the normal intestinal flora can be repaired, achieving relief from the symptoms of lactose intolerance. Additionally, if there is a viral infection, particularly rotavirus infection-induced lactose intolerance, it can also be alleviated through dietary adjustments to promote the repair of the intestinal flora. Therefore, the treatment of lactose intolerance should vary from person to person, and it is important to identify early whether it is primary or secondary.
Can infantile colic cause vomiting milk?
Intestinal colic can cause vomiting. There are many reasons for intestinal colic, mainly due to the incorrect nursing posture of the mother and the baby swallowing a large amount of air when crying, leading to intestinal bloating, which then causes intestinal irritation. Additionally, it could be due to the high protein and sugar content in breast milk or formula, which increases the load on the baby's digestive system, leading to intestinal bloating and stimulating bleeding from intestinal colic. Any painful stimulus can lead to intestinal colic in babies. During pain, some of the body's emergency responses, such as gastrointestinal spasms and stomach contractions, can lead to vomiting. Therefore, it is crucial to control the diet for babies experiencing abdominal pain, especially those diagnosed with intestinal colic. It is important to monitor whether the baby has symptoms like abdominal bloating or abnormal stools. In daily life, adopting a diet of frequent small meals can help reduce acute intestinal occurrences and minimize irritation to the intestinal walls.
What are the effects of lactose intolerance in infants?
Lactose intolerance in children primarily causes an imbalance in the gut microbiome, leading to digestive system symptoms such as bloating, diarrhea, and abdominal pain. The main mechanism is the insufficient secretion of lactase in the baby's intestines, which fails to digest and absorb lactose in food, resulting in symptoms of lactose intolerance. In such cases, the intake of probiotics orally and reducing the intake of foods containing lactose can be helpful. If the baby is fed with formula or breast milk, taking lactase orally or switching to lactose-free formula milk for feeding can be considered. If the child has already started on solid foods, halt the intake of dairy products and simply continue feeding with solid foods, such as porridge, noodles, or rice flour. If a baby shows signs of lactose intolerance, it is crucial to monitor for symptoms of dehydration. If there are signs like poor skin turgor, low energy, or reduced urine output, it is essential to seek medical attention promptly from a specialist to manage and prevent the aggravation of dehydration symptoms.
Does drinking honey water cause early puberty in boys?
Drinking honey water will not cause precocious puberty in boys, but it is important to note that honey should only be given to children over one year old. Although honey contains certain sex hormones, the amount is minuscule and not necessarily linked to precocious puberty, as the main component of honey is sugar, which constitutes a large proportion. Other components include proteins, organic acids, and pollen. There is no report from authoritative testing that has detected animal hormones in honey. Although pollen contains a considerable amount of plant hormones, these compounds are significantly different from the hormones found in animal bodies. Thus, plant hormones do not produce hormone-like effects in the human body, nor can they cause precocious puberty in children. However, it is important to note that the sugar content in honey water is relatively high and excessive intake can lead to obesity and cause abnormal development of dental health in children, including symptoms of tooth decay.
What are the early symptoms of mumps?
Mumps in children is a contagious disease, and its complications can cause significant damage to the body. Its early symptoms often manifest as swelling below the earlobe, sometimes starting on one side and then appearing on the opposite side a few days later, or swelling can occur simultaneously on both sides, including the entire area around the earlobe, often with noticeable redness and tenderness. Additionally, affected children may also experience fever, headache, sore throat, loss of appetite, and nausea. Diagnosis can be confirmed through lymph nodes in the neck and an ultrasound of the parotid gland, and it can also be diagnosed by complete blood count and antibody tests to provide symptomatic treatment.
How to recover from pigeon chest in children?
Childhood pectus carinatum is a common clinical condition, primarily caused by a deficiency in vitamin D leading to metabolic bone disease. Its characteristics are mainly manifested by the protrusion of the sternum and flattening of the chest walls on both sides. There are several treatment methods available: First, supplement children with calcium tablets and vitamin D, promptly administer these medications, and encourage exposure to sunlight and outdoor activities during the growth process, which is beneficial for bone calcium absorption. Additionally, the child should wear a brace specifically for pectus carinatum. The brace compresses the chest cavity, causing it to protrude upward. After wearing the brace for a period, the protruding chest can show improvement. If previous treatment methods are ineffective and severe sternal deformities still occur, surgical treatment at a specialized hospital may be necessary. In daily life, the child should be cautious about their posture and body position, avoiding rolling, bending, and similar actions as much as possible to facilitate a quicker recovery.
Do infants with lactose intolerance need to switch to a different formula?
Whether to switch formula for infants with lactose intolerance should be assessed based on the specific condition of the baby. If the baby's symptoms of lactose intolerance are mild, they can be managed by adding lactase and probiotics. However, if the baby has had diarrhea for a long time, frequent bowel movements, and also shows signs of reduced urine output, decreased skin turgor, and lethargy, it indicates a more severe dysfunction in the digestive system. In this case, it is necessary to switch to lactose-free formula to prevent exacerbation of gastrointestinal dysfunction. It is also important to pay attention to the baby's food hygiene and hand hygiene in daily life, especially during the peak season of diarrhea in autumn. It is advisable to get vaccinated in advance to prevent the transmission of other digestive system diseases.