

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

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.

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.