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Dr Wong Yee Ming | Peds and Allergy

@drwongyeeming

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Paediatrician| Allergy
MSc Allergy & Immunol(UCC),
Paediatric Allergy Training 1-3 (RCPCH),
Columbia Asia Bukit Jalil
Appt: 018-5742480 (WhatsApp)

POSTS STORIES REELS

Freezing soft toys does kill dust mites, but it does not remove the allergens they leave behind.

For children with eczema, allergic rhinitis or wheeze, this distinction matters.

A simple way to think about it:
Killing mites is one step
Removing allergens is what improves symptoms

Washing remains the most effective method.

Of course, sublingual Immunotherapy may work to reduce your dust mite allergy symptoms, but even then, you still need certain measures to control symptoms before it starts working.

#drwongyeeming #childallergy #dustmite #eczema #allergicrhinitis by @drwongyeeming

The milk allergy ladder(iMAP Milk Ladder) was originally developed for non-IgE-mediated milk allergy, primarily to address gut symptoms. Initially, it was not intended for all types of milk allergy. Despite the lack of comprehensive data, physicians and pediatricians began adopting the ladder in clinical practice, which alarmed the inventors—who were dietitians. However, real-life outcomes showed that the ladder was beneficial when used under medical supervision.

As more data was collected, the milk allergy ladder gained popularity. Many countries have since created their own versions tailored to local foods, such as the Indian and Mediterranean milk allergy ladders, which have been verified and tested. While Malaysia does not yet have its own version, a general guideline can be used. It is essential to follow this guideline under the supervision of a physician or pediatrician with expertise in allergies.

By working closely with healthcare professionals, parents can safely navigate the milk allergy ladder, ensuring their child's health and well-being.

#WorldAllergyWeek
#drwongyeeming #milkallergy #foodallergy by @drwongyeeming

Egg Allergy Ladder Guidance

Managing your child's egg allergy involves careful introduction of egg-containing foods to minimize allergic reactions. Please follow this structured approach under the guidance of your healthcare provider:

1. Start with Extensively Heated Forms: Begin with baked goods or products where eggs are thoroughly cooked, such as muffins or cakes.

2. Move to Less Processed Forms: Introduce lightly cooked eggs, such as scrambled eggs or omelets, once your child tolerates extensively heated forms without reaction.

3. Gradually Introduce Fully Cooked Eggs: Progress to fully cooked eggs, like hard-boiled eggs or poached eggs, after successfully tolerating less processed forms.

Important Notes:
1) Consultation: Always consult with your pediatrician or allergist before introducing new foods.
2) Monitoring: Watch for any signs of allergic reaction during and after food introduction.
3) Label Reading: Read food labels carefully to avoid accidental exposure to egg ingredients.

By following this structured approach and maintaining communication with your healthcare team, you can help manage your child's egg allergy effectively.

Sincerely,

Dr Wong Yee Ming
Your friendly neighborhood child specialist
Columbia Asia Hospital Bukit Jalil

#WorldAllergyWeek
#eggallergy #drwongyeeming by @drwongyeeming

Great to be at Klinik Kesihatan Sungai Besi, sharing knowledge on rotavirus infection and vaccination!

Did you know rotavirus can cause severe diarrhoea and dehydration in young children? Vaccination provides around 90% protection against severe disease.

A big thank you to Dr Adam (FMS), the Medical Officers and nurses for the warm welcome and engaging discussion!

Special thanks to MSD for supporting this educational session.

Always a pleasure to share knowledge with fellow healthcare professionals! 😊

#Rotavirus #Vaccination #Paediatrics #MedicalEducation #DrWongYeeMing by @drwongyeeming

A small milestone at MPA 2026! 😄

Nothing too fancy, just a simple poster on food allergen sensitization patterns among Malaysian children in private paediatric practice.

After approaching 200 skin prick tests (SPTs) in my clinical practice, I'm finally starting to have some meaningful local data to look at!

Of course, this poster represents only part of the data collected so far, and sensitisation doesn't necessarily mean clinical allergy. But at least we're beginning to understand some of the patterns we see in everyday practice.

Baby steps! Hopefully, we can build on this and come back with something even better next year.

Glad to have collaborated with Dr Alvin Pung on this little project. Always nice to turn everyday clinical work into something we can learn from and share.

For those interested, I've also prepared a digital version of the poster with more information:

🌐 drwongyeeming.com/mpa2026

#MPA2026 #SkinPrickTest #FoodAllergy #ClinicalResearch #DrWongYeeMing by @drwongyeeming

🥚 Is egg yolk really safer than egg white for babies?

Not necessarily! 👀

While most immediate egg allergies involve egg white, studies from Japan have also reported egg yolk-triggered FPIES, causing repetitive vomiting 1–4 hours after eating.

✅ No need to deliberately separate egg yolk and white.
✅ Introduce small portions of well-cooked egg.
✅ If tolerated, continue offering it 2–3 times weekly.

💡 Egg yolk first doesn’t guarantee a safer introduction!

🌐 For more paediatric allergy resources, visit drwongyeeming.com

#EggAllergy #FPIES #BabyWeaning #FoodAllergy #drwongyeeming by @drwongyeeming

🥚 Your child had an egg allergy. Can they really try egg again at just 1 year old?

Yes, it's possible! And you might be surprised that some children can tolerate baked egg even when they react to other forms of egg.

One thing I often remind parents: An egg allergy doesn't necessarily mean avoiding eggs for years.

With proper assessment, some children may be ready for a supervised baked egg challenge, followed by an egg ladder when appropriate.

The goal? To safely expand their diet rather than avoiding egg longer than necessary.

Every child is different, but age alone shouldn't stop us from exploring the possibilities!

#EggAllergy #FoodAllergy #DrWongYeeMing by @drwongyeeming

Day 2 at APAPARI 2026 🇯🇵

Another day of learning, sharing ideas, and catching up with the Malaysian gang! 🇲🇾

Great to reconnect with Prof Intan, @k_nisa_mn and the UPM Allergy & Immunology fraternity, alongside fellow colleagues from Malaysia. @drkentwoo was around too, but unfortunately we didn't get the chance to catch up!

Always nice to see familiar faces at an international congress!

#APAPARI2026 #AllergyImmunology #DrWongYeeMing by @drwongyeeming

Day 1 APAPARI 2026 through my eyes… well, technically my upper chest. A 5'6" perspective of Kyoto! 😂🇯🇵

A day of learning, exchanging ideas with international colleagues, exploring new perspectives and finding inspiration along the way.

A little glimpse of my conference adventure, captured through Looki, my personal 3rd eye.😂

#APAPARI2026 #Kyoto #DrWongYeeMing by @drwongyeeming

Day 1 at APAPARI 2026, Kyoto 🇯🇵

An eye-opening experience learning from international experts, exchanging ideas with fellow peers, and discovering new perspectives in paediatric allergy and immunology. Always something new to learn, and plenty more to explore!

#APAPARI2026 #PaediatricAllergy #DrWongYeeMing by @drwongyeeming

Not every sniffle is just a cold. I recently learned that 2 in 3 babies will get RSV before their first birthday. RSV can lead to very serious complications like pneumonia and bronchiolitis, and more than 80% of RSV hospitalisations actually occur in healthy children. There is no specific treatment for RSV.

Do you know how to prevent RSV?

October is RSV Awareness Month. Talk to your paediatrician or other healthcare professionals about RSV prevention options for your baby. Visit TogetherAgainstRSV.my to learn more.

#TogetherAgainstRSV #InCollaborationwithSanofi by @drwongyeeming

Going back to work doesn’t mean you have to stop breastfeeding! 🤱🏻💼

With consistent pumping and the right breast pump, working mums can better maintain their breastfeeding journey. 💗

#MomUung #BreastfeedingJourney #WorkingMum #BreastPump #drwongyeeming by @drwongyeeming