Children love to stick out their tongues

Patient's question:

My daughter is less than two years old. A week ago, she was particularly fond of sticking out her tongue and also cried a lot. After her first birthday, it improved somewhat, but now she is again particularly fond of sticking out her tongue. Her sleep is not very good, and she often gets up two or three times at night and cries. Recently, she loves to bite her clothes. She has just grown 10 teeth. Her big toe on her foot is larger and protrudes inward. Is this related to calcium deficiency?
First follow-up question: In addition, her lips are always red. The doctor said it's due to "excess heat" (or "fire" in the body), and taking some "heat-clearing oral liquids" or herbs like "Jinxianglian" or "Cangshi Song" has slightly helped, but not very effectively. It returns to normal after a day or two. Is this normal?
Second follow-up question:

Doctor's answer:

There are several possible reasons why a child might stick out their tongue. One is a habit, which could be learned from adults or others and may develop over time into a habit. Another is Tourette syndrome, often accompanied by difficulties in concentration and learning. Additionally, there is an atypical form of epilepsy, which can be ruled out through an electroencephalogram (EEG). Of course, if the frequency of sticking out the tongue is high, it is advisable to have a medical check-up at the hospital.

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