Posts for category: Pediatrics
A hit to the head during a soccer game or a hard fall from skateboarding may result in a serious head injury and even a concussion. The American Academy of Pediatrics describes a concussion as any injury to the brain that disrupts normal brain function on a temporary or permanent basis. These injuries are typically caused by a blow to the head, most often occurring while playing contact sports such as football, hockey, soccer, wrestling or skateboarding.
For some children, concussions only last for a short while. Other times, a person can have symptoms of a concussion that last for several days or weeks following the injury. Not all symptoms of concussions will be obvious, and in some cases take several hours to set in. Look for these signs of a concussion if your child suffers a head injury:
- Nausea or vomiting
- Dizziness or loss of balance
- Memory loss or confusion
- Poor concentration
- Vision problems
- Irritability or changes in mood
- Sensitivity to light or noise
Seek Medical Attention
If your child injures his head or you believe he may have a concussion, it is important that the child discontinues play immediately and visits a healthcare provider for an evaluation. All concussions are serious and should be monitored right away. A pediatrician can properly diagnose the concussion and its severity, and then make appropriate treatment recommendations.
Rest from all activities is the best treatment for concussions. Your pediatrician can make appropriate recommendations for when the child should return to future play. Recovery time depends on the child and the severity of the concussion.
Preventing Head Injuries
Not all head injuries can be avoided, but you can do a few important things to prevent them.
- Buckle Up. Make sure your child is properly buckled up in a seat belt, car seat or booster seat.
- Safety Gear. If your child plays sports, make sure he wears appropriate headgear and other safety equipment.
- Awareness. Children should be taught how to play safe and understand the importance of reporting any type of head injury to their parent or coach.
All head injuries should be taken seriously. Early detection and treatment is the best way to prevent serious complications. It’s never a bad idea to contact your pediatrician when you have questions or concerns about your child’s head injury.
Kids may complain about being restrained in the car, but car seats and booster seats save lives. In fact, the National Highway Traffic Safety Administration reports that using a car or booster seat in a passenger car reduces the risk of fatal injury 71 percent in children younger than 1 and 54 percent in toddlers ages 1 to 4. The statistics are just as impressive for older kids.
What type of seat should I use for my child?
Infants and toddlers should ride in rear-facing seats until they reach the highest weight or height recommended by the manufacturer. In the past, children were routinely removed from rear-facing seats when they were 2, even if they didn't meet height or weight limits. The American Academy of Pediatrics recently changed their guidelines and now recommend that kids remain in the seats as long as possible.
Toddlers and pre-schoolers who have reached the maximum height or weight limits for rear-facing seats should use forward-facing car seats. Again, the seats should be used until the child reaches the maximum height and weight recommendations.
Once kids are too tall or heavy for car seats, they will transition to booster seats. Booster seats should be used until children are 4'9" tall and 8 to 12 years old. Older children can begin using seat belts at that point but should sit in the back seat when possible, particularly if they're younger than 13.
How can I tell if the car seat is installed correctly?
Both car and booster seats should be securely fashioned with a latch system or seat belt. If the seat moves back and forth freely, it's not installed correctly. Properly installed seats should move no more than an inch in any direction.
My child's legs seem too long for the car seat. What should I do?
You may wonder if your child should move up to the next seat or a booster seat if your child's feet touch the back of car seat. As long as your child is shorter than the maximum height for the seat, he or she should remain in the current seat.
Should my child use a secondhand car seat?
Passing a seat down to your next child can be a good idea if your children are only a few years apart in age. Before you reuse a seat for a younger child, make sure that it hasn't expired or been recalled since you bought it. Throw away car and booster seats after accidents, even minor ones. The seat may look perfectly fine but may be damaged internally.
Buying secondhand car seats online or at yard sales should be avoided. You won't necessarily know if the seat has been in an accident or if it has defective latches or restraints.
Using car seats consistently, whether you're going to the grocery store or taking a cross-country trip, can help your child avoid serious injuries due to traffic accidents. Talk to your child's pediatrician if you have questions about the seats.
Finding out you’re pregnant is a wonderfully exciting and whirlwind time. There are so many decisions to make as you watch your bump grow: What color should I paint the nursery? Do I want my little one to sleep with me? What do I need to childproof around the house? Of course, one of the most important things to think about is the health of your little one throughout the course of your pregnancy and once they are born. It’s never too soon to choose a pediatrician, and taking the time to find one you trust is important not just for your baby but also for you.
Once your little one is born they will be spending a lot of time with their pediatrician, so this is why it’s crucial that you find out that provides gentle, compassionate care and really takes time with you and your baby. The first two years of your baby’s life are so very important because this marks a significant developmental time for them, so it’s essential that you have a pediatrician that will be there to monitor their progress and detect any developmental delays or health problems right away.
The first pediatric visit will occur a few days after the birth. This first visit is vital, as it allows your children’s doctor to make sure everything functions as it should. This includes everything from reflexes to alertness to their hearing. Measurements are also taken to check their height and weight and to begin recording their development. Besides performing a physical exam to check the overall health of the baby this is also a time to answer any questions you might have about feeding schedules, habits, developmental milestones, etc.
After this initial visit, you should expect to bring your little one in for visits at:
- 1 month
- 2 months
- 4 months
- 6 months
- 9 months
- 12 months
- 15 months
- 18 months
- 24 months (2 years old)
- 30 months
- 3 years old
Once your child turns 3 years old they will only need to visit a pediatrician once a year, unless there are any health problems or concerns in the interim. These visits are imperative for every child as they are key to preventing certain illnesses through immunizations and physical checkups, tracking their growth and development, and also providing you with answers and support to help you properly care for your little one along the way. Call a pediatrician to schedule your child’s first appointment today.
In infants, toddlers and preschoolers, the most frequent cause of sore throats is a viral infection. No specific medicine is required when a virus is responsible, and the child should get better over a seven to ten day period. During this period, your child may develop a fever, but they generally are not very sick.
It is not uncommon to experience a sore throat when your child has a cold or the flu. Unfortunately, there are other reasons for sore throats to develop that may be symptomatic of more serious problems. Children tend to have sore throats more often than adolescents or adults, with sore throats being the most common during the winter months when upper respiratory infections are more frequent.
The major cause of a sore throat is an infection, whether it is viral or bacterial, and can also be caused by allergies and environmental conditions. If your child has a sore throat that lasts longer than the typical five to seven day duration of a cold or flu, and is not associated with an avoidable allergy or irritation, it is important to contact your local pediatrician. The following are signs and symptoms to alert you to take your child to the pediatrician:
- Severe and prolonged sore throat
- Difficulty breathing
- Difficulty swallowing
- Difficulty opening the mouth
- Joint pain
- Fever that is over 101 degrees
- Frequent recurring sore throat
- Lump in the neck
- Hoarseness lasting over two weeks
At the first onset of a sore throat it is always important to monitor the progress and recognize any other symptoms that may accompany the sore throat, which could cause it to worsen into strep throat, inflamed tonsils, or laryngitis. Contact your pediatrician if your child is experiencing a sore throat that won’t go away. Your pediatrician will help diagnose and treat your child’s symptoms.
Bedwetting is a common childhood problem. Many children who master toilet training during the day, usually between the ages of two and four, continue to experience episodes of bedwetting through the night. In many cases, the nighttime bedwetting incidents will gradually decrease until they have completely ceased around the age of five or six.
So, when should parents worry about their child’s bedwetting behaviors? Most pediatricians agree that it’s quite normal for children to experience occasional “accidents” and that most children will outgrow it on their own.
When to Visit Your Pediatrician
Bedwetting is rarely a serious problem. In fact, wetting up to a year after the child has successfully been toilet trained is normal. Children gain bladder control at different ages, and while most kids quit wetting at night by the age of 6, others may take a little longer. In the majority of cases, wetting does not have a medical cause.
According to the AAP, you should contact your pediatrician if your child continues to have frequent “accidents” or if you notice any of the following signs:
- Wet clothing and bed linens, even when the child uses the toilet frequently
- Unusual straining during urination, a very small or narrow stream of urine, or dribbling after urination
- Cloudy or pink urine
- Abnormal redness or rash in the genital area
- Trying to conceal wetting by hiding clothes or underwear
- Daytime wetting in addition to nighttime accidents
Parents should remember to be sensitive to their child’s wetting behavior so not to cause additional embarrassment or discomfort. Never punish the child for bedwetting. Instead, show support and encouragement by reassuring the child that it is not his or her fault and that the problem will get better.
Remember, even though childhood wetting is frustrating, it is very normal. Talk to your pediatrician if you have concerns about your child’s bedwetting behaviors.