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Posts for category: Child Health Care

By Lansdale Pediatric and Adolescent Medical Associates
July 03, 2019
Category: Child Health Care
Tags: Child Care   Physical Exam  

Once your child is born it’s amazing just how quickly they grow and develop. It seems like you blink and suddenly they are talking and walking. During these important milestones it’s also important to have a pediatrician that you turn to regularly to make sure that these developmental milestones are being met and that your child is healthy. After all, if there are any problems you want to find out as soon as possible when early medical interventions can make all the difference.

From the moment your child is born until 2 years old, your pediatrician will most likely want to see them every six months for wellness check ups. After your child turns 2 years old you should still bring them in once a year for a routine physical exam and preventive care. Along with checking your child’s vital signs and monitoring their height and weight your pediatrician will also check hearing, eyesight, respiration, cardiac activity and reflexes.

A physical exam will check all systems of your child’s body to make sure that everything is functioning properly. If your child’s doctor does detect a problem it can be treated immediately. Along with a physical exam your child will also undergo any additional screenings and vaccinations that are necessary for maintaining optimal health.

Furthermore, your pediatrician can also recommend workout routines and appropriate physical activity for your child based on their current health and lifestyle, as well as recommendations on diet, sleeping habits and even their emotional and behavioral health. Even if a pediatrician won’t be able to fully treat all conditions they can still refer your child to a specialist who will be able to handle a specific health problem or injury.

Once a child is old enough to go to school it’s also important that parents schedule their child’s sports physical so that they can participate in physical activity and school sports. An annual sports physical can detect past injuries and other problems that could affect your child’s ability to participate in certain activities.

These physical exams are often mandatory before a child can play school sports; however, even if it isn’t mandatory you should still bring your child in once a year for a comprehensive sports physical to make sure that they are healthy enough for certain physical activity.

Make sure your child is seeing their pediatrician regularly for care, not just when they are sick but also to ward away infections and other health problems. Schedule your child’s next physical exam today.

By Lansdale Pediatric and Adolescent Medical Associates
September 15, 2017
Category: Child Health Care
Tags: Sick Child   Common Cold   Sinusitis  

Common ColdMany people mistake a common cold for sinusitis, and vice versa, as the symptoms of a cold and a sinus infection can be quite similar to each other because the same viruses often cause both conditions. Additionally, since the nose and sinuses are connected, it is possible for viruses to move easily between the nasal passages and the sinuses. 

 

Your child may feel run down, have a low-grade fever, post-nasal drip and a sore throat. So is it a common cold or a sinus infection? Typically, a cold can definitely morph into a sinus infection, but there are some classic symptoms for each illness that can help distinguish between the two.

 

The Common Cold

With a cold, there is a cluster of symptoms that your child might be experiencing, including:

 

  • Nasal congestion
  • A run-down feeling
  • Runny nose with clear discharge
  • Sneezing
  • Sore throat
  • Post nasal drip
  • Fever may be seen in children, but not often in adults

If your child has a cold, they may even experience a cough or a headache, and it can often last from three to seven days with or without any treatment. Your child develops a cold from a virus in which the symptoms usually build slowly over the course of a day or two, peak by days three or four, then slowly improve around the fifth or seventh day. 

 

With a cold, treatment might include supportive care, fluids and chicken soup. Drinking plenty of water is also beneficial as it helps to hydrate your child. By hydrating your child through water consumption, you can help to flush out the infection because it liquefies the mucus. There are also medications available to help make your child more comfortable as the cold passes.

 

Sinusitis

Sometimes colds can set in the sinuses and cause swelling, which then prevents the flow of mucus and turns the cold into a sinus infection.  Sinusitis is the inflammation of the sinuses that can be caused by a cold, an infection or allergies. Any swelling of the sinuses can produce symptoms such as:

 

  • Pressure or pain behind the eyes or cheeks
  • Pain in the top teeth
  • Congestion
  • Green or yellow nasal drainage
  • Headache
  • Post nasal drip

Your child may also complain of being tired, having a difficult time breathing through his or her nose, decreased sense of smell and restless sleep. If your child develops a cold every month or every other month, this is because his or her sinuses are flaring up and it is probably not a cold, but chronic sinusitis. 

 

The main difference between a common cold and sinusitis is that a cold comes around once a year and lasts for three to five days, and then is gone and your child most likely will not experience it again until next year.  Acute sinusitis typically lasts less than four weeks, with chronic sinusitis lasting more than 12 weeks. So if your child’s symptoms last more than a week, odds are they are experiencing a sinus infection and should visit your pediatrician. 

 

By visiting your child’s pediatrician, you can help your child breathe easy once again. Whether it is a common cold, or a more serious sinus infection, your child’s pediatrician is available to help relieve their symptoms. 

By Lansdale Pediatric and Adolescent Medical Associates
September 06, 2017
Category: Child Health Care
Tags: Bedwetting  

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. 

By Lansdale Pediatric and Adolescent Medical Associates
August 01, 2017
Category: Child Health Care
Tags: Infant Jaundice  

Infant Baby SleepingJaundice is a common condition in newborns, caused by excess yellow pigment in the blood called bilirubin, which is produced by the normal breakdown of red blood cells. When bilirubin is produced faster than a newborn’s liver can break it down, the baby’s skin and eyes will appear yellow in color.

In most cases, jaundice disappears without treatment and does not harm the baby. However, if the infant’s bilirubin levels get too high, jaundice can pose a risk of brain damage. It is for this reason that the American Academy of Pediatrics (AAP) recommends that all infants should be examined for jaundice within a few days of birth.

Is it Jaundice?

When parents leave the hospital with their newborn, they will want to look for signs of jaundice in the days following, as the condition usually appears around the second or third day of life. Most parents will be able to detect jaundice simply by looking at the baby’s skin under natural daylight. If you notice your newborn’s skin or eyes looking yellow, you should contact your pediatrician to see if jaundice is present.

Also, call your pediatrician immediately if your jaundiced newborn’s condition intensifies or spreads. The following symptoms may be warning signs of dangerously high levels of bilirubin that require prompt treatment.

  • Skin appears very yellow
  • Infant becomes hard to wake or fussy
  • Poor feeding
  • Abnormal behavior
  • Feverish

Treating Jaundice

While most infants with jaundice do not require treatment, in more moderate to severe cases treatment will be recommended. Some infants can be treated by phototherapy, a special light treatment that exposes the baby’s skin to get rid of the excess bilirubin. Infants who do not respond to phototherapy or who continue to have rising bilirubin levels may be treated with a blood transfusion.

Always talk to your pediatrician if you have questions about newborn jaundice. 

By Lansdale Pediatric and Adolescent Medical Associates
July 05, 2017
Category: Child Health Care
Tags: Sick Child   Fever  

FeverGenerally, a fever is brought on by an infection from a virus or bacterial infection. While many times a parent’s first instinct is to worry when their child has a fever, it’s not necessarily a sign that something serious is taking place. That’s because a fever is the body’s normal, infection-fighting response to infection and in many cases is considered a good sign that the child’s body is trying to heal itself.

When to Visit Your Pediatrician

Fevers are one of the most common reasons parents seek medical care for their child. Most of the time, however, fevers require no treatment.

When a child has a fever, he may feel warm, appear flushed or sweat more than normal—these are all common signs. So, when does a child’s fever warrant a pediatrician’s attention?

You should call your pediatrician immediately if the child has a fever and one or more of the following:

  • Exhibits very ill, lethargic, unresponsive or unusually fussy behavior
  • Complains of a stiff neck, severe headache, sore throat, ear pain, unexplained rash, painful urination, difficulty breathing or frequent bouts of vomiting or diarrhea
  • Has a seizure
  • Is younger than 3 months and has a temperature of 100.4°F or higher
  • Fever repeatedly rises above 104°F for a child of any age
  • Child still feels ill after fever goes away
  • Fever persists for more than 24 hours in a child younger than 2 years or more than 3 days in a child 2 years of age and older

All children react differently to fevers. If your child appears uncomfortable, you can keep him relaxed with a fever-reducing medication until the fever subsides. Ask your pediatrician if you have questions about recommended dosage. Your child should also rest and drink plenty of fluid to stay hydrated. Popsicles are great options that kids can enjoy!

For many parents, fevers can be scary, particularly in infants. Remember, the fever itself is just the body’s natural response to an illness, and letting it run its course is typically the best way for the child to fight off the infection. Combined with a little TLC and a watchful eye, your child should be feeling normal and fever-free in no time.

Whenever you have a question or concern about your child’s health and well being, contact your Lansdale pediatrician for further instruction.