My Blog
By The Child & Adolescent Clinic
November 04, 2021
Category: Children's Safety
Tags: Concussion  
ConcussionA concussion is a traumatic brain injury that occurs as a result of a blow to the head. Since concussions can be serious, it’s important that you’re able to recognize the telltale signs of a concussion so you can seek immediate treatment. While your pediatrician may be able to provide you with immediate treatment, any serious symptoms should be addressed right away at your nearest emergency room.

What can cause a concussion?

The majority of concussions in children occur while playing sports; however, a traumatic injury or accident such as a car accident or bad fall can also leave your child dealing with a head injury. Some concussions may lead to a loss of consciousness, but most of the time this isn’t the case.

What are the warning signs?

Some of the most common symptoms of a concussion include:
  • Headaches
  • Tinnitus (ringing in the ears)
  • Nausea and vomiting
  • Fatigue
  • Dizziness or lightheadedness
  • Drowsiness
  • Loss of balance or unsteadiness
  • Trouble with cognition, particularly attention, focus, and memory
A child may look dazed or slur their speech. They may also be more irritable and fussy, as well as sensitive to certain lights or noises.

If your child is alert and responds and acts normally these are often signs that the head injury is mild and probably won’t require emergency care; however, even if your child doesn’t require urgent care you should schedule an appointment to see your child’s pediatrician within the next 48 hours.

When is a concussion considered an emergency?

You should take your child to the ER right away if they develop these symptoms after a head injury:
  • Persistent nausea or vomiting
  • Loss of consciousness for more than 30 seconds
  • A worsening headache
  • Fluid draining from the eyes or ears
  • Vision problems including dilated pupils
  • Persistent tinnitus
  • Weakness in the arms or legs
  • Changes in behavior
  • Slurred speech
  • Trouble with coordination such as stumbling or falling
  • Seizures
  • Persistent dizziness or lightheadedness
  • Disorientation
If your child is showing signs of a concussion, we understand how scary this can be. Don’t hesitate to call your pediatrician right away, who can advise you as to what next steps to take.
By The Child & Adolescent Clinic
October 01, 2021
Category: Child Care
Tags: Potty Training  
Potty TrainingPotty training is a big moment for your child and is something that may challenge them in many ways. Unfortunately, many young ones do struggle during this process and may find it very hard to understand. Is your child struggling, and you're at your wit's end? If so, a pediatrician can help you and your child overcome this frustrating situation with relative ease and understanding.

Reasons Why Some Children Struggle With Potty Training 

Most children after the age of 18 months or so should have little trouble acclimating to potty training. But if your child is struggling, and you aren't sure why there are many potential reasons. Let's take a look at a few of the most common causes of potty training difficulties with children:
  • Their Bodies are Just Not Ready — Before 18 months, your child may not have the ability to control when they "go." So putting pressure on them too early may just frustrate them. 
  • They May Not Have the Developmental Abilities — Some children just progress slower than others and may need more time in a diaper before they're ready to potty train. 
  • The Idea of Potty Training is Boring or Scary — Many children find potty training boring or even scary and may struggle to get used to the idea of "going" outside their diaper. 
  • Fear of Accidents May Develop Early — Your child wants to make you happy, and if they have accidents or fear them, they might struggle with potty training. 
You may also run into situations where a child just doesn't want to learn and refuses. Even though the child knows what you want them to do and could do it, they just don't want to listen. Any of these situations are very frustrating. As a result, you might need to work with a pediatrician who understands this situation and who can help your child start "going" when the time is right. They can help:
  • Assess while your child is struggling 
  • Talk with the child to understand their concerns 
  • Find a solution that makes sense for them 
  • Work with you and your child to get great results 
  • Adjust their care methods, as they need
Give Your Child a Helping Hand 

If you think you need help getting your child to use the potty, it might be time to reach out to a professional you can trust to help. A great pediatrician and medical team can provide you and your child with a better understanding of why they don't want to use the potty. And it can also take some of the load off your back as a parent. Frankly, you deserve some rest and relaxation.
By The Child & Adolescent Clinic
September 01, 2021
Category: Pediatric Safety
Hand, Foot and Mouth DiseaseHand, foot and mouth disease isn’t a childhood infection that’s often discussed but should be. After all, this communicable viral infection is more common in young children than most people realize. If you are concerned about hand, foot and mouth disease, or would simply like to know more, your pediatrician can certainly provide you with the information you need. In the meantime, here are some FAQS that can help you get the facts on this contagious infection.

Is hand, foot and mouth disease dangerous?

While the name might make this condition sound rather frightening, the truth is that many kids under the age of five develop this illness. This is because these viruses are quite contagious. Even though this most often impacts young children, this infection can also present in older children, teens, and even adults.

What are the symptoms?

The incubation period for hand, foot and mouth disease is about 3-6 days from exposure. At first, symptoms may appear mild and look similar to the common cold (e.g. runny nose, fever, and sore throat); however, blisters will then start to develop within the mouth and on the body (often the palms of the hands and soles of the feet).

How is it diagnosed?

A diagnosis is often made by a pediatrician through a simple physical evaluation. They will go through your child’s medical history, examine the blisters and ask questions about your child’s symptoms to determine whether this could be hand, foot and mouth disease. Some testing may be performed to rule out other conditions.

How is hand, foot and mouth disease treated?

Unfortunately, there isn’t a medication that will get rid of hand, foot and mouth disease. Like most viral infections, the infection just has to run its course; however, there are certain things your pediatrician may prescribe or recommend that you do to ease your child’s symptoms. For example, ibuprofen may be recommended to help ease the pain as well as your child’s fever. Of course, it’s always a good idea to speak with your pediatrician before you start your child on any medication, even over-the-counter medications.

If your child develops symptoms of hand, foot and mouth disease it’s important that you see your pediatrician as soon as possible for an evaluation, as they will want to make sure that this is truly what’s causing their symptoms.
By The Child & Adolescent Clinic
July 30, 2021
Category: Child Health Care
Tags: Glasses   Vision Screenings  
GlassesWe all want our children to be healthy and to have the best chance for success, especially once they start school. Of course, your child must be getting regular vision screenings with their pediatricians. After all, vision is critical to your child’s ability to learn, communicate, and understand, and vision problems can impact your child’s school performance and quality of life. Could your child need glasses? Here are some telltale signs.

You Catch Them Squinting When Reading

When your eyes have trouble focusing on an image, squinting may actually help your child see or focus better. Your child may squint when reading anything far away such as a menu behind a restaurant counter or when reading the chalkboard at school. Your child’s teacher may even let you know that your child needed to move closer to the front to see what was written on the chalkboard. This is a telltale sign that your child needs to have their vision evaluated by their pediatrician.

Sitting Close to the TV

Another sign that your child may have trouble with their vision is if they put phones and other electronic devices close to their face to see it. Your child may also sit really close to the TV. These could be signs of nearsightedness.

Nightly Headaches

If your child’s eyes have been overworked and straining all day your child might complain of frequent headaches, particularly in the evening.

Difficulties in School

When parents and teachers notice that their child is having trouble focusing on work they may immediately think that they have ADHD, but sometimes bad vision is actually the culprit. If your child can’t properly see the board, it’s no surprise that their attention focuses on other things. This is when you should talk to your child and find out if they are having trouble seeing the board. It might not be behavioral issues, it might just mean that they need to get an eye exam.

If you are noticing changes in your child’s vision, or if your child mentions having blurry vision or trouble seeing, you must schedule an appointment with your child’s pediatrician as soon as possible. While your pediatrician does have the tools necessary for hearing and vision screenings, they can also refer your child to a pediatric optometrist who can provide further and specialized vision testing and fit them with glasses, if necessary.
By The Child & Adolescent Clinic
June 25, 2021
Category: Children's Safety
Preventing Pediatric Heat StrokeClimate change has certainly caused the temperatures to climb here in the US, especially during the summer. While we know that kids love to play outdoors, when temperatures are high this could increase your child’s risk for heat exhaustion and heatstroke. While we certainly don’t want to wreck your child’s fun, you must be keeping your child safe from the heat. If you do have any concerns about symptoms, don’t hesitate to call your pediatrician right away.

Any temperature over 90F poses a serious health risk, especially to kids. When temperatures are at or above 90F here’s what you can do to keep your little ones safe:

Find an air-conditioned environment: If you don’t have AC in your home, it’s important to find a space that does. Make an action plan for where you can go if the temperatures become so high that you cannot safely stay in your home. You may need to stay with someone who does have AC or find free spaces such as a public library, which should also have AC.

Drink (lots of) water: You and your children must be also drinking enough water, especially on those super-hot days. While kids should normally get eight 8-oz glasses of water if a child is particularly active or it’s hot out, they must be drinking even more water to replenish what’s being lost.
Infants who are still breastfeeding should also be given additional breast milk, especially if they are under 6 months old. It’s also important to recognize the warning signs of dehydration in kids. If your child or infant is showing these warning signs, you need to call your pediatrician right away.

Wear the appropriate clothes: Just as you need a coat and gloves to protect your skin during the cold winter months, you also need to wear the appropriate clothes for those brutally hot days. Make sure your child is wearing light-colored clothes made from lightweight, absorbent materials that will wick away sweat. Since kids are less likely to sweat than adults, it’s important to keep them in the coolest and lightest clothes possible.

Stay cool: Whether jumping through the sprinkler system or simply hopping in a cold shower, there are easy steps you can take to help your child cool down when they complain of being too hot! If there is a swimming pool nearby, this is also a great and fun way to keep cool.

Whether you have questions about keeping your child safe during the summer months or you simply need to schedule their next well-child visit, a pediatrician is going to be the first doctor you turn to for your child’s health and wellbeing. Keeping your child safe this summer doesn’t have to be difficult, but if you have questions or concerns don’t hesitate to call.




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