Posts for category: Children's Health
By The Child & Adolescent Clinic
February 03, 2021
In the past, the most common type of diabetes to affect children and teens was type 1 diabetes. This is also referred to as juvenile diabetes. In children with type 1 diabetes, their bodies do not produce insulin, a hormone responsible for helping deliver glucose into the cells. While type 1 diabetes is quite common in children, pediatricians are also seeing a rise in type 2 diabetes in children and teens. This coincides with an increase in childhood obesity rates.
Symptoms of Type 1 Diabetes
While type 1 diabetes can appear in children of any age, it’s most commonly diagnosed in children between the ages of 5 and 6, and 11 to 13. It’s important to recognize the symptoms of type 1 diabetes early, as high blood sugar levels can lead to serious complications. Symptoms of type 1 diabetes typically appear suddenly, and the most common symptoms include,
- Frequent urination, particularly at night
- Excessive thirst or hunger
- Weight loss, despite increased appetite
- Cuts, bruises, and wounds that don’t heal or are slow to heal
Symptoms of Type 2 Diabetes
Unlike type 1 diabetes, type 2 diabetes symptoms usually appear gradually. While type 2 diabetes has always been considered “adult-onset” diabetes, this has changed over the years, thanks to the obesity epidemic in children. If your child is obese or overweight, they may be at an increased risk for developing type 2 diabetes. Symptoms of type 2 diabetes are similar to type 1 diabetes, the only marked differences in symptoms are,
- Blurry vision
- Severe fatigue
- Tingling or numbness in the hands and feet
Treating Diabetes in Children
Even though there is no cure for diabetes, there are ways that your child’s pediatrician can help manage their symptoms. The goal of treatment is to control blood sugar levels to prevent complications and lessen symptoms.
The standard treatment includes managing diabetes through insulin therapy, which involves either daily insulin injections or an insulin pump. You will also need to monitor your child’s blood sugar levels throughout the day. Along with insulin therapy, you will also want to make sure that your child is eating a healthy diet and is getting regular exercise (at least one hour a day).
If your child is overweight or showing signs of diabetes, you must talk with your child’s pediatrician right away. A simple blood test can check their blood sugar levels and determine whether or not they have diabetes. Since uncontrolled diabetes can lead to serious health problems, it’s a good idea to see a pediatrician as soon as possible.
By The Child & Adolescent Clinic
December 03, 2020
A urinary tract infection isn’t just something that happens to adults. Children can also develop UTIs. Since children are more likely to suffer from kidney damage as a result of a UTI you must see your pediatric doctor right away if you suspect that your child may be dealing with a urinary tract infection. Signs and symptoms include,
- Increased urgency to urinate, even if there is no output
- Cloudy or strong-smelling urine
- A decreased output of urine
- Children may complain of a burning sensation when urinating
- Older children may complain of lower stomach or back pain
- Younger children may cry when urinating
- Wetting the bed
We know that infants and young children can’t tell us what hurts and where, so we have to look for other signs that they could be dealing with a urinary tract infection. Young children may have a fever, loose stools, refuse to eat, and be more irritable than usual. When they wet their diaper, you may notice that the urine smells strong or bad.
Diagnosing UTIs in Children
If your child is showing symptoms of a UTI you must see your pediatrician right away. A simple urine sample is all that’s needed to be able to detect the presence of bacteria. We can examine the urine sample under the microscope and provide results in a matter of minutes. The kind of bacteria that’s present will help us determine the type of antibiotics we will prescribe.
Treating Childhood UTIs
It’s important to seek treatment right away, as untreated UTIs can lead to more serious problems including kidney infections, abscesses, and sepsis. Your pediatrician can prescribe antibiotics. Your child should also be getting plenty of fluids during the course of their treatment to help flush out bacteria.
It’s also important that your child continues to take their medication even if they start to feel better (do not stop the medication). If symptoms do not improve within three days, or if they get worse, you must call your pediatrician immediately.
Our pediatrics team is here to make sure that your child gets the care they need, whenever they are dealing with everything from a fever or stomach upset to a UTI. If your child develops a UTI, talk to your pediatrician right away.
By The Child & Adolescent Clinic
September 29, 2020
Your child won’t stop rubbing their eyes. They say it’s incredibly itchy. When you go to examine it, you notice their eyes are also bloodshot and inflamed. Oh no, it sounds like conjunctivitis. Conjunctivitis, more commonly known as pink eye, is often a communicable eye infection that can be spread from person to person. If your child is dealing with symptoms of conjunctivitis you might want to visit your pediatric doctor to find out what to do.
What causes pinkeye?
In most cases, an infection is to blame. An infectious pink eye is contagious and may result from a sinus infection or ear infection. Some viruses or bacteria can lead to contagious forms of pinkeye; however, in some cases, pinkeye may develop as a result of allergies (e.g. ragweed; grass; dust mites) or being exposed to certain irritants or chemicals.
What happens if my baby has pinkeye?
If your newborn develops pinkeye you must seek pediatric care right away, as this condition can lead to severe complications if left untreated. In most cases, your newborn will be prescribed antibiotics eye drops to help clear the infection.
How do I know that it’s pinkeye?
There are a variety of telltale signs that your little one may be dealing with a nasty bout of pinkeye. If they are old enough to talk then they may tell you that their eyes feel gritty, like there is something in them. You may also notice a thick, gooey discharge. Their eyes may also be sensitive to light. Most pinkeye also causes swelling, itching, and eye pain.
How is pink eye treated in kids?
Apart from newborns, who require immediate medical attention for pinkeye, most kids and teens whose pinkeye is caused by a virus will go away without treatment once the body has fought the virus. However, if a bacterial infection is to blame, then antibiotic eye drops will be needed to treat the bacterial infection.
If your child is dealing with recurring bouts of pinkeye they could be dealing with allergic conjunctivitis, which you should also talk to your pediatrician about. They can prescribe certain allergy medications to your child to help lessen pinkeye flare-ups.
It’s important to find trustworthy pediatric care for your child or teen. Whether you are concerned with pinkeye, ADHD, or celiac disease, a pediatrician will be able to diagnose, manage, and treat a wide range of infections and conditions.
By Blaine E. Tolby, MD
June 01, 2020
Autism Spectrum Disorder (ASD) is a developmental condition that affects how a person views and interacts with the world around them, including other people. In most cases, differences become apparent by the time your child reaches 24 months. Mainly, parents notice behavioral differences and language delays. If you suspect that your child has ASD, schedule an appointment with your local pediatric office. We work with you to figure out what to do next.
Signs of ASD
Every child with ASD is different. Not everyone will have the same symptoms or experiences. With that in mind, here are some summaries on social, communication, and behavioral differences.
- Your child doesn’t keep or make eye contact
- They don’t respond to your facial expressions or smiles
- Does not reciprocate facial expressions or have the appropriate ones
- Doesn’t respond to parent’s pointing
- Has problems making friends
- Shows a lack of concern for others
- Your child hasn’t spoken by 16 months
- Repeats or parrots what others say
- Doesn’t feel the need or want to communicate
- Starts missing language and social milestones after 15 months
- Doesn’t pretend play but does have a good memory for numbers, songs, and letters
- Has an affinity for routines and schedules and does not like altering them
- Likes to twirl their fingers, sway, rock, or spin
- Has strange activities that they enjoy doing repeatedly
- They are sensitive to sounds, lights, touch, textures, and smells
- They are more interested in the parts of a toy instead of the whole thing
Don’t feel overwhelmed by the information listed above. As mentioned, a child can have a mixture of any of these behaviors. There are a few other common examples that your pediatrician sees. These give you insight into how a neurotypical child reacts in certain situations versus a child with ASD.
By the age of 12 months, your child should turn their head when they hear their name. A child with ASD won’t respond even if their name is called multiple times.
By 18 months, a child with speech delays finds accommodations through gestures, facial expressions, or pointing. Children with ASD find no reason to compensate for speech.
After 24 months, many children enjoy bringing their parents objects or toys to look at or play with. A child with ASD may bring their parent an object but will not play with their parent or respond to their reaction.
By Blaine E. Tolby, MD
May 04, 2020
Parents want the best for their child, which is why check-ups and appointments with their pediatricians are so important. Yet your pediatrician isn’t just available for when your child is sick or has physical ailments. They can also help with mental and behavioral conditions, including the diagnosis and treatment of ADHD. If your child struggles with focus, impulsivity, attention, or hyperactivity, schedule them for an evaluation. It’s also important to note that children must be at least four years old for a diagnosis.
The Three Facets of ADHD
There are three parts to pediatric ADHD: impulsivity, inattention, and hyperactivity. Each of them is signs and are necessary for a diagnosis. Here is some information about each of them.
Inattention: your child spends a lot of time daydreaming or not paying attention, struggles to listen, is easily distracted, makes careless mistakes, rarely finishes tasks, and is disorganized to the point of losing or forgetting important things.
It’s important to understand that children with ADHD can pay attention, it’s just harder with topics that don’t interest them. They can tune out when tasks get repetitive. Working with them to organize their schoolwork and tasks is essential. Try to provide them with a quiet and calm environment to work in.
Impulsivity: your child can’t wait or acts without thinking, interrupts others, and has problems taking turns.
Children with ADHD have trouble with self-control, which leads to the impulsive characteristics mentioned above. They have a harder time censoring themselves. This results in them invading people's personal space or asking overly personal questions. Impulsivity problems also lead to moodiness and overreactions.
Hyperactivity: your child seems to constantly be moving, without being able to sit still without squirming. They also talk too much and loudly, often playing in areas that aren’t permitted.
It’s normal for younger children to have high energy levels. It’s only when your child seems to be constantly moving that it could be an issue with hyperactivity. When they do sit still, they are still moving. They may tap their fingers, shake their legs, or move their feet.
A diagnosis won’t happen right away. There are many steps in the process before an accurate understanding is available. Your pediatrician will most likely want statements from not just you and your child, but other caregivers and teachers.
At the appointment with your child’s pediatrician, they’ll want you and others to fill out a questionnaire about your child’s behavior. Symptoms need to be present in multiple settings, like at home and school and cause issues at both.
The criteria change depending on your child’s age, so it isn’t one-size-fits-all. Your pediatrician will work with you to get an accurate picture of your child’s situation.