Posts for category: Child Health Care
At some point in our childhood, we might have experienced chicken pox. While chicken pox most often occurs in children under the age of 12, it can also occur in adults who never had it as children.
Chickenpox is an itchy rash of spots that look like blisters and can appear all over the body while accompanied by flu-like symptoms. Chickenpox is very contagious, which is why your pediatrician in places a strong emphasis on keeping infected children out of school and at home until the rash is gone.
What are the Symptoms of Chickenpox?
When a child first develops chickenpox, they might experience a fever, headache, sore throat or stomachache. These symptoms may last for a few days, with a fever in the 101-102 F range. The onset of chicken pox causes a red, itchy skin rash that typically appears on the abdomen or back and face first, then spreads to almost any part of the body, including the scalp, mouth, arms, legs and genitals.
The rash begins as multiple small red bumps that look like pimples or insect bites, which are usually less than a quarter of an inch wide. These bumps appear in over two to four days and develop into thin-walled blisters filled with fluid. When the blister walls break, the sores are left open, which then dries into brown scabs. This rash is extremely itchy and cool baths or calamine lotion may help to manage the itching.
What are the Treatment Options?
A virus causes chickenpox, which is why your pediatrician in will not prescribe an antibiotic to treat it. However, your child might need an antibiotic if bacteria infects the sores, which is very common among children because they will often scratch and pick at the blisters—it is important to discourage this. Your child’s pediatrician in will be able to tell you if a medication is right for your child.
If you suspect your child has chickenpox, contact your pediatrician right away!
The importance of immunizations
Childhood immunizations are one of the most important safeguards against communicable diseases and their serious, long-term complications. Your pediatrician closely adheres to the vaccination schedules published by the American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC). Why? Well, there's nothing more important than your youngster's health and well-being, and immunizations effectively guard them.
Just what is an immunization?
Most immunizations are given as "shots," or injections, but some, such as the Rotavirus vaccine, are oral medications. However administered, vaccines boost your child's immune system in its battle against diseases which easily spread from person to person.
Each vaccine contains a small amount of a killed or weakened micro-organisms. These altered viruses or bacteria raise the body's defenses against a particular illness such as chicken pox. pneumonia, polio, tetanus, and more...up to 14 in all by time your child is two years old, says the CDC.
Are immunizations necessary?
Your pediatrician, his or her colleagues and decades of research prove that vaccines protect the health of individual children and of the community at large. Also called herd immunity, community immunity works best when as many babies and youngsters receive all their "shots" on schedule. Community immunity protects youngsters who cannot receive vaccines because of cancer treatment, HIV infection or other serious reason. It also shields the general population when people travel from countries which cannot provide access to these important medications.
Both the AAP and the CDC publish and recommend set vaccine schedules carried out at well-baby and well-child visits at the doctor's office. In addition, there is a "catch-up" schedule for children who have begun their immunizations late or had them interrupted by illness or other serious concern.
Your pediatrician's services
They're so important. Your child's doctor keeps your child's immunization records and can distribute them to schools, camps, college, sports, daycare and other organizations who require proof of up-to-date vaccines. The doctor also monitors your child for any adverse reactions, although typically, vaccines produce no more than:
- Localized redness and soreness at the injection site
- Low grade fever
- Pain and swelling
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.
Jaundice 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
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.
Generally, 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 Irvine pediatrician for further instruction.