Posts for category: Pediatric Care
- You or your child hears a snap or grinding noise as the injury occurs
- Your child experiences swelling, bruising or tenderness to the injured area
- It is painful for your child to move it, touch it or press on it
- The injured part looks deformed
What Happens Next?
- Call 911 - If your child has an 'open break' where the bone has punctured the skin, if they are unresponsive, if there is bleeding or if there have been any injuries to the spine, neck or head, call 911. Remember, better safe than sorry! If you do call 911, do not let the child eat or drink anything, as surgery may be required.
- Stop the Bleeding - Use a sterile bandage or cloth and compression to stop or slow any bleeding.
- Apply Ice - Particularly if the broken bone has remained under the skin, treat the swelling and pain with ice wrapped in a towel. As usual, remember to never place ice directly on the skin.
- Don't Move the Bone - It may be tempting to try to set the bone yourself to put your child out of pain, particularly if the bone has broken through the skin, do not do this! You risk injuring your child further. Leave the bone in the position it is in.
Your child is eager to start the school year so they can participate in sports. That’s great news! Keeping your child active is an important part of a healthy lifestyle and sports can be a great experience for many children; however, it’s also important that your child’s pediatrician performs a yearly sports physical to make sure that they are ready for physical activity.
A sports physical is necessary for every child regardless of their current health. In fact, some schools make it mandatory for children to get an annual sports physical before they participate in any school sports. Regardless of whether this physical is mandatory or not, it’s highly advised that all children get a sports physical once a year.
Your child’s sports physical will involve going through their medical history and conducting a physical examination. The physical examination is pretty self-explanatory. We will check their vitals, as well as their height and weight. We will perform a vision test and evaluate everything from their heart and respiratory system to their musculoskeletal system. The goal of a physical exam is to make sure that your child hasn’t incurred any past injuries or developed any health problems that could be exacerbated by physical activity.
A pediatrician can also answer questions and provide counseling on nutrition, healthy weight loss or gain, and habits that could help your child’s physical health. Remember to bring any questions along with you.
Besides the physical examination, we will also sit down with you and your child and ask questions about their medical history. It’s important to be as detailed as possible. If it’s the first time they are having a sports physical it’s important to bring in a list of any supplements or medications (both over-the-counter or prescription) that they are currently taking.
We will ask a series of questions to find out if there are any serious or chronic health problems that run in the family, if your child has experienced any past injuries, if they’ve ever undergone surgery or been hospitalized, if they have any allergies or if they have any current disorders or illnesses. It’s important to provide as much detailed history as possible so that our pediatric team can perform a thorough and comprehensive physical.
Don’t wait until the last minute to schedule your child’s sports physical. It’s important to get your child on the books before the summer is gone and the doctor’s schedule fills up. You don’t want your child being benched during the season because they didn’t get a sports physical. Call your pediatrician today.
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.
Childhood asthma is more common than you might think. In fact, it is the most common chronic disorder in children, according to the Asthma and Allergy Foundation of America. Asthma is a long-term respiratory condition that causes swelling within the airways, making it different for your little one to breathe. How do you know if your child might have asthma? The telltale signs include:
- Trouble or difficulty breathing
- Wheezing or whistling when breathing in
- Tightness in the chest
- Coughing that often gets worse at night
- Fatigue, especially with exercise or play
If your child is experiencing or complaining about any of these symptoms it’s important that you schedule an appointment with a pediatrician as soon as possible. It’s important to write down the exact symptoms your little one has been experiencing, particularly because their symptoms may not be present during their evaluation. If you have a family history of asthma, this is something that your child’s pediatrician will want to know.
During the evaluation your doctor will also perform a physical exam, taking time to listen to both the heart and the lungs for signs of asthma. Sometimes a test known as spirometry will be used to test the lung function (this is most common in children over the age of 6 years old). This test is used to measure how much air is in the lungs and how quickly your child can exhale. Other tests may also be performed to check for other health issues that could be exacerbating your child’s asthma symptoms such as a sinus infection.
Asthma is serious and requires medication to keep this problem under control. While there is no cure for asthma, your pediatrician’s goal for asthma treatment is to prevent the severity and frequency of asthma attacks. We want to prevent your little one from having to rush to the hospital for a severe attack. Luckily, there are medications that your children’s doctor can prescribe to lessen asthma symptoms.
The type of asthma medication your child receives will depend on several factors including age. Infants and toddlers may require inhaled steroids to control asthma symptoms. The dosage will also change depending on your child’s age. Along with long-term medications that will be taken every day to help control symptoms and keep inflammation down there are fasting-acting medications that your child will also be prescribed (e.g. albuterol), which is only used when your little one feels an attack coming on. Before any medication is given to your child, your pediatrician will talk to both you and your little one about how to use asthma medication properly.
A new baby needs a lot of things. From bottles and car seats to high chairs and baby monitors, an expectant parent has a lot of decisions and purchases to make before baby’s arrival. Considering your baby will spend a great deal of time here, a crib is one of the most important things a parent will buy.
Whether you’re shopping for a brand new crib or receiving a hand-me-down from a relative or friend, remember to evaluate your baby’s resting place carefully to ensure it meets all of the safety guidelines. You can visit the Consumer Product Safety Commission (CPSC) website for information regarding all of these important safety standards.
There are many types of cribs available today, and parents will want to be educated about safety features and guidelines before choosing one for their baby. Here are a few helpful tips from the AAP:
- Make sure the crib meets current safety standards before purchasing it. As of June 28, 2011, new federal safety standards prohibit the manufacture or sale of drop-side rail cribs. The standards also require stronger hardware and increased durability.
- If you have a crib that was manufactured before the new safety standards were enacted, contact the manufacturer to see if they offer hardware to keep the drop side from being raised or lowered. Consider buying a new crib that meets the stronger standards, if possible.
- Read and follow the directions carefully for setting up, using and caring for the crib.
- Regularly inspect your crib’s screws and hardware, and tighten them as necessary.
- The mattress should fit snugly in the crib to prevent the baby from slipping between the mattress and the crib sides. As a general rule, no more than two of your fingers should fit between the mattress and the side of the crib.
- Do not use the crib if there are any missing, damaged or broken parts, and never substitute original parts with pieces from a hardware store. Always contact the crib manufacturer for replacement materials.
- Be sure to inspect every crib your child uses—from grandma’s house to the day care center—for safety.
- Visit the US Consumer Product Safety Commission website to see if your crib has been recalled.
- The slats of the crib should be no more than 2 3⁄8 inches apart, as widely spaced slats can trap the infant.
- All surfaces of the crib should be covered with lead-free paint, and the wood should be smooth and free of splinters.
Remember, your baby will spend many hours in his or her crib. Take special care to ensure that your baby’s sleeping place offers very little opportunity for injuries and problems. You can learn more about crib safety standards, as well as safe bedding practices by visiting www.healthychildren.org and www.cpsc.gov, or by contacting your pediatrician for more information.