About Experts Sitemap - Group 40 - Page 67 2014-10-28

Pediatrics: thin toe nails, smooth nails, little plum
smooth nails, little plum, toe nails: my 2 year old son s toe nails are very thin & so slow growing that they have never been trimmed in his life! ========= well thats natural sometimes it does happen. even otherwise toe nails grow very slowly. and all depends also partly on activity. his...

Pediatrics: One more thing about the 8 week old infant with frequent stools, frequent stools, loose stools
frequent stools, loose stools, moshe: Breast fed babies always have loose stools. And, as I said before, they often come after each feeding. Try to distract her and put off the feedings a little more each time--you should be able to gradually stretch it out to every 3 or 4 hours. Moshe Adler,...

Pediatrics: i think i have an eating disorder, self induced vomiting, school counsellor
self induced vomiting, school counsellor, anorexia nervosa: Hi, hayles, You re not bad. It just is that you have a serious problem. The problem is bad, not you so forget that notion. Your anorexia is just beginning. You will definitely lose more and more weight with results that will be serious unless you...

Pediatrics: i think i have an eating disorder, mirror mirror, goal weight
mirror mirror, goal weight, wonderful person: Dear Hayles, I want to thank you for the courage to write me. An Eating Disorder is a very difficult disorder to overcome but it can be done but it will be difficult to do on your own with out the help, love and guidance from some one you trust. The real...

Pediatrics: i think i have an eating disorder, goal weight, pharyngitis
goal weight, pharyngitis, eating disorder: i htink i have an eating disorder. ========= what is your age and why do you think so? i have been restricting my food to 200cals a day and making myself sick. ============ why? did you consult a psyvhiatrist? if i can i wont eat at all - but make...

Pediatrics: thinning hair, hair trauma, causes of hair loss
hair trauma, causes of hair loss, hair volume: Hi, Annie, Hair does go through phases of growth and loss and often kids have periods where the loss exceeds the growth. This is called telogen effluvium. There are countless causes of hair loss in kids, ranging from fungus, stress, hair trauma,...

Pediatrics: three day old baby only had a wet pamper in seven hours, old baby, seven hours
old baby, seven hours, stools: pamper i mean stools; they can even have once in 24-36 hrs and once in an hour too. all is normal as long as the urine number and quantity is satisfactory. urine should be passed minimum 3-4 times a day, failing which contact the doctor immediately. ...

Pediatrics: three week old poop, liquid stools, poopy diapers
liquid stools, poopy diapers, milk base: Dear Cammie: 10 stools a day is not normal and the stools just sound loose but not diarrhea. Diarrhea is all liquid stools and it comes out like colored water. I think you may want to mention her problem to her doctor as the milk base formula may not...

Pediatrics: three year old, peanut butter and jelly, heith
peanut butter and jelly, heith, fruit milk: Offer him what you think he should have as long as your ideas include normal American food like carrots, peas and other vegetables, bananas, apples and maybe other fruit, meats and chicken, especially the kind he can hold and feed himself, simple desserts...

Pediatrics: three year old with leg/back pain after atypical mycobacterial infection, serum calcium levels, c reative protein
serum calcium levels, c reative protein, negative bone scan: Dear Tams, I think she will need a chest and an abdomen MRI to carefully look for enarged internal lymph nodes that come up in lymphoid tissue malignancies like non-Hodgkin s lymphoma or leukemia. I was also thinking in terms of other bone-marrow associated...

Pediatrics: three year old son, intelligent answer, stimulus
intelligent answer, stimulus, fuss: Something in his experience has given him weird responses to these circumstances. Ask yourself who might have given him such a response and over time keep asking him why he feels as he does. He won t give you an intelligent answer but me may give you a hint...

Pediatrics: My three year old stopped eating, manipulative behavior, food issue
manipulative behavior, food issue, juices: Hi, Rosemary, The word spoiled doesn t apply in this situation. The words manipulative behavior do. I would immediately stop all references to his eating. Provide him with a plate full of food at each meal. If he eats it, fine and praise him...

Pediatrics: i have a three year old and..., running a fever, pediatrican
running a fever, pediatrican, high fever: Dear jenifer: It is true that children in day care are sick at least once or twice a month. There are a lot of different viruses circulating right now and I really do believe because your son is around other young children he is catching viruses from them....

Pediatrics: thresh, nystatin, daugher
nystatin, daugher, thrush: Dear Korina, It is called THRUSH. It can be prevented by assisting the child in cleaning her mouth thoroughly and then applying an antifungal lotion or crushed tablets of Nystatin to the affected parts of the mouth such as the tongue, the inside of the...

Pediatrics: throat infection, kem hospital, glands in neck
kem hospital, glands in neck, asthma clinic: my daughter has had a sore throat for quite some time =========== whats her age? 5 yr? likely! on and off her right tonsil is always swollen and her left tonsil is swollen sometimes too. =========== tonsilloadenoiditis and pharyngitis is common in...

Pediatrics: throwing up, flat coke, medical attention
flat coke, medical attention, chips: Dera Ronda: This web site is not to be relied on to get an immediate or same day response as we are allowed 3 days to respond. I hope that your daughter has stopped vomiting by now but if not she needs medical attention. In addition to ice chips I tell...

Pediatrics: throwing up, valentine chocolate, clear liquids
valentine chocolate, clear liquids, fatty material: Dear Alesha: The undigested chocolate your child ate could make the vomit look like raw meat. As it begins to digest it will color vomit and stools a reddish brown color. Chocolate is also fatty. I would just watch the situation. Feed her clear liquids...

Pediatrics: thrush, gentian violet, genetian violet
gentian violet, genetian violet, betamethazone: I have a feeling that my answer is not what you want to hear - remember that I am here and you are there and I have to respond in general terms- but these are my thoughts. You seem to be concerned about a baby who has no symptoms and there is no reason to...

Pediatrics: thrush, inhaled steroids, asthmatic child
inhaled steroids, asthmatic child, clotrimazole: Dear ebonie, Some of the causes of thrush include: -immunodeficiency conditions, e.g. AIDS -use of inhaled steroids,e.g. in an asthmatic child -intake of large doses of powerful antibiotics for some other condition Treatments include use of local...

Pediatrics: thrush, yeast infection, hello my baby
yeast infection, hello my baby, reoccurrence: If your breasts are infected that will explain the reoccurrence but apparently that is not the case. In my experience the most common cause is a pacifier. It falls out, rubs on the bed and other places and introduces the yeast again. A bottle nipple can...

Pediatrics: thumb sucking, liquid bandaid, band aids
liquid bandaid, band aids, korina: Dear Korina: Never, never put a bandaid on a toddler s hands. They have been known to suck them off and aspirate them and choke to death. Keep her thumb well coated with vaseline and distract her from the behavior whenver you see her put her thumb in...

Pediatrics: thyroid / hyperactivity, thyroid levels, bipolar symptoms
thyroid levels, bipolar symptoms, overactive thyroid: hyperactivity can be explained from these thyroid reports alone. we always recommend to repeat thyroid levels from another lab to confirm for sure and interpret with respect to respective lab standards. he may require antithyroid medicines ina ddition after...

Pediatrics: thyroid problem, pediatric endocrinologist, normal tsh
pediatric endocrinologist, normal tsh, glucose tolerance: Hi, Patti, She certainly is not overtly hypothyroid. The T4 is slightly low with a normal TSH. I think that your pediatrician could call the endocrinologist and basically with the symptoms she is having and the numbers, could either start meds or not....

Pediatrics: thyroid/weight, thryroid, thyroid function
thryroid, thyroid function, tsh test: Hi, Jennifer, I assume that with the thyroid issue, he is getting yearly exams. He should have a TSH test to determine his thyroid function and the need for supplementation. This will tell you whether this is purely a eating issue or is due partly to...

Pediatrics: tick bite that won't heal, triamcinolone acetonide ointment, ear nose throat doctor
triamcinolone acetonide ointment, ear nose throat doctor, american dog tick: Dear Wanda, Instead of beating about the bush, I suggest you get one lymph node out for a biopsy and culture. Simple. I understand that that will mean a surgery, but there is no easier and more viable option. He has suffered a LOT already! Tahe...

Pediatrics: ticks (not the bug), child psychiatrist, blood preasure
child psychiatrist, blood preasure, clinical diagnosis: That seems to be tick. if there is no cough paroxysma, i m not worried. your baby may need some counselling from child psychiatrist. How will high blood preasure medication help a tick? well i dont think so, but if you give me the content of tenex,...

Pediatrics: tics, pediatric neurologist, adult behavior
pediatric neurologist, adult behavior, common time: Going to a specialist because of a tic is a good way to impress the child with the fact that there is really something wrong with him. Children don t know how the body works and they don t understand anything abnormal. The circumstances you described are...

Pediatrics: How much time should I spend playing with my girls?, stay at home mom, daughters ages
stay at home mom, daughters ages, naptime: Hi, Jen, You re right, there is no correct answer to this. You are lucky, in that you do have the time and resources to stay with them and lucky that the two of them can do things with each other. Moms who are at home need to realize that they can...

Pediatrics: tingling in feet and legs of a three year old, stomach ache, tingling in feet
stomach ache, tingling in feet, neck muscles: Hi, keri, Hard to know with this multiple symptoms. Generally feet and leg pain are benign in kids and I m not sure of the significance or what it means when a three year old says they are asleep . The complaint in the neck is probably traumatic torticollis,...

Pediatrics: tiny opening above rectum by tailbone of my 7mo son., pilonidal sinus, rare possibility
pilonidal sinus, rare possibility, tailbone: Hi, Josh, This is a common abnormality called a pilonidal sinus. It is a developmental thing, there from birth and will stay. The only concern I would have is the rare possibility of infection. If it ever gets red, has pus coming out or appears infected,...

Pediatrics: tired 4 year old, stomach flu, intestinal absorption
stomach flu, intestinal absorption, careful history: Hi, michael, At close to 36 weeks, he was small, even for a twin. Being small for gestational age makes the chance increased that for his life he will be small. His current weight is very small. He sounds like a fairly sick small kid, and he needs...

Pediatrics: tired 5 year old-strep related?, amoxicillan, signs of trouble
amoxicillan, signs of trouble, duricef: Cleocin can cause some serious side effects, but I can t find being tired on the list. Watch for diarrhea, abdominal pain, jaundice (yellow color -- eyes, skin), paleness (anemia is a side effect). I m not sure why she is tired, but children who have been...

Pediatrics: titers?, childhood vaccinations, vaccination history
childhood vaccinations, vaccination history, adopting a child: Hi, Margaret, I suspect that you might be adopting a child and the question is whether or not to believe the vaccination history that is being presented. Titer determinations are not routinely done, except for varicella (cpox). I don t know the answer...

Pediatrics: My todder's urine, urinary tract infections, metabolic diseases
urinary tract infections, metabolic diseases, todder: There are two common possibilities, and a few uncommon ones. The common causes are not drinking enough, which will make the urine more concentrated and therefore it will have a stronger odor, and infection. There are metabolic diseases that may cause a funny...

Pediatrics: toddler with 2 month long cough, sinus infection, daycare
sinus infection, daycare, living in england: Coughs that last that long are often caused by allergies, and from what you wrote, it sounds like the antihistamine and nose spray were the only things that may have helped. I would continue using those. If she got worse due to a cold, that will improve...

Pediatrics: toddler ate cat feces, cat feces, stomach pain
cat feces, stomach pain, doctor tomorrow: Hi, Tarah, This is a common event. Cat feces, disgusting as it may sound, are pretty safe. I would worry about the rare parasite illness that could arise from this. If she seems to be sick with diarrhea consistently, vomiting or constant stomach pain,...

Pediatrics: my toddler baby is not well, rapid heart beat, taking liquids
rapid heart beat, taking liquids, stomach flu: Hi, Darla, A fever and being achey can elevate a heart rate. Usually about 10% elevation for each degree of fever is considered normal. Dehydration can also elevate the rate. A normal rate depends on her age, which I will guess is about 18-24 months....

Pediatrics: toddler behavior issues, child guidance clinic, toddler behavior
child guidance clinic, toddler behavior, nerve damage: i feel sorry for the irreparable deformity your child has, which can only be modified with the therapists efforts. for tackling his frustrations i recommend you to visit a child guidance clinic. also, its your duty to spend time with him making him realize...

Pediatrics: toddler behavior, good sleep habits, sleep problems
good sleep habits, sleep problems, toddler behavior: Hi, melinda, Happy New Year! Sleep problems tend to be habits that exist over a long time, especially in a two year old. I could give you a ton of advise, but her is a handout that I think will help. Your pediatrician should be a great asset in helping...

Pediatrics: toddler behavioral problem, temper tantrum, smart kid
temper tantrum, smart kid, good luck: Hi, Martha, This is head banging, a type of temper tantrum that is common in this age. I ll bet he is a smart kid and if he hits his head too hard, he will stop. He won t do this too hard to hurt himself. Ignore him when he is doing this and this will...

Pediatrics: my toddler bites himself, old son
old son: Dear Kristen: Believe it or not, I think the best approach is to use no approach. I would not call attention to the behavior and I would ignore the behavior. I am afraid your son may have found a way to push your buttons and get more attention from you....

Pediatrics: toddler constipation, enima, poor baby
enima, poor baby, enemas: Hi, Valerie, Any good pediatrician should be able to help with this. A problem from birth is something that suggests to me a more thorough evaluation by someone who is experienced in dealing with toddler constipation. Generally this problem does not...

Pediatrics: toddler constipation, glycerin suppository, fleet enema
glycerin suppository, fleet enema, miralax: Hi, Rebecca, Try a Childs Fleets enema to initially get this mass out and then go to your doctor to have him/her prescribe a long course of Miralax to keep the bowels clean and to promote better toileting habits. Right now he is retaining stools because...

Pediatrics: toddler development, communicating with sign language, momom
communicating with sign language, momom, speech evaluation: The norm for language development is a very wide range. Since your daughter has been slow in other areas of development, I would guess this might be the case with her language. She is able to follow directions so her hearing is normal. A typical 2 yr old...

Pediatrics: toddler diarreah and rash, rash cream, diarreah
rash cream, diarreah, gaining weight: First how old is your son and how long has he had diarrhea? How many times a day does he have stools...are they always loose...is he playing and developin g normally...gaining weight...have any health problems....let me know asap and i will try to hel...

Pediatrics: toddler's diet, relationship between sugar, kidney stone
relationship between sugar, kidney stone, kidney stones: Hi, lee, It is a great thing for a daughter to be a good milk drinker. I personally am not concerned about hormones in milk. If you are, buy organic milk. Kidney stones aren t at all likely. Encourage this continued good milk intake for the future sake...

Pediatrics: toddler discipline, receptive and expressive language, nice weather
receptive and expressive language, nice weather, receptive language: Dear Jennifer: I do not know if your son is able to understand your direction but at this age they are very defiant. It is no to anything you ask of them. You need to have a consistent approach to discipline and all caregivers must do the same thing...

Pediatrics: toddler discipline, bad habit, power struggle
bad habit, power struggle, short periods: Dear Melissa: Your little girl is in a major power struggle believe it or not. Obviously she is too young to conprehend right from wrong. What I would suggest is to take her out for short periods. Place her in her stroller and secure her with a snug...

Pediatrics: toddler with discolored stools, discolored stools, miralax
discolored stools, miralax, intestine: The frequency is nor normal and is due to some kind of infection he has been having, unless possibly he has gotten into some substance that is not digestible and is irritating his colon. The color is due to the fact that the contents are coming through abnormally...

Pediatrics: toddler's eating habits,, chicken nuggets, grilled cheese
chicken nuggets, grilled cheese, sweet potatoes: Dear Tracy: He could still be getting his molars and that may cause him not to want to chew. I would not run a restaurant for him and make him what you think he would like to eat. Serve him what you serve the rest of the family and allow him to feed...

Pediatrics: toddler eating habits and sickness, toddler eating habits, kem hospital
toddler eating habits, kem hospital, calcium supplements: well, avoid mor emilk at this age.. that can cause many probs including malnutrition. she needs to eb traine dto have full diet whatever is ahd in family. increase snacks that can be carried alongwith. she needs calcium supplements in addition and why dont...

Pediatrics: toddler eating issues, temper tantrum, brain bleeds
temper tantrum, brain bleeds, mouth ulcers: Micro premies are tough little guys! They ve had to be such fighters that first year. Unfortunately, they can have very complex problems and histories making it difficult to answer your question. Has he been taking oral foods up to this point; how long has...

Pediatrics: how much should my toddler be eating?, cheese and crackers, snack time
cheese and crackers, snack time, milk and cheese: Dear April: Your son should not be given any more than 16 to 20 ounces of milk a day. Juice, only 3 ounces a day. Minimize cheese. If he is taking in milk and cheese he has no appetite for food. He will get anemia. Put his meal in front of him in...

Pediatrics: toddler extreme mood swings, extreme mood swings, temper tantrums
extreme mood swings, temper tantrums, stay at home mom: Hi, Karen, Many toddlers are intermittantly crabby and most are unpredictable. I suspect this is as you probably think, a discipline/parenting issue, even though mom and dad are great people. I suspect that this child rules the roost and probably parents...

Pediatrics: toddler feedings, baby food, polycose
baby food, polycose, pediatrician: Dear Mary: We are happy if toddlers at this age eat one meal a day. This age group does not need a lot of food. We do not want to see them lose weight or not gain weight however. You are very anxious to have your son eat regular foods and I am sure...

Pediatrics: toddler feedings, snack times, getting food
snack times, getting food, nutritious meals: Dear Lori: Your little girl has a very big appetite for her age. I feel it may be habit and so I would begin to teach her limits. She should receive three nutritious meals a day and two health snacks a day. I would continue to reinforce to her that...

Pediatrics: toddler feedings, food pieces, taste difference
food pieces, taste difference, baby cup: Dear Mary: I am assuming your son is of Asian descent. If this is true I would expect an Asian child to be more petite. I would suggest you continue formula for your son another 6 months for the additional calories, vitamins, and fat. Toward the end...

Pediatrics: toddler flu,cold or ashma, attion, listion
attion, listion, stethescope: Dear Brandy: This web site is not to be used for urgent responses. We are allowed three days to respond to questions. I think you have to trust your childs doctor on this. He has probably heard wheezing with a stethescope that you can t hear with your...

Pediatrics: toddler food problems, peas porridge, raw carrots
peas porridge, raw carrots, raw carrot: I have been told by nutritionists that there is nothing in vegetables that can t be found in fruit, so I am sure you can cease any concern you have about the vegetables. Instead of giving her raw carrots cook them until they are soft and then let her use...

Pediatrics: toddler foot pain, foot cramp, rooling
foot cramp, rooling, leg area: Hi, Kifin, This sounds like a foot cramp. If she is fine the rest of the time, I would just treat it like you are doing. It should get better with time. If she has persistent symptoms that spill over to the day, then have this checked out by her doctor....

Pediatrics: toddler's fracture, definite diagnosis, bone surface
definite diagnosis, bone surface, immunodeficiencies: Toddler s fracture sounds like a local connotation of some fracture common to toddlers. I have never heard the phrase. It may be a name for a green stick fracture which is named because the bone is so flexible that it doesn t break in two nor is the bone...

Pediatrics: toddler's fracture, tibia fibula, xray
tibia fibula, xray, fracture: Hi, Jennifer, I don t know what the term means. It is quite easy to break the tibia/fibula with little trauma, assuming one is unlikely enough to twist with the force applied. Since I don t know what this term really means, I would suggest talking to...

Pediatrics: toddler's fracture, pediatric orthopedist, oblique fractures
pediatric orthopedist, oblique fractures, x ray: A Toddler s Fracture is a fracture of the leg in a toddler. They are probably due to trauma, but it s often not noticed by the parents or caregivers. They are often difficult to see on x-rays, as they are usually mild fractures. They are spiral or oblique...

Pediatrics: toddler gaging himself, age appropriate toys, certain age
age appropriate toys, certain age, gags: Dear Karen: This is a new trick your son has learned. The best approach if he sticks his fingers down his throat is to ignore him. If he throws up clean him up without reacting or saying a word. He is now doing this to get attention so do not react...

Pediatrics: toddler girl's private parts, crotch area, private parts
crotch area, private parts, 3 year old: I don t know what to answer, because I am not sure what this extra bulge is that you mentioned. Exactly where is it? What have her doctors said about it? Do you/they know what this bulge is? Has it changed recently? If it is hurting her, she should see...

Pediatrics: my toddler grandson's naps, afternoon nap, sleep at night
afternoon nap, sleep at night, cuddles: The schedule of a 2 year old changes many times faster than the daily schedule of a grandparent. His sleep pattern is probably changing and the adults will have to adjust to his new pattern. On the other hand, if he lies down even without sleeping, it is...

Pediatrics: toddler height, basketball players, growth chart
basketball players, growth chart, moshe: The most important thing in evaluating growth is just that--growth. You really can t tell anything from a single measurement. What is best is to look at the trend in her growth, which is what your pediatrician is probably doing. Ask to see her growth chart,...

Pediatrics: toddler issue, temper tantrums, peak ages
temper tantrums, peak ages, childhood behavior: Hi, lynn, She is at the ideal age to start an aggressive program of consistent Time Out discipline. You and the preschool all have to be on the same page and consistently stop this behavior. Here are several handouts that will explain this highly effective...

Pediatrics: toddler loose foul-smelling BM's, stomach ache, tummy pains
stomach ache, tummy pains, stomach pain: Hi, Keri, Unusual stools with stomach ache bear looking into. She needs to be looked at, a good history obtained, the stools analyzed for a start. I would agree that large stools that are mushy in a kid with no complaints probably don t need to be evaluated,...

Pediatrics: toddler meltdowns! please help me!, whole 9 yards, happy kid
whole 9 yards, happy kid, kind heart: This is called temer tantrums! Do i put him in the playpen for the meltdown? ========= you can ! no harm ! but keep an eye. Currently my way of handeling them is to peave the room, and completely ignore him while hes behaveing that way. ==========...

Pediatrics: toddler's memory, critical care medicine, memory bank
critical care medicine, memory bank, medicine physician: Hi, marjan, I don t know if this is the precise answer, but a reasonable thought is that the young brain has a great deal of neurologic plasticity. Connections come and go in the first years and it is possible that these early experiences are lost in...

Pediatrics: toddler nail problem, moon shape, strange change
moon shape, strange change, nail bed: Hi, Jodi, Can t really tell without a close inspection and even then this might be difficult. Are her shoes too tight? Is this perhaps a fungal infection? If it is of concern, usually a dermatologist can quickly diagnose and perhaps treat most nail problems....

Pediatrics: toddler nipple enlarged, premature thelarche, signs of puberty
premature thelarche, signs of puberty, hair development: Hi, Crystal, It is common for girls at all ages to have some temporary early breast development called premature thelarche. In general, if this is not associated with other signs of puberty, like hair development, we consider it normal and something that...

Pediatrics: toddler obesity, thyroid problem, thyroid problems
thyroid problem, thyroid problems, tall kid: Hi, Robin, She is very tall and weighs an appropriate amount for one so tall. It is very unlikely that a tall kid will have a thyroid problem. If obesity runs in the family, then a discussion about diet, etc. with a dietary expert might be advisable....

Pediatrics: toddler petechia, temper tantrums, temper tantrum
temper tantrums, temper tantrum, expressing anger: Hi, Alexis, If he is healthy, does not have a fever and is otherwise well, then this is almost certainly the cause. Here is a handout I have found helpful to stop these tantrums. Good luck, D.r olson Temper Tantrums What is a temper tantrum?...

Pediatrics: toddler poop, whole milk, consistency
whole milk, consistency, fruits and veggies: A child poops what he eats and the lots of fruits and veggies are good but they provide the material that has to come out and it has lot of liquid in it. He seems to be at the bottom of normal for his age but still normal. He must have small parents...

Pediatrics: toddler pubic hair, betamethasone dipropionate, diaper dermatitis
betamethasone dipropionate, diaper dermatitis, diaper rash: I don t thiink my opinion will help you in any way but that iS all I have to offer. I don t think any chemical could change the growth of hair in 5 days, so I don t think there is a relationship between the ointment and the hair. And hair doesn t just go...

Pediatrics: toddler refusing to feed herself, tubes in ears, trouble potty
tubes in ears, trouble potty, rest water: donot offer milk or juices often. use reward strategy when sitting for meals together with family. show them other kids of same age eating with spoon, or may be its videos. sppech delay will get cured once primary problem settles. she seems to be attached...

Pediatrics: toddler says he wants to hurt himself, terrible twos, profound effect
terrible twos, profound effect, defiance: Hi, David, He is using this statement because it has a very profound effect on you. He doesn t really wish to hurt himself, he just realizes that when says this, he gets attention. I would not read anything too deep into this behavior. I would give...

Pediatrics: toddler skin, skin tag, color of blood
skin tag, color of blood, close proximity: Hi Darci, Without looking at the problem, I am unable to differentiate what it is. From my own opinion, I believe it was most likely an acne. Basically, foreign substances (oil, chemicals, bacteria etc) clogging the pores on his face. The nose is very vascular;...

Pediatrics: toddler - sleep, two year molars, bedtime ritual
two year molars, bedtime ritual, sleep patterns: Dear Tessa: This is a very common problem. Children s sleep patterns do change and the way it changes does have an effect on their behavior. I would make sure she goes to bed tired. Give her plenty of activity in the early evening and about an hour...

Pediatrics: toddler sleep, air mattress, four months
air mattress, four months, sheila: Hi, Sheila, I would gradually have him sleep on a small mattress, air mattress would be fine, on the floor next to your bed and transition him to his bed and room. Gradually move the mattress out in the direction of his room. Each time he comes back...

Pediatrics: toddler sleep issues, tropical fish aquarium, aquarium tank
tropical fish aquarium, aquarium tank, topical fish: Hmm. I understand your dilemma. I don t profess to have the answer that will work. There is an illuminated artificial aquarium for kids that is quite mesmorising (sp?), perhaps this would be amusing/comforting when the light is out. I finally just found...

Pediatrics: When should toddler sleep in his own room?, extra room, naps
extra room, naps, best interest: Hi, Richard, He should be in his own room. He will ultimately sleep better, she will also, and he will have the feeling of autonomy that he needs to develop. I can t think of why not to do this. Mother, as well as he and you, need their privacy. ...

Pediatrics: toddler sleep problems, toddler sleep problems, better solution
toddler sleep problems, better solution, nightmares: Usually it is best to comfort him without picking him up. Put him down and caress his back or shoulder. Talk quietly but firmly and tell him he is going to stay in the crib, and in a few minutes leave and close the door. He knows now that his objections...

Pediatrics: toddler sleep question, temper tantrums, toddler sleep
temper tantrums, toddler sleep, unreasonable requests: Hi, Try this. Give her a special bed time card, that allows her, at her choosing, to get out of bed one time. She should know that she has control of the card, but when she uses it, she gives it to you for the rest of the night. Unless there is a dire...

Pediatrics: toddler/sleep, toddler sleep, sleep disturbance
toddler sleep, sleep disturbance, pediatrician: Hi, Tessa, If you think she is healthy and this is just a phase, then let her cry it out. She won t be hurt by this. If she is sick and maybe has something bothering her to cause the sleep disturbance, then run her by your pediatrician to be sure. ...

Pediatrics: toddler sleeping habits, toddler sleeping habits, momment
toddler sleeping habits, momment, 2am: Dear Lisa: You have trained your toddler to awaken during the night as you have offered a feeding during the night. You have to stop this practice. There is only one solution to the problem and that is to let your child carry on and cry during the night...

Pediatrics: toddler sleeping issues, ferber method, bedtime routine
ferber method, bedtime routine, sleep deprivation: Of course I have to generalize and suggest that this behavior is that of a child that for the moment is not secure enough to allow her parents to leave her at night. From what you wrote I wonder how much of your concern about cancer is apparent - children...

Pediatrics: toddler sleeping problems, toddler sleeping problems, clothes trees
toddler sleeping problems, clothes trees, circus animal: Dear Lori: Give only one nap a day in the afternoon and be sure to put your son to bed when he is good and tired. Look around his room and try and see things from his perspective. Are there animals or characters on the walls, clothes trees or anything...

Pediatrics: toddler sleeping problems, toddler sleeping problems, asthma symptoms
toddler sleeping problems, asthma symptoms, acting this way: Hi, Dawn, When kids are exposed to the usual changes that happen in every family, their sleep patterns can quickly change. The fact that the change meant more time with her is still a change and I think it is hard to predict how that will effect sleep....

Pediatrics: Re: toddler sleeping problems, toddler sleeping problems, bumpy rides
toddler sleeping problems, bumpy rides, daycare: Coould there be something at home that is disturbing him? Was there a situation involving his parent s disagreements that he might perceive as a threat to his present situation? Has his father been away more than usual? Is there talk of his going somewhere?...

Pediatrics: toddler sleeping, baby proof, doorknobs
baby proof, doorknobs, moshe: Unfortunately, the only cure may be to let her cry it out and fall asleep on her own. You can go in to comfort her periodically, but stretch out the interval each time--let her cry 5-10 minutes the first time, then 15-20 minutes, then 20-30, and so on. Eventually...

Pediatrics: toddler sleeps with eyes open, pediatric ophthalmologist, physical handicaps
pediatric ophthalmologist, physical handicaps, artificial tears: I don t know if this is the result of something his parents did--it s not a very common symptom. However, eyes that don t close completely can lead to excess drying of the eyes, and problems due to the drying. He should probably see a pediatric ophthalmologist...

Pediatrics: toddler and speech, problem thanks, language development
problem thanks, language development, maturation: Language development is perhaps the most variable milestone in a child s maturation. Nothing you told me says that he is delayed. Some time in a few months he will start talking, when he learns to do it better, and you will ask someone how to stop this child...

Pediatrics: My toddler has a spongey spot on the side of his head., x rays, pediatrician
x rays, pediatrician, lumps: Now thats somthing, I have never heard of anything like this before. I would agree with the assumption that it is fluid, but as to what type and where it is from is confusing, I have showed this question to several aother doc s that i work with and One of...

Pediatrics: toddler started to wake early, wake up time, midnite
wake up time, midnite, prob: thatsa common prob with toddlers, they just 3want to play around every morning, and they wont cry and will keep quiet even ifn u give some favourite toy. you may change his wake up time by keeping him awake till midnite for 3-4 nights and then he will get...

Pediatrics: toddler swollen discolored nipple, estrogen hormones, swollen nipple
estrogen hormones, swollen nipple, black eyed pea: Hi, Jason, Sounds like you have some medical savvy, throwing around the rather medical term palpation . Kids of all ages and sexes can have some breast bud enlargement, probably due to the tissue having some different sensitivity to estrogen hormones,...

Pediatrics: toddler not talking, development of language, definite answer
development of language, definite answer, speech therapist: You can be sure that if he were able to talk he would do it now, and over-encouraging him adds to his frustrations. Development of language is one of the most variable milestones of a child so he hasn t absolutely gone beyond the normal time for talk. The...

Pediatrics: toddler's tantrums at home, temper tantrums, temper tantrum
temper tantrums, temper tantrum, expressing anger: Hi, Marina, She apparently derives some positive gain, as weird as this might seem, by these tantrums. Here is a handout that will help. This is directed, willful activity that is intended to evoke a response from you. You need to try very hard not...

Pediatrics: toddler tummy ache, acid reflux, skinny kid
acid reflux, skinny kid, grazer: Hi, Chanda, Kids can have acid reflux just like adults and it isn t too hard to suspect that considering the improvement with anti-acids. Stomach aches can be due to anything ranging from infrequent stools to cancers. Most causes are benign in kids....

Pediatrics: toddler will not use toothpaste, oral supplement, flavors
oral supplement, flavors, toothpaste: Hi, cheryl, Toothpaste is the least important part of brushing. I would be content to just have a toothbrush alone being used two times a day. Try a very small amount, try a different brand, but be content that just the act of brushing, even without...

Pediatrics: toddler using potty excessively at night, year ago today, waking hours
year ago today, waking hours, cuddling: It may be that when there is no other distraction for her she zeros in on this as a good way to exert control over her parents. Try to be sure that there is no irritation around her vagina, which can give a feeling of having to go,or clothes that are much...

Pediatrics: toddler vaginal odor, yeast infection, vaginal odor
yeast infection, vaginal odor, vaginal area: Hi, nyla, A lot of normal kids have a strong odor in this area. If the rash went away, then I think a yeast infection is unlikely. Make sure that she hasn t put anything in the vaginal area (small piece of tissue paper, for example). This can give a...

Pediatrics: toddler with yellow skin, yellow hue, yellow vegetables
yellow hue, yellow vegetables, restrictive diet: This is a common occurence that disappears as the child matures. It is innocent, requires no treatment and no restriction of diet. The child s body does not digest the coloring in yellow vegetables and it appears in the skin, but it does no harm. It has...

Pediatrics: my toddler, medical proffesionals, mri of the spine
medical proffesionals, mri of the spine, tail bone: Babies can be born with a small hole in that area--it s usually not that large--usually very small. He should be checked to make sure it s nothing serious, but it may have been there for a long time. Sometimes there can be a cyst under the hole, and sometimes...

Pediatrics: toddlers in the jacuzzi, necessary temperature, heated spa
necessary temperature, heated spa, control mechanisms: Hi, shari, Most healthy three year olds will have the necessary temperature control mechanisms to be in a standard heated spa for 10-15 minutes, just as an adult should. A slight increase in body temperature is common for all who use a spa like this and...

Pediatrics: toddlers and loose stools, peanutbutter and jelly, loose stools
peanutbutter and jelly, loose stools, jelly sandwiches: I suggest you give her a 10 day trial of no milk or milk products, which would include cheese and milk on cereal. If that isn t the answer try eliminating peanuts and then any other food she eats a lot of. Meanwhile remember that you are training her for the...

Pediatrics: My toddlers vomiting, pediatric gastroenterologist, gi specialist
pediatric gastroenterologist, gi specialist, registered nurse: Have you discussed this with his doctor? No, it s not normal to vomit at the sight of food. Many babies will vomit after meals, but that usually gets better well before the first birthday. This does not sound like reflux, either. Is he growing normally?...

Pediatrics: My toddlers vomiting, kem hospital, mumbai india
kem hospital, mumbai india, registered nurse: I feel , you and baby are trying your best to come out of the problem. All is normal, No worries as long as he is showing good growth. Maintain the same, he will come out of the problem gradually. ------------------ Dr Santosh Kondekar MD pediatrician...

Pediatrics: My toddlers vomiting, registered nurse, little heart
registered nurse, little heart, random event: This is too complicated for me to express an opinion as to what might be wrong but certainly he needs to see someone who will have xray studies done of this swallowing function and upper intestine and, if that is normal, a discussion with his parents about...

Pediatrics: toddlers, momom, 2 year olds
momom, 2 year olds, smart girl: She is still in the range of normal for talking although later than average. Read to her; that is an excellent way to teach kids to talk, although she won t until she is developed enough. Children s development is a complex series of events. If you are concerned...

Pediatrics: toe nails, nail beds, toe nails
nail beds, toe nails, ingrown nail: The next time he sees his physician you can get a better answer than mine but right now I would try to be sure that his shoes are not too tight for his great toe. A slightly tight shoe will cause no pain but it may, over a period of time, distort the nail....

Pediatrics: In toeing, metatarsus varus, metatarsus adductus
metatarsus varus, metatarsus adductus, tibial torsion: Well, it depends on what is actually turning in. Most kids don t need anything done, though. There are three common causes of feet turning in: 1) Metatarsus Adductus or Metatarsus Varus--the feet themselves are not straight. If you look at the bottom...

Pediatrics: Putting it all together, high neutrophils, high lymphocytes
high neutrophils, high lymphocytes, low white blood cells: first of all this situation needs a visit and professional consultation with a pediatrician and a cardiologist. its prudent to ask for a Colour doppler study of heart to look for the suspected cardiac element. Unless the values of each count are mentioned,...

Pediatrics: toilet problems, prune juice, toilet problems
prune juice, toilet problems, vijayan: Hi, Mr. Vijay, As long as the stools are normal and don t hurt him when he passes them, every 2-5 days is OK. If they are hard and hurt or he has a stomach ache a lot of the time, then some stool softening on a regular basis would be advised. Try a couple...

Pediatrics: toilet training, smart kid, nappy
smart kid, nappy, americanism: Hi, Gail, This is a control issue and one that he will always win if you let it become an issue. Sounds like you have one smart kid who is learning how to manipulate others around him. He will go far. Let him do what he wants. Never talk about...

Pediatrics: toilet training, daycare, working parents
daycare, working parents, bowel movement: Hi, Marianne, Kids this age have their lives pretty much controlled by others, so it is no surprise that they chose toilet training to rebel. He knows absolutely what to do and how to do it. He just doesn t want to. Here is a handout I give to my...

Pediatrics: toilet training, pull ups, stool withholding
pull ups, stool withholding, daycare director: Hi, Cindy, This is completely a control issue and a power struggle. Kids at this age have adults control virtually all aspects of their lives and this is a way he can exert control. My fear is that this stool withholding can lead to constipation and...

Pediatrics: toilet training, back in nappies, wet nappies
back in nappies, wet nappies, sad faces: Hi Yvette, this must be frustrating for you. If your little girl sees your frustration or gets more attention by this behaviour, she may be doing it for attention! Hard to believe, but children sometimes revert to negative attention. Answer Hi, I would...

Pediatrics: toilet training issues in a five year old boy, peditrician, kim moore
peditrician, kim moore, toilet training: Dear kim: A pediatric developmental specialist examines a child thoroughly and gets an intensive history from you all the way back to birth. They assess physical, mental, neurological and developmental systems and come to a conclusion about the child....

Pediatrics: toilet training issues, planets in order from the sun, state capitals
planets in order from the sun, state capitals, toilet training: Hi, Dinah, It is easier to train average kids than bright kids, for bright kids know how to manipulate their surroundings and caregivers. Here is a handout I give parents who have toilet training resistence. My strong suggestion is to realize that...

Pediatrics: toilet training regression, hand foot and mouth disease, hand foot and mouth
hand foot and mouth disease, hand foot and mouth, prune juice: Hi, Amy, Kids this age will often revert back to old habits when they have had some painful stools. See your pediatrician and get her involved with a plan to consistently keep the stools soft and allow her to have them without pain. This may be something...

Pediatrics: toilet training setbacks, hand foot and mouth disease, hand foot and mouth
hand foot and mouth disease, hand foot and mouth, foot and mouth disease: Dear Amy: Don t panic. Your little girl has become frightened to have a B.M. in the potty. It is okay to allow her to put a pull up diaper on to have a bowel movement. Without a lot of pressure on her and allowing her to do this and come to terms...

Pediatrics: toilet training, nappies, nappy
nappies, nappy, soils: Dear Gail: Get rid of the nappies. Make certain you show your child you are getting rid of the nappies. Have one last discussion about potty training and encourage the child to use the potty. If he or she soils, involve him/her in cleanup. By keeping...

Pediatrics: tongue, human tongue, tip of her tongue
human tongue, tip of her tongue, good doctors: The human tongue collects a lot of various things on it because of all that goes in the mouth. In an adult rough foods tend to wipe it all away whereas infants don t eat a lot of rough stuff. I feel sure that what you see if a variation of normal and not...

Pediatrics: tonsil and adnoid surgery-should we?, chest congestion, sinus infections
chest congestion, sinus infections, adenoids: if the thing dint settle with antibiotics for 14 days and its a persistant problem distressing his studies and also if there is a good weight loss or no gain, then he needs surgery. well, i say again, your kid problem is differenr from what others think...

Pediatrics: tonsil/adnoid surgery, adnoids, family dr
adnoids, family dr, x ray: let me tell you one thing on face regardless of your case. In my personel opinion ENT specialists are bull*** because they are not trained enough to deal with a human mind, a child and a parent too. One may not understand the seriousness and then all goes...

Pediatrics: tonsil and adnoid surgery, chronic ear infections, sinus infections
chronic ear infections, sinus infections, resistant bacteria: You didn t tell me how old he is, but the tonsils grow until kids are about 7 years old, then they will shrink relative to the child s throat, so it gets better after that age. For children who are not too sick, and are close to that age, it makes sense to...

Pediatrics: tonsiles, adnoids, and tubes, tonsils and adenoids, ent doctors
tonsils and adenoids, ent doctors, adnoids: At one time the thought was that the child is under anesthesia so we will go ahead and remove both the tonsils and adenoids.In recent years, however, there is evidence that the tonsils have significant role to play in warding off certain illnesses and the...

Pediatrics: tonsillitis, ent physician, tonsillectomy
ent physician, tonsillectomy, recovery period: Hi, Diane, Who says he will benefit from a tonsillectomy, coblation or otherwise? The danger of all tonsillar procedures is from anesthesia, not the recovery period. Discuss with your doctor the need for this procedure. Tonsillitis can be strep or viral....

Pediatrics: tonsillitis, amoxacillian, belly pain
amoxacillian, belly pain, express care: Children often have abdominal pain as part of infection in other parts of he body. If he mentions it and then goes about his normal activities I think you can ignore it. If he gets really pale when he has the pain and vomits and stops eating entirely perhaps...

Pediatrics: tonsils, immune system, good luck
immune system, good luck, point of view: Hi, Jo, Kids this age generally have big tonsils. If they are growing well (the kids, not the tonsils!), are healthy, don t snore to the extent that it interferes with their lives, and swallow well, they probably are OK. They get smaller with time and...

Pediatrics: tonsils, lumps in neck, tiny lumps
lumps in neck, tiny lumps, tonsilitis symptoms: is it possible? ya ! but very rare. but i wont believe . when one has good immunity, you get small lumps in neck ... tonsils usually wont be seen as a major thing ( will be hidden and very small) after 15 yr age. you may be suffering from some throat...

Pediatrics: tonsils, ears, adnoids, tonsils and adenoids, adnoid
tonsils and adenoids, adnoid, doctor ear: The tissue of tonsils and adenoids is soft and spongy and enlarges with infection. The adenoid hasn t really grown back, although it is visible again, but the tissue has enlarged because all of the tissue is never completely removed. More infection has caused...

Pediatrics: tonsils, sore throat, zithromax
sore throat, zithromax, rash: Hi, Valerie, Tonsils are attached to the outer wall of the back of the throat. This is normal. This is really not a sign of strep and the only reliable way to make the diagnosis is with a strep test that is positive. If he has no sore throat, no fever...

Pediatrics: toodler underweight, happy new year, picky eater
happy new year, picky eater, different foods: Hi, claudia, Is she healthy? Is she developing well? Are you guys as parents small? If the blood is normal, then why check it again? Healthy appearing is generally healthy in the pediatric world. If she is just small, and we have a daughter who...

Pediatrics: tooth, drops of blood, good luck
drops of blood, good luck: Hi, jennifer, I suspect this was from the mouth, maybe around a tooth. It is extremely unlikely that a tooth would discolor with this type of injury and frankly nothing different would be done to prevent this from happening. Good luck, Dr. Olso...

Pediatrics: toothpaste for 3 year old, baby toothpaste, excessive salivation
baby toothpaste, excessive salivation, adult teeth: Hi Lee, No. You should not give your daughter adult toothpaste until she is 12 or has reached puberty. Any adult fluoridated toothpaste is toxic and can lead to fluorosis, which causes white spots on her adult teeth. Overdose of fluoride can lead to epileptic...

Pediatrics: toxoplasmosis, worst case scenario, eye lesions
worst case scenario, eye lesions, maternal antibodies: Dear Michelle, It is unlikely that she will end up with blindness etc because at 35 weeks the eyes have already formed and the chance of the toxo organism causing a disruptive eye problem is very rare. Please get her checked periodically for chorioretinitis...

Pediatrics: toxoplasmosis, infectious disease expert, pediatric infectious disease
infectious disease expert, pediatric infectious disease, ocular manifestations: Hi, Michelle, I don t profess to be an expert on toxo, but I will give you my best advice based on the guidelines from the Bible of Pediatric Infectious Disease, the Pediatric Red Book. Ocular infection overwhelmingly is caused by congenital infection,...

Pediatrics: tracking in infants, neurological problems, eye disorders
neurological problems, eye disorders, eye movements: Monday is two days away so you should get the answer that has been bothering you for 15 months. There is little I can tell you except to be sure and emphasize to the pediatrician your concern and tell him what you told me. If he/she is a good physician he...

Pediatrics: trampoline safe for my child's brain health?, brain health, downward force
brain health, downward force, negative feedback: Dear Friend, It is not always possible to prognosticate on such matters. I think one should limit the child s exposure to such activities and hope for the best. However, I agree that a major incident is unlikely if the child does not directly hit his head...

Pediatrics: transition to cup with feeding problems, t rush, developmental steps
t rush, developmental steps, developmental tasks: As a general rule children move forward in their developmental steps one at a time. I think one should be aware of the goal of cup feeding but not compulsive about reaching that goal when there are other developmental tasks on hand. Give him a cup that won...

Pediatrics: translation?, perineal, radiologist
perineal, radiologist, x ray: There was air in the intestine, which, of course, is completely normal. At that time it seems to have accumulated more in one place than is commonly seen, and, as the radiologist said, it could be due to the intestine being lazy (functional) or it could...

Pediatrics: travel to antigua, guatemala, county health dept, hepatitis a vaccine
county health dept, hepatitis a vaccine, immune globulin: See the following link for the CDC recommedations for travel to Central America: http://www.cdc.gov/travel/camerica.htm Either Immune Globulin or Hepatitis A vaccine is recommended. If you are traveling soon and he has not had Hepatitis A vaccine, there...

Pediatrics: travel with a newborn, dr adler, ounce bottle
dr adler, ounce bottle, traveling with a baby: The flight itself should not be a problem. Let the airline know that you are traveling with a baby. If possible, get an empty seat next to you and put the baby s car seat in it so he or she can be strapped in -- it s safer that way. Bring along lots of...

Pediatrics: travel with a newborn, cold viruses, hello mary
cold viruses, hello mary, young baby: Dear Ayat: It is not unsafe to travel by air with a 7 week old infant but they are subjected then to large crowds of people and are more susceptible to their cold viruses and other illnesses. We like to see at least one round of infant immunizations...

Pediatrics: traveling with a baby, family celebration, travelling with a baby
family celebration, travelling with a baby, traveling with a baby: I don t recommend travelling with a baby during the first 2 months. Babies in the first two months who get sick usually need a lot of testing to determine the cause of the illness, and usually end up admitted to a hospital for testing and iv antibiotics....

Pediatrics: traveling with an infant, intestinal viruses, month old baby
intestinal viruses, month old baby, traveling with an infant: Hello: I would not recommend a cruise for a two month old infant. Cruise ships recirculate breathable air just as airplanes do and the air can be unhealthy. Also of late, cruise ships have been beseiged by gastro intestinal viruses and you certainly would...

Pediatrics: traveling with an infant, family celebration, traveling with an infant
family celebration, traveling with an infant, august 6th: There is nothing about the process of flying that would keep the baby from going on the cruise by that time. Babies get overstimulated from excessive commotion so he/she may be a bit fretful at times. The greatest problem is to keep him/her from being exposed...

Pediatrics: traveling with infants/toddlers, high fevers, traveling with infants
high fevers, traveling with infants, infants and toddlers: Many illnesses can be managed on the road if the family can stay put for a day or two. It is hard to differentiate in a message but the simple illness with fever, lethargy will usually recover spontaneously with symptomatic treatment a forcing fluids. Most...

Pediatrics: traveling on vacation with infants and toddlers, uncommon illnesses, stomach virus
uncommon illnesses, stomach virus, tourist mecca: Hi, Christine, Kids certainly can get common and sometimes uncommon illnesses while on vacations. Whether to cancel a vacation or postpone one depends on the level of discomfort the child has and the contagiousness of the illness. For instance, a kid...

Pediatrics: travelling with my newborn baby, clothes hooks, wet washcloth
clothes hooks, wet washcloth, congratulations on your new baby: Hi, christine, Congratulations on your new baby! This is the best time to travel with her/him. Here is a handout that will explain things and make it easier for you. Have fun, Dr. Olson Traveling with a Baby As with almost everything else connected...

Pediatrics: travelling with a newborn, oxygen concentration, outdoor wedding
oxygen concentration, outdoor wedding, plane ride: There are no specific recommendations about newborns and air travel. If the baby is well, it is unlikely to be a problem but I cannot say anything more than that. The immune systme is not a problem. The only concern raised is the decreased oxygen concentration...

Pediatrics: travelling for toddler, daycare, portable dvd player
daycare, portable dvd player, nice trip: Hi, lee, Why are you so sure she will cry? 20 minutes is not a long time and I m sure you can devise some entertaining toys on clips to ensure that they don t fall away from her. Talk to her or spend less than 200$ to buy a portable DVD player to entertain...

Pediatrics: treatment for constipation, glycerin suppository, consistent program
glycerin suppository, consistent program, time episode: Hi, terry, I don t want to wade into the battle of the grandmothers, but an enema seems like a pretty big gun for a one time episode of constipation. A glycerin suppository would be a good start, progressing up to the rest if it doesn t work. It probably...

Pediatrics: trembling after waking up, low blood sugar, partial seizure
low blood sugar, partial seizure, daycare: Hi, Jodee, Low blood sugar is a possibility, although it sounds like in this case she might have been a bit sick with a viral illness. I would try to feed her something before naps and see if the symptoms persist. I ll bet it is a variation on normal...

Pediatrics: tremors, acidic fruits, breastfeeding mothers
acidic fruits, breastfeeding mothers, world babies: Hi Lynda, Your concern is shared with many parents around the world. Babies tend to create weird or awkward movements during breastfeeding that could be mistaken for something pathological. Please be reassured that it is very common and normal for babies...

Pediatrics: tremors, old baby girl, sweaty palms and feet
old baby girl, sweaty palms and feet, month old baby: Hi, lori, Although the tremors may be normal, best to see your doctor to be sure you aren t dealing with some type of seizure disorder. I suspect if the tremors stop with a gentle touch, they are normal, but check this at the 6 month physical. The sweaty...

Pediatrics: tricks for ice paks, goose egg, pediatric question
goose egg, pediatric question, initial fall: Ice directly is unpleasant. Try covering it with several layers of towel so the cold will not be so intense. If the goose egg happened more than 1-2 hours ago the swelling is all done and the ice will not help. The swelling is blood under the skin so it...

Pediatrics: tring to get baby to take bottle, fead, good luck
fead, good luck, stephanie: Hi, Stephanie, Have someone else try when you are out and about away from where you live. It is confusing for babies to take a bottle initially from there mothers when a breast is close by. Leave her with someone else when she is ready to feed and she...

Pediatrics: trip to Nc with 2 month old, month old baby, great grandmother
month old baby, great grandmother, respiratory infection: I don t think the drive will do any harm, in fact, the motion of the car may calm the baby a bit, but I think you are correct about being passed around. Babies have little resistance to respiratory germs and it is possible that one of those who will pass...

Pediatrics: trouble feeding my 3 month old, growth curve, happy kid
growth curve, happy kid, wits end: Hi, jordan, Be reassured by the fact that he is gaining weight and is healthy. A drop off on the growth curve usually doesn t mean anything in a healthy happy kid, especially if parents are slim. I would try one of two approaches. One (the easier...

Pediatrics: trouble urinating, stomach virus, seasonal allergies
stomach virus, seasonal allergies, trouble urinating: Hi, Angela, Has she been examined well in the vaginal area? I find that often with these symptoms, we don t do a good visual check, to make sure the anatomy is normal. Repeating a sample would be reasonable. Occasionally an infection can be missed...

Pediatrics: troubled 18 month-old, fruits and veggies, fever reducer
fruits and veggies, fever reducer, calories per day: Hi, Pam, There are no specific medications/herbal supplements/vitamins that will reliably enhance the immune system. The fact she is a picky eater will be better handled by not making meals a struggle and just give her a vitamin each day. This will supply...

Pediatrics: troubles pooping, corn syrup, going to the doctor
corn syrup, going to the doctor, insite: Well you could try to bicycle his legs frequently and do rectal stimulation if he will allow you and you feel comfortable doing that.....a fissure is what you were referrring to...it is a small slit or crack in the tissue around the anus and sometimes it hurts...

Pediatrics: Is it true?, puberty in girls, time warner website
puberty in girls, time warner website, time magazine cover: Hi, Michelle, I think the reason for the decreasing age of puberty in girls and to an extent in boys is due to a number of reasons. I suspect that the reasons are more ones of general improvement of health than anything else. The age one starts their...

Pediatrics: trush mouth, what is thrush mouth, yeast infection in the mouth
what is thrush mouth, yeast infection in the mouth, immune deficiency: Thrush is a yeast infection in the mouth. It is very common in babies. It is caused by Candida, a yeast that is found on the body and on many surfaces, too. It is probably common in babies because they have things in their mouths all the time -- nipples,...

Pediatrics: tuberculosis, ltbi, baby thanks
ltbi, baby thanks, antibiotic treatment: I agree with your doctors. He should not have any contact with the baby, and should wear a mask. It would be better for him not to be in your home. He should go back to his doctor to inquire about further treatment. TB can reactivate at any time, and can...

Pediatrics: tummy ache, stomach ache, viral illnesses
stomach ache, viral illnesses, sore throat: Hi, C., Tummy aches are a part of a lot of viral illnesses in kids. Usually giving a lot of liquids, food as she desires, and tylenol will be the ticket. I would avoid ibuprofen as a pain /fever reliever, for it, in some kids, can cause stomach aches....

Pediatrics: tummy sleeping, old baby, pediatrician
old baby, pediatrician, gerd: Hi, Keri, I would very carefully consider this advice. First of all, lots of babies spit up. If this is reflux that is being treated very aggressively, with medicines, then the advice may be good. The evidence is quite clear that babies handle routine...

Pediatrics: tummy sleeping, pediatric gastroenterologist, tummies
pediatric gastroenterologist, tummies, old baby: I don t. The official recommendation is for all babies to sleep on their backs, even those with reflux. The data show that babies with reflux do fine on their backs, and there is an increased risk of SIDS when babies sleep on their tummies. The normal spitting...

Pediatrics: tummy time, line of vision, bald spot
line of vision, bald spot, waking hours: Dear Leah: I suspect your baby prefers her back to her tummy. Persevere with her and keep trying to play with her on her tummy. Place brightly colored rattles and eye catching baby toys in her line of vision. You lie on your tummy also and face her and...

Pediatrics: tummy, diastasis recti, 9 months
diastasis recti, 9 months, resolve: Most of these situations have healed by now but not all, and there is no way to tell exactly when it will heal. It is not dangerous and there are no risks. If it is still apparent in a year of so the physician may recommend that it be closed with a simple...

Pediatrics: Just turned two., tight frenulum, ritz crackers
tight frenulum, ritz crackers, discipline tips: Hi, Jason, Sorry to hear of all his problems. Discipline techniques for special needs kids are the same, generally, as with kids who don t have special problems. A Time Out method should work well for him. I don t know what his diagnosis will be....

Pediatrics: not turning, coconut oil, head sweats
coconut oil, head sweats, loss of hair: her head sweats a lot. ============ keep child upright in arms as much possible. her hair is falling from the past couple of weeks on either side of her head. what s the reason.i wash her hair once a week with heated coconut oil and besan. ======== many...

Pediatrics: not turning, global developmental delay, head sweats
global developmental delay, head sweats, lying in bed: my daughter is 4 months old and she is yet to turn. ======== yeah ! she should have been. common causes of late turning are: little healthier child (obese), hypotonia, prematurity and global developmental delay. after a month of her birth she had been...

Pediatrics: twins and illness, roseola, twin boys
roseola, twin boys, extent: They just started a new daycare last month and already have come down with Roseola and this weekend one of them has Primary Herpatic G. ========== most such infections are transmitted by contact with hands, objects and breath. What are the chances of the...

Pediatrics: tylenol for children, viruses and bacteria, little fever
viruses and bacteria, little fever, cough suppressant: I really dislike such combinations. Yes, it s certainly easier to give a combination of everything possible in a single dose, but most of the time all of those ingredients are not necessary, and can and do cause many undesireable side effects. The antihistamine...

Pediatrics: tylenol for nightime, cough suppressant, fever reducer
cough suppressant, fever reducer, chlorpheniramine: I assume that the ingredients that you gave are for each teaspoonful. If that is true 1/2 teaspoonful (measure accurately) would be the dose. You can repeat every 6 hours if necessary. You will not be shortening the illness but if she is uncomfortable this...

Pediatrics: type of syndrome, pediatric neurologist, cognitive delay
pediatric neurologist, cognitive delay, hi jill: Hi, Jill, First of all, what does your doctor think? Please remember to keep his doctor in the loop with this. Kids can have pure attention problems and not have the over-activity that is seen in ADHD. This would be a tough diagnosis to make in a...

Pediatrics: UMBILICAL CORD, pediatric urologist, silver nitrate
pediatric urologist, silver nitrate, specailist: Hi, Marie, This is very unusual and in my experience, has only happened one time in the past 25 years. We simply continued silver nitrate and it eventually went away. Be sure your doctor considers the remote possibility of a urachal sinus, a persistent...

Pediatrics: Umbilical cord stump, cord stump, mild soap
cord stump, mild soap, button area: Hi, Kevin, At our hospital and in others in the country, the practice of putting alcohol on the cord is being replaced by letting the cord naturally fall off without anything being put on it. We have found that the alcohol does not help and will sometimes...

Pediatrics: Umbilical cord vessels/knots, vessel cord, worry wort
vessel cord, worry wort, fetal movements: Hi, Shawna, I wouldn t worry too much about anything if he is healthy. Over 80% of kids with a two vessel cord are completely healthy. 20% can have some kidney or heart abnormality. Knots in cords are very common and generally don t do anything to...

Pediatrics: Umblical hernia, umblical hernia, belly muscles
umblical hernia, belly muscles, calcium deficiency: My one and half month daughter is having a bulgy navel. ======== thats normal till few years of age. earlier she did not have this.the doc says it may b umblical hernia. =========== true will the gas inside the stomach also cause this. ===========no...

Pediatrics: Unable to stop using pull-ups at bedtime, full bladder, pull ups
full bladder, pull ups, genetic tendency: Hi, Cynthia, First of all, see your pediatrician. He/she needs to take a careful history, including one of the family, do a thorough neurologic/genital exam, and look at a urine. If these things are OK, then the options are waiting, using an alarm, or...

Pediatrics: Uncircumsised baby boy, son joshua, foreskin
son joshua, foreskin, penises: Hi, Virginia, Have you seen the way little boys handle their own penises? They yank and pull a whole lot more than you would. This is normal for them. Just leave it alone and everything will be OK. I don t recommend anything other than cleaning this...

Pediatrics: Uncontrollable Hysterical Crying, night terror, night terrors
night terror, night terrors, psychological stress: Hi, rich, Even though we usually see this after one year, I have seen many kids who seem to have this before one year. It truly is a diagnosis based on lack of other explanation. To be sure, why don t you run this by your doctor with perhaps a visit...

Pediatrics: Under ears and chins lymph nodes in toddler, head doctors, water in the ears
head doctors, water in the ears, strange accident: Lymph nodes are often found in children in those areas. They enlarge with infections such as colds and ear infections, and they shrink when the infections are over, but they never shrink so much that you don t see them at all. If they are small, moveable,...

Pediatrics: Under Weight and not eating infant, ultrasound of abdomen, infant feedings
ultrasound of abdomen, infant feedings, hi doc: your child s weight is surely a matter of concern. whay country are you in? in developing countries thsi weight may be just little elss than normal, so may be acceptable somewaht for developing country growth potential. but dont take this. you have to really...

Pediatrics: Under Weight Toddler, dear michael, medical reason
dear michael, medical reason, calorie foods: Dear Michael: Is there a medical reason why she is not thriving by now? You need to increase her calories. You can do that by offering the child a supplement of 8 ounces of Pediasure a day. It comes in various flavors appealing to children. Also provide...

Pediatrics: Underarm odor, wear deodorant, kmow
wear deodorant, kmow, underarm odor: I don t kmow of any test for this problem. Some individuals have perspiration that nurtures the bacteria that cause the odor, and these people are usually very brunette. Antiseptic soap will slow down the growth of these organisms and postpone the odor for...

Pediatrics: Underweight 11 year old boy, kem hospital, asthma clinic
kem hospital, asthma clinic, mumbai india: i feel his height and weight arent that abnormal for his age. getting a bloold calcium and phosphorus level may help you if he has tendency to get bones broken. will you sen d me a family photo with he in, may be that will give me an additional clue. send...

Pediatrics: Underweight 12 month old, viral flu, head circumference
viral flu, head circumference, growth curve: Should I be concerned about his weight, == yes but not worrying, as this can be easily tackled. could there possibly be an underlying problem, ======= less likely, but its not harmful if your doc advices any tests. is there anything specific i could...

Pediatrics: Underweight 9 mo. old, esoteric causes, spirited child
esoteric causes, spirited child, celiac disease: Hi, Elizabeth, My guess is that she isn t getting adequate calories nursing only four time a day. I would add formula to the nursing, probably after the nursing. If she doesn t gain nicely, and I suspect she will with the additional calories each day,...

Pediatrics: Underweight infant, calorie snack, pain and suffering
calorie snack, pain and suffering, growth chart: It is hard for me to imagine all the problems, mostly psychological, that would come from tube feeding an infant. If there is a reason he is not eating, and I am not convinced that there is anything wrong, the effort should be to find that reason and deal...

Pediatrics: Underweight Teen, metabolism rate, high metabolism
metabolism rate, high metabolism, high functioning autism: Hi, Mia, It sounds like, all things considered, he is healthy. I really would like, as would you, to have him engage in some sort of daily activity, such as walking, to set a base for hopefully a life time of consistent exercise. His weight is of...

Pediatrics: Underweight, Underactive & Unmotivated, metabolism rate, high metabolism
metabolism rate, high metabolism, high functioning autism: I don t think you need be concerned about how much he eats as long as his diet is a well rounded as you described. You could add a few calories here and there if you wish by enriching his milk - put in a little cream, or put butter on his vegetables - but...

Pediatrics: Undescended Testicle, retractile testicle, hernia repair
retractile testicle, hernia repair, scrotum: Hi, Heidi, Kids this age and younger have retractile testicles, ones that move up and down. If you doctor examines him and finds the testicle is in the scrotum or can easily be brought down, even some of the time, then things are probably OK. Fertility...

Pediatrics: Undescended Testicles, external genitalia, hormonal manipulation
external genitalia, hormonal manipulation, inguinal canal: Hi, Sara, Generally with undescended bilateral, as compared with unilateral, testicles, we consider that hormones may play a role. Ask the doctor about the possibility of using some hormonal manipulation to see if this will bring them down. I would always...

Pediatrics: Undescended Testicles, pediatric urologist, proper manipulation
pediatric urologist, proper manipulation, external genitalia: There is no evidence that this is a harmone problem, just one of development. There are many situations where the testicles appear as you described and are completely normal. Be absolutely sure you get a physician who has had a lot of experience with infants....

Pediatrics: Unexplained Illness?, febrile seizures, blood cell count
febrile seizures, blood cell count, white blood cell: A white count of 34,000 usually indicates the presence of an infection, often the kind that needs some kind of antibiotic treatment. You didn t say what the diagnosis was at the second admission; this behavior seems related to that episode. I suspect he...

Pediatrics: Unexplained weight gain/7 yr old girl, mitral valve prolapse, high blood glucose
mitral valve prolapse, high blood glucose, unexplained weight gain: Hi, Heather, I really can t answer this due to the complicated nature of her problems. Obviously thyroid problems need to be considered and I m sure your doctors have done that. It may be as simple as a child who is limited in activity (not burning up...

Pediatrics: Unexplained weight gain/7 yr old girl, mitral valve prolapse, high blood glucose
mitral valve prolapse, high blood glucose, dr adler: It s hard to comment on weight without data on height, but that is a lot of weight gain in a short period of time. Is she taking any medications? Any other recent illness or other medical problems? Any change in diet--is she eating more? Any change in...

Pediatrics: Unexplained weight gain/7yr old girl, mitral valve prolapse, high blood glucose
mitral valve prolapse, high blood glucose, unexplained weight gain: You obviously have a complicated situation on your hands the intriquicies of which I can not unravel. There are principles that apply, however, to every one. Something can not be generated from nothing. She can not gain weight unless she is taking in more...

Pediatrics: Unrepsonsive Toddler Turned Blue and Became Rigid, diarrhea and vomiting, white blood cells
diarrhea and vomiting, white blood cells, mild diarrhea: Hi, Jenn, This sounds to me like a seizure. All seizures aren t the typical shaking all over type, but can be an unresponsive episode like this. The white blood cells in the urine should have been confirmed with a urine culture. I hope he wasn t...

Pediatrics: Unsure, rice cereal, couple time
rice cereal, couple time, bowel movements: His intestine is not used to solid foods so the intestine moves its contents along faster than usual. That will change in time. I suggest you be sure that the solid foods you are giving him are the foods that are easy to digest. I would stick with rice cereal...

Pediatrics: Unsure, fist fight, doctor tomorrow
fist fight, doctor tomorrow, daycare: Stay away from the ER for they will charge you and arm and a leg and send you to your doctor tomorrow. If he seems OK I don t think I would do anything. He his his head somehow that he doesn t remember or maybe had a small fist fight that he doesn t want...

Pediatrics: Unusual behavioural "quirks", living with epilepsy, numeracy skills
living with epilepsy, numeracy skills, mental health problems: Dear Josie, Regarding your daughter I would continue to keep an eye on her repetive behavior. Generally children will not continue to persist in an obessive ritual for long periods of time (months.) Should this ritualized behaviors continue into kindergarden,...

Pediatrics: Urate Crystals?, uric acid crystals, urate crystals
uric acid crystals, urate crystals, wet diapers: Dear Jennifer: I think your baby is not dehydrated for if he was his urinalysis would have indicated it. The pink spots in the diaper are uric acid crystals which iin some babies are common findings. In our pediatric practice our pediatricians tell...

Pediatrics: Urinary Issues, ultrasound scan, urine infections
ultrasound scan, urine infections, wondering what kind: How fast his bladder fills up is dependent on how much he is drinking. If there is a problem with bladder emptying this can have a back-pressure effect on the kidneys. If he has had any urine infections he should have an ultrasound scan. If you are worried...

Pediatrics: Urinating Behavioral Problems w/Toddler, urinating problems, garbage pail
urinating problems, garbage pail, dead sleep: Hi, Cathy, I think that just the discussion with you and his Dad and the consistent, unrelenting enforcement of the rules you have set down will do the trick. This doesn t strike me as any behavior to really worry about. Sounds like he is just testing...

Pediatrics: Urinating Frequently, urine specimen, pinworms
urine specimen, pinworms, urinary infections: Urinary infections are common in young girls. If you have a pediatrician I suggest you take a fresh urine specimen to the office. Have her sit on the toilet back wards, which spreads the lips of the vagina so the specimen won t be contaminated from the skin,...

Pediatrics: Urine Infection, ultrasound scan, kidney infection
ultrasound scan, kidney infection, urine infection: Hi, Maria, All boys with a urinary tract infection should get at least an ultrasound, to check and the size and number of kidneys. This is the minimum workup and if this is negative, your doctor may very well want to do some more invasive tests to find...

Pediatrics: Urine protein, kidney reflux, urine protein
kidney reflux, urine protein, high protein: This is inexplicable. You should take her to the pediatrician immediately. The loss of protein in her urine is definitely unrelated to the past reflux, assuming that you have been getting her kidney functions tested periodically and she was disease free until...

Pediatrics: Use of (ADHD Methylphenidate) RITALIN CNS Stimulant, loss of appetite, cns stimulant
loss of appetite, cns stimulant, methylphenidate: Dear Eajaz: Ritalin is widely used for ADHD and ADD. Most children do very well on this medication. There are side effects and they are: elevated blood pressure, loss of appetite and weight loss. The children should be monitored for these problems two...

Pediatrics: Use of Choline and Inositol in Formulas, marketing gimmicks, baby formulas
marketing gimmicks, baby formulas, medical profession: Hi, Larry, Most of us feel that there is not a substantial, measurable difference in the old formulas and the new ones. Most of us are perhaps not versed in nutritional concepts as well as you are. Most of us feel that the plethora of changing formulas...

Pediatrics: UTI, gal bladder, ketone bodies
gal bladder, ketone bodies, nose congestion: You gave me a lot of data, but you did not ask a question. I am surprised that the initial urine culture showed no bacteria. If the current culture is also negative, he should see a urologist or nephrologist. Protein, pus and blood in the urine is often...

Pediatrics: UTI's and Further Testing, renal ultrasound, type of bacteria
renal ultrasound, type of bacteria, vcug: hi, Melissa, The protein is probably normal and was perhaps related to the infection. I wouldn t worry about it. Your pediatrician is worried about why a boy this age develops a urinary tract infection. The bacteria is unusual and would make one think...

Pediatrics: UTI ?, family friction, family discord
family friction, family discord, urine leakage: A urinary tract infection can account for the symptoms but a specimen of her urine collected after you have helped her clean her gential area can give you the answer. The bladder is one of the organs that respond to emotion stress so try to analyze her life...

Pediatrics: DO u have any concerns?, different shapes, x rays
different shapes, x rays, xrays: I can only tell you that for many years almost all of the bumps on a child s head that concerned mothers were variations of normal. The human head is not a rigid globe but one formed from several bones that are not connected until adolescence and can have...

Pediatrics: do u know anything about this stuff, excerises, time emailing
excerises, time emailing, docter: Sorry if you emailed me before and I never seen it. I can tell you some excerises to do that can help strengthen your bladder. When You got to use the bathroom, go set on the toilet and start to pee. When your halfway through, stop ll of a sudden and then...

Pediatrics: uit in 3 mth old baby, dmsa scan, family hx
dmsa scan, family hx, x chromosome: This is not related to any possible diagnosis of Alports. The gene for Alports is carried on the X chromosome. It is inherited through the female line. Therefore for the baby to be at risk it would need to be the maternal grandfather and mum would be a...

Pediatrics: umbilical or belly button, student doctors, extra skin
student doctors, extra skin, yellowish color: Hi, Tonya, Is this an umbilical cord granuloma? It should be easy to tell if this is the case and easy to treat. My guess is that this is felt to be a developmental problem with the GI-GU tract and needs to be treated surgically. Students won t be doing...

Pediatrics: umbilical cord, rare genetic disorder, pediatric infectious disease
rare genetic disorder, pediatric infectious disease, differential diagnosis: Hi, chris, I would be the last person to give you advise on how to diagnose leukocyte adhesion deficiency. This is an exceedingly rare genetic disorder that I would not worry about unless frequent skin infections develop in the future. I don t think...

Pediatrics: umbilical cord still attached at 9.5 weeks, umbilical cord stump, fevers
umbilical cord stump, fevers, blount: I have heard of umblilical cords that dried up yet did not fall off until someone removed it. If you mean a normal umbilical cord with the same apprearance of a newborn, that it new to me. And I don t know of a medical condition that might be related to...

Pediatrics: umbilicus, nerve endings, extra skin
nerve endings, extra skin, rubbing alcohol: A medical facility is not likely to do a procedure just for the practice, so I wouldn t be concerned about that. I couldn t figure what the problem is from what you said but I don t think there is any hurry. If it is moist at the umbilicus wipe it off every...

Pediatrics: unable to roll over, going in the right direction, milestones
going in the right direction, milestones, good luck: Hi, jie, What does your doctor say? I would guess he/she says everything is OK and you just need to follow things. Development is quite variable in otherwise normal kids. My guess is that she is normal and is just having issues with rolling over, really...

Pediatrics: unborn baby with small intestine..?, intestinal atresia, low placenta
intestinal atresia, low placenta, small intestines: I think the doctors are talking about what is called intestinal atresia in the baby. A section of the intestine doesn t develop properly and doesn t function. Since at this time the diagnosis is in question there is no need for immediate action. I suggest...

Pediatrics: uncircumsized concern, foreskin, moshe
foreskin, moshe, mommy: It s obviously impossible for me to tell whether it s infected--if you re worried that it may be, take him back to his doctor. I usually don t advise pulling back the foreskin until about age 3 years. It s often difficult before that age. The redness may...

Pediatrics: uncircumsized penis, thick white discharge, month old baby
thick white discharge, month old baby, pediatrican: There is often a thick white discharge under the foreskin. It will eventually get to the edge of the foreskin and come out looking somewhat like cottage cheese. This is normal and is nothing to worry about. No treatment is needed. If the area is red, tender...

Pediatrics: uncircumsized toddler, foreskin, warm water
foreskin, warm water, mommy: Dear Mia: I would soak you son in the tub in warm water and after the bath apply neosporin ointment or A&D ointment to the reddened area until it recovers. Then do what the doctor advised you to do. I am sure it is all irritated and sore right now so...

Pediatrics: unconfortable situation, chaotic schedule, decider
chaotic schedule, decider, clock: You didn t say what kind of schedule the baby has but if you are feeding her by the clock rather than when she begins to demnd feeding you might wait a while to feed her. If you don t feed her right away she may have a movement before you feed her. If that...

Pediatrics: unconosolable 8 month old, yeast infection, reflux disease
yeast infection, reflux disease, stomach acid: Hi, Kim, A couple of treatable thoughts, treatable being other than he s just a fussy baby . If you have yeast on your nipples, get this treated. If you do have yeast, occasionally kids will get it in the esophagus and have constant painful swallowing....

Pediatrics: under weight baby, diseases that cause weight gain, birth wt
diseases that cause weight gain, birth wt, head circumference: u should be worried as feeding is not eprfect. please write to me detailed feeding schedule. baby not taking isnt an excuse for no feeding. you have to be really after the baby continuously at this age. at least 6 feeds in a day. a;ll 6 feeds should...

Pediatrics: under weight toddler, formulaas, alergy
formulaas, alergy, baby formula: Dear Ashley: If your daughter doesn t want to eat and you give her something to drink instead she could be filling up on the fluids and doesn t have to eat so you want to watch that. Offer her 3 meals a day and two snacks. I would not put her back on...

Pediatrics: under weight toddler, pound weight loss, home scales
pound weight loss, home scales, dear jill: Dear Jill: A six and a half pound weight loss in a two year old would certainly be of concern. If he is healthy, happy, and playful and eats fairly well (normal for this age) I would wonder about your scale. I think your observation would warrant a trip...

Pediatrics: underweight child, low birth weight, chewing food
low birth weight, chewing food, mushiness: Dear Roy, Yes, you are right about feeding problems being common in low birth-weight toddlers. However, it is also true that even normal, healthy birth-weight children have eating problems in the age group of 1-5 years. Do the following to train him...

Pediatrics: underweight child, low birth weight, nutrition status
low birth weight, nutrition status, chewing food: It certainly is true that most low birth weight children remain small, and small children don t need to eat as much as large ones. There is such a thing as behavior modification, however, which means that you set rational rules for a child s behavior and...

Pediatrics: underweight child, check ups, intelligent child
check ups, intelligent child, proper path: From the numbers you gave me, he is within the normal range for both height and weight. His weight may be a little lower than expected, but not much. The really important thing to see is the trend of height and weight, though. Ask his doctor to show you...

Pediatrics: underweight child, playful child, adult height
playful child, adult height, minor infections: Hi, Roy, Babies that are small for gestational age (as compared to premature) generally are genetically set up to not achieve full, normal adult height. Why was he small at birth? This is the question and perhaps if the answer is found, you can get more...

Pediatrics: underweight infant, weight tests, wks
weight tests, wks, grandmother: Hi, Debbie, He should have no problems as a result of this unintended nutritional deprivation. It sounds like, even though mom felt she was feeding him adequately, he just needed some additional calories. He should do absolutely fine. Good luck, Dr....

Pediatrics: underweight, kidney problems, running blood
kidney problems, running blood, reglan: Dear Helene: There are many conditions and disorders that could prevent a baby from thriving. The doctor will be looking for metabolic disorders, endocrine disorders, kidney problems and so on. They really have to do this work up as she should weigh...

Pediatrics: undescended testical, testicles, bathtub
testicles, bathtub, sac: all seems normal, but when he is off clothes, just stroke his thigh gently and see the testicles moving! during his so called correction of testes, the doc may have fixed the testes to the testes sac ! thats not abnormal and usually doesnt affect reproduction...

Pediatrics: unequal pupils in 8 week old, unequal pupils, well baby
unequal pupils, well baby, further studies: Hi, Tyler, Unequal pupils (anisocoria) can be a normal variation, just like unequal ear, testicle, breast, etc size can be normal. All the organs that are bilateral can be like this normally. I suspect this is the case in your baby. Mention this to...

Pediatrics: unequal pupils, unequal pupils, insect bite
unequal pupils, insect bite, bumps on the head: Hi, Lyndsey, It is common for a child to have one pupil bigger than the other. Differences in intensity of light, fatigue or one just always being slightly larger are common explanations. I suspect this is just normal for him. Clearly if he seems to...

Pediatrics: unexplained leg buckling, chest cough, inflamation
chest cough, inflamation, synovitis: Yes. There are a few possibilities. It could be something neurological, or perhaps diskitis--an inflamation near the spinal cord. It could also be synovitis, an inflamation in the hip that could be related to the recent illness, too. He should see his...

Pediatrics: unexplained weight gain in 5 year old boy, diabetes ketones, kidney reflux
diabetes ketones, kidney reflux, unexplained weight gain: An ultrasound is not a bad idea, but it may not show reflux, only some of the damage caused by reflux. He should have a urinalysis and culture and blood tests looking at kidney function among other things. If there is a history of reflux in the family, he...

Pediatrics: unexplained wetting bed/weight gain, urine test, test strips
urine test, test strips, weight gain: Hi, amanda, I doubt that this weight gain is a manifestation of diabetes, but the urine test is easy and your doctor can quickly check this to rule out the condition. The lack of ketones only means that if one has diabetes, then it is not out of control....

Pediatrics: unilateral mouth pain, sinus infection, exercise induced asthma
sinus infection, exercise induced asthma, pain in the left side: Have you seen his doctor? If the teeth are ok and there are no sores in the mouth (I think the dentist would have seen if there were) then you have to check the lymph nodes and the jaw bone itself, too. He may need more xrays and some blood tests, besides...

Pediatrics: two unrelated questions, robitussin dm, asthma medicines
robitussin dm, asthma medicines, vaginal lips: Hi, Shelly, She probably has yeast in this area and pick up some clotrimazole 1% cream (Lotrimin one of the brands) and apply it lightly two times a day to the red area. If this is not improved after a few days, see your doctor. Bronchitis is sort...

Pediatrics: unusual coloured bowel movement, bright daylight, bowel movement
bright daylight, bowel movement, bowel movements: Dear Karen: After infants are given immunizations the stool should not change to a dark color. If she is acting ill contact your doctor. If the stool is black like tar call your doctor and look at it in bright daylight to determine if it is black or brown....

Pediatrics: upward gaze, normal vision, babysitters
normal vision, babysitters, seizure: There is nothing about it that sounds like a seizure to me. I think he did this by accident one time and it got a reaction from you or some adult so he knows that he can get a reaction every time he does it now. If he does it again I suggest that no one...

Pediatrics: urgent contact for treatment, positive reply, pediatric cardiology
positive reply, pediatric cardiology, rassi: my daughter is 91 days ,i come at kem ason dt.7/12/2006 at thursday for checkup for heart vsd problem., ========= VSD is one of the commonest defects in heart since birth. The size and position fo VSD and duration of disease usually affect the course pattern...

Pediatrics: urinary frequency in a 4 yr old boy, kind guidance, bladder spasms
kind guidance, bladder spasms, bladder infection: Dear Lisa, again, You may remember that idiopathic urinary frequency may last for weeks or even a few months and then disappear without any specific treatment. Your little son is typical in that he improved after a couple of weeks but then started peeing...

Pediatrics: urinary frequency in a 4 yr old boy, bladder spasms, bladder infection
bladder spasms, bladder infection, urinary obstruction: This is a hard on for me to answer because boys with urinary obstruction can get into serious trouble if it is not fixed. On the other hand, you haven t given enough information to rule out obstruction although what you describe is not typical. Usually the...

Pediatrics: urinary problems, foul vaginal odor, cortisone cream
foul vaginal odor, cortisone cream, nystatin cream: From what you write this seems to be a cleanliness problem. All skin is constantly producing oil and the genital area produces oil plus all of the irritation from urine and some feces. It seems to me that she would benefit from a daily bath in a warm tub...

Pediatrics: urinary problems, foul vaginal odor, nystatin cream
foul vaginal odor, nystatin cream, bubble baths: i feel this is closer to amonical dermatitis or a candida fungal infection. i may be able to throw more light on this if u can send me the pic of her that area to my email account drdoctor@hotmail.com Also, i will prefer to have her off underweras for...

Pediatrics: urination, glucose tolerance test, symptoms of diabetes in children
glucose tolerance test, symptoms of diabetes in children, symptoms of diabetes: Dear Kim: Take your son to see his doctor and tell him all of his symptoms. He may want to do a urinalysis and urine culture to be sure there is no bladder infection and he may also dip his urine for glucose and ketones which would indicate diabetes. ...

Pediatrics: urination, pediatric urology, family practitioner
pediatric urology, family practitioner, permanent damage: I can t contribute to the problem at this distance but I think you should find a urologist who has had experience with children (if you are anywhere near a medical school there is often a physician who does nothing but pediatric urology). There are certain...

Pediatrics: urine discolor, discolored urine, rare substance
discolored urine, rare substance, mother in law: He is happy, kicking his legs tells me that nothing is wrong. It is a rare substance, and not any food, that can change the color of urine. It is much more likely to be due to something that happens to the urine after he passes it. Nothing your mother in...

Pediatrics: urine infection, urinary tract infections, urine infection
urinary tract infections, urine infection, kidney disease: Both blood and protein are commonly seen in urinary tract infections. There are other causes, too, though. Did she have a urine culture done, too? That is the only test that can tell you for sure if there is an infection. If not, it could be some other...

Pediatrics: urology infections uti's, left kidney, urine infections
left kidney, urine infections, fevers: The key thing is whether she is emotying her bladder properly when she goes to the toilet. Urine infections are usually due to inadequate bladder emptying. This can be assessed by ultrasound, although is difficult to assess until the child is continent....

Pediatrics: uti in 3.5 yr old?, nurse line, kidney infections
nurse line, kidney infections, incontinence episodes: Hi, Elizabeth, Many doctors will automatically check a daughter for reflux, even if they have no symptoms, because there is a 25-33% chance she has reflux, based only on your past history. This is a high enough chance to justify a test like a nuclear...

Pediatrics: uti 3 month old girl, vcug, hi amy
vcug, hi amy, new mom: Hi, Amy, The timing is coincidental. The genetics are what is operative in this situation. Bacteria that are pathogenic aren t usually transmitted in the breast milk. E coli is found in everyone s bowels and near the genital tract and this is the reason...

Pediatrics: uti 3 month old girl, kem hospital, asthma clinic
kem hospital, asthma clinic, mumbai india: I have had a uti for approximately 2 months. ====== well compelte a 10 day course with an antibiotic under doc supervision. My breastfed daughter, 3 months old, now has a uti. ========== if it is proven , it can be due to having the area wet often withw...

Pediatrics: VACCINATIONS?, mercury in vaccines, phs agencies
mercury in vaccines, phs agencies, public health service: Please discuss this with your pediatrician before making firm decisions--especially if you are having doubts about immunizing your daughter. I firmly believe that all children should receive all of the approved vaccines at the scheduled time--beginning at...

Pediatrics: Vaccinations, hep b vaccination, dose of antigen
hep b vaccination, dose of antigen, vaccination series: Hi, Brett, Hopefully this response will be easier to read than my handwriting! I had the same situation. After my series of three shots, my doctor recommended a titre and it came back nonreactive. I had one shot, had a titre done that was still nonreactive...

Pediatrics: Vaccinations, hep b vaccination, dose of antigen
hep b vaccination, dose of antigen, vaccination series: The lab tests do show that you are not immune to Hepatitis B, so you should be revaccinated. The standard routine is a 3 dose series. There is a 2-dose series, but it s only officially approved for patients aged 11-15 years. I am not sure why just those...

Pediatrics: Vaccines, prevnar vaccine, prevnar
prevnar vaccine, prevnar, wilm: Dear Veronica, Prevnar and Hib being killed vaccines or antigen vaccines can be safely repeated. I have my doubts about MMR as it is a live vaccine. Please consult her primary pediatrician and the oncologist who treated her before giving her the MMR. ...

Pediatrics: Vaginal Problem, goteborg university sweden, pediatric urologist
goteborg university sweden, pediatric urologist, child care provider: Dear Geraldine Sessa, Most probably, the baby girl has a not uncommon condition known as adhesion between the minor labia . This means that her anatomy is perfect except that the minor labia are glued together by, most often, rather loose adhesions. It is...

Pediatrics: Ventriculomegally, Agenesis Corpus Callosum, Atrophy Cerebellum, agenesis corpus callosum, right side of brain
agenesis corpus callosum, right side of brain, brain support: Hi, Erwin, It is impossible for me to say with any certainty. What does your doctor tell you? The atrophy of the cerebellum is a permanent structural problem of the brain, as is the agenesis, but how exactly these will impact her future is uncertain....

Pediatrics: Ventriculomegally, Agenesis Corpus Callosum, Atrophy Cerebellum, agenesis corpus callosum, 5th month of pregnancy
agenesis corpus callosum, 5th month of pregnancy, right side of brain: I certainly understand your concern and your need to know answers but I don t think it appropriate to give you an answer when you have an expert who knows the child. That is the person to answer your questions. It would be wrong for me to give an answer...

Pediatrics: Ventriculomegally, left brain and right brain, left and right brain
left brain and right brain, left and right brain, brain abnormalities: Hi, Erwin, Lots of kids have absence of the corpus callosum and are fine. It is fairly often found as an autopsy finding on normal adults who have died from other causes. Lots of them, however, are not and will have developmental problems. I can t tell...

Pediatrics: Vicks vapo steam, vicks vapo steam, vapo
vicks vapo steam, vapo, plain water: Vicks was developed just 20 miles from where we live and it has contributed to the economy of this area for many years but it is still a worthless product that produces the feeling of having done so much because of the medicinal odor it produces. Plain water...

Pediatrics: Viral induced Wheeze, butamirate citrate, docotrs
butamirate citrate, docotrs, wheeze: Dear Sushma, In India, we are not familiar with both those drugs. I checked the net, and I am convinced that fenoterol is for asthma like sytoms. However, I am not too sure about the other drug. Sorry, but I cannot help you further at this point. Hope you...

Pediatrics: Virus in Infant, stomach flu, vomiting and diarrhea
stomach flu, vomiting and diarrhea, urine infection: Hi, Angela, Hate to tell you, but one year olds don t have throat infections that can be treated with antibiotics. The antibiotics orally and probably the injection will be useless for a viral illness. With the fever, vomiting and diarrhea, this is most...

Pediatrics: Virus in Infant, stomach virus, vomiting and fever
stomach virus, vomiting and fever, throat infection: Viruses can certainly cause these symptoms. We are seeing a lot of children lately with vomiting, diarrhea and fever, all caused by a stomach virus. It usually lasts 4-6 days, with vomiting for the first day or two, and diarrhea for the last 4-5 days. Some...

Pediatrics: Virus in Infant, gastrointestinal virus, vomiting and diarrhea
gastrointestinal virus, vomiting and diarrhea, throat infection: Dea Angela: The baby has a gastrointestinal virus and a throat infection so antibiotics are not going to make the vomiting and diarrhea stop. She needs to be given any of the oral rehydrating liquids such as Pedialyte or Liquilytes if you have not started...

Pediatrics: Virus in Infant, vomiting and fever, throat infection
vomiting and fever, throat infection, pediatrician: Dear Angela, Viruses can be very stubborn at times, and may take more than a week to go; in any case, antibiotics are useless against viruses, so I am surprised as to why your doctor is using them inspite of the diagnosis he has offered. Don t worry,...

Pediatrics: Virus in Infant, rice cereal, childhood illnesses
rice cereal, childhood illnesses, drink coke: The great majority of childhood illnesses are caused by a virus of which there are very many. And viruses do not respond to antibiotics. It doesn t make sense to say her illness is due to a virus infection and give her an antibiotic, but that happens in...

Pediatrics: Virus in infant, low grade fever, doctors office
low grade fever, doctors office, cold symptoms: Hi, Connie, This could be all due to the virus, but with the cough and cold symptoms and the continuous crying, it would be reasonable to have a check again to make sure something treatable like an ear infection hasn t developed. Good luck, Dr. Olso...

Pediatrics: Virus...and now rash?, roseola, chest area
roseola, chest area, mmr: There is a virus called Roseola which causes fever for 3-5 days, followed by a rash as the fever goes away. The rash usually stays for 1 or 2 days and then resolves, too. Once the rash is seen, the virus is on the way out, so she is probably going to be...

Pediatrics: Visible Tympanostomy Tube, pair of tweezers, tympanostomy tube
pair of tweezers, tympanostomy tube, ear tube: If the tube is plainly visible it has probably come out of the ear drum and is lying in the canal. Why don t you take a pair of tweezers and remove it. It should cause no pain and it will save you a trip to the physician. In time you can let her ENT person...

Pediatrics: Vitamin D, john e moore, natural sunlight
john e moore, natural sunlight, luck john: Vitamin D supplementation is a complicated issue. I think she was probably getting enough from natural sunlight over the summer, especially because she is fair-skinned. I would, though, recommend restarting the vitamins this winter, since we all tend to get...

Pediatrics: Vitamin D, chewable tablets, vitamin d
chewable tablets, vitamin d, 9 months: I think every child at this age should be receiving a miltivitamin supplement every day which would include Vitamin D. There are drops or chewable tablets. And if the water she drinks doesn t have flouride in it she should be flouride drops added to her...

Pediatrics: Vitamins for kids, child vitamins, french fries
child vitamins, french fries, chewable tablets: You are describing the normal eating habits of a child his age, and from what I interpret you are not hasselling him to eat a meat and two vegetables every meal (you don t set in your mind what he should eat and try to see that he does that). Your approach...

Pediatrics: Vitamins, plentiful supply, diets
plentiful supply, diets, toddlers: Hi, Karen, Most of us feel that virtually no toddlers need vitamins, unless they have horrendous diets without any fruits or vegetables. Most toddler diets contain vitamins in plentiful supply. If parents want to give their kids vitamins, I don t object...

Pediatrics: VOMITING, immunization schedule, stomach problems
immunization schedule, stomach problems, rare possibility: I think you should try to find out the cause. When a child grows up in a family where intestinal symptoms are prominent (and it has to be with ulcerative colitis) he/she will often use a GI symptom to manifest some concern or anxiety in his/her life. I think...

Pediatrics: Vomiting, respiratory passages, breathing passages
respiratory passages, breathing passages, nasal passages: At night mucus can collect in the respiratory passages and cause more coughing because the child doesn t cough and swallow as during daytime. When it causes coughing it can made the child vomit, and sometimes, as you suggested, the accumulation of mucus...

Pediatrics: Vomiting, clear liquids, stomach contents
clear liquids, stomach contents, empty stomach: I think your suggestion is a good one. In the morning his stomach begins to be active with peristalsis and often, if there is only liquid in his stomach, the contractions push it contents out. If the stomach contents are thicker it is less likely to come...

Pediatrics: Vomiting, first time mom, legitimate concern
first time mom, legitimate concern, galactosemic: It takes so litte to cause a small child to vomit like that. I can only suggest you feed him less at that feeding and be sure that the bubble is up by burping him every ounce during the feeding and for 10-15 minutes after the feeding. This doesn t sound...

Pediatrics: Vomiting, kem hospital, asthma clinic
kem hospital, asthma clinic, ml milk: little hyperactivity may be normal for age. but his growth can be only said to fail only if he fails on growth charts. plot his serial weight and heights in growth charts. he should be close to 10 kg by this age, if that is so, his body growth is normal...

Pediatrics: Vomiting, signs of meningitis, lunch time
signs of meningitis, lunch time, pedialyte: Pedialyte is probably the best thing to drink when you are vomiting. Take just small amounts at a time, and drink frequently. However, if you have persistant vomiting, especially with a headache, you really should see your doctor as soon as possible. While...

Pediatrics: Vomiting and Diarrhea, vomiting and diarrhoea, immunization shots
vomiting and diarrhoea, immunization shots, stomach flu: Dear Suzi, You are right. These episodes of vomiting and diarrhoea have nothing to do with the shots your daughter took. It seems that she may have caught the stomach flu. This is a viral illness and tends to cause both the problems that you have listed....

Pediatrics: Vomiting and diarrhea over a month, vomiting and diarrhea, stool culture
vomiting and diarrhea, stool culture, intestinal infection: You didn t say anything about what has been done to investigate the cause of this. Her physician should ask for a stool culture along with other labatory studies. It sounds like an intestinal infection but you need evidence to confirm it before any treatment...

Pediatrics: Vomiting after giving rice cereal, rice allergy, rice cereal
rice allergy, rice cereal, stomach flu: Dear Aysha: It is rare but the baby could be allergic to rice. So I would try oatmeal instead. If vomiting occurs with oatmeal, then it may be a texture issue. Could have been a coincidental illness too. Try the oatmeal but give only a few spoonfuls...

Pediatrics: Vomiting in infants, oatmeal cereal, prune juice
oatmeal cereal, prune juice, vomiting in infants: Hi, Wendy, Personally if he was doing fine before addition of the solid food, I would wait until 6 months to try again. Kids do fine on only formula or breast milk until 6 months. You can add solids if you wish earlier, but why? The prune juice...

Pediatrics: Vomiting & Loose Motion, gastrointestinal infection, symptoms of dehydration
gastrointestinal infection, symptoms of dehydration, dry lips: Dear Raman: Your baby could have a gastrointestinal infection and if she is not keeping fluids down she may dehydrate. Symptoms of dehydration are: dry skin, dry lips, dry mucous membrane inside the mouth, a dry, sticky parched tongue, sunken eyes, listlessness,...

Pediatrics: Vomiting Before Preschool, amicable relationship, peers
amicable relationship, peers, emotion: Hi, Kristin, This clearly sounds to me also to be a psychosomatic complaint. He is clearly troubled by something that is probably related to the separation. Continue to keep on taking him to school, ignore the vomiting as much as possible and be reassuring....

Pediatrics: Vomiting & watery stools since a week, watery stools, khichdi
watery stools, khichdi, intestinal infection: Dear Nameeta: In the USA we give our children with diarrhea lots of cooked rice, banana and applesauce. Biscuits are fine but I do not know what khichdi is. Milk may aggravate the problem so I would think you may want to keep him hydrated with ORS or...

Pediatrics: Vomiting, rice cereal, emotional atmosphere
rice cereal, emotional atmosphere, food allergy: I assume that you have tried to eliminate all the foods that may be causing this. The Nutramigen rarely causes food allergy but then some babies have difficulty digesting any foods. If he is taking solid foods have you tried limiting him to 1-2 of the simplest...

Pediatrics: Vomitting, sunday morn, roughage
sunday morn, roughage, low fat milk: I know it is confusing when you get more than one opinion but I don t think this is reflux. Reflux is a diagnosis of the past 20 years and a lot of problems with the intestine have been called reflux because it is a popular diagnosis. One can have gastroenteritis...

Pediatrics: Vomitting-No Fever, No Diarhhea, kidney reflux, early monday morning
kidney reflux, early monday morning, stomach bug: Hi, Sarah, I think it is unlikely this is due to the Bactrim, for she hadn t any symptoms until recently. I would recommend adding a probiotic daily to anyone who is taking a daily antibiotic. Culturelle has a nice product that most Walgreen s carry....

Pediatrics: Vomitting and loose stoole, loose stools, rice cereal
loose stools, rice cereal, little bit at a time: There are several things that can do this. Most of the time, it is a virus and will get better in a few days. The important thing is to get enough liquids into her, so she does not get dehydrated. The best thing to try is Pedialyte. Give her small amounts...

Pediatrics: Vomitting, stomach flu, value judgement
stomach flu, value judgement, food elements: Without knowing anything more about him I would ask what his reaction is to the environment in a restaurant. His reaction, if there is any validity to these thoughts, is not something that we would consider rational but it could come from some event in the...

Pediatrics: VSD, nose congestion, heart murmur
nose congestion, heart murmur, pulmonary hypertension: do symptoms of CHF or pulmonary hypertension take a couple of months to develop? yes, a few months, usually by third month. He has no symptoms now, will he later? yes, most do, duarion of appearance of symptoms depends on size of defect. He...

Pediatrics: VUR, left kidney, vcug
left kidney, vcug, renal scan: Hi, Becky, Deflux is an increasingly popular and effective method to help with reflux. If your doctor recommends it, it seems like a reasonable and safe approach. You would have to ask your doctor if the renal scan will add anything to the treatment...

Pediatrics: vaccination, tissue fluid, dtap
tissue fluid, dtap, hib: Dear Paranoid - the drop you saw was tissue fluid which forms some 70% of all of us. If one puts a hole in an object - the skin - it will let fluid out before it heals itself. The vaccine is deep inside the tissue in the muscle. It is not bad at all. Anxious,...

Pediatrics: vaccination, tissue fluid, dtap
tissue fluid, dtap, hib: It could be some of the vaccine, or it could be a little tissue fluid coming out through the hole left by the needle. If it was some of the vaccine, a small drop would probably not make much difference in the effect of the vaccine. I would not worry about...

Pediatrics: vaccination, chicken pox vaccination, japanese encephalitis
chicken pox vaccination, japanese encephalitis, recommended vaccinations: Hi, shoba, Giving more than the recommended vaccinations is not a good practice, but won t hurt the child. This is basically more of a clerical error than an important medical mistake. It happens in the best of pediatric offices. I know nothing about...

Pediatrics: vaccination inj sites, deltoid muscle, inch needle
deltoid muscle, inch needle, sore leg: Dear Sandy: In my opinion, a four year old has a developed deltoid muscle and should be given IM injections in the deltoid and not the thigh. I would guess that with a 4 year old child s chubby thigh a 5/8 inch needle may not reach the muscle but it will...

Pediatrics: vaccination, american academy of pediatrics, academy of pediatrics
american academy of pediatrics, academy of pediatrics, hib: The order really doesn t matter. The American Academy of Pediatrics has given some guidelines so that all of the immunizations will be given and at the intervals shown to produce the most response in the child. A child s immune system is very tolerant and...

Pediatrics: vaccinations, doctor nurse, blood vessel
doctor nurse, blood vessel, plunger: Hi Melissa, The aspiration for blood when inserting any needle is to determine if the injection of the needle has inadvertently punctured into a blood vessel. Any vaccines given in the blood vessels will be useless. If the needle was punctured into a blood...

Pediatrics: vaccinations with a cold?, runny nose, pediatricians
runny nose, pediatricians, moshe: You should ask his doctor what their policies are, but most pediatricians will give vaccines to children with colds. A simple cold is not enough reason to delay immunizations. If he has a fever or more serious illness then the shots should be delayed. If...

Pediatrics: vaccinations with a cold?, mild cold, 5 months
mild cold, 5 months, cough: Hi, Jen, A simple cold, without a fever or signs of serious illness, is not a reason to skip the vaccinations. They are safe and effective when given with a mild cold. This would be a good opportunity for your doctor to check him and make sure he is...

Pediatrics: vaccinations missed, immunization records, peds
immunization records, peds, moshe: He is not too old (although at this age he would receive the dT, not the DTP) but chance are that he already had the vaccines he needed. IF he is in school, he would not have been allowed to continue without them. Check with his school and ask them for a...

Pediatrics: vaccinations, prevnar, hib
prevnar, hib, agian: Hi, Jen, There recently has been a continuing intermittent shortage of the Prevnar (PCV7) vaccine. The schedule that your doctor has proposed is good and the fact that we give so many vaccines each time seems to make no difference. Sounds like your doctor...

Pediatrics: vaccine, hepatitis a vaccine, fecal oral route
hepatitis a vaccine, fecal oral route, apparantly: Hi, Joanne, Hepatitis A can be a serious disease that ultimately can cause death in a few kids. It is transmitted by the fecal-oral route, a situation that makes it ideally transmitted in young kids. The vaccine is safe and effective and is recommended...

Pediatrics: vaccine triple V, moshe, dpt
moshe, dpt, vaccines: Unfortunately, I have no idea what triple V is, so I really can t answer you. There are newer DPT vaccines that cause fewer reactions, but they are not painless. I also don t know how much Rs.2500 is, so I can t comment on the price. How does this compare...

Pediatrics: vaccine triple V, routine vaccines, private establishments
routine vaccines, private establishments, storage temperature: anything that needs to be poked cant be painless. pain depends on the size/diameter of needle and site of innjection and precision and speed of the doctor. After effects with routine vaccines are also minor and are only for short phase not mor ethan a...

Pediatrics: vaccine, hepatitis a vaccine, hepatitis b and c
hepatitis a vaccine, hepatitis b and c, yellow jaundice: The world survived without hepatitis A vaccine until about 20 years ago, so being without it is not a disaster. It is a safe and effective vaccine against this disease of the liver which can in a few occasions lead to much permanent damage to the liver. It...

Pediatrics: vaccines, american academy of pediatrics, whooping cough
american academy of pediatrics, whooping cough, childhood diseases: The development of vaccines against childhood diseases was the major medical advancement of the early 20th century. If your friend had seen several of her friends die of diphtheria or whooping cough she would change her behavior. The benefits outweigh the...

Pediatrics: vaccines, hemophilus influenzae, congenital birth defects
hemophilus influenzae, congenital birth defects, bacterial meningitis: Dear JonL: The benefit vaccines provide far outweighs the risk of a serious side effect. All of the diseases we protect children against by use of vaccines can kill them if they remain unprotected. Polio can cripple and kill, diptheria can kill, tetanus...

Pediatrics: vaccines, mmr vaccines, autism in children
mmr vaccines, autism in children, last legs: Vaccines are more damned than what is due to them. Just recently, scientists overturned the earlier claims that MMR vaccines caused autism in children. Small pox was globally eradicated in 1976 thanks in no small part due to vaccination. Polio is also on its...

Pediatrics: vaccines, questionable sources, false rumors
questionable sources, false rumors, kooks: I think I answered this question once but maybe you didn t get the answer. I think it unconscionable to raise a child without giving them all the protection available for illnesses. Over and over the rumors about dangers have been proven false, including...

Pediatrics: vaccines, hemophilus influenza, streptococcus pneumonia
hemophilus influenza, streptococcus pneumonia, prevnar vaccine: First, the easy question. Only about 5% of children will have any reaction to the chicken pox vaccine. Most have nothing at all. Remember, there is a 10% chance of still catching chicken pox, but those 10% usually get a very mild case. There are many...

Pediatrics: vaccines, fetal bovine serum, aluminum phosphate
fetal bovine serum, aluminum phosphate, neomycin sulfate: Well, it s partially true, but meant to confuse and scare you. These are things used in the manufacturing process. They are not all in the vaccines that are injected into our children. Vaccines are biological products--they have to be made from living (or...

Pediatrics: vaccines not working, antibody responses, invasive infections
antibody responses, invasive infections, prevnar: Hi, Katie, Probably this is only bad luck. However, with this happening twice or if she has other invasive infections (basically sick a lot), it would be reasonable to do a blood evaluation to see if the basic mechanisms of the immune system are intact....

Pediatrics: vaccines, occasional seizures, tetanus diphtheria
occasional seizures, tetanus diphtheria, dtp vaccine: Unfortunately, there are many people and organizations who do not believe that any children chould be immunized, and they are spreading many lies about vaccines. The short answer--ask any pediatrician whether they vaccinated their own children. I don t know...

Pediatrics: vaginal discharge, yellowish vaginal discharge, old baby girl
yellowish vaginal discharge, old baby girl, warm soapy water: My first thought is that she has something stuck in her vagina, the most likely of which is a piece of toilet paper. Spread the labia and with a flashlight look closely to see if you can see tiny pieces of something. It may be that it has gotten behind the...

Pediatrics: vaginal flatulence, embarassing situation, pediatric surgeon
embarassing situation, pediatric surgeon, flatulence: Not sure what is causing this. You might want to have either a pediatric gynecologist (if there is one nearby) or a pediatric surgeon examine her--there are small scopes that can look inside--to see if there is anything there causing this problem. It s not...

Pediatrics: vaginal odor in 4 years old girl, sitz baths, vaginal odor
sitz baths, vaginal odor, passing urine: Hi, sanjukta, Lots of kids this age have a bit of an odor in the vaginal area. Sometimes this may be due to an object stuck in there, but usually that is accompanied by a really bad odor and some discharge. Generally a couple of sitz baths, soaking the...

Pediatrics: vaginal odor, vaginal odor, vaginal area
vaginal odor, vaginal area, rashes: Hi, Sally, Kids this age are inquisitive and are always sticking things in the vaginal area. A piece of tissue, for example, after being there for a few days, can really smell and won t always be painful. Make sure that this is not the case. Rashes...

Pediatrics: vapor patch, triaminic vapor patches, triaminic
triaminic vapor patches, triaminic, vaporizers: Good question. I really don t know how much they get from the patches or vaporizers. It s probably not an excessive amount, but I m always cautious about mixing medications, so I d advise using only one at a time. If his symptoms are not improving with...

Pediatrics: vapor rub, memories of my mother, fond memories
memories of my mother, fond memories, healing garden: Hi, Liz, You can but most of us feel that these products are not very effective. They are safe and if you would like to try, go for it. I still have fond memories of my mother using Vicks on me as a child and associate that smell with comfort. Good...

Pediatrics: vaporizer, vicks vaporizers, cold type
vicks vaporizers, cold type, hot one: As long as it makes vapor or steam, it should be ok. If it s a hot one, make sure it is unreachable by your child. I ve seen kids get burned by touching vaporizers--they get very hot. If it s the cold type, clean it out and let it dry completely every day...

Pediatrics: vaporizing inhalants, vicks, vaporizer
vicks, vaporizer, inhalants: Dear Jamie: I would hold off using Vicks in the vaporizer. Sometimes those fumes can irritate a young child s airway. It is good simply to provide the humidified air by using the vaporizer. I am sorry but I have no data on the safety of Vicks during...

Pediatrics: is ventalin for non asthmatics or ok for 19 month olds?, kind of virus, whooping cough
kind of virus, whooping cough, history of asthma: well, for all practical purposes it looks like an infection, may be of throat need not be of chest, thats what can commonly cause vomiting at this age. EES is a mild but effective antibiotic. short course of ventorlin doesnt do any harm. please read...

Pediatrics: vesiureteralreflux, vur, medical management
vur, medical management, pediatrician: The majority of children with this condition do not come to surgery and the main treatment is antibiotics to prevent UTIs. The small dose at night is not associated with any problems. The only indictaion for surgery is failure of medical management. The...

Pediatrics: viral respiratory infection, viral respiratory infection, otc drugs
viral respiratory infection, otc drugs, pediatrican: There are medicines that can be used at his age, both prescription and OTC, but I really don t like to use them. Decongestants may help a little, but they also make babies cranky and fussy, and frequently keep them up late at night. A humidifier may help...

Pediatrics: viral, constant vomiting, urine specimen
constant vomiting, urine specimen, ear ache: Viruses have different characteristics and some last longer than others. A week is not too long unless there is something more than fever and feeling bad such as ear ache, severe sore throat, really bad headache, constant vomiting or prolonged diarrhea....

Pediatrics: virus or something more?, diaherra, seasonal allergies
diaherra, seasonal allergies, running nose: Hi Rachael, It sounds like seasonal allergies. You can help alleviate her symptoms by turning on the humidifier whenever she sleeps. Or turn on the hot shower and let the bathroom steam up... then take her into a nice steamed bathroom. Regards, John...

Pediatrics: virus, horrible virus, percentage chance
horrible virus, percentage chance, daugter: Unfortunately, I d say that there is a fairly good probability that he will get it, but I can t give you a percentage chance. Viruses can survive a long time on things like straws and in water. It will probably take a few days to show up if he does get it....

Pediatrics: virus or maybe thats what they say, pediatric gastroenterologist, daycare
pediatric gastroenterologist, daycare, new mom: It depends on how often this happens. Most of the times that children have vomiting or diarrhea, it is a virus that causes it. It is not always Rotavirus -- that s just one of many that can do this -- but Rotavirus is the worst one. It often is serious...

Pediatrics: virus?, fever chills, high fever
fever chills, high fever, brother and sister: No, they are not too young to get mono, and they didn t have to kiss anyone to get it. If they ve had fever for 5 days, they really should see their doctor soon. It could be something that needs treatment with antibiotics, or other treatments. There is...

Pediatrics: are these viruses or something worse?, chest x ray, chest xray
chest x ray, chest xray, diahreea: Hi, leslie, First, find a doctor you can trust and stick with one doctor. Going all over the place and getting an xray here and one there is not good care. Could she have asthma, like the second doctor seems to be suggesting? This is possible. Could...

Pediatrics: viruses, viral illnesses, airplanes
viral illnesses, airplanes, good luck: Hi, Carol, One can catch any virus on a plane, because this is just another group of people in one confined space. This fact is really meaningless, for planes are probably less risky for getting viral illnesses than the home, schools and churches. ...

Pediatrics: vision, pediatric opthalmologist, horizontal line
pediatric opthalmologist, horizontal line, medical doctor: Hi, Sally, Have her see a good pediatric opthalmologist. (I didn t spell this right, but I mean a medical doctor who specializes in the medical visual problems of children) I don t know if this is anything at all (might be just an attention getting device)...

Pediatrics: vitamins w/ floride, soft food, cear
soft food, cear, multiple vitamin: Hi, jen, Most kids don t need vitamins. Parents often give them and I have no objection to this. If the question is when can a chewable be given, you can always crush a chewable and give with a soft food at almost any age. Good luck, Dr. Olso...

Pediatrics: voice change in 4 yr. old, voice change, laryngitis
voice change, laryngitis, diagnosis: My 4 yr. old daughter woke up 5 days ago with a very squeaking, very different voice. ======= may be sher was sufferung from laryngitis. We thought perhaps she was getting sick. 5 days later - no sign of sickness. Is this any cause for concern? ...

Pediatrics: vomit bug, pedialyte, body fluids
pedialyte, body fluids, moshe: Yes, it is most likely a virus, but there are other possiblilties, too. Most kids will throw up for a day or two, then have diarrhea for 2 or 3 days, then it gets better. Some just throw up, others just have diarrhea, and a few will be confusing, like your...

Pediatrics: vomiting, gastroesophageal reflux disease, safe medicine
gastroesophageal reflux disease, safe medicine, behavior expert: Hi, Kim, Some thoughts for you. Clearly some of this vomiting is behavioral in nature, for example when she carries on in bed and then throws up. A part of this might be GERD, gastroesophageal reflux disease, a common problem where the food has a hard...

Pediatrics: vomiting, pediatric gastroenterologist, gi problems
pediatric gastroenterologist, gi problems, baby foods: It may be nothing--sometimes babies throw up because they eat too much, or got excited about something, or some other minor reason. However, if this persists, even if it s sporadic, it may be worth further investigation. If she is happy, eating well, growing...

Pediatrics: vomiting, food diary, frequent meals
food diary, frequent meals, bloodwork: I can t be of much help in a case like this but I will try. You may have done this but a food diary is often helpful. Write down exactly what she eats and how much. Giving more frequent meals may help the symptom. If you feel that you have done all of these...

Pediatrics: vomiting, blood studies, nine days
blood studies, nine days, lifeguard: Hi, alanna, Please see your doctor. Nine days of throwing up everything is decidedly abnormal and needs to be carefully evaluated. Your doctor should do a good history, including the possibility of being pregnant, and then exam you. The good possibility...

Pediatrics: vomiting, pediatric gastroenterologist, neice
pediatric gastroenterologist, neice, whole milk: Dear Shelly: Vomiting nightly is not normal at this age. She may be causing herself to throw up or she could have a problem that a pediatric gastroenterologist may have to evaluate her for. I doubt her walking will make a difference. I would speak...

Pediatrics: vomiting, porridge, pediatrician
porridge, pediatrician, ocd: its more like a threat infection at this age, the treatment is supportive and vomiting meds wont help. make the diet more palatable in the form of liquid or semisolid and warm/sweet like soups porridge etc. if nomajor relief, give steam inhalations with...

Pediatrics: vomiting, human stomach, cottage cheese
human stomach, cottage cheese, straight answer: The human stomach contains hydrochloric acid, which is the first step in digestion, and acid in milk causes it to clot or curdle . That part is completely normal, and although this is not a big part of your problem, it is one aspect you can forget. When...

Pediatrics: vomiting, pediatric gastroenterologist, diet changes
pediatric gastroenterologist, diet changes, cottage cheese: First, what she is throwing up is perfectly normal. That s what happens to milk when it comes in contact with the acid normally found in the stomach. As for the vomiting, there are kids who just throw up for no good reason. If it is not too frequent...

Pediatrics: vomiting, oesophageal reflux, cottage cheese
oesophageal reflux, cottage cheese, straight answer: I am not sure if it is just the milk which sets off the vomiting? She may have gastro-oesophageal reflux. The important thing is whether she is growing normally and if so then I would not be too worried. If you remain worried it may be worth getting her...

Pediatrics: vomiting 48 hours, stomach flu, fancy foods
stomach flu, fancy foods, water juice: If two children have the problem it is an infectious process that is causing the vomiting, as opposed to appendicitis. The important thing is to see that they are drinking plenty of liquids to replace what they are loosing. Coke will often stay down when...

Pediatrics: vomiting, causes of vomiting, phenergen
causes of vomiting, phenergen, running a fever: I hope he s either better by now or he has seen his doctor. This forum is really not the best place for urgent problems, since you may not get answers for a day or two. There are many causes of vomiting, but most of the kids we see with it have a virus...

Pediatrics: vomiting, projectile vomiting, check ups
projectile vomiting, check ups, stenosis: It s not likely to be pyloric stenosis at this age--that usually shows up much sooner, and babies cannot keep anything down, so they lose weight and get dehydrated. She would likely be much sicker. If she is growing normally, there may be nothing to do....

Pediatrics: vomiting, bowel obstruction, bowel movements
bowel obstruction, bowel movements, rag doll: Hi, Rhonda, I could make a case that his weight loss is due to the illness and therefore he is about 10-12% dehydrated, a considerable amount. What other reason could there be for his weight loss? If he is vomiting, with no diarrhea or fever and no...

Pediatrics: vomiting, severe stomach pains, pediatric gastroenterologist
severe stomach pains, pediatric gastroenterologist, intestinal flu: Hi, Carol, Did the upper GI exam include a swallow portion? Generally in this situation we want to know what the esophagus looks like. The Prevacid sounds reasonable. I think a pediatric gastroenterologist might be helpful, but I think also this could...

Pediatrics: vomiting, abbie, day time
abbie, day time, goodnight: Hi, Abbie, Is she ill during the day time? Is she eating a lot of milk before bed? Is she upset with bed and is vomiting because of this? If she isn t sick during the day time, I suspect it is a habit. I think, however, that any child vomiting...

Pediatrics: vomiting and diareah, stomach flu, adequate fluids
stomach flu, adequate fluids, picky eater: Hi,leslie, He has, in all probability, a stomach flu. If he is getting dehydrated and you are concerned, see the doctor. If he is getting adequate fluids and is hanging in there without getting worse, then manage the symptoms at home. I think the...

Pediatrics: vomiting and diarrhea with 4 year child, signs of dehydration, viral gastroenteritis
signs of dehydration, viral gastroenteritis, dogs cats: Children can get some parasites from animals but it is quite rare. You didn t describe anything to make his problem different from a simple viral gastroenteritis, which takes time to heal. Sometimes the problem lies in ones definition of gentle foods . Many...

Pediatrics: vomiting and diarrhea in a child, signs of dehydration, dogs cats
signs of dehydration, dogs cats, stool examination: Hi, Julie, This is the sort of picture, where he isn t exceptionally ill and the symptoms has gone for a long time where checking the stools for ova and parasites and bacteria should be done. Cryptosporidium and giardia are two that immediately come to...

Pediatrics: vomiting and diarrhea in a child, signs of dehydration, stool specimens
signs of dehydration, stool specimens, dogs cats: It may turn out to be just a virus, but when these things last more than a week, I usually send stool specimens for culture and to look for parasites. This could be Giardia or Campylobacter of some parasite. Some animals carry Campylobacter, and some reptiles...

Pediatrics: vomiting & diarrhea, stomach cramps, expert consultation
stomach cramps, expert consultation, diarrhea: have an 11 year old son. On & off over the past 45 days he has woken up in the middle of the night with stomach cramps only to end up having diarrhea and vomiting. -============= gastroenteritis! worm infestation likely if thats usual! After this happens...

Pediatrics: vomiting and headache, laboratory studies, neurologist
laboratory studies, neurologist, physical examination: I think you continue to go to a physician that you trust and follow his/her advice. If he/she thinks a consultant is needed it would probably be a neurologist. Laboratory studies, including radiology and the like, are important but more important is a history...

Pediatrics: vomiting infant, different time, different times
different time, different times, seizures: Hi, Diane, When a kid is acting like this, call your doctor, rather than ask someone over the internet. I hope that by now he is fine, but certainly with these unusual symptoms that could suggest a serious problem (seizures, for example) you need to run...

Pediatrics: vomiting in sleep, diet diary, detective work
diet diary, detective work, sleep 2: Hi, Andrea, If this is happening more frequently or it is happening in the day time as well, I would see your doctor. If she seems fine in the day and this is an infrequent event, I ll bet it is a food intolerance and some detective work (like a diet...

Pediatrics: vomiting,stomach pain constipation, severe stomach pain, bowel movement
severe stomach pain, bowel movement, mr thomas: I don t think I can contribute anything to a situation where the child is in the hospital under the care of his physician, who has seen him, examined him and, I am sure, discussed his situation with his parents. I would be eager to help if I knew any way...

Pediatrics: vomiting, upper gi series, developmental milestones
upper gi series, developmental milestones, abuse and neglect: Rumination disorder, in my experience, is quite rare and your description of his symptoms doesn t sound like it. You didn t say anything about xray studies; it seem to me that you should know exactly what happens to material that goes into his intestinal...

Pediatrics: vomitting, metabolic problems, moshe
metabolic problems, moshe, parasites: If he is having increasing episodes of vomiting, he really needs an evaluation for this. There are many possibilities--food, obstruction, metabolic problems, infections, parasites. Has he lost weight? If so, it is even more urgent to have him checked soon....

Pediatrics: vomitting with formula, cows milk, supplementing with formula
cows milk, supplementing with formula, milk base: 5 month old has been almost exclusively breast fed. ========== thats goods !why almost? Last week he was given the formula again and 90 minutes later he woke up vommitting violently and continued vommitting for 4 hours. ========== wheneevr we strat...

Pediatrics: vomitting ,loose motion and throat infection, throat infection, viral illness
throat infection, viral illness, day job: Hi, srinivasan, I wish the world worked so I could email remedies to people. (I probably would be out of my day job, however!). This sounds like a viral illness. It could be strep, although less likely. A virus we treat with rest, fluids and Tylenol....

Pediatrics: vomitting toddler, food intakes, food intolerance
food intakes, food intolerance, out of the blue: Hi, Helen, I would keep a diary of her food intakes, types and anything new. This may be a food intolerance and without a record of things, it will be very difficult to discover the culprit. If she is sick with this vomiting, irritable or feverish, run...

Pediatrics: vomitting, stomach virus, partial obstruction
stomach virus, partial obstruction, whiney: It may be a mild form of a stomach virus, but that is an unusual history for it. I think he should see his doctor to check and see if there is something else causing this. It could be a virus, or he may have developed a sensitivity to some food, or he could...

Pediatrics: Waking badly from naps??, toddler behavior, dear linda
toddler behavior, dear linda, hi mary: Dear Linda: By all means your son s behavior can be related to his age. I am more inclined to believe he may be more labile because of the inhaled steroid. I would just comfort him when he is upset as you describe. If he becomes aggreessive toward...

Pediatrics: Waking at night, kem hospital, asthma clinic
kem hospital, asthma clinic, mumbai india: well, many time schildren take short naps and they take a break in between. they usually get up and most of the time if you give some feed or diet, they eat and sleep. If she insist to play, you have to explain her why it is not good to stay awake in night.keep...

Pediatrics: Walking baby to sleep - 11 months, adult intelligence, intelligence and experience
adult intelligence, intelligence and experience, flashlights: The experience with the 4 year old should have told you that it is not appropriate to give a child any decision that requires and adult intelligence and experience but once you have given them the tools to control the situation it is difficult to change...

Pediatrics: Walking/Speech Concerns, global developmental delay, learning disablities
global developmental delay, learning disablities, intermediate unit: Hi, Andrea, Hard to say. I think an evaluation by the intermediate unit would be a good idea. It is impossible for me to say if she just is going to have some temporary delays in development or if this is a sign of more global developmental delay....

Pediatrics: Water for a 6 month old?, dietician, correct answer
dietician, correct answer, pediatrician: I m afraid to say I am not sure. It is not something I have ever been asked. Water wouldn t do any harm and could be given instead of juice. However I guess milk would still be the main fluid at this age. The best person to ask is a paediatric dietician...

Pediatrics: Water BMs - 4 month old, rice cereal, stomach virus
rice cereal, stomach virus, lactose free formula: Dear Laura: The baby could have a stomach virus thus the diarrhea is lasting long. You need to start him on a Lactose free formula if he is formula fed. If he is breast fed, make no changes. Rice cereal at least 3 times a day will help to bind him up....

Pediatrics: WBC, blood cell count, white blood cell
blood cell count, white blood cell, high white blood cell count: I am not 100% sure, but I am reasonably certain that she has a urinary tract infection. Has the doctor asked for a urine culture as well? She should improve if he has used good antibiotics for her, though a culture guided choice might be a better one. -drtahe...

Pediatrics: WBC, blood cell count, white blood cell
blood cell count, white blood cell, bladder infection: Dear Joni: I think you need to call your daughters doctor to determine whether he feels she has a urinary tract infection. If she had a lot of WBC in her urine microscopically then she probably does have a urinary tract infection or bladder infection. This...

Pediatrics: WBC COUNT, high wbc count, precautionary measures
high wbc count, precautionary measures, cefixime: Dear Pradeep, By the time you get this answer, I am sure your child must have already improved. Cefixime alone might be enough. You don t have to do anything for a high WBC count. It will correct itself. Sorry for the delay in answering. Tahe...

Pediatrics: WBC high in 3 year old, white cell count, antibiotic
white cell count, antibiotic, antibiotics: Dear Gail, Obviously, by 27 you meant 27K or 27000. Yes, such a count does suggest infection and giving an appropriate antibiotic should revert the counts back to normal. However, one must always remind oneself that the entity being treated is the PATIENT...

Pediatrics: WBC, elevated white blood count, white blood count
elevated white blood count, white blood count, blood cell count: The elevated white blood count is indicative of infection. It does not say where or exactly what kind of infection but it sounds as though the doctor is treating a urinary tract infection. If he is correct there should be a change in her symptoms rather...

Pediatrics: Weaning twins, single mom, twin girls
single mom, twin girls, genia: Dear Genia: I would hold that feeding at 5AM as long as you can because now by feeding them at that hour you are training them to awaken at that hour for a feeding. Their tummies will signal them time to eat . I do appreciate your situation though as...

Pediatrics: Weight, rice cereal, quiet toys
rice cereal, quiet toys, supplemental vitamins: A child s normal weight depends on several factors such as weight at birth, size of parents, length of the child so, although 18 pounds is smaller than most children of her age, it may not be very abnormal. A child of this age needs to have supplemental...

Pediatrics: Weight, etc., protein supplements, rich diet
protein supplements, rich diet, vaginal opening: Should I be really concerned about her weight for her age? = yes! if her birth weight was more than 7 pounds. you may need to increase feed frequency and add calorie rich diet. she will eat less as appetite goes down in this age. you need to also add...

Pediatrics: Weight Gain, fruits and veggies, rice cereal
fruits and veggies, rice cereal, table food: Dear Aiat: I would not cut back on foods. I would offer him more food. He can begin table food or food you prpepare now. He can also have yogurt. He is at an age where the food he eats is becoming more important than milk. Nursing your son three or...

Pediatrics: Weight Gain, fruits and veggies, rice cereal
fruits and veggies, rice cereal, breast milk: Dear Friend, As to your query, NO, it is not true that breast milk will enable a better weight gain; however, in the first case, I do not think you need to worry about him at all. He is fine as he is. A little variation from normal should not cause any...

Pediatrics: Weight Gain, fruits and veggies, rice cereal
fruits and veggies, rice cereal, breastmilk: Hi, Aiat, Weight depends on a number of factors, especially parents size. If parents are thin, their kids usually will be also. If he is healthy, developing appropriately and is otherwise well, I think you are doing the best thing for him. He will...

Pediatrics: Weight Gain, percentile rank, fruits and veggies
percentile rank, fruits and veggies, frequent colds: He really needs both breast milk and food at this age. Did he actually lose weight, or just drop in percentile? What is his height doing? Children don t stay on the same percentile rank at this age. If he is gaining weight and his weight is still appropriate...

Pediatrics: Weight gain in 13 month old, age food, food groups
age food, food groups, pediatrician: Dear Tanya: 18 lbs for a 13 month old is not a bad weight. I could not give you an average but most 13 month old children fall between 18 lbs and 20 lbs. If a child has small, petite parents they too are usually small so a lot depends on genes as well...

Pediatrics: Weight gain, immunisations, birth weight
immunisations, birth weight, 7 months: Dear Jacqueline: Babies should double their birth weight by 3 to 4 months and triple their birth weight by 6 to 7 months. There is no ideal weight but he should fall in a range of 18 to 24 lbs. I don t think he is that much underweight. Mary Pa...

Pediatrics: Weight loss in 10 month old infant, child drinks, bowel movement
child drinks, bowel movement, blount: Babies at that age rarely lose weight but the timing you quoted and the amount of loss probably doesn t constiture a real loss. A bowel movement can cause a baby to lose 1/4 pound and an active afternoon can cause her to lose significant weight from fluid...

Pediatrics: Weight Training Questions, vascular system, teenage years
vascular system, teenage years, weight training: Weight lifting can not affect your height. Go to it. Protein has to go to the stomach and be digested and the dispersed through the vascular system to the body. It doesn t matter when you eat protein, and I don t know how you could tell that a muscle feels...

Pediatrics: Weight, calorie intake, ideal weight
calorie intake, ideal weight: If you are growing height wise, even if you do not actually loose any weight, you will become less overweight for your height (if you follow me?). However your current weight is only about 15lbs over your ideal weight as you are tall for your age. Therefore...

Pediatrics: Weird Bowel Movements, loose stools, intestinal virus
loose stools, intestinal virus, rice cereal: The intestinal virus left the lining of her intestine irritated so that it moves its contents along faster than usual, and doesn t give the bile time to be changed. If you can work out a fat free or very low fat diet for a while the process of healing will...

Pediatrics: Wet Coughs, hourse, coughs
hourse, coughs, runny nose: Swimming should not cause coughing, but if he is swimming in a pool, the chlorine may be irritating his airway, causing some coughing. If he is otherwise ok, it s probably alright to wait and see what happens. If it persists, though, or he gets a fever or...

Pediatrics: Wetting pants., last minuite, nocturnal enuresis
last minuite, nocturnal enuresis, kem hospital: ist something like nocturnal enuresis. some counselling, some traning and sometimes medicines like minirin etc are used under expert supervision and advice. thanks http://drpeds.blogspot.com Dr kondekar Santosh venketraman pediatrician, lecturer Pediatric...

Pediatrics: WHOLE MILK ALLERGIES, intestinal virus, milk allergy
intestinal virus, milk allergy, milk allergies: Dear Marion: I doubt if she had a fever and diarrhea it would be a milk allergy. Try 100 Lactaid whole milk as it has lactose removed and sometimes after an intestinal virus for several weeks their bowel cannot tolerate lactose. Give it a try and if there...

Pediatrics: White dots on 8 month old's face, viral rash, pimple
viral rash, pimple, cysts: Hi, Jennifer, If there are only one or two, then I would simply watch them. They could be little fatty cysts or a type of viral rash. She should be looked at by your doctor at the 9 month exam or sooner if they spread or get red. Without looking at...

Pediatrics: White Patches on my son's skin, skin tans, depigmentation
skin tans, depigmentation, vitiligo: Dear Nicolette: Vitiligo is a permanent depigmentation of the skin. The white patches are there year round. I have seens children with eczema patches and those areas tend to stay white when the rest of the skin tans. The best thing to do if it is bugging...

Pediatrics: White Pimple Like Appearance, benzoyl peroxide, sebaceous glands
benzoyl peroxide, sebaceous glands, acne medicine: Hi, Sharon, These sound like sebaceous glands that are blocked. I would perhaps ask your doctor to consider prescribing a low strength acne medicine, like benzoyl peroxide, to see if this could help. Without seeing these lesions, this is just a guess....

Pediatrics: White spots, nickel, soap
nickel, soap, legs: Monday is only 48 hours away so I think it best to get an opinion from someone who sees what you are describing and who can tell you exactly what it is. I think you will find it is an innocent problem requiring at most some simple ointment or perhaps only...

Pediatrics: White worms in childs feces, thread worms, white worms
thread worms, white worms, 3 years: if these are smaller size of the size of thread and longer close to 1 cm or litlte more, they are thread worms or wnterobius vermicularis. you may browse through my site for more info on such heminthiasis and its management. its preferable to visit a...

Pediatrics: Whole Milk vs. 2% Milk, brain growth, whole milk
brain growth, whole milk, optimal growth: Dear Amanda: I do not have the proof other than what pediatricians tell me and that is children require whole milk until the age of two years for the fat, protein, vitamins and calories it provides necessary for optimal growth and development. 2% milk...

Pediatrics: Whole milk for toddlers, genetic tendency, fear of obesity
genetic tendency, fear of obesity, day care center: Hi, Roger, I wouldn t quibble about 2% milk, which is really pretty high in fat. You are correct in that the official AAPediatrics recommendation is whole milk for the first two years, followed by skim milk after. This is reasonable advice, especially...

Pediatrics: Withholding and behavioral Problems, bowel movments, butt cheeks
bowel movments, butt cheeks, pear juice: Kim, This is probably one of the most challenging problems in pediatrics. Most often it begins with a random case of constipation which causes pain. Remembering this, kids will hold it the next time because they don t want to hurt. Unfortunately, the...

Pediatrics: Withholding poop, daycare, stool softeners
daycare, stool softeners, vegitables: This is obviously an emotional response and not a physical one and diet isn t going to help much. Try to be sure her movements are soft and don t hurt when they pass. You can do this with stool softeners and/or mineral oil both of which are OK to use for...

Pediatrics: Worms in children, worm eggs, worms in children
worm eggs, worms in children, pin worm: Dear Becky: The most common symptom of pin worm infestation in children is anal itching. If the infestation is heavy the child may tell you he sees small, white thread like worms on the side of a bowel movement. Feces may be tested for worms and worm...

Pediatrics: Worms in my childs feces, pin worm, white worm
pin worm, white worm, laboratory examination: It depends on what kind of worm it is. If it is the size of a piece of white thread it is probably a pin worm, in which case you can get medication from the pharmacist. If that is the kind you should also treat all siblings and the parents. If it is not...

Pediatrics: Worried to Death, congenital heart defect, chest x ray
congenital heart defect, chest x ray, heart murmor: I don t know how I can help except to say that, if the doctors are competent experts, they apparently think that the child has a congenital heart defect. It is surprising that it was not found sooner, if it is indeed of significance. There are many kinds...

Pediatrics: SOMETHING IS WRONG WITH MY DAUGHTER, dear jennifer, younger daughter
dear jennifer, younger daughter, pronouns: Dear Jennifer, I can understand your frustration but I am afraid I have on ideas on the second part of your question ... that is, I am from India and won t be able to guide you on how to seek appropriate help. However, I think she may either be borderline...

Pediatrics: Wrist/ elbow injury, hairline fracture, wrist elbow
hairline fracture, wrist elbow, elbow injury: It is very unlikely that she has damaged significantly a tendon or ligament. She could have done minor damage to some of the soft tissue which hurts when she uses it (children won t do anything that causes pain). This will heal satisfactorily shortly if...

Pediatrics: wake to feed?, congratulations on your new baby, old baby
congratulations on your new baby, old baby, gratification: Hi, Joanne, Congratulations on your new baby! She does have a day/night reversal going on. Continue the daytime waking every 3 hours and try to feed her. Make the day time feeds a lot of loving fun for both of you. Make the night time feeds boring...

Pediatrics: waking up at night., good sleep habits, sleep problems
good sleep habits, sleep problems, sleep patterns: Hi, michelle, He for some reason has had his sleep patterns disrupted. They will continue to be disrupted and harder to solve if he remembers you as his last waking memory. Do the comforting things always do, put his in his crib drowsy but not asleep,...

Pediatrics: walking distance, foster parents, sun exposure
foster parents, sun exposure, pediatrician: I don t think you can make a 13 month old walk too far. They ll just stop and sit if too tired, and wait to be picked up. I d be more concerned about the sun exposure and dehydration. Who did this, and why? Was she sunburned? If so, that s more cause...

Pediatrics: I want a different doctor, month old baby, necessary records
month old baby, necessary records, utencils: Tell the first doctor that you have had a disconnect with the doctor he sent you to and you do not want to go back and you would like for the first doctor to either take over or refer you to yet another doctor. You are free to choose any physician you want...

Pediatrics: I want to give milk alternatives to my kids, youngest being 8 n half months old, milk nutrients, kind reply
milk nutrients, kind reply, milk alternatives: Dear Shobna: A child under two years needs whole cow s milk for optimal growth. If your doctor wants you to stop offering cow s milk to your children then ask him what you can substitue with to provide the necessary protein, fat and essential elements....

Pediatrics: wart, wart remover, medical decisions
wart remover, medical decisions, salicylic acid: I don t think you should make medical decisions on whether he is scared on not, but in this case it is usually not necessary to do any cutting. Get some salicylic acid plaster from the drug store which comes in a small package with several small sheets like...

Pediatrics: wart, wart remover, duct tape
wart remover, duct tape, dermatologist: I have no idea why, but duct tape does seem to work frequently. It is safe and cheap, so I d probably try that first. If it does not work, you may want to see a dermatologist about having it treated. It s unusual for them to require cutting. Moshe...

Pediatrics: wart, wart remover, emery board
wart remover, emery board, duct tape: Hi, pam, Carefully scrape it with an emery board to roughen the surface, cut a patch of duct tape to cover it well, leave it on for three days, take it off and repeat for about a month. In the majority of cases this will take the wart off painlessly....

Pediatrics: warts/hand lesions/fingers/hands-children, psychic trauma, t rush
psychic trauma, t rush, partial exclusion: I don t know why that would be necessary. If there are several warts that go fairly deep in the tissues and the physician plans to remove them at the same time it may be that he/she wants the child to be under general anesthesia for the procedure. That might...

Pediatrics: wasp sting, wasp sting, wasp
wasp sting, wasp, stinger: Hi, Kerri, I am assuming that this hole is at the site of the wasp sting and is caused by the wasp sting. It may be that the actual site of the penetration of the stinger has been covered with epithelia tissue and that this may slowly close with time....

Pediatrics: water with floride, municipal water supplies, sodium chloride
municipal water supplies, sodium chloride, dental development: Every child should have flouride in the water until all teeth are formed, around 16-18 years of age. Too much flouride for a short period of time is harmless. The molecule is similar to chlorine, as in salt or sodium chloride, and the excess is passed out...

Pediatrics: water with floride, mini bottles, tap water
mini bottles, tap water, water department: Dear Jen: Having consumed one bottle of fluoridated water will not harm your children. I would not make a habit of it. You should contact the water department for the county in which you reside and ask what the fluoride level is in the tap water in your...

Pediatrics: water with floride, local health department, water provider
local health department, water provider, mini bottles: Yes, kids do need fluoride, but that is a lot for a 12 month old. The recommended amount is 0.25 mg (1/4 of a mg) from 6 months to 3 years, 0.5 mg (1/2 mg) from 3 to 6 years, and 1 mg from age 6 years and older. The amount children need to take depends on...

Pediatrics: water with floride, old water, floride
old water, floride, suppliment: Hi, jen, Why have fluoride water around the house? Kids below 6 months don t need it and kids from 6 months to 12-16 years should be getting a daily dose to supply them with the amount needed. This small added amount won t hurt anyone, but you really...

Pediatrics: water with floride, mini bottles, city water
mini bottles, city water, bottled water: Hi, jen, Fluoride can be toxic in large amounts over a long period of time. I am assuming you have city water with fluoride already in it. Even if this is the case, no harm with this small added amount. If you have well water without fluoride, you...

Pediatrics: wax in the ears, cold fever, debrox
cold fever, debrox, crankiness: Yes to all three questions. There are over-the-counter treatments for wax--Debrox is the one that I often recommend. Follow the directions on the package, or talk to her doctor. You might want to have her doctor check her ears first, though. Unless your...

Pediatrics: weaning from formula to whole milk, milk intolerance, whole milk
milk intolerance, whole milk, stools: Hi, Karen, That sounds fine, but you probably can just give whole milk and this will work. Certainly you can do the mixing and have a schedule, that won t hurt, but usually isn t needed. Most kids can tolerate whole milk earlier but some can have...

Pediatrics: weaning from seizure meds, seizure meds, seizure disorder
seizure meds, seizure disorder, endocrine problems: Hi, Andy, These medicines have many effects on the CNS and I would not be surprised to see some changes in activity as one is coming off the medicine. It is possible that this is the way he would have been without the medicine. Wait a couple of weeks...

Pediatrics: weanning my 11month old, cant sleep, better at night
cant sleep, better at night, fifteen days: you have to make him leave breast feeding over the next fifteen days or so. The best way to do this is to separate from the child for a few nights. You can leave him with your mother, for example. He will forget breastfeeding and will learn to sleep better...

Pediatrics: weeing, bladder infection, moshe
bladder infection, moshe, thankyou: Yes, she should see her doctor soon. This could be a bladder infection, in which case it should be treated as soon as possible. I would expect some wetting at night, too, but it does not always happen. There are other causes, too, but you won t know for...

Pediatrics: week of fevers, upper respitory infection, wet diapers
upper respitory infection, wet diapers, whole milk: i feel she is getting clsoer to tonsilloadenoiditis. i hope fever is settled, if not hse may require a course of antibiotics. her ear infection is common in such cases. the only therapy is take care of oral hyegiene. clean her mouth of food items before...

Pediatrics: week long sore throat, and only getting worse, viral sore throat, atnoids
viral sore throat, atnoids, best guess: Hi, Rose, First of all, see your doctor. I doubt this is strep, but that treatable cause of a sore throat should be excluded by a negative strep screen/culture. My best guess is that you have mononucleosis, a viral sore throat that can be a troublesome...

Pediatrics: one week old baby problem, stomach ache, having trouble breathing
stomach ache, having trouble breathing, occasional problem: It may be that he is trying to have a bowel movement, or it may be that he is having trouble breathing. I m not sure what the problem is from your description. Is he uncomfortable? Crying? Gassy? Are his bowel movements normal? If he is at all uncomfortable...

Pediatrics: How many weeks old does a baby have to be to travel?, oxygen level, ductus arteriosus
oxygen level, ductus arteriosus, blood stream: I would wait at least 2 months. Babies can travel at any age, but there are two things to worry about. First, there is a blood vessel near the heart, the ductus arteriosus, that closes soon after birth. There is a small risk that it could open again in...

Pediatrics: weight, gymnastics sports, sugary snacks
gymnastics sports, sugary snacks, infants toddlers: I am assuming that the 4 inches tall was a typo--I certainly hope they are bigger than that! Fat cells do accumulate and are difficult to lose. They do not become permanently enlarged, but it is almost impossible to get rid of them. Put them on a good...

Pediatrics: weight, history family, gaining weight
history family, gaining weight, first birthday: Hi, Patrick, First of all, make sure he does not have a disease process that is causing him to not gain. Your doctor should do a good history, family history, and an exam, probably with some selected lab work. If all that is normal, and his is healthy...

Pediatrics: weight, junk foods, height and weight
junk foods, height and weight, pediatrician: Small people have small offspring and large people have large children. Occasionally a large gene will sneak in a family tree and change that pattern but not commonly. I think that is the only explanation you need. You are small and your husband is even...

Pediatrics: weight, pediasure, personal perspective
pediasure, personal perspective, doctor visit: Hi, lori, Our daughter was 29 # at this age. We weren t concerned because she was absolutely healthy. Just to give you a personal perspective. I wouldn t worry. She is petite and slender and healthy. She will gain just as everybody else does. For...

Pediatrics: weight, etc., vaginal opening, well baby
vaginal opening, well baby, picky eater: Karen, At 27 months, 20 pounds would definitely be significantly below average. Is her height also below average? It is quite possible that a large part of her weight may be genetic but I would definitely follow her growth closely. Regular checkups...

Pediatrics: weight gain, balanced nutrients, routine diet
balanced nutrients, routine diet, calcium supplements: iam feeding only carrot. what vegetables can be added further in his diet? === well from beets, carrots , spinach,potato and anyother veegetable you eat can be easily minced or mashed or juiced or souped to give. it adds colour consistency and flavour...

Pediatrics: No weight gain in 17 month old, 7 months, anemia
7 months, anemia, weight gain: Hi, Sheena, It is decidedly unusual for a kid not to gain weight in 7 months in this rapidly growing age. Your doctor or someone needs to collect a good feeding history, do some basic lab work and find out the explanation for this. Anemia alone, unless...

Pediatrics: weight gain after illness for a 13 month old, whole milk, chickenpox
whole milk, chickenpox, weight gain: Hi, kish, I usually don t recommend any supplements for kids. Generally as he recovers he should regain his former appetite. Give him lots of whole milk, make sure you don t be skimpy on the fats, and he should do fine. Good luck, and hopefully his...

Pediatrics: weight gain not proper by the baby, laryngotracheomalacia, metabolic problem
laryngotracheomalacia, metabolic problem, mothers milk: I have not seen laryngotracheomalacia cause babies not to gain weight. They usually do well unless the airway obstruction is very severe. He should be drinking a little more than he is. The question is why doesn t he? The rest of your questions need...

Pediatrics: weight gain not proper by the baby, laryngotracheomalacia, putting on weight
laryngotracheomalacia, putting on weight, mothers milk: Dear Sandeep, There is no way you can make a child drink more milk. You should not worry as he is putting on weight... though it is a bit less, I admit. Is there any swallowing problem, or does he vomit too often? And how do you know that he is getting...

Pediatrics: weight gain not proper by the baby, laryngotracheomalacia, calorie consumption
laryngotracheomalacia, calorie consumption, mom works: Dear Sandeep: I cannot answer why your baby will not drink more milk. His requirements at his age is from 30 to 32 ounces of milk a day, 20 calories per ounce. He should be taking 5 ounces of milk divided into 6 feedings a day or 6 ounces in 5 feedings...

Pediatrics: weight gain not proper by the baby, laryngotracheomalacia, mothers milk
laryngotracheomalacia, mothers milk, calorie intake: Hi, He should be drinking about 500 to 600 ml per day. I don t know why he isn t drinking more. Is he neurologically all right? Does he suck and swallow all right? Is he refluxing as some babies do with LTMalacia? He will gain weight with more calorie...

Pediatrics: weight gain not proper by the baby, local health department, laryngotracheomalacia
local health department, laryngotracheomalacia, baby nurse: If the milk is available a well baby will take all he needs. There us no medicine or tonic to get him to drink more. It might help you if you can find a baby nurse to help you be sure you are nursing the baby properly and feeding him the bottle the way it...

Pediatrics: weight gain not proper by the baby, laryngotracheomalacia, mothers milk
laryngotracheomalacia, mothers milk, gaining weight: Certainly his weight gain is not ideal. This could well be related to the laryngotracheomalacia. He should probably be getting nearer 700mls of milk per day. I cannot really make any specific recommendations without being able to see your son and you need...

Pediatrics: no weight gain, appetite suppression, primary complex
appetite suppression, primary complex, pyrazinamide: Hi, ruby, Discuss with your doctor whether there are options in treating this TB. I am not familiar with the current strategies of TB treatment, for I have not treated anyone for years in the USA. I think the treatment may differ depending on what part...

Pediatrics: weight/growth, percentile, good luck
percentile, good luck, choices: Hi, Jeremy, This answer is just statistics and doesn t consider any aspect s of your health or family size. You are 42 percentile for height and 37 percentile for weight. This is very close to average for both. You were a bit heavy at 128 pounds,...

Pediatrics: weight/male breasts, developing breasts, male breasts
developing breasts, male breasts, sudden weight gain: At about this age the body, both male and female, begin to produce small amount of hormone and there is some of the opposite sex hormone in both. Sometimes this results in a bit of breast tissue in boys that enlarges a bit temporarily. If you son s chest...

Pediatrics: weight, speech, and teeth, early intervention services, proper environment
early intervention services, proper environment, speech delay: An analogy I used to give to many patients may apply here. Children are like a lovely blooming plant but a parent doesn t form the blooms or mold the leaves; a parent creates the proper environment (soil) for the plant to grow in. You can offer the proper...

Pediatrics: weight, growth chart, birth weight
growth chart, birth weight, nutritionist: He has not grown as much as I would have expected him to grow. Most babies who are born small will catch up more than this. He started off at the bottom of the growth chart for height, and is now below that point for a 5 month old. His weight is at about...

Pediatrics: weightlifting & stunting growth, inch biceps, 16yr old
inch biceps, 16yr old, genes: Muscle, even all the exercise you can do, will not stunt growth. I have had several young men ask me this question but there is no truth in it. Your eventual height depends on the genes you got from both parents, and nothing you do will make you taller that...

Pediatrics: weightlifting & stunting growth, inch biceps, professional supervision
inch biceps, professional supervision, 16yr old: I can t give you a specific amount that you can gain safely. You need to discuss this with your personal physician and you need to be sure you are doing this with the help of a professional who understands weight lifting in teenagers. It s not the same as...

Pediatrics: weightlifting & stunting growth, inch biceps, 16yr old
inch biceps, 16yr old, gaining muscle: Hi, Jared, I have not heard of the concept of gaining muscle to stunt growth. This doesn t happen. You are probably well into puberty and additional height growth may or not be in the offing. I no of no evidence that weight lifting in this situation...

Pediatrics: wheezing, wheezes, trachea
wheezes, trachea, moshe: There are several possibilities. Yes, asthma is one of them, but it s unusual at that age. There are viruses that cause wheezing, often with congestion and cough, too, but it usually is there durinf the day as well as at night. It may be a noise that sounds...

Pediatrics: wheezing cough on a 5 month baby, wheezing cough, normal saline
wheezing cough, normal saline, dextrometorfano: what is his age? newborns upto 3 months age will have some amount of noisy breathing due to narrow airways and it is normal unless it intefers with feed or causes breathlessness. please read my articles on runny nose and cough at my site. You may need...

Pediatrics: white blood cells, white blood cells, blood cell count
white blood cells, blood cell count, white blood cell: The first thing is to check the urine is not infected. The presence of white cells would fit wiht infection but can be present in the absence of infection. The only way to confirm or exclude the presence of infection is to culture the urine and I am not sure...

Pediatrics: white bumps on toddler face, dr adler, head bumps
dr adler, head bumps, topical medicine: Ir s very difficult to give advice on bumps and rashes without seeing them in person. If they are persisting or spreading, and you ve tried a few things that haven t worked, I really think she should see a doctor to have these bumps checked. Get her an appointment...

Pediatrics: white cells in urine test are up, white cells in urine test, white cells in urine
white cells in urine test, white cells in urine, kidney infection: White cells in the urine are a relatively non-specific finding. They can indicate a urine infection and this is being checked. They just indicate some inflammation but it must be recognised that the dipsticks which are used to test for white cells are very...

Pediatrics: white discharge in 11 month old daughter, white discharge, vaginal area
white discharge, vaginal area, vaginal discharge: Hi, momof3, So you noticed that the girls are a bit different than the boys? Whoa, just wait until they all get a bit older and the differences will be come more obvious. We are blessed with two girls and one boy and they have all made it through college...

Pediatrics: "whitehead" on nipple, breast area, hot compresses
breast area, hot compresses, boys and girls: Hi, Linda, Boys and girls have a number of glands in the breast area that can get clogged. They generally have a white head as you describe. They generally just slough off. I would ignore it unless it gets red or swollen. It is not related to the...

Pediatrics: whiteheads, wash clothes, whiteheads
wash clothes, whiteheads, skin infections: Hi, shalita, Happy Mother s Day! I would carefully apply some warm wash clothes to this area. If it is small pimple, this may cause it to go away. We worry about skin infections in this age group, so if it gets bigger despite the compresses, best...

Pediatrics: whole milk, milk intake, twin girls
milk intake, twin girls, whole milk: Dear Suzi: Until the age of two years the girls should remain on whole milk. After age two years you can decrease the fat content to 2 or 1%. They do not need any more than 20 to 24 ounces of milk a day so their milk intake is just fine. Sincerely,...

Pediatrics: whole milk inquiry, homo milk, calcium supplements
homo milk, calcium supplements, straw cups: Dear Lina: Continue to try, without forcing your child to drink from a sippee cup. Always keep it available on her high chair tray at meal time. You cannot make her drink milk until she is willing to drink it. She is being nurses so I would imagine...

Pediatrics: whole milk, feeding toddlers, brain development
feeding toddlers, brain development, low fat ice cream: You didn t give much information. Is his growth and development normal? Is it the whole milk or any milk? Have you tried 2% milk? The reason it is recommended whole milk between ages 1 - 2 is for the added fat for brain development during this time. For...

Pediatrics: Why whole milke for toddlers?, constapation, good start formula
constapation, good start formula, gassiness: Dear Jacki: Children under two years require all the fat in whole milk so I would not recommend reducing the fat content to 2% until the age of two years. What you can do though is get 100 Lactaid whole milk which has 100 % of the lactose removed and give...

Pediatrics: whooping cough, pertussis vaccine, whooping cough
pertussis vaccine, whooping cough, original 3: I guess you mean how long is the immunization effective after it is administered. After the original 3 injections with a booster at about 3 years, 6 years and 12 years of age it is thought that the immunity will last until past the usual time for pertussis...

Pediatrics: withholding bowel movement, urine specimen, battle of wills
urine specimen, battle of wills, pull ups: There are many reasons that children can have abdominal pain. Has she seen her doctor? Any other tests besides the urine and xray? There are parasites that can cause pain--she should have her stools tested for these. Some children are sensitive to certain...

Pediatrics: withholding poop, long periods of time, doctors orders
long periods of time, doctors orders, toilet training: Hi, emily, Some kids can be incredibly stubborn with this. I would go back to the basics and if you didn t see the handout I gave, I ll enclose a copy of it. This is one of the many situations in pediatrics where the more you do, as a parent, the worse...

Pediatrics: at wits end told it was colic but i feel its more, gassy stomach, irratic
gassy stomach, irratic, wits end: well, all is surely a colic . thats not related to the type of feed, but it is due to the devloping digesting system that causes such cramps. Treatment isnt changing feeds but some antispasmodic drops are available in market that will give instant relief...

Pediatrics: wont eat or use toilet at school, bone of contention, sensitive child
bone of contention, sensitive child, o clock: Hi, carole, I am not sure why he won t do these things. I suspect he is smart and realizes that this creates a disturbance and you are worried. Kids love to do stuff like this to their parents. Will he starve? No. Will he go to the bathroom if he...

Pediatrics: working hours, career as a pediatrician, part time work
career as a pediatrician, part time work, moshe: Hospital work depends on what you are doing, but part time work is certainly available in ERs and ICUs. I really don t know what the average is. Yes, part time work is available in private practice. You could not do it easily on your own--you d have to...

Pediatrics: worms and fever, kem hospital, diahria
kem hospital, diahria, routine diet: girlfriend kid is 3 years old boy and ever i know her(about 8 months)she told me that her kid had worms =========== which country are u in? does your baby eat mud or earth? these things are common when hygeine is not maintained. once and got treated but...

Pediatrics: worms, pinworm treatment, parasite identification
pinworm treatment, parasite identification, pin worms: Hi, Lee, Pinworms generally respond to a course of Vermox. This sometimes needs to be repeated in a week for the full treatment. Is the diagnosis correct? Don t know, but with the foreign connection, make sure that a pathologist skilled in parasite...

Pediatrics: worried, whole milk, compulsive eating
whole milk, compulsive eating, bringing home: The only thing in milk that has anything to do with growth is calcium and there is the same amount of calcium in skim milk as in whole milk. The recommendation you quoted came about because mothers were stopping whole milk at a year or so and there are elements...

Pediatrics: worried, whole milk, compulsive eating
whole milk, compulsive eating, healthy foods: Dear Joanne: I would discuss your concern with your pediatrician. There is no law, however, that you must not give her whole milk starting now. If she eats healthy and is not fed a lot of juice and junk why not give her whole milk? You did not mention...

Pediatrics: worried, compulsive eating, sick kids
compulsive eating, sick kids, growth chart: Has she been measured in between? During the first two years, the height does not stay on one percentile for many kids. It s not unusual to fall off for a while. However if she is now below the 3rd percentile, it may be something to be concerned about....

Pediatrics: should i be worried?, greenish tinge, pattern changes
greenish tinge, pattern changes, breast milk: Hi, Allison, Spitting up is normal and babies do it normally amazingly frequently. The color is not of great concern unless he is sick and not eating. If he was previously on breast milk somewhat, this change is even more normal. I would be concerned...

Pediatrics: worried, hand foot mouth virus, hand foot mouth
hand foot mouth virus, hand foot mouth, broken glass: I agree with your pediatrician. This shows, however, that small children need supervision, not that eating dirt is so bad but picking up a shard of broken glass might be. If you are indeed hyperanal ( is there such a word?) you might ask yourself why ....

Pediatrics: worried about arm, arm shoulder, loud pop
arm shoulder, loud pop, shoulder area: Hi, Jen, If you lift an infant in the arm/shoulder area, you often will hear a loud pop/snap that is sort of like the noise people make (usually pretty obnoxious!) when they crack their knuckles. This is commonly asked of me and it never causes any problems....

Pediatrics: worried about a baby, 7th month of pregnancy, pediatrition
7th month of pregnancy, pediatrition, recreational drugs: It is so hard to answer some ? when I can not actually see the child...I would say though that any doctor that deos not make you feel at ease is not the doctor for you The child in my opinion should have bloodwork done at the very least to have a basis...

Pediatrics: worried about kids, open wounds, hospital acquired infection
open wounds, hospital acquired infection, immunocompromised individuals: Dear Michelle: People get MRSA in their lungs from inhalation of the bacteria into their lungs. As stated in my prior letter if a person with pulmonary MRSA coughs the droplets from the cough sprayed out into the air can be inhaled by a person standing...

Pediatrics: worried, compulsive eating, whole milk
compulsive eating, whole milk, paediatrician: Obviously skimmed milk has less calories than whole milk. However it is unlikely to have caused serious problems if she was only having it from 14 months and was eating well otherwise. Obviously your paediatrician will be able to give more detailed advice...

Pediatrics: wrist sucking, thumbsucking habit, finger nails
thumbsucking habit, finger nails, natural desire: Hi, concern, I think I answered this, but if not, here goes. I would consider this a habit just like thumbsucking, something that the main treatment will be to learn what settings he does this and then do something in these settings to distract him. ...