About Experts Sitemap - Group 40 - Page 67 2014-11-11

Pediatrics: RASH? SOMETHING MORE?, white discharge, diaper changes
white discharge, diaper changes, foreskin: Well without seeing it is hard to say but i feel fairly confident if you let him air out his little area and do frequent diaper changes with always pulling back the foreskin....keep putting daiper rash ointment on him..if it perists or cause pain see his do...

Pediatrics: Radiation Exposure, radiation exposure, dear charlotte
radiation exposure, dear charlotte, radiology procedures: Dear Charlotte: The tests were medically necessary for your grandaughter and the risk of significant radiation exposure is minimal. She will be fine. There is no reason to try and remove radiation from her body. Many children over time have many more...

Pediatrics: Rapid Head Growth, 95th percentile, water on the brain
95th percentile, water on the brain, rapid head: Hi, HC, I would not call this a large jump. This is a rather small difference that could easily be explained by measurement error. It seems to me that referral to a neurologist is a bit premature, but if your pediatrician sensed that you were concerned,...

Pediatrics: Rapid Heart Beat, rapid heart, heart rates
rapid heart, heart rates, beats per minute: Hi, Nancy, The fact that the doctor said no problem was detected does not mean there is none. Kids will have intermittant rapid heart rates above 200 beats per minute that return to normal after the run of tachycardia. Next time this happens, have someone...

Pediatrics: Rapid weight loss, rapid weight loss, side effects of concerta
rapid weight loss, side effects of concerta, concerta: Dear friend, I am sorry but the data you have supplied is not sufficient for me to be able to interpret much. You should read the side-effects of Concerta and see if they have described weight loss as one of the side effects. If so, then the drug may be...

Pediatrics: Rapidly Changing Majors to Premed (Pediatrician), being a pediatrician, guidance counsellor
being a pediatrician, guidance counsellor, physics courses: I would start with the thought that you want to be a physician and later, if you still feel the same, go to a pediatric residency. A pediatrician is a physician to a limited age group. You need to talk to a qualified guidance counsellor who can find out...

Pediatrics: Rash, ant bites, welps
ant bites, welps, benadryl: I think he is having intermittent hives which is due to something in his environment that he is sensitive to. I suggest you have a bottle of Elixir Benadryl on hand and give him a teaspoonful when the rash starts. This could be caused by many things from...

Pediatrics: Rash, cortisone, eczema
cortisone, eczema, pediatrician: Prolonged mild trauma - rubbing, especially if there is moisture involved, friction of any kind -will do something that sounds a little like what you are describing. Think of something his right leg is doing that his left is not. Whatever it is Eucerin should...

Pediatrics: Rash, hydrocortisone, cornstarch
hydrocortisone, cornstarch, baby powder: If this is what I think it is it has no relation to diet so you can save yourself that trouble. Some babies have sensitive skin and the diagnosis is never obvious. Dryness can play a role, even though it seemed to start on her wet chin, dryness in the air,...

Pediatrics: Rash, scarlet fever, hair line
scarlet fever, hair line, treatable: Hi, Carol, Rashes are tough to diagnose in this non-visual format. A rash like this could be scarlet fever, a treatable strep infection, or simply from a virus. If she isn t sick at all, I would watch. If she develops a fever or other symptoms, then...

Pediatrics: Rash, small red bumps, antibiotic cream
small red bumps, antibiotic cream, healthy kids: Hi, Susan, Rashes in healthy kids without fever tend to be benign. The little bumps with white heads suggest perhaps a slight infection of the hair follicles. Try some triple antibiotic cream on the area twice a day and if worse, see your doctor. ...

Pediatrics: Rash, small red bumps, chicken pox vaccine
small red bumps, chicken pox vaccine, cause fever: It s hard to say much about rashes without seeing and touching them. This could be an allergic reaction, although those usually will itch. There are many viruses that cause rashes. This could be one of those--they don t always cause fever. Has he had any...

Pediatrics: Rash around anus, diaper rash cream, yeast rash
diaper rash cream, yeast rash, pictures of yeast infections: Hi, Shanna, I suspect that a yeast rash would spread and it would be unusual for it to be just around the rectum. If the rash is not bothering her and not changing, I would continue to use a bland cream like Desitin and assume this is due to the solid...

Pediatrics: Rash on baby's ears and neck, baby acne, yellow areas
baby acne, yellow areas, tiny bumps: Hi, Lilia, This sounds like a normal newborn rash. We generally recommend no creams and gentle washing with clear lukewarm water around the face. If the yellow areas are extensive, then see your doctor to be sure this is what you are describing to me....

Pediatrics: Rash on baby's face, oil glands, soap and water
oil glands, soap and water, worrier: The most likely cause of the rash you are seeing is that the oil glands of the cheek are stopped up. There is nothing serious about it, if I am correct, and the treatment is a soft washcloth and soap and water. Sometimes the area looks red because of saliva...

Pediatrics: Rash baby's face, congratulations on your new baby, old baby
congratulations on your new baby, old baby, pimples: Hi, Abigail, Congratulations on your new baby! This sounds like a normal newborn rash. Keep the skin cool (don t bundle her up to the point of sweating), keep soaps and creams off the face and it should go away at about 10-12 weeks old. Nothing to...

Pediatrics: Rash on Face, rash on face, skin lesion
rash on face, skin lesion, negative connotation: The skin rash of a strep throat (scarlet fever has such a negative connotation from the time before we knew is was no more than a strep throat) is of no consequence since it heals as the streptococci are destroyed, but any skin lesion take time to heal....

Pediatrics: Rash / Hive, 2 year molars, thumb sucker
2 year molars, thumb sucker, thumb sucking: I don t think the thumb-sucking has anything to do with it. It could be a reaction to something, but there are some viruses that cause rashes, too, and lots of other possibilities. Benadryl and hydrocortisone may help, but if it has lasted this long with...

Pediatrics: Rash in mouth, hands, feet, hand foot mouth disease, blisters in mouth
hand foot mouth disease, blisters in mouth, hand foot mouth: Hi, Renee, He has a common summertime virus called hand-foot-mouth disease. It is treated with TLC and tylenol. It generally gets better in a few days and will not hurt him, unless he is so sick he fails to drink and gets dehydrated. Good luck, Dr....

Pediatrics: Rash, internal medicine residency, viral rash
internal medicine residency, viral rash, allergy testing: One bit of advice many pediatricians give it to look at the child and not a specific symptom or sign. If the child is eating, sleeping, smiling it is a very remote likelihood that something serious is going on. I don t think biopsies or extended testing...

Pediatrics: Rashes, nickle plating, yeast infection
nickle plating, yeast infection, nappy change: Hi, Elly, A couple of thoughts. Could there be a metal snap that is in this area? Some kids can be very sensitive to the nickle plating that is on snaps that may cause this picture. Could this be a yeast infection? If it is under the nappy (or diaper...

Pediatrics: Rashes, heat rashes, buttocks
heat rashes, buttocks, cough: Dear Shweta, These could either be heat rashes or allergic in nature. I am not sure if it is possible to suggest treatment on the net, but you could try Tavegyl Syrup or apply lactocalamine for a soothing effect. These are not curative, of course, they...

Pediatrics: Rashes, high fever, cold symptoms
high fever, cold symptoms, stiff neck: Hi, Robin, As long as he is not getting increasingly ill, with high fever, stiff neck or other worrisome complaints, this is a rash that you can treat like you are. It has a good chance of being viral caused and therefore would just go away. If he gets...

Pediatrics: Raw diaper rash- 5weeks old, butt cheeks, diaper rash
butt cheeks, diaper rash, zinc oxide: If you leave her on her abdomen lying on the diaper she will get a certain amount of air to her bottom, and you can make the process even better if you put a student lamp about 2-3 feet over her bottom to add heat. (a lamp with a metal shield that will reflect...

Pediatrics: Raw diaper rash, butt cheeks, diaper rash
butt cheeks, diaper rash, moist area: Hi, chris, Some of these rashes that are long lasting may be caused by yeast, especially if it is in a deep moist area. Some of them appear to be just a healing area similar to a burn. I would try consistent coatings of the neosporin to protect the skin...

Pediatrics: Re: Platelet question, process of inflammation, strange symptoms
process of inflammation, strange symptoms, volunteer basis: Hi, Amber, I received what was, I thought, a duplicate question, something that is not uncommon in this format. Now, just one thing to remember. I did answer this. The answer may not have gone through the system, for various reasons. For that I am...

Pediatrics: ReactiveLymphNode, reactive lymph node, scar tissue
reactive lymph node, scar tissue, unnecessary procedures: The lymphatic system of a child is very reactive to all sorts of stimuli, especially from a bacteria or virus that get into the system. When a node swells, which is totally normal, sometimes scar tissue forms which keeps the node enlarged after the stimulus...

Pediatrics: Reacurring Infection/Weird Lab Values, small bowel series, urine glucose
small bowel series, urine glucose, profile investigations: Hi Naomi, I agree that it isn t normal to have repeated episodes of fever and vomiting. He should probably also undergo a brain MRI to rule out non-GI causes of these two symptoms. Assuming that the MRI comes out normal, let him be seen by a general pediatrician...

Pediatrics: Reccuring tummy pain, sore throat, abdominal migraines, seasonal asthma
abdominal migraines, seasonal asthma, throat doctors: Hi, Martine, Abdominal migraines are uncommon but do occur in kids. They usually aren t daily. It is a diagnosis of exclusion, meaning other things are eliminated and this is what is left. Usually these kids have a strong family history of migraines....

Pediatrics: Recommend amoxicillin dosage, resistant bacteria, pound child
resistant bacteria, pound child, recommended dose: It depends on the strength of the Amoxicillin. It comes in 4 concentrations: 125, 200, 250 and 400 mg per teaspoon. The recommended dose was doubled a few years ago, due to resistant bacteria. It is now 90mg per kilogram of body weight per day, divided...

Pediatrics: Recommended Formula Consumption by age, rice cereal, nutritional source
rice cereal, nutritional source, recommended formula: I have known many mother s who had success waking the baby for a feeding at their bedtime. I can only suggest that you try; you can tell if it works. I just don t think there is a ratio of formula and solids that is essential as long as the baby is taking...

Pediatrics: Recovery from Pneumonia, chest xray, little shallow
chest xray, little shallow, room 8: Hi, Christine, I suspect that her chest is clear and that she is recovering. It would not be surprising to have a bit of breath difference at this stage of the recovery process. See your doctor and have him/her check things carefully. Probably a repeat...

Pediatrics: Recurrent Diahrrea, stomach bug, loose stools
stomach bug, loose stools, rice cereal: Hi, Cindy, This may be a different stomach bug or could be a late manifestation of the original one. Often after kids this age get over a viral illness, they will continue to have loose stools. I would recommend feeding her regular food and waiting for...

Pediatrics: Recurrent fevers, high platelet count, hemoglobin levels
high platelet count, hemoglobin levels, exact units: Okay that did help. I am not too sure that it will turn out to be cyclic neutropenia. The high platelet count is reassuring since these cells often rise nonspecifically during any infective process in the body. I am keen to know what the total white cell counts...

Pediatrics: Recurrent High Fevers, recurrent fevers, immune deficiency disorders
recurrent fevers, immune deficiency disorders, high fevers: Hi, Connie, Recurrent fevers could be as simple as a child getting ill a lot due to high exposure (daycare, for example) or could be a condition called PFAPA, with cyclic fevers, often high that are generally associated with sore throats, sores in the...

Pediatrics: Recurrent Infections in Foreskin, bubble baths, minor infections
bubble baths, minor infections, recurrent infections: Dear Cindy, I am not too sure why you think circumcision is not necessary . In fact, it is, since your son has repeated (underline that word) infections. Loss of the foreskin does not take away anything from the child s life or his performance in adulthood....

Pediatrics: Recurrent pneumonia, respiratory tract infections, barium swallow
respiratory tract infections, barium swallow, gastro esophageal reflux: Dear Lena, Sorry I was unable to reply to you earlier. It seems that you need to ask the doctor to rule out a Gastro-esophageal reflux and a H-type tracheo-esophageal fistula. Just copy these and go to him for further guidance. Both can cause repeated respiratory...

Pediatrics: Recurrent pneumonia, recurrent pneumonia, pneumonias
recurrent pneumonia, pneumonias, pylorus: 1) That s a lot of pneumonia for his age. I d be concerned about a few things: a) Is his immune system working well? Does he get other infections frequently, too? If so, he should have some testing of his immune system. b) Reflux from his stomach....

Pediatrics: Recurrent pneumonia, dr graham smith, recurrent pneumonia
dr graham smith, recurrent pneumonia, chest specialist: I am not a chest specialist and if you are concerned it may be sensible to get your son seen by a paediatric respiratory specialist. It is unlikely that this is simply the result of being born prematurely and it seems rather unfortunate to have had 4 episodes...

Pediatrics: Recurrent Strep, urgent care center, amoxicillan
urgent care center, amoxicillan, yeast infection: Hi, A different antibiotic won t help in resistance in this case. Really no strep are resistant to Amoxicillin. Why another med works better is really not fully known. This will not decrease the risk of a yeast infection and might increase it. Good...

Pediatrics: Recurring diaper rash?, yeast diaper rash, bounty paper towels
yeast diaper rash, bounty paper towels, mild soap: Dear Chris: The rash you are describing does not sound like yeast and if it were I doubt it would have gone away with triple paste and airing. I would be more suspicious it could be the diaper wipes irritating her. I would stop them immediately and just...

Pediatrics: Recurring diaper rash?, yeast diaper rash, yeast infection
yeast diaper rash, yeast infection, baby wipes: If it was a yeast infection, it would not have improved with either Neosporin or Triple Paste. Could it be your wipes? It sounds like the rash came back within 2 days of using the wipes. It could also be infected. She should be seen again, but I d stop...

Pediatrics: Recurring diaper rash in 7 week old, yeast diaper rash, ingrediants
yeast diaper rash, ingrediants, hi chris: Hi, chris, The fact that it cleared up is good, since there are certain rare but serious medical conditions that can mask as a persistent diaper rash. If the rash is chafed and on the top part of the butt, this is probably not yeast, which likes the...

Pediatrics: Recurring diaper rash?, yeast diaper rash, mild soap
yeast diaper rash, mild soap, soap and water: It is hard to express an opinion about something I can t see. In general, yeast does not clear up from sleeping on the abdomen so that is probably not the cause. Mild soap and water followed by a protective cream is as effective as baby wipes and there is...

Pediatrics: Recurring Fever, low grade fever, recurring fever
low grade fever, recurring fever, core temp: Hi, Margie, Tylenol will reduce a slightly high normal temperature to a normal temperature. The core temp we consider a fever is about 100.4, making 99.5 only very slightly a temp, if at all. If she is generally healthy and able to go to school,...

Pediatrics: Recurring Headaches in 5 year old son, recurring headaches, migrane headaches
recurring headaches, migrane headaches, hr duration: If the headaches are infrequent and respond to Motrin, there is probably not much to do. Have they been going on for a long time? If so, that makes serious problems like brain tumors even less likely, as headaches from those tend to get worse--more frequent...

Pediatrics: Recurring high fevers with no other symptoms, hand mouth and foot disease, mouth and foot disease
hand mouth and foot disease, mouth and foot disease, grade fevers: Vomiting with a cough is not unusual, but if it is persistant, he should see his doctor about it. Persistant coughs may be due to asthma. You don t always hear a wheeze -- sometimes it s just a cough. Pulmonary function testing can tell you if it s asthma,...

Pediatrics: Recurring Rash/Illnesses/Peeling Fingertips, cold flu symptoms, peeling fingertips
cold flu symptoms, peeling fingertips, rash illnesses: Fifth Disease has certain characteristics different from most rashes. The cheeks are red plus all the rash on the other parts of the body. I certainly can t disagree with a physician who has seen the rash. If the physician has had extensive experience with...

Pediatrics: Recuurring "tonsillitis" & babay won't eat solids?, month old baby, fever hits
month old baby, fever hits, docor: One never accomplishes anything by trying to get a baby to eat . A child s appetite is enough so that he will eat all he needs unless there is something else going on, such as an illness. The thing to do is to get rid of the illness, as you have been doing,...

Pediatrics: Red bumps, wart virus, virus problem
wart virus, virus problem, bug bite: Hi, Melissa, Your description seems to be of a condition called molluscum contagiosum, a wart virus problem. Have your doctor check and be sure. It isn t serious and most cases with time simply go away. There are some treatments that aren t real effective...

Pediatrics: Red Eyes., visine eyedrops, optomatrist
visine eyedrops, optomatrist, opthalmologist: The only answer I can give you is to see an opthalmologist, not an optomatrist, and have him/her tell you the cause of the problem and the treatment. From my experience I don t think this would be related to anything at school but the proper person can...

Pediatrics: Red Eyes, something in the air, red eyes
something in the air, red eyes, red eye: Something is irritating her eye intermittently. It could be something that gets on her hands that she rubs into her eyes or it could be something in the air. Is it related to her going outside? Playing with a certain toy, such as a fuzzy one? Using her mothers...

Pediatrics: Red eyes..(m), grand mal seizure, low grade fever
grand mal seizure, low grade fever, gi motility: It sounds as though he had encountered something that irritated his eyes, which brings blood to the surface such as a sunburn might do to the skin, and makes all of the white look red. The blood vessels are enlarged and some of the simple drops available...

Pediatrics: Red eyes...(m), grand mal seizure, low grade fever
grand mal seizure, low grade fever, gi motility: He really should be seen. He probably has conjunctivitis, or pink eye, which is contagious. His school will probably not let him stay in that case. Call his doctor and have him checked. Not all conjunctivitis is contagious, and it does not always have...

Pediatrics: Red "pimples" on toddler's chest and back, viral rashes, scarlet fever
viral rashes, scarlet fever, mild case: Dear Hillary: It is hard to identify a rash on a child without seeing it. It could be a mild, atypical case of chicken pox which the other child could have had as well. Even if a child has had the vaccine they can still get a mild case. This rash starts...

Pediatrics: Red rash on skin when it's cold, rash on skin, atopic dermatitis
rash on skin, atopic dermatitis, daily basis: Hi Ms. Yang, This is a case of chronic atopic dermatitis (aka eczema). Your son s skin is very sensitive to cold weather and chemicals which irritates his skin. The best suggestion would be to start moisturizing his skin with Aveeno Eczema Moisturizing...

Pediatrics: Red throat of 3 yr old kid, heart problems, pediatrician
heart problems, pediatrician, antibiotic: Yes, it could be strept throat which should be treated with an antibiotic. The reason is that is MAY cause either kidney or heart problems down the line if not treated. It could be viral, in which case antibiotics don t work, but the risk is too great to...

Pediatrics: Red Urine, pain when urinating, frequency of urination
pain when urinating, frequency of urination, red dye: I suggest you never treat a medical problem as an emergency when you can deal with it in a calm manner, and I don t think you will have to deal with this one in any way. I think he has consumed some harmless dye that has colored his urine and it will go...

Pediatrics: Reddish circles under the eye, chronic sinus infections, nose congestion
chronic sinus infections, nose congestion, allergy symptoms: Hi, Nancy, Red circles under the eyes might be due to allergies or lack of sleep, but I wouldn t treat this with a medicine if she didn t have classic allergy symptoms. Various skin irritations, like eczema, could cause this. If in doubt and the only...

Pediatrics: Redness of the eyes, hello doctor, unfortunate children
hello doctor, unfortunate children, oculist: Many unfortunate children are born allergic; there is no too young for allergies. The problem, it seems to me, is with the parents and the child and the physician. If the physician is competant there is nothing I can add, and I don t think we have any...

Pediatrics: Redness & swelling around injection site, tomorrow is sunday, 19 month old
tomorrow is sunday, 19 month old, several inches: If it hurts him when you touch it, or he won t walk on that leg, or he has a fever, then he really should be seen today. If it does not bother him, he has no fever and he is acting otherwise normal, it s probably ok to wait until tomorrow. Moshe Adler,...

Pediatrics: Reflux?, pediatric gastroenterologist, endoscope
pediatric gastroenterologist, endoscope, upper gi: Hi, Austin, Sorry to hear of your problems. I am assuming that with all these issues, he has seen a pediatric gastroenterologist. If not, he should. Some kids will have an intolerance to all the formulas, even the protein hydrolyzate ones like Nutramigen....

Pediatrics: Reflux?, vomiting in babies, metabolic problems
vomiting in babies, metabolic problems, rice milk: Why are you no longer allowed to use rice cereal in the bottle or give him any solids? If you are still using Enfamil AR he should not need the cereal, but it will help thicken other formulas and often will help the reflux. I guess he has seen a gastroenterologist....

Pediatrics: Reflux, stomach acid, zantac
stomach acid, zantac, prevacid: Nexium and Prevacid both prevent the production of stomach acid and both are the most expensive drugs to do that task. This is all very interesting to me for these drugs did not exist for the first 25 years of my practice. If the symptoms was spitting during...

Pediatrics: Reflux Again?, pediatric gastroenterologist, toddler behaviour
pediatric gastroenterologist, toddler behaviour, typical toddler: Hi MJ, I m curious... who diagnosed her with acid reflux? Your pediatrician or a pediatric gastroenterologist... If it is your pediatrician, I would highly recommend obtaining a second opinion from a pediatric gastroenterologist before medicating her with...

Pediatrics: Reflux?, endoscope, upper gi
endoscope, upper gi, zantac: If the doctors who have seen your son think this is reflux, it is very difficult for me, who has never seen him, to contradict them. The picture is certainly compatible with reflux. Obviously if you remain concerned, you need to discuss this with the doctor...

Pediatrics: Refusal to try to eat new things, french toast sticks, children who are picky eaters
french toast sticks, children who are picky eaters, calories per day: Hi, Jennifer, Sounds like he is carb loading for a marathon! The picky eater usually uses his eating behaviors to manipulate people. Don t get into his trap. He can go for hours without food, but there are easier ways to solve this. Here is a great...

Pediatrics: Refuses to eat to weight loss (18mos), spoon fed, cbc test
spoon fed, cbc test, front teeth: but my son (18mos)lost around 300gr in 2months (now w:9.9kg, h:79cm, hc:46cm). ======= this seems to be acute weight loss more likely due to decreased intake. His throat was fine, but the CBC test revealed that he s slightly iron anemic (probably due...

Pediatrics: Regarding cold, running nose, overnite
running nose, overnite, coughs: Hi, Vikas, Babies thrive in the same temperatures we do. Set the AC to a level of your comfort and dress your baby accordingly. A slight cough in a healthy baby doesn t need any treatment or evaluation unless things get worse. Good luck, Dr. Olso...

Pediatrics: Regarding gastroenteritis, 3rd generation cephalosporin, acute exacerbations
3rd generation cephalosporin, acute exacerbations, loose motions: Hi Dr. Shivali Sharma, It is unethical under US state and federal laws to manage patients over the internet without properly obtaining a thorough history and physical examination of the patient. I also recommend that you discuss with your pediatrician...

Pediatrics: Regarding a possible milk allergy, and milk substitutes., first birthday party, little goat
first birthday party, little goat, goat milk: Dear Jessica: It seems that your child may have a milk protein sensitivity so I would continue with the goat s milk. How she reacts to other dairy such as cheese and yogurt is anyone s guess at this point. I would recommend you see a pediatric allergy...

Pediatrics: Regular spit up?, fussy eater, pound baby
fussy eater, pound baby, gaining weight: If he only spits up twice a day, he is growing and gaining weight, behaves normally and sleeps well, he is probably normal. If he coughs, gags, chokes, has trouble sleeping or he is frequently fussy, he needs to see his pediatrician. Moshe Adler, MD...

Pediatrics: Rehydration Question, urine concentration, urine flow
urine concentration, urine flow, rotavirus: Since you didn t give me his age or size I can only say that give him enough fluid to keep his tongue moist and his urine flow light colored. Don t wait for him to ask for liquid but offer him anything wet very frequently. Keep track of the number of times...

Pediatrics: Reinfection of virus?, throat glands, fever chills
throat glands, fever chills, antibody response: Hi, Linda, Glad he s better and sad you got it. He will not get this from you. He very effectively develops an antibody response to this particular virus. If you have the same virus, he won t get sick again. If the virus is perhaps different, he might....

Pediatrics: Relieving cold symptoms, cool mist humidifier, phenylephrine hci
cool mist humidifier, phenylephrine hci, dimetapp elixir: You are doing all of the proper things for an infant with the common cold. A half teaspoosful of the Dimetapp would be save and may help the symptoms. Be sure to use the drops in her nose and then aspirate forcefully; it may frighten her a bit but it is not...

Pediatrics: Renal Tubular Acicosis, normal blood gases, anion gap
normal blood gases, anion gap, chemistry profiles: On the blood gas you have given me he is not acidotic and is therefore unlikely to have RTA. The urine pH is irrelevent. Obviously your paediatrician may have some additional information, but there is nothing here to suggest a problem with acidosis...

Pediatrics: Renal Tubular Acidosis/Hydronephrosis, renal tubular acidosis, new orleans louisiana
renal tubular acidosis, new orleans louisiana, left kidney: As I am sure you are aware the two problems are unrelated. The hydronephrosis should have been investigated and if it was causing problems, corrected. With regard to the RTA, if acidosis becomes a problem this will affect weight gain. These children often...

Pediatrics: Reoccurring upper and lower respiratory problem, yellow mucus, heat rash
yellow mucus, heat rash, milk allergy: where is the question? please let me know if child is gaining good weight for his age according to weight charts, if it is ther then u keep a track of it, if u think there is something incorrect the child will start losing weight....

Pediatrics: Resp. Illnesses in Children under 2, freelance copywriter, urgent medical care
freelance copywriter, urgent medical care, monetary reimbursement: Dear Angela: I would love to help you but I have stopped offering information to writers. I will only provide information to writers if compensated. I volunteer so much of my time providing advice I would like monetary reimbursement in order for a writer...

Pediatrics: Resp. Illnesses in Children under 2, freelance copywriter, urgent medical care
freelance copywriter, urgent medical care, luck kids: I have been retired from active practice just long enough to be out of date regarding lastest diagnosis and treatment. Anything I said would be so outdated as to be invalid. Sorry i can t help you but I wish you luck; kids need all the education that adults...

Pediatrics: Respiration Problem, gurgaon india, preventive medications
gurgaon india, preventive medications, acute attack: Dear Sunil, Ask your doctor about preventive medications like Bambuterol and Montelukast. Also, explore the use of inhalers at home. Steroidal inhalers will surely help. Please consult a pediatrician. There are inhalers to stop the acute attack also. This...

Pediatrics: Responding to voices, worrier, loud noise
worrier, loud noise, eye contact: Worry never helps a situation; it just damages the worrier so I will say don t worry . If you know he can see and hear you are describing a normal 4 month old. If you doubt the hearing, come up behind him with a rather loud noise and see if he responds....

Pediatrics: Responsibility, open heart surgery, pediatric cardiologist
open heart surgery, pediatric cardiologist, pediatric cardiology: I get asked these sorts of questions often, and rather than answer each one, it is much more convenient for me to give you a set of answers for similar questions I ve compiled over time. What is your job? I am a pediatric cardiologist, which means I...

Pediatrics: Restless Babe, continuous arm, restless baby
continuous arm, restless baby, massage treatment: Hi, Barbara, If he seems to be healthy, is delightful, is growing and developing well, then this seems more a habit driven behavior. He doesn t need to eat at all at night at this age. He is waking up for reasons other than hunger. Is his last waking...

Pediatrics: Retracted Penis, gentials, baby boys
gentials, baby boys, bath time: I can understand your concern with your son s penis not appearing normal. This is actually more common than you may think as I see it frequently in little chubby guys because they have a fat pad that causes the penis to appear to retract. At full term birth,...

Pediatrics: Retrovirus, stomach flu, rotovirus
stomach flu, rotovirus, watery stool: Hi, Karen, Rotovirus is the most common cause of stomach flu we see in children. Kids do get rid of it, we just don t have any treatment that will get rid of it sooner than the body does. It can cause kids to be sick enough to need IV fluids and bowel...

Pediatrics: Reusing a crib mattress, crib mattress, mattress company
crib mattress, mattress company, case situation: well, I had not heard that, but if you had a child that jumped a lot while standing in the crib, I suppose it could be a factor. Another question would be if it had a plastic cover for possible vomit or urine odors, but of course you have already assessed...

Pediatrics: Reye's Syndrome?, normal bowel movements, rotavirus gastroenteritis
normal bowel movements, rotavirus gastroenteritis, stool samples: Reye s syndrome is very rare and almost confined to children with chicken pox. You described the normal course of a viral (rotavirus) gastroenteritis (intestinal flu ) so I don t think you need any other explanation for his symptoms. He is having intestinal...

Pediatrics: RINGWORM, ring worm, chicken pox
ring worm, chicken pox, moshe: It should get better once you start using the cream. It may get a little worse for the first day or two, until the cream starts working, but by now it should be better. She may need a different cream, or it may not be ringworm. She should go back to her...

Pediatrics: Rice Cereal and Constipation, rice cereal, exact questions
rice cereal, exact questions, bowel movement: Straining is OK with babies but pain on having a movement is not. I think her body absorbs so much of the moisture from the cereal as it passes through the body it ends of firm. The same thing would happen with other cereals. Feeding her less would lead...

Pediatrics: Rice Milk, long term health, rice milk
long term health, rice milk, height and weight: By 16 months a child doesn t depend on one food for all of the nutrients and there are all of her needs in the solids she eats. The liquid part of the diet is secondary and increasingly so. A little of the liquid part of her diet in a cup at meals is all...

Pediatrics: Ridding childhood seizures with surgery, childhood seizures, brain tissue
childhood seizures, brain tissue, pros cons: Hi, Michael, Seizures can be improved/removed with surgery. The pros/cons are well beyond my expertise except in just a general sense. I would suggest a second opinion anytime a doctor suggests to operate on a child s brain. Sorry I can t be of more...

Pediatrics: Right amount of milk for a two year old, weaning, pint
weaning, pint, ble: There is no set amount of milk for a two year old. The human being is the only animal that drinks milk after weaning and in many societies there is no other milk availa ble, and those people can be healthy. Our problem is often the child that drinks so much...

Pediatrics: Left or Right Hand, weird theories, own pace
weird theories, own pace, handedness: Hi, Patricia, Being ambidextrous can be a big advantage in life and generally no disadvantage. Let him go and do what he wants and he will develop some sense of handedness. Don t tie up one hand or anything rash like that! Just kidding, but there are...

Pediatrics: Right Side Pain, stomach ache, belly area
stomach ache, belly area, rib cage: Hi, Lois, Any significant and increasing stomach ache with fever, especially in the right side, needs to be evaluated. Pneumonia or appendicitis are just two of the many conditions that need to be ruled out by your doctor. I also doubt that the accident...

Pediatrics: Right-sided pain fever present, scapula bone, santosh
scapula bone, santosh, x ray: if there is no trauma, and pain is in right upper back over the scapula bone, its more likely to be some sprain. if fever is there since 3 weeks you will surely need some blood tests and x ray to rule out infections like pneumonia abscess or tuberculosis....

Pediatrics: Roda virus, wet diapers, roda virus
wet diapers, roda virus, rice cereal: Dear Krista: If this is truly Rota virus it can last 7 to 10 days. Continue to offer pedialyte and the child s formula but a lactose free infant formula would be best until his stools come back to normal. You can try Similac Lactose free or Enfamil...

Pediatrics: Rolling over in crib, sleep positioner, gross motor development
sleep positioner, gross motor development, daytime naps: Dear Carrie: Rolling over is a developmental milestone so you do not want to impede or prevent the baby from rolling over. This is a normal part of his gross motor development. I am afraid you will just have to help him. I would be certain not to have...

Pediatrics: Rolling Over, long periods of time, good luck
long periods of time, good luck, sleep: Hi, Gina, If he is doing everything else at age level, I wouldn t at all worry. Rolling over has changed a lot since we are advocating the back position for sleep (in the first 6 months)to dramatically lessen the incidence of SIDS. Good luck, Dr. Olso...

Pediatrics: Roseola, incubation period, human herpes virus
incubation period, human herpes virus, virus human: Hi, JENNIFER, Roseola is caused by a type of herpes virus (human herpes virus 6) that does not live on surfaces to any great extent. Over the weekend, or just a few hours should be fine. You don t get these things by touch, you get them by contact with...

Pediatrics: Rotavirus, wet diapers, pedialyte
wet diapers, pedialyte, hello my friend: Dear Onellis: Rota virus is so devastating to young children and dangerous too as it can cause severe dehydration. Soon there will be a vaccine for it to offer infants and young children protection. If the child is getting worse, not drinking, has sunken...

Pediatrics: Rotavirus, diognosis, fruit juices
diognosis, fruit juices, vomiting and diarrhea: There is no medication for rotavirus. The treatment is to keep the child hydrated by giving fluids that are more likely to replace what is being lost by vomiting and diarrhea without aggravating the situation. The best fluid to drink is Pedialyte. Small...

Pediatrics: Rotavirus, excessive weight loss, vomiting and diarrhea
excessive weight loss, vomiting and diarrhea, iv fluids: Hi, Julie, Small amounts of liquids that have calories in it will get most kids through this. Solids are fine if she keeps them down. 4 pounds has to be taken in context to her original weight. If she weighed 20#, this is a significant weigh loss and...

Pediatrics: Rotavirus, gastrointestinal virus, pucking
gastrointestinal virus, pucking, gastrointestinal: Dear Gina: It is difficult to say whether your son s gastrointestinal virus is Rota virus without testing the stool for it. There are other stomach viruses going around and he could have one of those. I would hold milk if he is having diarrhea and if...

Pediatrics: Rotavirus, hello my baby, iv fluids
hello my baby, iv fluids, baby sister: Rotavirus is a virus that causes a bad case of vomiting, diarrhea, stomach aches and sometimes, fever. Many babies need to be hospitalized for iv fluids (using a tube into a vein to give fluids) because they can t keep enough liquid in. Yes, babies can die...

Pediatrics: Roto Virus, gastrointestinal virus, fecal oral route
gastrointestinal virus, fecal oral route, infants and toddlers: Dear Annette: The virus is spread thru the fecal oral route. If someone changes a diaper full of diarrhea and doesn t wash their hands and touches a surface that surface will carry that virus for hours. If you come along and touch the surface and get...

Pediatrics: Roto virus in 1year old, rota virus, natural immunity
rota virus, natural immunity, nasty virus: Dear Marilyn: Sorry I have not responded sooner but was ill. Rota virus is a nasty virus that surfaces every year at this time and strikes infants and toddlers mostly although older kids and adults can get this. It is very contagious. Roata virus causes...

Pediatrics: Rotovirus (how long are we contagious and how is it spread?), loose stools, food hygiene
loose stools, food hygiene, infectivity: Dear Gloria, Rotavirus infectivity is only through hand contamination and so, by rigorous hand washing and general good food hygiene, you can prevent its spread easily. Infectivity lasts up to a week following the onset of loose stools. -drtahe...

Pediatrics: RSV, wet towels, alupent
wet towels, alupent, eye drop: Remember I am here and you are there with her but from what I know she should stay home where she is warm and loved. A wheezing sound is not necessarily a bad sign; only is she is having difficulty getting air in and out with her chest caving in with each...

Pediatrics: RSV, daycare, lung problems
daycare, lung problems, trudi: Hi, Trudi, Please don t let the idea that they might get sick run your life. Most kids who get RSV, if they are basically healthy, will do fine and have a bad cold. The RSV season usually starts by now and goes into the spring, but this can vary greatly...

Pediatrics: RSV, clear liquids, lung congestion
clear liquids, lung congestion, beef broth: Yes, he can have beef broth, just make sure it doesn t have a lot of salt -- most of the broths are loaded with sodium. I don t think clear liquids make any difference for congestion, though. If he is not having any diarrhea or vomiting, he can probably...

Pediatrics: RSV concerns when flying, nasty bugs, cold virus
nasty bugs, cold virus, premature babies: RSV is a cold virus that has the most severe effects on premature babies and babies with chronic conditions with their hearts/lungs. Provided your baby is born healthy at full term, I don t see any cause for you not to make the trip. Just follow your common...

Pediatrics: RSV/fever, night question, having trouble breathing
night question, having trouble breathing, rsv: If you have any doubt that she is having trouble breathing I would advise a trip to the ER. Otherwise, fever in itself is not always as bad as it seems. If you can keep her from becoming dehydrated and the fever is not accompanied by a rash then let it ride...

Pediatrics: RSV, upper respirtory infection, pulse ox
upper respirtory infection, pulse ox, voice mail: It certainly could be RSV, and you are right, Florida has RSV all year long. However, knowing whether it is RSV really doesn t change much, as there is no specific treatment for RSV infections. The important thing for me is that she is having trouble breathing...

Pediatrics: RUNNY NOSE, constant runny nose, point fingers
constant runny nose, point fingers, time chris: Hi, Chris, Wiping or not wiping the nose is not the question. What is important is why he has a constant runny nose. Do the parents smoke? Does he have a history or a family history of allergies? Is he a staph carrier and does he need some medicines...

Pediatrics: Running around in crib for hours!, subconscious level, family dynamics
subconscious level, family dynamics, naps: I don t think there is anything serious about this behavior but it is unusual. The first question I would ask is do you know anything that has happened that would make a child this age anxious? If you had just brought home a new baby that would explain...

Pediatrics: Rynatuss, common cold symptoms, cough symptoms
common cold symptoms, cough symptoms, rynatuss: That is the correct dose of Rynatuss. The time for taking an antibiotic depends on the germ being treated. The streptococcus should be treated 10 days and some a little less time. Most organism that cause the common cold symptoms do not respond to antibiotics...

Pediatrics: why is racemic epinephrine contraindicated in epiglottitis, nasotracheal intubation, acute epiglottitis
nasotracheal intubation, acute epiglottitis, brady book: Dear Yvonne, The reason is that acute epiglottitis is a serious medical emergency where establishment of an artificial airway (either nasotracheal intubation or a tracheostomy under controlled conditions) is *the* required intervention. Present evidence...

Pediatrics: radiology, chest x ray, cardiac silhouette
chest x ray, cardiac silhouette, clinical correlation: It indicates some thickening of the tissues of the lung, in the perihilar area, which is the area near the middle of the chest. This is seen mostly with viral infections. Clinical correlation requested means that the radiologist really can t make a diagnosis...

Pediatrics: raising temp, tiime, viral illness
tiime, viral illness, tylenol: Hi, vilmarys, Really impossible for me to tell you accurately what is wrong, but probably this is a viral illness. The fever is really low grade, although may go up tonight and this would be expected. If she has no other symptoms, watch her and use the...

Pediatrics: rapid breathing, oxygen saturation, concave chest
oxygen saturation, concave chest, rapid breathing: It doesn t take much movement to make an infant breathe a little faster so I think you are witnessing a normal situation. The degree of concavity determines how much, if any, it will bother the child. If oxygen saturation is normal it doesn t sound as though...

Pediatrics: rapid growth!, alarming rates, adolescent boys
alarming rates, adolescent boys, puberty: Hi, Jo, This is rapid growth, but probably within normal limits. I have heard of kids growing three inches in a month in puberty and they are normal. Certainly if this growth rate continues over the next six months this is unusual enough that you should...

Pediatrics: raptured ear drum, oral antibiotics, ruptured ear drum
oral antibiotics, ruptured ear drum, ofloxacin: Hi, desi, I have personally seen many ears go from appearing normal one day and rupturing the next. Most of us treat a ruptured ear drum with oral antibiotics. Lots of us don t use antibiotics with routine ear infections, but this is a different situation....

Pediatrics: rash?, wood hi, genital areas
wood hi, genital areas, lotrimin: Hi, Rhonda, This sounds like some type of rash due to the moisture in this area. It could be yeast, especially if they have been doing a lot of water activities this time of year. If they aren t improving with the 1% HC cream, then try Lotrimin cream...

Pediatrics: rash, epsom salt bath, corn starch
epsom salt bath, corn starch, epsom salt: Dear Brenda: The diaper rash could be a yeast infection and may need only a yeast fighting cream or ointment to treat it but not having seen the rash it is difficult for me to advise you. The dry patches could be eczema but again, not seeing the rash...

Pediatrics: rash on 13month old girl, yeast rash, stomach virus
yeast rash, stomach virus, loose stools: The rash may very well have been due to the loose stools from a stomach virus. That s a very common cause of bad rashes in the diaper area. If that s the case, it should get better with A&D or Balmex once the stools to normal. If it persists, she should...

Pediatrics: rash, yeast rash, 3 month old baby
yeast rash, 3 month old baby, visual phenomena: Hi, Kristy, Rashes are distinctly visual phenomena and therefore are hard to characterize by description alone. It is unusual to have yeast on the surface of the skin in a relatively dry spot like the torso. It could either by a virus, a contact rash,...

Pediatrics: rash, fungal infection, ringworm
fungal infection, ringworm, lesion: Hi, Dawn, I have found that rashes don t lend themselves very well to solutions in this format. This is clearly not a fungal infection like ringworm for it clears quickly. The fast clearing suggests some allergic reaction but who knows. My suggestion...

Pediatrics: rash, viral rash, small red bumps
viral rash, small red bumps, peeling skin: I would ask the same question you did. Strep throat comes from the streptococcus not a virus, and penicillin does not influence viruses. Peeling skin comes only after a strep infection almost always. The only thing that would make sense if that the culture...

Pediatrics: rash, little red bumps, heat rash
little red bumps, heat rash, ezcema: It is impossible to diagnose a rash without seeing it. She obviously has sensitive skin since she has eczema and sensitive skin will react to common circumstances more than normal skin. If you in a part of the country where spring in appearing and the weather...

Pediatrics: rash, contamination of the water, folliculitis
contamination of the water, folliculitis, red bumps: Hi, nancy, This sounds like folliculitis or the quaint term hot tub buns . This is generally a self limited condition due to bacterial infection of the follicles caused by the heat and possible contamination of the water. If only pool and not hot tub,...

Pediatrics: rash, tug of war, soapy water
tug of war, soapy water, rash: I would apply some poly or neosporin to the area if you are convinced this is related to the rope scratch. If it is near her eyes, make sure that you rub it in well and not to leave any moveable residue that could get in her eye. If the rash spreads or you...

Pediatrics: rash, family portrait, moshe
family portrait, moshe, detergent: It could be allergic, although most of those do itch. If it s viral, there may not be anything to do about it other than watch and wait for it to resolve. If you are concerned about the portrait, take her to her doctor and have her examined--perhaps a cause...

Pediatrics: rash, laundry detergent, heat rash
laundry detergent, heat rash, steroid creams: It s impossible for me to tell you what it is without seeing the rash, of course. If all the docs say it s probably nothing serious, it may be a good idea to just watch him for a while and see what happens. If it s not bothering him other than occasional...

Pediatrics: rash accompanied by a swollen eye, championship basketball game, posion ivy
championship basketball game, posion ivy, groin area: I really cannot make any comment without being able to examine your son. The generalised nature of the rask suggests that there is not an infection of the eye, whihc would be the main concern. Obviously your doctor will be able to give you more information...

Pediatrics: rash around baby's neck, lotrimin cream, strep bacteria
lotrimin cream, strep bacteria, yeast infection: Hi, aisha, This is probably a yeast infection. Yeast likes to hang out in folds of skin and if your son is well fed and like most, he really doesn t have much of a neck, ie. his chin is on his chest. Try some lotrimin cream, lightly twice a day for about...

Pediatrics: rash or bumps on face, viral illnesses, loss of appetite
viral illnesses, loss of appetite, pustules: Hi, Michelle, You re right. Rashes are hard to diagnose without seeing them. Many viral illnesses and some bacterial illnesses can cause little bumps or pustules on the face. If she seems to be doing OK and not getting more sick, than do the TLC things...

Pediatrics: rash or bumps on face, chicken pox vaccine, cause fever
chicken pox vaccine, cause fever, loss of appetite: When was her last chicken pox vaccine? The vaccine can cause a few blisters anytime up to 6 weeks after the injection. There are several viruses that cause fever and rash--it could be one of those, too. Did the fever persist, or has her temperature returned...

Pediatrics: rash on daughter, strange rash, splotches
strange rash, splotches, pimple: Hi, April, Rashes are a very visual problem and not very easily handled in this type of format. If she is well in general, without fever, sore throat or other symptoms, my suggestion is to follow carefully and see what happens. If she develops other...

Pediatrics: rash on face, little red bumps, baby acne
little red bumps, baby acne, rash on face: Brand plays no role in a baby s allergies since all of the brands are the same for the same product. I doubt that it is the soy for the causes of the acne you are talking about are many. The treatment is a little more soap and water than usual with gentle...

Pediatrics: rash on face, rash on face, rice cereal
rash on face, rice cereal, cheeka: Dear Jen: If the baby were allergic to rice he would have a rash all over or be throwing the cereal up. I think he just has chapped cheeks. Try a little A&D ointment on his cheeks or Aquaphor ointment. He is not too young for cereal. Sincerely,...

Pediatrics: rash or hemmroid, dr adler, prune juice
dr adler, prune juice, hemmroid: You should start by seeing her pediatrician. Most of these cases are a small tear just inside or at the opening of the rectum, and it is really common in constipated children. Try apple, pear or prune juice to keep her stools looser, and continue some Balmex...

Pediatrics: rash info., viral rashes, dear inez
viral rashes, dear inez, ring worm: Dear Inez: It is difficult to define a rash without seeing it so I would not hazard a guess as to what it could be. It may be impetigo a skin infection. If you use the internet and go to a search engine such as google.com and type the name of viral...

Pediatrics: rash/peeling skin on fingertips, peeling skin on fingertips, peeling fingertips
peeling skin on fingertips, peeling fingertips, soap detergent: Hi, B., My thoughts is that a guess would be that this is a post-viral infection peeling of the skin. No one can tell you for sure. Why this is happening is not really that important if he is basically OK. If heat caused this, everybody in California...

Pediatrics: rash, washing dishes, hydrocortisone
washing dishes, hydrocortisone, fades: This sounds like a rash that comes from something she is doing to her hands or something she is coming in contact with. The most common cause would be that she doesn t dry the back of her hands when she washes them. It could be that what she washes with...

Pediatrics: rashes, intelligent diagnosis, visual phenomena
intelligent diagnosis, visual phenomena, moisturizers: Hi, N., Rashes are visual phenomena and I can t make any intelligent diagnosis for you. Some peeling is dry skin and can be treated with moisturizers. Some is infection and should be treated by a doctor. There are many other causes as well. If good moisturizers...

Pediatrics: rashes, best guess, prescription medications
best guess, prescription medications, neosporin: Without seeing them, it is very difficult to say what the spots are. My best guess from your description, however, is a skin infection called impetigo. These lesions are typically red and will tend to ooze some. Often, they are described as having a honey-crusted...

Pediatrics: rashes, viral rash, otc product
viral rash, otc product, heighth: Dear Genie, Perhaps this is some other viral rash that needs either no treatment or needs to be seen by a doctor. Itching alone does not make it allergic in origin, though you could try applying Calamine lotion and give him T. Tavegyl 1/2 tab once a day...

Pediatrics: raw neck rash, irritant dermatitis, neck rash
irritant dermatitis, neck rash, dairy allergy: . Is steroid cream safe in the neck/chin for babies? ==== all local applications usually don t cause any significant systemic problem for years. application to any skin is safe provided the indication and precautions are strictly followed. 2. As soon as...

Pediatrics: re:hyperactivity, poor hygeine, exact dialogue
poor hygeine, exact dialogue, pleasure to have in class: I have read your message slowly and thought about it a lot; my opinion is not an off the cuff one hastily arrived at. Your son has several characteristics that vary from normal and adding them all together makes me think that he needs very professional help...

Pediatrics: re: seizure Vs Migraine, seizure activity, nurologist
seizure activity, nurologist, thick fluid: If the 1st pediatrician observed some seizure activity with the cat scan and MRI, i would listen to his advice and put her on the meds, and with what you are describing, I would have to say that there is some seizure activity as well, go back to that 1st pediatrician...

Pediatrics: So many recalls, what should I use?, vapor rub, oral medicine
vapor rub, oral medicine, daughter katie: Hi, Kristie, Oral medicine doesn t work in this age group and can cause problems. I recommend using tylenol for comfort, lots of liquids and a vaporizer. Whether vapor rub works is debatable, but it probably doesn t hurt. Good luck, Dr. Olso...

Pediatrics: recovery from circumcison, fatty tissue, sulcus
fatty tissue, sulcus, adhesions: Hi, Pam, The sulcus is the rim of tissue around the base of the glans of the penis. The foreskin should be able to be gently pulled back to expose this all around, except right under the penis. You may be describing a bridge of tissue from the glans...

Pediatrics: rectal bumps, diaper rash, hard stool
diaper rash, hard stool, stool softener: It sounds like he may be constipated and the hard stool is causing small tears in the lining of the rectum. I would treat the constipation with increased fluid intake and perhaps a stool softener such as lactulose. If you remain worried I would suggest seeing...

Pediatrics: recurrent fever, recurrent fever, high fever
recurrent fever, high fever, blood count: She should be checked for a few things--ear infections, sore throat, urinary tract infection--all of these usually cause pain, but not always. If nothing shows up on a thorough exam, she should probably have a blood count (CBC) as well as a urinalysis. If...

Pediatrics: recurrent high fever, venezuelan equine encephalitis, equine encephalitis virus
venezuelan equine encephalitis, equine encephalitis virus, familial mediterranean fever: Hi Alex, Wow... I haven t heard someone mentioning Occam s razor since college. Anyways, recurrent fevers in general has many causes. However, it must be directly pinpointed to the situation in order to examine the true cause and risks. The physician s...

Pediatrics: recurrent high fevers in a four year old, daycare children, school daycare
daycare children, school daycare, high fevers: Children at that age do get lots of viral infections. It s not unusual to see 10 to 12 episodes a year, so once a month is not really excessive. Is he in school? Did he just start recently? During the first 6 months of school/daycare, children tend to...

Pediatrics: recurrent infections, egg allergy, antibody levels
egg allergy, antibody levels, centile chart: He appears to be getting a lot of infections and if he is failing to thrive ie dropping on the centile chart, this should be investigated. A problem with the immune system is possible and needs specific tests. Antibody levels are not the only thing. I would...

Pediatrics: recurrent infections, sweat chloride test, egg allergy
sweat chloride test, egg allergy, serum immunoglobulin: Hi, Jennifer, Good question. The amount of antibodies he gets from the breast milk will not effect the serum levels in his blood to any degree. This sounds like a boy with some type of immune deficiency. The most common would be IgA deficiency, at about...

Pediatrics: recurrent infefetions, feathers wool, egg allergy
feathers wool, egg allergy, antibody levels: Each infection comes from someone so if there is any way to keep him from being exposed to other than his family I would try to do that. Also susceptibility in an allergic child is related to the condition of all the membranes in the nose, throat, and chest...

Pediatrics: recurrent pneumonia/wheezing, ciliary dyskinesia, recurrent pneumonia
ciliary dyskinesia, recurrent pneumonia, pe tubes: You re welcome. It sounds like he s got good doctors taking care of him, and a good mommy, too. Hang in there--it will likely get better with time. Many of these kids just have more problems than normal, but don t have anything serious, and it just takes...

Pediatrics: recurrent pneumonia, recurrent pneumonia, pneumonias
recurrent pneumonia, pneumonias, pylorus: If I could deal with Sweedish the way you deal with English I would consider myself a skillful linguist. The tissues of an small child swell with any infection and it is possible that the pneumonia results from the obstruction of a small bronchus. As the...

Pediatrics: recurrent sinus infections and congestions, recurrent sinus infections, allergy testing
recurrent sinus infections, allergy testing, adenoiditis: every month since july for green drainage from the nose and wheezing. ========= adenoiditis can be the main diagnosis She had her aneoids removed in december and continues to have the same problem =========== incomplete removal this time the drainage...

Pediatrics: recurrent strep in 6 year old daughter, omnicef, throat pain
omnicef, throat pain, reinfection: Recurrent infections may make her resistance less than normal but she has to have a source of reinfection from someone. Since a strep test is easy to do, why don t you have a test done for everyone in the household including her when all of her medication...

Pediatrics: recurring URI, cool mist humidifier, feather pillows
cool mist humidifier, feather pillows, viravan: In a situation like this there is recurrent infection but there is often an underlying cause which is usually something in the child s environment that keeps the respiratory tract lining swollen and therefore lacking in resistant to infection. The usual cause...

Pediatrics: red cheeks and chin, red cheek, red cheeks
red cheek, red cheeks, facial flushing: Hi, Michelle, I m not sure what this is. We live in a climate where your temperatures would be considered balmy this time of year. I doubt if the cold has anything to do with this. Eczema could act like this, but it sounds more like a temporary facial...

Pediatrics: red cheeks, no fever, red cheeks, fifths disease
red cheeks, fifths disease, superficial damage: Fifth disease can give red cheeks and little else, and there is no treatment or limitations for the child. On the other hand, 20 degrees can cause superficial damage to the outer layer of the skin and make it turn red later, especially when the air is warm....

Pediatrics: red dots, little red dots, hand foot mouth disease
little red dots, hand foot mouth disease, hand foot mouth: It s always difficult to tell much about bumps and rashes without seeing them in person. It could be a reaction to something. It doesn t really sound like athlete s foot. Does she have any fever, sore throat or spots anywhere else, such as her hands? There...

Pediatrics: red finger tips, toxic ingestion, poor circulation
toxic ingestion, poor circulation, cold climate: The things I would think about are circulatory - poor circulation in a cold climate - or toxic - ingestion of some material that collects in the finger tips. I think you can eliminate the first right away. If it were the second suggestion there should be...

Pediatrics: red itchy girl, nappy rash, diaper dermatitis
nappy rash, diaper dermatitis, candida infection: 3 common conditions: increased wetness or not drying the area properly can cause diaper dermatitis or nappy rash or amooniacal dermatitis. tretaed by keeping area dry and open to air with some soothing powders as a dviced by your doctor. Other common condition...

Pediatrics: red spots on the bottom of my baby feet, connective tissue disorders, hello doctor
connective tissue disorders, hello doctor, rare causes: Dear Rita, These sound like a virus, but keep the possibility of rickettsial or bacterial infection also in the mind, as well as connective tissue disorders at the back of your mind. These are rare causes, but we might not communicate again soon, hence...

Pediatrics: red spots, low grade fever, blueberry pancakes
low grade fever, blueberry pancakes, blueberry muffin: Hi, it is so hard to be sure..but usually as long as the child is acting normally..drinking welll and the temps are managable...the rash could be viral as so many viruses cause rashes...if he does not itch and the rash also looks red not purplish then i would...

Pediatrics: redness of the eyes, eye drops for allergies, hello doctor
eye drops for allergies, hello doctor, oculist: Allergies in the eyes are actually very common, and yes, they can show up in a 1 year old child. What you will see is redness of the sclera--the usually white part of the eye, and perhaps a watery of mucousy discharge. Eye drops for allergies work well....

Pediatrics: redness, red cheek, animal dander
red cheek, animal dander, wool blankets: A child with eczema has more sensitive skin, as I am sure you know, and it may be that this flushing is a forerunner of what may develop into eczema. On the other hand, the skin is slightly dryer than before and that predisposes the skin to react to much...

Pediatrics: reflex, side effects of zantac, green apples
side effects of zantac, green apples, stomach contents: Everyone has a gastric reflex but in some infants it is overactive and causes the stomach contents to come back. The crying is what is called colic, which is equivalent to cramps where the intestine contracts much like a green apples bellyache. The causes...

Pediatrics: reflux, special greetings, milk bottle
special greetings, milk bottle, happy holidays: Hi, Jose, I am a bit confused and feel something was lost in the translation here. I m not sure what the phrase strength genetic information means in this context. I would like to know what treatment he is getting. Do they think the cough is due to...

Pediatrics: reflux baby - switch formula?, similac isomil, green stools
similac isomil, green stools, abdominal bloating: Hi Heather, Sandifer s syndrome is a rare but a very distressful illness as it is confused with generalized seizures. It is associated with gastroesophageal reflux disease (GERD). There is no association between Sandifer s syndrome and allergy to formulas....

Pediatrics: reflux in newborn, old baby girl, doctor treatment
old baby girl, doctor treatment, upper gi: Hi, Keri, If she has significant reflux, discuss with your doctor treatment for it. The advice we give parents regarding sleep position is designed for normal healthy babies. The reflux puts her in a category where the best sleep position is debatable....

Pediatrics: reflux? stomach flu?, gastrointestinal virus, stomach flu
gastrointestinal virus, stomach flu, stool sample: Dear Jan: It sounds as though your family and baby was suffering from a gastrointestinal virus. The effect can leave one with lingering symptoms for a week to 10 days before full recovery. I do not beleive your child s problem is reflux. Sincerely,...

Pediatrics: reflux? stomach flu?, stomach flu, clear liquids
stomach flu, clear liquids, white potatoes: A stool sample is necessary only in those cases like this that linger; it would be overkill early because 99% of these intestinal problems are infections unrelated to the kind that cause prolonged diarrhea. Vomiting is a symptom for those who have never had...

Pediatrics: reflux? stomach flu?, stomach flu, stool sample
stomach flu, stool sample, moshe: I don t know what gastroral is, but children frequently have those symptoms with stomach viruses. They cause vomiting and diarrhea, occasionally with fever, too. If the whole family had the same symptoms, it is very likely something infectious, and probably...

Pediatrics: refugees and newborn, hurricane katrina, refugee shelter
hurricane katrina, refugee shelter, adequate precautions: Dear Scott, Congratulations in advance on the news of a new arrival in your family! I think you may be overreacting a bit here. I am sure that your in-laws must be taking adequate precautions on sanitation, hygiene and asepsis. You should certainly NOT...

Pediatrics: refugees and newborn, hurricane katrina, refugee shelter
hurricane katrina, refugee shelter, outer clothes: Many of these people would be upset that you would call them refugees . Those are the people driven across the border by men with guns. These people would say that they are Americans displaced by flood. I think you will find no more hepatitis A or TB than...

Pediatrics: refugees and newborn, hurricane katrina, dr adler
hurricane katrina, dr adler, refugee shelter: You will have a very hard time trying to keep grandparents from getting near their grandchild! You can minimize the risks of infections with a few simple things. First and foremost, the best way to keep from spreading infections in any situation is good handwashing....

Pediatrics: refusal to drink milk, enzyme deficiency, curds
enzyme deficiency, curds, x rays: I have never come across a case of milk aversion in the true sense of the word in a six-month old. Could you try giving him flavoured milk? In any case, since he doesn t mind solids, you could forget about forcibly feeding him with milk. Just keep giving...

Pediatrics: refuse bottle feed or soilds, wet diapers, rice cereal
wet diapers, rice cereal, two doctors: Well good news that she has enough wet diapers to know she is getting enough fluids, There are many protocols that are fine with you waiting until she is 6 months to start little bits of rice cereal, and progress with veggies first and then fruit. So perhaps...

Pediatrics: refusing baby milk, taste difference, breast milk
taste difference, breast milk, baby milk: Hi, joy, You might try mixing the formula with a bit of expressed breast milk to lessen the taste difference. He will eventually take the milk well and you can then gradually decrease the amount of breast milk to give him full strenght formula. Good...

Pediatrics: refusing bottles, breastfed baby, bottle fed
breastfed baby, bottle fed, rare occasions: Dear Stephanie: I hear your stress. Some breast fed babies just want Mom unfortunately. What you have to try and do is totally leave your baby with someone else, Dad or Grandmom, and you must leave the home while they take over. Infants can smell...

Pediatrics: regarding baby foods, food aversions, hi doc
food aversions, hi doc, funny food: Hi, Kids will develop funny food aversions and sometimes will refuse to eat, especially a breast fed baby. Usually they eat again, especially if someone other than their mother tries to feed them, with the mother nowhere near. Give this a try. Remember...

Pediatrics: regarding milk aleargy, baby cow, baby goat
baby cow, baby goat, goat milk: i have 7 month old boy,i had try different kind of baby cow s milk ===================== why cows milk why not baby food? body,so he have a cow s milk aleargy ======== NEED NOT BE, CONFIRM WITH A SPECIALIST VISIT. can i try for got milk? ===== no!...

Pediatrics: regular nosebleeds, nasal passage, nose bleeds
nasal passage, nose bleeds, 7y: Hi, Riana, If the nose bleed stops with pressure on the tip of the nose, not on the boney surface, and stops within 5 minutes, then I wouldn t worry about it. The fact the clot is large also shouldn t be reason for concern. Good luck, Dr. Olso...

Pediatrics: related to food, barley corn, wheat barley
barley corn, wheat barley, hi doc: A child at this age begins to eat almost all of the things that an adult eats except that the food is prepared so the child can chew and digest it. The usual cereals - wheat, barley, corn (ground and cooked), vegetables such as carrots, squash, potatoes,...

Pediatrics: If related illness in 25 month old and 3 month old boys, watery consistency, greenish tinge
watery consistency, greenish tinge, stomach flu: One doesn t have to be near a sick child to get their illness; being in the same room is adequate for most illness, especially some of the viral illnesses. It seems obvious to me that your children are having viral gastroenteritis (stomach flu), which...

Pediatrics: remember me?, ulcer type, red halo
ulcer type, red halo, viral agent: Hi, Melanie, Your doctor may want, at this early stage, to put her on a five day course of acyclovir, an anti-viral agent that may cause this illness to be attenuated. To me, it s sort of a whatever you want to do type of thing, for the evidence that...

Pediatrics: removal of adnoids and tubes, removal of adnoids, afew weeks
removal of adnoids, afew weeks, gatorade bottle: Hi, Gail, Fluid in a 12 year old can be generally followed to assure that it gets better, as long as the child is not experiencing a lot of pain. It depends on how long it s there. Most of us would try a good course of an antibiotic to rule out the possibility...

Pediatrics: removed tonsils, kinds of food, chewable tablets
kinds of food, chewable tablets, lactose intolerance: I am not a surgeon, and do not remove tonsils. This question should be addressed to the surgeon who is performing the operation. Most surgeons have their own set of instructions for patients following surgery and the instruction may vary depending on the...

Pediatrics: repeated viruses, headache pain, nausea vomiting
headache pain, nausea vomiting, bright lights: Usually this occurrence is not related to any serious defect in the immune system but do to some situation that can t always be explained. Almost certainly he is exposed to the virus or he would not continue to be sick but avoiding it is difficult at this...

Pediatrics: research paper on pediatricians, american board of pediatrics, board of pediatrics
american board of pediatrics, board of pediatrics, neighborhood office: Your questions are too vague to answer, and too time consuming to do correctly. A pediatrician is a physician who has chosen to practice on a certain age group of patients. H/she must graduate from a 4 year college, 4 years of medical school, at which time...

Pediatrics: research for short story, stephen king novel, expert suggestions
stephen king novel, expert suggestions, loving grandfather: Dear S: I would love to know your identity if you are a published fiction writer for I am an avid reader of fiction. This sounds like a Stephen King novel in the works. I would be happy to advise you, however, I would need to know if the loving grandfather...

Pediatrics: research, medical specialities, pediatrician
medical specialities, pediatrician, pediatricians: Hi, Jasmine, Jasmine, Jasmine, Jasmine! Don t go into pediatrics to see where you can make the most money. Do it because you like kids and their parents and helping make their lives better. The money for a general pediatrician like myself is fine. Could...

Pediatrics: respiratory distress, mild fever, auto accidents
mild fever, auto accidents, plain water: My first comment is to stay away from the ER where you will spend a lot of money and have a lot of unnecessary lab studies done, and be seen by doctors who are specialists in auto accidents and heart attacks. But first, I suggest you create a set up where...

Pediatrics: respiratory infections, routine blood tests, asthma allergies
routine blood tests, asthma allergies, frequent colds: Hi, Holly, I suspect she has asthma. Has your doctor mentioned that possibility? Is there a family history of asthma/allergies? The RSV, the eczema and the frequent colds that may go into other types of infections strongly suggest this to me. Another...

Pediatrics: rheumatoid arthrites, little dots, tip toes
little dots, tip toes, dark circles: Hi, Melissa, Your post suggests rheumatoid arthritis. How was this diagnosis made? How long has this been going on? Blood work done and the results? Does she have a recent illness or is this a process for months? This sounds like the rash of what we...

Pediatrics: rib cage enlarged, index fingers, hip bone
index fingers, hip bone, quick reply: Hi, Please don t worry about lung cancer. This is not at all what we would think of. I suspect there has been a rib abnormality there from birth and at this age, with growth and puberty, is is becoming apparent. Feedback re the xray findings...

Pediatrics: ribbon like stools, leaky gut syndrome, pe tubes
leaky gut syndrome, pe tubes, allergy treatment: Hi, Amanda, I suspect the stools are a manifestation of his general bowel problems. I don t know of any problem that would cause this to intermittently occur. If all his stools would be like this, a structural blockage would have to be considered, but...

Pediatrics: right side pain, running a fever, appendicitis
running a fever, appendicitis, healthy appetite: It would be dangerous for me to give an answer from that small amount of information. Real tenderness in the right lower part of the abdomen is present with appendicitis but in almost all cases vomiting occurs. If either of these happens I suggest you seek...

Pediatrics: You were right, anterolateral aspect, flu vaccine
anterolateral aspect, flu vaccine, risk 2: Hi, Erin, There are five or six or more muscles in the upper leg, crossing over and above the knee. If the shot got into any muscle, then it will get into the blood stream and invoke the necessary immune response. It doesn t have to be the muscle in...

Pediatrics: ring worm? ezcema, dry skin patches, ring worm
dry skin patches, ring worm, reddish color: It s obviously impossible to tell over the internet, but it doesn t sound like ringworm, from your description. Ringworm starts as a small round spot that grows slowly. The outside border remains red, raised and scaly, while the center clears as the lesion...

Pediatrics: ringworm?, kem hospital, asthma clinic
kem hospital, asthma clinic, mumbai india: The center sent her home again because they do not believe the doctor. ======= centers have to legally play safe. they can be forced to accept the child on legal ground if doctor certifies it as a non infectious disease. What could it be? ====== it can...

Pediatrics: rocking and head banging, head bangers, kathleen head
head bangers, kathleen head, head banging: Hi, The fact she does it in the crib even more strongly supports the notion that this is some type of soothing behavior and is not a reflection of autism or other pathology. I have a friend who even as an adult in college rocked back and forth. He s...

Pediatrics: roda virus, watery stools, stool specimen
watery stools, stool specimen, diarriah: I have seen children have relapses like this with Rotavirus. It may just be the same bug that never really left, or it is possible to get another infection a few days after the first one is over, though that is less likely. The treatment is usually the same--pedialyte....

Pediatrics: rotavirus, rota virus, immunity
rota virus, immunity, rest of the world: Dear Marilyn: You really do need to have a culture done on your son s stool to test for Rota virus. Rota virus circulates throughout the USA and the rest of the world once a year for several months. It is highly contagious. A child can seemingly recover...

Pediatrics: rotavirus, stomach bugs, rotavirus infections
stomach bugs, rotavirus infections, mild illness: The only way to tell for sure if it s rotavirus is to test the stools. Many Rotavirus infections are very severe, but it may cause mild illness, too. We don t really know, because we don t test those kids with mild symptoms. No, having previous stomach...

Pediatrics: rotavirus, stomach bugs, rotavirus
stomach bugs, rotavirus, immunity: It is hard to diagnose rotavirus except in an epidemic or with proper lab studies. The protection from an infection is very short lived. I don t think length of symptoms is a reliable clue as to whether an infection is a rotavirus. If the children with the...

Pediatrics: rotavirus, human transmission, transmission treatment
human transmission, transmission treatment, oral transmission: Hi, donna, Like with most viruses, human to human transmission is the method of transmission. As the infectious disease people say, fecal-oral transmission . I think you get the picture. There are no proven cases of animal to human transmission. Treatment...

Pediatrics: roto virus twice in one year, viral gastroenteritis, sick kids
viral gastroenteritis, sick kids, hand washing: Hi, Diana, Did he test positive for rotavirus both times? It is a viral gastroenteritis, like a lot of others, and has various strains . This means you can get it more than once. We now have a good vaccination we give at 2-4-6 months, oral, to prevent...

Pediatrics: rotting teeth from sippy cup?, old teeth, rotting teeth
old teeth, rotting teeth, milk bottle: Hi, jennifer, Milk has sugar in it and the possibility of milk bottle caries is there if he falls asleep with milk or juice sucking on a sippy cup. Also a bottle or sippy in a lying down position is a risk factor for ear infections. Good luck, dr....

Pediatrics: routine blood work, hemoglobin level, routine blood
hemoglobin level, routine blood, blood work: We routinely get blood for hemoglobin and lead at that age. Children don t always eat well by this age, so it s a good idea to test for anemia by checking the hemoglobin level. The lead test is done because there are still areas with lead in the environment...

Pediatrics: rubbing alcohol, cuts and scrapes, rubbing alcohol
cuts and scrapes, rubbing alcohol, proper answer: Hi jeff. Rubbing alcohol is good to use as an astringent to dry out pores, and it cleans minor cuts and scrapes too. Its not going to help with the swelling. Although it provides a cooling sensation when applied, it will not reduce swelling. I really need...

Pediatrics: rubella infection, corelation, heart problems
corelation, heart problems, puja: Dear Puja, I think she should be safe. The only few problems that can come up late in life include the possibility of joint problems and a late onset of heart problems, but I don t think that will happen in her case since the infection occurred after birth....

Pediatrics: runny nose- flu shot scheduled, sick kids, runny nose
sick kids, runny nose, newborn baby: Doctors don t give the shot to sick kids because they feel bad enough already and they don t want to add to the discomfort. Those that don t give because of a runny know that if the child has any kind of reaction to the shot the parents will get upset and...

Pediatrics: runny nose and flu shot, flu shot, flu shots
flu shot, flu shots, mild cold: Dear Erin: A runny nose or even a mild cold should not be a reason to not give a flu shot. Flu shots are usually not given if a child has a fever, ear infection or a more serious illness. I would take the child for a flu shot if that is his only symptom....

Pediatrics: runny nose, constant runny nose, green mucus
constant runny nose, green mucus, allergy medicine: It sounds as though he has chronic sinusitis perhaps caused by long standing nasal allergies. Sinus xrays could help the diagnosis and antibiotics can probably help in the cure. Talk to the pediatricians about the possibility that allergies are underlying...

Pediatrics: runs, john e moore, hi john
john e moore, hi john, diarrhea: Hi John- sorry to hear about your grandson and his diarrhea. It is important in this situation to make sure that he does not get dehydrated. I think giving him between 2-4 oz of Pedialyte every 4 hours is a good idea. If the diarrhea persists, I would have...

Pediatrics: ruptured eardrum, ruptured eardrum, antibiotic treatment
ruptured eardrum, antibiotic treatment, ofloxacin: All good questions. Yes, many ear infections will get better without treatment. However, if the eardrum has ruptured, I d treat with antibiotics. The drops alone might work, but I usually play it safe and treat with both the antibiotic drops and an antibiotic...

Pediatrics: ruptured eardrum..tubes...???, low grade fever, ruptured eardrum
low grade fever, ruptured eardrum, yellow pus: When tubes come out they are often seen at a different angle. I do see them sideways sometimes. It usually does not cause problems, but I suppose it might make it harder for the tube to fall out of the ear. Once the infection is under control, it should...

Pediatrics: ruptured implants, ill baby, dr adler, breast implants
dr adler, breast implants, kawasaki disease: I have not seen much at all about the risks of breastfeeding and ruptured implants, so I really can t help with your question. However, if you send me links to the studies you ve read, I d be happy to review them and give you my opinion. Are the baby s symptoms...

Pediatrics: Saftey, personal hygiene, sleeping children
personal hygiene, sleeping children, taking a shower: Dear Crystal: I am amazed at how much you are managing. It is not easy managing a household by yourself, raising children and attending school. You deserve a great deal of credit. There is nothing wrong with your taking a shower while your children...

Pediatrics: Salmonella, cotton swab, neat freak
cotton swab, neat freak, petri dish: I am on new ground since I have never looked into the problem of iguanas and salmonella, but, on the other hand, I have never heard that iguanas are a problem. If you can find that they do indeed harbor salmonella you can either take it to a lab or get from...

Pediatrics: Salmonella, neat freak, exoticpets
neat freak, exoticpets, salmonella: Reptiles do frequently carry salmonella, which can cause serious infections in children. The official recommendation is not to let small children come in contact with reptiles, and not to have them in the same house. Here is a link with more information:...

Pediatrics: Salmonella, intestinal tracts, human stomach
intestinal tracts, human stomach, hypochondriac: Salmonella is an inhabitant of intestinal tracts. I don t think you have anything to be concerned about. The human stomach has considerable acid in it which is able to detroys almost all of the organisms that a person can ingest. This won t be the last time...

Pediatrics: Salt water swimming pools, salt water swimming pools, salt water swimming pool
salt water swimming pools, salt water swimming pool, exception to the rule: I d be concerned about the sun, even with a canopy. I ve seen babies get burned under umbrellas. It s probably ok if you restrict it to early morning or late afternoon when the sun is not as dangerous, and limit it to about 15 or 20 minutes. Moshe Adler,...

Pediatrics: Scabies Treatment in infants, bedclothes, dilution
bedclothes, dilution, medication: The usual medication for scabies can be used but, since my experience with this problem is outdated, I suggest you consult a physician who is more current about the dilution of the product necessasry to be safe on a baby. Be sure to treat everyone he comes...

Pediatrics: Scarelet Rash, scarlet fever, throat culture
scarlet fever, throat culture, strep infection: It s not very common at that age, but Scarlet Fever can be seen at this age. It is a strep infection, and should be treated with antibiotics. There is no way to know for sure, however, without testing his throat. If the doctor suspects Scarlet Fever, he...

Pediatrics: Scarlet Fever, scarlet fever, genital areas
scarlet fever, genital areas, high temperatures: Hi, Lara, I suspect this rash is the post-strep peeling we often see in scarlet fever after the condition has been treated. I don t think this is an allergic reaction. If this is as I suspect (rashes are obviously tough to diagnose in this format) than...

Pediatrics: Scarlet Fever Rash, strep rash, scarlet fever
strep rash, scarlet fever, body rash: Dear Lisa: Your daughter has a strep rash and it takes some time to go away. The fact that it is lessening is a good thing. She should not be contagious any longer. If she would develop a fever I would take her back to the doctor. The 5 day Zithromax...

Pediatrics: Scarlet Fever, strawberry tongue, scarlet fever
strawberry tongue, scarlet fever, glandular fever: Hi, Michelle, Scarlet fever is a strep infection caused by various strains of strep that elaborate toxin that causes the skin changes. You can have it more than one time, since there are a number of strains like this. She may be a strep carrier and...

Pediatrics: School Project, career as a pediatrician, becoming a pediatrician
career as a pediatrician, becoming a pediatrician, prerequisite courses: 1. What colleges did you consider for your training as a pediatrician? Do you mean undergraduate, or medical school? Undergrad -- University of Florida, U or Michigan Med School -- UF 2. What specific classes will I be required to take for...

Pediatrics: School Subjects, science course, english music
science course, english music, music appreciation: There are no high school courses that will make you a better pediatrician or make an impression. All A s will help but you don t need to take applicable science course until college and then I suggest the minimum. Spend you time on the humanities - history,...

Pediatrics: Schooling, being a pediatrician, busy days
being a pediatrician, busy days, wage earner: 1) What influenced you to become a pediatrician? - I loved kids from my own days as a child. I still do. After finishing medicine, it was a natural choice for me. 2) What do you like and dislike about being a pediatrician? - Like: a) the opportunity...

Pediatrics: Scoliosis, hemivertebrae, external appearance
hemivertebrae, external appearance, nerve damage: consult with your radiologist, an MRI scan can be planned right now to confirm the same, it may not suggest any treatment, but if it does pick up any permanant nerve damage, there may be a reason to rethink about continuation of pregnany. earlier done is better....

Pediatrics: Screenwriter Needs info, benign brain tumor, rare metabolic disease
benign brain tumor, rare metabolic disease, metabolic diseases: A benign brain tumor should fit your requirements. It is non-cancerous so in itself it is not fatal but since it expands in a limited space and compresses the brain, untreated it is deadly, producing early blindness often, various kinds of paralysis and...

Pediatrics: Screenwriter seeks info, cerebral aneurysm, dr adler
cerebral aneurysm, dr adler, typical time: It can be congenital--that is, present from birth, or can develop at any age. Most people have no symptoms at all until it either grows, causing pressure on something important, or it leaks, causing bleeding inside the skull. These things can happen at any...

Pediatrics: SED Rate & fevers, low hemoglobin, persistent inflammation
low hemoglobin, persistent inflammation, sedimentation rate: Dear Celia, Even a simple condition like anemia (low hemoglobin) can cause the sedimentation rate to go up. Other conditions include existing disease like unrelated infection, persistent inflammation etc. I agree that the problem has nothing to do with...

Pediatrics: SEVERE constipation in 4 yr. old, chidcare provider, severe constipation
chidcare provider, severe constipation, ripe fruits: easiest for you is increase water content and ripe fruits! you will see response in one week! in addition i suggets that he needs to be shown to a specialist and get alternate day enemas for a week. http://drpeds.blogspot.com for more such articles...

Pediatrics: Seeking Medical Advice, tension headaches, chronic headaches
tension headaches, chronic headaches, exedrine: Hi, Jessica, Most people with chronic headaches have migraines or a variant of this. Chronic headaches can be treated with daily medicines that are not pain medicines. Please discuss with your doctor the possibility that you have a migraine variant and...

Pediatrics: Seizures, keppra, seizures
keppra, seizures, seizure: I don t think Keppra was around when you were a toddler, but that isn t the point. I doubt that the drug is causing seizures but obviously it is not controlling them. She may need a larger dose or she may need another drug. I can only suggest that this is...

Pediatrics: Selecting a Pediatrician, selecting a pediatrician, american board of pediatrics
selecting a pediatrician, american board of pediatrics, board of pediatrics: It is a rare delivery in my area when a pediatrician is asked to be present at the delivery. He/she meets the baby in the nursery. But if your daughter expects that there may be trouble with the baby it can be desirable that one be present. If she trusts...

Pediatrics: Self provoking nausea, jasmine rice, funny faces
jasmine rice, funny faces, councellor: This is certainly an unusual situation and I certainly don t have the answer. I assume you have had xray studies of her intestine done, if not I think that study should be done. It may be that her reactions are related to an abnormality of the stomach or...

Pediatrics: Sensitivities and Autism, autism spectrum disorder, pediatric gi
autism spectrum disorder, pediatric gi, gi specialist: Dear Kim: I know of children who force themselves to gag and vomit. He may have a sensory integration processing disorder but I would think an O.T. would pick up on that. What does his pediatrician think? Has he seen a developmental specialist or a...

Pediatrics: Separation Anxiety, separation anxiety, single mom
separation anxiety, single mom, comfort zone: Dear Andrea: Your son leaves his comfort zone to go to day care or pre school and more demands are being made of him so he just may be temporarily becoming resistant to leaving the security of the home. I would lay odds that once he gets to school ...

Pediatrics: Separation Anxiety?, baby is three, separation anxiety
baby is three, separation anxiety, grandparents: Make it very gradual with his father who can approach him, touch him gently, stroke him, tickly him slightly and after several of these approaches pick him up slowly and gently. At the same time absent yourself more and more during the day so he gets used...

Pediatrics: Separation anxiety, separation anxiety, care giver
separation anxiety, care giver, mothers day: Dear Andrea: Simply reassure your son that you will come back for him and that you love him very much. Hug and kiss him and say goodbye. All kids carry on at this age for the most part when Mom leaves them but I assure you after you are out of sight he...

Pediatrics: Seperation Anxiety, child marriage, amberson
child marriage, amberson, seperation anxiety: Dear Matthew, It would double check to see if there is anything going on in the family that might trigger this, birth of a child, marriage strife, watching a scary movie or tv show, etc. For some reason she is having abondonment fears. I would be interested...

Pediatrics: Seperation Anxiety, playpen, seperation anxiety
playpen, seperation anxiety, good luck: Hi, Tammy, This is normal behavior for age. It is a frustrating stage for kids and their moms but you deserve a potty break like everyone does! He will not be hurt in any way by putting him in his playpen, saying you are going to go to the bathroom but...

Pediatrics: Seperation Anxity, single parent home, anxity
single parent home, anxity, parents work: Dear Debbie, This is a tough one. In an ideal world I would say that this child needs to be home with his mother, as he is not ready to be away from home. However since he probably comes from a home where both parents work, or perhaps even a single parent...

Pediatrics: Seperation anxity, diabtic, symptoms of diabetes
diabtic, symptoms of diabetes, symptoms of diabetes in young children: Dear Sonita: There are a couple of things that could be going on with the baby and they are: he may feel the stress in the home; he may have had disruption in his usual routine the week you were in the hospital (they love rituals) and he may be readjusting;...

Pediatrics: Seperation disorder, separation anxiety, biological parents
separation anxiety, biological parents, foster mother: Hi, Penny, Really no question, but here is some information on this problem in general that you might find useful. Good luck, Dr. Olson Preventing Separation Anxiety Leaving a child with a babysitter or in child care can sometimes be stressful...

Pediatrics: Seven Year Old Son, stomach ache, signs of stress
stomach ache, signs of stress, stomaches: Hi, Wendy, By my calculations, 50# for a 7 year old boy is at the 44%, pretty close to average. That alone doesn t worry me. He needs to have a few blood tests to make sure that everything is OK. Making his life miserable will surely not happen...

Pediatrics: Seventeen month old "spacing out", petit mal seizure, steve mcnutt
petit mal seizure, steve mcnutt, absence seizure: Aleks, I came across you question in the pediatric question pool and wanted to respond. While toddlers often daydream and will seem to stare off into space, the fact that she does not respond when you are actively trying to get her attention could definitely...

Pediatrics: Severe diaper rash, severe diaper rash, yeast rash
severe diaper rash, yeast rash, mandarin oranges: Hi, Maria, It is hard to know what is causing this. A rash that lasts for two weeks and fails to respond to the usual things is probably yeast and the cream you are using should work. Foods probably don t play as large a role in this as you might think...

Pediatrics: Severe Rash from Biaxin, itchy rash, oral steroids
itchy rash, oral steroids, benedryl: Hi, Felicia, First of all, three year olds seldom need Biaxin or any other antibiotic for a cough, most of which are caused by allergy or viruses. This sounds normal. These are hives. They will migrate around and may last up to a few weeks. Sometimes...

Pediatrics: Severe Reflux, pediatric gastroenterologist, laryngotracheomalacia
pediatric gastroenterologist, laryngotracheomalacia, subglottic stenosis: Hi, Celia, First of all, she needs to have the maximum treatment for her apparent reflux. If prevacid isn t working, then try another PPI med like it, or add an antiacid to the regimen. Kids with subglottic stenosis and laryngotracheomalacia have...

Pediatrics: Sexuality, female classmate, roll models
female classmate, roll models, neighborhood kids: Your description sounds suspect but not diagnostic at this age. It sounds as though he is more attatched at this time to his mother and the things she does than to his father. It suggests to me that he and his father should be doing more guy things. If...

Pediatrics: Shaking, high protein snack, low blood sugar
high protein snack, low blood sugar, line backer: Hi, Christine, I think you should make sure he has a protein snack before bed consistently. I suspect that he is having a bit of low blood sugar in the morning. This won t hurt him permanently, but a high protein snack before bed will help him go through...

Pediatrics: Shaking.., primitive reflexes, moro reflex
primitive reflexes, moro reflex, new little girl: Hi, Israel, This sounds like a normal primitive reflex called the startle or the Moro reflex. This is normal and like all primitive reflexes, is supposed to go away by 2-4 months. It is a sign of a normally maturing nervous system. If your doctor says...

Pediatrics: Sharing a room, sleep problems, bedtime routine, dear summer
bedtime routine, dear summer, sleep problems: Dear Summer: This problem is so common as your child wants to be the boss in the house and you must make her understand you are in charge, not her. Have a talk with her that she is to stay in her bed until she goes to sleep. Tell her if she gets out of...

Pediatrics: Shingels (or Herpetic Whitlow) and a preemie?, herpes zoster virus, herpes simplex virus
herpes zoster virus, herpes simplex virus, herpetic whitlow: Hi, Michele, I think your doctor is correct. While on the acyclovir it is less likely that you can pass it on to your daughter. Herpetic whitlow is the herpes simplex virus, not the herpes zoster virus (chickenpox), so chickenpox is not the problem....

Pediatrics: Shingles in 7yr old, high level energy, vim and vigor
high level energy, vim and vigor, case of shingles: Hi, Elizabeth, Shingles on the buttocks are unusual. One possibility is that this was not shingles but a possible bacterial infection that just resolved with time. I assume she has either had chicken pox or the vaccination. If it was shingles, this...

Pediatrics: Shingles exposure, chickenpox virus, chickenpox vaccine
chickenpox virus, chickenpox vaccine, chickenpox: Hi, Robin, Shingles is a re-activation of the chickenpox virus. It is contagious only by touching the active shingles lesion. If your father is not having any active lesions, he is not at all contagious and therefore there should be no problem with contact...

Pediatrics: Shingles, mild annoyance, chicken pox
mild annoyance, chicken pox, new doctor: This is on new territory for me. One gets shingles because of the waning of immunity to chicken pox over time. That is why is is limited almost entirely to the elderly. I suppose it is possible for a child who has had the injection for chicken pox but, without...

Pediatrics: Shoes for toe walker, birkenstock sandals, high arches
birkenstock sandals, high arches, toe walker: Hi, Nikki, How about a visit to an orthotic specialist to discuss the possibility of adding arches to existing shoes? This is what I would do in my practice. If he seems to do well with high arches and his physical therapist feels this is the best route,...

Pediatrics: Short Stature, low birth weight, short stature
low birth weight, short stature, docotrs: Hi, Dave, Kids can be small for gestational age for a variety of reasons, some not easily discernible. Genetic problems are certainly possible. If there are some dysmorphic features that your son has, this makes it more likely a genetic syndrome is present....

Pediatrics: Shoulder shrugging in infant, pediatric neurologist, neurological exam
pediatric neurologist, neurological exam, high chair: It may just be a tic, and could mean absolutely nothing. On the other hand, tics can be a sign of other problems, too. I don t know if anything can be done at this age for testing, though, especially if there are no other symptoms or problems. However,...

Pediatrics: SIDS, information on sids, dead babies
information on sids, dead babies, dead baby: Please believe me that I am not trying to be funny or disparage the seriousness of your question but a baby that has died of SIDS looks no different from any other dead baby. The baby feel cold, as do all dead babies. There is nothing special about the body...

Pediatrics: SIDS, infant death syndrome, sudden infant death syndrome
infant death syndrome, sudden infant death syndrome, sudden infant death: Dear Nicole: You are completing a research project and what that means is for you to research the topic. I would suggest you do that by searching on a good search engine for SIDS information yourself and you will find probably thousands of links to information...

Pediatrics: SIDS, infant death syndrome, finger lakes community college
infant death syndrome, finger lakes community college, finger lakes community: SIDS is a problem with babies who for reasons not always obvious can t raise their head enough to breathe and suffocate against the bed clothes. But it is more complicated than that so why don t you go to Google and put the words in and see if you don t get...

Pediatrics: SIDS, low birth weight, cigarette smoke
low birth weight, cigarette smoke, screen test: Hi, Tanya, Low birth weight and SIDS is associated but is not a great risk. It is less a risk than sleeping on the stomach or exposure to cigarette smoke. We re talking in the 1/1000-2000 risk range, a low number to most. Good luck, Dr. Olso...

Pediatrics: SIDS, little noises, light sleeper
little noises, light sleeper, bassinet: Hi Connie, Sorry for the delay in answering, but yesterday I did answer but the allexperts system was undergoing maintenance. SIDS most frequently occurs between 2-4months of age, but can happen up to 1 year of age. Usually by the time babies develop good...

Pediatrics: SIDS, little noises, light sleeper
little noises, light sleeper, sids: You didn t say how old she is but any infant who can lift her head is over any possibility of SIDS. An infant who sleeps a lot is no more at risk than one who does not. SIDS is a reality but a very rare one so keeping her next to you for this reason is excessive...

Pediatrics: SIDS, little noises, sound and motion
little noises, sound and motion, light sleeper: Dear Connie: I do not know the age of your infant but it is important to prevent SIDS that she sleep on her back until she learns to roll over on her own to her tummy. SIDS is not usually a risk after 5 to 6 months. I would not keep her in your room...

Pediatrics: SIDS, baby monitors, loving mother
baby monitors, loving mother, old baby: Dear Tracy: You are obsessing about SIDS. Usually the risk has greatly minimized by the time a baby has reached 4 months of age. Relax a bit. I would not buy a monitor as we are usually stopping monitors by now. I would have the baby immunized as...

Pediatrics: SIDS, crib death, baby monitors
crib death, baby monitors, loving mother: your concern is more than acceptable. there is a remote chance of crib death that wont be affected by whatever u do, so stop worrying. If u ask me, till now i had barely seen or heard of a case a year, so stop worrying, concentrate on your babies feeding...

Pediatrics: SIDS, vaccine shots, baby monitors
vaccine shots, baby monitors, loving mother: Dear Tracy, I don t understand why you are so scared. Quit worrying. There is no connection between sids and taking vaccine shots. If you persist with the phobia, go ahead and buy that alarm, but believe me, he will be all right. The sids danger is ovwerhyped...

Pediatrics: SIDS, american academy of pediatrics, academy of pediatrics
american academy of pediatrics, academy of pediatrics, baby monitors: My first advice is to relax . Your mother must have ingrained in you fear of all sorts of things. A healthy 17 week old baby has passed the most dangerous time for SIDS and the chances are so remote by now when he is on his back. The American Academy of...

Pediatrics: SIDS, recentl, aetiology
recentl, aetiology, sids: The precise aetiology of SIDS is still not really understood and is undoubtedly multi-factorial. Obviously sleeping on the back is known to reduce the risk but this is not the only factor. I would not be overly alarmed and after lying him down on his back...

Pediatrics: SITTING AND ROLLING OVER, bakc, birthmark
bakc, birthmark, pik: Dear Christina: Give your baby some more time. I would expect by 6 to 7 months he should be rolling over. He may not sit unsupported until 8 or 9 months. The reddish, pik on the bakc of his neck is a birthmark probably and should fade and get smaller...

Pediatrics: Very Sick 14 month old 8 days Strait w/ no answers, high fevers, high pitch
high fevers, high pitch, horrid time: Hi, Linda, A fever at 8 days with diarrhea and her being this sick is not normal. I would wonder about a bacterial caused diarrhea. She needs to be carefully looked over, have some blood, stool and perhaps spinal fluid looked at and someone has to...

Pediatrics: Sick 15 month boy, gastrointestinal virus, moderate fever
gastrointestinal virus, moderate fever, apple juice: Dear Becca: It sounds as though your son has a nasty gastrointestinal virus. It can take a week for the diarrhea to subside. You have to be careful what to feed him. Milk will aggravate it and so will apple juice. Lactose free formula is okay to give...

Pediatrics: Sick 20 month old boy, stomach virus, adequate fluids
stomach virus, adequate fluids, appitite: Hi, Cynthia, This sounds like a very typical stomach virus infection. A waxing and waning course is to be expected and generally I tell parents that a 3-5 day course would be typical, with the diarrhea part of the illness lasting even for a couple of...

Pediatrics: Sick 3 yr old, diarrhe, upset stomach
diarrhe, upset stomach, popsicles: Sorry I did not get back to you sooner...the vomiting and diarrhe is going around right now...make sure you give small sips of liquids at a time spacing them out no matter how thirsty the child seeems...go light on foods like crackers jello and popsicles until...

Pediatrics: Sick 5 year old, influenza outbreak, breathing rate
influenza outbreak, breathing rate, eye pain: Hi, Kristen, We in Michigan and I assume in other parts of the country/world are in the midst of an influenza outbreak. The kids who get it are sick. They have high fevers, headaches, eye pain, red eyes and coughs. Increasing cough with associated...

Pediatrics: Sick Baby, ear thermometer, digital thermometer
ear thermometer, digital thermometer, nurse assistant: If the child is sick again and the illness is associated with a fever I suggest you keep in close touch with his physician. Simple illnesses can change if they go on a long time. Just be sure the doctor doesn t see you as an overconcerned mother but as one...

Pediatrics: Sick child, runny noses, heart murmer
runny noses, heart murmer, sick child: Most colds are caused by viruses and do not need any specific treatment. The medications available may help the symptoms, but may also cause side effects. For example, medicine to dry up runny noses will cause sleepiness or hyperactivity, and may make the...

Pediatrics: Sick kids and swimming pools, degree weather, swimming pools
degree weather, swimming pools, sick kids: Swimming pools have chlorine in the water which is slightly irritating to the nose of a child whose nose is already irritated by the cold. A child with an active cold will leave mucus and stuff from his nose in the water which possibly could pass on an infection...

Pediatrics: Sick, stomach virus, childhood illness
stomach virus, childhood illness, being a father: Hi, Gary, See your doctor and get some counselling. Your reaction to this common and likely repeatable childhood illness indicates a certain degree of anxiety and perhaps obsession. This is probably something that slips into other aspects of your life....

Pediatrics: Sickness, normal saline solution, crocin
normal saline solution, crocin, high fever: Dear Mary, Hello and thank you for choosing me to answer your question. The symptoms and the spread all indicate that the cause of the illness in both your kids problems is viral. Hence, it is going to be self-limited. Don t worry. Give any OTC cough and...

Pediatrics: Silent Infarcts in children with Sickle Cell Disease (SS type), pediatric hematologist, infarcts
pediatric hematologist, infarcts, infarct: Sinced sickle cell disease is a serious problem. I think every child should be under the care of a pediatric hematologist, as a consultant is not for every visit. if your town is not large enough to have such a physician every state has a medical school...

Pediatrics: Silent reflux in infants, silent reflux in infants, infant colic
silent reflux in infants, infant colic, reflux in infants: I don t know what silent reflux is. Reflux is when the contents of the stomach goes into the esophagus and usually out the mouth, and it is obvious is it happens. It doesn t gush out but comes out with a little force, and with a very variable amount of material...

Pediatrics: Similac versus Enfamil, milk base, enfamil
milk base, enfamil, gentle formula: Dear Kevin: What I mean by my comment is I work in a large pediatric practice and take calls from new mothers all day. One of their most frequent complaints is their young infant is distressed by extreme gas and gas pains. When I ask the name of the...

Pediatrics: Sinus infection vs seasonal allergy, good appetite, allergy medicine
good appetite, allergy medicine, pollen season: My 14 month old son has now completed 2 rounds of anitbiotics (amoxicillin-1st/Omnicef-2nd). =========== what was the duration? anything less than 3 days, was unindicated. if there were no fever, its more likely that these were not required. ...

Pediatrics: Sitting without support, pediatrician, 9 months
pediatrician, 9 months, good luck: Hi, Lisa, I like the comment about ten heads! People should look at the whole developmental package, not just one aspect of it. If everything else is going fine and this is not a reflection of a global developmental problem, don t worry. One of my...

Pediatrics: Six year old's gray tooth, two thousand dollars, bad teeth
two thousand dollars, bad teeth, baby teeth: The only relation between the teeth of a father and the teeth of a son is the amount of time and money spent, or not spent, on their care. The gray color may be due to something the child ingested, usually some kind of medication, or possibly it may be due...

Pediatrics: Six year old waking at night, body clocks, bad dreams
body clocks, bad dreams, night today: I think this tells one how much change affects children, especially if it causes the child to go through several time zones. I think the apprehension is related to the flight and all that went on during the trip; it will go away after a while. If she doesn...

Pediatrics: SKIN, happy child, pale skin
happy child, pale skin, aswell: Dear Joanna: I could not even hazard a guess if something could be wrong with your son. Very pale skin can be his normal complexion or it could mean he is anemic. I suggest, if concenred he may have a problem, that you take him to see his doctor. He...

Pediatrics: Skills, observation skills, gross things
observation skills, gross things, organic chemistry: Dear Vanessa: You will need interest and caring to work for and serve others. You will need compassion. You will need a strong desire to be a nurse. An interest in science courses and bodily functions will be necessary. Skills are: mathematic ability;...

Pediatrics: Skin Peeling, skin peeling, fingers and toes
skin peeling, fingers and toes, visual phenomena: Hi, sam, Some viruses and some bacteria are associated with peeling as you are describing. Rashes are visual phenomena and I can t generally make a reasonable diagnosis based on history alone. Someone needs to see him to be sure. Good luck, Dr. olso...

Pediatrics: Skin is peeling of 5 yr old fingers, scarlet fever, throut
scarlet fever, throut, red skin: This is an aftermath of having had an infection with the streptococcus. In times past before antibiotic treatment the patient would often shed great sheets of red skin and he would be diagnosed as having Scarlet Fever. A plain lotion will help a little and...

Pediatrics: Skin Rash, sweat glands, warm soapy water
sweat glands, warm soapy water, heat rash: One sentence is not enough information to make a diagnosis of a skin rash but I can tell you that a lot of rashes we see at this time of year are due to infants getting too hot. Parents shed their sweaters and jackets when the weather turns warm but they...

Pediatrics: Skin Rash on my 3-year old, water blisters, cortisone cream
water blisters, cortisone cream, skin rash: This sounds like an allergic type rash. If it is due to something he ate or breathed Benadryl - 1 teaspoonful every four hours should help a lot. It may be something he came in contact with, the most common item is poison ivy and there is a lot of it our...

Pediatrics: Skin Rash, google images, month old baby
google images, month old baby, atopic dermatitis: She has atopic dermatitis, a sort of skin allergy that she will probably outgrow in a couple of years. Till that time, why don t you look it up on Google? Just check the term atopic dermatitis and look at Google images to compare them with the rashes your...

Pediatrics: NOT SLEEPING, crip, sleep
crip, sleep, radio: First of all be sure she has had enough to eat. Even if she has she will need to be fed every 3-5 hours during the night. Feed her and hold her on your shoulder for 15-20 minutes gently rubbing her back to get the bubble up, then put her down in her crip...

Pediatrics: Sleep, worrier, child development
worrier, child development, anxiety: It means she is a normal 3 year old child. If you worry about this you will drive yourself really crazy before she is grown. Get a good book about child development and save yourself a lot of anxiety, and remember that worry doesn t help anything but it is...

Pediatrics: Sleep and the 18-month-old, sleep disturbances, dr denton
sleep disturbances, dr denton, sleeping through the night: The most common cause of this is a change in the family, a father stays away longer, a mother gets a job, a new baby is born, parents disagree violently and their behavior changes; but there are other causes. A child at this age is just beginning to realize...

Pediatrics: Sleep, afternoon nap, traffic noises
afternoon nap, traffic noises, old baby: I wouldn t call this a usual pattern for most babies but it can happen, as it has with her. You certainly don t want a baby screaming all night but just because she wakes up she doesn t have to be fed. Try to hold off her feeding as long as you can and...

Pediatrics: Sleep for a 3 years old, kindergarten classes, afternoon nap
kindergarten classes, afternoon nap, naps: Hi, Aliya, Most kids his age don t take consistent naps. If he gets the opportunity, it s OK for him to take one but not necessary. I like to take one too, but usually my schedule doesn t permit it. He will adapt to this new schedule very quickly. ...

Pediatrics: Sleep, wake up time, breast milk
wake up time, breast milk, naps: Hi, I agree totally with your doctor. Infants after 4 months all have the ability to have a stomach full of breast milk take them through a night of 8-12 hours. This is habit that has developed. Put him into his crib when he is drowsy, but clearly...

Pediatrics: Sleep, stomping ground, unusual behavior
stomping ground, unusual behavior, weird things: This age child usually gets about 12 hours sleep out of 24, but it is unusual that a child would not get enough if the surroundings are compatible with sleep. FROM WHAT YOU SAY I don t think there is a serious problem and I don t think lack of investigation...

Pediatrics: Sleep, good sleeping habits, wits end
good sleeping habits, wits end, caves: Dear Katy: Your baby has become a trained night crier. The only way you can change the behavior is very simple. Just put her in her crib and let her cry. Check her every 10 minutes without talking to her or picking her up. She will eventually fall asleep....

Pediatrics: Sleep, good sleep habits, sleep problems
good sleep habits, sleep problems, bottle fed: Hi, Chantell, She needs to learn how to fall asleep on her own. My guess is that she falls asleep in your arms while feeding and you put her into bed. She associates you with sleep and can t fall back to sleep unless you are there. Here is a handout...

Pediatrics: Sleep?, light sleepers, sound sleep
light sleepers, sound sleep, sleeping habits: Dear Krystoffer: Some children are light sleepers and others would not awaken if a bomb went off in the house. It is not unusual for a child to be difficult to arouse early in the morning for school no matter how early it is that they go to bed. Perhaps...

Pediatrics: Sleep Apnea, low iron in blood, enlarged tonsils
low iron in blood, enlarged tonsils, anemea: Frequent infections will explain the failure to gain weight. All infections come from a person who passes along the germ of that infection. He is getting these infections from someone who brings the germ to him. It may be his parents who bring the infection...

Pediatrics: Sleep amount for 9-month-old, awake time, sleeps 10
awake time, sleeps 10, naps: He s fine. If he wakes up by himself after a good night s sleep, he acts normal during the day, and he s not sleepy or cranky, why worry? Stop trying to get him to do what he is not going to do, and stop listening to people who don t know what they are talking...

Pediatrics: Sleep amount for 9-month-old, quiet environment, sleeps 10
quiet environment, sleeps 10, naps: As a generalization a baby who is in a relatively quiet environment and is not overstimulated will get all the sleep he needs. Most children about 9 months will sleep all night, have a short nap in the morning and a longer one after lunch of about 1 1/2...

Pediatrics: Sleep amount for a 9-month-old, sippy cup, computer error
sippy cup, computer error, breastmilk: Dear Marcy: Your son knows and associates water and sippee cup are connected. He is not ready to accept an alternative beverage in the cup and you will not win that battle when he clamps his lips shut. All I can suggest to you is to keep trying. Perhaps...

Pediatrics: Sleep Habit, night terror, naps
night terror, naps, bedtime: Hi, Dina, Events closely linked by time with sleep onset are usually ones that occur in a particular part of the sleep cycle. This sounds like a modified night terror an event that happens about an hour in most kids after sleep onset. I think your...

Pediatrics: Sleep/Infant, baby sleep, bassinet
baby sleep, bassinet, kristen: Dear Kristen: It is best to have the baby sleep in his own crib in his own room starting now. I wish you luck trying to teach him to sleep thru the night but I do not think you will have too much success as he is a bit young. Sincerely, Mary...

Pediatrics: Sleep Issues in 18 month old (from rambling TIRED mommy..so bare with me), health food store, home mommy
health food store, home mommy, jennifer jennifer: Jennifer, Being a tired Mommy is not fun. The change in her sleep pattern is likely not due to anything you have done wrong. It is difficult to say why this is occuring. I would suggest you go down to the health food store and get the best ESSENTIAL OIL...

Pediatrics: Sleep Issues w/ my 13 month old son, bedtime routine, acid reflux
bedtime routine, acid reflux, colic baby: Dear Heather: You cannot force a child to sleep when they do not want to but it may be simple problem to fix. He may be bothered by daylight filtering into his bedroom. Really darken the room with room darkening window shades if there is light coming in....

Pediatrics: Sleep issues w/ 9 mo. old, calm down, couple days
calm down, couple days, 9 months: Hi, Lynn, Kids, as well as adults, usually like to sleep next to one another if given this choice. It is tough habit to stop. He needs to be put to his crib awake, consistently. He needs to learn how to fall asleep on his own. He may cry for an hour...

Pediatrics: Sleep Problem with my 13 month old son, bedtime routine, acid reflux
bedtime routine, acid reflux, colic baby: when he is crying make him busy through interactive toys and may be some music or TV, that will at least stop him from crying, and he may not disturb you. changing his sleep schedule is little difficult, unless u forcibly wake him up for dinner and keep...

Pediatrics: Sleep Problem with my 14 month old son, bedtime routine, acid reflux
bedtime routine, acid reflux, colic baby: Hi, Heather, The fact that he is now sleeping the whole night without waking up is wonderful. I would try to do the night routine before every nap and make sure the room is as dark as it is at night. Do this consistently at nap time and be prepared to...

Pediatrics: Sleep Problems, bedtime routine, acid reflux
bedtime routine, acid reflux, colic baby: Dear Heather, I appreciate the honesty with which you have asked your question, and also the details of your problem, which you have articulated quite well. It is but natural for your son to feel threatened by the small bundle of joy that you have carried...

Pediatrics: Sleep Problems with my 14 month old son, bedtime routine, acid reflux
bedtime routine, acid reflux, colic baby: You seem to have great insight into the mechanics of what has been happening with him so perhaps you understand his reaction to being asked to go somewhere (to sleep) while you are with the new interloper. If your husband brought home a blonde 18 year old...

Pediatrics: Sleep Problems, eye teeth, sleep problems
eye teeth, sleep problems, physical reason: Dear Annette: This is a common problem at this age. It may not be related to teething at all. I would discontinue allowing her to sleep in the swing. She has to learn and accept that her crib is for sleeping not the swing and unfortunately, she will...

Pediatrics: Sleep problem, distinct reasons, anti biotics
distinct reasons, anti biotics, chest infection: Michelle, First, let me say that co-sleeping is not quite the evil thing that some make it out to be. You are not harming your daughter by allowing her to sleep with you. There are probably two distinct reasons that your daughter has wanted to sleep...

Pediatrics: Sleep problem, afternoon nap, naps
afternoon nap, naps, pediatrician: There are all sorts of causes for this, none serious. It may be that he has a stomach full at the time and intestinal movements wake him up. It may be that he is stimulated when he is put down, which causes him to wake during the nap. Perhaps he has waked...

Pediatrics: Sleep problems, bedtime routine, acid reflux
bedtime routine, acid reflux, colic baby: It s difficult to get some children to nap at all. Try doing something quiet -- read a story, listen to a tape -- so he is more likely to relax. It s probably better in his room, with the lights off. In the living room he is more likely to be awakened by...

Pediatrics: Sleep problems, behavioral basis, sleep problems
behavioral basis, sleep problems, daycare: Hi, Kristian, Virtually all sleep problems have a behavioral basis. Seldom is there a real medical issue. For some reason, she doesn t know how to put herself back to sleep when she has her usual night time wakings. She doesn t need to eat at night....

Pediatrics: Sleep problems, month old baby, dark circles
month old baby, dark circles, sleep problems: For reasons that neither of us know he developed an aversion to the crib. Your compromise seems rational to me even though it must end eventually. Temporarily use the crib as a changing table so he can see that there is nothing threatening. Maybe you can...

Pediatrics: Sleep Training, allergic symptoms, cold turkey
allergic symptoms, cold turkey, new routine: Teething may cause a little bit of discomfort, just enough for him to want consoling, but it is not severe pain, and if he has been given Tylenol you can be sure there is no pain. See what happens if you give him a dose at bedtime even if he seems fine....

Pediatrics: Sleep walking 4 year old, pediatric neurologist, sleep walker
pediatric neurologist, sleep walker, random motion: I don t think there is much that can be done at this point. If she is just getting up and going back to sleep within a few minutes, it s probably nothing to worry about. If she gets out of bed, or the episodes last a long time, or even if it s short but...

Pediatrics: Sleep...., good sleep habits, sleep problems
good sleep habits, sleep problems, bouncy chair: Hi, Bailey, He has been trained inadvertantly to fall asleep in places other than his crib. The CD player may not be helpful, especially if it goes off and then he wakes up and needs it to fall asleep. My advice is simple but tough. He should never...

Pediatrics: Sleeping through, good sleep habits, sleep problems
good sleep habits, sleep problems, walking the floor: Hi, Kristen, Kids at 4 months of age, all normal kids, have the nutritional ability to have a stomach full of breast milk or formula, without cereal, and sleep 8-12 hours without waking up. Cereal or solids won t make a difference. Most night time waking...

Pediatrics: Sleeping, 10 months, vomiting
10 months, vomiting, big time: Hi, Melissa, This won t be easy. I would somewhat overlook the vomiting. She definitely won t choke. I would clean her up without a word and leave the room. Do this without emotion or hugs. This sounds cruel, but time spent over the next few days...

Pediatrics: Sleeping, kem hospital, asthma clinic
kem hospital, asthma clinic, mumbai india: well, i feel he needs the feed. if not hungry, childen get thirsty very often in night, they need feed or water. trust me. thanks http://drpeds.blogspot.com Dr kondekar Santosh venketraman pediatrician, lecturer Pediatric ICU and Asthma clinic...

Pediatrics: Sleeping in car seats, long periods of time, bassinet
long periods of time, bassinet, car seat: Dear Tracey: I would not recommend you put your baby to sleep in a car seat if you are not awake and supervising him. I would rather see you persevere and get him to accept his crib or bassinet rather than have him get used to the car seat, which as...

Pediatrics: Sleeping concerns, wails, sobs
wails, sobs, thanks a bunch: Try to analyze his situation and see if you can recall anything that has unset him - change in the family, change in routine. He will stop crying as soon as he is impressed that it won t change things. Comfort him without picking him up, lay him down and...

Pediatrics: Sleeping concerns, ebay, stubborness
ebay, stubborness, thanks a bunch: As many people as you ask you will probably get that many different answers. My take would be to make sure that he is safe in the crib while standing, d.g. his foot can t get caught between the mattress and the rungs etc. I would make sure he had a night...

Pediatrics: Sleeping Kid, closing doors, bribes
closing doors, bribes, bribery: Your child comes in for reassurance because she feel insecure. I don t know why but if her parents are overly critical of her behavior that will do it. If they are not getting alone with each other, that will do it. If there is a new baby in the house, that...

Pediatrics: Sleeping through the night, nutrional value, sleeping through the night
nutrional value, sleeping through the night, molars: Dear Heather: After making sure she does not have an ear infection ( a common cause for a child to awaken and cry every 2 to 3 hours during the night) or cutting 12 month molars, I would just let her cry it out and go back to sleep on her own. Do not feed...

Pediatrics: Sleeping through the night, sleeping through the night, time change
sleeping through the night, time change, dilution: Hi, Heather, This is what I would recommend: 1. Put her to bed awake without you being there 2. The dilution of the formula will not be helpful 3. When she cries at night, wait 15 minutes and then go in and console her verbally, without picking...

Pediatrics: Sleeping through the night., sleeping through the night, feeding sessions
sleeping through the night, feeding sessions, wakefulness: Hi, Trey, Let s do this objectively, without seeming to gang up on Mrs. Adams! You are correct that he needs no feeding at night. He is waking up due to habit. Why is this happening? I suspect that his last waking memory is of your wife nursing...

Pediatrics: Sleeping Problems, sleep time, sleeping problems
sleep time, sleeping problems, bed time: Dear Jessica: Sometimes children at this age get in the habit of waking up at night and enjoy your full attention. What I would suggest is to make sure he is in his bed recover and kiss him and tell him he has to go back to sleep. Ignore any crying....

Pediatrics: Sleeping pattern for eight month old, many mothers, ample supply
many mothers, ample supply, bad habits: A baby that age is a product of the schedule his parents choose for him and at his age he can be guided into a rather convenient one for his parents. He should go about 5 hours between feedings if yhou have an ample supply and should fit in a schedule something...

Pediatrics: Sleeping and seperation issues in my 22 month old daughter, daddy comes home, separation anxiety
daddy comes home, separation anxiety, perfect sleeper: Dear Brie: Your daughter may have had bad nightmares that have frightened her so she feels scared and is afraid to be without her adult protectors, Mom or Dad. She could also be cutting her two year molars which are painful and is making her clingy and...

Pediatrics: Sleeping and seperation issues.., daddy comes home, separation anxiety
daddy comes home, separation anxiety, perfect sleeper: Hi, Brie, Has anything recently changed in her life? Any family strife or arguements? Any scarey experiences? I don t know how this happens but I can suggest some ways to help. Kids at this age undergo another bout of separation anxiety. Here is...

Pediatrics: Not Sleeping thru the nite, bedtime routine, deep sleep
bedtime routine, deep sleep, bottle fed: How long babies will sleep at a stretch varies quite a bit from child to child but she should be able to sleep at least 4-6 hours and some babies at this age can sleep all through the night without waking. The bedtime routine discussed earlier should be...

Pediatrics: Sleeping/yeast infection, month old baby, yeast infection
month old baby, yeast infection, warm baths: We all have yeast on our skin, as well as bacteria that is NORMAL. A yeast rash is nothing to be overly concerned with. We see ALOT of it in babies and toddlers. As far as the yeast rash, babies can quickly get a yeast rash with a tiny break in the skin....

Pediatrics: Sleeping, infant rice cereal, sleeping through the night
infant rice cereal, sleeping through the night, naptime: Dear Noelle: You could try to keep your baby on an every 4 hour feeding schedule during the day and evening. In the evening start some infant rice cereal, about 2 tablespoons mixed with formula and spoon feed. Your little fellow could just be feeling...

Pediatrics: Sleepless nights, good sleep habits, bedtime routine
good sleep habits, bedtime routine, bottle fed: Hi, Kala, Generally sleep problems result from the transition from wakefulness to sleep. Kids usually are inadvertantly trained to fall asleep when their parents, usually the mother, is present. They associate sleep with the parent and then when they...

Pediatrics: Sleepy baby during AM feeds, sleepy baby, waking hours
sleepy baby, waking hours, ozs: If your baby is taking 32 ozs in 24 hours, this is sufficient. So that is the first question. Also, is he constipated? Is his cry weak or sucking weak? Sorry to ask these questions, but to give you the right suggestions, it is necessary. Please respond...

Pediatrics: Slow growth, sodium bicarbonate, pediatric endocrinologist
sodium bicarbonate, pediatric endocrinologist, free t4: I think it may be because of his renal condition. You should stop worrying if he puts on some weight every year. However, I admit that it may not be possible for me to give a clear opinion as I haven t seen him. It may be a good idea to take him to a Pediatric...

Pediatrics: Small hard lump on 2 year old head, doctor didn, peace of mind
doctor didn, peace of mind, 5 months: Hi, Erika, It is hard to tell, at this distance, what this is. I think you easily can wait for the 2 year visit, as long as it isn t changing. It might be a good idea for your and your doctor s peace of mind to have a dermatologist look at this for...

Pediatrics: Small head for body, skull x, brain scan
skull x, brain scan, track questions: Hi, Kristen, The most common reason for small heads is that parents have small heads. Have yours been measured and plotted on adult curves? With a normal CT and her development being normal, it sounds like she is a normal baby who happens to have a...

Pediatrics: Small size of my 13 month old, babeis, relevant answer
babeis, relevant answer, iugr babies: i feel just dont get tense. the commonest reason to have low eight is inadequate quality or quantity diet. if the birth weight was lower, weight growth may be relatively slow in IUGR babies (babeis who have low weight through out pregnancy). plot his serial...

Pediatrics: Smoking & Infants, upper respiratory infection, mother in law
upper respiratory infection, mother in law, lung cancer: Idoubt it. There are so many things in our air, such a perfume, that are mildly irritating but it also possible that a mild upper respiratory infection ( cold ) could do this even with a minimum of other symptoms. It rarely needs anything done. I had my...

Pediatrics: Smoking and infants, cigarette smoke, red eyes
cigarette smoke, red eyes, mother in law: Hi, Susan, Red eyes can be caused by many things. I wouldn t be too quick to implicate the smoke on the clothes. If you can get your mother-in-law not to smoke in his presence, I think that is enough of a victory. Dust, smoke, and a bunch of irritants...

Pediatrics: Snacks, cereal bar, graham crackers
cereal bar, graham crackers, afternoon nap: Dear Renee: Snacks are important for growing children. It is more reasonable to feed the children three meals a day and two snacks. One snack should be after the afternoon nap and the other prior to bed. Snacks should be healthy. Offer fruit, cheese,...

Pediatrics: Snoring in a four year old, tonsil tissue, soft palate
tonsil tissue, soft palate, tonsils: Either the tonsil and adenoid tissue in his throat are slightly enlarged or his soft palate is slightly longer and flaps in the breeze of his breathing. Neither is serious and usually both conditions will correct itself over time. If the snoring gets worse...

Pediatrics: MY SON IS CONSTIPATED AND THROWING UP, miralax, bowel movement
miralax, bowel movement, seepage: Dear Dawn: I am afraid you will have to clean him out with a Pediatric Fleets enema. Repeat it once if the first one does not work after several hours. He is probably leaking around a large stool. A daily laxative like Miralax powder may work for him....

Pediatrics: MY SON HAS A LUMP ON HIS HEAD!!, sized lump, lymph node
sized lump, lymph node, lumps: Dear Rachel: I cannot explain why your son has lumps on his head. I would hope he has seen his doctor for them by now. The larger bump could be from trauma and the smaller lump the size of a pea is probably just a reactive lymph node. Mary Pa...

Pediatrics: MY SON'S CONGESTION AND BREATHING, pediatric pulmonologist, chronic lung disease
pediatric pulmonologist, chronic lung disease, loose term: Dear Angela, Do post in small case, as the CAPS hurt the eyes. Thanks for the question. It appears that your son may be having what we label as Wheezy bronchitis - a loose term encompassing all such disorders that may cause the child to have a wheeze and...

Pediatrics: Social interaction, grade school kids, play video games
grade school kids, play video games, priveledge: Hi, Jodi, Kids should learn how to play by themselves and to read, play video games or do other activities without having people over all the time. It sounds exhausting to me as a parent. It would be nice if his friends parents would reciprocate but...

Pediatrics: Soiling and ?learning disability, child psychologist, expressive speech
child psychologist, expressive speech, dear paula: Dear Paula, There is no established link between soiling and learning disabilities. Nor do ADHD and soiling necessarily go hand in hand. Soiling is an issue that I have addressed in earlier questions and you may want to view my past answers. Soiling first...

Pediatrics: Solid Food, dry toast, t rush
dry toast, t rush, cherio: I think he has had some experience with solid foods that was unpleasant and he thinks that the foods will repeat that experience. Why don t you leave off the solids for a week or so and then see what his reaction is. At 10 months he should be able to hold...

Pediatrics: Solid stools 3 month old, mustard seed, seed variety
mustard seed, seed variety, stools: Dear Kylie: I have knonw infants who only had stools once a week being exclusively breast fed. We don t get upset about this as this may now be the baby s norm. I would look at what you eat and determine if anything is excessive such as dairy, chocolate...

Pediatrics: Solids at 6 months, rice cereal, dinner time
rice cereal, dinner time, 7 months: Dear Becky: Your baby needs about 28-30 ounces of formula a day, 1/3 to 1/2 cup of rice cereal a day, 5 tbsp of veggies, fruit and yogurt a day. Start meat and the stage 2 dinners at 7 months. She will let you know if she is full don t worry. Sincerely,...

Pediatrics: Solids, oatmeal cereal, rice cereal
oatmeal cereal, rice cereal, rule of thumb: Hi, MJ, I think there are rules that all of us have and all are different. Mine go like this: Give something for a couple of days, in a row or not. If she tolerates it, try something else. Oatmeal can be given generally after rice, although others...

Pediatrics: Son Afraid To Go Outside, kem hospital, asthma clinic
kem hospital, asthma clinic, mumbai india: is it with any sould or thunderstorm? if its with any loud sound, the condtion is closer to hyperacusis. and if its only with storm, its just a scare. thanks http://drpeds.blogspot.com Dr kondekar Santosh venketraman pediatrician, lecturer Pediatric...

Pediatrics: Son's Circumcision, son cj, pediatric urologist
son cj, pediatric urologist, warm soapy water: It is hard for me to get the exact picture from your description. Rubbing alcohol is very painful and warm soapy water will clean better. It sounds as though the foreskin is over the glans and some infection occurs. The Neosporin is mostly for the lubrication...

Pediatrics: Son's circumsision issue....., clogged pore, circumsision
clogged pore, circumsision, skin cells: I think what happened is that during the circumcision tiny amounts foreskin cells got buried in other tissue when healing took place. Over time these skin cells began to secrete an oily substance, which is what skin cells do, and that is what you are seeing....

Pediatrics: Son eating leaves, brat diet, kind of trees
brat diet, kind of trees, sure what kind: Hi, Sonita, I doubt that they could hurt him, although can t say for certain without knowing the type of tree. I personally wouldn t be too worried. The BRAT diet is really nutritionally unsound and unless one is sick, I wouldn t use it. Even is extreme...

Pediatrics: Son's first time on whole milk and vomitted, body time, whole milk
body time, whole milk, allergic reaction: If he has only had milk once and vomited, I d wait a day or two and try it again, but a smaller amount -- try just 2 ounces. If he continues to vomit, or has diarrhea, you should take him to see his doctor first, to see if this is an illness or a reaction...

Pediatrics: Son's Growth, growth hormone treatment, wise statement
growth hormone treatment, wise statement, bone age: When some medical personnel are unsure the only thing they know to do is refer to some specialist. An endocrinologist to whom you would be referred would think that he has to do all of his tests, blood and xray, to be able to tell you for sure that your...

Pediatrics: Son was given prinivil by mistake, prinvil, strange feelings
prinvil, strange feelings, desirable situation: Prinvil is for high blood pressure but in those without elevated pressure it has little effect. I don t think you have anything to be concerned about even though his strange feelings may be due to the drug. He should be OK in about a day after he stops the...

Pediatrics: Son's nose bleeds, frequent nosebleeds, hemorrage
frequent nosebleeds, hemorrage, nasal membranes: Fingers in noses are a frequent cause of nosebleeds. Colds can do it, too. Some children have a blood vessel very close to the surface inside the nose, and this will make them much more likely to have frequent nosebleeds, even without any trauma. Your son...

Pediatrics: Son with Down Syndrome, keala, private place
keala, private place, down syndrome: Dear Keala: Rather than calling attention to the behavior at this point I would try and divert him away from the behavior by distracting him with play when you see him begin to masturbate. He is comforting himself and it feels good to him but I find this...

Pediatrics: My Son, viral sore throat, tonsillar hypertrophy
viral sore throat, tonsillar hypertrophy, sinus infection: Yes, it is common. Lymphoid tissue - tonsils, adenoids, lymph nodes - is constantly changing because of the various influences on the body. One tonsil may get smaller while the other gets larger; a node in the neck gets swollen, then goes down after a time,...

Pediatrics: Sons weight gain., baby spoons, thick mixture
baby spoons, thick mixture, rice cereal: If you want to create a neurotic child who will really have problems with eating you should force it one him as the advice suggests. He gets enough from milk so why bother with anything else. He doesn t eat because he isn t hungry. Leave it off for 3-4 weeks...

Pediatrics: Sore Throat/Fever, ear thermometer, high fever
ear thermometer, high fever, digital ear: If a child s throat infection is not due to strep it almost always due to a viral infection which does not reapond in any way to antibiotics. Time will take care of the infection and the child needs only what it takes to make him more comfortable - lots...

Pediatrics: Sore Throat, little bit of honey, dry climate
little bit of honey, dry climate, accurate diagnosis: Acetominophen (Tylenol) 1 tablet every 4 hours as needed will help the pain. If you are in a dry climate adding moisture to the air she is breathing will help the cough. Otherwise the answer is time; it takes about 4-5 days for most of these infections to...

Pediatrics: Sores in mouth, mouth washes, sores in mouth
mouth washes, sores in mouth, sores in the mouth: Hi, Christine, Virtually all sores in the mouth are caused by viruses and basically have to go away on their own. Generally this is treated by motrin and mouth washes to keep the area clean. Things you apply to these areas generally don t help and can...

Pediatrics: Soy formula?, muscular valve, rice cereal
muscular valve, rice cereal, similac advance: This is the kind of common problem that is usually not improved by a change of formula, although there is no harm in giving it a try. The usual cause is a temporary loosness of the muscular valve at the top of the stomach which allows the contents to come...

Pediatrics: Soy milk, breast milk, short trip
breast milk, short trip, cows: Dear Lea: It sounds as though your baby has tried soy milk so if she has had it and tolerated it it is safe to give her soy milk. The best thing to do however, is to pump your breast milk if able and freeze it (stock pile it) to use while you are gone...

Pediatrics: Soy vs. Cow, milk protein allergy, milk alergy
milk protein allergy, milk alergy, first time mom: Hi, Summer, This seems to fit more to me a lactose intolerance, rather than a milk protein allergy. With a lactose intolerance, one is able to handle a small amount of gradually given milk product and will have a reaction, usually GI (in his case, vomiting)...

Pediatrics: SPECIAL NEEDS, daugther, health condition
daugther, health condition, mental retardation: My daugther has a boyfriend that has a 41/2 yr old son. The son has a lot of signs of either autism or mental retardation. ========= what makes u feel so? Some of the systems are that he has a fairly large head, large feet, drules constantly, eats and...

Pediatrics: SPEECH, receptive vocabulary, explosion
receptive vocabulary, explosion, good luck: Hi, Christina, Probably not a problem if he has a large receptive vocabulary, ie. can receive and understand words. This indicates to me that his hearing is intact and that in the next 6 months you should see an explosion of speech. If not, then see...

Pediatrics: Spasm? Siezure? Nothing?, types of seizure disorders, muscle spasm
types of seizure disorders, muscle spasm, brain wave: Hi, Laura, Please don t leave for the ER now but see your doctor. There are certain types of seizure disorders that can have an onset in this age group. This may be nothing, but see your doctor this week for a careful history, a good physical and probably...

Pediatrics: Speech Development, stay at home mom, word phrases
stay at home mom, word phrases, play group: Hi, Chris, It is impossible for me to accurately tell you what is going on, but my thoughts on his speech are that if his receptive vocabulary is vast then he should be hearing well and eventually speaking well. His interaction with the family is also...

Pediatrics: Speech delay, stay at home mom, bilingual families
stay at home mom, bilingual families, delay problem: It seems to me that the thing to do is to wait until you get to Texas before seeing anyone. These specialists do a good job but sometimes they seem to think there services are needed when a little time will solve a problem. I haven t seen your son and he/she...

Pediatrics: Speech delay, stay at home mom, bilingual families
stay at home mom, bilingual families, delay problem: I think there is no doubt he needs further testing. If finances are an issue, I would wait until Texas and inquire about state funded programs that can test him again in the area of speech delay. I agree the low eye contact could be shyness. Autism is...

Pediatrics: Speech, smooth speech, dysfluency
smooth speech, dysfluency, facial expressions: Hi, Steve, The sudden onset of the stuttering suggests that she may have had some upsetting event. This would not have to be a real big deal thing, but that usually is the cause of this. I will include a handout on stuttering for your perusal. The...

Pediatrics: Spica Cast vs Pinning, pediatric orthopedic surgeon, spiral fracture
pediatric orthopedic surgeon, spiral fracture, femur: That is really a question you should ask a pediatric orthopedic surgeon. I don t do either procedure, so I m not really qualified to tell you about the benefits and risks of both. I have seen children who were not toilet trained with spica casts. They usually...

Pediatrics: Spina bifida, sacral dimple, sacral dimples
sacral dimple, sacral dimples, neurological exam: I can certainly understand your concern with your daughter. The good news is that if she does have spina bifida occulta meaning hidden, it is very rare to have any adverse effects on her; an MRI will show if there is anything to be concerned with. Physical...

Pediatrics: Spit Up in 8 Month Old, vists, enw
vists, enw, digestive tract: Should I think about switching to a soy formula? ======== no ! Could it be that her digestive tract isn t maturing properly? ======== no! Or is this just a laundry problem that I have to live with? ========= no! its jsut that she has learnt...

Pediatrics: Spit up, diarrhea and uncomfortable feeds, explosive diarrhea, rich diet
explosive diarrhea, rich diet, simethicone: My son was born premature at 33 weeks, while in the NICU he was tested for reflux and found not to have it. I have been told it can develop ======== refulx is very common upto 1 year age, and to some extent its normal for children to spit up. it is called...

Pediatrics: Spitting Up, mylocon, spitters
mylocon, spitters, mary grace: Hi, Cammie, Happy spitters are normal and common and this usually goes away by 6 months. It is normal and will go away. Unhappy spitters are another matter and we sometimes treat them with medicines and other techniques. The gas drops are safe, but...

Pediatrics: Spitting Up, one of the boys, foul odor
one of the boys, foul odor, table food: My thoughts have to be about average babies of that age because I realize prematures may have to be individualized a little more. One reason for spitting is a stomach with too much volume. Another is a child that is handled too much after a feeding so that...

Pediatrics: Spitting up and not sleeping well, oesophageal reflux, stomach virus
oesophageal reflux, stomach virus, pedialyte: It depends how much of the feed he is keeping down. If he is gaining weight OK then I would not be too worried. If he isn t, you need to speak to your doctor again. The question would be whether this was an acute upset or a more chronic problem such as...

Pediatrics: Spitting Up, spitters, gaining weight
spitters, gaining weight, reflux: Dear Sandy: Some babies spit up more often as they become older and this is due to their increased activity. We call these babies happy spitters for they are happy babies who thrive. Your baby may spit up until she is walking. It is an annoyance...

Pediatrics: Spoiled Formula, gi symptoms, spoilage
gi symptoms, spoilage, hands and feet: It sounds like a reaction to something. I suppose it could be the formula, but I ve never seen that kind of reaction to formula. Yes, formula in a bottle will get saliva in it from the baby drinking, and that will speed the spoilage process, but an hour...

Pediatrics: Spoiled Formula, loose stools, shelf life
loose stools, shelf life, diarrhea: Hi, Cathy, Pretty tough to think that powder is spoiled. It has a great shelf life, covered or not. The diarrhea is probably due to the many reasons kids have loose stools, usually not spoiled formula. If you think it is spoiled, and I know of no good...

Pediatrics: Spoiled formula, upset stomach, vomiting and diarrhea
upset stomach, vomiting and diarrhea, fussiness: I would expect an upset stomach, mostly. You re likely to see some vomiting and diarrhea. The fussiness may be caused by bad formula. Call her doctor and have her checked to make sure it s nothing serious--it s hard to tell at that age, sometimes. It may...

Pediatrics: Spongey spot on toddlers head, x rays, pediatrician
x rays, pediatrician, lumps: Dear Donna, Is it possible for you to take a picture of your son and of his MRI against a tubelit box and send these to me on my gmail id? The id is drtaher@gmail.com Taher P.S. I don t know either as to what it might be, though a blood collection...

Pediatrics: Spontaneous bruising, chronic ear infections, leukemia patients
chronic ear infections, leukemia patients, childhood illnesses: Dear Michelle, Thanks for asking the question so lucidly! I think that you should take your child to the GP right away. I fully agree with you that appearance of so many spontaneous bruises (if they are that, and I believe you) at the same time is definitely...

Pediatrics: Spot on Tongue, blisters on the tongue, geographic tongue
blisters on the tongue, geographic tongue, valleys: Hi, Justin, If this is something that comes and goes, it may very well be what we call a geographic tongue, a normal variant that is a tongue with valleys, uplifted areas and fissures. Some viruses will cause blisters on the tongue and this may be a resolving...

Pediatrics: Spot on Tongue, blisters on the tongue, viral illnesses
blisters on the tongue, viral illnesses, sipper: Hi, Rachel, The vast majority of blisters on the tongue this time of year in a 14 month old will be viral illnesses. I would suggest that she might have a fever, might have diarrhea, might be crabby or just may have a blister. Tylenol, fluids and the...

Pediatrics: Spot on tongue, geographic tongue, taste bud
geographic tongue, taste bud, parts of the tongue: Hi, Alex, It may simply be a taste bud that is a bit inflamed. If it doesn t hurt and you re not sick, I would just watch it and it probably will go away. It also may be a common condition we call geographic tongue, where parts of the tongue are elevated...

Pediatrics: STOMACH PAIN, hospital emergency room, severe stomach pain
hospital emergency room, severe stomach pain, laculose: If he has constipation that is bad enough to cause severe pain, then I think an enema would probably be a good idea. It can be traumatic, though, at that age, so sometimes we try to avoid it. If the Lactulose does not work, ask his doctor if that should...

Pediatrics: STOMACH VIRUS, stomach virus, share drinks
stomach virus, share drinks, upset stomach: A virus is a small particle that can infect cells in the body. The stomach virus infects cells in the GI tract, which prevents the intestines from absorbing nutrients normally. This causes an upset stomach, vomiting and diarrhea. The virus is transmitted...

Pediatrics: Staph and how bad can it get?, soap and water, spider bites
soap and water, spider bites, abscesses: Staph can be a very serious infection, and many of the bacteria have become resistant to the usual antibiotics we use for abscesses. If they have an infection, they should see their doctor very quickly to see if it should be opened and drained, and treated...

Pediatrics: Staph infections/furuncles,carbuncles, epson salts, diaper rash
epson salts, diaper rash, tender area: These are very common infections. The important thing is to get her to the doctor as soon as it starts, since antibiotics are really needed to get rid of it, and the longer you wait, the worse it will get. I don t know how one brand of diaper would do this,...

Pediatrics: Starting solids, old baby girl, baby solids
old baby girl, baby solids, starting solids: Hi, Arline, Solids don t help babies sleep through the night. Giving them at 5 months is fine, although for several reasons I personally prefer them at 6 months. The reason to start them is that a diet of only breast milk is not sufficient after...

Pediatrics: Starting solids, brest milk, kem hospital
brest milk, kem hospital, rice cereal: well, as your baby is no longer exclusively breast fed, its bettere he gets adapted to complementary feeds. i will prefer that till 6 month age, you continue NAN1 with breast milk. Rice cereal can be started at this age, but babies gut may not be mature...

Pediatrics: Starting whole milk..., protein hydrolysate, normal bowel movements
protein hydrolysate, normal bowel movements, milk protein: Hi, again, Shanna, Pretty unlikely she has a lactose intolerance if she tolerated a milk based formula, unless the formula was one that was a protein hydrolysate, like Nutramigen or Good Start. The Lactaid is reasonable to try. Another possibility is...

Pediatrics: Step-Childs Eating Habits, chicken noodle soup, macaronni
chicken noodle soup, macaronni, mother god: God established a system a long time ago whereby the young of the species are put in the charge of those who are smart enough to make decisions for the young based on experience and superior knowledge. We human beings sometime foul up the system in many...

Pediatrics: Step son still soiling underwear, pediatric nurse practitioner, soiled underwear
pediatric nurse practitioner, soiled underwear, pediatritian: Take the general attitude that he has a problem that he can t help and you want to be helpful. Try to be sympathetic when he soils and give him the idea that you would like to help. It just may be that he will see you as an understanding adult and that he...

Pediatrics: Stomach, intervention plan, 4 year olds
intervention plan, 4 year olds, blood work: Hi Ms. Branan, This is very normal for 4 year olds. They generally have what we call as factitious disorder. They mimic and reproduce a problem in order to get the attention of an adult figure. My best advice would be have your pediatrician provide a simple...

Pediatrics: Stomach Aches, stomach pain in children, chronic stress
stomach pain in children, chronic stress, rare conditions: Stress is probably the most common cause of stomach pain in children but it doesn t usually last 5 years. If you know of chronic stress for all that time if might be, however. Certainly her entire intestine should have been xrayed to be sure there are no...

Pediatrics: Stomach ache - 9 year old boy, 5 gallon water bottles, stomach ache
5 gallon water bottles, stomach ache, pain increases: Hi Pam, I would recommend that you seek the advisory of his pediatrician. Certainly, there are many causes that come to mind... but a more comprehensive medical history and physical examination will guide your pediatrician to a diagnosis. If his pain...

Pediatrics: Stomach ache over extended time, inflammation of the stomach lining, simethicone drops
inflammation of the stomach lining, simethicone drops, inflammation of the stomach: Hi, Debra, After a stomach virus, a condition called gastritis may temporarily exist, an inflammation of the stomach lining that is increased by secretions of stomach acid that we use to digest food. I would try some OTC Zantac 75mg two times a day...

Pediatrics: Stomach Bug???, stomach ache, stomach virus
stomach ache, stomach virus, stomach bug: Hi, Chris, I assume you are a teen or above. This sounds like a stomach virus. Eating or not depends on how you feel food will settle in your stomach. It is not uncommon to feel queasy for a week or so after an illness like you had. If the stomach...

Pediatrics: Stomach bug?, stomach virus, mild diarrhea
stomach virus, mild diarrhea, stomach bug: The fancy name for this is gastroenteritis, and its course and duration are variable because there are many different germs that can cause these symptoms. One small problem is that the child begins to feel better while his intestinal tract is still upset,...

Pediatrics: Stomach Hurts, acute medical problem, irritable bowel syndrome
acute medical problem, irritable bowel syndrome, child psychologist: Hi, This is sometimes called a migraine tummy ache. One of my children had very similar symptoms to what you are describing. A tummy ache that is constant for an hour, that gets progressively worse, that makes them bend over, or loss of apetite should...

Pediatrics: Stomach hurts, stomach pain, stress anxiety
stomach pain, stress anxiety, specific place: The intestinal tract is typically the stress organ for children, that part of the body that responds to stress of any kind, especially involving emotions. A new baby will go all sorts of things to a small child but that is not to say that the child can...

Pediatrics: Stomach Problems, pedeatrician, vitamin d deficiency
pedeatrician, vitamin d deficiency, calcum: even if u give me a pic of her in my email i may be able to guifde u further. what u say bloated and what i interpret may have vast difference. common reason for this although is constipation, but even in UK calcum deficiency and vitamin D deficiency like...

Pediatrics: Stomach Problems?, gall bladder problems, gall bladder
gall bladder problems, gall bladder, running a fever: Hi, Christie, Is he sick? Is he running a fever? Is he acting in a healthy way? Appendicitis would be highly unusual with this intermittant presentation. Gall bladder problems would be also. Your doctor will want to do a good exam, get a good history,...

Pediatrics: Stomach pain, headache, crawling skin, upper gi test, crawling skin
upper gi test, crawling skin, stomach pain: It could be various types of allergens besides food allergens. Houses that were built prior to the 1970s should be inspected for indoor allergens. There s various culprits such as mold, dust, lead, dust mites on carpets, and any moist environments (bathrooms,...

Pediatrics: Stomach pain (severe), intensive care ward, medical intensive care
intensive care ward, medical intensive care, stomach distress: Mylanta or Malox are both safe for children and the dose would be a teaspoonful plain or in water, milk or anything he will take. There are simple antacids and have no effect on the air in the intestine usually unless the discomfort is due to hyperacidity,...

Pediatrics: Stomach pain, loose bowel movements, urine specimen
loose bowel movements, urine specimen, stomach pain: He has an infection, probably due to a virus, which is called gastroenteritis (affecting the intestine). Usually this heals itself and needs very little treatment but keeping the child drinking liquid of some kind. This can also be explained by a urinary...

Pediatrics: Stomach problems, sensitive gag reflex, gi specialist
sensitive gag reflex, gi specialist, lacto vegetarians: I have a problem with any physician or parent who says he will outgrow it when it is a significant symptoms complex. The diet you described adds to the complexity of the problem. One of the problems that we see with a vegetarian diet is vitamin deficiency...

Pediatrics: Stomach Virus, taking liquids, stomach virus
taking liquids, stomach virus, waking hours: Hi, Christine, It is common for an illness like this (probably viral caused) to last 3-4 days. The main goal is to make sure he doesn t get dehydrated. Make sure he gets adequate liquids and feed him the solids he wants to have. You don t need to restrict...

Pediatrics: Stomach virus, stomach virus, fancy food
stomach virus, fancy food, lean meat: The illness has upset the normal action of the intestine in such a way that she has no appetite, all of which is normal for the problem, and it will take time for healing to take place. Limit her diet to simple foods and avoid especially fats and roughage....

Pediatrics: Stomach, c diff infection, stool test
c diff infection, stool test, foul smell: Hi Stacey, It definitely sounds like your child has yet to resolve from C diff infection. It is a bug that needs proper medical management. I do recommend that you first speak to your pediatrician to obtain an urgent stat stool test for C diff. I would...

Pediatrics: StomachAch-Yound Child, school phobia, picky eater
school phobia, picky eater, misnomer: I think she hs a mild form of school phobia, which is a misnomer because the real problem is leaving home rather than anything about the school. The classic example, which obviously doesn t apply every time, is the child who is sent to school while a new...

Pediatrics: Stool change, viral illness, organic milk
viral illness, organic milk, healthy kids: Hi, Rebecca, Stool changes in healthy kids who are temporarily fussy usually are manifestations of a viral illness. The stools should be back to normal in about a week, although sometimes the stools lag way behind the child getting better in a general...

Pediatrics: Stool changes after starting solids, rice cereal, loose stools
rice cereal, loose stools, dirty diapers: Hi, Julie, Kids who are nursed generally have 3-6 loose stools per day, although the pattern of one every few days to a week is common and normal as well. If he is doing fine, then this is the pattern of stools he will have, at least for a while, on solids....

Pediatrics: Stool color and fussy, green bowel movements, normal bowel movements
green bowel movements, normal bowel movements, mustard yellow: The color of a human stool comes mostly from the bile that is put in the intestine just below the stomach. Normally as the contents pass down the intestine the green color of bile changes in a baby to yellow (in an adult to brown). Your baby s stools are...

Pediatrics: Stop-Breast Feeding, seoul south korea, bad habit
seoul south korea, bad habit, acting out: Dear Shoba: It is time to stop breast feeding and it will require an adjustment on the part of your son and yourself to stop it. Your son will not give it up easily but you have to say no more to him and mean it. Do not give in once you have made the...

Pediatrics: Stopped saying mama & dada, word phrases, hi mary
word phrases, hi mary, fafa: Hi, Mary, First of all, it is highly unusual for a 5 month old to be saying these words and even more unusual for a three month old to be saying these things. I can t imagine autism in this scenario. I suspect she will be her usually gabby self in a...

Pediatrics: Strained muscle in neck of 7 year old son, strained muscle, gentle heat
strained muscle, gentle heat, muscle strain: It can take a few days. Acetaminophen or Ibuprofen should help the pain. Gentle heat is good, and slow, gentle stretching -- turn his head slowly in the direction that makes it hurt, but slowly and gently. He is old enough to do this himself, and to stop...

Pediatrics: Straining and screaming to have a bowel movement, fruits and veggies, bowel movement
fruits and veggies, bowel movement, bowel movements: There is probably something wrong but it doesn t have to be serious. Probably when she went a while without a movement the material became hard and when she produced it it tore the tissues around her anus a little. Now everytime she has a movement it stretches...

Pediatrics: Strange behavior., time alice, dear alice
time alice, dear alice, negative consequence: Dear Alice: It sounds to me this al-queda game is only a cover for some possible sexual play. I would find it unusual and be very concerned if my boys had any child tied down and especially if that child were tied down in his briefs. This does not sound...

Pediatrics: Strange behaviour of 1 year old, first time parents, strange behaviour
first time parents, strange behaviour, weird things: Hi, Mark and Julie, Kids this age (and at all ages, for that matter) do weird things that this pediatrician can t always explain. If this is a temporary habit that isn t associated with any change in consciousness or drowsiness after it occurs, it probably...

Pediatrics: Strange growth pattern, growth spurt, strange growth
growth spurt, strange growth, adult height: Hi, Jason, Why one person develops quickly and another slowly is largely genetically determined and is not an illness , just the way things are in the cosmic scheme of things. Using your parents as a guide, your predicted adult height should be 5 10...

Pediatrics: Strange Smell from 5 year old's skin, amoxicillian, stomach bug
amoxicillian, stomach bug, continuity of care: Hi Sarah, That strong odor is due to Candida albicans overgrowth. It is very common in children after a 10-14 days course of amoxicillin. I recommend speaking to your pediatrician if you ever have a problem versus a pharmacist for continuity of care. Please...

Pediatrics: Strange tonsil growth?, sore throught, cassaundra
sore throught, cassaundra, daughter courtney: At about 9 years of age tonsillar tissue reaches it maximum size, which is why in the past so many kids have tonsils out at around this age, all very unnessary. This kind of tissue goes from nothing at birth to a maximum and then begins to decline in size...

Pediatrics: Strattera medication, strattera, grand daughter
strattera, grand daughter, alisha: I would keep trying the medicine, but after she takes it, be sure to drink something like ornage juice oo things olong that, if worst comes to worst you can get the doctor to give somthing to settle her stomach that she keeps it down Dr Evan Donova...

Pediatrics: Strep- Confirmed, dark circles, amoxil
dark circles, amoxil, local hospital: Well, it could be a relapse--does his throat hurt? He may need a different antibiotic. Or it may just be a virus that he picked up that has nothing to do with the strep. Any rash? Sometimes allergic reactions will cause fevers, too. His temp is not very...

Pediatrics: Strep carrier, infectious disease physician, rheumatic fever
infectious disease physician, rheumatic fever, stomach pains: Under these circumstances I would want a good culture, rather than the rapid test, to confirm that he indeed has the type of step that needs treatment, and if he has the kind of strep that causes disease, a 10 day course of the proper antibiotic should rid...

Pediatrics: Strep Infections, skin rash, scarlet fever
skin rash, scarlet fever, doctors office: Fever is part of an illness and it means only that the infection is still present. The medications are good but many parents I have seen think that sick children need extra covers, which keeps the heat from escaping from her body. Keep her uncovered, drinking...

Pediatrics: Strep and Knee Pain, throat swab, oral antibiotics
throat swab, oral antibiotics, reactive arthritis: Hi, Wambui, There are some unusual joint pains that can be due to strep. There can be a reactive arthritis that can be due to strep. If this is felt to be the case, it would be reasonable to discuss this with your doctor. I would wonder if you are a...

Pediatrics: Strep Throat, strep rash, typical rash
strep rash, typical rash, sinus infection: Hi, Lisa, This doesn t make a lot of sense to me. First of all, strep is unusual, but not impossible in a two year old. Secondly, it would be highly unusual for strep to develop in a child who is on amoxicillin. There are rare cases where strep is not...

Pediatrics: Strep Throat, throat pain, breast feeding
throat pain, breast feeding, tonsils: You have me confused. Your 5 year old daughter has strep throat and your son, on unknown age, had his tonsils and adenoids removed 2 years ago. Your question seems to be about the baby. If the daughter is receiving antibiotics for the strep she is probably...

Pediatrics: Strep Throat, swollen lymph nodes, agar plate
swollen lymph nodes, agar plate, throat culture: Any test can be wrong. The throat culture is a very accurate test most of the time, but it depends on the swab being done correctly -- actually rubbing the tonsils and back of the throat, plating it quickly on a fresh agar plate, incubating at the correct...

Pediatrics: Strep Throat, swollen lymph nodes, fool proof
swollen lymph nodes, fool proof, cefpodoxime: Dear Laura, Of course no test is fool-proof. If the throat infection has been lingering for nearly a month, the doctor should put her on a stronger antibiotic like cefpodoxime, cefdinir or oral co-amoxiclav. (Ask him about these drugs.) On the other hand,...

Pediatrics: Strep Throat / Scarletina, body rash, whinny
body rash, whinny, scarletina: If he is still taking the antibiotic and was improving, I would expect him to continue to improve. If he is getting sicker, he should probably see his doctor again. Make sure he finishes the entire course of the antibiotic. If you stop too soon, it will...

Pediatrics: Strep Throat, amoxicillan, screen culture
amoxicillan, screen culture, cefzil: Hi, Cathy, Your doctor handled this exactly as I would have (could mean we re both wrong!). The positive strep screen in the midst of a cold could be real disease or could be a strep carrier state, where the child carries harmlessly strep in the throat...

Pediatrics: Struggles to hold poop in, rectal fissures, encopresis
rectal fissures, encopresis, miralax: Hi, Alison, Stool with-holding is a big problem with some kids. What we try to do is to make the stools soft and easy to pass and after time he will realize that they won t hurt. I would recommend a good exam by your pediatrician to rule out any rectal...

Pediatrics: Stubborn Kid, strong willed child, stay at home mom
strong willed child, stay at home mom, secondary gain: Hi, Kimberly, What are the consequences she has if she acts out like this? Certainly there must be some consistent consequence/punishment for this sort of behavior, or it will continue and get worse. The fact that she can do well at school is an great...

Pediatrics: Student questions for School paper, becoming a pediatrician, stephanie c
becoming a pediatrician, stephanie c, rare child: I volunteered to answer question from parents about problems with their children and your question don t qualify. Also the questions are too complex to answer easily. I can tell you that a pediatrician is first a physician who had been though 4 years of...

Pediatrics: Stuttering, even keel, rapid rate
even keel, rapid rate, stutter: I answered this yesterday but the allexperts computer was down. Sorry about the delay. This is not stuttering at this point but what is called stumbling speech. A child, often a bright one, begins to think faster than he can talk so things begin to get mixed...

Pediatrics: SURGERY & SEIZURE, general anesthesia, dear doctor
general anesthesia, dear doctor, hematoma: Hi, Devi, I suspect that the hematoma and subdural cyst is contributing to the seizures and that the operation is designed to help this. Generally kids don t have seizures under general anesthesia and he probably has less chance during the surgery than...

Pediatrics: Subject: Question - I..., infant death syndrome, medical examiners office
infant death syndrome, medical examiners office, sudden infant death syndrome sids: The answer to your questions would have to be given by someone who knew more about the circumstances that I do. It sounds to me that the baby had a case of Sudden Infant Death Syndrome (SIDS) about which we know a little much not the entire story. Mothers...

Pediatrics: Subject: Question - I..., medical examiners office, venice florida
medical examiners office, venice florida, amniotic fluid: Hi, Kristin, I also express my condolences and sorrow at your loss. Dr. Adler has eloquently expressed my thoughts about this situation. My guess is that your baby didn t die of RSV but died coincidently from SIDS. The age is appropriate and the...

Pediatrics: Subject: Question - I..., medical examiners office, venice florida
medical examiners office, venice florida, amniotic fluid: Dear Kristin, I am sorry to hear the sad news of your baby s demise. May Allah grant you the peace and fortitude that you seek now. Coming to your first question: There is no obvious harm in giving him his first shots so soon after the RSV. I very...

Pediatrics: Sucking fingers, fingers and thumbs, pediatric dentist
fingers and thumbs, pediatric dentist, dental problem: I would consult a pediatric dentist to get information on what this does to formation of teeth. bite etc. You could go to different sites on the internet. Here is one: http://www.dentalarticles.com/reader/pt16.htm, or just type in www.dentalarticles.com...

Pediatrics: Sucking fingers, fingers and thumbs, thumb sucking
fingers and thumbs, thumb sucking, dental problem: Prolonged finger or thumb sucking can cause dental problems but not a thin thumb. You must continue to say NO to her as you are already doing. This is the only right way to make her stop this habit at this age. You might ask at the local pharmacy for bitter...

Pediatrics: Sudden change in eating habits, chocolate chip cookie, picky eater
chocolate chip cookie, picky eater, whims: Hi, Heike, This is not a physical problem, but a psychological one. I would immediately stop commenting on his eating. I would tell him that he needs to be done with his food at the same time the rest of the family does. He should not be rewarded by...

Pediatrics: Sudden Headache, sudden headache, close watch
sudden headache, close watch, left ear: Hi, Gina, Hard to say what this is. I would keep a close watch on this and if this pattern gets more frequent or severe or he has other problems, then see your doctor. My guess is that this sharp brief pain is due to some musculo-skeletal problem around...

Pediatrics: Sudden High Fevers/Ear Infections, giving medication, pediatric ent
giving medication, pediatric ent, reoccurence: This story is all too frequent in children this age in day care. It isn t that they don t get well, but they get reexposed to another organism and they don t have a lot of resistence. If he has a reoccurence of fever while taking an antibiotic it usually...

Pediatrics: Sudden urge, family practitioner, intestinal problems
family practitioner, intestinal problems, intestinal tract: He should be seen by a physician who can find out the cause for his symptoms. I suggest you start with a pediatrician or a family practitioner who has a special interest in children. The child will need a general assessment to be sure everything is OK, and...

Pediatrics: Sugar High, mild stimulant, production of insulin
mild stimulant, production of insulin, high insulin: Most people mean that sugar has overstimulated the child. Sugar causes the production of insulin to metabolise it and a high insulin blood level can be a mild stimulant. Usually this situation is not sugar but lack of a constant, structured environment where...

Pediatrics: Summertime Baby Products?, citronella candles, insect repellant
citronella candles, insect repellant, avon skin: Hi, Chrystal, Most of us consider a product with 10% or less of DEET to be safe and effective if applied as directed. Some people swear by Avon Skin so Soft, totally benign, but I m not sure if the effectiveness has really been proven. Good luck, dr....

Pediatrics: Super-compensation, muscle growth, heart rate
muscle growth, heart rate, moshe: I don t know much about super-compensation or weight lifting, other that that you can cause yourself serious damage if you are not careful. Please do this with both your doctor s supervision, and a trained professional who understands weight lifting and body...

Pediatrics: Super-compensation, muscle fibers, pumping iron
muscle fibers, pumping iron, hyperplasia: Every time one exercises the muscles get a little more hyperplastic - the individual muscle fibers enlarge. If the muscles are inactive the fibers tend to atrophy. I don t think there is an end point when a muscle is hyperplastic afterwards and not before...

Pediatrics: Supplementing with Formula, supplementing with formula, milk protein
supplementing with formula, milk protein, soy protein: Dear Nevine: Your baby is probably intolerant of the formula. I am not familiar with Naan being from the states but if it is cow s milk based you may want to try a soy protein infant formula instead. In the states we find that exclusively breast fed babies...

Pediatrics: Surgery and explaining to your child, open fashion, outpatient basis
open fashion, outpatient basis, cyd: Hi, Cyd, Tell her honestly about being put temporarily asleep so the operation can be done without hurting her and tell her that her eye will be a bit uncomfortable after, but the doctor will give medicine to help with the pain. Honesty works best in...

Pediatrics: Suspected Telogen Effluvium, dry skin patches, diffuse hair loss
dry skin patches, diffuse hair loss, club root: It s not very common in kids, but it does happen. Usually after some illness or other stressful event. I m not sure if any of the things you describe should trigger it, but they could. I am not aware of any serious problem that this could be a sign of--is...

Pediatrics: Swallowed Object, fork prong, safety pins
fork prong, safety pins, stomach pain: Hi, Janel, Give her regular food and if she has sharp stomach pain or blood in the stool, then she needs to see her doctor. Things like this usually pass through without problem. I have seen open safety pins pass through. No one would do surgery to...

Pediatrics: Swallowed a penny 2 weeks ago, swollen eyes, x ray
swollen eyes, x ray, runny nose: Hi, Christina, Different doctors have different protocols, but mine is to define the coin with an xray and tell parents to call if their kid is having problems. I don t tell them to check stools and don t repeat an xray unless there are symptoms of obstruction....

Pediatrics: Swallowed a penny, drink water, emergency room
drink water, emergency room, stomach: The penny has nothing to do with the fever of the cold . If you are sure she swallowed it you need do nothing; it will take 2-4 days to pass. If she seems to be able to swallow normal food - not a lot, just a little to show she can do it - the penny has gone...

Pediatrics: The Swallowing of toxic substances, lime scale, tempreature
lime scale, tempreature, bad throat: You still need to see a doctor. Some poisons have late onset effects. Also, you did not say why you did this. You probably need someone to talk to about this episode. Your doctor is the best place to start. If you do this again, you may not be this lucky....

Pediatrics: Sweating from Head duing sleep, sweting, cildren
sweting, cildren, many mothers: Many mothers dress themselves in as little clothing as they can get away with but they think that all cildren need to be dressed warmly. If yoou are doing that in the summer time, that may be hour answer. But even if you are dressing her normally it is not...

Pediatrics: Swimming, full spectrum, peer group
full spectrum, peer group, chlorine: Children can be taught to be at ease in water at any age but they don t really swim as infants - they float to the surface. Since normally water doesn t get in ones lungs I don t think that is a problem. A child who doesn t swim until age 5 has missed...

Pediatrics: Switching my 11 month old to Milk, whole milk, fat content
whole milk, fat content, weaning: Dear Ana: Yes, you can began to wean to whole milk now. I recommend you start by adding one ounce of whole milk to 7 ounces of prepared formula in all of his bottles in one day for two days. If no problems, the third day add 2 ounces milk to 6 ounces...

Pediatrics: Switching from Formula to Homo Milk, similac formula, homo milk
similac formula, homo milk, mead johnson: Dear Wanda: Certainly it is fine to wean to whole cow s milk at one year. Your son needs 20 to 24 ounces a day. Yes, you should give him a vitamin daily. I like Poly-vi-sol drops made by Mead Johnson. It is a liquid vitamin and he should get one dropper...

Pediatrics: Switching Formulas, store brand formulas, costco
store brand formulas, costco, store brands: No, the store brands are not the same as the name brand formulas. The store brands are cheaper because they meet the minimum requirements for infant formula that were compiled many years ago. There have been many advances in formulas since then, and the...

Pediatrics: Swollen colon, glycerin suppositories, kem hospital
glycerin suppositories, kem hospital, asthma clinic: does she pass stools daily? are they hard? well! she will require glycerin suppositories alt day for 3 days, and if required enema to wash colon , under medical supervision and advice. Also, she needs to increase her water and fibre intake. switching from...