About Experts Sitemap - Group 40 - Page 67 2015-04-21

Pediatrics: 4 year old daughter refuses to go on the toilet, calcium supplements, positive reinforcement
calcium supplements, positive reinforcement, behavioral therapist: i think she needs to be trained every day repeatedly same way. insist her to go to potty 6 times a day even if she doesnt feel like. insist her to strain. even if she doesnt pass donest matter, but she will learn starining when she is on potty. once...

Pediatrics: 4 year old wetting pants every day, wetting her pants, bladder infection
wetting her pants, bladder infection, wetting pants: Dear Susie: A four year old child has control of bowel and bladder so this should not be happening. The first thing you should do is have her checked out medically to insure there is no bladder infection causing her to wet her pants so often. If that...

Pediatrics: My 5 Year old daughter who has had a off and on yeast infection for over 3 years, vaginal yeast infection, stool culture
vaginal yeast infection, stool culture, white discharge: Dear Allison: It sounds as though this may be a yeast infection. You may want to stop all topicals and ask the doctor to culture the discharge for yeast to be sure. May want to get a urine and stool culture for yeast to be sure it has not gone into...

Pediatrics: 5 Yrs old daughter, stomach pain, danger signs
stomach pain, danger signs, respiratory problem: please read danger signs/ symptoms at www.pediatricianonline.in if any are there she definitely needs to go to emergency department earliest for evaluation. fever and tummy pain/// any of these can cause weakness added to reduced intake... so its likely...

Pediatrics: 5 yr old pooping issue, child development, child behavioral problems
child development, child behavioral problems, toileting issues: Hi Jennifer. I hear your frustration and worry over your son s behavior, and certainly the behavior you ve described must be really tough to deal with, and disconcerting! Although understandably it must be hard for you to not get angry with your son, it...

Pediatrics: 6 month old baby refuses to take amoxicillin, 6 month old baby, cheek pouch
6 month old baby, cheek pouch, month old baby: Dear Susan: Sometimes you have to overpower a baby to take medicine that is so important to get in to them. Use a plastic dropper or an oral medication syringe and squirt small amounts of the medicine into the inner cheek pouch and withdraw the syringe...

Pediatrics: 7 week old with congestion sound, noisy breathing, running nose
noisy breathing, running nose, sneeze: surely it will help even though such congestion is very common and normal at this age. this causes noisy breaThing without any drainage from nose. read http://drpeds.blogspot.com/2005/06/common-cold-treating-running-nose.html http://drpeds.blogspot.com/search/label/bad%20cough%20throat%20pain%20allergy%20cold...

Pediatrics: 7 yr old w/body odor and abnormal labs, enlarged testicles, auto immune disorders
enlarged testicles, auto immune disorders, hand tremor: Hi, Justice, With his unusual height, for a kid whose parents are short, and the mature body odor, it might be reasonable to evaluate some androgen hormone levels to be sure these are OK. Your pediatrician can order these, perhaps with a phone consult...

Pediatrics: 8 month baby suddenly stopped eating, spoon feed, baby finger
spoon feed, baby finger, physical reason: Deat Girish and Neeta: If a baby of 8 months has shown disinterest in feeding for this long my opinion is to have him evaluated medically to insure there is no physical reason for the baby not to want to spoon feed. Sometimes babies do this when teething...

Pediatrics: 8 month old refusing solids, solid food, gaining weight
solid food, gaining weight, baby food: Hi, Kathy, Eating when she is ready may be true, but I would worry about the development of a feeding aversion, a pathologic dislike for solid food and the act of eating it. It might be good for you to see a physical therapist who is skilled in this type...

Pediatrics: 8 year old boy with several issues; how are they related?, chronic ear infections, bicuspid aortic valve
chronic ear infections, bicuspid aortic valve, daily headaches: Hi, HEIDI, I really don t know. The frequent urination and need to eat suggest the possibility of diabetes and he should have a urine sugar tested. The allergies, chronic ear infections and eczema go together. The bicuspid valve is unrelated. Have...

Pediatrics: 9 1/2 month old w/ persistent cough, diarrhea, and ear tube drainage, loose motions, pe tubes
loose motions, pe tubes, persistent cough: it may or maynot contain mucus. usually fever in diarrheas doesnt last more than 3 days, which is not so in throat infections. if a case of diarrhea has fever more than 3 days, child will look sick and toxic due to gut discomfort and reduced intake. ...

Pediatrics: my 9 week old is seems to be in pain, warm baths, bowel habits
warm baths, bowel habits, bowel movement: Dear Julie, Evening colic and gas problems cannot be solved easily by all the measures that you have taken. You will have to wait till he/she outgrows the problem. Your constipation may not have anything to do with his bowel habits. I don t think you should...

Pediatrics: Abdominal Pain and Feedings, oatmeal cereal, infant cereal
oatmeal cereal, infant cereal, rice cereal: Dear Janelle: Your baby is certainly mature enough to start infant cereal. We recommend offering one to two tbsp once a day so one tbsp is certainly not too much. I would try a few more days on the cereal to give her a chance to adjust to it and if...

Pediatrics: Acid Reflux?, safe medicine, ear infections
safe medicine, ear infections, gaining weight: Hi, Brittney, Acid reflux can be a significant problem, causing weight gain problems, fussiness and yes, even congestion, coughing and ear infections. Go to infantrefluxdisease.com for further information. I happen to be the medical director of that...

Pediatrics: Add or Adhd, learning disability, history exam
learning disability, history exam, work books: Hi, Tilwonna, He may have a learning disability or attention/overactivity problems or a combination of both. The first step is to have the school evaluate him and with the results of this evaluation (they are federally mandated to do this completely and...

Pediatrics: Allergy, month old baby, steroid cream
month old baby, steroid cream, ointments: Dear Neha, I don t know about Kojic Acid , but both Dipsalic and Momate contain steroids ... I think it might be a good idea to use one of the two, instead of both, and personally, I favour Momate. Otherwise, you may have to reduce the frequency of application...

Pediatrics: Aspiration, pulminologist, assessment clinic
pulminologist, assessment clinic, developmental assessment: Hi, Carrie, I wish I was as smart as the pulmonologist, the GI doctor and the geneticist, but I m not. Clearly this is a complex problem and all the specialities are trying to find the answer. I suspect this is a more global problem than just the swallowing...

Pediatrics: Baby 1yr 1month, prune juice, left leg
prune juice, left leg, out of the blue: Hi, Marilyn, If she has hard stools that hurt, then they need to be softened. Use some prune juice consistently for a month or two to help this. If this isn t effective, then see your doctor about some more helpful approaches. Good luck, Dr. Olso...

Pediatrics: Baby Talk, goo goo, human mouth
goo goo, human mouth, syllables: Hi, Jordana, I m not sure, but I think it has to do with the ease of saying the syllables you are mentioning. This probably has to do with the characteristics of the human mouth more than anything else. If you find a better explanation, tell me. ...

Pediatrics: Blisters on my daughter, water blisters, foot mouth disease
water blisters, foot mouth disease, foot and mouth disease: well clinical diagnosis is always superior in most cases when things cant be proven. whatever it might have been it were some kind of viral infection that settled. the information on internet need not be what a doctor learns in medical school. so trust...

Pediatrics: BM Toddler, food allergies, history of asthma
food allergies, history of asthma, bowel movements: Hi, Laura, This is normal for some kids and goes away, sort of, once they are trained and the large amount of stool is less a problem. If he is growing well and doing fine, I would consider it more a cleanup problem than a medical one. Good luck, Dr....

Pediatrics: baby bumps on ear and backof head, middle ear infections, baby bumps
middle ear infections, baby bumps, gold stud: Hi, kay, The type of ear infections that we talk about are middle ear infections that usually come with a cold and usually have no outward signs on the skin. The bumps may or not be caused by the piercing or the med you were using on the skin. If they...

Pediatrics: baby not eating well, calcium supplement, milk consumption
calcium supplement, milk consumption, fruit juices: i also wanted to know if there is any iron and calcium supplement for babies which i can give in addition to her food. === discuss with your dotor regarding syp like calcimax, macalvit, calcifit etc for calcium. and orofer,ferrium,vitcofol,ferrochelate etc...

Pediatrics: baby nutrition, insoluble fibre, fruit juices
insoluble fibre, fruit juices, cerelac: Dear Nidhi, Both Cerelac and fruit juices are NO NO. Give her rice, dal, pulses, legumes, sprouts of moong or chowli, bananas, apples, figs, grinded- cooked spinach, tomatoes (either puree or soup), other veggies, carrots(grated) and potatoes too. All...

Pediatrics: baby talk, goo goo, mmma
goo goo, mmma, oral motor: Dear Jordana I believe baby talk evolves the same around the world due to the development of oral motor skills in a young child. The first sounds that come from a baby in the way of baby talk are usually da-da or mmma-mmma. The are the first sounds a...

Pediatrics: biting 17 month old, angry parents, umich edu
angry parents, umich edu, play area: Hi, Tammy, Biting is one of the most socially unacceptable behaviors we see. Why do they do it? Probably all the reasons you state. Here is a handout I use for this and it is quite effective. http://www.med.umich.edu/1libr/pa/pa_biting_hhg.htm ...

Pediatrics: how to make bottle to sippy cup transition smooth ?, hello doctor, sippy cups
hello doctor, sippy cups, whole milk: Hi,Vandana, Why not just use a regular plastic cup with a handle on it? Kids this age should be able to handle this well and not have problems. I would start a cup and if she needs a bit extra, no problem with the bottle as long as she doesn t fall asleep...

Pediatrics: Child diet, gastrointestinal virus, child diet
gastrointestinal virus, child diet, apple juice: Dear Sorin: Your daughter probably has a gastrointestinal virus producing vomiting and possibly diarrhea. Nausea or feeling sick goes along with that. If she is taking milk that could cause or produce a whitish yellow stool. I would encourage you to...

Pediatrics: Constipation in 3 yr old, natural laxative, diarrhea in children
natural laxative, diarrhea in children, kiwi fruit: Dear Margaret: Bananas are not considered binding but we do use them with diarrhea in children not so much to bind them up but to try and give the stool some consistency. Years ago, I was advised by a doctor to treat my constipated daughter with a fresh,...

Pediatrics: child passing blood and mucus, passing blood, visible blood
passing blood, visible blood, anal fissure: Dear Kirk: Passage of blood and mucous from the rectum is definitely not normal but the doctor is right, he may have an anal fissure. Assuming that is the case, he needs to be examined rectally to prove or disprove that. If nothing is found then further...

Pediatrics: cold, lasma, allergic rhinitis
lasma, allergic rhinitis, blood test: well there is nothing to get afraid of inhalor. it doesnt harm nor does it cause addiction. just learn the right technique with your doctor. discuss with your doc in details regarding issues like asthma and allergic rhinitis. children may otherwise look...

Pediatrics: constipation in 14 month old baby, month old baby, milk breast
month old baby, milk breast, soft diet: please read constipation at www.pediatricianonline.in get back to me if further queries. increase water intake. avoid milk and phosphates. get colon evacuated by repeated enemas under medical supervision. keep soft diet for 15 days. avoid junk foods....

Pediatrics: constipation, sweet potatoe, manjari
sweet potatoe, manjari, blood 1: Dear Manjari: There are certain foods that cause constipation and they are: rice, apple, applesauce and carrots. I would stop the carrots and provide instead some sweet potatoe and squash. Also, offer more green veggies and fruits that begin with the...

Pediatrics: continous sleep and no urination, calcium supplements, urinate
calcium supplements, urinate, milestones: well, i dont find a problem. are his milestones and head size normal. i m concerned about milestones in children with above average weight. common cause of above average weight is formula feeding but in addition that makes them hypocalcemic and constipated....

Pediatrics: continous sleep and no urination, sleeping through the night, anie
sleeping through the night, anie, urinate: Hi, anie, Why do you feed him every four hours at night if he is sleeping through the night? I have no concern about him not urinating in the night, but wonder why you are feeding him when he should be sleeping, if I understand you correctly. Good...

Pediatrics: cough and cold, celestamine ns, dry cough
celestamine ns, dry cough, allergic cough: since the symptoms were seasonal and without fever all symptoms aremore like an allergic cough-cold. well, he had not wheezed yet.that will settle mostly with antihistaminics and bronchodilator and at times steroids depending on frequency of symptoms. ...

Pediatrics: Dalia, mumbai india, porridges
mumbai india, porridges, breast milk: extracted breast milk remains fresh for 6 hours if collected in clean container. if kept in refrigerator it can maintain upto 12 hours. if kept in freezer can be maintained upto 24 hours. it should be used as it is and should not be used for making any...

Pediatrics: Daughter - 3 months, chest x ray, breathing treatments
chest x ray, breathing treatments, throat infections: the term wheezing may mean different when used by a doctor and when used by others. so if it were wheezing its likely to be RSV if there was no fever , as asthma is not diagnosed at this age.well both can cause not accepting feeds to various grades. not...

Pediatrics: diarhoea and nasal congestion, month old baby, nasal congestion
month old baby, nasal congestion, congested nose: The motions are not a major problem. You need to eliminate lactose for a few weeks to enable the problem to clear up. About the cold, menthol application will help to a slight extent. However, I would recommend that you apply it to the chest, side of the...

Pediatrics: Easy 5 Vaccine, hib meningitis, vaccination schedules
hib meningitis, vaccination schedules, dpt vaccine: easy five vaccine is a vaccine that contains vaccines that protect against 5 different diseases. diptheria tetanus pertussis hepatitis H influenza meningitis ideal age for this is around age 1.5 months, 2.5 months, 3.5 months that means 3...

Pediatrics: Excessive Hair, hair removal creams, male hormones
hair removal creams, male hormones, hormonal problem: Hi, Neel, A general rule of thumb is that hair that is shaved off will grow in more coarsely. What is wrong with a bit of fine hair? Is your doctor concerned about the hair growth and if it is associated with a hormonal problem? I would tend to explore...

Pediatrics: Feeding issues, acid reflux, nutramigen
acid reflux, nutramigen, couple seconds: Hi, Shari, If she is on the high end of the weight curve, she is getting enough to eat. Why not just stick with the Nutramigen if she is doing well with it? I can t be sure if she doesn t like the formula or if the reflux is still a problem. The prevacid...

Pediatrics: Fever for more than 14 days, volteran, running nose
volteran, running nose, yellow discharge: Hi, Jaya, 99.5 to 100 is not a fever. Temps over 100.4 officially fit the definition of fever. Kids often have a cold and a fever without anything else going on. Ear infections should get better in 48 hours (feeling better and reduced pain) if the...

Pediatrics: Fever for 14 days, volteran, yellow discharge
volteran, yellow discharge, running nose: I like your detailed question style. i wish all my clients tell me in the same chronology and time frame. I make her drink lots of water, juice etc.She also passes urine about 3-4 times in day. Is it ok? ======= OK She is not taking as much as solid...

Pediatrics: Foot cramps, foot cramps, croc shoes
foot cramps, croc shoes, crocs shoes: Dear Jan: I am sure that your daughter has this pain too from your description. I think it would be best to have her see her doctor Monday if possible. It could be caused by the Croc shoes. She really needs a medical evaluation for this. Mary...

Pediatrics: Foul Vaginal Smell, recto vaginal fistula, foul vaginal odor
recto vaginal fistula, foul vaginal odor, thrush mouth: Hi, Rene, Could she have put anything in the vagina? This is the most common cause of foul vaginal odor in this age group, although with the long duration of symptoms this is less likely. Thrush is unlikely. I would suggest having someone inspect...

Pediatrics: 4 year old wetting pants every day, star charts, 4 year olds
Pediatrics: 4 year old wetting pants every day, star charts, 4 year olds, bladder

Pediatrics: My 5 Year old daughter who has had a off and on yeast infection for over 3 years, baking soda, warm water
Pediatrics: My 5 Year old daughter who has had a off and on yeast infection for over 3 years, baking soda, warm water, mixture

Pediatrics: 6 month old baby refuses to take amoxicillin, motrin, tylenol
Pediatrics: 6 month old baby refuses to take amoxicillin, motrin, tylenol

Pediatrics: Constipation in 3 yr old, natural laxative, breakfast time
Pediatrics: Constipation in 3 yr old, natural laxative, breakfast time, blueberries

Pediatrics: Easy 5 Vaccine
Pediatrics: Easy 5 Vaccine

Pediatrics: Feeding issues, ear infections, ears
Pediatrics: Feeding issues, ear infections, ears, tubes

Pediatrics: infant sinus problem, low oxygen saturation, rsv
Pediatrics: infant sinus problem, low oxygen saturation, rsv, fever

Pediatrics: MRSA, incubation periods, bacterias
Pediatrics: MRSA, incubation periods, bacterias, cysts

Pediatrics: Projectile vomiting with solid foods, rice cereal, projectile
Pediatrics: Projectile vomiting with solid foods, rice cereal, projectile, extensive research

Pediatrics: polyvisol with iron, iron poisoning, safety control
Pediatrics: polyvisol with iron, iron poisoning, safety control, guess

Pediatrics: few questions about milk ?, hello doctor, whole milk
hello doctor, whole milk, sippy cups: start training with water from the sipper. milk requirement is minimal after 1 year age. so no need to offer milk with sipper. you may safely give soya milk also add other diets rich in cereals. mixing soy milk is no harm but it should be used in 1 hour...

Pediatrics: firm lumps left side armpit area, dime size, pea size
dime size, pea size, nickle: Hi, Amber, I would go back to the doctor and just to be sure, have them run a CBC and platelet count. I have seen kids present with lumps like this, and especially as you are seeing more of them, as intercostal lymph nodes that could be the sign of something...

Pediatrics: Giving water or tea to baby, water drinker, herbal teas
water drinker, herbal teas, baby dear: Hi, Popi, Water is great! Tea is probably, in my mind not appropriate. Caffeine in tea would be unwise and herbal teas (tisanes is the term for these) really contain a lot of alkaloids that we don t really have any idea what they do to infants. Go with...

Pediatrics: Growth concerns, going through puberty, acne problems
going through puberty, acne problems, growth concerns: well 5 -77 is a good height and considering your parents height its pretty normal. many boys do grow till 21 years age and only time will decide their final growth. but on limb x rays if your epiphyses are fused as the report may tell, its unlikely...

Pediatrics: Head Injury, fractured skull, brain damage
fractured skull, brain damage, blood clot: its more likely the blood clot.. and thats why it feels hard now. it takes up to 10-15 days to dissolve completely. if you are otherwise fine and vision, behavior speech and senses are normal and doctor couldnt get any signs, its more likely to be just a formed...

Pediatrics: Holds urin till last minute, vp shunt, chronic constipation
vp shunt, chronic constipation, changing colors: i feel nothing wrong considering his status. dont make him feel depressed. he is trying hard. punishing is not solution. as all his milestones are delayed, even this will be achieved at a later date. when you tell him to go, run a tap in bathroom, that...

Pediatrics: Honey feeding, infant botulism, tres orix
infant botulism, tres orix, red dots: Hello: Honey is not safe to give to any child under the age of 12 months. It is linked to infant botulism. I have no informationonf Tres-Orix as I have never heard of it before your letter to me. I researched on line and found it contains vitamins...

Pediatrics: hand and foot swelling, month old baby, inflammatory disease
month old baby, inflammatory disease, left foot: Hi, jennifer, These symptoms could range from basically nothing to something serious, like an infection or some type of inflammatory disease. Please see your doctor. Without a good history and exam, I can t really be of help to you. Good luck,...

Pediatrics: help., hard wood floors, cause brain damage
hard wood floors, cause brain damage, two feet: Dear Jessica: This allexperts site is not for urgent responses. We are permitted 3 days to respond to concerns. It sounds as though you needed an answer more urgently. There is no way of knowing whether the vomiting was related to the fall and the...

Pediatrics: hepatitis B, immune globulin, hepatitis b
immune globulin, hepatitis b, unborn babies: If you are Hep B antigen positive, a vaccine is not indicated. Your partner can be prevented from catching the virus from you if you get her fully vaccinated at least 15 days before the first union. The baby should receive Hep B immune globulin within 24-72...

Pediatrics: Infant health, nan 1, month old baby
nan 1, month old baby, check ups: vomting after burping.. in small amount.. curdy nature.. is normal and is called possetting. adenoiditis means infection or inflammataion of adenoids .. the lymphoid tissue similar to tonsils that is around tonsils but on the back of throat. this is a...

Pediatrics: infant masturbation, knowing body, santosh
knowing body, santosh, pediatrician: is this considered masturbation? NO. is it normal in this age? normal milestone of knowing body parts. erection is normal. and what should i do? keep him clothed. give toys or divert his attention. feel free if any further query. Dr Kondekar...

Pediatrics: infant sinus problem, saline drops, sinus problem
saline drops, sinus problem, bulb syringe: Hi, tara, Having a doctor check a 6 week old for strep and rsv is silly to me and suggests this doctor isn t thinking too clearly about what is important. These are tests that don t make any sense at his age and as an outpatient. I have never done a strep...

Pediatrics: infant weight loss, later baby, gain weight
later baby, gain weight, weight gain: Dear Natalie: I don t think the baby s doctor knows what is going on. That is why they are watching her closely and why she may need to go into the hospital....to find out what is going on. Sometimes a newborn doesn t gain weight right away and it is...

Pediatrics: itchy ear, ear infection, gums
ear infection, gums, signs of an infection: Dear Kay: Babies are tricky as they cannot verbalize if they are having a problem. Your baby just may do this when she is tired or feeling fussy. Many babies do put their fingers in their ears and act frustrated. It may not mean there is an infection....

Pediatrics: Knee pain in 5 year old, knee pain, orthopedic surgeon
knee pain, orthopedic surgeon, taher: Dear Sikata, This is definitely not growing pains. Please consult an orthopedic surgeon for further guidance. It seems to be the effect of some small, insignificant-looking injury in the past. There could be a ligament sprain or fluid in the knee joint....

Pediatrics: Leg Cramps in my 8 year old., leg cramps, low calcium
leg cramps, low calcium, calcium levels: Hi, Kristen, Has she seen her doctor? This sounds like a significant problem for her. I would certainly recommend a visit for a history, exam and then some thoughts from your pediatrician. These cramps can be due to low levels of body salt like...

Pediatrics: Loose Stools, loose stools, rice cereal
loose stools, rice cereal, apple sauce: Dear Stacy: I would guess that your son s loose stools are most likely related to the cold that he has. When babies swallow mucous with a cold it if often results in loose stools. It could also just be from the virus in the system. I would continue...

Pediatrics: Lost appetite in solid food, adenoid infection, rice cereal
adenoid infection, rice cereal, throat infections: commonly this occurs due to throat infections. they are common otherwise due to viruses but more so in bottle fed children. switching over to calorie rich liquids for a week .. giving frequent easy palatable feeds and checking for any evidence of throat nose...

Pediatrics: Lump in my 13 year old son's left breast, breast cyst, breast cancer
breast cyst, breast cancer, pediatrician: Hi, KristenM, Lumps in the breast, under the nipple, in teenage boys are almost 100% a hormonal phenomena of early puberty. They are almost never cysts. I have never done an ultrasound for this problem. It is normal and common. I m sure that your...

Pediatrics: lose motion to 17 days old, normal urine output, polio
normal urine output, polio, dehydration: 8 motions in too days with normal urine output is usually not worrysome. do look for dehydration signs and management at www.rehydrate.org Children usually can get easily dehydrated. If the motions are foul he may need antibiotics, discuss with your doc. ...

Pediatrics: lump in breast of baby, lump in breast, breast cancers
lump in breast, breast cancers, breast cancer: Hi, Ciara, This is not, no way, no how, cancer. This is the normal breast bud stimulation we see in a lot of kids. It will stay for a while and most of them go away. Your pediatrician is totally correct in not doing anything. This is normal....

Pediatrics: Max, 3 1/2 years old, Vomiting 11 days, diagnostic possibilities, dry cereal
diagnostic possibilities, dry cereal, son max: Hi, Theresa, What did the doctors say was the cause of the vomiting? A virus illness? I would change him back to the usual diet he is generally on and I suspect this was the advice after he was discharged. If the vomiting continues, then he needs to...

Pediatrics: Medication and breastfeeding, potent antibiotic, pain medication
potent antibiotic, pain medication, clindomyacin: Dear Melissa: You should really check with the baby s pediatrician when you can resume breast feeding. It is critical that you complete your course of antibiotics and as the infection begins to resolve your need for pain medication will resolve. The Clindamycin...

Pediatrics: MRSA, mrsa infection, incubation period
mrsa infection, incubation period, dear kate: Dear Kate: MRSA is contagious person to person thru direct contact. If your son s cut on his finger becomes more red and puffy each day rather than showing signs of healing then I would have him see his doctor. The incubation period varies from 4 to...

Pediatrics: medecine, chest congestion, normal saline
chest congestion, normal saline, noisy breathing: difficulty in breathing in newborns should always be examined by doctor as it may be life threatening. noisy breathing is very common at this age without cold from nose. just keep him on shoulders, visit a doctor and ask for complete examination and sometimes...

Pediatrics: melatonin safety, stimulant medications, melatonin
stimulant medications, melatonin, spite: Hi, jennifer, Melatonin works for anyone who has trouble sleeping. It if often used in kids with ADD to counteract the effects on sleep of the stimulant medications. I consider it safe, effective and use it frequently in this situation. Good luck,...

Pediatrics: mild motor devleopment, severe constipation, sleep at night
severe constipation, sleep at night, tonsillitis: Dear Ashi, I don t think she is developmentally slow ... and even if she is, I don t think this will impact her final development in any way. For constipation and other specific complaints, you will have to see a pediatrician. Alternatively, please visit...

Pediatrics: I need an interview, homework type, eleventh grader
homework type, eleventh grader, pediatrician: Hi, Roberta, I suggest that you call a local pediatrician, or your doctor, if he/she is a pediatrician. I really have too much to do and too many questions to answer from parents who are worried about their kids to do interview/homework type of things....

Pediatrics: nursemaids elbow, urgent care center, doctor on call
urgent care center, doctor on call, urgentcare: Dear Susan: I believe it is safe to wait until Monday but I would not wait past that point. If your son is experiencing a lot of discomfort though I would rather see you go to a hospital E.R. than an urgent care center. You can also call your doctor...

Pediatrics: Pediatric Croup, croupy cough, oral steroids
croupy cough, oral steroids, stridor: Hi, Katy, I always err on the side of treating a child this age with a dose of steroids. It is safe, effective and works to keep them at home and out of the hospital. This is especially true in a case where someone has demonstrated they can get airway...

Pediatrics: Persistent cough in mornings., homemade yoghurt, persistent cough
homemade yoghurt, persistent cough, asthma specialist: short dose of steroids-prednisolone dont cause harm. doses upto 3mg/kg/day of prednisolone for less than 14 days will be safer. her gases may be related to protein rich diet and can be tackled by improving water,increasing cereals and curds/cheese etc ...

Pediatrics: Potty Training, verbal apraxia, umich edu
verbal apraxia, umich edu, potty traing: Hi, Nancy, She is controlling the family with her actions. She knows what to do and the verbal apraxia isn t important here. This is a power struggle that she will continue to win unless you get sneaky. Here s how: http://www.med.umich.edu/1libr/pa/pa_btrainin_hhg.htm...

Pediatrics: Projectile vomiting with solid foods, watery stools, rice cereal
watery stools, rice cereal, cold sweats: Hi, I think pyloric stenosis at this age would be unusual but an ultrasound is quick and easy and might be done. These seem to be symptoms compatible with GERD. I would get the ultrasound, rule out PS, then consider using a medicine to help reduce...

Pediatrics: Protein shakes for kids?, protein milk, protein intake
protein milk, protein intake, whey protein: Dear C, There is no harm in giving non-prescription protein milk shakes at all. However, there is no guarantee that they will increase his weight, although they may help him to put on some muscle power. - Dr. Taher (However, everything must be done...

Pediatrics: pediatric speech, child language evaluation, when to evaluate your toddler's language skills
child language evaluation, when to evaluate your toddler's language skills, toddler language delay: Hi. Your note expresses well the dilemma of many parents of children who are late to talk, and that is in deciding at what age to feel concerned about a child who is late to talk. At 18 months, you decided to take a wait and see approach -- which is entirely...

Pediatrics: polyvisol with iron, polyvisol with iron, liquid vitamins
polyvisol with iron, liquid vitamins, multi vitamin: Hi, yavuz, I have not a clue why this is forbidden. Just ask your doctor for a liquid multi-vitamin with iron and see what they say. This is safe. I don t believe those who say that the preservatives in liquid vitamins are harmful. Good luck, Dr....

Pediatrics: potty problems, mylicon drops, similac advance
mylicon drops, similac advance, potty problems: this is bottlefeeding related constipation. needs to be tackled over a good time with intermittent water sips colon evacuation and caclium supplementation and feeding changes, under medical supervision. read http://drpeds.blogspot.com/search/label/constipation...

Pediatrics: potty training problem, stranger anxiety, psychological problem
stranger anxiety, psychological problem, baby sister: its just like stranger anxiety. its very likely that the environment of toilet at school and home is in contrast. nothing abnormal in holding urine for 6 hours. make her pass before she goes to school, and once she comes back home. gradually help her...

Pediatrics: puberty, armpit hair, pubic hairs
armpit hair, pubic hairs, short stature: well your picture of face may make it clear to me. also there are stages of pubic hairs, if they are in final stage of development, and genitals are normal, all is normal. but if you are short stature less than 140 cm.. one may need to evaluated for other...

Pediatrics: puberty, armpit hair, late bloomers
armpit hair, late bloomers, hormone tests: Hi, Mike, There are a lot of normal late bloomers and there are some that have this as a sign of a medical problem. Puberty is usually over by your age. I would suggest a trip to your pediatrician for them to talk, examine you and perhaps do some hormone...

Pediatrics: Rash that won't go away on 7 year old boy, strep bacteria, groin area
strep bacteria, groin area, chigger bites: Hi, Jennefer, It would appear, based on the resolution of them with antibiotics, that it may be caused by the staph or strep bacteria. If this is the case, then he is getting recurrently infected. Does anyone else have this in the family? Has anyone,...

Pediatrics: Rashes related to new asthma medicine?, asthma medicine, pulmicort respules
asthma medicine, pulmicort respules, xopenex: I am really sorry but this is a question that just cannot be answered without looking at the patient. However, my gut feeling tells me that this is probably due to one of the drugs, or is a viral infection. I have been delayed in answering this on account...

Pediatrics: Red bumps around my anus, correct diagnosis, red bumps
correct diagnosis, red bumps, joining the military: i dont think this should cause any trouble for military once its cured. commonly these can be pyodermas or pustules that drain and heal. but occasionally warts do resemble your description. your more info or picture may help me give more correct diagnosis....

Pediatrics: Reg: My son habit, 20minutes, whim
20minutes, whim, habit: Dear Prapulla: This is a simple problem to break. You are in charge in the family not your toddler. Just don t take him out every time he wants to go out. Let him cry and carry on if he doesn t get his way but don t give in to his every whim. He is...

Pediatrics: rash on 6 year olds chest, viral rash, vesicular rash
viral rash, vesicular rash, rash on: what you are trying to describe seems to be like a vesicular rash with umbilication. if its only on one side of chest its more like herpes rash. otherwise it can be any viral rash or pyodermas. can you email me the pic at this site or my site http://askyourdoc.blogspot.com...

Pediatrics: rectal temperatures in the Newborn, rectal thermometer, rectal temperatures
rectal thermometer, rectal temperatures, core temp: Dear Armilla: Pediatricians recommend that checking an infants temperature under the age of 6 months with any other type thermometer other than rectal is not accurate. In our practice rectal temperatures are taken in this age group. I have no information...

Pediatrics: regd::1 year baby stool test:occult blood test, baby stool, microscopic blood
baby stool, microscopic blood, stool examination: well it doesnt seem to be diet related. it just means that there is something that has caused some microscopic blood loss and it wasnt seen as red stools. it is commonly due to infections like dysentery and infestations like worms. rarely unusual causes...

Pediatrics: routine and weaning, dear kate, baby dear
dear kate, baby dear, breast milk: Dear Kate: If the baby is now receiving all foods: veggies, fruits, meat, cereal, yogurt, pasta, rice and potato and is breast fed four times a day she is being overfed by feeding her thru the night, at any hour. I am afraid you need to stop those middle...

Pediatrics: Separation Anxiety in 16 month old, separation anxiety, dear mary
separation anxiety, dear mary, nursery school: Dear Lia: Your son won t remember where he was three minutes ago let along once or twice a week going to a nursery school so yes, each time he is dropped off it upsets him to separate from you. True, all children will settle down after you leave within...

Pediatrics: Sleep patterns, nap time, sleep patterns
nap time, sleep patterns, night terrors: Dear Jewel, Your time-frame means that your husband probably kept you awake for 7 months BEFORE the child was born! :-) I think his pediatrician is correct. There is no obvious way to stop the child from getting nightmares, though I do feel he has an...

Pediatrics: Sleeping with my arms extended out, pediatric question, medical problem
pediatric question, medical problem, angie: Hi, Angie, This doesn t sound like a pediatric question but here are my thoughts. If you remain asleep and everything is OK, I wouldn t worry. If you are sleeping, tell your husband to just leave your arms as they are. I can t thing of how this is a...

Pediatrics: Sleepless nights, umich edu, term approach
umich edu, term approach, resistence: Hi, Sarah, This is classic bed time resistence, although the resistance begins when he wakes up. Drug him before bed as a solution embarrasses me. This is a behavioral problem. Here is a link to a handout I use to help in this situation. http://www.med.umich.edu/1libr/pa/pa_bbedtime_hhg.htm...

Pediatrics: Supplements, month old baby, iron supplements
month old baby, iron supplements, recurrent infection: supplements become must for growing kids as it is very likely that our diet will be incomplete. it is welll known that most indians are deficient in iron calcium and zinc despite normal diet. persistant runny nose is a sign of adenoiditis. recurrent...

Pediatrics: Swalling issue, pediatric hospital, regional hospital
pediatric hospital, regional hospital, physical therapist: Hi, Sarah, She needs to see a physical therapist who is adept at diagnosing and treating toddler eating disorders. This can become an escalating problem unless it is handled well. If you have questions as to where to find such a person, consult your...

Pediatrics: Sweating baby, congenital heart disease, signs of heart disease
congenital heart disease, signs of heart disease, heart murmur: Hi, Bobo, Although this may be normal, I would be sure that there is not sign of congenital heart disease. Make sure the pediatrician is certain that no heart murmur or signs of heart disease exist. Gaining no more than one pound from 4 months to...

Pediatrics: my sick 9month old, first time parents, abnormal chest
first time parents, abnormal chest, adenoids: well, i feel the symptoms must be intermittent. do you also mean cold by the word cough? many people do. association of fever with cold and cough makes it a viral infection. only cough without cold may be asthma. only cough with cold may be allergy or adenoids...

Pediatrics: small head, cisterna magna, lateral ventricles
cisterna magna, lateral ventricles, line shift: he may have had IUGR or small head due to some reason that made them do sono of head. prominence of horns only means that a repeat sono is advisable after 1 month to see if the horns are getting wider. i am only worried about her milestones, vision and...

Pediatrics: solid food for 6 monthes baby, types of vegetables, milk allergy
types of vegetables, milk allergy, solid food: Dear Reem: Broccoli, although good for a child to consume, may be a bit too strong for a young infant. Veggies to offer would be carrott, sweet potatoe, peas, green beans, spinach, beets, and squash for now. I would start with the yellow and orange...

Pediatrics: My son's discomfort, low grade fevers, headaches and dizziness
low grade fevers, headaches and dizziness, gastric virus: Hi Cheryl, This is definitely the beginning of the rotaviral season. It typically lasts approximately 3-10 days. His symptoms are characteristics of dehydration from depleting volume in his body due to vomiting and diarrhea. Thus, dizziness and headaches...

Pediatrics: strep throat, tonsils and adenoids, strict criteria
tonsils and adenoids, strict criteria, tonsillectomy: Hi, Sarah, Your doctor has unusually strict criteria for tonsillectomy. The more general rule is if one has three episodes in 6 months or 5 in one year, that may be reason to do this (this is also not a hard and fast rule). If these were documented strep...

Pediatrics: TONSILLS, throat infections, tonsils
throat infections, tonsils, sleep apnea: Dear Lilian: I really cannot be the one to recommend you have your child s tonsils removed. I cannot make the decision or make the suggestion to you. I would recommend you listen to your sons doctors as they have examined him, not I. Enlarged tonsils...

Pediatrics: Toddler holding in poop, wholewheat bread, flax oil
wholewheat bread, flax oil, miralax: Hi, Kate, Miralax is safe and very effective. I would use about a cap in 6 oz of a favorite beverage for the first two days and then drop back to 1/2 cap each day for a week or so. She will then have looser stools, they will not hurt and she will again...

Pediatrics: Toddler question, sugar lactose, chesse
sugar lactose, chesse, milk sugar: Hi, Liz, It is possible, over time, to develop an allergy to something you weren t previously allergic to. This would seem to be more of a lactose intolerance, that also can develop over time. She just might be getting too much milk for her intestinal...

Pediatrics: taking care of babies in mexico, child care questions, well baby care
child care questions, well baby care, taking care of babies: Hi, patricia, Good baby care is roughly the same anywhere. Certainly there may be regional/national/cultural differences. I would discuss this with a Hispanic pediatrician, someone who has spend time in Mexico and then has practiced here. Consult the...

Pediatrics: toddler knee pain, toxic synovitis, pediatric rheumatologist
toxic synovitis, pediatric rheumatologist, exact diagnosis: Dear Jill, Rheumatic problems are many in children, and it is impossible to reach an exact diagnosis in over 60% of such cases *without* a specialist consultation and investigations. I suggest your seeking out a pediatric rheumatologist before worrying...

Pediatrics: tourette's/ adhd, minor muscle, western suburbs
minor muscle, western suburbs, khar: if you can stop voluntarily on your will, you can and you should do it again and again and then it neednot be a problem. a psychiatrist may help you in counselling about this. for better understanding you may email a small mobile / video clip of such movements...

Pediatrics: Unusually High CPk & Liver Enzymes, high liver enzymes, muscular problem
high liver enzymes, muscular problem, clinical history: Hi, Susan, It is impossible to give you any decent information unless I know the clinical history. Is she sick? How old is she? what prompted the LF testing? When the total CPK level is very high, it usually means there has been injury or stress to...

Pediatrics: unequal pupils, unequal pupils, nurse hotline
unequal pupils, nurse hotline, laundry list: Hi, Candy, This picture looks like the left pupil is deviating inward. If this is truly a very big difference from before, your doctor should take a look and if needed, refer to a pediatric oriented specialist. What could it possibly be? Lots of things,...

Pediatrics: Vaccination, prevenar, prevnar
prevenar, prevnar, taher: Pneumococcal (P) disease is even more common than HIB, so go ahead and take the P vaccine. Check out prevenar.co.uk for detailed apprisal. The vaccine is new, but recommended for infants ALONG WITH THE PENTAXIM DOSES AT 1 1/2 to 3 1/2 months of age. It is...

Pediatrics: VUR, bladder infection, vcug
bladder infection, vcug, urine culture: Hello: Most children, once the VUR has been declared resolved or outgrown , do not experience a reoccurrence. It may be worth checking her urine out with a urinalysis or urine culture to make sure there is no bladder infection going on. I have not known...

Pediatrics: vaccination, common causes of pneumonia, causes of pneumonia
common causes of pneumonia, causes of pneumonia, pneumococcal disease: Whether pneumococal bacteria is present in India, =============YES but need not be with the same strains against which the vaccine may give protection and whether Prevnar is a compulsaey vaccine to be given at this age. =================No- as per standard...

Pediatrics: vommiting in the morning, stomach pain, car sickness
stomach pain, car sickness, rib cage: so its more like motion sickness. read more about it below. http://www.medicinenet.com/motion_sickness/article.htm try driving in slow speed to make him comfortable. keep windows closed. its all due to vibration sense felt in year. stomach pain etc...

Pediatrics: Wheezing, coughing up yellow mucus, lung problem
coughing up yellow mucus, lung problem, breathing difficulty: Hi, Tammy, Tonsillitis shouldn t cause this much breathing difficulty, unless the tonsils are so large that they are blocking the airway. Did they do a strep test? Did they just give antibiotics? Very fast breathing in this setting deserves another...

Pediatrics: Not wanting to go to sleep, bad habit, bill of health
bad habit, bill of health, premature baby: Hi, Kelly, I doubt there is anything else going on, but to be sure, there could be some value to seeing your doctor and getting a clean bill of health after this cold. I suspect this will be solved by making sure he is falling asleep on his own and...

Pediatrics: withholding stool-extreme, e mail address, vcug test
e mail address, vcug test, antibiotic prophylaxis: Hi, Wendy, I have no way of accessing email addresses and really have no way of knowing what address you are sending from. Allexperts just sends me the questions and keeps your email to yourself, a good way to work things. The antibiotic prophylaxis...

Pediatrics: my one year old will not sleep in his crib, nighty night, bedtime ritual
nighty night, bedtime ritual, ritual bath: Dear Sarah: I find this pretty normal behavior for most children once they reach a certain age. You now have to be firm with him and put him into his crib at night after completion of a bedtime ritual, bath, bottle, read a story and nighty-night. Please...

Pediatrics: 10 month baby potty frequyency, cow milk, milk intake
cow milk, milk intake, baby potty: then all is just a gastrocolic reflux.. that means normal. this phase will go. observe his weight gain and milestones. introduce semisolids and thicker semisolids. reduce milk intake. introduce diet items similar to adult diet but a litle mashed for mat, avoid...

Pediatrics: 10wk old with a cold..., calpol, cold symptoms
calpol, cold symptoms, timescale: The recommendations about the management of fever have changed recently. The advice is not to be so keen to reduce the temperature as it may have a role in fighting infection. This has to be balanced against the wish to feel better. I cannot comment on...

Pediatrics: My 11 month old son has not had a bowl movment in three days, prune juice, apple juice
prune juice, apple juice, bowel movements: Hi, Brooke, Bowel movements often change with the addition of solid foods of different types. I would consistently use between 2-4 oz of standard adult prune juice each day for several weeks to get the bowels back into shape. Good luck, Dr. Olso...

Pediatrics: 11month old baby with cough, cool mist humidifier, nagging cough
cool mist humidifier, nagging cough, breathing passages: Dear Vanessa: Often when a child is wheezing and troubled by a nagging cough, they are prescribed medication to be inhaled via a nebulizer. This helps to minimize the wheezing and open up the breathing passages. I am sure they are thinking this is a viral...

Pediatrics: 12 year old night terror, umich edu, night terror
umich edu, night terror, night terrors: Hi, Colin, Night terrors are common in kids. My son had them for a few years. She has other issues besides night terrors. Kids with night terrors this age should not have the sleep initiation issues she has. She should not need you to be sitting...

Pediatrics: My 13 month old does not sleep through the night, ferber method, sleep problems
ferber method, sleep problems, sleeping through the night: Hi, Michelle, The key to most sleep problems is the concept I call the last waking memory . She remembers you when she falls asleep. She therefore needs you when she wakes up, for all the many reasons kids wake up, hopefully briefly, at night. Put...

Pediatrics: My 16 month old toddler, open heart surgery, s hospital
open heart surgery, s hospital, entire team: Dear Krista: I think a visit to the pediatrician is justified in your son s case. Transitioning a toddler to solids is difficult if they have not been offered from 6 to 9 months. He first should be checked out by the doctor to insure there is not a physical...

Pediatrics: 2 Yr old throwing up randomly, dry heaves, appitite
dry heaves, appitite, viral illness: Hi,tracy, This is probably a viral illness. I m not sure why the zithromax was given in the first place. If the vomiting continues, recheck with the doctor to be sure that he hasn t developed an ear infection. Zithromax is not the greatest medicine...

Pediatrics: 2 year old sleep problem, manipulative behavior, night terrors
manipulative behavior, night terrors, sleepless nights: Hi, Jan, I really don t know where to start. I would suggest that your pediatrician can be of most help, for he/she knows the family and some of the dynamics that are usually at the core of this type of sleep issue. This may be night terrors but...

Pediatrics: 3 month old daughter not drinking milk, silent reflux, fungus infection
silent reflux, fungus infection, taking medicine: if she isnt suffering from colic, the common cause of such condition at this age is not getting milk from bottle with enough speed. usually such problem is tackled by switching over to small spoon or dropper feeding. common cause of refusal to feed (otherwise)...

Pediatrics: 3 month old not eating enough, suck and swallow, acid reflux
suck and swallow, acid reflux, aversion: Hi, Dawn, Liking the formula was a poor term by me. A formula intolerance is probably the better term. Kids usually are fussy, gassey, and have stool changes with this. 40 oz per day is a high amount and is not average. A feeding aversion is a...

Pediatrics: 3 year old girl has strong underarm odor, blood test tsh, underarm odor
blood test tsh, underarm odor, metabolic diseases: Hi, Michele, I suspect that she doesn t have thyroid issues, but a quick check by your doctor and a blood test (TSH) will give you that answer. If she is healthy, developing appropriately and growing well, most of the time we never find a reason for these...

Pediatrics: 3 year old having wierd symptoms, neurologist, medical term
neurologist, medical term, ear infection: Hi, Katrina, What your doctor could do is call the neurologist and run things by him. I don t want tests to be repeated, but it seems that if things need to be done, this could be coordinated with the neurologist. I can t comment too much about the knock-kneed...

Pediatrics: 3 year old having wierd symptoms, ear nose and throat specialist, ear nose and throat
ear nose and throat specialist, ear nose and throat, pediatric ear: Dear Katrina: I am not a doctor so I cannot diagnose your son but it is my opinion that he should be seen by a specialist prior to December. I would have your son see a pediatric ear, nose and throat specialist as soon as possible. These are not typical...

Pediatrics: 3 yr old with fever for more than 4 days, running a fever, blood count
running a fever, blood count, strep throat: as the fever is lasted for upto 4 days, i feel child needs to be reexamined by the pediatrician for focus of fever and chance of bacterial infection, accordingly your doctor may start a course of antibiotic. donot compromise on feeding. read treatment of...

Pediatrics: 3 yr old wakes up sweating & has to sleep with me, moderate temperature, flat on my back
moderate temperature, flat on my back, weird things: Hi, Kelly, Nothing is wrong with her medically. She sweats because she is sleeping next to a warm body. Her diet has nothing to do with this. Discuss with your doctor or a pediatrician skilled at behavior issues (most of us are) and get her sleeping...

Pediatrics: 4 Months Old Refuses Milk, losing weight, out of the blue
losing weight, out of the blue, 4 months: Dear Raja: I would only be guessing but it sounds as if your baby may not be feeling well and that would explain the decrease in appetite. She may be losing weight. It is important to find out if she is losing weight. I would suggest you have her examined...

Pediatrics: 4month infant with elevated WBC count, wbc count, spinal taps
wbc count, spinal taps, bacterial meningitis: its defintely too high unless the needle poked a blood vessel or in a case of malignancy, i never saw such high counts in infection. This case needs careful evaluation and may be prolonged antibiotic therapy sometimes for 4 weeks. the WBC count in blood...

Pediatrics: 5.5 month old-very congested, constant cough, having trouble breathing
constant cough, having trouble breathing, upper airway: Hi, April, Usually, in kids this age, the sounds you hear are from the upper airway, not the chest. If she is having trouble breathing, she should see a doctor. Medicines won t help in this situation, unless she has something like a pneumonia or an asthma-like...

Pediatrics: 5 month old weight loss, five month old babies, dear jennifer
five month old babies, dear jennifer, mucousy stools: Dear Jennifer: Five month old babies should not be losing weight. They will lose weight if they are ill and have vomiting and diarrhesor are not feeding well. I would not consider 3 green mucousy stools in a week to be diarrhea nor be too concerning....

Pediatrics: 5 year old bowel issues, loose stools, toilet time
loose stools, toilet time, emotional turmoil: Hi, Elizabeth, He has probably developed encopresis, a constipation type of problem that is associated with soiling. I suspect that he is basically constipated, perhaps due to the emotional turmoil he was and may be still under, and has lost the ability...

Pediatrics: 6 months old and sick since birth, upper airway problems, dry cough
upper airway problems, dry cough, graduate degrees: Hi, Michelle, A cold will not last 6 months. If he is growing well and is developing normally, less concern would be appropriate. I would wonder about upper airway problems such as laryngotracheomalacia (usually self-limited) or allergy, possibly to...

Pediatrics: 6 week old sleeps constantly, wakefulness, health issue
wakefulness, health issue, pediatrician: Hi, Jennifer, I tell parents that some kids in the first month or two will sleep about 18-20 hours a day and only wake up for feeds. I would think that in the next month you will see more wake periods and less sleep. If he is developing well and is in...

Pediatrics: My 7 year old daughter, child psychiatrist, high lead
child psychiatrist, high lead, speech problems: Dear Amanda: Your child needs immediate referral to a child psychiatrist or psychologist and if she has to remain in a facility for a better evaluation then so be it. This is a case where you alone cannot help her. She needs urgent professional help....

Pediatrics: 7 year old step daughter, childhood eating, eating difficulties in children
childhood eating, eating difficulties in children, developmental eating and speech problems: Hello Karri, I m glad that you have asked these questions about your step-daughter. I m not sure what your step daughter s problem with her voice is as I ve never heard of a floppy voice box, but whatever her problem may be, her difficulty with voice...

Pediatrics: 8 month old has low fever, low grade fever, sinus infection
low grade fever, sinus infection, ear infection: Hi, Nechia, Hard to say what is going on. If the antibiotics didn t work totally, she might have a recurrence of the ear infection, something difficult for you to see. I would suggest a visit to the doctor to check the ears and at least make sure they...

Pediatrics: ADHD? 10 YEAR OLD NEWPHEW, karate team, minute evaluation
karate team, minute evaluation, newphew: Hi, JO, He needs to be seen by a good pediatrician who is skilled at evaluating and testing kids like this. He probably has ADHD. Suggest to the his parents that further evaluation is definitely needed. If they don t buy this notion, you, as the...

Pediatrics: ADHD, academic acheivement, true attention
academic acheivement, true attention, gifted class: he may be just more of hyperactivity than true attention deficit. its alwasy preferable to take him to apasychologist and asses him by soem scale of questionaire by which he can be classified on soem side of ADND spectrum. how is his speech? those who...

Pediatrics: ADHD/ADD concerns, amberson, productive life
amberson, productive life, adderall: Brittany, It sounds like it is possible that you may have ADD or ADHD. If you took Adderall, and found it helpful, odds are that you probably do have either ADD or ADHD. Persons who do not have the disorder will tend to feel hyper on the medication. I would...

Pediatrics: Adenoid & Growth, poor weight gain, grade fever
poor weight gain, grade fever, dietary modification: well, weight is less due to adenoid problem. but definitely not OK, you need to get over adenoids, improve diet and watch for weight gain. get tonsils and or adenoids confirmed by ENT doctor. dont rely on homeopaths for this. homeopathy is a science that...

Pediatrics: Asthma, preventive medication, pls advice
preventive medication, pls advice, asthma attacks: The Pulmicort is a preventive medication. It is NOT used for severe attacks--it is to be used EVERY DAY whether she is sick or not. This should keep the attacks from coming so often. There are three strengths -- if it s not getting better, get her a higher...

Pediatrics: Autistic child, therpist, gurgles
therpist, gurgles, autistic child: lets call it regurgitation/rumination. i will neeed detailed info on his milestones, his level of autism, like who labelled him as autism? any meds he is on? and how often does he do such things? if not yet seen by a therpist i recommend him to be seen...

Pediatrics: Is air-travel safe for my premature baby?, emergency c section, 35 weeks gestation
emergency c section, 35 weeks gestation, blood transfusion: I don t recommend flying in a crowded airplane with such a young and tiny baby who has had problems. He has very little reserve and will be highly susceptible to contracting infection by being confined in a packed air liner. If you can postpone this trip...

Pediatrics: allergic reaction, close observation, benadryl
close observation, benadryl, breathing problems: Hi, AJ, If he is breathing and swallowing well and is not getting worse, using oral benadryl is appropriate, with close observation for him having any other symptoms. If he gets worse, especially with widespread hives or breathing problems, he needs to...

Pediatrics: aspiration pneumonia and asthma, aspiration pneumonia, recurrent pneumonias
aspiration pneumonia, recurrent pneumonias, asthma symptoms: asporation pneumonia is a temporary problem. recurrent pneumonias may further require some evaluation to look for any immuno deficiency. position therapy and some drugs like metoclopramide and omeprzole may be prescribed by your doctor to treat associated...

Pediatrics: BABY NOT SLEEPING!!!, bedtime rituals, downward spiral
bedtime rituals, downward spiral, sleeping through the night: Hi, Sheena, Sleep is a tenuous thing in kids, easily disrupted by any change. I would consistently make sure her last waking memory is of the crib, not you, despite the success you had with the other approach in the past. This will secure her sleeping...

Pediatrics: Baby maybe ate feces, mouth tongue, medical ethics
mouth tongue, medical ethics, wet cloth: I am afraid he could have inhaled some? ========== unlikely. his can be very dangerous in newborns ========= for choking hazards Would he have coughed it up if he had inhaled any? === he would have attempted. should I take him to the pediatrician?...

Pediatrics: Baby Constipation, barium meal, baby constipation
barium meal, baby constipation, ripe bananas: whats her age? whats her weight? any way till then you can read this detail about constipation. get back to me quick if any further query. http://drpeds.blogspot.com/search/label/constipation constipation is a chronic problem in school children,...

Pediatrics: Belly button infection?, sore belly button, belly button infection
sore belly button, belly button infection, low grade fever: Hi, Jen, The redness at her age is probably not a sign of infection and the low fever is probably due to something else. That being said, if the redness gets worse, if spreading redness develops in a circle around the belly button, this is worrisome enough...

Pediatrics: Blue around lips, peripheral cyanosis, blue fingers
peripheral cyanosis, blue fingers, light shadow: Hi, antony, It is peripheral or acrocyanosis. I don t understand why a referral needs to be made. If she is healthy, has no heart or lung problems (this can be determined by a good exam), then this is normal acrocyanosis, or blueness of the extremities....

Pediatrics: Bulge in toddler's neck, neck swellings, branchial cyst
neck swellings, branchial cyst, laryngocele: it looks like a laryngocele or a branchial cyst. if it is surely receding when on stopping crying.. she may need surgery to get complete rid of it. most of them are harmless unless infected. you may browse through a list of other neck swellings at following...

Pediatrics: Bump on 9 month old's eye, warm compresses, staph bacteria
warm compresses, staph bacteria, hordeolum: Hi, Kathleen, This looks like a sty, or hordeolum, as us medical people say, usually to impress others! This is a superficial infection, usually caused by the staph bacteria, that generally doesn t need any antibiotic treatment and will go away on it...

Pediatrics: Bump on head weeks later, bruise, classmate
bruise, classmate, contraction: Hi, Paula, Quite the bump dancing! Often after a bruise in a real vascular part of the body like the head, a small scar develops from the contraction of the blood in the bruise. This is OK and should eventually smooth out. Good luck, Dr. Olso...

Pediatrics: baby feeding, rice cereal, pureed fruits
rice cereal, pureed fruits, farex: Dear Isabel: I am not familiar with Farex and it s contents but some babies just do not tolerate rice cereal thus the vomiting. Have you tried Barley cereal? If she persists in vomiting all cereal just wait a while and try again but not with the rice...

Pediatrics: baby issues, protein hydrolysate, enfamil
protein hydrolysate, enfamil, hiccups: Hi, Misty, I don t know what is going on. This could be a formula intolerance, in which case I might try Gentlease, a protein hydrolysate milk based formula. If this doesn t do the trick, discuss with your doctor about the possibility of this being acid...

Pediatrics: baby neck rash, neck rash, yeast infections
neck rash, yeast infections, couler: Hi, karrah, I can t diagnose most rashes without looking at them. Yeast infections can be the culprit in this spot, but I suspect your doctor has tried a yeast cream in the past. I would suggest getting a second opinion with a pediatric dermatologist...

Pediatrics: body weight, birth weight, 5 months
birth weight, 5 months, biscuits: do you think she has not gained proper weight if compared to her birth weight? == well its ok@! it should just less than around 3 times birth weight at this age. what diet should I give her? she was breast fed till six months. now i give her rice, cerelac,...

Pediatrics: bronchiolitis, chimney breast, high pitch
chimney breast, high pitch, bronchiolitis: it doesnt look like bronchiolitis now or in past. whatever he had was similar to bronchiolitis, the treatment of it and asthma is similar so may he was given asthma like meds. what he suffers right now is an infection, more like due to bacteria with infection...

Pediatrics: Chronic Nosebleeds w/ Large Clots, chronic nosebleeds, ent doctor
chronic nosebleeds, ent doctor, seasonal allergies: Hi, Tracee, If she is bleeding this much, she needs to see either an ENT doctor or needs to be carefully evaluated by someone to make sure she has no bleeding disorder. Your pediatrician should be able to do the appropriate tests to rule out a bleeding...

Pediatrics: Circumsion Complications, penis infections, penis tip
penis infections, penis tip, vcug: Hi, Angela, It is unusual, although not impossible, for a circumsized boy to have a urinary tract infection. I hope he has had tests called an ultrasound and VCUG to evaluate whether he has a problem with his urinary system. With the penis as it...

Pediatrics: Constipation,Bonnison and Iron drop, mail reply, birth wt
mail reply, birth wt, reply thanks: Bonnisan is harmless and of less use at this age so can be stopped. well, not amust to start food with iron, milk is enough. sooner you should be starting with complementary feeds. iron can cause constipation even otherwise. iron preparations witha scorabte...

Pediatrics: child height, calcium deficiency, height charts
calcium deficiency, height charts, dwarfism: its too early to predict. if his weight and milestones are normal, i feel just keep a watch on steady growth in height on height charts available at CDC and WHO. he should be around 87 cm by 2 years of age. but all is affected by multiple factors including...

Pediatrics: child masterbation, pshycologist, doctor who
pshycologist, doctor who, psychologist: Hi, soniamay2, Pretty simple. You are right and her father is wrong. Punish her? Take her to a psychologist? This seems crazy to me. Continue to do as you are doing and she will be fine. As parents you need to continue to have a united, correct outlook...

Pediatrics: circumcision, circumcision, redone
circumcision, redone, second opinion: Hi, misty, Before wondering about whether it needs to be redone, have you doctor see him, check it and decide. Often, even with a well done circumcision, the skin, especially on a pudgy infant, can cover the head of the penis. If it is easily pulled...

Pediatrics: cold allergy and coughing problems, cough syrup, running nose
cough syrup, running nose, runny nose: allergy can occur with any frequency.. any number of times. partially treated or untretaed infections may persisit with the problem. runny nose followed by cough... may very well fit in infection when cough follow 1 -3 days after runny nose. if both...

Pediatrics: congestion, cool steam, congested chest
cool steam, congested chest, asap thanks: Dear Dione: An infants cold tends to last a lot longer than a cold we adults may get. At this age it is impossible to tell if the congestion and cough is from allergens in the environment. We don t recommend using any cough or congestion products for...

Pediatrics: cough in 5 year old at night only, cough variant asthma, nocturnal asthma
cough variant asthma, nocturnal asthma, allegy: Hi, Lisa, Night time cough can be a sign of an asthma variant called nocturnal or cough variant asthma. I would suggest you discuss this with your doctor. A medicine like Singulair might be a nice one to try to control the allergies as well as a possible...

Pediatrics: cough, runny nose for 4 weeks and now grey ish stool..., post nasal drip, inflammation of the pancreas
post nasal drip, inflammation of the pancreas, liver inflammation: Hi Natasha, Gray color stool indicates a poor or insufficient bile output. It is usually due to malabsorption in children. However, other causes may be an inflammation of the liver, inflammation of the gallbladder and/or its associated valves, inflammation...

Pediatrics: cow's milk, cows milk, wheat products
cows milk, wheat products, ml milk: is dalia a good option to give my baby? == if he tolerates.. yes ! I am avoiding cow s milk( m trying) honey and wheat products == ok so would giving him dalia be a gud option,and also museli? ==== yes! if he takes safely and doesnt choke. have...

Pediatrics: crystals in urin, inorganic crystals, urate crystals
inorganic crystals, urate crystals, table spoons: Hi Peter, Crystals found in infants diapers are very common. It is called urate crystal and usually found in dehydrated infants but could may also very well be found in healthy infants. In a few but rare cases, it could be due to a torn diaper which contains...

Pediatrics: Dalia, Sooji and Wheatgerm, clarifications, 10 months
clarifications, 10 months, related articles: can be started as early as 6 months .. initially thin soup - mashed and later as thicker and semisolid by 10 months. srat with smallest quantity and increase over a weeks phase. you may read introduction of new feed or other feeding related articles...

Pediatrics: In desperate need of help!, viral spinal meningitis, chest x ray
viral spinal meningitis, chest x ray, aortic regurgitation: from the description you provide it may appear that her heart is easy to decompensate due to probable aortic regurgitation that may cause low blood pressure and symptoms you mentioned above. it need not have any immune system affection, heart decompensation...

Pediatrics: Eating., sugar metabolism, doctor rules
sugar metabolism, doctor rules, 4 months: Hi, Amber, I see tons of teens in my practice. Most pediatricians see people up to and sometimes beyond 18 years. Your spelling is fine. Amber, you need to see your doctor promptly. This amount of weight loss is not normal and I would worry about...

Pediatrics: Eating habits!, medical psychology, behavior problem
medical psychology, behavior problem, speech therapist: Dear Tara: I am glad to hear back from you and relieved that you got some satisfaction from the O.T. Be patient, persevere and your son will come around. The therapist is correct, pushing a child to eat is a battle one can never win. Always place pieces...

Pediatrics: Excessive Bowel Movement in 3 yr old, ingrained habit, bowel program
ingrained habit, bowel program, miralax: Hi, Kathy, He needs to be on a consistent bowel program, usually using a product called Miralax to keep the stools soft, to promote good bowel habits and to retrain his bowel muscles. Please discuss such a plan with your pediatrician before this gets...

Pediatrics: Extreme tantrums, montessori pre school, younger daughter
montessori pre school, younger daughter, older sister: Hi, Christy, This is totally, classically, manipulative behavior. I would quietly and without any emotion wrestle her into the car seat, and not make a sound, unless she stops yelling. If she yells constantly, ignore her totally. If she stops yelling,...

Pediatrics: eating habits, tuna fish salad, baked potatoes
tuna fish salad, baked potatoes, protein shake: Hi, Brigitte, This is your grandson, not your son. He has a Mom and Dad. They are the arbitrators of what he eats. You can t have much influence here. I would suggest, if the parents would ask me, to eat better themselves to be models of eating behavior...

Pediatrics: eczema, rice porridge, pear puree
rice porridge, pear puree, diet intake: I apply steroid cream at one spot today ,the next day rashes will appear on another spot.Rashes ----- suggests its all more like an allergy. so can be dietary .. but need not be always. several pin worms came out from the nasal aspirator ========= these...

Pediatrics: extra dose of PCV vaccine, polio vaccine, pcv7
polio vaccine, pcv7, prevnar: Dear Caryn: Although this is a mistake by medical personnel there should be no harm done to your son by his receiving the extra dose of PCV7 (Prevnar). I am told you cannot overimmunize a child. I have seen children who have newly come under my care who...

Pediatrics: Feeding avocado, ripe avocados, fatty diet
ripe avocados, fatty diet, saturated fats: Hi, Sue, Avocados are full of saturated fats, an excellent food for anyone below two years of age, where a fatty diet is sought. I have not heard of under-ripe avocados being toxic. If you hear something about this, send me the web link. Thanks, Dr....

Pediatrics: Fever, viral illnesses, running a fever
viral illnesses, running a fever, urine infection: Hi, Andrea, Generally fevers like this, with normal exams, are viral caused. Often this time of year, we find sores or marks in the mouth as a marker of these viral illnesses. Giving tylenol or motrin will help. The viral illnesses often leave signs...

Pediatrics: Fever with Headache - more than 7 days, pediatrician mumbai india
pediatrician mumbai india: My son s fever was under control until yesterday with the antibiotic that the family doctor subscribed to a Swich 200 - Proxetil, but from yesterday night onwards he had fever with a gap of 6 hrs and needed to given crocin as well alongwith the antibiotic....

Pediatrics: baby neck rash, nasty rash, oh my goodness
Pediatrics: baby neck rash, nasty rash, oh my goodness, gerbers

Pediatrics: Chronic Nosebleeds w/ Large Clots, arkansas children, von willebrand s disease
Pediatrics: Chronic Nosebleeds w/ Large Clots, arkansas children, von willebrand s disease, s hospital

Pediatrics: eczema, rice product, allergy sufferers
Pediatrics: eczema, rice product, allergy sufferers, internest

Pediatrics: High temp and High Sed rate, fevers
Pediatrics: High temp and High Sed rate, fevers

Pediatrics: recurring vaginitis in 4 year old, labias, frontal lobe
Pediatrics: recurring vaginitis in 4 year old, labias, frontal lobe, bacterial infection

Pediatrics: toddler knee popping
Pediatrics: toddler knee popping

Pediatrics: five month old daughter with constant lung problems?, high potassium levels, sinus medication
high potassium levels, sinus medication, definite diagnosis: Hi, Renee, She has asthma unless proven otherwise. Tests for cystic fibrosis, a chest Xray to rule out congenital abnormalities, and a test for alpha 1 anti-trypsin deficiency could also be considered. An immunodeficiency also should be considered. ...

Pediatrics: follow up on pneumonia/asthma, noisy breathing, pulmicort
noisy breathing, pulmicort, albuterol: well, this need not be asthma but just a noisy breathing, that si very common at this age. since how long is she on albuterol or pulmicort? these are asthma meds and are continued longer only in sever asthma. it doesnt damage per se. read my article on wheezing...

Pediatrics: four year old stutterer, childhood dysfluency, stuttering in childhood
childhood dysfluency, stuttering in childhood, fostering childhood fluency: Hi Dee, It sounds like your niece s stuttering is pretty consistent and I m assuming that the dysfluency has been persistent for a while too. Is she stuttering mostly on the first sounds of words? Some children go through a stage of normal dysfluency...

Pediatrics: My four year olds erections, four year olds, private place
four year olds, private place, circumsized: Hi, Judi, Kids have erections all the time, circumsized or not. Don t get a circumcision for this reason. Explain to him that rubbing behavior makes people uncomfortable and if one needs to do it, do it in private. Don t make a big deal of this in his...

Pediatrics: frequent fever episodes, amox clav, proper assessment
amox clav, proper assessment, augmentin: A proper assessment can only take place by seeing your niece and her parents. There is a condition called cyclic neutropaenia, where the white count falls every 4 weeks or so and can lead to infections developing, but investigation for this would be part of...

Pediatrics: GI, spincter muscle, stool softener
spincter muscle, stool softener, suppository: Hi, Jamie, All caps in the online world often gives one the impression of shouting. Something to keep in mind. Usually kids can go a number of days without pooping and are fine. If he seems fussy or uncomfortable, a suppository is safe. If not fussy,...

Pediatrics: Hair Cells, hair removal creams, hair cells
hair removal creams, hair cells, electrolysis: Hi, James, The hair removal creams are safe and can be temporarily effective. They can irritate skin. Short of electrolysis, an expensive and painful procedure, nothing else is available, as far as I know. What about having someone shave your back?...

Pediatrics: Head bumps occured from fall, head bumps, pain killers
head bumps, pain killers, brain scan: there is a risk of head injury .. say brain injury.. if unconscious convulsion delirious irritable sleepy vomiting persistently and consistently and which doesnt look normal in pattern and duration. in such cases doc may advice some brain scan....

Pediatrics: High temp and High Sed rate, cat scratch fever, white blood count
cat scratch fever, white blood count, high sed rate: Hi, Amy He has Kawasaki s disease, unless proved otherwise. He needs to promptly, like today, be evaluated and treatment started. Unless this happens soon, he has a good chance of developing coronary artery aneurysms, a potential life-threatening problem....

Pediatrics: Hives, allergic tendencies, atopic dermatitis
allergic tendencies, atopic dermatitis, allergy tests: well this isnt uncommon. we face many such kids who have allergic tendencies and manifest initially with atopic dermatitis and later with allergy. treatment of atopic dermatitis is frustrating. for parents and doctors too. its better to be left alone...

Pediatrics: HYDROCELE, communicating hydrocele, clinical diagnosis
communicating hydrocele, clinical diagnosis, pediatric hospital: Hi, Yasmin, This is a clinical diagnosis and tests aren t very helpful. It is possible for this type of condition to develop over time and come to a plateau. If you have some concern about this non-emergent condition, seek a second opinion with another...

Pediatrics: hair around niple, growth milestones, skin colour
growth milestones, skin colour, nipples: if its soft brown mixing with skin colour and barely visible, need not be a concern, but as you say its obviously visible, i would like to know aboout her growth, milestones too. it would be more imformative if you could send me apic of same by email from...

Pediatrics: head circumference, head circumference, exact measurement
head circumference, exact measurement, brain growth: well if the head size is small and less than 44 cm at 1 year age, it may mean microcephaly. although the head circumference depends on the measurement at birth. if head size at birth was small, it may be small but growing adequately without compromising brain...

Pediatrics: Infant not eating, month old baby, milk formula
month old baby, milk formula, gaining weight: Hi, P, What you need to determine is how much she is taking in a whole 24 hour period and if she indeed is not gaining weight like before. Kids her age should be in the 20-30 oz per 24 hour range. Some will be higher, but most won t gain well unless...

Pediatrics: Infant feeding, Pediatrician, mumbai
Pediatrician, mumbai, india: Is it normal for babies to fuss for a period of time ==== yes, the common reasons being throat or ear infection, poor flow through breast, fever, nose block, constipation. it something I am not doing right with her diet that could have spoiled her stomach?...

Pediatrics: Infant Nasal Congestion, infant nasal congestion, mist humidifier
infant nasal congestion, mist humidifier, cool mist: Dear Bettina: Cough and congestion medications are not recommended for infants or children any longer so I cannot recommend that as a relief for your baby s congestion. You should continue the humidifier and try some normal saline nasal drops before bed....

Pediatrics: Infants diet, healthy and balanced diet, fussy eating
healthy and balanced diet, fussy eating, food option: 9 kg weight isnt bad for sure for 10 months. common cause of fussy eating is constipation. although many times it does depend on type and taste of food. Children dont need much milk after 1year age, they need healthy and balanced diet. wheat should be...

Pediatrics: no idea, chicken noodle soup, gastrointestinal virus
chicken noodle soup, gastrointestinal virus, clear liquids: Dear Joanne: Your son sounds as though he has a nasty gastrointestinal virus which can take 7 days to resolve. It also sounds as though his body is not digesting well so that after falling asleep what is in his tummy is not digesting so he vomits it. ...

Pediatrics: isomil formula,similac, dark green stool, soft paste
dark green stool, soft paste, breast milk: Dear Reem: Your baby is fine on Isomil infant formula. I would not recommend changing it. Soy formula can and will change the color of his stool to green and that is fine. It can also make the stool a little more firm but so can some of his solids. ...

Pediatrics: My kid has persistent fever and drop in platelet count, spectrum treatment, frozen plasma
spectrum treatment, frozen plasma, high fever: Yes, I think he is going worse than before. Why did you not call me at the number I had given you a missed call from? Please consider taking second opinion from a qualified neonatologist and a pediatric infectious diseases specialist or intensivist. -drtahe...

Pediatrics: Lack of self-control, child psychologist, exact problem
child psychologist, exact problem, amberson: Dear Bernadette: I am sorry for the delay in getting back with you but my computer crashed and just have it back. Children will generally push limits if they feel they can, and around people they feel they can get away with it. Children will not push...

Pediatrics: Loose motions, loose motions, pomegranate juice
loose motions, pomegranate juice, arrow root: it still may be likely due to infection so your doc may ask you to continue same antibiotic for 10 days at a stretch. getting stool examined for evidence of infection is worth while. Milk intolerance or lactose intolerance commonly causes fouls tools and...

Pediatrics: Low HGB in infant, nestle baby formula, low hgb
nestle baby formula, low hgb, diapers etc: Hi, arman, Sounds like you have a perceptive doctor to note this and get the appropriate blood test. I hope that before doing the transfusion they did a lot of blood work to find out why the anemia happened in the first place. Anemia can have a number...

Pediatrics: Low iron levels, low iron levels, iron fortified cereals
low iron levels, iron fortified cereals, cold cereals: Iron absorption is not great however you give it. I would not get too worried about it and certainly not change things. Many children are iron deficient if we test for it. I am sure the iron supplement will help. However you do not say why the test was...

Pediatrics: leg trembling, 2 month old baby, month old baby
2 month old baby, month old baby, couple seconds: Hi, Lisa, Infants have jitters, movements like you are describing, when a leg or arm is in a slightly differeng position. They also have a well described micturation shudder when they urination. This is all probably normal and of no consequence. ...

Pediatrics: lower right belly pain, ovarian cyst, running a fever
ovarian cyst, running a fever, kidney infection: Hi, Cathy, It would be quite unusual for a left ovarian cyst (lots of girls have these, incidentally) to cause pain on the right. Did she indeed have a urine culture, that grew a bacteria that is being adequately treated with the antibiotic, based on...

Pediatrics: MEDICINES FOR 3MONTH OLD CHILD, mild hydronephrosis, calcium supplements
mild hydronephrosis, calcium supplements, good parenting: Dear Mr. Aman, First tell me if your baba is getting breastfeeds properly and whether her mother is getting any iron, vitamin or calcium supplements; if she is, then, in my humble opinion, the kid DOES NOT NEED any supplements at all. I hope that helps....

Pediatrics: MEDICINES FOR 3MONTH OLD CHILD, mild hydronephrosis, calcium supplement
mild hydronephrosis, calcium supplement, child specialist: Hi, AMANBHAT, I can t think of how a calcium supplement (in a small dose) or a vitamin would hurt. I would continue the vitamin supplement at the increased dose. Folic acid is fine as long as it is in an appropriate dose. I really don t understand why...

Pediatrics: MEDICINES FOR 3MONTH OLD CHILD, water soluble vitamins, mild hydronephrosis
water soluble vitamins, mild hydronephrosis, calcium supplementation: its a feeding related query. I was expecting you may talk about some delayed milestones, growth failure or urine discomfort which may be starting in such cases with added on complications at birth. keep a close watch on these. now the question you are facing...

Pediatrics: Medical Advise for 2.5 year old child, stomach flu, stomach infection
stomach flu, stomach infection, liver problem: Hi, Pallavi, Why do you mention jaundice? Jaundice is a serious liver problem that causes the skin to turn yellow. I doubt this is the case. She probably has a so called stomach flu , a viral illness that causes vomiting, fever and just not feeling...

Pediatrics: Mono, overnight cultures, stomach pain
overnight cultures, stomach pain, white film: Hi, Becky, If he is better, he doesn t need a mono test. Why test for something that can t be treated when one is improving? If he has mono, he will, technically, be able to shed the virus for about a month. Obviously, it would be silly to keep him out...

Pediatrics: Mother Feed Jaundice, rh immune globulin, blood group incompatibility
rh immune globulin, blood group incompatibility, photo therapy: Hi, Zeeshan, There are many reasons for newborn jaundice. Blood group incompatibilities are possible, but with both your wife and baby being Rh positive, Rh immune globulin was correctly not given. There could be an ABO incompatibility, but these are...

Pediatrics: Mother Feed Jaundice, rh immune globulin, blood group incompatibility
rh immune globulin, blood group incompatibility, photo therapy: The injection is only if mum is Rh -ve and baby Rh +ve. ABO incompatibility can cause problems but there is no need for an injection. You need to speak to the doctors about the likely cause of the jaundice. The most likely thing is related to breast feeding,...

Pediatrics: Mother Feed Jaundice, rh immune globulin, blood group incompatibility
rh immune globulin, blood group incompatibility, red blood cells: it is more important if mothers blood group is Rh negative, then only injection at birth can prevent jaundice related to Rh incompatibility. it is not the case here. ABO incopatibility does exist in your case. normally say a newborn can get jaundice upto...

Pediatrics: MRSA, viral illness, pneumonia
viral illness, pneumonia, 6 years: Hi, Carla, MRSA pneumonia is usually secondary to a viral illness and therefore is not contagious, in the sense of causing another person to develop pneumonia. Keep a watch on things, as always, but pneumonia should not be a big issue. Good luck...

Pediatrics: Mucus and white sand in stool, cottage cheese, colored sand
cottage cheese, colored sand, gaining weight: Hi, Tami, It is a bit unusual for her to have this type of stool. Obviously it isn t sand, but something that looks like it. Most breast fed stools are loose and mustardy. I guess if she was my baby, I wouldn t worry about it if she is healthy. If...

Pediatrics: meds, left heart syndrome, hlhs
left heart syndrome, hlhs, breathing tube: Hi, annjennett, First of all, anything involving HLHS is a bit abnormal. If you are asking me if the 5cc (I m assuming this is the 5cc=100mg strength) of Motrin is OK, the dosing is about 10mg/kg/dose. If she is in the 10 kg range, or about 22# (I doubt...

Pediatrics: night strech, old baby girl, cry without a reason
old baby girl, cry without a reason, sleep problems: Hi, bahareh, It is normal for a three month old to be more awake and sleep less in the day time. If she is waking up more, make sure when you put her to bed, she is awake, and not asleep. You want her last waking memory to be the crib, not your arms....

Pediatrics: Phelghm cough, asthma medicines, asthma medicine
asthma medicines, asthma medicine, history of asthma: Hi, Tamia, Is he being treated with his asthma medicine, whatever that may be? Kids who cough, especially at night, who have asthma need to be treated with asthma medicines. I would suggest using what you have, hopefully a short acting bronchodilator...

Pediatrics: Post-viral hives, respiratory illnesses, sexual practice
respiratory illnesses, sexual practice, cold symptoms: Hi, Andy, It is common for viruses, such as those that cause respiratory illnesses, to cause hives in susceptible individuals. By two situations, I assume you mean the hives and the cold symptoms. I would continue an antihistamine (try loratidine for...

Pediatrics: Potty Trained 5 Year Old Regresses, umich edu, kindergartener
umich edu, kindergartener, bowel movement: Hi, Stacie, He has encopresis, a condition where he is basically constipated and has stretched out the lower end of the colon and has temporarily lost sensation and strength of the muscles. Here is a handout I use for this surprisingly common problem:...

Pediatrics: Practin-En or Incremin, vitamins minerals, loss of appetite
vitamins minerals, loss of appetite, warm regards: 2 types of tonics are regularly given by doctors. one is that can increase appetite.. they usually contain cyproheptadin.. like practin.. they cause sleepiness and obesity due to antihistaminics in them. No steroids. Other ones are supplements to boost...

Pediatrics: Proper Feeding For a 6 to 8 mos Baby, baby cereal, ounce bottle
baby cereal, ounce bottle, juice bottle: Shun: Babies thrive on set schedules. A lot of readjustment will need to be done by the baby s mother to see that she sleeps at night and naps during the day. I don t know how you can change her ways but that will be up to you. Sleep--most babies...

Pediatrics: pale to blueish fingers, doctors and nurses, variable sensitivity
doctors and nurses, variable sensitivity, straight answer: Hi, heidi, Kids and adults to a certain extent, have a normal phenomena called acrocyanosis, or blueness of the extremities. This is normal and probably has to do with variable sensitivity to temperature and other changes. Don t worry about it unless...

Pediatrics: persistent cough, persistent cough, asthma allergies
persistent cough, asthma allergies, dry cough: Hi, Jenny, Most coughs in 12 month olds are viral in nature and don t respond to antibiotics. The inhaler makes a lot more sense than the antibiotic, especially if there is a strong family history of asthma, allergies or eczema. Kids don t get dependent...

Pediatrics: potty train son, train son, water tap
train son, water tap, good manner: one may read more about potty training methods at following site, ( techniques) http://www.pottytrainingconcepts.com/Potty-Training/How-to-Potty-Train-Potty-Training-Techniques.htm but the method that stands the test of time is... peeing: 1.repeat...

Pediatrics: potty training 2 1/2 year old, toiler, bowel movements
toiler, bowel movements, quiet place: she needs some discipline to make her understand. so we need to repeatedly insist consistently for months, to make her understand poop is dirty. she shouldnt touch it. it is to be passed in toilet. she should be habituated to sit periodically in toilet and...

Pediatrics: prednisone side effects, acute asthma attack, prednisone side effects
acute asthma attack, prednisone side effects, asthma attack: Hi, Jenn, This would be not typical as a side effect of prednisone, which really has few, if any effects, when used to treat an acute asthma attack. Is she pale due to not breathing well? If that is the case, you might want to call your doctor. I would...

Pediatrics: prolonged flu symptoms, viral illnesses, carbon monoxide poisoning
viral illnesses, carbon monoxide poisoning, flu symptoms: Hi, Melissa, It is common to see viral illnesses have a waxing and waning course like this. It is also common to have illnesses recurrently swipe through families of kids who have exposure to other sick children. The only other thing you might want...

Pediatrics: Recurrent E.coli infection, e coli infection, physical abnormality
e coli infection, physical abnormality, poor hygiene: The main underlying problem seen with UTI is incomplete bladder emptying. I do not know whether this was assessed when she had the ultrasound. All I can advise, without seeing her, is to make sure she is not constipated, increase her fluid intake and perhaps...

Pediatrics: Repeting Fever, ent surgeon, face pic
ent surgeon, face pic, noida: his weight appeasr good fro TB. commonest cause of repeated cough cold at this age is adenoiditis, consult an ENT surgeon to clarify matters. He may ask a digital x ray neck for same. cold cough without fever but with sneezing and /or breatrhlessness...

Pediatrics: raised ESR, elevated platelets etc, high sed rate, phase reaction
high sed rate, phase reaction, iron supplement: Hi, sharon, The high sed rate, a measure of inflammation, is worrisome for me. The platelets are also what we call an acute phase reaction, a non-specific measure of inflammation as well. The iron deficiency can be seen in chronic illness, so this is...

Pediatrics: rash on cheeks and earlobes, red spots on face, spots on face
red spots on face, spots on face, throat infections: was she running fever? red spots on face if they are not itchy, usually suggests some rash commonly caused by viral infection, it may not last for more than 5 days. if the rash is itchy, it can be similar to hives. sometimes strept sorethroat can present...

Pediatrics: rashes and my new born skin, shipra, rashes
shipra, rashes, time of birth: Hi, Shipra, Without knowing what this rash is, I can t give you any good advice. What does your doctor think is the cause? Is this eczema? Are you doing anything about the rashes? These might be questions your doctor should be asked. Good luck,...

Pediatrics: rashes and my new born skin color, uniform colour, colour changes
uniform colour, colour changes, rashes: its all related to thickness of skin and amount of fat below. all is variable till age 1 year. so nothing to worry. if the rash is subsiding as your doctor said it was normal, child will take 2-3 months to gain uniform colour. over all, child s complexion-colour...

Pediatrics: rashes& my newborn skin color, heny, skin colour
heny, skin colour, time of birth: Dear Heny, Although I would very much like to answer the question, the fact is that unless the doctor sees the rashes, it is almost impossible to opine on the reasons. Further, I have no idea of the skin colour of the two parents (i.e. you and your husband)....

Pediatrics: recurrent fever and febrile convulsion, febrile seizures, febrile seizure
febrile seizures, febrile seizure, recurrent fever: so he just had reccurent fever for 4 times. fever is very common manifestation of viral infection in children. read details about managing febrile seizures at following web link. http://drpeds.blogspot.com/search/label/febrile%20seizure%20query if the...

Pediatrics: recurring colds, sinus infections, recurring colds
sinus infections, recurring colds, nazarin: Dear Lisa: Allergies can be a problem and sometimes even with the medication to treat the symptoms the symptoms persist until that particular season is over. Her runny nose may not bother her at all but I am sure it bothers you. The problem is when...

Pediatrics: recurring fevers, chest x rays, high fever
chest x rays, high fever, immune deficiency: Hi, anna, It would be reasonable, with these infections, to have your doctor explore the possibility of an immune deficiency. This would require some rather simple blood tests to rule out some relatively common problems. Good luck, Dr. olso...

Pediatrics: recurring vaginitis in 4 year old, miralax, nystatin
miralax, nystatin, vaginitis: Hi, brenda, Most vaginitis in this age group is called non-specific irritative vaginitis a condition due to the fragility of this skin and the inability of kids this age to keep things as clean as we would like. Yeast (what nystatin treats) is rare....

Pediatrics: red and yellow mucus when coughing, yellow mucus, red threads
yellow mucus, red threads, cough suppressant: it seems you are suffering from a bad pharyngitis, most likely strept. your doctor may ask for strept test on throat swab, advise some saline inhalations or gargling and more likely an antibiotic like oral penicillin for 10 days. At times your doctor may precribe...

Pediatrics: Sacral dimple, xray, pediatrician
xray, pediatrician, sacral dimple: Hi, Tara, Lots of kids, including my son, have a sacral dimple. Usually they are seen early and unless they are in a specific location or are different than we usually see, we do nothing. I would ask your doctor what makes hers different than the many...

Pediatrics: Sinus Infection with High Fever, sinus infection, high fever
sinus infection, high fever, pain headache: I think that it is okay for the child to continue running fever for a few more days, provided he is improving on other fronts like pain, headache, cough, runny nose etc. Otherwise, it may be time to re-assess him and perhaps change the antibiotic. I also...

Pediatrics: Sleep, deep sleep, sleeping through the night
deep sleep, sleeping through the night, stroller: Dear Dallas: It appears that you do everything possible to keep your baby from crying. He has to learn to calm and settle himself down to go to sleep on his own. It is normal for infants to fuss and cry prior to falling asleep and you should allow him...

Pediatrics: Speech of 2 year old girl., child language and speech development, toddler speech /language skills
child language and speech development, toddler speech /language skills: HI Brittany, I m abit confused by your description, as it sounds like your daughter is talking and says some words and even has two 2-word combinations, but then you write later that she just grunts and hardly points to request. Perhaps you re indicating...

Pediatrics: Speech delay and ear tube, child hearing loss and speech delay, ear tubes in children
child hearing loss and speech delay, ear tubes in children, child speech and anguage development: HI Sherry, Thanks for the follow up and more detailed information. A few things about your daughter s history are striking. FIrst, it sounds like your daughter has very few spech sounds, and also that she is overgeneralizing the use of her few pseudowords...

Pediatrics: Stomach pain, calcium supplements, ultrasound test
calcium supplements, ultrasound test, colicky pain: its a intestinal or ureteric colic. get a X ray abdomen KUB and / or a ultrasound test of abdomen done. he may require anticolic medicines liek cyclopam, colicaid or colimex. discuss with your doc regarding its need and dose. sometimes in otherwise...

Pediatrics: shouting two year old, negative attention, perseverence
negative attention, perseverence, loud voice: Dear Dee: I am afraid your son has learned a way to get a reaction from people with his antics and a way to get attention, albeit negative attention, from his parents. The best approach is to ignore the behavior. Don t say a word to him when he does...

Pediatrics: sinu problem from last 10 years, allergic sinusitis, sinus problem
allergic sinusitis, sinus problem, precise diagnosis: its impossible to avoid dust.now ======= avoid as much rest the meds and nasal inhalors will do. i take my treatment from you or other doctor, ========= ok. OTRIVIN NASAL DROP daily is harmful ========= its onlyf or temporary relief it may cause...

Pediatrics: skin problem, dermatitis atopic, atopic dermatitis
dermatitis atopic, atopic dermatitis, ear ache: treatment of atopy is very frustrating and need not be must unless sctaching is too much. romilast and similar drugs are used in various allergic disorders including allergy, atopy and asthma .. the form of medication may differ according to disease. ...

Pediatrics: My son, artificial tears, speedy response
artificial tears, speedy response, eye problem: Hi, Rintu, The artificial tears should be a good, if they are used consistently. Any moisturizer should help with the dry skin. I am not sure if this is anything but a kid with dry eyes and skin, but the possibility of a syndrome should be at least thought...

Pediatrics: my son has been acting funny, seizure control, funny question
seizure control, funny question, likley: he may need an urgent MR to rule out the aneurysm. keep me posted all follow ups . this case is not that easy. as he has high tone, he may need muscle relaxants in addition to therapy. Take him to occupational therapist, they will tackle most such...

Pediatrics: My son has a right enlarged testicle., appendix testis, enlarged testicle
appendix testis, enlarged testicle, mild dehydration: Hi, Sunny, This kind of bothers me. We, as pediatricians, consider testicular pain to be an emergency and due to about three things, one that needs to be evaluated and treated to avoid losing a testicle. To just check the urine is not sufficient if the...

Pediatrics: My son will not sleep in his own bed, stress factor, night move
stress factor, night move, circumstance: Dear Amber: In your quest to get some sleep yourself the worst thing you can do is allow a child into your bed. It is a terrible and difficult habit to break. Your son is not staying in his bed so that he can get into your bed. He is pushing your buttons....

Pediatrics: speech 20 month old twins, speech sound production, language comprehension
speech sound production, language comprehension, wheels in motion: Thanks for your note Cathy. I am glad that you are already doing many of these language friendly activities, and am also happy to hear you ll move now towards getting the boys both hearing and speech evaluations. I ve worked with kids under a year old and...

Pediatrics: sty, warm compresses, hordeolum
warm compresses, hordeolum, maxed out: Hi, Kathleen, Did you impress all your friends with hordeolum ! I think this is probably a sty as well. She continues, none the less, to be very cute despite this. Try the warm compresses if she will let you and if it is resolving by the time of...

Pediatrics: Toddler Bowel Movement, basic food groups, prune juice
basic food groups, prune juice, half cap: Hi, Erin, You re quite perceptive, for it is true that the colon gets temporarily stretched and as the stools become consistently softer, the muscles build back up and the stools resume their normal caliber. Good luck and remember to use the softener...

Pediatrics: Toddler Eating Habits, toddler eating habits, reluctant toddler eating
toddler eating habits, reluctant toddler eating, playing with food helps kids enjoy eating: Hi Brooksann, I certainly don t think that you re being an overly concerned first-time mom, as you are asking valid questions about your daughter s eating habits! However, I m not sure that I have an answer for you. I am a speech/language pathologist...

Pediatrics: toddler knee popping, orthopedic doctor, knee area
orthopedic doctor, knee area, xrays: Hi, tammy, I hear from a lot of parents of shoulders, knees and other joints popping in kids this age. They generally have no pain with this normal popping. Without examining her, it is impossible for me to tell you what s wrong. If it is only one...

Pediatrics: tongue thrust, smith magenis, partial excision
smith magenis, partial excision, tongue thrust: genetic testing tests for common known syndromes that have been well know and studied but it forms only 1 millionth of genetic diseases. so practically each time a result cant be predictive of something. check the throid status if not tested. it wont...

Pediatrics: Ur opinion, extreme weather conditions, cold infections
extreme weather conditions, cold infections, water contamination: it isnt that infant is unfit, but its because we cant take necessary precautions at an unknown place that can be crowd and unhealthy. child may not adfapt to changed diet and atmosphere. if proper care is taken to keep the child isolated and with comfort...

Pediatrics: being underweight, month old baby, medium chain
month old baby, medium chain, underweight: Hi, sherry, No, I haven t personally, but it might be a good idea. Usually I have increased the calorie load by somewhat concentrating the formula, creating a 22-24 cal/oz mix. I have given formula with medium chain triglycerides added to increase calories....

Pediatrics: unusual rash, viral exanthem, diaper rash
viral exanthem, diaper rash, new mom: Hi, Miriah, Bumps all over the body very well could be what we call a viral exanthem, a rash that is kind of like an allergic reaction to a virus. Of course, depending on what this really looks like in the flesh, it could be other things. Viral exanthems...

Pediatrics: unusual stool pattern and 10th percentile in weight., fat soluble vitamins, watery stools
fat soluble vitamins, watery stools, cooked carrots: Dear Cathy: Sounds as though you have been doing some research. Toddler diarrhea can be secondary to celiac disease and lactose intolerance and in some cases, no reason is found for it. Soy milk is lactose free though unless he is getting other dairy...

Pediatrics: Vomiting and Low Weight, growth velocity, growth curves
growth velocity, growth curves, pls advice: Is the baby s weight normal for her age. === no its less. but as i said it depends on birth weight diet and activity. what one needs to see in progressive gain with good growth velocity on growth curves. what food should be given to increase her weight....

Pediatrics: viral infection, running a fever, accurate diagnosis
running a fever, accurate diagnosis, viral illness: Hi, Phyllis, No one can make an accurate diagnosis of a viral illness from only blood work. The blood may point you more in a viral direction, but nothing is absolute. Keep on giving him fluids, tylenol, keep him cool and return to the doctor is...

Pediatrics: voiding dysfunction, bladder spasms, e coli infection
bladder spasms, e coli infection, amoxycillan: Hi, Kim, Sometimes with kids with voiding dysfunction and bladder spasms and pain, we will use a medicine called Ditropan to help relieve this. You might want to ask about this to your pediatrician. I m not sure why the hips are painful. Trying...

Pediatrics: Wont stop crying!, diaper rash cream, watery diarrhea
diaper rash cream, watery diarrhea, sitz bath: Hi, kacy, One has to consider a urinary tract infection in this situation. This would be diagnosed by a doctor looking at the urine. Is she really constipated? I doubt that if she has had all the vomiting and diarrhea. If she hasn t pooped in a...

Pediatrics: My two year old's nose is bleeding, winter dryness, inadvertant
winter dryness, inadvertant, cool mist: Hi, Summer, Most night time nose bleeds are caused by dryness and inadvertant picking. Once it starts, hold the fleshy part of the nose pinched shut for five minutes. This will stop most of them. A vaporizer (cool mist) will help with the winter...

Pediatrics: 10 month old fussy eater, healthy and balanced diet, fussy eating
healthy and balanced diet, fussy eating, hello doctor: kg weight isnt bad for sure for 10 months. common cause of fussy eating is constipation. although many times it does depend on type and taste of food. Children dont need much milk after 1year age, they need healthy and balanced diet. wheat should be preferably...

Pediatrics: 13 month son, stay at home mom, liquids and solids
stay at home mom, liquids and solids, viral illness: Hi, January (what a unique name!), I suspect you are right. No reason to see his pediatrician unless the symptoms seem to be worse. I would recommend watching, using judicious amounts of liquids and solids as needed and follow things. This is probably...

Pediatrics: my 14 month old, happy holidays, intoxication
happy holidays, intoxication, nicotine: Hi, jessica, Kids can get quite sick from nicotine intoxication. She will probably get better on her own. Use a lot of fluids, go lightly on the solids, and if she still is sick after 24 hours, see your doctor. Keep those things away from her! Happy...

Pediatrics: 18 month old pronouncing words, child speech development, speech simplification errors in toddlers.
child speech development, speech simplification errors in toddlers.: Hi Lia, Baby talk is a fun stage, and your son s word-final consonant deletions are an example of a simplification error process that is common in the speech of many toddlers! In fact, there are several other simplification patterns as well that characterize...

Pediatrics: 18 month old that won't sleep, bedtime rituals, bladder surgery
bedtime rituals, bladder surgery, stressful experiences: Hi, Jess, Hospitalization coupled with surgery are two very scary and stressful experiences for anyone, let alone a kid this age. It is easy for sleep habits to change for the worse in this setting. The last waking memory concept is crucial for good...

Pediatrics: 19 month old not eating, liquid stools, diaper area
liquid stools, diaper area, desitin: Hi, Michelle, It sounds like he has a virus illness. The ear infection probably has nothing to do with this, especially as the last look at the ears showed they were normal. Continue with the solid foods and liquids and use a barrier product like...

Pediatrics: 2 yr old Daughter...stool concern, dirty diaper, bacterial infection
dirty diaper, bacterial infection, runny nose: Hi, If the blood continues, she needs to be seen to make sure there is no bacterial infection or other cause of bleeding. If it goes away, then nothing further needs to be done. Give it a day or so and see, as long as she seems healthy to you. Good...

Pediatrics: my 22 month old wakes during the night, twin girls, wakes
twin girls, wakes, naps: Hi, matt, If she is falling asleep without you being present in the room, then this advice applies. If you are in the room or with her when she falls asleep, then teach her to fall asleep on her own. She is waking up due to habit. I m sure you know...

Pediatrics: 2yr old daughter's eye, eye boogers, eye specialist
eye boogers, eye specialist, eye infection: well, it does look like some eye infection. a pic of eye would have been beneficial, she will surely need.. eye drops.. preferably containing antibiotics.. may be for 5 days. allergic eyes will be red and watery usually without boogers. consult an eye specialist...

Pediatrics: 2yr old daughter's eye, eye boogers, nasal congestion
eye boogers, nasal congestion, allergy symptoms: Dear Heather: Usually allergy symptoms affecting the eyes does produce watery eyes, that do itch and it involves both eyes. There is not usually a thick dishcarge from the eyes. If your daughter has a head cold the weeping of the eye could be from nasal...

Pediatrics: 2yr old daughter's eye, eye boogers, bacterial conjunctivitis
eye boogers, bacterial conjunctivitis, call tomorrow: Hi, Heather, This is probably a bacterial conjunctivitis, a bacterial infection of the lining of the eye. The fact it is one eye and the discharge is thick makes this most likely, rather than allergies. I suspect this has nothing to do with the dog....

Pediatrics: 3 1/2 year old picky eater, tuna noodle casserole, meat poultry
tuna noodle casserole, meat poultry, fish sticks: Dear Dawn: It is a real dilemma when a young child becomes so rigid in his food likes and dislikes. It is important not to run a restaurant for your child and to continue to offer meals that include the entire family. I can understand a young child s...

Pediatrics: 3 month old feeding, month old baby, 7 months
month old baby, 7 months, baby boy: switch over to spoon feeding. donot feed more than say 20 ml per kg weight per feed. feed more frequently. at this age, childs speed of feeding increases and if he doesnt get milk at higher speed from breasts or bottle, he gets frustrated and leaves bottle...

Pediatrics: 3 month not sleeping much at night, old breast, rice cereal
old breast, rice cereal, little rice: Dear Amanda: It is not unusual for a 3 month old breast fed infant to want to nurse still during the night. He may arouse for a feeding or two during the night until he is 6 months old. You could try spoon feeding a little rice cereal in the morning...

Pediatrics: 3-year-old sour belly, empty belly, empty stomach
empty belly, empty stomach, viral illness: Hi, Christy, Kids have stomach aches all the time. Stomach rest will help. This is probably a viral illness and if she doesn t feel like eating, have her go to bed on an empty stomach. If the vomiting continues, she should see her doctor. Good luck,...

Pediatrics: My 4 year old daughter, swollen lymph glands, groin area
swollen lymph glands, groin area, thumb size: Hi, Marsha, Is she on the antibiotic to treat an infected node? I will assume your doctor felt these nodes were infected. Are they getting smaller? If so, then I would worry less about them. If not, then other causes of node enlargement, like certain...

Pediatrics: 5 month old infant not gaining weight, infant not gaining weight, calorie supplement
infant not gaining weight, calorie supplement, digestive problem: Hi, Keirsten, He is not eating enough to gain good weight. I don t know why. I would suggest discussing this with his doctor to make sure he doesn t have a feeding/swallowing condition and to make sure that the formula is one he will like and tolerate....

Pediatrics: 5 year old daughters height, growth hormone deficiency, bone age
growth hormone deficiency, bone age, 100 girls: Hi, Teresa, She is in the 1% for height, which means that 99 of 100 girls her age are taller than she is. She is short. Her weight is in the 20%. The hand xray is important to compare her bone age to her chronologic age. This comparison will help...

Pediatrics: 5 yr old son, initial check, tylenol
initial check, tylenol, good luck: Hi, Tammy, He probably has a virus illness. He should be examined carefully to make that determination and then use TLC measures to make him feel better; fluids, Tylenol and the like. If he is progressively getting more ill, then he should be rechecked...

Pediatrics: My 5yr old daughter, malaise, pre school
malaise, pre school, fever: she is having malaise.. a feling of mal ease, which is common with cold if she were sick with cold. read serious symptoms at www.pediatricianonline.in is she eating well? did she get fever? if she is otherwise normal .. she may take 3 days to recover...

Pediatrics: 6 year old vegetarian, fresh fruits and vegetables, milk and dairy products
fresh fruits and vegetables, milk and dairy products, fruits and vegetables: Hi, Viola, If he is getting milk and dairy products or eggs, he should be fine. This is assuming that his parents are versed in vegetarian nutrition. If they are pure vegetarians and don t use milk or eggs (I doubt this due to fish), then they need to...

Pediatrics: 7 Month old baby just threw up all her milk, gastrointestinal virus, month old baby
gastrointestinal virus, month old baby, apparent reason: Dear Cassie: It is impossible for me to tell you what is wrong with your baby. Vomiting only one time can occur for no apparent reason. Vomiting repeatedly is most likely a gastrointestinal virus. You need to keep her hydrated if she vomits her milk repeatedly...

Pediatrics: 7 month baby going loose motion after every food, gastrocolic reflex, loose motions
gastrocolic reflex, loose motions, zinc supplements: passing motion with feed is normal. its called normal gastrocolic reflex. he is passing urine 6 times a day that means he isnt getting dehydrated .. and ensures that intake is adequate. read more about dehydration at www.rehydrate.org minor contaminations...

Pediatrics: 7 year old and not gaining weight, stomach flu, acute illnesses
stomach flu, acute illnesses, gaining weight: Hi, petra, Probably not. Kids can get several illnesses and lose weight and gain it back when they are healthy. If he is consistently losing weight and doesn t seem to have well defined pediatric acute illnesses, then your doctor may want to do further...

Pediatrics: 8 weeks old baby coughing, humidfier, winter in canada
humidfier, winter in canada, mist air: coughing following or associated with a choking episode may as well be aspiration of apart of milk in windpipe. apart from cough it will also make him breathless. if he is breathless and coughing or has some abnormal chest movements an urgent visit to...

Pediatrics: My 9 mnth old baby mood!, fussiness, happy new year
fussiness, happy new year, old baby: Dear Cosvrats: It is normal for the gums to feel soft. He does have several more teeth coming in though so he may be fussy with that. It is hard to tell with a baby just why they are cranky but they do get cranky. Often we cannot figure out why. Unless...

Pediatrics: 9 Year Old Daughter, dry heaves, throat infection
dry heaves, throat infection, gastritis: occasional vomiting spells may eb due to gastritis or throat infection or at times after eating spoiled/altered food. It is mostly dry heaves=== i dint get waht you meant to say with this. i take it as nausea. nause can often be due to over feeding,...

Pediatrics: 9 y/o turns blue around lips when cries/angry, lake michigan beach, heart murmurs
lake michigan beach, heart murmurs, serum cholesterol: Hi, Lisa, It is normal to have acrocyanosis, which is blueness of the extremities. This includes the peri-oral area. If you see kids swimming at a cold Lake Michigan beach, this is quite common. It is also common to hear, on occasion, heart murmurs...

Pediatrics: ADD/ADHD, hyper activity, utter words
hyper activity, utter words, midnite: hyperactivity may have relation to his speech but his hyperactivity if any needs to be assessed by a therapist or developmental specialist. still doesnt talk... i need a detailed query on exactly what does he talk or how does he communicate? does he speak...

Pediatrics: Albuterol and diphenhydramine (benadryl) combo, diphenhydramine benadryl, cough syrups
diphenhydramine benadryl, cough syrups, dry cough: yellow discharge made your doctor switch antibiotic or give it for long. dry cough with the rhinosinusitis and pharyngitis prompted the doc to start a cough syrups. She is likely to be suffering from adenoids in view of persistant runny nose and draining...

Pediatrics: Amoxiciliin Rash and Strep, scarlet fever, eveing
scarlet fever, eveing, mintues: Hi, Ashli, This rash, at 8 days, is probably an idiosyncratic rash to amoxicillin, not an allergic reaction that takes place in the first 24 hours of a med. It probably would not reoccur with amoxicillin again, but get your doctors take on this. Amoxicillin...

Pediatrics: Amoxicillin Dosage, sinus infection, happy holidays
sinus infection, happy holidays, ear infection: Hi, sharon, This is within the broad normal range of dosing. Your baby is about 7kg. We give up to 90 mg/kg/day or a maximum total of 90 X 7kg or 630mg in one day. Your son could have up to 1600mg in one day and be OK. These are correct doses. Frankly...

Pediatrics: Anal Rash on a child, diaper rash cream, rashes
diaper rash cream, rashes, merry christmas: Hi, Tami, Peri-rectal rashes can be due to fungus, bacteria like strep or irritation. What this is is uncertain. Your doctor might want to do a culture of this or simply have you continue to use the diaper rash cream. Merry Christmas, Dr. Olso...

Pediatrics: Aspergers, facial expression, protective mother
facial expression, protective mother, going out of my mind: Hi, Jane, First the easy stuff. Of course kids tire easily when their asthma flares up, because they are not breathing effectively. If this is the case, discuss with her doctor how to spruce up her asthma control. Hyperactivity is not commonly caused...

Pediatrics: amoxicillin and a 10 yr old, rule of thumb, adult dose
rule of thumb, adult dose, amoxicillin: Hi, Shana, I don t know what medicine he is on. I assume it is amoxicillin. This dose is high for strep but is OK and shouldn t cause any problems. One rule of thumb we often use is that if you are above 60#, you can get an adult dose. It should be...

Pediatrics: antibiotics., normal medicine, cough syrup
normal medicine, cough syrup, hello doctor: Hi, sindhu, Thanks for the clarification. Antibiotics need to be given long enough to kill completely bacteria, or in the case of strep, to prevent long term complications from incompletely treated disease. Cough and cold meds are given when...

Pediatrics: Baby Eczema cause high WBC, blood cell count, white blood cell
blood cell count, white blood cell, high white blood cell count: Could eczema all over the body cause a high white blood cell count and fevers? === yes if infected or oozing. If it were more serious, like Leukemia, would she have other symptoms I need to look for? ======= well, leukemia will have counts more than...

Pediatrics: Baby fears, foster parent, old girl
foster parent, old girl, fears: Hi, Teresa, Be loving and caring to her. Have your husband interact with her as much as possible. Perhaps initially have him interact with her when you are holding her. She will come around. Good luck and thank you for what you do, Dr. Olso...

Pediatrics: Baby's first cold, first time mom, phlem
first time mom, phlem, noisy breathing: My 3 month old daughter has had a cough. === commonly at this age it is always following an episode of runny nose. I can occasionally hear the phlem in her nose/through but doesn t seem too bothered. ---- noisy breathing is too common in nose throat...

Pediatrics: Baby health, growth failure, brain growth
growth failure, brain growth, growth charts: weight usually doubles by 5-6 months and triples near a year, so weight isnt much concern for me. i hope she is now 9 months old, and if she hasnt yet achieved roll over all is delayed milestones, that means she needs detailed evaluation of milestones and...

Pediatrics: Baby Spit Up, happy holidays, old baby
happy holidays, old baby, projectile: Hi, Jamie, It is common for a baby, as they eat more per feeding, to spit up. If he is healthy, smiling and doing well, I would not do anything and it should resolve over time. If it gets worse, or is associated with discomfort, see your doctor for...

Pediatrics: Baby's Too Tight Anal Sphincter, old baby girl, pediatrist
old baby girl, pediatrist, mom and dad: Dear S First of all I am not a doctor. You should however do what your doctor told you to do. Dilating or stretching the anal sphincter will help your baby pass stools more easily. It will not hurt her rectum if one is gentle with the insertion. This...

Pediatrics: Baby's Tight Anal Sphincter, old baby girl, abdominal distension
old baby girl, abdominal distension, buffalo milk: i feel its more of constipation. everybody s anal sphincter is supposed to be tight. however applying lidocaine makes the stools painless. it wont hurt, but hard stools will surely hurt. gassy and straining is constipation! read more about constipation...

Pediatrics: Baby teeth, concise interpretation, pediatric dentist
concise interpretation, pediatric dentist, front teeth: it all seems normal as long as there is no trauma or bleeding or a bruise. no worry many kids take upto 15 months to get some teeth. you may email me the pic by fiiling a form at http://askyourdoc.blogspot.com for better and concise interpretation...

Pediatrics: Behavioral issues, cold medicines, giving medicine
cold medicines, giving medicine, hugs and kisses: Dear Robyn: Focus on their well being and happiness and try to teach them when to tell Mommy that they really do hurt when that is legitimate although at their age this may be difficult for them to comprehend. Each day when they get up in the morning...

Pediatrics: Breathing Treatments & Heavy Breathing, breathing treatments, heavy breathing
breathing treatments, heavy breathing, upper airway: Hi, Jennifer, I would agree with your pediatrician that pulmicort daily or twice a day is appropriate. If he is doing fine, the once a day approach may be enough. I think a daily dose of albuterol if one is not actively wheezing is not needed. Daily...

Pediatrics: baby blackheads, baby acne, adult acne
baby acne, adult acne, gentle soap: visit a dermatologist. it need not be acne but some nonspecific rash. so cool down. it has no association with adult acne. donot use too much oil for skin .. that may cause similar conditions. you may email me a pic of that at http://askyourdoc.blogspot.co...

Pediatrics: babys eyelashes, pediatric opthalmologist, wetting agent
pediatric opthalmologist, wetting agent, stridor: Hi, laura, This is probably epiblepharon, a condition that in kids usually resolves. A mild artificial tear or some other wetting agent might help. I suspect (only because I had to look this up also!) that your pediatrician might not know about this....

Pediatrics: bacterial pneumonia, high fevers, bacterial pneumonia
high fevers, bacterial pneumonia, pulse ox: Hi, amiee, Most pneumonias are actually viral caused. If kids have high fevers or elevated white counts, we often suggest to parents they are bacterial and treat with antibiotics. Unless you have a positive blood culture for bacteria, you never really...

Pediatrics: belching, gall bladder, digestive enzymes
gall bladder, digestive enzymes, antiacid: Hi, alicia, Teens love to burp, but I ll assume this is something that she has no control over. I would suggest a trial of an antiacid med, like ranitidine 150 in the morning and night. Give this a try. Unlikely yeast and unlikely gall bladder. ...

Pediatrics: birth control, birth control pills, birth control
birth control pills, birth control, condom: Hi, Danielle, If you have been taking birth control pills consistently and faithfully in the proper dose, you should not get pregnant with a broken condom. A broken condom in your case should be only a problem with potentially sexually transmitted diseases....

Pediatrics: blocked nose, respiratory system, medical
respiratory system, medical, pediatric: These are all repeated episodes of nasal infection, usually of viral origin. Please do not get frustrated. Use saline nose drops and keep in touch with your pediatrician. He is correct about the gland. There is no need to worry about that. -drtahe...

Pediatrics: bowel problems, miralax, bowel problems
miralax, bowel problems, going to the bathroom: Hi, Ciende, I would stick with the miralax and try to expand his diet to include more fruits and fiber and liquid. If his constipation was basically from birth, then perhaps he needs a further study to rule out a condition called Hirschsprungs disease....

Pediatrics: breast feed baby refusing formula and constipation, similiac, breast feed
similiac, breast feed, breast milk: Hi Carrie: Soy formula is commonly used for breast fed babies but it can be constipating. Not all babies become constipated though. My favorite formula and one I and a few physicians find to be easily tolerated and easy to digest is Nestle s Good Start...

Pediatrics: breathing problems, breathing tests, anxiety disorder
breathing tests, anxiety disorder, short of breath: Hi, Josh, I am a pediatrician and you are not a kid. However, here is what I think. With all the negative studies, these are probably panic attacks, a type of anxiety disorder. Your symptoms are very real. They originate in your head, but can cause...

Pediatrics: Cancer in children with radiation exposure, nurse anesthetist, cause radiation
nurse anesthetist, cause radiation, occupational radiation: There is a risk with radiation and cancer. not only of cancer but also of congenital anomalies. risk is maximum for anomalies if exposure is in first trimester. if the kid is now all well, with normal growth and milestones and no more exposed to radiation,...

Pediatrics: Child cold or pneumonia, molars, ear infection
molars, ear infection, coughs: Hi, Kathy, Kids with a pneumonia will be breathing hard and fast. Teething has no bearing on her symptoms, except to make her more crabby. A fever of 101 is not due to teething. With the two weeks of cough and then the fever, one might suspect...

Pediatrics: Childhood masturbation, childhood masturbation, child guidance
childhood masturbation, child guidance, classmates: she may just need a behavioural conselling. take her to a child guidance counselling center. they start with curisosity but end up habit forming. do rule out urinary infections that may very often cause itching and one may interpret masturbation. as she is...

Pediatrics: Cild going unresponcive for a few seconds, umich edu, cpr
umich edu, cpr, seizure: Hi, kathleen, This is a classic breath-holding spell. It is scary but harmless. Lips can turn blue and kids can be pale, red or have a seizure. Here is a handout I use for my patients to explain this. http://www.med.umich.edu/1libr/pa/pa_bbreath_hhg.htm...

Pediatrics: Coughing in 1-month old baby, month old baby, baby dear
month old baby, baby dear, baby thanks: Hi, Veronica, It is common for newborns to sneeze, not cough. If she breathes hard and/or fast consistently, see your doctor. If the cough in your newborn persists, discuss with your doctor the wisdom of a simple chest Xray to rule out congenital...

Pediatrics: chesty croupy cough, chronic lung disease, smile lines
chronic lung disease, smile lines, nebuliser: Dear Lucy: I have not heard of a crease below the eyes being suggestive of asthma. My grandaughter has the same crease and has never had asthma. Passive exposure to tobacco smoke certainly can cause asthma but so can many other things such as a genetic...

Pediatrics: child belly ache, precise answer, losing weight
precise answer, losing weight, stomach: since how long is this? how often in a day? how long does it last in a day? all resembles hyperacidity. does it relieve on drinking chalky liquid even temporarily? all these answers will be important that will help me giving you a more precise answer...

Pediatrics: my child is sick with cold and cough, allergologist, running nose
allergologist, running nose, bronchitis: Dear Shobana, I think you are dealing with allergy and not just a viral problem. Please consult an allergologist, a pediatric one if possible, as she will need anti-allergic medications including (but not limited to) nasal solutions or sprays, oral medicines...

Pediatrics: child cannot sit still, better reason, pediatrician
better reason, pediatrician, old girl: Hi, denyse, These symptoms could be due to hanging around with the boy, but I would check her with your pediatrician to be sure this isn t something else. If all this really is new and didn t exist before, this is even better reason to have her checked....

Pediatrics: child swallows penny, child swallows, lower abdomen
child swallows, lower abdomen, plastic gloves: Dear Alanna: Pennies usually pass easily into the intestines and are passed in the bowel movement as the GI system is always moving things along. What you will need to do is buy some plastic gloves and catch his bowel movements and break them apart...

Pediatrics: child w/ fever and cold blueish hands and feet and runny nose, blue lips, cold symptoms
blue lips, cold symptoms, happy holidays: Hi, nicole, It is common for lips, feet and hands to be blue with illness. As long as the rest of the body isn t blue, then I wouldn t worry about this normal phenomena we call acrocyanosis. With the fever and cold symptoms for a couple of days, it might...

Pediatrics: chronic tonsilitis, fine needle aspiration, chronic tonsilitis
fine needle aspiration, chronic tonsilitis, needle aspiration cytology: at this age.. mono may be likely and hence your doc is playing silent. there are soem unusual causes for long standing glands.. which may at times be life thretening, hence may deserve some tests.. say like a X ray too look for glands in chets too. ...

Pediatrics: constant crying in pain with Every bowel movement, pediatrician, mumbai
pediatrician, mumbai, india: i feel pity for her constipation, it can surely be tackled safely. but now since a long time has passed it may take at least 3 months to get control. you may read my articles on constipation at www.pediatricianonline.in constipation is a chronic problem...

Pediatrics: cough, stuufy nose, watery eyes, antihistaminics, adenoiditis
antihistaminics, adenoiditis, running nose: what you describe may be an early manifestation of allergic rhinoconjunctivitis. many children who cough since birth may have some birth defect of palate or airways. was the child treated with antihistaminics or steroids.. or any x ray done? any family...

Pediatrics: craniosynostosis, skull shape, skull x
skull shape, skull x, head circumference: why would a doctor ignore this? ====== more likely because there was nothing suggestive of craniosynostosis at this age, except for skull shape. normally too many children have abnormal skull shapes. in fact even his head circumference would have been in...

Pediatrics: Dark circles around the eyes..., iron deficiency anemia, dark circles around the eyes
iron deficiency anemia, dark circles around the eyes, history of anemia: Dark circles are either inherited or due to several conditions such as anemia, nose-block, old age, and most of all, inadequate sleep. You do need to work hard on getting his sleep back to the previous timings and duration. At the same time, do consult a doctor...

Pediatrics: my daughter's bowel movements, pediatrician mumbai dr sk India
pediatrician mumbai dr sk India: Is this harmful? ======== not harmful in recommended doses. Could she be bleeding for that reason? ========= she bleeds due to hard stools and the pain related to it, it can be tackled by making the area soft and painless with ointments like say k-y...

Pediatrics: daughter coughing, speech language pathologist, childbirth org
speech language pathologist, childbirth org, kegel exercises: Hi Cathy, I am a speech/language pathologist and although your question is in the area of pediatrics -- an area of specialty for me --- I m afraid your question is not within my realm of professional expertise. What does your pediatrician say? I...

Pediatrics: diaper rash- yeast infection?, yeast infection, diaper rash
yeast infection, diaper rash, yeast infections: Hi, Vicky, It is possible this could be yeast, but with the real redness around the rectum an infection called peri-rectal strep might be even more likely. Your doctor could diagnose this with a strep culture of the area. Yeast infections can look just...

Pediatrics: dietary, good parenting, liver damage
good parenting, liver damage, fruit cake: my main concern is that they dont like it nor they do need it. they should not be promoted in children cos that is not good parenting. acquiring taste and promoting it both are different things. in some cultures it is followed as regular after 5 years age,...

Pediatrics: The different branches of pediatrics, pediatric cardiologist, pediatric hematology
pediatric cardiologist, pediatric hematology, pediatric cardiology: Hi, Stacie, No one can know everything about all pediatric concerns. When I find a kid with a heart problem, I refer to an expert in that field, like a pediatric cardiologist. A pediatric cardiologist would be a poor person to go to if a kid has a fever....

Pediatrics: discipline, umich edu, hhg
umich edu, hhg, good kid: Hi, Jessica, Time out will work if ruthlessly applied consistently. Here is a link to several handouts I use to teach parents this technique: http://www.med.umich.edu/1libr/pa/pa_timeout1_hhg.htm http://www.med.umich.edu/1libr/pa/pa_timeout2_hhg.htm...

Pediatrics: Elevated IGE but no food allergies?, allergic shiners, signs of allergies
allergic shiners, signs of allergies, chronic sinusitis: Hi, Denise, He probably has allergies. The elevated IgE, the eczema, and the dark circles ( allergic shiners ) are all signs of allergies. Why is his quality of life bad? The only thing you have told me that he has that should bother him is reflux...

Pediatrics: Elevated WBC and then given immunizations, flu shot, eye doc
flu shot, eye doc, febrile illness: Dear Suzanne: Although not ideal, immunizations are not recommended being given if a child is ill with a febrile illness. Unavoidable and unpredictable things like this unfortunately do happen with young children. It is never known to us when a child...

Pediatrics: ear infections, viral illnesses, conductive loss
viral illnesses, conductive loss, ear infections: Hi, mobina, Antibiotics can safely be given frequently, if they are needed. It is true that most ear infections go away without treatment. Most, however, are not viral, but bacterial infections that the body takes care of. The vast majority of pediatricians...

Pediatrics: ear infections, adequate dose, throat infections
adequate dose, throat infections, ear swab: 1. is it safe to give antibiotics twice in one month? ======== it depends on what antibiotics, for what duration, for what reason and what dosages are given. if they are advocated for some reason in adequate dose and duration, they are helpful and safe....

Pediatrics: eating habbits, child eating problems, eating difficulties in young children
child eating problems, eating difficulties in young children: Hi Jaylin, I wouldn t want you to withhold food from your daughter if she doesn t eat her meals at meal time. I would worry about your daughter s well-being if you did that --both physically and emotionally! Some children go through difficult stages...

Pediatrics: elimination on the potty, umich edu, miralax
umich edu, miralax, toilet training: Hi, Martha, He knows what he is doing. He is just resisting toilet training. I would personally increase the Miralax dose to every day to eliminate any contribution of constipation to this problem. Here is a handout I give to my patients that I think...

Pediatrics: encephabol and autism, emotional lability, encephabol
emotional lability, encephabol, pediatric neurologist: Dear Linda: I am a nurse and cannot fully advise you on this drug. I am not familiar with it s use but apparently it is produced & used in Africa. I searched the internet as you could do and this is what I found it is used to treat. Encephabol Sequelae...

Pediatrics: Five year old smearing feces, fecal smearing, abdominal pains
fecal smearing, abdominal pains, 5 year olds: Dear Ama: Fecal smearing is not unusual in the one to two year old age range but is highly unusual in your daughters age group. Most 5 year olds would find this practice terribly distasteful. I would have her evaluated medically and perhaps psychologically...

Pediatrics: 5 year old daughters height, small girl, curve
Pediatrics: 5 year old daughters height, small girl, curve

Pediatrics: encephabol and autism, waitress, germany
Pediatrics: encephabol and autism, waitress, germany

Pediatrics: flat head, head shape, consistancy
Pediatrics: flat head, head shape, consistancy, repositioning

Pediatrics: Pediatrics
Pediatrics: Pediatrics

Pediatrics: Post Pinworm Effects or maybe Giardiasis?, motherhood, couple of days
Pediatrics: Post Pinworm Effects or maybe Giardiasis?, motherhood, couple of days

Pediatrics: persistent cough and asthma, chest x rays, appoitment
Pediatrics: persistent cough and asthma, chest x rays, appoitment, short of breath

Pediatrics: Resistant eater, food aversion, good habit
Pediatrics: Resistant eater, food aversion, good habit, sippy cups

Pediatrics: Sand eating, eating disorder, diet
Pediatrics: Sand eating, eating disorder, diet

Pediatrics: Sudden high pitched scream in infant, vaccine injury compensation, oral polio vaccine
Pediatrics: Sudden high pitched scream in infant, vaccine injury compensation, oral polio vaccine, emergency room doctor

Pediatrics: Toddler has very loose, foul smelling bowel movements (burning her bottom), peeling nails, pale stool
Pediatrics: Toddler has very loose, foul smelling bowel movements (burning her bottom), peeling nails, pale stool, dark circles under the eyes

Pediatrics: feeding a 9 month infant, asthma asthma, allergic rhinitis
asthma asthma, allergic rhinitis, month old baby: Is it something to worry about? = it can very well be allergic rhinitis and it may come with sneezing and with early morning or night episodes. allergic rhinitis is episodic and paroxysmal. His paternal grandmother and maternal grandfather had asthma....

Pediatrics: feeding schedule for child with dairy&soy allergy, milk intake, soy protein
milk intake, soy protein, bridie: Dear Bridie: At the age of 12 months a child needs only 16 to 20 ounces of formula or milk a day. Your son is currently getting 16 ounces a day. You should be beginning to offer him a sippee cup containing his formula with his meals and this should help...

Pediatrics: fever, coughing, hernia, stomach flu, groin area
stomach flu, groin area, homeopathic doctor: Hi, Marchel, It is never clear whether someone has asthma or not. We think of asthma as wheezing, but a cough variant asthma can cause only cough with a completely clear chest. I would think of a cough variant asthma and would probably recommend a trial...

Pediatrics: flat head, intervention therapy, manouvers
intervention therapy, manouvers, head shape: .will he be flat headed forever? ====== usually it settles in first 6 months, if it doesnt it will remain flat. many adults do have flat heads on one side but it gets hidden, as rest of teh head grows to compensate it. 2.What can we do to mould his head...

Pediatrics: flu shot, influenza virus type, influenza shots
influenza virus type, influenza shots, hib vaccine: Hi, Swetha, Flu shots are given here in the USA in the fall. I m not sure when they are given in India. I would make sure she gets a flu shot this fall to cover the likely strains of influenza we will get this winter. You both should get flu shots....

Pediatrics: frequent bowel movements, gastrocolic reflex, frequent bowel movements
gastrocolic reflex, frequent bowel movements, frequent stools: its something like a gastrocolic reflex, common in infants .. with each feed they pass some amount of poops, it lasts till different age in different kids. any suspicion of foul smell, stickiness, altered consistency may make u suspect infection, and then...

Pediatrics: just fussy?, low muscle tone, top of my lungs
low muscle tone, top of my lungs, daycare: Hi, Rhi, The screaming with a BM can be seen in some normal kids, but with what clearly seems to be some developmental delay with low muscle tone, I would wonder, as you do, if the two are related. I m not sure what you can do. I guess voice to the mother...

Pediatrics: Gas/Gerd/Allergies, blood and mucous in stool, mucous in stool
blood and mucous in stool, mucous in stool, antiacid: Hi, Amy, This is a tough situation for you and a tough one for us as pediatricians. We have a baby who basically is well but is fussy and despite our best efforts, still is fussy. Basically, some kids are more fussy than others. If the concern is...

Pediatrics: Grunting, infant vocal development
infant vocal development: Hi Angela, The vocal development of infants refelcts their developing maturation and coordination of respiration, articulation and anatomical factors. At around one month of age, infants tend to produce vocalizations that have a nasal quality and...

Pediatrics: general question on bottle feeding, bottle fed, baby bottles
bottle fed, baby bottles, old baby: Can we leave the bottles in the same water in which i have boiled?if so for how many hours they will be sterile. = yes. keep it covered. 2. In case if we dry them up, will it be still sterile?and how to store such bottles to avoid germs/ === no! not...

Pediatrics: my grandson, autism spectrum disorder, warning signs
autism spectrum disorder, warning signs, screening test: Hi karin, These are clearly warning signs for autism spectrum disorder. I would suggest a discussion of this with the pediatrician. Go online and Google autism M-CHAT and take the screening test we use to help make the diagnosis. Good luck, Dr. olso...

Pediatrics: Help! My 17 month pld won't eat solids, allergy specialist, gi specialist
allergy specialist, gi specialist, professional therapy: Dear Ardensa: It is normal for a 17 month old child to have a decrease in appetite at this age but it is not normal for a child of this age to refuse to eat textured food. My feeling is, due to his illnesses and hospitalizations, the window of opportunity...

Pediatrics: height and weight of a five year old boy, dear gypsy, height and weight
dear gypsy, height and weight, weights: Dear Gypsy: Your son s height is not bad but his weight is definitely below where he should be for his age. He weighs as much as a two to three year old child. The average 3 year old weighs about 36 lbs. Have you discussed his growth with his doctor. ...

Pediatrics: high crp level in 18 month old, phnemonia, crp test
phnemonia, crp test, ear infection: Hi, Rebecca, Why do a CRP in someone this age? It really doesn t make much sense to do a test unless there is a good reason. To answer your question, probably everyone with an ear infection and perhaps pneumonia will have elevated CRP, a non-specific...

Pediatrics: high wbc count and recurrent fever, high wbc count, recurrent fever
high wbc count, recurrent fever, nech: the info is inadequate, how long is he suffering from? whats the pattern of fever? can he walk, talk, eat? what kind of swollen thing? can you email me a photograph from my site http://askyourdoc.blogspot.com what are the details of counts? with the given...

Pediatrics: Infant Feeding, month old baby, cerelac
month old baby, cerelac, milk output: first read my answer to similar post : a href= http://drpeds.blogspot.com/2005_09_11_archive.html click here /a He was 3.1 kgs when delivered and last checkup (on completion of 5 month) He turned up 6.7 kgs. === growth is normal. check on milestones....

Pediatrics: Infection, plastic articles, safe toys
plastic articles, safe toys, vomiting and diarrhea: Hi, Vijaya, Kids this age put everything in their mouths. It is up to us as parents to be sure this is kept to a minimum, by watching them carefully and keeping stuff away from them. Vomiting and diarrhea, in this setting, just goes away and you...

Pediatrics: Irregular consistency in bowels for 1 year old kid, curd rice, stomach cramps
curd rice, stomach cramps, stomach infection: though little less, he has grown near adequately for his age. technically overdrive or overflow incontinence means .. than in a case of baseline constipation of varied reasons, progressive stacking of poop inside makes some poop pass from the sides of hard...

Pediatrics: infant behavior, myoclonic jerk, infant behavior
myoclonic jerk, infant behavior, strange behavior: Hi, Debra, This sounds a lot like a myoclonic jerk or what people call a startle reflex. At the point of drowsiness and nearly sleep, we can have some weird nervous system symptoms, that can cause a baby to jerk and be apparently frightened. This sounds...

Pediatrics: irregular breathing, eye lids, irregular breathing
eye lids, irregular breathing, deep sleep: Dear Jade: We all have periods of irregular breathing during sleep so this is normal. When we enter the REM stage of sleep or very deep sleep this occurs along with dreaming and sometimes, crying out. Sometimes during REM stage, if you are closely observing...

Pediatrics: Jaundice in my 2 month old?, brick dust, liver problem
brick dust, liver problem, dust spots: Hi, Mary, We see a few healthy breast fed babies who have a bit of jaundice at 6-8 weeks. It is not common, but is considered, if the jaundice level isn t too high, to be normal. The brick dust urine has nothing to do, as far as I am aware, with jaundice....

Pediatrics: Jaundice 2 months old infant, serum bilirubin, liv 52
serum bilirubin, liv 52, persistant: its very late to hjave a physiological jaundice, so its likely to be pathological. as Indirect and direct both bilirubin were raised.. but not the SGPT, liver infection seems unlikely rather it may be some defect of biliary system or a component of blood degradation...

Pediatrics: Knots to head, sebacious cysts, lymph glands
sebacious cysts, lymph glands, incomplete treatment: if they are more on top of head, they are likely to be pustules or pyodermas or sebacious cysts. IF they are on sides or lower part of head , they may be lymph glands. Lymph glands more than 1.5 cm are surely a reason to evaluate and worry. Pyodermas...

Pediatrics: Language Development, child delays expressive language, when to consult with a pediatric geneticist
child delays expressive language, when to consult with a pediatric geneticist: Hi Misty, My gut feeling is that you should follow through with your pediatrician s recommendations. Although all may be well, and that would be wonderful to hear from the geneticist!, there is no harm in having your son checked, as there are afew...

Pediatrics: Lump from No Where????, lump on the neck, sinus infection
lump on the neck, sinus infection, stomach pain: One thing may be sure that pain in tummy is likely to be unrelated to the lump but related to acidity caused by the medicines. Neck pain and swelling dint appear to be simple as one would think of as it didnt respond to antibiotics but it increased in size,...

Pediatrics: lack of knee jerk in 4 mon boy, knee jerk, fozia
knee jerk, fozia, birth weight: Hi, fozia, What does you doctor say? An exam by a good pediatrician will give a much better idea what, if anything is wrong. Certainly we find cases of weakness on one side, due to a variety of causes. I would tend to have a good exam and then determine...

Pediatrics: lass weight, prow, lass
prow, lass: Dear Rose: I need more information about your daughter. I need to know what amount of milk she drinks a day and how much food she eats a day on average. I also need to know if she was premature at birth. Has she been healthy? Once you send me more...

Pediatrics: loose stool, well balanced diet, belly ache
well balanced diet, belly ache, butter color: if its only 1-2 times a day.. i find no worry such normal variations may eb common with different diet. if the stools were sticky, motions cause pain in stomach or fever or motion more thn 3 times a day i will worry and ask you for s stool test or an antibiotic...

Pediatrics: lose of appetite, young baby, apetite
young baby, apetite, kerri: Dear Kerri: Assuming there are no signs of illness, it is not normal for a young baby to lose their appetite and consistently eat less each feeding. I would suggest you check with her doctor if this continues for much longer to rule out an illness of some...

Pediatrics: Motions, sago, motions
sago, motions, breastfeeding: i feel its ok and normal. but adding little fibre and sago to diet will help in tackling it. occasionally infections like giardiasis may present with similar but bulky motions, get stool tested for infection. your doctor may start a drug like say metrogyl...

Pediatrics: Newborn not feeding, negative pressures, desat
negative pressures, desat, babyboy: Hi, Madhu, If he has severe laryngotracheomalacia, his airway may be collapsing with the negative pressures of feeding. I don t know if he has other problems as well. Without other information, this is the best I can give you. I hope he does well. ...

Pediatrics: Nose, left side pain, ent doctor
left side pain, ent doctor, entire bridge: Hi, Coreen, I would wait for the swelling to subside and then determine if the nose appears symmetrical. If it doesn t and you feel one side looks very different than the other, and if one side doesn t breath as well as the other, a visit to your doctor...

Pediatrics: naps, naps, white noise
naps, white noise, night time: Hi, Tara, Make sure that every time he is put to sleep, he is awake and doesn t fall asleep at all in your arms. This is the key to sleep---the last waking memory. When he does cry, I would feel very comfortable letting him fuss himself to sleep, especially...

Pediatrics: nose bleedin, bleeding time, polyp
bleeding time, polyp, 5 months: thats quiet unusual. bleeding that is easy to occur.. needs evaluation in the form of bleeding profile including bleeding time cloting time prothrombin time platelet count etc its likely that if there is no foreign body or polyp or trauma in nose, nor if...

Pediatrics: Paedriatric, gastrointestinal virus, liquid stools
gastrointestinal virus, liquid stools, loose motions: Dear Santosh: If the green loose stools have become very frequent or have turned into completely liquid stools with no consistency your baby could have a gastrointestinal virus which will have to run it s course, usually no longer than a week. If she is...

Pediatrics: Pediatrics, ent surgeon, adenoids
ent surgeon, adenoids, heavy doses: there is no doubt that all is adenoiditis. These medicines dont cause any big side effect unless you exceed the recommended dose or durations. benefits are more than harm. Nasovion, that is oxy or xylometazolines should be used with caution as they...

Pediatrics: Persistent coughing, gamma globulin, persistent cough
gamma globulin, persistent cough, cough medicine: Hi, Alex, A persistent cough can be the only manifestation of asthma in some kids. I would be sure that the dose of the pulmicort is .5mg two times per day. I would also be sure that in her evaluation she has been checked for gamma globulin deficiency,...

Pediatrics: Poor Motor Skills in ADHD Child, concerta, physical therapist
concerta, physical therapist, underweight: Hi, Cynthia, These motor skills are not typical of those of a normal 7 year old. I would suggest an evaluation by either a pediatrician or a physical therapist to find out if anything else, other than the ADHD, is abnormal. Good luck, Dr. Olso...

Pediatrics: Post Pinworm Effects or maybe Giardiasis?, stomach ache, stomach pains
stomach ache, stomach pains, pinworm: Hi, Maria, I don t know of any direct relationship between having pinworms and the subsequent development of giardia. This is probably a viral illness and will probably pass with time. If the stomach ache continues for a day or so more, see your doctor....

Pediatrics: Potty Problem, routine microscopy, vegetables and fruits
routine microscopy, vegetables and fruits, mother of twins: he hides his face, means he is aware off, but couldnt go to the toilet. sometimes stools may be greasy, soft as one may find in malabsorption, so by the time kid realises its coming out, its already out and he finds it uncomfortable to get up and go to potty....

Pediatrics: Potty training regression problems.Please Help!, regression problems, umich edu
regression problems, umich edu, toilet training: Hi, Stephanie, This is toilet training resistance, a common phenomena we see in bright, albeit perhaps a bit stubborn kids. Any change in environment or not, can cause this. His accidents are generally intentional and controllable by him. Here is...

Pediatrics: Preschool aged boy, urgent matter, younger son
urgent matter, younger son, erection: Dear Chanda: Obviously you are not observing your 4 year old son every minute of the day so to say you have not noticed him having an erection does not mean he is not having them. To put your mind at ease though, I would recommend you speak to his doctor...

Pediatrics: pass out tantrum, parents and grandparents, umich edu
parents and grandparents, umich edu, breath holding: Hi, Cheryl, We call these breath holding spells. One holds their breath, due to anger, hurt or frustration and faints, sometimes even with a little seizure thrown in to scare the parents (and grandparents) even more. These will not hurt him. They...

Pediatrics: pectus excavatum, surgical aspects, surgical evaluation
surgical aspects, surgical evaluation, daughter lives: Hi, dona, I know nothing about South Carolina s medical facilities (been in Michigan all my life). I would look into a teaching children s hospital associated with a major university and then consult the department of rheumatology for further information....

Pediatrics: peeling skin, swollen glands, sinus problems
swollen glands, sinus problems, strep infections: Hi, chris, Generally peeling fingers, at least in pediatrics, are associated with the aftermath of strep infections. Was a strep test done with a sore or red throat? Hopefully if he had a sore or red throat one was done. The peeling can occur even with...

Pediatrics: persistent cough and asthma, constant cough, persistent cough
constant cough, persistent cough, paroxysms: its very important to say its not asthma if its not. its difficult for docs to conclude on it. but something thats making me feel its not asthma as its not worsening on paroxysms and he doesnt have wheezing. the fact that it aggrevates on eating may relate...

Pediatrics: petite toddler, fussy eater, abnormal brain development, ritz crackers
abnormal brain development, ritz crackers, free pudding: HI, Summer, Try giving her the food you guys eat, but processed in a baby food consistency. I would tend to give her a consistent snack between meals, but not increase it based on a past poor meal. This should stimulate her appetite for the next meal....

Pediatrics: pilgrimage trip, high altitude, cold areas
high altitude, cold areas, adequate precautions: well, usually after 1 year of age with adequate precautions to tackle cold like warm clothings, fat rich feeds and warming devices or heaters.. the infanst may accompany parents or caretakers.. infants shouldnot be left without attendants. also its important...

Pediatrics: poop issues, poop issues, stomach bug
poop issues, stomach bug, benign condition: Possible explanations are toddlers diarrhoea which is a benign condition where there is a fast transit time thru the gut and is characterised by undigested food in the stool. A food intolerance or malabsorption problem - both uncommon. The main thing is...

Pediatrics: Rash on Belly, high fever, daycare
high fever, daycare, sandpaper: Hi, Julie, A rash for a month is not due to any illness. It is probably a rash due to irritation; something touching the skin and causing it to be dry and pebbly. A good moisturizer consistently daily should do the trick. Good luck, Dr. Olso...

Pediatrics: Repete signs of viral infection, ent doctor, sore throats
ent doctor, sore throats, viral infection: Hi, Shelby, It is impossible to tell what you have. I guess based on what you are telling me it is a bit hard to recommend a tonsillectomy, especially if the tonsils look normal. Try having a pitcher of water at your bedside to see if you can get...

Pediatrics: Resistant eater, food aversions, trash man
food aversions, trash man, potaotes: Dear Vivan: Regarding the concern of your son still taking a bottle....stop the practice immediately. Throw all his bottles out and let him know the trash man took them because he is a big boy now. Let him drink milk, juice and water with a straw from...

Pediatrics: Resistant toilet training in 5 1/2 yr old, reward charts, toilet training
reward charts, toilet training, umich edu: Hi, esther, This is what we call toilet training resistance. It is a behavioral problem, not a medical one, although you should have your doctor do a good exam and take a good history. Here is a handout that is helpful to explain this frustrating problem....

Pediatrics: my right knee, jerky movement, orthopedic specialist
jerky movement, orthopedic specialist, sprain: since how long? does it pain? on specific movements? any trauma? any suddent jerky movement? all appears like a sprain.. but it can be of serious forms like menisceal tear.. if its mor ethan 7 days.. its really important to ask your orthopedic specialist...

Pediatrics: Sand eating, small toys, deficiency of minerals
small toys, deficiency of minerals, crayons: this is called pica. it is related to deficiency of minerals like say iron. read below: read both the articles http://en.wikipedia.org/wiki/Pica_(disorder) http://emedicine.medscape.com/article/914765-overview get back to me if any further...

Pediatrics: Sleep Issue, cough medicine, anti histamine
cough medicine, anti histamine, stratera: Hi, Kristin, I would try melatonin 3-5 mg about an hour before bed. This is safe and often effective. An anti-histamine like Benadryl or even the cough medicine for a couple of weeks might just change his sleeping patterns enough that he won t need it...

Pediatrics: Son has problems ,maybe learning disability or developmental problem, speech problem, learning disability
speech problem, learning disability, emotional eating: you need to approach a behavioural specialist. he needs to be screened for autism too. with a strong family history, if not detected and counselled on time, can deviate to any similar illnesses. get his IQ DQ tested and also take him to a speech therapist...

Pediatrics: Step son having problems, loose motions, dry stool
loose motions, dry stool, running a fever: vitamins are not substitutes.. they are just supplements.. add ons. all looks like constipation. please read my article on constipation at www.pediatricianonline.in constipation is a chronic problem in school children, formula feds and who have rich milk...

Pediatrics: Stool color in 17 month old, prune juice, viral illnesses
prune juice, viral illnesses, mac and cheese: Hi, sarah, Stools change color based on food changes, low grade viral illnesses and a myriad of other causes. The color of the stool is not important, unless it is black, red (blood) or pure white. I wouldn t worry. You might try giving her daily a...

Pediatrics: Strep on the rectum, beta hemolytic strep, group a beta hemolytic strep
beta hemolytic strep, group a beta hemolytic strep, augmentin: Hi, Tona, If it was caused by group A beta hemolytic strep, then this should be treated. If it was caused by any other strep, then it probably doesn t need to be treated. If it is all caused by GABH strep, then the Augmentin will always work. If it...

Pediatrics: Sudden high pitched scream in infant, infant temperament, baby's cries
infant temperament, baby's cries, change in infant cries: Dear Sherri, Although I wish I had an answer to your question, I really don t. I can t tell you that your grandson s newly produced crying and high-pitched scream is a consequence of his being with his father, nor can I tell you absolutely that his...

Pediatrics: separation disorder in kindergartener, pediatrician, mumbai
pediatrician, mumbai, India: i dont feel it as a problem. how are her milestones speech.. behaviour and interaction? if all is normal, i really will feel this just as a feeling due to attachment to parents, so she is happy when you pic her up, and she settles immediately in school because...

Pediatrics: short interview, systems of measurement, math skills
systems of measurement, math skills, interview ms: Dear Brittany: First let me explain that I do not do interviews. I will tell you that in any field of nursing but especially in Pediatrics math is an important skill necessary to care for a patient. You would be expected to calculate and convert various...

Pediatrics: sick 2 year now w/ nose bleed, green boogers, bleeding nose
green boogers, bleeding nose, running nose: Dear Mel: Nosebleeds are common occurences in young children however, if they are persistent or do not stop after 10 minutes of applying pressure, then it is of concern. It sounds as though your son has a nasty respiratory infection and he needs to see...

Pediatrics: sick son after shots, tetinus, dear kathy
tetinus, dear kathy, sick son: Dear Kathy: Your son could be reacting to the shots but I will tell you that the fever usually occurs for 24 to 36 hours after the shots. If it lasts beyond that time he may have a coincidental illness that he was already incubating. If the symptoms...

Pediatrics: skin peeling, multivitamin supplements, finger nails
multivitamin supplements, finger nails, moisturisers: it may be due to excess water/ wetness / moistire or playing in water. increased body heat say fever or in excess throid conditions or kawasaki fever may cause such rash. occasionally its due to eating nails and finger pulp. and if family history of lupus...

Pediatrics: skull x ray report question, skull shape, skull x
skull shape, skull x, abnormal shape: Hi, cindy, Craniosynostosis is there, essentially, from birth. The skull shape develops over time and the premature closure of the suture makes the abnormal shape more obvious. Craniosynostosis rarely causes development delay. It always causes a weirdly...

Pediatrics: All about the sleep, morning nap, afternoon nap
morning nap, afternoon nap, dear mary: Dear Lia: You should consider yourself fortunate that your son has taken two naps a day up until now. Most infants give up one of those naps before a year of age. Your goal should now be to have him in bed by 7 to 8 PM for the night, sleeping until...

Pediatrics: sleeping and feeding problem, morning nap, fruits vegetables
morning nap, fruits vegetables, afternoon nap: Dear Ana: You should not be feeding your child during the night at this age. Because you feed him, he doesn t sleep. Stop the practice and let him cry if he awakens. You can also follow the schedule I gave to another concerned Mom. See below. Get...

Pediatrics: soft spot on 3yr old, anterior fontanelle, small remnant
anterior fontanelle, small remnant, soft spot: Hi, Crystal, If this is only a small remnant of the soft spot, called the anterior fontanelle, then it is normal and won t cause any problems. Some kids with large soft spots just have them close later. I wouldn t be worried if this is what it is....

Pediatrics: soft spot, skull fracture, strange behavior
skull fracture, strange behavior, soft spot: Hi, Quynh, The CT scan at 3500$ is a rip off and I would complain to someone. Call someone and complain and they should settle for something less. Kids this age can fall on the flat side of the head and get a large bruise that is soft and heals fine....

Pediatrics: speech delay, developmental differences, sensory integration dysfunction
developmental differences, sensory integration dysfunction, speech/language delay in young childre: Hi Pramila, Thanks for providing a very comprehensive description of your son! That is helpufl to me in making recommendations for you. From the diverse behaviors you describe, it sounds like your son may have some developmental differences and that evaluations...

Pediatrics: staph infection?, herpes simplex infection, polysporin
herpes simplex infection, polysporin, exact place: Hi, Michelle, It could possibly by staph and the next time you see your doctor with this, have them do a culture. The fact that it keeps coming back in the same exact place is much more indicative of a herpes simplex infection, ie. a cold sore. This...

Pediatrics: stool withholding but no constipation., runny poo, pull ups
runny poo, pull ups, stool withholding: She sounds constipated and the runny stool is just overflow - the loose stool is all that can get past the rocks. The question is why she got to this point? The most likely thing is that she passed some hard motions which were painful and then became reluctant...

Pediatrics: strep throat, stomach ache, bellyache
stomach ache, bellyache, sore throat: Hi, Katie, All this depends on how accurately the diagnosis of strep was made. If this was a visual diagnosis, then she probably doesn t have strep and has a virus sore throat, where all the antibiotics in the world won t help. If a screen was definitively...

Pediatrics: Test for Language Disorder, verbal formulation skills in children, children's verbal coherence
verbal formulation skills in children, children's verbal coherence, disorganization in child langu: Dear Lisa, It sounds like your son s language skills are inconsistent -- as he has some very high level skills, which are evident when he says less, and yet you see some disconcerting difficulties with his expressive language when he is most at ease. The...

Pediatrics: Toddler eating habits..., toddler eating habits, bad eating habits
toddler eating habits, bad eating habits, grazers: Hi, Mike, I m not sure these are bad eating habits. Kids naturally are grazers and really what we should be concerned about is the quantity and quality of the food they eat in a 24 hour period. If they are fit, slender and healthy, I wouldn t be concerned....

Pediatrics: Toddler has very loose, foul smelling bowel movements (burning her bottom), high protein diet, normal bowel movement
high protein diet, normal bowel movement, peeling fingernails: the stools is white. clay or white coloured stools commonly make it necessary to rule out biliary pathologies (related to gall bladder). we very often see while stools due to high protein diet, formula feeds, medicines and/or indigestion. get her stool...

Pediatrics: temper trantrum, drawing painting, sweet boy
drawing painting, sweet boy, innocent child: Hi, miuni, It sounds like he is used to ruling the home and the temper tantrums are his way of continuing to be the boss of the house. You are the boss of the house and the final arbitrator of what is right and what is wrong. He needs to forcefully get...

Pediatrics: tinea corporis, pediatrician, mumbai
pediatrician, mumbai: it may take 5 days with adequate therapy. bandage is not recommended. it spreads but will grow only if it gets continuous moisture. so if you wasnt contaminated parts after every contact/ scratch and dry the part well, it shouldnt cause any infestation...

Pediatrics: toddler bowel movements, soft consistency, prune juice
soft consistency, prune juice, liver disease: Hi, Pamela, Stool color varies in babies and it is often unclear what causes this variation. Black, red, or white are worrisome, but the rest are not. It is possible that the probiotic is causing the stool change, but if so, I would ignore it. If...

Pediatrics: toddler bowel withholding, barium meal, ripe bananas
barium meal, ripe bananas, emema: yeah.. he is leaking .. around teh hard stools that need to be removed. read an article at following link: http://drpeds.blogspot.com/search/label/constipation constipation is a chronic problem in school children, formula feds and who have rich...

Pediatrics: toddler tonsillitis, ear nose and throat specialist, dear lillian
ear nose and throat specialist, dear lillian, ear nose and throat: Dear Lillian: Your son has had a high number of throat infections. If not already in progress I would have him seen by a pediatric ear, nose, and throat specialist who can best evaluate the need for removal of his tonsils. I really cannot tell you or...

Pediatrics: toddler tonsillitis, viral illnesses, strep tests
viral illnesses, strep tests, high fever: Hi, lilian, Most kids this age with tonsillitis have viral illnesses that are not responsive to antibiotics. Please make sure that your doctor is doing strep tests to be sure that he needs antibiotics. Also be sure your doctor is considering the possibility...

Pediatrics: My does not take top feed but wants only breast feed, child health specialist paediatrician
child health specialist paediatrician: My baby is 7 months old. ======= check her immunistaion weight and milestones, if normal understand complementary feeding. you may read it at http://drpeds.blogspot.com She does not want to take top feed neither lactogen nor other milk neither with...

Pediatrics: tumor in 4 year old, calcium supplements, mri report
calcium supplements, mri report, blood work: just relax. get the MRI report. That will mention things clearly. if the doc tells you not to worry, its more likely that it may be just a healed or healing fracture. practically, you need to discuss this issue with an orthopedic surgeon. He may also advice...

Pediatrics: URGENT! green stool and intestine infection, intestine infection, calcium gluconate
intestine infection, calcium gluconate, low calcium: yes the meds seem adequate. oral rehydration should also be stressed on, and also the 14 day zinc therapy. the reports suggest infection probably bacterial with secondary lactose intolerance. (thats-why milk stopping or giving lactose free formula may benefit...

Pediatrics: Vaccination, vaccination schedules, routine vaccines
vaccination schedules, routine vaccines, dpt vaccine: http://en.allexperts.com/q/Pediatrics-1429/2008/10/Easy-5-Vaccine.htm read above link to read my previous article/answer on easy five vaccine. Easy 4 contains one vaccine less. anything that needs to be poked cant be painless. pain depends on the size/diameter...

Pediatrics: voice change in toddler, ear nose and throat doctor, resonance characteristics
ear nose and throat doctor, resonance characteristics, vocal pitch: Dear Noreen, Although change in the sound of a voice can result from removal of tonsils and adenoids, it is not common for that to happen, and it is definitely not typical that vocal pitch would make such an abrupt, unwanted change as you have noticed...

Pediatrics: vomiting, canine teeth, pinch of salt
canine teeth, pinch of salt, body fluids: Dear Tasha, She may be cutting her canine teeth. In any case, give her sips of lemon juice made with fresh lemons, sugar and a pinch of salt to replenish her body fluids while you seek out a doctor for medicine prescription for vomiting. If her crying...

Pediatrics: WEIGHT GAIN IN INFANT, breast milk, breastfeed
breast milk, breastfeed, birth weight: Hi, AMANBHAT, Kids who have IUGR tend to be, all their lives, small. This is not always true, but a generalization that is true. Small parents tend to have small infants. I would agree that he needs more calories and a supplement with formula would...

Pediatrics: WEIGHT GAIN IN INFANT, vitamin supplements, breast milk
vitamin supplements, breast milk, breastfeed: Dear Aman, I don t think there is anything to get seriously worried about your son. If I were you, I would continue letting him take only his mother s milk. Even the calcium and vitamin supplements are not needed in a child who suckles on his mom s breast...

Pediatrics: Whats wrong with my son strange symptoms, sleep deprived eeg, recurrent seizures
sleep deprived eeg, recurrent seizures, carbon monoxide detector: Hi, Jan, He may have a seizure disorder. Recurrent seizures in normal kids are called epilepsy. Some seizures aren t seen on EEGs unless you pick these up when the seizure is actually taking place. If the EEG is normal, your neurologist might make a...

Pediatrics: White/clay colored stool, virus good luck, complete blood count
virus good luck, complete blood count, purple veins: Hi, Alison, I think that the symptoms you are telling me about warrant a trip to the pediatrician for a good history, exam and probably a complete blood count with platelet count. Pallor, bleeding and being sick I think deserves a visit, even if all the...

Pediatrics: weight, few more years, spurt
few more years, spurt, 6 years: Yes, she does seem to be underweight. However, if she has no other problems, I would suggest that you wait for a few more years, as girls get a height spurt around the age of eight or so. When they grow taller, they also put on significant weight. -drtahe...

Pediatrics: whole milk sensitivity - substitutes?, facial rash, prune juice
facial rash, prune juice, milk yogurt: Hi, Jackie, What about just trying whole milk with something added to his diet, like prune juice, to handle the constipation. I doubt the rash will be significant. This is what most pediatricians recommend at one year. It is cheap, nutritious and most...

Pediatrics: yellow, child speech development, speech and language development in children
child speech development, speech and language development in children, learning the speech code: Hi Summer, Your child s saying yellow at the age of two is actually precocious, but great. And the fact that (s)he s instead saying lellow at the age of three is not at all a cause of concern, if in fact you re not seeing a regression in speaking skills...

Pediatrics: 10 month old son appears to have a cold., nasal secretions, high fever
nasal secretions, high fever, runny nose: Hi, hector, Never panic right now ! Do some analysis of the situation. Is he running a high fever? Is he not taking in an adequate amount of fluids? Is he sleepy and lethargic and acting sick? Is he responding appropriately to you? Color of...

Pediatrics: 12 week old baby eating habits, baby eating habits, old baby
baby eating habits, old baby, lethargy: Hi, michael, One day of reduced eating and some sleep usually means the beginning of an illness. If the reduced eating and lethargy continues, or if he develops other symptoms, then see the doctor to be sure. If he is fine tomorrow, then it is doubtful...

Pediatrics: 13 month old ignores my voice, heck, good luck
heck, good luck, own little world: Hi, Kathryn, I suspect she is just aware that this action really bugs the heck out of you and she is playing you for all you re worth. Try this. Instead of repeatedly saying her name to the point of shouting, say it once and ignore her. I ll bet she...

Pediatrics: 14mths and no longer wants whole milk, empty calories, optimal growth
empty calories, optimal growth, whole milk: Dear Veronica: A 14 month old needs the whole milk for optimal growth. However, some tots refuse it so you have to try and get the dairy into her in other ways. Offer her 4 ounces of yogurt daily, cheese daily and make pudding with whole milk and give...

Pediatrics: 15 month old with violence, child psychologist, amberson
child psychologist, amberson, unusual behavior: Dear Melissa, I would suggest you tape her when she is that way and then bring in the tape to your Pediatrician or a child psychologist if you feel this behavior goes well beyond normal child behavior. You might ask a trusted friend first who has had children...

Pediatrics: 18 Month old sleep, sleep patterns, good habits
sleep patterns, good habits, naps: Hi, Usually changes in sleep involve changes in habits prior to actually falling asleep. Does he fall asleep in his bed or in your arms? Any recent changes in adults schedules? Any recent vacations or visitors? All these things can change sleep patterns...

Pediatrics: 18 month old sleep problems, bedtime rituals, bedtime routines
bedtime rituals, bedtime routines, sleep problems: Hi, Michelle, Sleep problems usually stem from faulty sleep associations; the objects or people who help us slip from wakefulness to sleep. Generally parents have kids fall asleep in their arms. Don t let her do this. Do the bedtime rituals and get...