About Experts Sitemap - Group 40 - Page 67 2014-12-23

Pediatrics: Constant Vomiting, constant vomiting, stomache virus
constant vomiting, stomache virus, stomach virus: Hi, Lee, It still probably is a stomach virus. The fact that no one else has it is different. If she has no diarrhea and is not currently running a fever and the vomit is persisting, then a visit to the doctor is needed to make sure that there is no...

Pediatrics: Constipation, pediatric gastroenterologist, normal bowel movements
pediatric gastroenterologist, normal bowel movements, prune juice: Chronic constipation is a common problem in children, and can be very difficult to deal with. Prune juice and apple juice are helpful, but kids often need more help than that. Laxatives do work, but they are only short term solutions, as they are not safe...

Pediatrics: Constipation, well balanced diet, benefiber
well balanced diet, benefiber, miralax: Hi, Christine, Constipation from birth raises the remote possibility of a condition called Hirschsprung s diseas. This is not likely, but you might talk to your pediatrician to see if this is a clinical possibility. Yes, the Benefiber would be OK....

Pediatrics: Constipation, glycerin suppository, apples and bananas
glycerin suppository, apples and bananas, rectal thermometer: Something to stimulate the rectum will probably help -- a rectal thermometer may do it. If not, either an infant sized glycerin suppository or a product called BabyLax. It s like a tiny enema for babies, with liquid glycerin in it. It helps to lubricate...

Pediatrics: Constipation, glycerine suppository, iron therapy
glycerine suppository, iron therapy, gsmc: it may be normal, but mostly changing the feed type may benefit as its mostly due to high phosphate content of feeds. Try with intermittent water sips. If the stools are very hard, she may require a glycerine suppository (pediatric); kids also get...

Pediatrics: over-feeding?, old wives tales, first time mom
old wives tales, first time mom, swallows air: A hard tummy is air in the intestine most of which gets there when she drinks and swallows air at the same time. It will either be burped up or eventually go out her anus. You don t need to do anything about it. There is nothing to do to clear the stomach;...

Pediatrics: Constipation, contipation, simethicone
contipation, simethicone, hardest time: Dear Tess, While it is not normal for a baby to pass such hard stools, the frequency of bm is not worrying to that extent. Why don t you try giving her simethicone drops? These contain an antiflatulent (gas remover) and are usually available over the counter....

Pediatrics: Constipation, miralax, parenting time
miralax, parenting time, diet changes: Miralax is a substance that attracts and holds water and this makes the stool softer and easier to pass. I am not sure it requires a prescription but if it does there is no tradition of not prescibing for ones family. When it is for a child being treated...

Pediatrics: Constipation, ground flax seed, whole wheat bread
ground flax seed, whole wheat bread, bran muffin: Hi, Those fruits are all fine, perhaps there are some other areas to look at. She should have no rice, pasta, noodles.She should have whole wheat bread that has at least 3 Gms of fibre per slice. Cheerios are good, Raspberries, broccoli, lentils, brown...

Pediatrics: Constipation, normal bowel movements, osmotic laxative
normal bowel movements, osmotic laxative, stomach muscles: Hi Lisa, Glycolax is an osmotic laxative that takes time to be effective. If you give it to her today, it may still be active 2 days from now. And yes, it is normal for Glycolax to increase the number of her bowel movements to 8-9. I can assure you that...

Pediatrics: Constipation in Babies, constipation in babies, old baby girl
constipation in babies, old baby girl, prune juice: It is not unusual for babies to go this long without a bowel movement and, as long as everything else is OK there is nothing you need do. Prune juice is OK but it usually is unnecessary. When she produces a stool it will probably be quite large. If it is...

Pediatrics: Constipation in babies, constipation in babies, 3 month old baby
constipation in babies, 3 month old baby, messy diapers: Hi, Maria, The frequency of normal stools in breast fed infants is truly variable, from one every feeding to one every two weeks. Really! If the stools are soft, if she is comfortable, then they are fine and normal. Saves changing messy diapers!...

Pediatrics: Constipation/ Diarrhea, similac formula, watery diarrhea
similac formula, watery diarrhea, stomach pains: Gina - there must be some way to find a physician younger than 78; maybe the health department can help you find a place or maybe a clinic at some medical center nearby. There is nothing disturbing about very loose movements as long as the infant is taking...

Pediatrics: Constipation/ Diarrhea, similac formula, watery diarrhea
similac formula, watery diarrhea, stomach pains: I come from India, where the medical referral system is non-existent. One can choose one s doctor rather freely. Hence, I find your predicament a little tough to digest. If I were you and I were sure that I could not seek a private practitioner, I would ask...

Pediatrics: Constipation in my grandson, bowel movement, irregularities
bowel movement, irregularities, interval: You question implies that you think an infant should have a bowel movement every day, which is not true. Some babies go every 4-5 days; some several times a day. If you start giving remedies you upset the normal rhythm of the colon and create a problem...

Pediatrics: Constipation or Holding BM's in 2 year old, glycolax, cheese milk
glycolax, cheese milk, fruits and vegetables: I don t think he will disturb any part of his body by going only every 5-6 days. (I have had patients who went once a week for many years with no problems) I don t have my books where I am right now so I can t look up Glycolax but it is probably a lubricant....

Pediatrics: Constipation and Upset Stomache, calcium supplementation, kem hospital
calcium supplementation, kem hospital, daughter elena: well waht she needs in intermittent water sips and calcium supplementation to keep stools soft. dont dilute the feeds. but if she is significantly constipated by now, she may need colon wash by rectal suppositories under medical guidance, to see immediate...

Pediatrics: Constipation, WBC, vomiting, barium enema, barium meal
barium enema, barium meal, upper gi barium: Dear Leah, Have them do an upper GI Barium meal study to rule out obstructions at the esophageal, gastric and duodenal levels. Also, you should continue to see his pediatrician and ask him for a referral to a pediatric gastroenterologist - who may want...

Pediatrics: Constipation, prune juice, miralax
prune juice, miralax, front teeth: Hi, Karen, Generally if one gives 2-4 oz of prune juice consistently every day the constipation will subside. The secret is to continue to use it for several months at least to start better bowel habits. If this doesn t work, we have had good luck...

Pediatrics: Constipition, karo syrup, prune juice
karo syrup, prune juice, hello doctor: I have to make a lot of guesses about this question. Surely he has had a movement in 3 1/2 weeks. My guess is that someone was concerned that he had not had a movement at the end of a day and tried to do something to help. This may have interrupted the normal...

Pediatrics: Contactt Dermatits, atopic dermatitis, flare ups
atopic dermatitis, flare ups, contact dermatitis: Hi, Ashley, Kids with severe eczema need to be on a coordinated skin plan. What does your doctor say? Are you using any medicines now? Is she bathing every day (bathing is good for eczema if you do it correctly). Are you using daily moisturizers, especially...

Pediatrics: Continuous Fever, consiquence, amoxicillin
consiquence, amoxicillin, liquids: Fever is almost always caused by an infection of some kind, and the infection she has apparently does not respond to amoxicillin. Children have many infections that don t respond and that take time to run their course. If she is drinking liquids and is not...

Pediatrics: Correct diagnosis?, viral gastroenteritis, stomach virus
viral gastroenteritis, stomach virus, clear liquids: I took him to the Dr. and they said he probably had a stomach virus. ======= he should have said its gastritis. Do you think this diagnosis is correct or should I ask for blood tests or something more to rule out anything more serious? =========== ...

Pediatrics: Costochondritis, hospital emergency room, costrochondritis
hospital emergency room, costrochondritis, scar tissue: Hi, Teresa, Persistent vomiting is generally not a sign of costrochondritis and usually the pain is not this severe. She probably needs an upper GI exam to rule out a number of things that can cause this type of pain. Whether a CT scan will help, I...

Pediatrics: Cough, cough variant asthma, asthma allergies
cough variant asthma, asthma allergies, nocturnal asthma: Hi, Hassan, Do people smoke in your house? Are there dogs or cats there and not at grandmothers? What is different? Kids can have night cough due to asthma or to a resolving cold. If there is a strong family history of asthma/allergies, a trial of...

Pediatrics: Cough in 4 yr old, mild asthma, phelgm
mild asthma, phelgm, bronchi: Hi, Beth, As pediatricians, most of us would wonder about a mild case of asthma in this situation. Bronchitis in kids rarely is a bacterial process and usually does not get better because of antibiotics. The zithromax is fine, but probably won t change...

Pediatrics: Cough, then high fever, tepid baths, auto wrecks
tepid baths, auto wrecks, high fever: I am in no way belittling your situation but put this into perspective. You are going to see if there is medicine to help him get well sooner - a normal parent s response. 60 years ago there was no medicine that would have shortened any respiratory infection...

Pediatrics: Cough & Runny Nose- 10 month old, runny noses, dimetapp
runny noses, dimetapp, allergic symptoms: Hi, Sarah, I don t buy the notion that kids have runny noses and are congested when they are teething. A months worth of congestion sort of implies to me allergic symptoms, especially if this runs in the family. I would personally try a 1/2 tsp dose...

Pediatrics: Cough and stridor in infant, lower esophageal sphincter, gentian violet
lower esophageal sphincter, gentian violet, oral thrush: While it is possible that candida (the yeast that causes thrush) can affect the lower airway (i.e.- the trachea and lungs), this is very uncommon in babies who are otherwise healthy and aren t on any antibacterial medications. If this is only happening when...

Pediatrics: Cough and stridor, chest x ray, congenital abnormality
chest x ray, congenital abnormality, laryngeal web: Hi, Roshauna, This has to be looked at in the context of the problem. Was the chest xray done carefully, in full inspiration? Question the doctor about this. If there is still concern, on echo of the heart can easily be done to solve this issue. ...

Pediatrics: Cough and vomit, clear mucus, nebulizer
clear mucus, nebulizer, pertussis: Pertussis will cause coughing and vomiting, but other things that cause cough will often cause vomiting, too. Has she had all of her vaccines on time? If so, she should be protected against pertussis, but nothing is 100% effective. If the cough and vomiting...

Pediatrics: Coughimg, lung xrays, allergy medication
lung xrays, allergy medication, runny noses: Hi, A cough for three months in a healthy kid is usually allergies or asthma. Is she exposed to cigarette smoke? If so, then no smoking in the house or any car she travels in. A medicine like Singulair might be reasonable to try, for it is indicated...

Pediatrics: Coughing for 3 months, chest x ray, asthma asthma
chest x ray, asthma asthma, chest xray: Hi, Jenny, A cough for 3 months is unlikely to be due to infection. This is probably the cough of someone who either has some allergies or has asthma. Asthma, or what we call cough variant asthma, is the most likely possibility. A chest xray would...

Pediatrics: Coughing 3 year old, dry cough, runny nose
dry cough, runny nose, coughs: He also has a persistant runny nose this whole 4 weeks ========= this is an important clue, and if it is correct! your child may be suffering from chroinic tonsilliadenoiditis or only adenoiditis. Tretament is avoid bottle feeds, train baby to brush...

Pediatrics: Coughing baby, pediatric gastroenterologist, pulmonary specialist
pediatric gastroenterologist, pulmonary specialist, strange sound: It doesn t sound like a seizure, but it s hard to tell obviously. Does it always happen after feedings? I d wonder about GERD. Babies can have serious reflux, which can cause symptoms including discomfort, breathing difficulty abd cough, even with no vomiting....

Pediatrics: Coughing, bronchitis, walking pneumonia???, cough med, walking pneumonia
cough med, walking pneumonia, productive cough: 99 degrees is probably not fever. It is within the normal for a child s body temperature. 10 days is a while to go without improvement of any kind but it is possible. More important than the cough is how she feels when she is not actively coughing. If she...

Pediatrics: Coughing due to cold?, school nursery, hycodan
school nursery, hycodan, codein: Remember that colds don t come from draughts or getting too hot or too cold; they come from organisms that come from another human being. If she stays away from other children she will be much less likely to have a cold. If she gets one apparently she does...

Pediatrics: Coughing, Fever, Under Arm Hurts, cough cough, lymph gland
cough cough, lymph gland, appitite: Hi, Gina, Kids with cough can pull a muscle and have pain in the chest as a result of this. Also a lymph gland in the armpit can cause this. I would watch for a few more days. If the cough continues or especially worsens, see the doctor. Sometimes...

Pediatrics: Coughing problem?, post nasal drip, nasal allergy
post nasal drip, nasal allergy, clearing of the throat: Hi, Douglas, In an older child, this would probably be a tic, a repetitive behavior that is involuntary and would just go away with time. I suspect this is due to some nasal allergy with some intermittant post-nasal drip. Another possibility might be...

Pediatrics: Coughing Son, bad coughs, blood vessel abnormality
bad coughs, blood vessel abnormality, cough medicines: When a cough lasts that long, there are two common things to look for: Asthma and allergies. A cough due to allergy will usually get better with many cough medicines--anything with an antihistamine should work. Asthma does run in families, and frequently...

Pediatrics: Coughing on swallowing, saying words, doctor dr
saying words, doctor dr, speech therapy: Hi, Melissa, First of all, he needs to see his doctor. The source of this cough could range from allergies, tracheitis to an obstruction of the airway. The treatment would be tailored to what your doctor thinks is causing the cough. To me, an allergic...

Pediatrics: Coughing, cough medicine, acid reflux
cough medicine, acid reflux, reglan: There are several possibilities. Reflux is very common, and does not always show a lot of vomiting. Sometimes the food or milk will come up enough to cause symptoms, but not go all the way out. Allergies are a possibility, too, either to the milk, or some...

Pediatrics: Cow's Milk for One Year Olds, milk protein, one year olds
milk protein, one year olds, contraindication: Dear Trisha: It is perfectly appropriate to give your child cow s milk. The only contraindication would be if the child has a sensitivity to cow s milk protein. Then it would be necessary to offer soy milk. The young child needs whole milk until the...

Pediatrics: Cows Milk, signs of anemia, cows milk
signs of anemia, cows milk, weaning a baby: Hi, Danielle, I usually recommend introducing cow s milk after the 9 month PE, where we check for signs of anemia. If the child is not anemic, then cow s milk is fine. If anemic and on breast milk, then iron needs to be added to the diet and cow s milk...

Pediatrics: Coxsackie, kidshealth org, muscle ache
kidshealth org, muscle ache, stiff neck: Coxsackie is a type of virus that can have many different kinds of symptoms. It is quite contagious, so yes, your 9 year old could get it. And, yes, it can cause a sore neck. This can come from muscle aches caused by the virus, or, more seriously, a stiff...

Pediatrics: Coxsackie, hand foot mouth disease, hand foot mouth
hand foot mouth disease, hand foot mouth, foot mouth disease: Coxsackie is a virus that does cause sore throats, fever and rashes like you describe. It is also the cause of Hand-Foot-Mouth disease, which is basically the same, except that the spots are only on the hands and feet, and in the mouth. It typically lasts...

Pediatrics: NOT CRAWLING, content baby, well baby
content baby, well baby, healthy kids: Hi, Rachel, If he is growing well and his exams routinely have been normal for the well baby checks, then the lack of crawling doesn t concern me in the least. Lots of healthy kids don t crawl and just walk away, not at all indicative of any problem....

Pediatrics: Crack behind infant's ear, cortisone cream, sweat glands
cortisone cream, sweat glands, warm soapy water: I think this is what is called intertrigo, which means irritation in a body crease due to the collection of dry cells and moisture. Clean the area with warm soapy water, rinse thoroughly, dry thoroughly and apply some 5% cortisone cream (from the pharmacy)....

Pediatrics: Craddle Cap, old baby girl, baby craddle
old baby girl, baby craddle, damage hair: Hi, Michaela, I usually recommend Sebulex shampoo, a mild product that generally takes care of this. Cradle cap doesn t damage hair. It often goes away but if it is extensive, treating it is a good option. If it doesn t go away, discuss with your...

Pediatrics: Cranial perimeter, old baby girl, pediatric neurologist
old baby girl, pediatric neurologist, month old baby: Yes, but it depends on the rate of growth, and her height and weight, too. Ask her doctor to show you her growth chart, with height, weight and head size. If her head is not growing well, she should be evaluated to see if there is a problem causing this....

Pediatrics: Crawling/Walking?, info thanks, all fours
info thanks, all fours, detriment: Hi, Alison, The lack of crawling is one developmental trait that many kids just don t do. It is not to their detriment. We don t worry about lack of walking until 18 months, generally. I suspect he, in the next few months, will just get up and walk...

Pediatrics: Crooked Butt Crack, gluteal cleft, stool softener
gluteal cleft, stool softener, bowel movements: Hi, Roberta, A crooked gluteal cleft is not uncommon and may be normal. Sometimes it is sign of an underlying boney abnormality of the spine. A plain film xray might give someone a clue or at least give reassurance that it is normal. I would suggest...

Pediatrics: Croup, respiratory passages, viral load
respiratory passages, viral load, infectious agents: It s a little of both. As babies grow, their immune systems become stronger. Also, the diameter of the respiratory passages gets bigger, so the passage of air is smoother. The virus remains the same, but the viral load may vary and thus alter the severity...

Pediatrics: Croup and Steriods, croup, breathing treatment
croup, breathing treatment, breathing air: I am sure it can be confusing when one gets different opinions from physicians. Here is mine, and I remember well the days when there were no steroids to use with anything. Simple croup, when the child has a barking sort of tone to his coughing and although...

Pediatrics: Croup, lung problems, 7 months
lung problems, 7 months, lungs: A child born prematurely may have undeveloped lungs which will make him more susceptible to infections that cause croup (which is a symptom, not a diagnosis). Some lung problems disappear as the infant matures. Occasionally the lung is permanently damaged...

Pediatrics: Crying, nerve problems, move one
nerve problems, move one, moshe: I have not heard of this being a problem. Is he ok otherwise? Does his mouth and face look the same on both sides? Sometimes babies cannot move one side of the face well--this can be due to nerve problems. Ask his doctor to check him carefully next time...

Pediatrics: Crying, temper tantrums, changing table
temper tantrums, changing table, minor injuries: Hi, Michelle, These are temper tantrums. Ignore this as much as possible, get the changing job done quickly and silently, hold her tightly and reassuringly when the tantrums stop and they should extinguish themselves soon. Good luck, dr. Olso...

Pediatrics: Crying 8 month old, stay at home mom, crying child
stay at home mom, crying child, cofee: Hi, Snezana, Please don t let a crying child dictate your plans. Keep going to others homes, continue getting out of the house and this will stop. Please don t indicate to him that this is frustrating to you, for often this will give him some incentive...

Pediatrics: Crying Baby, child crying, isnot
child crying, isnot, baby cry: Dear GV: A baby will not be harmed by crying and sometimes a bit of crying is actually good for them. Brief periods of crying helps to aerate their lungs and are no cause for concern. Obviously you did not feel as good to the baby at that moment in...

Pediatrics: Crying Baby, crying baby, plain water
crying baby, plain water, old baby: The obvious answer is to find someone who can talk to you about all of the details of his life and then make suggestions for improvement; that is one of the important roles of a pediatrician. Changing formula will sometimes help but not as often as most...

Pediatrics: Crying Baby, month old baby, pediatric surgeon
month old baby, pediatric surgeon, child crying: Dear GV, Being a father of six myself, and a grandfather of nine, and a pediatric surgeon since 40 years, I have experienced about the same situation when I was quite new in this business, in the business of being a father, that is. It is not surprising in...

Pediatrics: Crying baby, crying baby, sick child
crying baby, sick child, pediatrician: My thought is that she has an infection of some kind, of which children have many as they grow up. If I am correct the treatment is to forget about food and empasize various liquids to be sure she doesn t get dehydrated - water, dilute juice, Gatorade, jello,...

Pediatrics: Crying and daycare, first time mom, separation anxiety
first time mom, separation anxiety, care staff: Dear Brooke: The baby seems to be going thru a phase of recognizing you and missing you. She will get over this phase but just love her to pieces when you get her into her arms. She sounds already as though she is a very smart little girl. They go...

Pediatrics: Crying & Green stool, green stool, rapid movement
green stool, rapid movement, e mail: A green stool is due to the contents of the intestine passing faster than usual - the color doesn t have time to change and there is not enough time for the colon to absorb liquid back into the system and it remains runny. I think in your infant s case the...

Pediatrics: Feeding, 6 month old babies, orderly schedule
6 month old babies, orderly schedule, solids: Babies differ so I can t be very specific about amounts but I think that within limits you can let the baby be the judge. In general it is unnecesssary for a mother to set her goal at to how much the baby should consume. I think it is appropriate to offer...

Pediatrics: Crying after nap, daycare center, nap time
daycare center, nap time, separation anxiety: Hi Ms. Nguyen, This certainly falls into the category of parasomnias. It means that there is an undesirable behavior(s) that occur during sleep or exacerbated by sleep. The cause is usually unknown. It might simply be an anxiety or fear that one or both...

Pediatrics: Crying older infant, afternoon nap, crying time
afternoon nap, crying time, hi mike: Hi, Mike, If nothing is wrong with her, let her cry. It won t hurt her in any way. Do not pick her up when she is crying. Wait until she stops for a few minutes and then pick her up. This will reinforce the notion that you will pick her up when she...

Pediatrics: Crying/Screaming in Sleep, zantec, prevacid
zantec, prevacid, behavior changes: Hello again MJ, From what you ve described, it sounds like her Zantac is no longer working. Vomiting, extreme fussiness and refusal to eat are classic signs of reflux. Since your PCP is not close, you might try calling the clinic, describing to the nurse...

Pediatrics: Crying Toddler, oxygen tent, blue lips
oxygen tent, blue lips, types of tests: Hi, Alexis, The second episode was unlikely a breath-holding spell. Did he choke on something, a small toy, etc. and has a pneumonia because of that? Does he have a small object blocking his airway, causing the lung with the pneumonia to collapse?...

Pediatrics: CT Scan & WBC Results, chronic maxillary sinusitis, sphenoid sinuses
chronic maxillary sinusitis, sphenoid sinuses, tubes in ears: Hi, Becky, A fever every day for a year is totally abnormal and bears close evaluation. Her WBC is high, suggesting infection. The CT findings indicate chronic maxillary sinusitis and inflammation/infection of the other sinuses. I assume since the...

Pediatrics: Current eating change, chicken broth, counsellor
chicken broth, counsellor, pint: I think your doctor may be right; is she suffering from a depression of some kind? It may be worthwhile to sit with her and thrash out the issue, or show her to a counsellor before thinking that she might have some disease. You must have been surprised...

Pediatrics: Cut on heel, neosporin, blood vessels
neosporin, blood vessels, stitches: Hi, Josh, The heel actually looks better than I thought. This is a very avascular part of the body, not a lot of blood vessels, and heals very slowly and not very well. Keeping the area clean, applying neosporin at night are the only options I know of...

Pediatrics: Cut on Lip, accurate statement, pussy
accurate statement, pussy: One has to see something like this to make an accurate statement but, in general, when the lip is hit it swells a lot (there is nothing to keep it from swelling because the skin is so loose) and fluid collects in the damaged skin. Chances are she is OK...

Pediatrics: Cutaneous Larva Migrans, larva migrans, ethyl chloride
larva migrans, ethyl chloride, stromectol: I am surprised that Thiabendazole is no longer available. It used to be readily available, and it used to be the drug of choice for CLM. The currently listed preferred treatments are Albendazole (400 mg daily for 3 days) and Ivermectin (Stromectol -- 0.2mg/kg...

Pediatrics: Cyanosis, congenital heart diseases, recovering from the flu
congenital heart diseases, recovering from the flu, heart defect: then in all such situation your child has no major problem. just to clear ur doubts the cardio investigations; i m sure all will come normal. reflux meds may not be required when she starts walking. thanks http://drpeds.blogspot.com Dr kondekar...

Pediatrics: Cyanotic hands, feet, and legs, legs and feet, acrocyanosis
legs and feet, acrocyanosis, baby swing: Hi, Nicola, Kids when they are cold can have some unusual, temporary and benign skin color changes such as you describe. I probably would have waited if she is healthy and has no heart or lung problems. This acrocyanosis can be seen in totally normal...

Pediatrics: Cyclic Neutropenia, CBC questions, bun creatinine ratio, teardrop cells
bun creatinine ratio, teardrop cells, cbc results: Those terms mean that there were cells of different size and shape, that some were oval shaped instead of round and that there were some that stained different from usual. A small number of cells with these characteristics are normal because of the difference...

Pediatrics: Cycling Vomiting, medical reasoning, blood sugars
medical reasoning, blood sugars, jayden: I am a little out of contact with the most recent treatment of cyclic vomiting but when I knew the latest treatment there was medication a child could take all the time that was usually effective in controlling the episodes. His blood sugars are safe for...

Pediatrics: Cycling Vomiting, medical reasoning, blood sugars
medical reasoning, blood sugars, jayden: Here s a link to a good reference on cyclic vomiting: http://digestive.niddk.nih.gov/ddiseases/pubs/cvs/ There is no real cure, but there are some things to do to help. Can he tell you when it s about to start? Or, if it s really exactly the same time...

Pediatrics: Cyst, pediatric surgeon, cells
pediatric surgeon, cells: He may have said dermoid cyst ; that is a common one. There isn t much to research; it is a group of cells that are in the wrong place and which secrete material into the center of the group and form a cyst. It is benign and needs to be removed, which usually...

Pediatrics: Cystic Fibrosis Testing, sweat test, cystic fibrosis
sweat test, cystic fibrosis, newborn screening: The person who did the sweat test should know if it was a satisfactory test. If there is any doubt, it should be repeated. Sometimes not enough sweat if produced to get reliable results but the person who did the test will have to make that decision...

Pediatrics: Cystic Fibrosis, sweat test, cystic fibrosis
sweat test, cystic fibrosis, peditrician: You have asked more questions than I can answer completely but I will try. Being a carrier does not mean he has CF (cystic fibrosis). The sweat test is to prove he does not have it. The idea for the test is that those with CF have a very high content of...

Pediatrics: calcium, moshe, dairy products
moshe, dairy products, orange juice: It depends on what else she eats and drinks. There is orange juice with calcium, and cheese, yogurt and other dairy products also contain calcium. Talk to her doctor about her total daily calcium needs, what she is getting, and whether she needs a supplement....

Pediatrics: calcium, calcium absorption, calicum
calcium absorption, calicum, gsmc: the product is the product of levels of calcium per 100 ml of the dietary item. suppose calcium is 10 gm/100ml and phosphorus is 4 gm/100 ml, then the product here will be 40. adding extra calcium will take the product high and will hamper absorption....

Pediatrics: calcium chews, adult chocolate, calcium chews
adult chocolate, calcium chews, mg calcium: I believe a 5 year old needs about 1000 mg of calcium daily, so one should be ok for her. Vitamin K is ok for children. According to a source I found on the internet (http://books.nap.edu/openbook.php?record_id=10026&page=180), a reasonable amount is 55...

Pediatrics: calcium deposits in kidneys......, calcium deposit, renal ultrasound
calcium deposit, renal ultrasound, calcium deposits: All kidney stones are not calcium but a calcium deposit is a kidney stone. The treatment varies from chemical treatment to try to dissolve the deposit to operating to remove it. There are too many unanswered questions for me to say any more. Wait for the...

Pediatrics: calcium spot on a babies heart., calcium, ultrasound
calcium, ultrasound, nurse: Either the doctors mispoke or you misunderstood what they were saying. I know of no relation between calcium on the heart and Downs. Go back to the person who gave you the news about this finding and ask again. Be sure it is a physician talking. Sometimes...

Pediatrics: calcium, growth chart, moshe
growth chart, moshe, percentile: There are many factors that affect height. It s impossible to tell if one dietary item has had any effect on her height. Has she been growing normally? Is her weight appropriate for her height? Any illnesses? Talk to her doctor and ask to see her growth...

Pediatrics: calf pain and the flu, causes of calf pain, severe calf pain
causes of calf pain, severe calf pain, pain behind the eye: Hi, Crisis, Influenza can in some cases cause profound myalgias, or muscle pains. I would watch this for a few days, treat symptomatically and if it gets worse or localizes to one spot on one muscle, see your doctor. Should get better with time. Good...

Pediatrics: calming, "appeasing" pheromones, dog appeasing pheromones, perfume industry
dog appeasing pheromones, perfume industry, cuddly guy: Dear Marc: I am sorry but I have no knowledge of pheromones that will enable your children to find you more appealing. I would suggest you see a therapist to assist you to be more appealing to your children. The children want a Dad who wants to participate...

Pediatrics: calorie weight gain in infants, calorie dense foods, instant breakfast
calorie dense foods, instant breakfast, height and weight: The first thing to determine is why she needs this. Has she been ill, or does she have some medical condition that causes her not to gain weight? Has she been losing weight? Just not gaining enough? How long has this been going on? What is her height...

Pediatrics: care of 5 yr. old with UTI, sensitive skin soap, free soap
sensitive skin soap, free soap, toilet habits: I think the pediatrician is trying to keep the child from sitting in soapy water which in some girls can seep into the urethra and carry germs into the bladder. Certainly there is no reason not to use soap on her body and I know of no reason why the mother...

Pediatrics: about your career, academic medicine, career field
academic medicine, career field, choosing a career: I volunteered to answer questions from parents with problems with their children and I don t think you fit that description. I can tell you that after a person finishes college, medical school, a 3 year residency and passes the American Board of Pediatric...

Pediatrics: career in pediatrics?, being a pediatrician, negative aspects
being a pediatrician, negative aspects: Do you enjoy being a pediatrician? yes What did you major and minor in? intencive care Was this a hard career to persue? true Would you recommend a career in prediatrics or maybe specialized nursing? yes What are some negative aspects of pediatrics?...

Pediatrics: Some career questions, career questions, vacation time
career questions, vacation time, imagination: 1)Is the pay good and reasonable? = yes 2)Can you work or choose your own hours? = no 3)Are there any benefits? Can it also help your family? = yes 4)What type of job enviornment do you work in? = cool 5)Do you work with people that are understandable...

Pediatrics: career studies, medical school faculty, career study
medical school faculty, career study, career studies: Kyle I have a feeling that you don t know enough about pediatrics to ask the right questions. After a person graduated from college, after 4 years of medical school and 3 years of pediatric residency one can apply to the state licensing bureau for a license...

Pediatrics: career, cant answer, pyschology
cant answer, pyschology, undergrad program: You have to attend medical school to become a doctor. You can choose any undergrad program but i chose computer science cause i enjoyed it. People do arts, english, pyschology, or the sciences. I m still in school (undergrad) so cant answer the rest of your...

Pediatrics: carseats, son joey, infant carseats
son joey, infant carseats, neck muscles: Dear Jammie: The rule is 20 lbs and one year of age before a child may face forward. They do make car seats for weights of 20 to 40 lbs that are convertible and may be rear or forward faced. In a collison, God forbid, it is easier to fix a broken leg...

Pediatrics: cat and pregnancy, cat box, purist
cat box, purist, dodson: There is an organism (germ) that comes from cats that can be passed on from mothers, who have no problem, to the babies, who do have a problem with the germ, but the incidence is very, very low. I think I would listen to the vet about that subject. The pediatric...

Pediatrics: What could cause these symptoms?, low grade fever, ammonia level
low grade fever, ammonia level, stomach cramps: Yes, this sounds like a viral infection to me and also, if illustrates to me the problem with using the ER for primary care. He had lots of dollars of lab work he didn t need and got the advice one would expect from a specialist in heart attacks and auto...

Pediatrics: cell, typical cells, pap smear
typical cells, pap smear: Hi, I am assuming your wife recently had a pap smear....A typical cells are cells that show some changes in their structure that lets a doctor know there might be reason for further testing usually it is not serious and can be treated easily. She should make...

Pediatrics: cellulititis, formic acid, chemical reaction
formic acid, chemical reaction, allergic reaction: Dear Tammy, You are welcome to ask questions. The swelling is due to a chemical reaction with the formic acid that is secreted by ants. If she gets bitten by more than one ant, the reaction might be more severe. In such a case, don t wait to see the size...

Pediatrics: cHICKEN-POX IN FIRST TRIMESTER, minor abnormality, neurological consequences
minor abnormality, neurological consequences, gynec: This can be a tricky one. I would suggest going in for an ultrasound at three months with a suggestion to the doctor to look for abnormalities of the fetus. At the same time, the USG *can* miss a very minor abnormality of structure - with disastrous mental...

Pediatrics: change in stool consistency and color, stool consistency, colored stools
stool consistency, colored stools, undigested food: The change is due to the milk but not because it is disagreeing with her. The proteins and calcium in whole mile is different from formula. Try putting a few tablespoons of molasses in each days portion for a few days and see it that won t help. You might...

Pediatrics: change in toddler's bowel movements, blue yogurt, offensive odor
blue yogurt, offensive odor, color changes: Hi Misha, If the stool is tarry black, there may be blood in the digestive tract. This is abnormal and needs immediate attention. I recommend that you contact your pediatrician regarding this or take him to an emergency room. Regards, John T, M...

Pediatrics: changing mole on 5 year old daughter, malignant mole, irregular edges
malignant mole, irregular edges, black dot: Hi, This is almost certainly a normal and not malignant mole, based soley on the fact that virtually all of them are in this age group. That being said, this is unusual enough that my suggestion is to make an appointment to have it checked. This...

Pediatrics: How to check Wheezing problem of my daughter, sweat chloride test, cystic fibrosis
sweat chloride test, cystic fibrosis, allergy symptoms: Hi, Bipul, Your daughter is tiny, at least based on USA growth charts, in the 2% for weight and the 16% for height. Why is this? Was she small at birth? Are her parents small? She probably has asthma, but I would explore other options if she was...

Pediatrics: How to check Wheezing problem of my daughter, inhalation therapy, childhood asthma
inhalation therapy, childhood asthma, allergy symptoms: Dear Bipul, Your thirst for more and more knowledge on childhood asthma will only be satisfied if you read this on childhood asthma: http://www.vh.org/navigation/vh/topics/pediatric_patient_asthma.html As to your today s queries: She may not have...

Pediatrics: chest pain, hypermobile joints, 105 bpm
hypermobile joints, 105 bpm, 120 bpm: If she is 6 I would hope that someone has listened to her many times. That pulse is slightly above normal. Chest pain in children is rarely do to a cardiac problem. I would think that the pediatrician would spend more time with your concern. Have a talk...

Pediatrics: chest pains, breast area, lying on the couch
breast area, lying on the couch, bronchial spasms: There is a common condition called costochondritis, which is inflammation where the rib meets the cartilege that connects it to the breastbone. This can be caused by trauma, or some viral infections. In either case, ibuprofen should help it, but you do have...

Pediatrics: chest pains & shortness of breath, chest x rays, pediatric cardiologist
chest x rays, pediatric cardiologist, muscular pain: Dear Karie, I think you could try some medications for acidity that are available across the counter and see what happens. A cardiologist may have to see him later. Are you sure that he has a cardio-respiratory cause and not something like heart-burn, muscular...

Pediatrics: chest pains, chest x rays, precious heritage
chest x rays, precious heritage, breast bone: The pediatric world has come to the conclusion some time ago that there is no such thing as growing pains . There are pains in growing children but not because of the growing. It may be that the doctor is growing tired of hearing complaints which he doesn...

Pediatrics: chest xray, cardiac silhouette, chest x ray
cardiac silhouette, chest x ray, clinical correlation: Hi, Michelle, If I did an Xray on every kid I saw in the office with a cold, lots of them would have this type of non-specific, probably best not treated xrays. This is not a standard pneumonia and if the child is doing well, probably does not need to...

Pediatrics: chewing problem, pediatrician, gags
pediatrician, gags, swallows: Hi, neetu, You don t need to teach kids to chew. They do it instinctively and he has every ability to do it. He isn t chewing to bug you. Don t let it upset you and don t comment about it to him again. If he spits it out, end the meal. If he chews...

Pediatrics: chewing problem, major cities of india, mumbai india
major cities of india, mumbai india, parenting book: Dear Neetu, Most such eating problems stem from forcing the child to have those extra morsels. Let him eat what he wants and don t offer him any more than that. A whole day may sometimes pass without him wanting to eat anything. Let him be. I am confident...

Pediatrics: chewing problem, barium swallow, s hospital
barium swallow, s hospital, oral skills: Dear Neetu: I have no idea where you are writing from but if residing in the USA I would demand your son 1) have a barium swallow to determine his swallowing function 2) be evaluated by a speech therapist for oral skills and 3)get a referral to a feeding...

Pediatrics: chicken Pox in a 6 week old baby, passive immunity, antibody levels
passive immunity, antibody levels, wild virus: Dear Jodie, He will most likely have a very mild attack as rightly guessed by you. In fact, he is likely to have less than 50 blisters over his entire body, and they might disappear in fewer than five days. Has your blood been tested after the vaccination...

Pediatrics: chicken Pox in a 6 week old baby, kem hospital, passive immunity
kem hospital, passive immunity, wild virus: Is chicken pox especially dangerous to him because of his age (6 weeks 3 days) ========= usually more dangerous below 28 days age of life. and could his case be mild because of immunity passed from me to him ============ likely ! if you had taken your...

Pediatrics: chicken pox, shapes and sizes, chicken pox vaccine
shapes and sizes, chicken pox vaccine, docter: Dear Ami: The chicken pox vaccine is only 85% effective in preventing chicken pox. A breakthrough case of chicken pox can occur. The rash is widely scattered and small pink bumps crop up on the torso. There will only be 20 to 40 lesions. Hives on the...

Pediatrics: chicken pox @ 13 months old?, adult chicken pox, hypothetical risk
adult chicken pox, hypothetical risk, extreme death: Hi, Chrystal, The vaccine induced pox that we rarely see is not contagious. A 13 month old usually will do fine with chicken pox. Why people would want their kids to get an avoidable disease that can conceivable cause hospitalization due to infection...

Pediatrics: chicken pox, vaccinated, rashes
vaccinated, rashes, blisters: Dear Laurie, Chicken pox is infective from three days *before* the rash appears till the last of the rashes have gone. Certainly, you might want to avoid him coming in ctc with other children once he gets the rash - but that still doesn t prevent him from...

Pediatrics: chicken pox, chicken pox, skin infections
chicken pox, skin infections, encephalitis: I would not advise exposing anyone to chicken pox. True, most cases of chicken pox are mild, but there are complications like skin infections and encephalitis. And someone will have to miss work to stay home with the child for a week or more. We have a...

Pediatrics: chicken pox carrier, chicken pox vaccination, chicken pox virus
chicken pox vaccination, chicken pox virus, shingles vaccination: If you have had chicken pox, the virus can lay latent in nerve cells and you are at risk of developing shingles. However there is no point having the chicken pox vaccination to protect against shingles. I am not sure what you mean by shingles vaccination...

Pediatrics: chicken pox carrier, chicken pox vaccination, chicken pox vaccine
chicken pox vaccination, chicken pox vaccine, incubation period: Dear Kristine: The chicken pox vaccine, if they just had their first dose, is only about 85% effective in preventing a child from getting chicken pox so 15% of the children who get the vaccine, if exposed to wild virus, can get the disease. I would avoid...

Pediatrics: chicken pox vaccine--rash?, chicken pox vaccine, pneumo
chicken pox vaccine, pneumo, hib: Hi, Teri, The timing and the appearance you describe are consistent with the 5% of the time rash we see with the Cpox vaccine. They may are may not blister and aren t contagious if this is what they are. My guess is that they are from the cpox vaccine...

Pediatrics: chicken pox vaccine, chicken pox vaccine, prevnar vaccine
chicken pox vaccine, prevnar vaccine, types of meningitis: Hi, Melanie, Some do but the lucky ones don t and the fact she didn t is OK. The vaccine has worked fine. The vaccine prevents 80 % of all cases of chickenpox and 100% of all life-threatening cases. Prevnar (PCV7) vaccine protects from the cases of...

Pediatrics: Could this be chicken pox...again?, varivax vaccine, oral lesions
varivax vaccine, oral lesions, skin lesions: It is hard for me to believe that with the immunization and a diagnosis of chicken pox later that this could be chicken pox. I don t know what a flu rash is; I have never heard of it. I wish I could help but I have no suggestions. There is a viral infection...

Pediatrics: chickenpox vaccine, booster dose, booster shot
booster dose, booster shot, chicken pox vaccine: I think most children should get the booster dose of chicken pox vaccine. Whether your granddaughter should get it is really a decision to be made with her doctor, who knows her history much better than I. Yes, children who get the vaccine can get shingles,...

Pediatrics: chickenpox, chicken pox vaccine, nothing in this world
chicken pox vaccine, nothing in this world, chickenpox: Yes, you can get chicken pox from someone with shingles, and, yes, you can get chicken pox even though you ve had the chicken pox vaccine -- it is not likely, but it is certainly possible. Nothing in this world is perfect, including every vaccine ever made....

Pediatrics: a chikd that has been abused or signs, child vomitting, tissue fluids
child vomitting, tissue fluids, blood vessel: The answer depends on what damage is done by a blow. A severe blow can rupture a blood vessel and cause immediate symptoms as the abdomen fills with blood, but that is unusual. More likely the organs are bruised and blood and tissue fluids come to the surface...

Pediatrics: My child, night terror, psychological stress
night terror, psychological stress, deep sleep: Hi, lisa, If these are night terrors and they sound like it, here is a handout I use that explains these and provides a technique that may solve the problem, called prompted awakening. Give it a try. good luck, Dr. Olson Night Terrors What are...

Pediatrics: child afraid to pass stool, rewarding system, glycolax
rewarding system, glycolax, hard stool: Dear mardi: You will need to talk to your child s doctor about giving her a gentel laxative so that the stool literally slides out and she will not be able to hold it in. This is a very common problem if a child has had experience of passing a hard stool...

Pediatrics: child with asthma, asthma flare, brittle asthma
asthma flare, brittle asthma, hospital admissions: Smoking will have an adverse effect on the airways of all children, particularly those with asthma. Smoking leaves particles in the air which persist after the cigarette is put out. I am not sure that a doctor would normally call social services, but I guess...

Pediatrics: child's bad breath, what causes bad breath, dentist appointment
what causes bad breath, dentist appointment, saliva flow: Hi, Crystal, Here is a handout that I use with my patients that may help. Bad Breath (Halitosis) What is bad breath? The complaint of bad breath is unusual in children and the cause should be uncovered and dealt with directly. When your child...

Pediatrics: child behaviour, child behaviour, facing the wall
child behaviour, facing the wall, lots of trouble: Dear Deborah: Children who act aggressively at home are often well behaved at nursery. Is he in need of more attention from you? Try to give him extra affection daily and establish a consistent approach to discipline in the home. A child who hits must...

Pediatrics: Is my child's brain protected within his skull?, sinus headaches, interior padding
sinus headaches, interior padding, cause brain damage: The human brain is surrounded by a layer of fluid that is very protective against all but very strong trauma. I don t think you have any cause for concern. The dizziness comes from disturbance in the balance center in the inner ear, the organ that makes...

Pediatrics: My child cant talk -help !, autistic spectrum disorders, cod liver oil
autistic spectrum disorders, cod liver oil, attention deficit hyperactive disorder: Hi, Edy, Kids with only ADHD speak. The treatment of the ADHD, if that is even the case, will not make him speak. He needs an full evaluation by a pediatric team at a pediatric hospital to find out what is the true problem and how it can be best...

Pediatrics: child with cold, thrush mouth, bulb syringe
thrush mouth, bulb syringe, taking medicine: This may all be due to the cold and the thrush. If he is taking medicine for thrush, it should get better in 1 or 2 days. Were you told to do anything for the cold? The best thing for babies with congestion is saline nose drops. Put one or two drops in...

Pediatrics: My child coughing frequently, ramsey haddad, child aspirin
ramsey haddad, child aspirin, poor immune system: Hi Dr. Ramsey Haddad, First of all, I would recommend that you stop administering aspirin to your child. Aspirin is NEVER recommended in children! Paracetamol is appropriate. Just remember that the dosing should be appropriate for his weight ... NOT age....

Pediatrics: My child coughing severly, pollen allergy, pollen season
pollen allergy, pollen season, benylin: Hi, He probably has asthma. Antibiotics seldom help kids with a cough. Ask your doctor about this possibility. Asthma is the most frequent cause of long term cough in kids. It can easily be treated if the possibility is thought about. Good luck,...

Pediatrics: child crying, unified approach, naps
unified approach, naps, freaks: Hi, Shelia, Without the cooperation of the parents, I don t think you can do much. It isn t surprising to me that he cries when you don t pick him up. He Dad does this all the time. Discuss this with the parents and see if you can find a unified approach...

Pediatrics: child development -boy, healthy lungs, ototoxic drugs
healthy lungs, ototoxic drugs, strong immune system: I suggest that the size of the genital area is very variable and rarely is it abnormal. One factor is the amount of fat around the penis which can cause it to appear very small. My opinion, however, can t approach the validity of a physician who has examined...

Pediatrics: child development, little imagination, attention span
little imagination, attention span, amberson: Dear Marlene, I do empathize with you. I feel that teachers are placed with very difficult educational goals. I agree that too much is placed on children these days in terms of pure academics with not enough regard to the arts, physical education, music...

Pediatrics: child diet, juice juices, child diet
juice juices, child diet, rice milk: Hi, suba, First, change to skim milk. This will give a lot less calories for him. Second, don t give or force him to take juice. Juices aren t great sources of nutrition and I would prefer water. The night time waking is habit. He is not waking...

Pediatrics: child's diet, cause of eating disorders, obese kids
cause of eating disorders, obese kids, picky eater: If he is at 50th percentile for height and close to that for weight, I would not have any concern. He is just about perfect. So what if he looks thin? We have so many obese kids around, most normal kids do look thin. He s fine. Leave him alone, and feed...

Pediatrics: child has difficult running, muscular development, family practitioner
muscular development, family practitioner, worrier: Since worry does no good and only harms the worrier I don t think that is the thing to do, but I do think you should seek find out if your observations are valid or not. A pediatrician is the obvious person to give you an answer although a family practitioner...

Pediatrics: child digestive problems, digestive problems, intestinal tract
digestive problems, intestinal tract, kink: I would think of something that is causing intermittent obstruction of the intestinal tract, some kink that comes and goes, something that can be associated with what is called malrotation of the intestine. Intermittent intusseception or an intermitten sliding...

Pediatrics: Should this child see a doctor?, exact diagnosis, blood transfusion
exact diagnosis, blood transfusion, hereditary disease: Hi, Jody, How do we know they are not bruises? If they aren t, then I would be concerned about a disease called ITP, that can cause the platelets in the blood to fall to very low, life threatening levels. Bruising or petechiae of the skin is the hallmark...

Pediatrics: Should this child see a doctor?, health care specialist, growth evaluation
health care specialist, growth evaluation, blood transfusion: Many children have red marks like the one you described that are called hemangiomas and they are benign and they go away on their own about 5-6 years of age. Since every child deserves to see a physician or a health care specialist for immunizations and...

Pediatrics: my child doesnot eat or drink., formula milk, breast milk
formula milk, breast milk, breast feeding: Children don t go hungry in the presence of food unless there is so much anxiety in the process that they have no appetite. What happens when other feed her? How about her father? At day care? A child s appetite can be spoiled for life if they are force...

Pediatrics: how much should a child eat?, large hips, empty calories
large hips, empty calories, nourishing foods: Some believe that excessive sugar can do that to a few kids so I can t say absolutly no although I don t think it happens. A more common cause of the child being hyper is over stimulation by the adult world - too much TV, too many people telling the child...

Pediatrics: child eating problems, cheese sauce, veges
cheese sauce, veges, plain rice: First off, I can easily handle adding more of the veges he likes, as well as making him pick out the veges in foods that he likes but not with veges. ========== true! try whatever you can ! everything will have a small start. Not sure what you mean...

Pediatrics: a child who always has fever, diognosis, scarlet fever
diognosis, scarlet fever, skin rash: Dear Lisa: You are correct, a child with fever every day needs a complete medical evaluation. I cannot answer why the child is sick all the time. If she is in day care this may explain it as children in day care are sick constantly. Might not be a...

Pediatrics: Will my child grow taller?, calcium pills, fruits and vegetables
calcium pills, fruits and vegetables, growth plates: The only way to tell for sure involves getting xrays to see what the growth plates of her bones are doing. The quick and easy way is to ask her doctor to show you her growth chart. See what the trend in her height has been. You can usually predict whether...

Pediatrics: child height, adult height, hubby
adult height, hubby, curves: Hi, Michelle, She is at about the 6% for height now. We have curves for recumbant and standing height for this age, so it is debatable which is best. With you4 heights, an estimated final adult height for her is about 5 2 . Her ultimate height has...

Pediatrics: child's illness question, stomach virus, clear liquids
stomach virus, clear liquids, course time: Hi Crystal, Since you weren t specific as to the symptoms your son has, I can only assume it s the vomiting and/or diarrhea, along with a cramping, gassy tummy??? At our clinic we do not recommend giving any medications to stop either the vomiting or diarrhea...

Pediatrics: child immunisation, hib vaccine, vaccination schedule
hib vaccine, vaccination schedule, child immunisation: The full immunisation schedule can be found on www.pediatriconcall.com. He should start with the Hepatitis B right away. Also, you should approach his Pediatrician to ask about Hib vaccine and the new Pneumococcal vaccine. If you are located in India,...

Pediatrics: My child has larnygomalacia, congenital abnormality, laryngomalacia
congenital abnormality, laryngomalacia, noisy breathing: Laryngomalacia is due to a congenital abnormality or floppiness of the epiglottis and supraglottic (above the glottis) opening and weakness of the airway walls, leading to collapse and some airway obstruction on breathing in. It results in noisy breathing....

Pediatrics: child medication, peadiatric, cold medicine
peadiatric, cold medicine, runny nose: Hi, cecilia, This is standard cold medicine, that might help with the runny nose and cough. All these medicines have limited usefulness and effectiveness and are probably best used at night to help with the cough interfering with sleep. Good luck,...

Pediatrics: child with pasty yellow bowels and has been vomiting, green discharge, egg whites
green discharge, egg whites, bowels: In order to answer these questions, I would need more information. 1. Has she stopped vomiting? 2. does she have 6-8 urinations per day? 3. how old is she? 4. Is she on soy products? this can cause pasty BM s 5. Does she have a fever at this point? If...

Pediatrics: child refusal to eat, kem hospital, mumbai india
kem hospital, mumbai india, gsmc: It may be likely that child has some pathology in throat, more likely a chronic tonsilloadenoiditis at this age. Better to cosult a pediatrician. ================================ Dr Kondekar Santosh Venketraman MD DNB DCH FCPS Pediatrics Lecturer...

Pediatrics: child seeplessnss, good sleep habits, short sleep
good sleep habits, short sleep, sleep problems: Hi, papiya, Sleep is a learned behavior and the kids who don t do it well have never learned to fall asleep on their own. The concept of the last waking memory is important. If her last waking memory before she falls asleep is you, then she will need...

Pediatrics: child sleeping problems, child sleeping problems, nursery rhyme
child sleeping problems, nursery rhyme, silly song: I think he is telling you very plainly that it not milk that he wants but attention. It will be hard to do but you have to convince him that he is going to sleep by himself, in his own room, and nothing he does is going to make you change your mind. Make...

Pediatrics: child sleeping problems, child sleeping problems, bad habit
child sleeping problems, bad habit, sleeping through the night: Okay mom. I read this yesterday, but I knew it wouldn t be a short answer, so I waited until I had a moment. First of all, and I say this with love, YOU are enabling your baby to continue this behavior. The fact that there aren t sleeping issues at grandma...

Pediatrics: My child sometimes won't speak when spoken to!, petit mal epilepsy, absence seizures
petit mal epilepsy, absence seizures, hearing test: Hi, Julia, Try some behavior mod with him. Try speaking very quietly to him, so he really has to listen to hear you. Sometimes this will increase his listening skills. The other thing you may do is to speak to him about rewards that he may get. If...

Pediatrics: child supplements, history of mankind, brain food
history of mankind, brain food, nutrience: The body needs so much vit c and more than that will have no effect; it goes quickly out the kidneys. And only a deficiency of vit c can have any affect on infections; excess does not prevent any disease. Some of the ones you are giving are fat soluble (vit...

Pediatrics: child swallowed penny, stomach ache, safety pins
stomach ache, safety pins, bottle caps: Hi, kayla, If he starts vomiting, has difficulty breathing or seems to have increasing stomach ache, take him to the doctor. Otherwise it is highly likely it will pass, just like bottle caps, open safety pins and other weird objects generally do. Good...

Pediatrics: child with swollen Lymph nodes, swollen lymph nodes, kem hospital
swollen lymph nodes, kem hospital, fever 99: duration size and associated symptoms and your location/city ; will give more clue. ============================================== I feel he may require a short course of antibiotics and paracetamol after an expert consultation. ==============================================...

Pediatrics: my child can't talk, cod liver oil, attention deficit hyperactive disorder
cod liver oil, attention deficit hyperactive disorder, mickey mouse clubhouse: some good number of cases do respond to the respective therapy with amphetamines, there are plenty of fake medicines and fake people (docs) too. you need good child specialist and sppech therapist to see your kid atleats once. get some basic but most...

Pediatrics: Getting a child to use an adult/public potty, potty seat, potty seats
potty seat, potty seats, complete meltdown: Hi, Alice, She is smart and is using this behavior as a means of manipulating you. She has complete control over your life and travel plans. Explain to her that she has to use the potty that is there when you are away from home. Tell her once and forget...

Pediatrics: child vomiting, drink coke, child specialist
drink coke, child specialist, auto accidents: Rather than think ER think private physician. The ER has specialists in auto accidents and heart attacks but if he needs help it should be from a child specialist. There are medications that can be given by rectum that will ease his problem and a physician...

Pediatrics: child vomits regularly, gastro oesophageal reflux, child vomits
gastro oesophageal reflux, child vomits, omeprazole: You do not say how old your child is. Omeprazole is used in the management of gastro-oesophageal reflux which could be the problem. You should discuss your worries with your doctor. The questions are: Does she need further investigation? Is she thriving...

Pediatrics: child waking in middle of the night, sofa bed, toddler bed
sofa bed, toddler bed, habit: Hi, jen, As long as you are convinced he is healthy, then put him to bed in the same way you previously successfully had done and let him cry. Having him sleep in his own room would be best if this is possible. I think this is neither cruel or mean and...

Pediatrics: my child does not want to eat, pediatric gastroenterologist, wet diapers
pediatric gastroenterologist, wet diapers, breast milk: THere is absolutely nothing wrong with getting a second opinion from another pediatrician. In fact many insurance companies request a second opinion for surgeries etc. I know it is tough to challenge the opinion of your current pediatrician, but a doctor...

Pediatrics: child withholding, barium enema study, hirschsprung s disease
barium enema study, hirschsprung s disease, kidney reflux: Hi,Daisy, If some concern exists about long term constipation from birth or close to it, then a barium enema study looking for a condition called Hirschsprung s disease might be appropriate. I would tend to agree with your other doctors that this is behavioral....

Pediatrics: child, life pilot, dr spock
life pilot, dr spock, airline pilot: This is almost certainly some item that he has eaten, and it won t be the last time something strange comes through in his stool. Would you like for your airline pilot to freak out ? You are the life pilot of this baby and freaking is not the answer to any...

Pediatrics: childhood acne?, ivory soap, oil glands
ivory soap, oil glands, definite diagnosis: Some of our ideas about soap are hangovers from the days when soap was made from lye and was indeed irritating. Ivory soap for instance, is non irritating to the normal skin - and there are many more like it. Those without perfume are the least expensive and...

Pediatrics: childhood constipation, gentle laxative, inadequate fluid intake
gentle laxative, inadequate fluid intake, sitting on the toilet: It sounds as though he is having overflow, where liquid stool is leaking round impacted faeces. It may be that he needs a good clear out. The main factor contributing to constipation in children is inadequate fluid intake and he should be encouraged to drink...

Pediatrics: childhood illness, son logan, cold medicines
son logan, cold medicines, high fever: There is really not a lot you can do for the common cold. Make sure he keeps drinking, and don t worry too much if he doesn t feel like eating much. Cold medicines are just for comfort--calm down a bad cough so he can sleep, for example. The medicines will...

Pediatrics: childhood obesity, childhood obesity, raw vegetables
childhood obesity, raw vegetables, wheat bread: Childood obesity is certainly related to what the child eats but it is more related to the family s attitude toward food. Some families never gather without eating.Some parents eats every time they have nothing to do or get bored. Some parents encourage...

Pediatrics: childlhood immunizations, enlarged heart, pneumovax
enlarged heart, pneumovax, dtap: Hi, emily, The new versions of the shots are so purified that even when one is getting 7 in one day (incidentally he is getting this many because somehow he got behind in his schedule) the number of antigens (proteins that cause the production of antibodies)...

Pediatrics: children and chiropractors, motherly instinct, evidence based medicine
motherly instinct, evidence based medicine, chronic back pain: Hi, Brenda, If she is fine, she is fine! Don t have someone adjust stuff that is working well. She will not grow to be bent and twisted. I m sure he will find something wrong. All chiropractors do. I think chiropractors are fine for chronic back...

Pediatrics: children and cough syrup addiction, cough syrup addiction, chronic respiratory problems
cough syrup addiction, chronic respiratory problems, cough medicine: Dear Micki: Certainly a young child can become addicted to cough products or, dependent on them, is a better word. My question is why is she taking cough medicine every day for most of her life? That is not approriate. Exposure to second hand smoke...

Pediatrics: children crying in their sleep, nervous condition, emotional disorder
nervous condition, emotional disorder, night terrors: There is a condition called night terrors . They are relatively common, occuring in 1-3% of children. It has a sudden onset, usually between midnight and 2am during stage 3 or 4 of slow wave sleep. The child screams and appears frightened, with dilated...

Pediatrics: children's motrin, motrin, pediatrician
motrin, pediatrician, 10 months: Dear Chris: I feel bad you had to wait so long for a response from me but this site is not for more emergent responses. We are allowed three days to respond! I do not have a Motrin dosage schedule at home with me so I would suggest you 1)try to get...

Pediatrics: children and i.q./intelligence., space shuttle columbia, denver developmental test
space shuttle columbia, denver developmental test, army colonel: If you are where it is available I suggest you have your child tested to determine her approximate IQ. A qualified pediatrician can give you a very good estimate with a Denver Developmental Test, which most can easily do in their office. A psychologist can...

Pediatrics: children's tylenol and benadryl dosage, excessive sleepiness, viruses and bacteria
excessive sleepiness, viruses and bacteria, benadryl: Actually, you probably shouldn t use either tylenol or benadryl. If she just has a slight fever, it s better not to treat it. Viruses and bacteria don t live as well at higher temperatures. That s one of the body s mechanisms for fighting infection. If...

Pediatrics: children's tylenol and benadryl dosing question, benadryl dosing, nasal aspirator
benadryl dosing, nasal aspirator, sick infant: The dose of the Tylenol is .6cc every 4-5 hours. The dose of the Elixir Benadryl is 1/2 teaspoonful every 4-6 hours. There are perfectly safe and may make her feel better but they do not shorten the course of a cold. The Tylenol will reduce the fever and...

Pediatrics: childrens bowel movements, normal bowel movement, guidance counsellor
normal bowel movement, guidance counsellor, mental health clinic: I can only give you generalities about boys that soil. The first thing to be sure of is that he doesn t have an impaction - a hard stool stuck in his colon which allows the liquid stool to seep around it but doesn t allow him to have any control. In this...

Pediatrics: childrens cough, wool blankets, cough syrup
wool blankets, cough syrup, sinus infection: A cold can bring out allergy symptoms in a child that has none at other times, the cough is continued by something in the air that is irritating the breating tubes. But it doesn t have to be related to allergies. I suggest that you set up a vaporizer - plain...

Pediatrics: childrens eating disorder mental or physical problem?, chronic constipation, stomach area
chronic constipation, stomach area, upper stomach: Hi, Misty, He needs to see a pediatrician. If your family doctor can t give more advice than this, he needs to see a pediatrician, find out more about the situation (perhaps some lab tests) and then probably needs to see a counsellor to find out why this...

Pediatrics: childrens hives, antibiotic for ear infection, middle ear space
antibiotic for ear infection, middle ear space, rare diseases: Hi, Gayle, The problem with hives is that they can be due to about anything; viruses, bacteria, medicines, foods, etc. and to compound the confusion, they can occur after successfully being exposed to something many times. The fact that the medicine...

Pediatrics: childs cough, sedative drug, kem hospital
sedative drug, kem hospital, asthma clinic: She now had been coughing very strongly, ========= this is like bronchitis. i need to know if there is anything i can do about it. =========== wait and watch is best policy but if cough is distressing significantly, we may add a cough suppressant....

Pediatrics: My childs health, signs of dehydration, wet diapers
signs of dehydration, wet diapers, stomach virus: Dear Robert: The baby could have a stomach virus. They often begin with vomiting, perhaps a fever and followed by diarrhea. I would wait about an hour to an hour and a half to try to feed him again. I would not give him formula or breast milk and instead...

Pediatrics: childs height, growth charts, generalizations
growth charts, generalizations, onset of puberty: I think it is desirable if at all possible that any child around 12 years of age be evaluated to growth, immunizations, and all the other problems a growing individual may have. There are too many variables in the subject to be specific with your question...

Pediatrics: my childs short term memory, short term memory, dear julia
short term memory, dear julia, flash cards: Dear Julia: Julie I am not an educator nor do I claim to know how best to work with your child over the summer to improve short term memory. The only type of play I would recommend is simple children s card games and use of flash cards for his age group....

Pediatrics: childs skin colour, dna tests, child specialist
dna tests, child specialist, skin colour: Is the child an albino? That is, are his eyes pink and his hair white too? If so, please see a child specialist as soon as possible. Otherwise, you need not worry at all. If paternity is in doubt, you could go in for DNA tests on your partner to show him/her...

Pediatrics: childs weight, eating and sleeping, gaining weight
eating and sleeping, gaining weight, 19 months: It is hard for me to express an opinion when the doctors who see the child have given theirs. One of the rules of parenthood is never compare your child with others. If I had a child who is active, alert, eating and sleeping OK I wouldn t be concerned. This...

Pediatrics: chockin problem, central incisor, tea spoon
central incisor, tea spoon, milk tea: Your son should have a video swallowing study done. He will be given liquid to drink while watching on fluoroscope to see where the liquid goes. This should show why he chokes on it. It could be some damage due to hot liquid, but it would have to have been...

Pediatrics: chockin problems, central incisor, mr blount
central incisor, mr blount, tea spoon: Pediatricians do not believe that teething causes fever and 100 degrees is usually not considered fever at that age. The only thing I can think of is that the nipple may have a hole that is a bit too large and he gets too much liquid at one time. I don t...

Pediatrics: chocking problem, central incisor, tea spoon
central incisor, tea spoon, milk tea: Dear Braca: The choking is not normal and should be addressed. The baby should see a specialist and may need some radiology procedures such as a swallowing function and or a direct examination of the throat and upper esophagus with a scope under anesthesia....

Pediatrics: choking, constant cough, food size
constant cough, food size, time mom: Dear Menchila: If a baby has something stuck in his throat or obstructing his airway he would have symptoms such as constant cough, choking, gagging and perhaps turning blue in color. If the baby swallowed a piece of plastic wrap with his formula (how...

Pediatrics: choking, mary melton, latex balloons
mary melton, latex balloons, professional standpoint: Dear Mary: Oh these daughters of ours (and daughters in law) who just will not accept our advice....unfortunately, they may have to learn the hard way. From a professional standpoint, there are clearly recognized foods that young children can choke on...

Pediatrics: choking baby, dauter, saliva
dauter, saliva, pediatrician: It sounds like your baby might have reflux which is common in the first year of life. I would have her checked out by your pediatrician as she might need a different formula. In the meantime, change her diaper before you feed her making sure it is not too...

Pediatrics: choking, piece of bread, solid food
piece of bread, solid food, stomach: If she can swallow something like a piece of bread or almost any solid food it means that the penny has gone to the stomach, in which case there is nothing to do. It will pass with no problem. Watch her stool for about 3 days if you want to be sure she has...

Pediatrics: chorionic villus sampling, gene loci, villus sampling
gene loci, villus sampling, genetic engineering: Hi, Imran, Genetic engineering is not really ready for prime time, as they say in the USA. It may in the future. I m not sure if a specific enough gene loci has been found for Noonans syndrome to make the CVS technique work to exclude pregnancies with...

Pediatrics: chronic cough in 1 year old, pediatric gastroenterologist, dr adler
pediatric gastroenterologist, dr adler, antihistamine side effects: Reflux can cause coughs, and if that s the problem, yes, it can cause some damage to the esophagus. The other common cause of long-lasting coughs is allergies. Ask your doctor about an antihistamine--if it s an allergy, that should help. If it s reflux...

Pediatrics: chronic cough, chest x ray, alervert
chest x ray, alervert, zopenex: Hi, I am surprised that the word asthma doesn t emerge until the very end. It really sounds like she has asthma. My suggestion is to have her aggressively treated with an inhaled steroid and as needed bronchodilators, have her presumed nasal allergies...

Pediatrics: chronic cough, zopenex, pulmonary function test
zopenex, pulmonary function test, chest xray: It sounds as if she has been thoroughly investigated by a number of specialists. There is really nothing more I can add as I am do not have the benefit of being able to examine your daughter. Cewrtainly astham would be the first thing to look for in the...

Pediatrics: chronic cough, chronic cough, pediatric asthma
chronic cough, pediatric asthma, cystic fibrosis: have a 7 month old and has a mucus cough. ========= almost always mucus with cough at this age is a problem in nose or throat than asthma. H e has been on pulmicort for 2 weeks with no change. -======== i feel unless theer was a wheeze, it wont be...

Pediatrics: chronic cough and ear infections in toddler, chronic ear infections, chronic cough
chronic ear infections, chronic cough, daycare: If he hasn t already seen such a person, I think he should be seeing a specialist in children (pediatrician) in addition to a specialist in ears. Most children with a story like this have an underlying problem, such as allergies or a disfunctional immune...

Pediatrics: chronic cough and headache, tb skin test, positive tb test
tb skin test, positive tb test, positive tb skin test: The Mantoux test is a skin test for tuberculosis. That can cause coughs and lots of other symptoms. Is she being treated for TB? Has she had a chest x-ray? LTB is usually laryngotracheobronchitis. Is that what you mean by LTBI? If so, that s croup--it...

Pediatrics: chronic cough and headache, constant cough, allergy medicines
constant cough, allergy medicines, enlarged lymph nodes: Hi, anands, She could have allergies, asthma, or TB. Is she being treated for TB? Has the doctor had a trial of asthma or allergy medicines? The headache may simply be due to the constant cough or may be signs of something more ominous. Give me some...

Pediatrics: chronic cough, chest x ray, pulmonary function test
chest x ray, pulmonary function test, sphenoid sinus: I don t know what the anestheologist said but I don t think he meant that her lungs were filled with pus . He can t tell about lungs, only about the upper trachea. I think he meant that she had a lot of thick mucus in her trachea which her perceived was...

Pediatrics: chronic croup, croupy cough, inspiration and expiration
croupy cough, inspiration and expiration, respiratory tree: There are other structures in the respiratory tree that can get inflammed or narrowed and lead to croup. They include the epiglottic region and the larynx. See if you can hear the croupy sound during both inspiration and expiration of breath. A larygeal or...

Pediatrics: chronic diarrhea and test results, sedimentation rate, chronic diarrhea
sedimentation rate, chronic diarrhea, prolonged diarrhea: The ESR (Erythrocyte sedimentation rate) is a little high--it is a non-specific test of inflammation. That means there is something going on, but it does not tell you what it is. The calcium and albumin are both in the low normal range. That could be due...

Pediatrics: chronic drainage from tubes, pe tubes, yellow pus
pe tubes, yellow pus, ciprodex: Hi, Jennifer, It is not normal to have constant drainage from these tubes. Generally if there is pus drainage, then drops like ciprodex can take care of this. Sometimes a few kids will have a foreign body reaction to the tube itself that will cause the...

Pediatrics: chronic ear infection, chronic ear infection, chronic ear infections
chronic ear infection, chronic ear infections, eustachian tube: Removing tonsils and adenoids should not predispose to more infections, although they are a part of the immune system, and do help to fight infections. Removing the adenoids keeps them from blocking the Eustachian tube, to allow the middle ear to drain better....

Pediatrics: chronic hives, high thyroid antibodies, chronic hives
high thyroid antibodies, chronic hives, thyroid function: Hi, cindy, I will assume you are young adult age. What did they tell you about the high thyroid antibodies? This sounds like autoimmune (Hashimoto s thyroiditis) an inflammatory disease of the thyroid that can progress into problems with thyroid function....

Pediatrics: chronic infant vomiting, barbara stout, bethlehem steel
barbara stout, bethlehem steel, bach music: It is nice to rule out pyloric stenosis but it still sounds like she has some kind of obstruction in the intestine. I don t know why you have to go to Philadelphia when this is the sort of thing any good pediatrician should hAndle. Does he/she know how concerned...

Pediatrics: chronic medical issues & school, school absenteeism, bladder problems
school absenteeism, bladder problems, medical challenges: Hi, michelle, Have the teachers keep him updated on what work they expect and have a means of getting this to him when he is sick. The school appreciates, I m sure, the extent of his illness and they need to make sure, as well as you do, that he understands...

Pediatrics: chronic overuse of muscles, groin strain, acute injuries
groin strain, acute injuries, marc marc: Marc - you didn t say anything to make me think you could possibly have a growth plate fracture, and I do not think you have done anything to your bone structure to shorten any of them. I don t believe any amount of normal weight lifting could fracture the...

Pediatrics: chronic pain from chronic overuse, knee ache, pins and needles
knee ache, pins and needles, experience pain: I answered this question once but in case it didn t get to you - bones will not be stunted because of overuse of the muscles from training too hard. Although not much, exercise tends to lengthen bone by stimulating growth. If you think you are stunted you...

Pediatrics: chronic recurring colds in 3 year old, productive cough, sinus infection
productive cough, sinus infection, sweat test: Hi, Frank, Sounds like your child is one that has asthma and is exposed a lot to kids with common illnesses. I agree with the mini-immune workup and if need be, a more extensive one. I think your pediatrician is right on track. If your child is growing...

Pediatrics: chronic sinuitis, mastoid air cells, mastoid bone
mastoid air cells, mastoid bone, middle ear: I have not heard that term, but I suppose it means otitis and mastoiditis. That along with the sinusitis probably means he should be on some antibiotics to treat the infections. Otitis is an ear infection. Mastoiditis is an infection in the mastoid bone...

Pediatrics: circucising, urine infection, circumcising
urine infection, circumcising, urinary infections: well, not always. circumszed children too can get urinary infections, but may be little less often. cicumcision is safe if done by an expert, but the the kid may miss the joy of foreplay the skin around prepuce gives. it is possible to get done at any...

Pediatrics: circulation, peripheral neuropathies, pediatric neurologist
peripheral neuropathies, pediatric neurologist, environmental toxicity: Hi, Diane, Peripheral neuropathies are unusual in children but can be seen in certain environmental toxicity syndromes. Toxic neuropathies can be caused by a variety of substances. I would suggest a good evaluation by a pediatric neurologist, if the...

Pediatrics: circulation, circulation problem, 14 year old girls
circulation problem, 14 year old girls, cardboard sleeve: This has to be homemade. It doesn t take a very large piece to keep the elbow from bending and you will have to pin it somehow to his sleeve so it won t keep slipping down. You can pad it by having him wear some kind of heavy sleeve at night so the edges...

Pediatrics: circumcision, petroleum jelly, soap and water
petroleum jelly, soap and water, type film: Hi, Jen, Congratulations on your new boy! The petroleum jelly can be either put on the diaper on the spot that will contact the glans of the penis or on the glans itself, whatever you find easier. We generally recommend doing no pulling or retracting...

Pediatrics: circumcision, petroleum jelly, mild soap
petroleum jelly, mild soap, type film: These are questions your physician should have told you but since he didn t: put the petroleum jelly all over the tip of his penis and add more everytime you change the diaper. There is no reason why you can t use some mild soap on the area, especially when...

Pediatrics: circumcision, type film, circumcision
type film, circumcision, gauze: You should be able to put the vaseline right on the area of the circumcision. Ask the doctor when he recommends that you can clean it. It s best to wait until it heals completely. Don t retract it now--you may keep it from healing properly. After it heals,...

Pediatrics: circumcision, circumcised penis, mild soap
circumcised penis, mild soap, soap and water: Dear Jen: Now that the gauze is off you can gently cleanse the circumcised penis with mild soap and water when necessary. I would not retract to clean underneath until he is totally healed. Apply the vaseline directly to the penis. Sincerely, ...

Pediatrics: circumcision, antibiotic ointment, circumcision
antibiotic ointment, circumcision, gauze: There is usually some oozing but significant bleeding is not normal. If necessary put some antibiotic ointment - use plain Vaseline if you don t have the antibiotic - on a piece of gauze and wrap it around the penis. You can hold it on with a piece of tape...

Pediatrics: circumcision, soap and water, foreskin
soap and water, foreskin, adhesions: What you describe as a fat pad is probably an accumulation of normal secretions that will disappear if you pull the foreskin back and apply a little soap and water. The foreskin normally forms a V-shape under the head so that there is less foreskin there...

Pediatrics: circumcision, circumcision, retraction
circumcision, retraction, penis: The appearance depends on how much skin is removed, of course. Some physicians leave enough for there to be considerable retraction, which is OK. I can t visualize the thin white covering or the redness so I can t answer the rest of the question. Sorry...

Pediatrics: circumcision, goteborg university sweden, pediatric urologist
goteborg university sweden, pediatric urologist, pediatric urology: Dear Marie Menges, You should take your son to a specialist, namely a Pediatric Urologist if you are able to locate one; otherwise, the next best choice would be a General Urologist with experience of treating children. In my country (Sweden) we do the...

Pediatrics: circumcison, pediatric urologist, urinary stream
pediatric urologist, urinary stream, doctor exam: Hi, kristin, I doubt the circumcision has directly caused the problem. The unprotected head of the penis can develop strictures in the meatus, the opening, that may affect the urinary stream. Have your doctor exam him and probably a referral to a pediatric...

Pediatrics: circumsion, male infants, phimosis
male infants, phimosis, urologist: Circumcision is optional for male infants and most of the world s population grow up normally without it. Sometimes gthe foreskin is tight (the condition is called phimosis) and something has to be done eventually. But there is no deadline. Your son apparently...

Pediatrics: circumsions, extra skin, weird question
extra skin, weird question, foreskin: If I understand the problem, I think it s probably ok. Sometimes when babies are circumcised, not enough tissue is taken off, leaving some excess foreskin there. In that case, the foreskin can cover the head of the penis at times. This is usually not a serious...

Pediatrics: circumsition (sp?), worry wart, peditrician
worry wart, peditrician, smile thanks: I think we finished this conversation but I have to provide an answer to get myself away from Allexperts. I hope we are still friends and that you will be able to ask the pediatrician anything that concerns you. I was always told that there are no foolish...

Pediatrics: circumsize, excersizes, foreskin
excersizes, foreskin, circumcision: Of course, Janine, you must continue the pulling exercises till the age of 1 1/2 years or so, otherwise, I am afraid the doctor is right. In any case, perhaps you can tell me why your hubby doesn t want a circumcision. (Note the spelling of that word too.)...

Pediatrics: circumsize, pediatric urologist, difficulty urinating
pediatric urologist, difficulty urinating, excersizes: Some boys cannot retract the foreskin until they are 2 or 3 years old. You can try to stretch it open by pulling gently. If it is not causing him problems, I usually wait longer. If he has difficulty urinating, or the foreskin becomes swollen or red then...

Pediatrics: circumsize, excersizes, genetalia
excersizes, genetalia, young adult: It is rare that an uncircumsized male doesn t have the foreskin stretch enough over time so as not to need an operation. By pulling the skin back over the head when he is in the bathtub it may hasten the process, but don t make a big deal of it lest his attention...

Pediatrics: circumsize, excersizes, foreskin
excersizes, foreskin, circumcision: Hi, Janine, Your doctor sounds like he is not sure what the uncircumcized foreskin should do at 11 months. It should not be able to be pulled back. This is normal!!! The only opening that should be present is one that the urine can come through. I...

Pediatrics: circumsize, excersizes, exercises
excersizes, exercises: Dear Janine: I have no idea if the exercises will open the skin more. That is something you will have to do for a while and determine that yourself. You can always get another opinion from a specialist if the doctor says he needs to be circumcised....

Pediatrics: classes to take, liberal arts education, hi john
liberal arts education, hi john, good doctor: Hi, John, Generally I answer only questions about medical topics but for you, being the holidays and all, I ll make an exception. You need to be able to talk and think to be a good pediatrician and a good doctor in general. A good liberal arts education...

Pediatrics: classical exanthems, microbiology class, staph skin infection
microbiology class, staph skin infection, exanthems: The list is: 1--Measles 2--Scarlet Fever 3--Rubella 4--Duke s Disease (which may be a staph skin infection) 5--Erythema Infectiosum (known as Fifth Disease) See this link for further explanation: http://www.kcom.edu/faculty/chamberlain/exanthems.htm...

Pediatrics: cleaning up after a BM, ost children, daycare
ost children, daycare, arm movement: M ost children don t have the skills to do this but they should be learning slowly, first with a lot of supervision and with less and less as time goes by. But don t expect the degree of cleanliness that you would perform and, incidentally, teach her to...

Pediatrics: cleaning babys ears, q tip, ear canal
q tip, ear canal, outer ear: Dear Thomas: First of all congratulations on the birth of your son. There is no greater joy. I would recommend not intentionally allowing water to flow into your infant s ears. During bathing it is inevitable that some water may get into the ears....

Pediatrics: clogged tear duct, clogged tear duct, warm compresses
clogged tear duct, warm compresses, goop: Hi, jen, Generally when these go away, they stay gone. It sounds more like this is a conjunctivitis, an infection in the lining of the eye, that may need antibiotic drops to take care of it. If it doesn t improve with compresses and removing the material...

Pediatrics: close contact with dogs, worm infestations, kem hospital
worm infestations, kem hospital, weaning from bottle: i think i answered thsi question before rabies hydatid cyst skin and worm infestations malnutrition asthma etc my daughter i almost 12 months old and is still not sleeping on her own ============= she needs you as a social person and so your love....

Pediatrics: clothing issues, cold weather, tantrum
cold weather, tantrum, germ: I have already sent one answer so you may get two. In summary I said that there is no serious harm in a 4 year old being without socks or underwear. Being cold doesn t give an indivudual a cold , it is a germ from someone else. If she goes without socks...

Pediatrics: cmv, congenital cmv, enlarged liver
congenital cmv, enlarged liver, amitai: Hi, Amitai, There is no treatment for this, other than using OTC meds to control the symptoms. I would avoid Tylenol in someone with a large liver. Congenital CMV can be a devastating disease for a child. Acquired CMV is generally more like mononucleosis,...

Pediatrics: co sleeping and sleeping thru the night, bed time, naps
bed time, naps, habit: Unfortunately, getting children back into their own bed after co-sleeping can be somewhat of a challenge. Since she has been able to sleep through the night in the past, the waking up for a feeding in the middle of the night is likely not that she needs food...

Pediatrics: co - sleeping, logan airport, hi amy
logan airport, hi amy, single mom: Hi, Amy, After 4 years of a habit, it is tough to all of a sudden change it without some trauma. Try to have him gradually move from your bed, to your floor (a little mattress or quilt would be fine), gradually down the hall and finally into his room....

Pediatrics: cockroach in crib, giant cockroach, cockroach
giant cockroach, cockroach, bad mother: I don t know of any problems that cockroaches can cause in babies. I don t think they bite. If you don t see any marks, and he is behaving normally, he s probably ok. If you have any concerns, call his doctor and have him checked. Moshe Adler, MD ...

Pediatrics: cocksackie, coxsackie virus, hand foot mouth
coxsackie virus, hand foot mouth, incubation period: Hi, The incubation period, from when you are exposed to when you have symptoms, is short, a matter of 2-5 days. It is spelled coxsackie , actually the name of the town in New York where the virus was first isolated. Somehow the other spelling conjures...

Pediatrics: cold, robitussin dm, fever medicine
robitussin dm, fever medicine, cough suppressant: Hi, Michelle, A sedating cough suppressant, like Robitussin DM or Benadryl, about a tsp at bedtime, would be reasonable, along with a dose of Tylenol. Kids with colds feel miserable, just like we do, and the pain/fever medicine will really make them feel...

Pediatrics: cold every 2 weeks, airborne allergens, high fever
airborne allergens, high fever, throat infections: Hi Adrienne, This is normal for any child as they learn to adapt to a new environment. You will most certainly be troubled by more ear infections, throat infections, and much more. This should not be a discouragement as it is highly accepted by pediatricians...

Pediatrics: cold, brompheniramine, dimetapp
brompheniramine, dimetapp, dextromethorphan: This is a children s product and a teaspoonful every 4-6 hours is appropriate. More important than medication for colds in the winter time is moisture in the air so all the mucus in her nose and chest stays loose so she can cough it up and get rid of it...

Pediatrics: cold, thyroid hormone levels, umblical hernia
thyroid hormone levels, umblical hernia, serum thyroxine: my daughter is having a protruded belly button since 1 month after birth. = normal in most cases. the doc said it will get alright.now she is 21/2 months old= it may last for 3 years. and now the doc asked us to take a thyroid test(free t4,serum thyroxine/t4,tsh)....

Pediatrics: cold, cold medicines, allopathy
cold medicines, allopathy, running nose: Uh ... there is no cure for a cold in allopathy. you have to ride it out. You could try any of the cold medicines which your doctors prescribe for you. As for her need to remain in your arms, well, that is a natural t hing for a sick baby. Don t try to fight...

Pediatrics: cold, swollen lymph nodes, swollen lymph nodes in the neck
swollen lymph nodes, swollen lymph nodes in the neck, cause colds: Hi, sudha, Kids get colds all the time and here is a handout I give my patients that will help you in the management. Good luck, Dr. Olson Colds (Upper Respiratory Infections, or URIs) What is a cold? A cold or upper respiratory infection is...

Pediatrics: cold, cold question, normal saline
cold question, normal saline, hello doctor: what can be serious, please read about danger signs in children at my website/ blog. my baby is having running nose continously, ====== thats very often seen in common cold. the care u need to take is to clean the nose again and again without rubbing while...

Pediatrics: cold intolerance, thyroid hormones, pediatric endocrinologist
thyroid hormones, pediatric endocrinologist, blue fingernails: Hi, Mary, These are certainly symptoms that would be consistent with hypothyroidism or some autoimmune disease. I m surprised and I m sure the doctors are, that the thyroid levels are normal. I am not an endocrine expert, but I would suggest that an expert...

Pediatrics: cold sore, month old baby, rare circumstances
month old baby, rare circumstances, term consequences: Hi, jen, Lots of mothers and fathers have cold sores and except in very rare circumstances, their infants this age if they get it do very well and have no long term consequences. The virus can live in the secretions long after the sore goes away and I...

Pediatrics: cold sores, neighbor friend, new neighbor
neighbor friend, new neighbor, canker sore: I don t know what you mean by cold sore . Herpes simplex can be an annoyance but I am not aware of any relation to blindness. A canker sore is a different virus but still not a serious probvlem. And there is no certainty that your daughter will get anything,...

Pediatrics: cold sores in toddler/fever blisters, fever blisters, herpes virus
fever blisters, herpes virus, high fever: Well, she may not get it, but there is a very good chance that she will. It s a virus that causes the sores, usually a herpes virus, and it is very contagious. The first infection usually causes sores inside the mouth, and may have fever, too. The major...

Pediatrics: cold sores, herpes virus, new neighbor
herpes virus, new neighbor, eye involvement: Hi, Melanie, I m glad you took a deep breath. Kids with primary HGS can be pretty uncomfortable, but everyone who gets a primary infection isn t that ill. I see a lot of kids with primary HGS and have never seen one with ocular involvement. How many...

Pediatrics: cold symptoms, kem hospital, asthma clinic
kem hospital, asthma clinic, steroid nasal spray: We sleep in an airconditioned room ========== thats not the reason unless the airblast directly enters the nose. his father has severe asthma and sinusitis ============= that suggesta a familial element of allergci rhinitis. there are also times...

Pediatrics: cold or more?, middle ear infection, amoxicillian
middle ear infection, amoxicillian, flu shots: The baby may be coming down with the same cold, but ear infections are not contagious. If it s just a runny nose, there is really not much to do other than treat the symptoms. If he develops a fever or a bad cough, or becomes irritable then he should be...

Pediatrics: colds and benadryl, doctors office, benadryl
doctors office, benadryl, runny nose: Dear Jade: Benadryl is an antihistamine which causes drowsiness and will dry up a runny nose temporarily. Nothing will cure the runny nose as it has to run it s course and with a cold that could take two weeks. It is usally safe to use in children although...

Pediatrics: colds & fever, nasal aspirator, vapourizer
nasal aspirator, vapourizer, adequate proof: This sounds like an uncomplicated cold which is not a small event for a child. It is not so serious as it is uncomfortable. A nose spray 2-3 times a day will help his nose. If he can t blow his nose, and he most certainly can t, get a nasal aspirator from...

Pediatrics: colds, colds, cough
colds, cough, shelly: Hi, Shelly, Pretty hard to say. Colds are caused by a variety of viruses, all with different lifestyles and often a cough continues in a child well after the virus does it s thing. Fever, if this is present, is sometimes looked at as a sign of being...

Pediatrics: colic, milk ejection reflex, gas causing foods
milk ejection reflex, gas causing foods, diet modification: It sounds as though he has colic but a very bad case. Also that you have almost exhausted all the things usually done to help. My guess is that something in the milk is giving him trouble but you have eliminated the most common. I think it time to give him...

Pediatrics: college and job, pediatric residency, pediatrician
pediatric residency, pediatrician, certain age: One should not be a pediatrician because one likes children. A pediatrician is a physician who limits his practice to a certain age group - usually birth to 18 years. One becomes a pediatrician be graduating from a 4 year college, 4 years of medical school,...

Pediatrics: college, getting into medical school, pediatric residency
getting into medical school, pediatric residency, medical question: Hi, ASIA, Four years of college with a degree is the usual criteria for getting into medical school. Four years of medical school, 3-4 years of a pediatric residency, and sometimes an additional 2 years if one wishes to specialize. Good luck, Dr. Olso...

Pediatrics: color blindness, pediatric opthamologist, color blindness
pediatric opthamologist, color blindness, problems at school: Dear Leah: I would have your son evaluated by a pediatric opthamologist to determine his prognosis. I do not believe there is any treatment for the disorder and I am sure a good opthamologist would be able to advise you how to help Bishop deal with this...

Pediatrics: color change in bowl movements, crayons, first impression
crayons, first impression: My first impression is that he has been playing with crayons and ate part of one, which is harmless. Green means the stool came through fast, and is of no importance. There is no blue in the body so either it was crayon or some outside substance or you misdescribed...

Pediatrics: comforting baby, crying all day, new mom
crying all day, new mom, spoils: Hi, malika, Sometimes you have to just put them down and wait for the crying to stop, if you are sure he is OK. I don t think kids can be spoiled in the first 4 months of life. Catering to their every whim later in life is what spoils them and turns...

Pediatrics: completely out of control, temper tantrum, single mom
temper tantrum, single mom, developmental stage: Two year oldness is a developmental stage and not a real age, although it happens around two. Do all you can to avoid frustrating him; it is not what he can t have but what he can have instead. There must be something that is making him frustrated more than...

Pediatrics: computers, screen flickering, computer age
screen flickering, computer age, plenty of time: Dear Cheryl: My opinion is that your neices are too young to play video games. They have been known to cause the problems you mention and also seizures. Their school, once they are in school, will get them ready for the computer age. I am amazed what...

Pediatrics: concern on my 1 1/2 year old daughter, ear infection, eyelids
ear infection, eyelids, moshe: Redness underneath the eyes does not usually mean much of anything. It s just some irritation most of the time. If the eyelids are red and swollen, it could be infection, or an allergic reaction. If it bothers her, or the white part of the eyes are red,...

Pediatrics: concern about dehydration, viral infection, dehydration
viral infection, dehydration, ped: Hi, Fred, When we give fluid advice, we give what are reasonable goals. If he is not achieving these goals but is getting better and is not clinically dehydrated, then he should gradually improve the intake and be fine. I wouldn t force a child this...

Pediatrics: I am very concerned with my..., head circumference, water on the brain
head circumference, water on the brain, spinal tap: Hi, His head circ is well above the 95% with his other measurements around the 50%. This would be worrisome to me if the head had been near 50% and then increased dramatically to the 95%+. If the scan is normal and doesn t show hydrocephalus water...

Pediatrics: concerned, air circulation, serious thing
air circulation, serious thing, what the heck: I am not sure what your concern is. Is it that the child was not getting enough oxygen? Anyone in that situation will show right away by breathing harder and it will be obvious something is wrong. There are no long term effects if one doesn t get enough...

Pediatrics: concerned Mom, overweight child, sugar level
overweight child, sugar level, new baby: Start with the fact that one can t make something from nothing. Children can t gain weight unless they are eating more calories than they burn up. There are reasons why some children burn faster and some slower but an overweight child is eating more than...

Pediatrics: I am very concerned with my..., head circumference, spinal tap
head circumference, spinal tap, reading articles: If the physician you see is a competent pediatrician tell him how you are concerned and have him explain why he thinks everything is OK or that there are studies that he will do go be sure things are OK. It is fairly easy to determine if there is something...

Pediatrics: concussion, urgent care center, dear lynda
urgent care center, dear lynda, head scan: Dear Lynda: Your son should see his doctor or pediatrician without further delay. I am sure he has a concussion but he needs a brain or head scan or MRI to insure there is no bleeding inside his head. Concussions can be serious too. Mary Pa...

Pediatrics: condition called "stryder"?, ent doctor, stridor
ent doctor, stridor, cartilage: Hi, Melica, Stridor is a sound babies make when they are breathing in and their airway collapses, making this crowing sound. It is normal in some babies and they do grow out of it as the airway cartilage gets stiffer and keeps the airway from popping...

Pediatrics: confused and sad mom with fussy baby, sad mom, skin rash
sad mom, skin rash, fussy baby: Dear Isabel: Your baby may be miserable because you are so and stressed about the feedings. If your milk has diminished in supply he may be hungry. Do you think it would be better for the baby and you to consider formula feeding the baby only? Give...

Pediatrics: confusion, cause breast, having anal sex
cause breast, having anal sex, other sexually transmitted diseases: Hi, Arbind, I know of no association between anal sex and gynecomastia in any age group. Dr. Goldstones suggestion to you seems appropriate. I don t know of any responsible physicians who would advocate gay sex, straight sex or any kind of sex for...

Pediatrics: congenital hip/neck problems, genetic screenings, congenital hip
genetic screenings, congenital hip, gestational diabetes: Hi, Chrystal, Nothing you added would change my initial thoughts. The sacral dimple is common (my healthy normal son has one), as your doctor says, but in light of the other problems, Xray of this area may be appropriate. The screening tests by would...

Pediatrics: congestion in a 3 month old, santosh, saline
santosh, saline, congestion: congested for a month now ======= are u taking baoyt nose or chest? nose: is normal for age. chest : if the child is feeding well and passing well, nothing to worry. however you can get rid of both by giving simple saline nebulisations. consult...

Pediatrics: congestion and coughing in a 2 month old, swollen lymph nodes, swollen lymph nodes in the neck
swollen lymph nodes, swollen lymph nodes in the neck, cause colds: Hi, stacey, sounds like he has a cold, or what we call an upper respiratory infection. This won t be the last one he will get, so here is a good handout that explains what we get worried about and the general ways to make him more comfortable with this...

Pediatrics: congestion,ear pain treatments, middle ear infection, respiratory congestion
middle ear infection, respiratory congestion, running a fever: The ear pain may just be fluid and congestion, but it could also be a middle ear infection. You can try a decongestant like Sudafed which may help, and you could also give him Tylenol or Motrin for the pain. If these don t work, though, he really should...

Pediatrics: congestion, cough medicines, bulb syringe
cough medicines, bulb syringe, month old baby: If it s really in the chest, he should see a doctor. Most of the time that I am told a child has congestion in the chest, though, it s really in the nose. Drainage goes down the back of the nose into the throat and causes a rattling sound and vibration that...

Pediatrics: conjunctivitis, pediatric ophthalmologist, tear duct
pediatric ophthalmologist, tear duct, conjunctivitis: If it is happening that often, I would wonder if he is either having an allergic reaction to something, or he could have a partial blockage in the tear duct leading to either tearing or infection. I think he should see a pediatric ophthalmologist to determine...

Pediatrics: conjunctivits, inner canthus, drainage problems
inner canthus, drainage problems, drainage area: It sounds as though he has tear duct obstruction and the symptoms will not disappear until the duct opens. If 1-2 weeks go by with no improvement he may need a probe of the duct, which an expert can do with no difficulty and usually without general anesthesia...

Pediatrics: consistant vomiting, pediatric gastroenterologist, acid reflux
pediatric gastroenterologist, acid reflux, antiacid: Hi, Jamie, She needs to be aggressively treated with maximum doses of Prevacid and perhaps an antiacid like Zantac. Discuss this with your doctor and if he/she balks at more aggressive treatment, then see a pediatric gastroenterologist. I am the resident...

Pediatrics: constant bad stool, stool specimens, rice noodles
stool specimens, rice noodles, baked potatoes: Hi, Please remember there is a potential large time difference. I am responding during my waking hours. This could be a few different things; 1. food allergy 2. If she started this bout with vomiting, this may be a recalcitrant diarrhea. In that case,...

Pediatrics: constant constipation, benefiber tablets, prescription laxative
benefiber tablets, prescription laxative, myralax: I am not aware of any effect calcium will have on the colon or how it would help his problem. If he sits after every meal there is too much attention paid to his colon in the family dynamics, and there is parental supervision over what should be his domain....

Pediatrics: constant crying, old baby girl, newborn cry
old baby girl, newborn cry, urinary tract infections: Babies do cry, of course, but it should not be continuous any time they are not held. Has she been seen by her pediatrician lately? She should have a good exam, and maybe even some lab work. I have seen babies with urinary tract infections who show no signs...

Pediatrics: constant crying, old baby girl, newborn cry
old baby girl, newborn cry, calming techniques: Hi, Michelle, If she is fed, not too hot or too cold, and is dry, letting her cry is an option. I don t think this is too cruel or unusual, especially for a mother who can t hold a baby literally all day. Picking her up when she stops crying will tend...

Pediatrics: constant sickness, infectious disease expert, upper respiratory infections
infectious disease expert, upper respiratory infections, yeast infections: This sort of problem is helped by an infectious disease expert at a medical center. Most medical schools would have such a person and sometimes a medical center in a large city would have such a person. The question is so complex nothing I respond would be...

Pediatrics: constant sickness, upper respiratory infections, yeast infections
upper respiratory infections, yeast infections, heart defects: Hi Ms. Carbonell, Please ask your pediatrician about testing for immunodeficiencies. If his immune system is weak due to a genetic defect, it will increase the risks of your child getting sick too often. I am not sure what is caused your child s heart defects....

Pediatrics: constant vomiting, abdominal pains, blood work
abdominal pains, blood work, diarrhoea: Hi, Pam, Vomiting for 10 days in an otherwise healthy kid make me nervous to call it a virus. It may be, but this is a bit long. Return to the doctor, have a good exam, perhaps some blood work would be in order, but we begin to consider other problems...

Pediatrics: constapation, hard stool, bowel movement
hard stool, bowel movement, bowel movements: Dear Lutehr: Your baby is not constipated. Constipation is the difficult passage of hard stool. All young infants cry and grunt and turn red and push and push to pass their bowel movements. This is normal. The anal opening is still tight and overtime...

Pediatrics: constapation, leafy vegetables, great don
leafy vegetables, great don, suppository: Hi Manely. This doesn t just run in your family, I promise. Most every parent has to deal with their infant having bowel issues. The babies digestive system is still very immature at 1 week old, so take that in mind. If you re breastfeeding, great. Don t change...

Pediatrics: constipation in 1 month old, mother giving birth, prune juice
mother giving birth, prune juice, iron content: Dear Bob: If your newborn grandaughter has not had a bowel movement for a week I would advise you to let her pediatrician know. If she is passing stools but with difficulty such as straining, turning red, grunting and even crying and the stool is soft...

Pediatrics: constipation, rice cereal, bms
rice cereal, bms, prunes: It depends on what you mean by constipated. Did he have hard BMs, or did he just stop having them? If he is having normal BMs that are just infrequent, he s probably ok. If the BMs are hard, then he may need some help. Breast fed babies do sometimes...

Pediatrics: constipation??, prune juice, warm baths
prune juice, warm baths, breast milk: Hi, Robyn, Farting (flatulence to most doctors, but I call a fart a fart)is good in this situation. Everything is clear and ready for what probably will be a humongous (really really big and explosive)stool. Be prepared and stand back! I ve always thought...

Pediatrics: constipation?!?!, glycerine suppository, loose motions
glycerine suppository, loose motions, occasional bouts: Babies are known to suffer occasional bouts of constipation or loose motions as their intestines haven t fully matured. I suggest that you wait for a few more months of observation before seeking medications for the problem. At the same time, a small infant...

Pediatrics: constipation, prune juice, hard as a rock
prune juice, hard as a rock, plain water: The question of the iron in the formula has been asked many times and the answer seems to be that it does not. Water will usually do the same thing as the prine juice because the stool is hard because it is dry. Offer him plain water several times a day...

Pediatrics: constipation, barium enema, dear sam
barium enema, dear sam, stool test: Dear Sam, You may be right. I think she should be taken to a pediatric gastroenteroloigst, who will probably advise you to take her for an abdominal ultrasoud, a barium-enema and a stool test. Let me know what these show and what the doctor tells you to...

Pediatrics: constipation, oatmeal cereal, rice cereal
oatmeal cereal, rice cereal, applejuice: Dear Christina: When you introduce food to a breast fed baby it slows down the frequency of their bowel movements. As long as he shows no signs of illness and is eating well it is safe to wait it out. I would suggest you feed oatmeal cereal and not...

Pediatrics: constipation on a 23 day old primi born 33 weeks, glycerin suppositories, bowel movement
glycerin suppositories, bowel movement, dear doctor: Hi, Maria, They can go a week or more easily. If these stools are consistently hard, then adding something to the diet can help. If the stools are soft but infrequent, then we handle this in another way. My suggestion is to see your pediatrician if...

Pediatrics: constipation, glycerin suppositories for infants, karo syrup
glycerin suppositories for infants, karo syrup, light syrup: It s called Maltsupex--it works well, and I had no idea it was that expensive! There are some other things you can do to help, though. First, Karo syrup works, but only the dark, not the light syrup. If you used the light, try the dark--I use 1 or 2 teaspoons...

Pediatrics: constipation, citrucel, bm 3
citrucel, bm 3, stool softener: Hi, Christine, You are a smart mother. Daily treatment to prevent something like this is the way to go. Try Citrucel, a tasty stool softener, on a daily basis for a couple of months, at least. Have him sit on the toilet after meals for five minutes...

Pediatrics: "constipation", vague word, anoscopy
vague word, anoscopy, stool softeners: Constipation is a vague word that just means that stools occur less often than normally expected or that they are more firm when they come and cause a problem in passing. The pediatriatric world has observed also that when a family has had experience with...

Pediatrics: constipation, karo corn syrup, dr adler
karo corn syrup, dr adler, pear juice: For one day of a somewhat harder, less frequent stool, I would do nothing but keep an eye on him. This may get better without any intervention. If his stools are always hard and he has difficulty passing them, then he may need some help. There are several...

Pediatrics: constipation in 7 1/2 month old, dark karo syrup, old baby girl
dark karo syrup, old baby girl, prune juice: Dear Cindy: You will find with the addition of specific foods a baby s bowel consistency and pattern may change. Foods that constipate are: rice, applesauce and carrotts so I would avoid them for now. Try oatmeal and barley cereal. I would recommend...

Pediatrics: constipation, pear juice, month old baby
pear juice, month old baby, maltsupex: That depends on what you mean by constipation. If he is having infrequent, hard, difficult to pass stools, then he may need something to soften them and help him pass them. Have you used anything yet? My usual advice is to start with prune or pear juice...

Pediatrics: constipation., dark karo syrup, prune juice
dark karo syrup, prune juice, switching from breast milk to formula: Hi mom! The number one cause of infant constipation is switching from breast milk to formula. So, understand you re not alone in this! First of all, no more suppositories and leave the prune juice out for now. She s become dependant on the suppositories...

Pediatrics: constipation, prune juice, stool softener
prune juice, stool softener, apple juice: Since much of the problem is because the stool is firm it will help a little to get more fluid into her. Offer her water several time a day. Apple juice is fine but prune juice (start with a little and increase) may help more. Also there are simple medications...

Pediatrics: constipation in child, dulcolax suppositories, descending colon
dulcolax suppositories, descending colon, transverse colon: I just wanted to ask one more thing. She has taken the dulcolax now 5 times so by alternating for 14 more days ========= oral or rectal, oral is safer though less effective, the only problem with rectal dulcolax if at all, is when the colons are empty, it...

Pediatrics: constipation in newborns, constipation in newborns, karo syrup
constipation in newborns, karo syrup, apple juice: Dear Lynette: Depends on what you mean by constipation . If the baby is not having regular B.M. s at least daily and skips a day or two it is only constipation if the stool is coming out like hard marbles. If the stools are soft I would do nothing....

Pediatrics: constipation since 1 week olk, calcium supplement, x rays
calcium supplement, x rays, constipated: he appears to be constipated since birth. this is common prob in children receiving thick formula.s add liberal water content between feeds. start a calcium supplement. give alternate day suppository to clean colon for almost 10 days. then keep him on thin...

Pediatrics: constipation and a tight rectum, anal sphincter, mead johnson
anal sphincter, mead johnson, lipil: Dear Crystal: Nutramagen formula is found in pharmacies and large stores like Wal mart and Walgreens. Ask them to order it for you. If you cannot find it you can also try Alimentum. It is the same as Nutramagen but made by Abbott Ross rather than Mead...

Pediatrics: constipation and a tight rectum, finger cots, prune juice
finger cots, prune juice, rectal examinations: You can get finger cots at a pharmacist to put over your finger and with lubrication you can t do any harm to the infant s anus (the rectum is the part of the intestine just inside the anus). It is pretty rare, however, for this to be a problem. Getting...

Pediatrics: constipation, enemas and suppositories, croup cough
enemas and suppositories, croup cough, hard balls: Hi, Ms. Chesney, So, you have found my online persona! I enjoy doing this and as you can see, have answered more than 3000 people and find this enjoyable and helps me give something back to people. The nebulizer shouldn t cause him to be constipated....

Pediatrics: constipatuion, rice cereal, old wives
rice cereal, old wives, prunes: The cereal is the only thing in his intestine that provides any bulk and it will take several days for enough to be accumulated so that he will push the contents out. I don t think you should stay away from the cereal because of this although it is quite...

Pediatrics: construction next door and summer heat questions, filtration unit, baby in two
filtration unit, baby in two, summer in paris: Hi, Michelle, Babies are amazingly adaptable and resilant. The noise, as long as it is not in the level of a siren close by, should be fine. The dust can be lessened by keeping the windows shut and using an air filtration unit if you wish. Whether you...

Pediatrics: continued diarrhea, low grade fever, fever 99
low grade fever, fever 99, diaper rash: Hi, Yahaira, I m not sure why you are stumped. He has, most likely, at least a lactose intolerance. He will have symptoms like this if he has milk or dairy products. He can t have these, unless they are preceded by ingestion of a product like Lactaid,...

Pediatrics: continuing stomach ache for my 5 year old, kem hospital, stomach ache
kem hospital, stomach ache, ramen noodle: she is mostly suffering from dysentery. complete the anitibiotic course as advised by ur doc. it may takr 5 days to resolve. get a stool test done. thanks http://drpeds.blogspot.com Dr kondekar Santosh venketraman pediatrician, lecturer Pediatric...

Pediatrics: contused chest, xiphoid process, tylenol
xiphoid process, tylenol, trauma: I can t tell you what it is, only that I don t think it is congential. If you are concerned find a physician who will look at it and try to tell you what it is. If all else is OK - he is eating and sleeping and playing normally - it is almost certainly OK...

Pediatrics: conundrum in my child, gross motor delays, atypical autism
gross motor delays, atypical autism, sensory integration disorder: Hi, It is very difficult to give you a meaningful answer in this situation. I would suggest a full evaluation at a children s hospital, probably with a neurologist as the guiding force. A good pediatric genetics department usually has a lot of shrewd...

Pediatrics: coop, cool night air, oral steroids
cool night air, oral steroids, having trouble breathing: Dear Debra: The diagnosis is CROUP not Coop. Croup is a narrowing of the airway due to inflammation and swelling caused by a virus. If you child is still not breathing right after being given oral steroids he should go back to the hospital. You can take...

Pediatrics: correct dosage of infant motrin to give 12month old, motrin, alittle
motrin, alittle, blount: Since the effect wears off in about 4 hours I don t think you need a higher dose but perhaps a more frequent one. But I suggest that one doesn t need to do something just to get rid of fever. It is a part of the illness, it does the body no harm, and the...

Pediatrics: cost of educaiton for a pediatrician, cost of education, harvard medical
cost of education, harvard medical, medical questions: Hi, Nikhila, Really! How do you think I know this? My kind, compassionate suggestion from this busy pediatrician is to find out by looking and searching online or calling Harvard and finding out. I really don t have time to answer non-medical questions....

Pediatrics: about couch suppressant, cold products, cold symptoms
cold products, cold symptoms, ailment: Dear Courtney: All of the over the counter cough and cold products for children less than two years old have been taken off the market. The products for two to six years are still available. All of these products have been proven to be of no help. A...

Pediatrics: cough, cough variant asthma, history of asthma
cough variant asthma, history of asthma, iron supplement: Hi, Deborah, Sometimes kids with asthma will have a type called nocturnal or cough variant asthma. If this seems to be a child who has a lot of allergies or has a strong family history of asthma and/or allergies, this might be the case. If she has a...

Pediatrics: cough, cough syrup, running a fever
cough syrup, running a fever, water steam: Dear Geetha, I wanted to thank you for your kind comments and for nominating me. Also, I wish to inform you that I have authored a book on Parenting called CHILD CARE: FROM BIRTH TO EIGHTEEN. A COMPREHENSIVE BOOK ON THE ART OF PARENTING . This book...

Pediatrics: cough, running a fever, pedialyte
running a fever, pedialyte, cough syrup: Sounds like a reasonable plan of treatment to me. The recheck on Friday really is important--we like to make sure that kids are getting better, because either wheezing or pneumonia can be very serious illnesses, and can lead to severe problems. Keep that...

Pediatrics: cough, prescription cough medicine, cough medicines
prescription cough medicine, cough medicines, cough syrup: Hi, Joanne, Ask your doctor if a prescription cough medicine might do the trick. Mixing them is probably OK, but if he has a reaction, ie irritable or profoundly sleepy, you won t know what caused it. These and all other cough medicines don t work very...

Pediatrics: cough, cough syrup, delsym
cough syrup, delsym, benadryl: I can t find any report of interactions between the two, but both can cause some drowsiness, so I d watch her carefully, and make sure you don t give her more than the recommended doses of either medicine. Have you tried Delsym by itself? It usually works...

Pediatrics: cough, thak, respiratory tract
thak, respiratory tract, pharmacist: I use Bronhexine routinely. It is reasonably useful, but carbocystein is much better than it. In practice, I have found no side-effects. It is also supposed to improve the penetration of antibiotics into the infected areas of the lungs/respiratory tract...

Pediatrics: cough and antibiotics, foe example, something stuck in throat
foe example, something stuck in throat, allergy asthma: I just want to clarify sputum.. ======== something yellowsih/white sticky that comes out of throat,.. usually from airways and lungs They do have phlegm but seems upper respitatory. ======= you are right! It s been two weeks and no fever so...

Pediatrics: cough cold in new born, chest radiograph, premature twins
chest radiograph, premature twins, hemogram: Dear Anurag, It is not possible to get the cough out in infants as they cannot expectorate. The cough will not dissipate either unless the cause is found and tackled. In the case of your twins, I think infective causes are more likely, and therefore...

Pediatrics: cough and colds, cough and colds, viral cough
cough and colds, viral cough, allergic cough: Normally, we don t see viral coughs lasting for more than two weeks, but if they are otherwise all right and eat and sleep okay, don t start an antibiotic. don t you think it is high time you went to a Pediatrician? They may be having an allergic cough or...

Pediatrics: cough and congestion, kem hospital, normal saline
kem hospital, normal saline, expert supervision: what do you mean by congection? does his nose run? how often? does his chest move faster? is he able to feed in that phase? is his nose blocked? please get bk with above answers. vomitting is very common in throat infection in kids at this age. that...

Pediatrics: cough and fever, benadryl, antihistamine
benadryl, antihistamine, pedia: Zaldy, Both of these medications are perfectly appropriate to give without consulting with a pediatrician first. However, if the fever and cough are persistent and don t seem to want to go away, it is probably worth seeing the pediatrician about....

Pediatrics: cough following strep throat, sticky mucus, bronchiolitis
sticky mucus, bronchiolitis, breathing treatment: Hi, Julie, When I hear a one year old has strep, I wonder if this was confirmed by a test. If not or even if it was, this probably was not a strep throat infection. It probably was a virus, just like bronchiolitis is caused by a virus. All the antibiotics...

Pediatrics: cough in infant, nasal mucus, bronchial tubes
nasal mucus, bronchial tubes, dry climate: She probably has a respiratory infection such as a common cold. The cough is usually due to the mucus in her nose, throat and bronchial tubes. If you are in a dry climate it would help to have the air she breathes as moist as possible from a vaporizer or...

Pediatrics: cough, loss of appitite, constant cough
loss of appitite, constant cough, antihistimine: I can t contribute to the situation except to say that high humidity is always helpful for coughing children. If it is still cool or cold weather where you are put a vaporizer with plain water in it in his room as much of the time as possible, especially...

Pediatrics: couple of questions, growth hormones, bone age
growth hormones, bone age, hormone tests: Hi, Keri, She is in the 5% or so on the height curve. If you are short and your husband is short, this may be the whole explanation, but my guess is this is not the case, since a further evaluation has been done. The bone age probably isn t significant....

Pediatrics: covering baby's face with blanket in cold weather, cause pneumonia, respritory infection
cause pneumonia, respritory infection, month old baby: Babies have been in freezing weather for generations and few of them have blankets over their face, and I don t think a blanket can change the temperature of the breathed air in the short time the air goes into the lungs. Respiratory infections don t come...

Pediatrics: cow's milk protein allergy vs. gerd, milk protein allergy, gastrocolic reflex
milk protein allergy, gastrocolic reflex, hasbro children: I don t think there is any relation between the coughing and what she is eating. In New England it is always good to use a vaporizer most of the winter, and my son tells me that winter is approaching in Boston. 30 years ago there was no GERD and no Zantac;...

Pediatrics: cows milk vs Similac, cows milk intolerance, month old baby
cows milk intolerance, month old baby, fead: have an eight month old baby feeding on Similac (breast fead for the first four month). == fine. I drink vitame D milk and want to feed that to the baby instead == whats the comparison? donot have such imposements on child. but, my wife...

Pediatrics: coxsockie, summertime fever, incubation period
summertime fever, incubation period, coxsackie virus: Hi, jennifer, The Coxsackie virus (named after the New York city where it was first isolated) is a common cause of summertime fever illnesses in kids. The incubation period is 2-5 days and a typical case lasts this long also. TLC is the treatment. ...

Pediatrics: cracked toes, cotton socks, cortisone
cotton socks, cortisone, dyes: This is a summertime problem because that is when feet sweat more than at other times. It helps to use white cotton socks (dyes are irritating) or no socks if the feet won t get irritated by friction or shoes. There are powders that discourage sweating that...

Pediatrics: cramps and gas from IBS, drug manufacturer, risperdal
drug manufacturer, risperdal, mood disorders: It is possible that either risperdal or tomomax are causing these symptoms with topomax being more likely, according to the drug manufacturer. I can only suggest that you talk to her physician and see if his experience is great enough for him to decided...

Pediatrics: cramps, spring in new york, playing basketball
spring in new york, playing basketball, michael jordan: You are probably using muscles that haven t been used so vigorously for a while. This should improve as time goes on but you should be able to help if you can sit in a hot tub after each time you exercise, for 10-15 minutes. If you have no tub get some hot...

Pediatrics: craniosynostosis, skull growth, craniosynostosis
skull growth, craniosynostosis, sutures: Hi, Allison, During the period of skull growth as a child, the sutures remain open. As the skull growth stops, the sutures fill in with a fibrous, strong material. The skull is stable and intact. Good luck, Dr. Olson (Go Blue! Hopefully you are watching!...

Pediatrics: craniosynostosis, pressure on the brain, saggital
pressure on the brain, saggital, ninds: Kids with craniosynostosis do need surgery to correct the problem. It does cause the head to look funny, but it can also affect the growth of the brain and cause increased pressure on the brain, both of which may affect development. You really should talk...

Pediatrics: crooked neck, neck muscles, wry neck
neck muscles, wry neck, stretching exercises: Hi Allyson, This condition (called torticollis, or wry-neck) is much more common than most people realize. At this age, it is almost always due to the neck muscles being shorter on one side of the neck than the other. Usually this can be easily dealt...

Pediatrics: croup, barking cough, respiratory virus
barking cough, respiratory virus, family doctors: You are doing just the correct thing and I am sure he is better by now. Keep his room wherever he is as moist as possible all day and tonight. Croup usually lasts about 3 days with tonight becoming a little more than during the day but it will respond to...

Pediatrics: croup, windpipe trachea, warm moist air
windpipe trachea, warm moist air, barking cough: Hi, Joanne, Hepatitis A is routinely given in some states and countries, but not in the state of Michigan where I practice. Discuss the need for this with your local doctor. Really a three year old has a large enough airway that a serious case of...

Pediatrics: croup, local health department, barking cough
local health department, barking cough, home remedy: Croup is fairly common, and while it can be quite scary, most babies do just fine eventually. The symptoms include a barking cough that sounds somewhat like a seal, along with a noise heard when taking in a breath. It usually comes on suddenly at night....

Pediatrics: croup, stuffy noses, bulb syringe
stuffy noses, bulb syringe, breathing machine: The best thing for babies with stuffy noses is saline nose drops. They re available over-the-counter at most drug stores. It s just salt water, so there are practically no side effects. Put two drops in a nostril, wait one or two minutes, then suction with...

Pediatrics: croup cough, breathing treatment, cold drafts
breathing treatment, cold drafts, albuterol: Dear Chris, No, there isn t. However, you could help prevent recurrences by preventing exposure to cold drafts of wind, by not offering cold water and iced foods to him and by promptly seeing a doctor every time he begins to get a common cold attack. I...

Pediatrics: croup question, orapred, steriods
orapred, steriods, 7 months: Hi, jen, Steroids are safe and effective in this situation, especially if the cough is getting worse. If he is better, he probably doesn t need anything except the TLC you are giving him. It can definitely resolve without any treatment. Your doctor...

Pediatrics: croup, little fever, beneficial bacteria
little fever, beneficial bacteria, defence mechanism: You could try Tylenol instead of Motrin. Some children respond better to one, some to the other. You could also sponge him down with tepid (lukewarm) water. Don t use cold water, and don t use alcohol. If the temperature is below 102 and he is acting ok,...

Pediatrics: cry during feedings, kem hospital, mumbai india
kem hospital, mumbai india, gsmc: I feel no reason to worry. The problem may be related to feeding habit. feed your baby more slowly in smaller quantity over prolonged time. feed 20 ml over 15-20 minutes then repeat same, after 5 min burping out! Sometimes the problem is with dilution....

Pediatrics: cry during feedings, proper position, special time
proper position, special time, mother in law: Hello Cheryl, From what you are describing, it sounds like your baby could have some acid reflux causing her discomfort while she is eating. It is interesting that she doesn t do it when her grandmother feeds her. Do you hold her in an upright position (cradled...

Pediatrics: cry during feedings, sub conscious mind, child relationship
sub conscious mind, child relationship, mother child: Common knowledge has been telling us for many years that even a newborn can sense tension in an adult holding her. I can only suggest that you must be very tense when you are feeding her. Tension usually comes from uncertainty such as am I doing this properly?...

Pediatrics: A crying baby, infrequent bowel movements, mr blount
infrequent bowel movements, mr blount, emotional environment: Your question is rather complicated in that there are so many possible answers. The chances are that the baby hasn t quite adjusted to his environment and that with time he will be fine but there may still be something in his diet that is causing discomfort....

Pediatrics: crying and crying and crying, rice cereal, cows milk
rice cereal, cows milk, quiet atmosphere: At the hospital is where you will meet doctors who know nothing about your child and who specialize in auto accidents and heart attacks. Find a doctor who will know him and have a record of his problems and his immunizations as he gets older. Right now I...

Pediatrics: crying/sleep, nap time, black shade
nap time, black shade, bottle fed: Dear April: I am afraid your baby may only be looking for comfort. I do not think she is hungry at her nap time. I do not think she has learned how to self calm so she relies on your nursing her to do that so she can go to sleep. You can try this:...

Pediatrics: crying, swing shift, story books
swing shift, story books, reassurance: Dear Leah: Your little boy may just be becoming aware that Daddy is not there when he wants him to be and is pining for him. I think all children go thru phases like this at one time or another. Continue to offer him reassurance and remind him how much...

Pediatrics: curcumsicion, eurologist, steroid cream
eurologist, steroid cream, foreskin: If the foreskin can be pulled back I suggest you do that and afterward do it every day so it won t get stuck again. Many parents are understandably hesitant to hurt the baby but one good pull back should be the only pain. I doubt that the urologist would...

Pediatrics: curious about opposite sex, female neighbors, female cousin
female neighbors, female cousin, extreme emotion: Hi, Donna, Kids this age (and probably boys and men of any age, for that matter) have a normal curiosity about what is under there . The fact that he is doing this is normal behavior, but behavior that you should firmly but without extreme emotion, tell...

Pediatrics: custom vaccination schedule, polio vaccines, pertussis vaccine
polio vaccines, pertussis vaccine, vaccination schedule: Dear Penny: There is considerable catching up to do if you plan to begin immunizing your child at age 4 years. Children need 5 DTAP before the age of 6 years. Does she need pertussis? In my opinion, yes. She will need 4 injectable polio vaccines,...

Pediatrics: cutaneous larva migrans, ethyl chloride, mintezol
ethyl chloride, mintezol, creeping eruption: Have you seen a doctor for this? How do you know it is cutaneous larva migrans? Make sure you are treating the right thing! Cutaneous larva migrans, or creeping eruption, can be treated 3 ways. Mintezol can be used either topically or taken orally. ...

Pediatrics: cutaneous larva migrans, ethyl chloride spray, larva migrans
ethyl chloride spray, larva migrans, independant pharmacy: I usually treat with Thiabendazole both topically and by mouth. It works well either way, though. It seems like a pharmacy should be able to order it for you. Try an independant pharmacy--not one of the big chains--they are usually more responsive to special...

Pediatrics: cyanosis of baby's hands and feet, nitrates in drinking water, month old baby
nitrates in drinking water, month old baby, environmental protection agency: Hi, I am not a Doctor, but a pediatric advise nurse, Perhaps there is no Doctor on line. Certainly if the baby s lips are blue this would constitute and urgent situation. There is one situation where there are too many nitrates in the water that can cause...

Pediatrics: cyst, oil glands, tear duct
oil glands, tear duct, cysts: For sure this has nothing to do with anything you did or any diet you had during pregnancy. There are many kinds of cysts and since I don t know what kind I can t tell you what caused it. Some cysts are just stopped up oil glands that usually go away. What...

Pediatrics: cystic fibrosis testing question, constant runny nose, allergy asthma
constant runny nose, allergy asthma, sure what kind: Mycoplasma is non-specific, as I said previously. Stool fat is also non-specific -- it will be elevated with many things that cause malabsorption. Elastase is more specific for CF, as far as I know. This is a long and complicated case, but it sounds...

Pediatrics: cystic fibrosis, cystic fibroisis, cystic fibrosis
cystic fibroisis, cystic fibrosis, bowel problem: Yes, surely the pediatrician would have thought of cystic fibrosis if her symptoms seem appropriate to that diagnosis. Most pediatricians are acutely aware of the possibility and ask for the proper test to determine yes or no. Of course you don t want to...

Pediatrics: DAIRY DIGESTION, rashes, diarrhea
rashes, diarrhea, constipation: This is a ? that I am afraid may never be real quick to figure out...but you are right that lactose intolant people tend to have diarrhea not constipation....when he was on regular milk was there any rashes or vomting? Has she recently been potty trained...

Pediatrics: DAUGHTERS HEALTH, white blood count, routine appointment
white blood count, routine appointment, whooping cough: If you have not had a chest xray done I think that could eliminate a lot of potentially serious problems sooner than a month. It sounds to me as though she is an allergic child (I am not makeing a diagnosis, only a suggestion) and that there may be an asthmatic...

Pediatrics: My Daughter, going to the bathroom, going to the doctor
going to the bathroom, going to the doctor, urination: Dear Sherry: If your daughter is only going to the bathroom frequently at school and not while at home I would guess that she is trying to get away from the pressure of her school work or she may just be nervous about school. Urination at school at the...

Pediatrics: Daughter, premature puberty, signs of puberty
premature puberty, signs of puberty, estrogen levels: Dear Camile: As kids approach puberty they often complain of a lump beneath their nipples which is firm. This is nothing to worry about. We sometimes feel these lumps under the nipples of infants and do not become concerned. Early puberty could present...

Pediatrics: Daughter 5, yeast infections, yeast infection
yeast infections, yeast infection, poor hygiene: We often see little girls with toilet tissue in their vaginas, which would cause what she has. Anything that causes irritation will cause the production of mucus such as she has and bubble bath is one of those things. If there is a harsh detergent in her...

Pediatrics: Daughter is always fidgeting/can't sit still, st vitus dance, bullying at school
st vitus dance, bullying at school, problems at school: The most common cause for this sort of behavior is subconscious anxiety. She is concerned about something in her life but she can t tell you what it is, so it is futile to ask her directly what is bothering her. The primary care physician is ruling out...

Pediatrics: My Daughter's health, weight gain during pregnancy, flat nipples
weight gain during pregnancy, flat nipples, healthy weight gain: You may be right in thinking that you may be having a reduced supply of breast milk. However, have you made certain of this? The following things usually tell you that your milk supply is enough: a) you can feel the milk going from you to the baby when...

Pediatrics: Daughter's health, weight gain during pregnancy, flat nipples
weight gain during pregnancy, flat nipples, healthy weight gain: I answered this question once but since it appeared again I will summarize what I said. Be sure she is getting enough breast milk by weighing her accurately before and after several feedings. If she is not getting enough calories use formula but bubble...

Pediatrics: Daughter having meltdowns, temper tantrums, loving child
temper tantrums, loving child, different child: One generalization that applies to behavior is that it is never continued over a long period if it doesn t bring the desired result. No one knocks on a door if they are absolutely certain that no one is home. If there is a way of ignoring her it might help,...

Pediatrics: Daughter's red face, exercise tolerance, red cheeks
exercise tolerance, red cheeks, school nurse: Hi, Vicki, She is pretty heavy for her height and I suspect this factor is having a bearing on her exercise tolerance. Fifth disease is a viral illness and the red cheeks last only a day or two. She doesn t have this. Some fair skinned kids will have...

Pediatrics: My Daughter has not been well for months, scarlet fever, screening blood
scarlet fever, screening blood, stomachache: Hi, Jo, She needs to have some screening blood work done to rule out significant disease. These symptoms can be do to anything ranging from allergies to leukemia, so best to have her checked carefully by the doctor and then have some directed, screening...

Pediatrics: Daughter won't have a BM for like four days and is in pain, glycerin suppository, prune juice
glycerin suppository, prune juice, karo syrup: Hi, Amanda, Get a glycerin suppository or a Baby-Lax enema and use it to get the stool out. Put her on a consistent daily dose of 2 oz of prune juice in addition to her regular formula to keep the stools loose. Don t use it for a few days and stop; ...

Pediatrics: My Daughter, nasal drainage, mild fever
nasal drainage, mild fever, diarrea: You can always use infant tylenol for the fever and discomfort..is she playing normally...peeing ok? Run a humidifier at night while she is sleeping to help with the nasal drainage and cough....make sure she drinks..do not worry too much about appetite..how...

Pediatrics: Daughters allergies, recurrent ear infections, allergy attack
recurrent ear infections, allergy attack, adenoiditis: Dear Haley, It is difficult to say what might be the cause of repeated respiratory infections in any given child, but it may be a safe bet to ask the doctor to screen the child for sinusitis, pneumonia and adenoiditis when she goes to see him the next time....

Pediatrics: My Daughters Hair, time natalie, dirty blonde hair
time natalie, dirty blonde hair, daughters hair: Sorry, I have no idea. You should probably take her to her doctor and have her checked, and probably see a dermatologist. The spots could be a reaction to something, or an infection of some kind. Again, her doctor should look at it. Moshe Adler, MD ...

Pediatrics: Daughters hair, time natalie, dirty blonde hair
time natalie, dirty blonde hair, daughters hair: The human head is an extention of the skin on the rest of the body and just as there are freckles and other pigment variations the same can happen on the head. I think that is what you are seeing with the variation in coloring. I can t predict what the future...

Pediatrics: Day 27 of Nursing Strike, dairy allergy, breast milk
dairy allergy, breast milk, breastmilk: Dear Lindsay: Try mixing small amount of the soy formula in mostly breast milk. 1/2 ounce of soy and the rest breast milk. Serve slightly warmed. Gradually, and very gradually decrease the breast milk and increase the soy. if that does not work you...

Pediatrics: Day of a Pediatrician, homework questions, canned response
homework questions, canned response, renumeration: Hi, Jenny, I generally dismiss a question like this with a canned response that says I don t do homework questions. Let me explain to you the reason for this. I am busy answering questions for parents whose kids have medical problems, real or imagined,...

Pediatrics: Daycare issue, physical trauma, behavioral questions
physical trauma, behavioral questions, sexual exploration: Hi, Chris, We as adults tend to make a lot more of this than is probably necessary. This was an incident of sexual exploration. Lust had nothing to do with it. Curiosity had everything to do with it. This happens all the time and is one of the most...

Pediatrics: Dear Dr. Olson, After noticing..., nocturnal asthma, yooper
nocturnal asthma, yooper, xrays: Hi, Yooper Elizabeth!, This could indeed be a type of asthma we call cough variant asthma, when the disease is manifested by a cough and not by the more classic symptoms of wheezing. The increase with exercise and night ( nocturnal asthma ) suggest this...

Pediatrics: Dear Dr.Smith,My son is..., skeletal maturation, growth booster
skeletal maturation, growth booster, adult height: Unless he has some illness which has delayed his skeletal maturation he will not grow any more and nothing can induce him to grow. 164 cm is just within the normal range for adult height and approx 2-3% of normal men will be smaller than him. His expected...

Pediatrics: Crying it out, condominium apartment, kindergarten class
condominium apartment, kindergarten class, followup question: Dear Deborah: Let her cry!! Do not feed her, do not cuddle with her. If you do then she wins and you lose. You will then have to get used to awakening very early. She has to learn to be still and quiet at that time of day. This is my final advice...

Pediatrics: Dehydrated?, wet diapers, baby food
wet diapers, baby food, soft spot: Is she drinking anything else? Eating baby food? As she takes in other things, she may nurse less. Has she been sick at all? Has she seen her pediatrician recently? She should probably be checked to make sure there is nothing wrong. 4 wet diapers is...

Pediatrics: Dehydration, day fever, bad throat
day fever, bad throat, acute infections: is she running fever now? she must have recovered from a bad throat infection if she is not having any synptoms now. its necessary to understand that intake of solkids goes down in acute infections and it is prudent to give the feeds more semisolids...

Pediatrics: Dehydration, strong willed child, blood cell count
strong willed child, blood cell count, white blood cell: Hi, Thanks for the clarification. She has had a series of probably unrelated illnesses, most of them probably viral. The chest xray is non-specific and probably if I did chest xrays on all the kids I see with viral respiratory illnesses, a lot would...

Pediatrics: Delayed Speech, expressive speech, delayed speech
expressive speech, delayed speech, nursery teacher: Hi, Monica, Don t make this an attempt to get her to speak. This will back fire with this bright and possibly stubborn child you have. Talk with her, encourage her responses by reflections of your interest in a normal way,(don t fawn all over her for...

Pediatrics: Desperate!!!, legal proceeding, good answer
legal proceeding, good answer, good luck: Hi, Barb, I have no good answer for you. If she is a danger to herself or others, a legal proceeding to have her committed in a place that could help her might be appropriate. This sounds drastic, but sometimes this is the only solution. Obviously...

Pediatrics: Desperately Seeking Advice., stressful incident, childs eyes
stressful incident, childs eyes, tina marie: Dear Tina Marie, Thank you so much for your follow up. That would be a challenge if you are in China to find a psychologist. These books are written so that you may be able to help your son yourself. I use these principles in my own practice and find them...

Pediatrics: Development, month old baby, term babies
month old baby, term babies, age thanks: Babies born prematurely are later in development than full term babies. Most full term babies are sitting and attempting to crawl at this age. But this is only one aspect of a child s development and one has to consider other factors before deciding that...

Pediatrics: Development, exercise medicine, hello doctor
exercise medicine, hello doctor, diet exercise: Hi, Sachin, I assume he has some underlying health problems if he is undergoing all the therapy. Based on what these are and how he is progressing will determine if these delays improve with age. Generally they do. Lots of kids shiver and turn blue...

Pediatrics: Developmental Issue, pediatric neurologist, sign of autism
pediatric neurologist, sign of autism, high chair: I m not sure that would be a sign of autism, but it does concern me. By this age he should be sitting up well, and starting to pull up to stand. Any medical problems in the past? Difficult delivery? How much did he weigh at birth? Any serious infections?...

Pediatrics: Developmental Milestones, kem hospital, little plum
kem hospital, little plum, developmental milestones: Is there good website you can recommend that has good info on developmental milestones? =========== http://www.fpnotebook.com/PED40.htm My son is almost 8 months old and still doesn t sit up by himself. Isn t that a little behind?? He sits with support....

Pediatrics: Developmental Milestones - Responding to Voices, college entrance exams, developmental milestone
college entrance exams, developmental milestone, developmental milestones: Hi, T., He sounds normal. The fact he passed his hearing test means, with a high degree of certainty, that he can hear. Kids that live in noisy environments tend to habituate more to sound than others. He certainly seems to be socially at the expected...

Pediatrics: Developmental Milestones - Turning Toward Sounds, developmental milestone, developmental milestones
developmental milestone, developmental milestones, hearing test: Dear Friend, I think you are blessed with a normal baby. It s just that you have very high expectations of what normal means. In reality, normal is a range that can go from 6 weeks to almost 4 months for this specific milestone ( and similarly for most...

Pediatrics: Developmental Milestones - Turning Toward Sounds, developmental milestone, visual stimulus
developmental milestone, visual stimulus, developmental milestones: The earliest time that a baby will turn toward a voice consistently is 4 months of age, and the normal range for this to occur is up to 8 months. A baby may seem to respond before that age but it is almost always to a visual stimulus rather than an auditory...

Pediatrics: Developmental Milestones, developmental milestones, aap website
developmental milestones, aap website, say mama: You did not describe a child who is delayed in development. Verbalization had milestones but its accomplishment has the greatest lattitude of any ability. I had a patient who didn t say a work until age 3 but had an IQ of 150. Evaluation, unless grossly...

Pediatrics: Developmental question, self feed, finger foods
self feed, finger foods, size pieces: Most babies at this age are self feeding themselves a little bit but this is an activity that varies quite a bit in starting. I think that in a short while she should reach for finger foods and feed herself but if she is sitting and beginning to pull up...

Pediatrics: DIARRHEA, constant diarrhea, infamil
constant diarrhea, infamil, mylanta: Hi, Donna, If he is gaining weight, is happy, is healthy and is developing normally, I m really not sure you need to do anything. If another formula would be tried, go for an elemental amino acid formula, very expensive but incredibly easy for the body...

Pediatrics: Diabetes in children, diabetic children, endocrinologist
diabetic children, endocrinologist, google: Hi, Ana, 1. I am not sure of the current statistics. Find out on Google.com 2. More frequently in the beginning, less frequently when stable. We like to do complete exams 3-4 x per year. 3. Generally all of our kids see an endocrinologist at...

Pediatrics: Diabetes, low blood sugar, blood sugar levels
low blood sugar, blood sugar levels, frequent headaches: It is not rare for a pre-diabetic person to have very volatile blood sugar levels before the onset of definite diabetes, and that may be what is happening. Notice I said may . If there is an endocrinologist in your area I think an opinion from h/her would...

Pediatrics: Diabetic child, age 7, type 1, snack 1, cheek area
snack 1, cheek area, target range: Hi, Carol, I can t explain this to you. If the blood sugar is normal when this occurs, it is pretty hard to implicate the diabetes. Is she taking any consistent snack to which she might have an allergy? That is my best thought. I suspect that her endocrinologist...

Pediatrics: Diagnosis for 5 yr old son, temporal lobe epilepsy, disruptive behavior disorder
temporal lobe epilepsy, disruptive behavior disorder, google web site: Dear April: You can search on ggogle.com a great search engine for all of your son s diagnosis and type them in as such Tourette s syndrome in children Type in the search box when the google web site opens and each disorder you look up type in children...

Pediatrics: Diagnosis needed, pediatric gastroenterologist, emergency visit
pediatric gastroenterologist, emergency visit, stool samples: Hi, Vicky, Without knowing what the test were and what they showed, it is impossible for me to know what to tell you. My suggestion is to sit down with your pediatrician and discuss where to go from here. I m assuming all the bases that we cover have...

Pediatrics: Diagnosis question, chest xrays, chest xray
chest xrays, chest xray, mild increase: Hi, cynthia, This would be a typical chest Xray of a child with a viral lung process (infection) or a reactive airway process (like asthma or bronchiolitis). The markings are just the normal lines that are seen in chest xrays, but increased either due...

Pediatrics: Diahrea with my two year old..., wet diapers, apple sauce
wet diapers, apple sauce, fatty foods: Be sure she is drinking enough liquid to replace all the fluids she is losing in her bowel movements. Keep track of the number of wet diapers she has, or the number of time she wets. Limit her diet to simple things like jello, rice, apple sauce - avoid rough...

Pediatrics: Diaper Rash, diaper rashes, bad rash
diaper rashes, bad rash, diaper rash: Really bad diaper rashes that develop after antibiotic treatment are often caused by yeast infections. Of course, it s impossible for me to tell you what it is without examining the baby, but you might consider asking about an anti-fungal, like Nystatin cream,...

Pediatrics: Diaper Rash, clotrimazole cream, diaper rash ointment
clotrimazole cream, diaper rash ointment, yeast infection: Hi, Amanda, This is almost certainly a yeast infection, very common in the diaper clad population and will respond to the measures you are using plus the addition of Lotrimin (clotrimazole) cream several times a day for the next week. Any rash in the...

Pediatrics: Diaper rash on 13month old girl, diaper rash cream, typical rash
diaper rash cream, typical rash, balmex: Dear Shanna: If you have diligently applied diaper rash cream and then a yeast cream and this is not improving your little girl should see her doctor. It is difficult for me to determine what a rash looks like without seeing it in person. It could be...

Pediatrics: Diaper rash, diaper rash cream, yeast rash
diaper rash cream, yeast rash, washing detergent: I dont know where you live, of course, but we often see this sort of thing at the beginning of cold weather when the air gets very dry, and so does the skin. Another possible factor is that in the winter the urine is more likely to support the growth of organisms...

Pediatrics: Diaper rash?, red blister, corn starch
red blister, corn starch, diaper rash: It seems to me that a washcloth and a mild soap used every now and then will clean a little better than just the wipes. I seem to have overstepped my limits in this answer; I certainly didn t mean to have an unsympathetic answer. I should have learned; recently...

Pediatrics: Diarrhea, brat diet, alimentum
brat diet, alimentum, diarreah: Some children are also allergic to soy, or she may have a sensitivity to something in the soy milk. The first thing to try at this point is to stop the soy milk and try alimentum again. If that stops the diarrhea, it s the soy. If not, she should have some...

Pediatrics: Diarrhea in an 11 month old, breastfed baby, running a fever
breastfed baby, running a fever, loose stool: He is a bit young for toddlers diarrhoes the hallmark of whihc is undigested food (peas and carrots) in the stools. It may just be a bug that will run its course. If he is otherwise well and in the longer term, continuing to gain weight, I would not worry...

Pediatrics: Diarrhea in 12 month old, blood in the stools, loose stools
blood in the stools, loose stools, bland diet: Hi, Christina, I doubt that switching to whole milk and then switching back to Nutramigen is causing this. My guess is that the diarrhea is being caused by a virus and that over time (a week or so) the stools will revert back to normal. Discuss with...

Pediatrics: Diarrhea in 13 month old, brat diet, pediatric gastroenterologist
brat diet, pediatric gastroenterologist, diarreah: Hi, Bonnie, We as pediatricians in 2006 don t think much of the notion of a BRAT diet. It doesn t provide enough calories and nutrients to repair the damage the presumed virus has done to the lining of the bowel. I would give her a regular diet,...

Pediatrics: Diarrhea in 16 month old, loose stools, milk intolerance
loose stools, milk intolerance, time weeks: Hi, Amanda, In toddlers this age, they will have a virus illness and then proceed to be healthy, but have a few loose stools each day. We call this toddlers diarrhea. This is not milk intolerance or more properly lactose intolerance. Usually this...

Pediatrics: Diarrhea, rotavirus adenovirus, watery bowel movements
rotavirus adenovirus, watery bowel movements, first time mom: Hi Beth, Loose watery bowel movements in children are due to irritation to the small intestines. The causative agents are due to viruses (i.e. Rotavirus, Adenovirus, Norwalk virus, etc), E. coli, and sometimes, parasites. Depending on what type of virus...

Pediatrics: Diarrhea, black stools, milk and cheese
black stools, milk and cheese, blood in the stool: Hi, Sara, If he is healthy and the stools are changing back to normal, then this may be a low grade virus. If they continue to be black, take him and a stool to the doctor so he may be checked and the stool checked for blood. Good luck, Dr. Olso...

Pediatrics: Diarrhea, prebiotics and probiotics, diarrhea
prebiotics and probiotics, diarrhea, virus: Dear Theresa, Although this may still be a virus, I suspect that a secondary milk (read lactose) intolerance may have developed, and it may be wise to stop milk and milk-based products for some days and see. Also, ask your doctor about prebiotics and probiotics....

Pediatrics: Diarrhea-over 8 days, applesause, zinc oxide
applesause, zinc oxide, peptobismol: Sure, anything like Peptobismol is OK to give. Kaopectate is some better however but both can be hard to get in a toddler. Try to get a tablespoonful of Kaopectate in him 4 times a day, and do what you are already doing - encouraging liquids so that he will...

Pediatrics: Diarrhea in Breastfed Infant, signs of dehydration, viruses and bacteria
signs of dehydration, viruses and bacteria, watery stools: Has he been on any medicine? Have you been on any medicine? Anyone else with diarrhea, vomiting or abdominal pain? Is he eating any food? Anything by mouth other than breast milk? Is the breast milk always directly from you, or is it stored sometimes...

Pediatrics: Diarrhea w/ black mucus stuff on it, small baby, breast milk
small baby, breast milk, bowel movement: You didn t tell me what you mean by diarrhea - loose movement? 2-3 movements a day? 10-12 movements a day? And what else is going on? Is he taking formula or breast milk normally? I suggest you save a diaper with the black mucus stuff in it, wrap it in...

Pediatrics: Diarrhea, loose stools, stomach virus
loose stools, stomach virus, stool cultures: It may just be the run-of-the-mill stomach virus, but that s an unusual history for it. It is also possible to catch a second infection, but that is also unlikely. I would be concerned about some other cause, probably contagious if two of your children have...

Pediatrics: Diet, grape juices, porridges
grape juices, porridges, breast feeding: my daughter has completed 90 days now.she is on breastfeeding. ============ she should be exclusively breast feeding tilkl 4-6 months minimum. i want to know from when i should start giving her others foods(juice,soups et). ======= from 6 months...

Pediatrics: Dieting and Body Image Problems in Children, body image problems, sense questions
body image problems, sense questions, google: Hi, Annie, I answer, gladly and for no renumeration in the monetary sense, questions from parents who have problems with their children. I don t answer questions like this, that are research questions that are going to be used in a report or paper. Please...

Pediatrics: Digestive issues in 2 year old, rice cereal, grains of sand
rice cereal, grains of sand, milk allergy: You do not say whether she is growing and gaining weight normally as this is the most important thing. If she is not growing then investigation of the problem is necessary and I would see a paediatric gastroenterologist. I do not know what the black specks...

Pediatrics: Digestive Problem, pineapple juices, calcium supplements
pineapple juices, calcium supplements, gi specialist: add water sips between 2 feeds. add calcium supplements if they are not on! stop it if he is taking calcium or iron supplements. add watermelon/pineapple juices and curds. constipation is common with formula feeds. first you may need to wash of the hard...

Pediatrics: Digestive system/gastroenterology, bland diet, bowel problems
bland diet, bowel problems, chicken and rice: Let s clarify what is going on first. You said once a month since November, and this is the beginning of January, so that could mean it s only been twice. Has it been many times (6, 8 10?) or just 2 or 3? If it s only 2 or 3 times, I d probably wait and...

Pediatrics: Diluted apple juice for a 2 year old, caloires, apple juice
caloires, apple juice, multiple vitamin: Dear Jen: Your son needs milk. If he will not drink it get the dairy in by any other means. Some suggestions would be: yogurt daily, make instand pudding with milk and serve two servings a day and lots of cheese. He should also be given a multiple vitamin...

Pediatrics: Diluting juices, apple juice, juices
apple juice, juices, renee: Dear Renee: You are able to stop diluting juice at this age but give natural unsweetened juice such as white grape and or apple juice for a while. We do not recommend any more than 3 to 4 ounces of juice a day and always given by cup, never bottle. ...

Pediatrics: Discipline, consistent approach, time out
consistent approach, time out, mommy: Dear Heather: Use a consistent approach to discipline and try the time out method. If your child runs away place her in time out for one minute per year. Do not have conversation with her in timeout. Explain to her briefly before placing in time out...

Pediatrics: Discipline on hitting, weird cause, consistent approach
weird cause, consistent approach, bribes: Dear Brenda: Your daughter could be going thru some sort of anger because of the move. You need to stop the bribes and the incentives and just use a consistent approach to discipline. Time out in a corner on a chair for one minute per year everytime...

Pediatrics: Discipline, 21 months, 3 year old
21 months, 3 year old, different story: Dear Jodie: I guess I wonder if it is worth getting your son so upset but, on the otherhand, he knows you are in close enough range to be called to come and get him. I think you should talk to him and encourage him to stay with the class. He has to...

Pediatrics: Disciplining my 21 month old, sweet baby girl, step dad
sweet baby girl, step dad, consistent approach: Dear Shelley: It is time now to adopt a consistent approach to discipline provided in the same way by all caregivers for inappropriate or aggressive behavior. The Time out approach is the best method. Place a stool or small chair in a corner and call...

Pediatrics: Disciplining wetting accidents?, daughter piper, potty troubles
daughter piper, potty troubles, wetting accidents: Any kind of punishment, especially a swat, only shows your frustration with the problem and puts more power in her hands and makes you the servant. Something is troubling her and she feels something towards her parents that makes her want to due irrational...

Pediatrics: Dislocated Elbow, radial head dislocation, dislocated elbow
radial head dislocation, dislocated elbow, cushions: Hi, Julie, Radial head dislocation ( nursemaid s elbow) is a common injury that usually occurs by traction on the hand, popping the radial head out at the elbow. It can happen by other mechanisms, and the arm stuck in cushions, or a fall would be possible....

Pediatrics: Disposable diapers or not?, cotton diapers, disposable diapers
cotton diapers, disposable diapers, cloth diapers: I had not heard anything about this until your question. In searching for scientific data on this topic, I cannot find any study that shows any link between diapers and sterility. I did find one article that showed similar scrotal temperatures using either...

Pediatrics: Disposable diapers or not?, cotton diapers, disposable diapers
cotton diapers, disposable diapers, male babies: Pampers and sterility is a new one for me. The environmentalists say that disposable diapers are clogging the land fills but I know of no reason why they would affect procreation. Nor do I think cotton diapers can have an effect on hip development. I can only...

Pediatrics: Doesn't Eat Food with Chunks, introducing solids, youface
introducing solids, youface, centile: if i could summarise the problem as the only problem of starting solids or texture feeds and thats the reaosn why weight is below line, things can very well be upto 10th centile but if they had sown a consistant growth, well your baby may be on the right track....

Pediatrics: Don't know who to ask! MRSA, bad actor, unusual way
bad actor, unusual way, wash your hands: Hi, Reggie, This would be a highly unusual way of developing MRSA. The nursing home hopefully has infectious disease guidelines as to the appropriate steps to keep this bad actor from spreading. Pulmonary spread, unless there is some unusual aerosolization...

Pediatrics: Double ear infection, ear drums, harmful bacteria
ear drums, harmful bacteria, ear drum: Susan, thanks for your question. Interesting that your PCP didn t give you a prescription for an antibiotic on Tuesday when he was in for his checkup. About 60%-70% of all ear infections are caused by a virus, which means antibiotics won t do any good. Unfortunately,...

Pediatrics: DRY COUGH, chronic coughs, dry cough
chronic coughs, dry cough, allergies asthma: Chronic coughs may be due to allergies, asthma, irritation (anyone smoking?), sinus infections, infections like pneumonia or whooping cough, cystic fibrosis, tumors, and probably a few other things that I am missing. Most of the time, it s nothing serious,...

Pediatrics: Dr. Blount,If you sent..., mixup, blount
mixup, blount, period of time: I did send a reply last night. I suggested that since the problem is under treatment and that it is very mildly contagious (it takes very intimate exposure for a period of time) I don t think short sleeves are a problem of any kind. sorry about the mixup...

Pediatrics: Dramamine for toddler, dramamine, scopolamine
dramamine, scopolamine, decongestant: Hi, Katie, Dramamine is safe for kids and usually is effective. The patches of scopolamine that adults use are not. Try the dramamine before the flight as a test run to make sure she doesn t have a wierd reaction to it. A decongestant, with the same...

Pediatrics: Drinking water, drink too much water, exercizing
drink too much water, exercizing, chemistries: Hi James- actually, you can drink too much water! Recently, several athletes have died because they overhydrated. Water is great for you, but in too large quantities it can change the salts in your blood, causing your chemistries to become dangerously out...

Pediatrics: Dry stools, whole grain foods, strawberry milk
whole grain foods, strawberry milk, dairy cheese: If it doesn t bother her I don t think you need do anything. Dairy doesn t contribute to this except that it has no bulk. Try whole grain foods and those with a lot of bulk and be sure she drinks some liquid often. The body withdraws water from the stool...

Pediatrics: Dytan HC, combination product, decongestant
combination product, decongestant, good luck: Hi, Michelle, This is a combination product of a narcotic, a decongestant and Benydryl. There is no evidence that products like this work and lots of evidence that they can do harm. I would not, therefore, recommend using it. Good luck, Dr. Olso...

Pediatrics: Dytan HC, doctor who, 6 years
doctor who, 6 years, dytan: I have no experience of using this drug as it is not available in the UK, certainly not under the trade name Dytan HC. The information given out by the manufacturers states: DOSAGE AND ADMINISTRATION: Adults and children 12 years of age and over: 1 to...

Pediatrics: I'd appreciate your help.., pa medical school, ww ii
pa medical school, ww ii, chemistry class: I knew that I didn t want to be a surgical type doctor and when I came home from WW II my pediatric professor at the U of PA medical school offered me a residency. I was an active physician for 45 years. At medical school I took all the courses that were...

Pediatrics: I'd appreciate your help.., medical school curriculum, florida medical school
medical school curriculum, florida medical school, university of florida medical: 1. West Palm Beach, Florida 2. While I was in medical school I really enjoyed working with children. I never thought I d like it before that. I was originally planning on family practice or internal medicine. 3. 23 years. University of Florida. Medical...

Pediatrics: I'd appreciate your help.., chemistry class, compulsary
chemistry class, compulsary, college www: Dear Cynthia, 1. Where is your practice located? *Mumbai, India 2. What made you go into pediatrics? *Love for kids and desire to help those that cannot help themselves (kids) plus liking for the subject and prospect of earning a good livelihood...

Pediatrics: daily vomiting, post nasal drip, frequent diarrhea
post nasal drip, frequent diarrhea, allergic rhinitis: as your child has proven allergies he may go through all this specitrum of allergic diseases. and any family member may also have similar or few of these symptoms. saline nebulisation therapy is simple and best used preventively. more the child cries or...

Pediatrics: dangerous smell, little ones, popcorn
little ones, popcorn, microwave: Hi, Jen, I ll have to consider if you invite me over to dinner! Seriously, this shouldn t cause any effect on your two little ones. They are quite resiliant at this age and for that matter,at others, and they should have no immediate or long term effects....

Pediatrics: dark circles under eyes, dark circles under the eyes, dark circles under eyes
dark circles under the eyes, dark circles under eyes, circles under eyes: Neuroblastoma is a multifactorial disease that does have a genetic basis. It has been known to occur in siblings. It might be best to remember that. However, do not be alarmed as the event of your observing the dark circles under the eyes of your older child...

Pediatrics: my daughter, frequent intervals, viral illness
frequent intervals, viral illness, tons of money: Most of the time when this happens it is a coincidence that the infant comes down with a viral illness at the time of the injection. I suggest you treat the symptoms. If she is vomiting, hold off on feeding for 4-5 hours and start with weak formula in very...

Pediatrics: my daughter, low grade fever, smart kids
low grade fever, smart kids, pediatrician: Hi, stephanie, It is common for a virus to cause a low grade fever for a while as the child gets better. The headaches are probably nothing to be concerned about, especially if they last a few seconds and go away and she is fine between them. Increasing...

Pediatrics: daughter, epilepsey, leg movement
epilepsey, leg movement, electroencephalogram: In true epilepsey the patient loses consciousness almost always and has no memory of the event, and the movements tend to have little resemblance to normal movements - they don t mimic normal movements, whereas in emotionally related spasms the movements...

Pediatrics: daughter 4 years old, allergic rhinitis, allergy test
allergic rhinitis, allergy test, high fever: whats her age? how consistent? does any episode last upto 10 days and more? (adenoids/sinusitis ) or it just comes stays for days and goes off and is with sneezing?(allergic rhinitis) what time of day does it occur? are there any triggers? does she...

Pediatrics: My daughter, cause fever, oragel
cause fever, oragel, high fever: You didn t say how high the fever was, but teething does not cause high fevers. The temperature rarely goes above 101 with just teething. There are some viruses that cause fever and sores in the mouth, which could make her salivate and not want to eat or...

Pediatrics: My daughter is 5 years old...., nurologist, correct diagnosis
nurologist, correct diagnosis, thick fluid: Further developments in a situation often helps with the correct diagnosis and I think that is what is happening. Neither of your previous consultants were wrong; they gave you their best opinion based on what they knew at the time. It seems to me that this...

Pediatrics: my daughter, poor blood supply, low grade fever
poor blood supply, low grade fever, white blood cells: Hi Jeffrey, Your physician is correct that there is no association or correlation with her current symptoms and her previous ear infection. Whenever a child is ill, their immune system is weaken further and takes time to recuperate. As such, they are more...

Pediatrics: my daughter is dribbling urine, vaginal lips, present hope
vaginal lips, present hope, 3 year old: Hi, Darci, A surprising number of girls have a condition called vaginal reflux of urine. When they void, the urine partly pools in the vagina and when they stand up, a bit dribbles down. Have her pee leaning forward, to tip the pelvis forward and...

Pediatrics: daughter has face swelling, contact dermatitis, tylonol
contact dermatitis, tylonol, wind burn: You didn t say exactly the circumstances of the skiing but I have seen this happen in the snow for most unspected reasons - contact dermatitis (skin irritation)due to some plant. In our area poison ivy is dry and dormant but there is still sap in the dried...

Pediatrics: my daughter's has fever and vomitting, stomach virus, upset stomach
stomach virus, upset stomach, two occasions: Dear Kathy, I would like to apologise for not being able to answer this earlier. My net connexion was down and I saw the question just today. In any case, I think this looks more like a viral condition rather than due to teething, for the simple reason...

Pediatrics: daughter's health, walkin clinic, pedialite
walkin clinic, pedialite, pedialyte: It sounds to me like she needs to see her doctor again. She may be getting dehydrated if she is not drinking, and her diaper remains dry. What antibiotic is she on? Some will cause upset stomachs or diarrhea. Keep pushing the pedialyte, but call her doctor...

Pediatrics: my daughter seems too always cry, breast feeding, breasts
breast feeding, breasts, 30 minutes: Dear Desiree: I believe you are overfeeding your baby. We recommend nursing for 10 minutes on each breast about every 2 hours. Four ounces by bottle is fine but not right after a breast feeding. If the baby does not console and stop crying she should...

Pediatrics: My daughter having stomach pains, appendis, stomach pains
appendis, stomach pains, acute disease: The appendix is on the right side of the abdomen. Appendicitis is an acute disease that gets worse and ruptures in 2-3 days, and does not go on for a week. Why don t you get one of the good books about child health that can help you will questions like this...

Pediatrics: daughter with tourettes syndrome, kem hospital, boss dr
kem hospital, boss dr, behavior difficulties: well frankly speaking, I am not an expert in these situations; but my wife Dr Alpana is@! why dont you write to her at her message board just started by her boss Dr Neeta naik (also a specialist in these illnesses): http://epilepsy.proboards99.com/index.cgi?board=parents...

Pediatrics: What to do when my daughter wake up night, psychological comfort, amberson
psychological comfort, amberson, sorry for the delay: Dear Dima, I am sorry for the delay in getting back with you. You will get differing opinions from professionals on this topic. Personally I would encourage you to comfort her when she cry s, if this is difficult to do because she is crying too much and...

Pediatrics: daughter walking on inside of foot, half soles, leather shoes
half soles, leather shoes, puting: I don t think it will affect her in any way as she get older but, if it is bothersome, ask a cobbler (the person who repairs shoes in ways like puting on new half soles and stuff like that in the times when almost all shoes were leather) to put a 1/4th inch...

Pediatrics: daughter's weight gain/digestive trouble, sinus allergies, appendix removal
sinus allergies, appendix removal, digestive trouble: Dear Julie, I don t think that her current state is in any way connected to the appendix removal three years ago. Why not see if she eats healthy, gets regular exercise and avoids fast food? Milk allergy is always possible as a cause, but you can easily...

Pediatrics: My daughter, culture report, blood culture
culture report, blood culture, leg length: There are charts to tell when a child is below normal in height but I know of none that tell when a child s leg is shorter than normal. I don t understand the statement that a leg is shorter than normal. Since I don t know the reason for his statement I...