About Experts Sitemap - Group 41 - Page 42 2016-09-20

Pediatrics: Lump on the head, dermoid cysts, lump on the head
dermoid cysts, lump on the head, occipital area: Hi, Susan, Often lumps like this can be lymph nodes in the occipital area. If your pediatrician thinks this is not the case, then dermoid cysts are relatively common. Other things like pilomatricoma need to be thought of. Basically this will turn out...

Pediatrics: labial frenum, two front teeth, frenectomy
two front teeth, frenectomy, baby teeth: Dear Jade: A short, thick frenulum can cause speech defects so it seems it would be best to have the frenulum snipped now rather than wait until her new teeth come in. It won t interfere with teeth erupting. It won t go away on it s own. Talk to her...

Pediatrics: loss of councsiusness, umich edu, breath holding
umich edu, breath holding, pediatrician: Hi, Please discuss these breath-holding spells with your pediatrician. If you go to the ER, they will evaluate this potentially in the wrong way, ordering a lot of tests that probably aren t needed. It is very normal for kids this age to have breath-holding...

Pediatrics: Mag 3, dmsa scan, creatinine and creatinine clearance
dmsa scan, creatinine and creatinine clearance, convenience reasons: The results are a bit confusing as first DMSA scan shows left kidney with more function than the right while later MAG3 is exact opposite. From what you say, it is likely that one kidney was always a bit small and that there is nothing more to do, other than...

Pediatrics: MMR vaccine, low platelet count, mild rash
low platelet count, mild rash, mild problems: Hi, sherry, The vaccine was temporarily and very unwisely discontinued due to hysteria about autism. It is safe, effective and is not associated with autism in any manner whatsoever. This association has been debunked by the most rigorous and scientific...

Pediatrics: meltdowns, Anxiety, Behavior problems
Anxiety, Behavior problems, tantrums: Crissy, Boy this sounds like you have really been given alot of grief over your son s reactions to clothes. This seem a bit unusual to me. Do you think there are any other things going on in his life that would cause these reactions. Any deaths in the...

Pediatrics: Two month old sleep problem, dear doctor, noticeable change
dear doctor, noticeable change, bowel movement: well, babies dont understand day and night till almost a year, so they may wake up 3 times a night. common reasons at this age is colic, that may be tackled by giving anticolic medicines.refusal to feed can be a serious sign to visit Er/doctor if it persists.it...

Pediatrics: nail/skin eating, nail biters, nail biter
nail biters, nail biter, eating habit: Hi, carrie, She is a nail biter. Often nail biters will eat the nails and skin. It is not considered to be a serious problem or a serious sign of nutritional status problems. Here is a handout I give to people for help with this. http://www.med.umich.edu/1libr/pa/pa_nailbite_pep.htm...

Pediatrics: naptime help, fussy baby, fussiness
fussy baby, fussiness, carseat: Dear Dana: I am afraid the baby may be trained to not sleep unless there is swaddling and motion. This is a difficult habit to break and the only way I know to break it is to let the baby cry. You can try keeping her up longer and putting her down for...

Pediatrics: neck pain, viral illnesses, neck pain
viral illnesses, neck pain, sore throat: Hi, Tiffany, Any kid this age with these symptoms needs to see her doctor. It probably is not meningitis, but with the fever and sore throat, at least strep needs to be ruled out. Neck pain is not uncommon in benign viral illnesses, but should always...

Pediatrics: occult blood in infant's stool, protein hydrolysate formula, stool examination
protein hydrolysate formula, stool examination, nutramigen: Hi, Chetna, Generally occult blood in this age group is due to a milk/soy sensitivity. If she is breast fed, eliminate milk from your diet. If she is bottle fed, try a protein hydrolysate formula like Nutramigen. If this doesn t do the trick, in my...

Pediatrics: Pediatrician, nurse practitioner program, pediatrics residency training
nurse practitioner program, pediatrics residency training, necessary prerequisites: hi kenyatta, in order to become a physician, you must apply for and complete medical school. then, you would apply for and complete a pediatrics residency training program. you can still become a medical doctor. my suggestion is to complete the necessary...

Pediatrics: Protein Sensitivity?, fish fingers, exact statistics
fish fingers, exact statistics, milk protein: Hi, Amber, I suspect you are right that this is an intolerance to this food. The best you can do is avoid it and hope that this will resolve eventually, as most reactions do over time. I m not sure of the exact statistics for this resolution. I...

Pediatrics: pinworms?, symptoms of pinworms, pin worms
symptoms of pinworms, pin worms, pin worm: Dear Vickie, A situation that is very common in tropical countries, this pin worm thing. Not so common in the U.S. However, once it occurs, the child can re-infect himself by scratching his anus, and then mouthing the eggs of the worms at the next opportunity....

Pediatrics: pneumonia in my almost 5 year old, influenza symptoms, high fever
influenza symptoms, high fever, acute symptoms: Hi, Jackie, Most pneumonias are caused by viruses and antibiotics don t work. That being said, we generally treat these with antibiotics. I would wonder, with the high fever and the cough, if this is really H1N1 influenza, but even if that is the case,...

Pediatrics: poor eating pattern and a little too active, baby underweight, frequent diarrhea
baby underweight, frequent diarrhea, hello doctor: Hi, naz, There are no tonics that will increase appetite, although I know some doctors prescribe them. If he is basically healthy, developing normally, is gaining weight, and is active, he should be fine. Is he underweight? That depends a lot on parents...

Pediatrics: potty training, poopy diaper, sleep time
poopy diaper, sleep time, waking hours: Dear Marissa: You are so fortunate you have trained your son during waking hours. What he does in his sleep is not controllable. He is just not ready and you will have to wait it out for him to have control of his bowels during sleep time. He isn t lazy....

Pediatrics: pronoun confusion in my 3.5 year old: his/her, 3.5 yr. old doesn't answer questions, 3 year old language screening
3.5 yr. old doesn't answer questions, 3 year old language screening: Hi Rachel, Male/female pronouns are commonly acquired in chidlren between the ages of 3 and 4 years, and confusion of he she is definitely not in itself of concern in a 3.5 year old! I am abit confused though by what you ve written about the speech therapist...

Pediatrics: proper wiping after potty, soap and water, sitz bath
soap and water, sitz bath, vaginal area: Hi, Ruth, Make she wipes correctly (or even wipes!), make sure that when things get red a sitz bath in a tub with no soap and water is done, and have her, if she is dry at night, wear no panties to air this area out. This is what we recommend for...

Pediatrics: Recurring High Fever in Kids, pathogenic organism, child asthma
pathogenic organism, child asthma, high fever: I am unable to figure out why the child is falling ill frequently. Is he being bottle fed? Are the parents unhygienic? Is there a family history of depressed immunity? Has the child asthma-like symptoms? Has he received all his vaccines? I will await feedback...

Pediatrics: Recurring High Fever in Kids, recurrent fevers, fevers in children
recurrent fevers, fevers in children, differential diagnosis: Hi, Virenda, The differential diagnosis of recurrent fevers in children may include: Differential Diagnosis in the Child with Recurrent Fever Fever occurring at regular intervals Fever typically occurs at regular intervals PFAPA syndrome (21...

Pediatrics: rash.....developing another food allergy??, food allergy, neocate
food allergy, neocate, omeprazole: Hi Brenda: Your son s rash could be a caused by a minor viral infection so if it is not bothering him and he is not acting ill I would just give it more time to clear up. It could be a food allergy too but you need a doctor to determine that. I would...

Pediatrics: regarding my 4 year old, fish meat, umich edu
fish meat, umich edu, pediasure: Hi, Mathew, She clearly has a feeding aversion, a behavioral problem that here in the USA, I would refer to a specialist, like an occupational therapist, who is skilled at solving this vexing difficulty. I m not sure if there are resources like this where...

Pediatrics: reply to questions, nissan fundoplication, immune deficiency disorder
nissan fundoplication, immune deficiency disorder, polycose: how is he growing on growth charts? on what ground was he labelled as failure to thrive? was any other pediatrician involved any time?what was his response? my feel is that he is always been offered a liquid milk like diet which has habituated him....

Pediatrics: Safety of administering flu vaacine on same day as standard 6 month infant vaccinations, flu vaccine, flu shot
flu vaccine, flu shot, prevnar: Hi, Cynthia. Short answer...yes. We do it all the time in our office and it is recommended. I have a 6 month old grandson and when he has his visit in a few weeks, I would assume he will get all the shots, plus the seasonal flu and also the H1N1 shot....

Pediatrics: Seizure disorders, brain lesions, hand tremor
brain lesions, hand tremor, seizure disorders: I really appreciate your efforts being taken on this kid. i hope the milestones are normal till date. How hard should I be pushing for the neuro consult, should I be demanding it? if she had a twitch, record it and show it to your pedi. ask fro a neuroconsult....

Pediatrics: Severe Pneumonia, nebulizer medication, chest congestion
nebulizer medication, chest congestion, sodium chloride: Hello: Your baby needs to continue with all of the medications as prescribed. The baby may cough for a few weeks even though she is on medications. It is important for her to cough to clear the congestion out of her lungs. The nebulizer is very important...

Pediatrics: Sleep, conflict doctor, ferber method
conflict doctor, ferber method, cat naps: Hi, C, Your baby, never, no way, will have a feeling of abandonment for more than a few minutes. This is a standard method of sleep promotion and I agree with your doctor that this is behavioral. Here is a handout I use to help parents instill a sense...

Pediatrics: Sleep/Skin reaction, red blotches, cotton blanket
red blotches, cotton blanket, thin cotton: keep the baby wrapped in a thin cotton blanket, that will keep him comfortable.apply soothing emolients if his skin appears dry. it looks like allergy/urticaria to some dietary item. discuss this with a nutritional /feeding specialist. if possible post...

Pediatrics: Solid food for my seven month old daughter, introducing solids, formula milk
introducing solids, formula milk, chapatis: Dear Mrs. Ghosh, Let me assure you that she is definitely not thin and frail . You cannot imagine what those words mean. I think she is doing very well, with her weight already more than twice her birth weight! Stop being so forcing, let her alone. If...

Pediatrics: Swine Flu and babies, swine flu vaccine, old baby girl
swine flu vaccine, old baby girl, month old baby: Dear Ruth, It is now almost a given fact that swine flu is not a very serious illness except in those with prior disease, in infants, in those with reduced immunity and in pregnancy. As your baby is an infant, you should take all possible precautions to...

Pediatrics: sick child advice, stomach flu, loose stools
stomach flu, loose stools, child advice: Hi, felicia, We generally don t test for flu, for the testing really doesn t tell us much, in most people, about how they will be treated. Usually the seasonal or H1N1 flu doesn t involve vomiting and diarrhea. This is more likely a stomach flu and...

Pediatrics: small yellow pellet like stools, constipating foods, fruits and vegetables
constipating foods, fruits and vegetables, carrott: Dear Greg: Your son is having constipated stools. You need to increase his fluid intake and add more fiber to his diet namely with more fruits and vegetables. A ripe fresh banana every day may help and so will prune juice and apple juice. Avoid rice,...

Pediatrics: smoking and effects on babies, pot smoking, cigarette smoking
pot smoking, cigarette smoking, sids: Hi, Beth, Cigarette smoking is linked to SIDS. Pot smoking may be, but I can t cite studies on that issue. Kids are generally born small but usually healthy in general. There is tons of information online regarding this. Good luck, Dr. Olso...

Pediatrics: my son will not sit in the potty, facial expressions, toilet training
facial expressions, toilet training, umich edu: Hi, Diana, He is actively resisting this process and the harder you work, the more he will resist. Here is a handout I have found to be of great help in understanding and treating this toilet training resistance. http://www.med.umich.edu/1libr/pa/pa_btrainin_hhg.htm...

Pediatrics: speech/language strategies, speech language pathologist, speech pathologist
speech language pathologist, speech pathologist, language strategies: Hi Rosemary, I m sorry to say that I ve never used any programs or manuals myself with that population, but you might want to check Super Duper Publications or LuiguiSystems to see if they have what you re looking for. Best of luck! Sharon Rosen...

Pediatrics: swollen baby breast, left breast, breast feed
left breast, breast feed, newborns: Hi, rachelle, This is normal. Often newborns, breast fed or not, have some temporary breast swelling, a result of hormonal stimulation of this estrogen sensitive tissue. It will go away. You didn t really ask a question, but this is my explanation....

Pediatrics: swollen lymph node, swollen lymph node, white cells
swollen lymph node, white cells, signs of infection: I assume 15.5 is a percentage of total white cells. The total white cell count is therefore not high. This is not my area of expertise and I have not seen your son so any comment I make is ill-informed. You are best speaking to the doctor who has seen your...

Pediatrics: Thinking about Pediactrics, average gpa, ap biology
average gpa, ap biology, caring sciences: Hi, Nick, You really didn t ask a question and generally I don t answer this type of non-clinical question, but here are some thoughts. You don t need to be a rocket scientist to be a doctor. You need to be sort of organized, sort of smart, and be...

Pediatrics: Thinking about Pediactrics, speech language pathologist, becoming a pediatrician
speech language pathologist, becoming a pediatrician, average gpa: Hi Nick, Thanks for you inquiry. Unfortunately, I m a pediatric speech/language pathologist, not a physician, so your question to me about becoming a pediatrician isn t something I can really answer. I applaud you in doing well in high school, and...

Pediatrics: teen health deline, chronic fatigue syndrome, pediatric rheumatologist
chronic fatigue syndrome, pediatric rheumatologist, arms and legs: Hi, Angela, These are complaints that are tough for us to track down as pediatricians, or internists, for that matter. There is some debate about chronic fatigue syndrome in teens, but I think most of the evidence points to this as a real entity....

Pediatrics: How to texture(food) train my child?, baby cereal, table spoons
baby cereal, table spoons, beet root: Dear Rajyasni: I would offer your child increased quantity of food and allow him to attempt to feed himself using his fingers. That is one way of getting him used to textured food. If textured foods are not introduced around 8 to 9 months a child will...

Pediatrics: toddler's diet requirements, diet requirements, david olson
diet requirements, david olson, 21 months: Hi, Shivali, I never advise parents on amounts of food. People really don t feed their kids that way, I hope. Give a diet that is varied, make sure one gets about 20-30 oz/day milk or milk equivalents. If they are healthy and growing well, why worry...

Pediatrics: toddler and possible foreign object swallowed, post nasal drip, carseat
post nasal drip, carseat, foreign bodies: Hi, Lisa, It is possible that she swallowed a foreign object, but unlikely. I would tend to just watch and if the symptoms don t go away in a week or so, or if she seems to be sicker, a doctor visit and possible chest Xray might be entertained. Foreign...

Pediatrics: Urine specimen, ml urine, urine specimen
ml urine, urine specimen, grandson age: ask for a bulb or bottle or cup from urine analysis laboratory, let the child pass some urine and take a mid-stream sample as much possible. many parents prefer to attach a self sticking urine collection bag around penis. one needs only 5 ml urine for...

Pediatrics: Uvula Missing, congenital heart disease, throat infection
congenital heart disease, throat infection, throat infections: well missing uvula doesnt cause any much problems, but one needs to assess the infant for nay associated defects whihc may be likely. by 1.5 year age, he should be able to attach two words.. if eh donst do so by 18 months get an evaluation doen fro hearing...

Pediatrics: urination in bizarre places, child neglect abuse, nanny cam
child neglect abuse, nanny cam, bizarre places: That is definitely a behavior that needs careful monitoring. She is most likely acting out to receive attention or there is suggestion of child neglect/abuse. Did this situation occur after a change in caregiver? If so, I would install a nanny-cam to see...

Pediatrics: vocabulary and childs understanding of language, 2-year old confuses yes/no; 6 month old doesn't babble
2-year old confuses yes/no; 6 month old doesn't babble: Hi Jennifer, It s definitely difficult for a parent of linguistically precocious children to have a barometer for measuring the skills of their younger children who may not be as precocious. So I m glad for your inquiry about the speech and language development...

Pediatrics: Weaning my 11mth old from breast to sippy cup, dairy protein, milk intake
dairy protein, milk intake, whole milk: Dear Payal: Transitioning from breast to sippee cup can be difficult. I would continue to offer the sippee cup with all meals and hope he will take some milk. Until he is taking at least 16 to 20 ounces of milk a day which is what he needs at this...

Pediatrics: Weight Problems with my 3 1/2 month old, daughter madison, breastfed baby
daughter madison, breastfed baby, breast milk: maintain the weight monitoring every 15 days. follow a written feeding schedule or note down feedings for 2 weeks. simple errors of weight may occur due to clothes, passage of stools full stomach etc. not gaining weight needs to be proven for a significant...

Pediatrics: Worms in 2 year old, white worm, mild fever
white worm, mild fever, doctors office: Hi, jane, This may be a round worm, if you live in the USA. If you live in the tropics, I haven t the faintest idea. Take the worm to your doctors office, have them see what it is and then have a prescription for treatment. Mebendazole is a commonly...

Pediatrics: My one year old dont chew, 13 month old won't chew or pick up finger foods
13 month old won't chew or pick up finger foods: Hi Farah, I wonder why your 13 month old isn t interested in chewing. Have you given him small cheerios or animal crackers? You mention that he chews on other things, so that makes me wonder if he is perhaps a picky eater, or if he feels that swallowing...

Pediatrics: ykeyshawooten, writing skills, pediatrician
writing skills, pediatrician, occupation: I did not understand the question. If you mean what I do with my writing skills, why, it is only a hobby and has nothing to do with my occupation as a pediatrician. However, the enhanced understanding of language is useful while counseling patients. ...

Pediatrics: 1 Yr Old w/ Fever For 8 Days, rota virus, diarhhea
rota virus, diarhhea, running a fever: Dear David, Your son needs to be carefully examined for appropriate management. I would, however, share following thoughts on the case: In Echo or Rota virus infections, diarrhea can persist for 7-10 days; however, high fever for a week is unusual. Ear...

Pediatrics: My 11 months old having diarrhea, rice cereal, oat meal
rice cereal, oat meal, carrotts: Pavithra: A breast fed baby does better with soy formula than milk based formula so I would continue the soy formula. Feed rice cereal, banana (mashed), cooked rice, applesauce, pieces of toasted bread and carrotts to try and form up his stool. Stop oatmeal...

Pediatrics: My 12-month old, transitioning baby from breast to bottle feeding
transitioning baby from breast to bottle feeding: Hi Liz, I am not a specialist in infant feeding, however I do know that many babies have difficulty transitioning from breast to bottle feeding. I ve read that some babies will accept the bottle more easily from a father than a mother, as the smell and...

Pediatrics: 13 month old doesnt cry when falls, congenital insensitivity to pain, insensitivity to pain
congenital insensitivity to pain, insensitivity to pain, yeast infection: Hi, Hanna, Thresh-holds of pain vary in every one. Although there are rare instances of congenital insensitivity to pain, most of these kids are obviously troubled by this. She is probably just a kid with a laid-back happy outlook on life. This is...

Pediatrics: 16 month old threw up and then drooled a lot, little fever, running a fever
little fever, running a fever, open mouth: Hi, teresa, I would wonder if she got some of the pasta caught in her esophagus, like a large wad that was impairing her ability to swallow. I suspect that after a time, the blockage dissolved and she was fine. This doesn t at all sound like a seizure...

Pediatrics: 16 yr old health decline, health decline, chronic lyme
health decline, chronic lyme, infectious disease expert: Hi, angela, Thanks for the feedback. We live in a part of the country where Lyme is rare. I am not familiar with the details of treatment for the chronic condition. I would have to put my child in the hands of a pediatric infectious disease expert,...

Pediatrics: My 2.5 year old son, innocent heart murmur, concentration ability
innocent heart murmur, concentration ability, signs of diabetes: Hi, Anna, I doubt he was really dehydrated. It is easy to do a heel stick or finger stick and find out if one has diabetes. It is also easy (usually) to get some type of urine specimen to check for this. I agree that diabetes needs to be excluded....

Pediatrics: 2 year old speech, 2 yr old with squeaky voice and slow speech, 2 yr old voice problems
2 yr old with squeaky voice and slow speech, 2 yr old voice problems: Hi Debbi, Without meeting your grandson I m afraid I can t answer your question, but I would recommend that he have a speech and language evaluation to assess what is going on. I wonder about his medical history -- ear infections, throat problems -- that...

Pediatrics: 22 month old only saying part of words, toddler speech errors, 22 month old not combining words
toddler speech errors, 22 month old not combining words: Hi Jill, It s natural for toddlers to simplify words, as they are still developing both the oralmotor coordination and the auditory memory that are prerequisite to intact speech sound integrity and sequencing. And among the common simplification patterns...

Pediatrics: 3 month old baby, 3 month old baby, month old baby
3 month old baby, month old baby, pus: Dear Staci: I would be concerned about a yellow sticky discharge esp if it is coming from the tiny opening in the penis. Do you see any sores or abrasions? I would have him checked out by a doctor if it persists because the discharge could be pus or sign...

Pediatrics: my 4 month baby, cranial sutures, hydrocephalus
cranial sutures, hydrocephalus, soft spot: Hi, Julia, If the head growth seems to be out of proportion to the rest of the body and if the sutures are now separated and weren t before, I would recommend a quick, easy, no radiation ultrasound to make sure there is no hydrocephalus. This to me, is...

Pediatrics: 4 month old congestion, vapor rub, cold vapor
vapor rub, cold vapor, time breathing: Hi, Christie, Your older kids have asthma and that is why they use occasionally a nebulizer. Your baby probably doesn t. I would not use a nebulizer in a child who only has a cold. Vapor rub or anything else applied to the feet will do absolutely...

Pediatrics: 5 yr old has neck pain and a knot, reactive lymph node, neck muscles
reactive lymph node, neck muscles, neck pain: Hi, Jennifer, If there is no fever and he feels well except for this, then the ice and/or heat will be fine. This probably is a benign reactive lymph node that is impinging on one of the neck muscles, causing some pain. If it is better in a day or two,...

Pediatrics: 6 month old bowel movements, oatmeal cereal, pediatric gastroenterologist
oatmeal cereal, pediatric gastroenterologist, warm baths: Dear Stacy: Some babies establish a norm of only having bowel movements once or twice a week and this is okay unless the stool is large and hard and causes pain when passing it. If you find you have to stimulate her to move her bowels more often than having...

Pediatrics: 6 year old with voiding issues, positive reinforcement, miralax
positive reinforcement, miralax, urologist: Hi, Kristen, She probably needs any constipation to be aggressively treated and then be put on some type of treatment for dysfunctional voiding that usually is medicine and a timed voiding program. Be sure the constipation is gone. Good luck, Dr....

Pediatrics: 8 month old with constipation problem since first day of birth, puneet kumar, brat diet
puneet kumar, brat diet, lactalose: Dear Ashlee, I need following information regarding your son: 1. At what age (in hours) did he First pass stool after birth? 2. Was he breast-fed or formula-fed in first 6 months of age? 3. He must have been screened for Thyroid function: T3/T4/TSH....

Pediatrics: 8 yr old w/symptoms of a 50 yr old, pain hands, juvenile arthritis
pain hands, juvenile arthritis, pediatrition: all the symptoms do match with history of some evere illness, including life threatening infections and also anemia and other hematological conditions. what i can suggets at this moment is that he cant eb managed at home and needs urgent blood tests and fluid...

Pediatrics: 9 month old naps, naps, bad mood
naps, bad mood, sleepers: Hi, Joshua, A lot of kids, including one of my daughters, stop napping at about this age. Nothing is wrong with this. These kids tend to be better night time sleepers. Lots of kids will cry a bit before sleeping and this is OK too. Good luck, Dr....

Pediatrics: our 9 yr has decides he doesnt want to sleep in his room, discipline, sleep
discipline, sleep, limits: Dear Danielle, Thank you for your question. It is my guess that he hates his room because he wants to sleep with you. It sounds like you have created a problem by allowing him to sleep in your room until three months ago. Of course mom and dads room will...

Pediatrics: abdominal pain, pediatric gastroenterologist, stomach area
pediatric gastroenterologist, stomach area, acid reducer: hi, Shannon, Has your doctor had a theraputic trial of an acid reducer, such as prevacid? Has she been tried on a milk-free diet? Has she had blood work, such as a CBC, ESR, and perhaps a serum tissue transglutaminase? I think that most pediatric...

Pediatrics: asthma in 2 year old, high fevers, high fever
high fevers, high fever, bronchitus: Dear Amy: Fevers are usually a symptom of infection in the body and fever helps to fight those infections. The fevers are not related to his asthma. Bronchitis can cause fever to occur in some cases though. If they persist in reoccurring it needs to...

Pediatrics: Baby Falls, old baby girl, month old baby
old baby girl, month old baby, paracetamol: Dear Ade: If a baby has a fall and is not acting right after the fall it is my opinion they should be evaluated medically. A four month old should not be left unattended on a bed anyway. Even if they fall from a low height they can still be injured. ...

Pediatrics: Baby Weight and Height, head circumference, doctors office
head circumference, doctors office, baby weight: Hi, Neil, She is a bit on the small side. Please have her checked at the doctors office. He/she needs to plot the height and weight and head circumference, consider parents size, and consider whether she is healthy. I suspect she is healthy. Beyond...

Pediatrics: Bilateral Perihilar Consolidation, cough syrups, cough syrup
cough syrups, cough syrup, theer: longstanding cough may be related to asthma, but if u wnat me to believe teh xray report, no doctor may let it go untreated. so may be theer si a need for fresh xray or / and getting an evaluation for asthm adone. most cough syrups are sedative. so if the...

Pediatrics: Blisters on my 3 year old's leg, fire ants, poison ivy
fire ants, poison ivy, sixe: Dear Russell: It is hard for me to tell you what the blisters are without seeing them but it could be caused by any number of things. Virus, poison ivy, insect bites (fire ants),allergy etc. If they are spreading he should be examined by a doctor. ...

Pediatrics: Blocked nose, small article, new doctor
small article, new doctor, hypertrophy: lets call it as stuffy nose with night symptoms.. though no sneezing and cough. primarily lets rule out any condition in nose like say deviated septum, turbinate hypertrophy or polyp and sinusitis. if they arent there, the next is adenoids.. and allergic...

Pediatrics: Blood In Bowel, blood in bowel, stool sample
blood in bowel, stool sample, bowel movements: Hi, Angel, Concerned enough for you to bring her (and hopefully a fresh stool sample) to the doctor for an evaluation. If she is constipated, then that is probably the cause of the blood. If not, she certainly needs an evaluation. Good luck, Dr. Olso...

Pediatrics: My baby is eating well, speech language pathologist, soft fruits
speech language pathologist, soft fruits, piece of bread: Hi Noxolo, I m afraid that I m not a dietitian or a physician, so I m not really in a position to advise you about your baby s weight gaining. You mention that your baby is eating only pureed foods, though most 12 months old are searing textured foods...

Pediatrics: When to take our baby out in Public, respiratory secretions, taking out time
respiratory secretions, taking out time, thread ceremony: well, i recommend not atleast till first 6 months as immunity is low. even the hand and objects of people tend to be contaminated with respiratory secretions or Gut secretions. I will strongly discourage public handling of a baby without handwashing. kissing...

Pediatrics: baby wont eat., daycare, s hospital
daycare, s hospital, whole milk: Dear Anne: We are seeing more and more of this in young children. I would suggest you ask his pediatrician for a referral to a children s hospital and have him seen in a feeding therapy clinic where he will be medically evaluated and an entire team of...

Pediatrics: breast milk, spitters, breast milk
spitters, breast milk, old baby: Hi, fiona, It is common for healthy babies to be happy spitters . As long as the spitting isn t causing her trouble, then everything is OK. If the spitting increases, she is upset, or she is losing weight, then see your doctor. Otherwise this is normal....

Pediatrics: Chronic/ recurring cold & cough - 3.50 yr old, adenoids, pulmonologist
adenoids, pulmonologist, cold cure: well, it looks like theer is some partially tretaed throat infection. get a throat swab doen fro organism and smear. aslo complete an antibiotic course of minimum 14 days.encourage gargling and brushing teeth twice a day.you may be benefited by throat/nose...

Pediatrics: Constipation problem on my 2 mths old baby, karo syrup, prune juice
karo syrup, prune juice, constipation in infants: Jenn: Here in the USA we use commercially prepared, bottled fruit juice such as apple and prune to treat constipation in infants as young as two weeks old. We use the infant juices primarily made by Gerber or Beech-Nut or products such as Mott s known...

Pediatrics: chest pain in 14 yr old, chest xray, cold sweats
chest xray, cold sweats, sinus infection: Hi, Tracy, Asthma is one of the most common causes of chest pain in this age group. Flattening of the diaphragm is often seen in asthma, with the hyper-inflated lungs forcing the normally domed muscle into a flattened configuration. It would seem...

Pediatrics: child behavior, 5 yr. old repeatedly sent to prinicipal's office, behavior difficulties of 5 yr old
5 yr. old repeatedly sent to prinicipal's office, behavior difficulties of 5 yr old: Hi Steve, I m sorry that I can t answer your question specifically, as I am a speech/language pathologist and behavioral advice is outside of my area of expertise. However, I wonder why your daughter is being sent to the principal s office at school on...

Pediatrics: child lack of sleep related to growth, scout hike, growth curve
scout hike, growth curve, nasal congestion: Hi, Julie, For lack of sleep to affect growth, this has to be considerable and unrelenting. This is not the case with your son. He is small because you are small. Make sure you have good bedtime rules. This means that things are consistent and that...

Pediatrics: cyst?, sebaceous cysts, little consequence
sebaceous cysts, little consequence, lymph node: Hi, Jayda, Most of these lumps in this area are either lymph nodes or sebaceous cysts, both benign and of little consequence. Perhaps he is looking for a type of cyst called a dermoid, that is fixed to the bone. Most of these are fine also, although...

Pediatrics: Develpment delay, urea cycle enzyme, lactate pyruvate
urea cycle enzyme, lactate pyruvate, storage diseases: tests: will be decided by teh devlopmental and genetic specialist depending on the clinical diability and examination findings. the evaluations may be from anywhere between urea cycle enzyme defects to storage diseases. clinicla examination, fundus examination,s...

Pediatrics: delay in sitting and walking, calcium sandoz, preterm baby
calcium sandoz, preterm baby, transient problem: Dear Mrs. Ramya, Relax, there is no serious problem with your baby! Since your baby is born prematurely, we have to take into account this important fact into consideration while assessing her development status. As she was born in 35th week (5-6 weeks...

Pediatrics: diarrhia, everythin, gaining weight
everythin, gaining weight, pediatrician: if the motions are following ecah feed, that si normal for babies of this age. what si mroe important is that stools are regular uniform and baby si gaining weight. fi baby si gaining wieght, no doc will eb worried of motions. read dehydration and its management...

Pediatrics: Ears and Allergies, ear nose and throat specialist, ear nose and throat
ear nose and throat specialist, ear nose and throat, skin allergy: well as she seems tyo grow out fo GERd, you may sure decdie about tapering the meds. also the skin allergy is difficult component to solve, it depends on hwo frequent the lesions are there and whetehr skin is too dry. you may switch over to complementary...

Pediatrics: Eating, respiratory virus, montelukast
respiratory virus, montelukast, ranitidine: Hi, Nick, I think your thoughts are correct. Ranitidine is given usually twice a day, therefore has a long half life and probably stays in the system at least 3 days. Conversely it takes at least 3 days to have a robust effect. Good luck, Dr. Olso...

Pediatrics: Eczema and Low weight, routine diet, allergy tests
routine diet, allergy tests, releived: pls detail me with routine diet/ feeds teh child is receiving at present. eczema is a common condition with such problems in kids.. the only key for it is moisturisers almost 3-4 times a day for long period at times years. rashes following feeds need...

Pediatrics: eating problem, little spoonful, hi mary
little spoonful, hi mary, soft food: Dear Nasim: Try and allow your baby to feed herself. Place a mound of soft food like mashed potato on her feeding tray and allow her to touch and play with the food with her hands. Eventually, and hopefully, she will take some to her mouth. Babies tend...

Pediatrics: elevated glucose and digestion problems and mood swings
Hi, Linda, Has she had any thyroid studies? I will assume she hasn t. The FBS is a bit high and I think probably needs to be repeated. If she is heavy, then the idea of this being an initial sign of type 2 diabetes needs to be considered. The other...

Pediatrics: Fever in two and a half yr old, viral illness, advil
viral illness, advil, darla: Hi, Darla, The height of the fever is less important than how the kid feels. Fevers don t hurt kids; sometimes the illness that causes the fever can. If he is comfortable and drinking OK, this is probably a viral illness and doing what you are currently...

Pediatrics: Flying with Newborn, flu epidemic, flu season
flu epidemic, flu season, video call: I will prefer as much possible avoid the travel unless it is very urgent, espcially in context with current flu epidemic. I wont recommend any healthy infant to be taken to a patient on deathbed whose illness is progressing very fast. arrange a photo meet...

Pediatrics: Formual/Acid Reflux, nutramigen, acid reflux
nutramigen, acid reflux, stage 4: well, may eb you could have contineud with breastfeeding. changing formula isnt the solution for most problems unles ist clearly a formula component allergy. most kids take 3-7 days to settle with any new formula. i feel enfamil iron was better amongst whatever...

Pediatrics: Frequent Stools passing baby, frequent stools, loose motions
frequent stools, loose motions, cerelac: well, if its regular , its normal. but fi you notice it recently, u surely have an aetiology. children below 6 months ahve immature gut to digest solids effectively and that causes some malabsorption and may causer such loose motions like say in lactose or...

Pediatrics: Constipation problem on my 2 mths old baby
Pediatrics: Constipation problem on my 2 mths old baby

Pediatrics: diarrhia, half an hour
Pediatrics: diarrhia, half an hour

Pediatrics: feeding, formula milk, milk production
formula milk, milk production, solid food: Mital: Your baby should be getting at least 5 bottles in a day containing at least 6 ounces of milk in each bottle. His total intake should be at least 28 ounces of formula a day. If he is taking 700 ml a day he is getting 23 ounces a day. He should...

Pediatrics: feeding habits, 8oz, hour and a half
8oz, hour and a half, 4 months: Brittany: The amount of formula you are feeding your infant is excessive. If you put a bottle and nipple in her mouth she will take it so you are overfeeding her. She has gotten into a habit of feeding that often and she expects it now but it is way too...

Pediatrics: fever and cough keep returning 5 year old, type a flu, amoxicillian
type a flu, amoxicillian, swine flu: Hi, Cheryl, I suspect the doctors are correct. This time of year one can get repeated illness. Remember a negative nose swab for influenza A means nothing. The test is very poor when it comes to identifying people who don t have influenza . Low sensitivity...

Pediatrics: flumist, worst case scenerio, flumist
worst case scenerio, flumist, flare: Hi, michela, There is a lot of data that giving the flumist to one with well controlled asthma is fine. The worst that might happen is a flare of the asthma, which should be easily controlled by rescue inhalers. I have given flumist to a number of...

Pediatrics: GERD and Colic, oatmeal cereal, liquid poop
oatmeal cereal, liquid poop, newborn stool: Dear Angela: I thank you for defining your infants constipation. Stools coming out like hard pellets is constipation but not going for several days may not be constipation. So thanks for the clarification. Any time an infants feedings are changed it...

Pediatrics: Groin Pain in my 6 year old, juvenile rheumatoid arthritis, groin pain
juvenile rheumatoid arthritis, groin pain, rheumatoid arthritis: Hi, Khristie, Growing pains, or whatever they really are, seldom would be seen in the groin. If the pains are associated with the fevers, then he really needs to be evaluated for a condition like juvenile rheumatoid arthritis. Please make sure your doctor...

Pediatrics: g6pd deficieny, organ failures, broad beans
organ failures, broad beans, hemolysis: Hi, Christine, Does he indeed have a diagnosis of G6PD deficiency? Clinically this sounds like it, but I hope he had a definitive blood test. Lentils as well as a number of beans can cause varying degrees of hemolysis. Why risk it? I would suggest...

Pediatrics: gas/formula, loose motions, carbohydrate intolerance
loose motions, carbohydrate intolerance, loose stools: fussiness and spitting up is closely related to constipation. you may read my article on constipation for a detaield advice. i wont rceommend a change fo formula back to supreme, may eb you can contonue the one thats suiting as fussiness is easy to tackle...

Pediatrics: H1N1n vaccine-ASO3-4, protein antigen, pediatric vaccines
protein antigen, pediatric vaccines, protective antibodies: Hi, maraia, Adjuvants work by being linked with the protein in question to enhance immunity. This will not cause auto-immunity. The immune cells actually produce protective antibodies in response to the viral protein (antigen). Adjuvants of many types...

Pediatrics: Hand Foot Mouth disease & skin peeling & high Fever & swelling on cheek, hand foot mouth disease, hand foot mouth
hand foot mouth disease, hand foot mouth, foot mouth disease: taking paracetamol for such along duration daily is not a good sign and can eb toxi. this child needs to ebs een by another pediatrician too. ist very likely that child ahd 4 febriel episodes in alst 2 montsh and each alsted for 1 week. if peeling fo skin...

Pediatrics: HELP!!!, puneet kumar, natural immunity
puneet kumar, natural immunity, dwarka new delhi: Dear Gunjan, Relax! there is nothing to panic!! Rotavirus infects almost everyone: yes, almost everyone by the time one is 5 years of age. Some cases are mild, some are severe enough to require hospitalization. There are high chances that your child...

Pediatrics: Help, allergy symptoms, gunjan
allergy symptoms, gunjan, dear doctor: Hi, Gunjan, If these are allergy symptoms, then using an antihistamine like Zyrtec or Aerius (I m not familiar with this medicine) would be very appropriate. This would help with the allergy symptoms. Certainly the air conditioning would not be the culprit,...

Pediatrics: Help!!, clear liquids, incubation period
clear liquids, incubation period, contagious virus: Gunjan: There is nothing you can do if your daughter has been exposed to this very contagious virus. The incubation period is about 4 days so you need to watch her for vomiting and diarrhea. If it starts, keep her well hydrated with clear liquids. ...

Pediatrics: holding bowel movements, miralax, bowel habits
miralax, bowel habits, bowel movements: Hi, Renee, She has encopresis, a leaking of stools associated with constipation. She needs to be completely cleaned out with a product like Miralax for a couple of days. She then needs to have her stools softened with a smaller dose of Miralax...

Pediatrics: Infant with PAPVR and Sinous Venosus ASD, pediatric cardiac surgery, infant girl
pediatric cardiac surgery, infant girl, asd: its difficult for the child to survive longer without surgery beyond 5 years.. but all depends on vein sizes and pressures.. The surgery wont be an easy for sure.its better to get teh surgery done in US or australia pediatric cardiac surgery institutes...

Pediatrics: irregular heart beat in 5 month old, irregular heart beat, two sounds
irregular heart beat, two sounds, heart rate: Hi, katie, Kids have pretty amazing sinus arrhymia, the normal fluctuation with heart rate that is seen with breathing. This is of no concern and is normal. The next visit to the doctor, ask about this and be sure they listen to the heart carefully for...

Pediatrics: irregular sleep in my six month old, power nap, morning nap
power nap, morning nap, afternoon nap: Kristina: Your baby is not sleeping well during the night because of the 2 hour nap in the evening. He should be taking a morning and afternoon nap and about a 20 minute power nap around 6 PM to allow him to stay awake until 7:30 or 8 PM when he should...

Pediatrics: Knee pain 4 yr old, pains in the legs, blood studies
pains in the legs, blood studies, knee pain: Hi, Jamie, Most night time pains in joints can be evaluated extensively and nothing is found. If it is only the right knee and it hurts in the morning consistently, then see your doctor. He/she will examine things, perhaps do an xray if appropriate,...

Pediatrics: Lingering headache in 5 year old, study of the brain, ct scan
study of the brain, ct scan, motrin: Hi, Ojasvi, A previously healthy child this age, with no family history of migraines (I don t know this), and a haeadache for two weeks, probably needs an imaging study of the brain. A CT scan or MRI could be used to eliminate the possibility of serious...

Pediatrics: two languages, 18 month old speech is unclear, bilingualism and speech articulation problems in toddler
18 month old speech is unclear, bilingualism and speech articulation problems in toddler: Hi Monica, Thanks for posting your question. I m sure there are many parents who are raising their children in a bilingual home who will have the same concerns. I don t think that the reason your son s speech is unclear is because of the bilingualism at...

Pediatrics: mucus in toddler stool, blood in the stool, mucus
blood in the stool, mucus, veggies: Hi, Sam, Mucous, without blood, in the stool of a healthy toddler, usually is OK and generally the cause is a food or a low grade virus illness. If the stool is hard, increasing fiber, veggies and fruits, and increasing fluids usually will do the trick....

Pediatrics: nagging cough, runny nose, possible ear infection, nagging cough, sinus pressure
nagging cough, sinus pressure, ear infection: Hi, Tia, He may have an ear infection, but remember, in most kids who are healthy and have an ear infection, the infection will go away on its own. So...if he is doing fine and just doing a bit of ear pointing, give him some tylenol and watch things....

Pediatrics: need lotion recommendation
Dear Amber: Hard to say what the rash is without seeing it but from experience it could be one of two types, fungal or bacterial skin infection. If she is a thumb sucker and the area stays moist then it might be fungal in which case you can apply a cream...

Pediatrics: night terrors in 2 and half year old, night terrors in toddlers, awake time
night terrors in toddlers, awake time, term benefit: Hi, tiffany, I have treated some kids with persistent night terrors with a low dose of valium every night, 1 hour before bed. This can disrupt the cycle of sleep, usually an hour or two after falling asleep and produce some long term benefit. The technique...

Pediatrics: nodes under the ears of a toddler, reactive lymph nodes, viral infection
reactive lymph nodes, viral infection, lumps: Glenda: The little lumps you are feeling can just be reactive lymph nodes which are reacting to a recent or present viral infection. If he is acting normally, not showing signs of illness, without fever it is safe to ride this out until they have gone....

Pediatrics: Please help, types of ulcers, prenisolone
types of ulcers, prenisolone, excruciating pain: Hi, Courtney, Recurrent fevers could be as simple as a child getting ill a lot due to high exposure (daycare, for example) or could be a condition called PFAPA, with cyclic fevers, often high that are generally associated with sore throats, sores in the...

Pediatrics: Pooping problems, strong willed child, prune juice
strong willed child, prune juice, pull ups: Hi, Cindy, A four year old knows how to poop...you don t have to teach her. This is maybe partly some constipation but almost completely behavioral. Make sure she gets daily Miralax to keep the stools soft. If there is a suspicion of hard stools being...

Pediatrics: Potty Training- almost 4 yr old son, whole 9 yards, pee pee
whole 9 yards, pee pee, pull ups: Hi, Pia, He is actively resisting toilet training and is winning this power struggle. He is ruling your household. Here is a handout I have found successful. This is a reverse psychology type of thing. He is clever, but you need to be more so and...

Pediatrics: Puffy Eyes, high fever question, high fever, hello doctor
high fever, hello doctor, puffy eyes: Hi, Mark, this is probably a viral process, with the fever and the eye findings. I am always concerned about puffy eyes with fever. There certainly are some disease processes, that for example, can involve the kidneys that can present like this. Mononucleosis,...

Pediatrics: primary complex, measure liver function, liver function tests
measure liver function, liver function tests, lymp nodes: Hi, menchie, I am not an expert in TB and its treatment, for I have had only one child in 30 years that I have been involved with in terms of treatment. That being stated, rifampin is remarkably safe in children, often to the point where we don t even...

Pediatrics: Question about my 5 month old son, baby oragel, middle ear infection
baby oragel, middle ear infection, warm baths: Dear Jordan: If the baby still has cold symptoms and is acting the way you describe he needs to have his ears examined either by the doctor who failed to do so or another one. This could be from teething but his symptoms are also those of a middle ear...

Pediatrics: Regarding Lymphnode in left armpit, axillary node, bcg injection
axillary node, bcg injection, lymphnode: Hi, Mandeep, I am not used to BCG in the USA, but I suspect it could cause an enlarged axillary node in the arm in which it was given. This can either be a suppurative or a non-suppurative adenitis. The best thing to do is it is not inflamed is to follow...

Pediatrics: rash of unknown origin, allergic response, unknown origin
allergic response, unknown origin, detergents: Hi, Sarah, Rashes are near impossible to diagnose in a setting like this. If it is on and off, this would imply to me a contact or allergic response. Look at softeners and detergents and see if changing these will help. Rashes need to be seen to even...

Pediatrics: recurrent fevers, typhoid vaccination, recurrent fevers
typhoid vaccination, recurrent fevers, high fevers: fever once every month, not causing any weight loss or requiring admissions, may just need to be worked out for immunideficiency if it happens say once a month for a year .. above 3 years age. practice hand washing, avoid contacts with sick children. use boiled...

Pediatrics: recurrent scarlet fever, tonsil removal, trigger thumb
tonsil removal, trigger thumb, high fevers: Hi, Maribel, The diagnosis of a strep carrier is easily made by culturing her throat when she is healthy. If it is positive, then she is a carrier and consideration should be made to treating her with an antibiotic that will better penetrate tonsillar...

Pediatrics: reoccuring fevers, oral hygeine, dental caries
oral hygeine, dental caries, treatment fo: tonsils need not be hereditory. its more often related to head size/shape and oral hygeine. brushing twice a day and gargling after each food article will help curtail repeated tonsillitis. even treatment fo dental caries if any will play a role. repeated...

Pediatrics: reoccuring fevers, recurrent tonsillitis, high fevers
recurrent tonsillitis, high fevers, viral illness: Hi, Darlene, It is common for kids to have large tonsils and get a viral illness that causes pus to be on them. We worry less about this than we do strep. That being said, if one has recurrent tonsillitis that isn t strep, some would advocate removal...

Pediatrics: Sleep, molar teeth, sleep patterns
molar teeth, sleep patterns, front teeth: Dear Michelle: Sleep patterns change in young children Michelle and the worst thing you can do is to bring her into your bed. She will train herself to awaken every night to get into your bed. Stop the practice now. When she awakens, pat her, kiss her,...

Pediatrics: Somatypes, somatotyping, endomorphs
somatotyping, endomorphs, mesomorph: Hi, Van, The classic mesomorph, as far as I understand this concept, is active. Somatotyping is an old concept from the 40 s that is not very well held in 2009. Whether one is endomorphic (fat), ectomorphic (skinny) or mesomorphic (muscular)...

Pediatrics: Strep Throat, conventional antibiotics, screen culture
conventional antibiotics, screen culture, clindamycin: Hi, I will assume that these are all documented screen/culture infections. If they aren t, then this doesn t apply. Some kids harbor strep deep in the tonsillar tissue and the conventional antibiotics won t eliminate it. I would suggest a trial of...

Pediatrics: my son is 2 mos. and coughing, viral illness, cough
viral illness, cough, vomiting: Hi, Angie, If the cough is for a few days, then this is probably a low grade viral illness. If it is over a long time, then this may be due to the reflux or countless other things. If he seems fine and just is coughing, follow things. If he is getting...

Pediatrics: soreness in breast, soreness in breast, left breast
soreness in breast, left breast, sized lump: at this age, such concerns may be common..its just teh rgowing best bud.. one may start ahead fo other but when manipulated or felt so many times it does pain. if it is red and very painful.. it may get infected to form abscess- that may require medicine/surgery,...

Pediatrics: sporadic breathing pattern, post nasal drip, sinus congestion
post nasal drip, sinus congestion, breathing pattern: well, i find it quiet often due to a abd dream ro just following a nose/throst infcetion, an attempt to swallow a post nasal drip. in medical terms cessation fo bretahing more than 20 seconds is considered seriously. try making her sleep in lateral postion,...

Pediatrics: toddler feeding, scrambled eggs, toddler feeding
scrambled eggs, toddler feeding, hot dogs: Dear Mahalieo: If you are always blending your son s food he can t possibly learn to chew. Start offering him soft, mashed with a fork foods such as potatoe, carrot, sweet potatoe, etc and let him pick it up and put it in his mouth. Moisten those foods...

Pediatrics: tracheostomies and speech, speech development for 3 month old with tracheostomy
speech development for 3 month old with tracheostomy: Hi Chris, I am glad to read of your friend s daughter s successful outcome from her tracheostomy and can only imagine how heart-wrenching this course must have been, and how difficult it still is for your friend! There is alot of variability in the...

Pediatrics: Unknown allergic reaction, strange reaction, new medicine
strange reaction, new medicine, allergist: Hi, Caitlin, It is sometimes very tough and sometimes impossible to find out what is the culprit for the hives. Hives are a common end response to thousands of possible allergens. To complicate the matter, you can become allergic to something over...

Pediatrics: Vomiting, diagnostic possibilities, summer break
diagnostic possibilities, summer break, good luck: Hi, Latoshia, A five year who is vomiting persistently needs to be seen by her doctor. There are many diagnostic possibilities and someone needs to do a good history, a good exam, and possibly some blood or other tests. Do it. Good luck, Dr. Olso...

Pediatrics: Vomiting, signs of stress, physical reason
signs of stress, physical reason, lunch: Latoshia: Your daughter just may be exhibiting signs of stress over school pressure by vomiting. Or she could have a real physical reason for vomiting. I think it would be wise to have her evaluated medically for this and the doctor may want to do some...

Pediatrics: vaccine
Hi, Kellie, I have no concern about the swine flu vaccine and feel it is safe and very effective. Over 114 kids have died so far from the H1N1 flu and its complications. This number is astounding, considering how early we are in this season. This virus...

Pediatrics: White cell count, elevated white cell count, elevated white count
elevated white cell count, elevated white count, white cell count: Hi, Turab, Lots of healthy kids, with an illness, can have an elevated white count. This, in and of itself, has no meaning. It needs to be looked at in the context of her illness/health. If she is doing fine, I wouldn t worry. If she is sick with a...

Pediatrics: Worried about 4 year old grandson showing signs of not learning, signs of autism, autistic child
signs of autism, autistic child, premature baby: Hi, Pat, The range of behaviors and presentation of autism spectrum disorder is vast, ranging from obviously impaired kids to those who are just a bit different. I don t know what he has, if anything. My suggestion would be to discuss this with your...

Pediatrics: 12 month old not sleeping in crib, possible solution, good luck
possible solution, good luck, brenda: Hi, Brenda, I would suggest, if at all possible, to temporarily place the crib in another room, or you sleep in another room, until this gets resolved. She knows you are there. She, of course, wants to be up with you, not sleeping. Another possible...

Pediatrics: My 14month old boy., is 14 month old child's skills on track?
is 14 month old child's skills on track?: Hi Lee Ann, Thanks for your note about your son and all the description you ve given. It does sound like your he is doing terrific in all ways! I m so happy to hear that your son has learned to say words so quickly, and that his gross motor skills...

Pediatrics: 15 month old crying at night, mama papa, happy boy
mama papa, happy boy, developmental delay: he isnt walking yet, milestones seem little on delay side. did he sit at 8 months? did he hold head at 6 months? if no.. he needs milestone check my a pediatrician to rule out any developmental delay. from you feeding description it seems likely that he...

Pediatrics: 17 month old not talking much, 17 month old has difficulty saying words
17 month old has difficulty saying words: Thanks for clarifying Anna! I m so glad to read that your son s comprehension is on target and that he will attend for books! It s interesting to hear that there were some delays in feeding earlier on. I wonder if these were due to difficulties integrating...

Pediatrics: 18 month old, 18 month old language use, pragmatic language skills in toddler
18 month old language use, pragmatic language skills in toddler: Hi Michelle, It sounds like your daughter has capabilities for using speech and language but isn t convinced that she necessarily wants to use the capabilities she has. Grunting may simply be easier for her, especially if it elicits the same response...

Pediatrics: 19 month old - talks with closed lips, toddler speech delay, stimulating speaking in toddler who keeps mouth closed when talking
toddler speech delay, stimulating speaking in toddler who keeps mouth closed when talking: Hi Elisabeth, Thanks for the detail you ve provided about your 19 month old son s speech and language skills. I m glad to read of Jacob s developing abilities -- understanding of body part and common object labels, use of gesture, and sporadic production...

Pediatrics: 2 years old not eating and vomiting, umich edu, porridges
umich edu, porridges, hhg: Hi, Joseph, You are developing a pattern of behavior in her by your insistence that she eats. Kids will eat if you let them. It may not be by your rules, but they won t starve or be sick if just offered food. Please make meals fun. Don t play into...

Pediatrics: 2 yr old daughter ? diabetes?, metabolic derangements, doctors office
metabolic derangements, doctors office, allergic child: Hi, Barbara, I suspect this is not diabetes, but this can easily be checked by a test of either blood or urine at the doctors office. I would recommend that you do this. I would also recommend that at a time when she is stuporous that she be checked...

Pediatrics: 2yr boy ex preemie, barium meal, dry crackers
barium meal, dry crackers, ripe bananas: a problem that is organic and obvious is constipation. constipation is a chronic problem in school children, formula feds and who have rich milk intake and low calcium intake. easiest way to improve is 1. wash of stacked piles of stools by repeated bowel...

Pediatrics: My 3 yr old daughter wont eat!, appetite booster, fruits and vegetables
appetite booster, fruits and vegetables, healthy snacks: Hi, Clarice, Our youngest was 31 pounds when this extraordinarily healthy 5 year old went to kindergarten. I didn t worry a bit. If your daughter is healthy, be glad she eats fruits and vegetables. Make sure she gets healthy snacks. I m not too sure...

Pediatrics: 3 yr old won't eat, string cheese, umich edu
string cheese, umich edu, dramatic scene: Hi, Angela, Try to avoid making this a battle, for he will always win and no one will have fun. Here is a handout that will emphasize a relaxed attitude re all this. http://www.med.umich.edu/1libr/pa/pa_pickyeat_hhg.htm Good luck, Dr. Olson ...

Pediatrics: 3 yr refuses to go to the Potty, giardiasis, good girl
giardiasis, good girl, pre school: just follow this: whenever you see her wet, just lift her up and put her on potty. strictly follow that she will sit on potty at fixed times.. every day. initially 3 times.. later 2 times. follow it for 5 minutes almost for a month. also get her stool...

Pediatrics: 31 month old - delayed echolalia?, 1 1/2 year old repeats things she hears, echolalia
1 1/2 year old repeats things she hears, echolalia: Hi Jenn, Thank you for the detailed note you wrote describing your daughter s language history and your concerns. I am so sorry for my delay in responding! I got bogged down this week and have not had time online. When we assess child language,...

Pediatrics: 31 month old no understanding of language, 31 month old with speech and language delays
31 month old with speech and language delays: Hi Rachel, I am so sorry to hear of your son s developmental delays and that he is not getting speech and language therapy! it sounds like the system is backlogged there and although your son is definitely in need, apparently your system is unable to provide...

Pediatrics: 4 year old Daughter leg pain, cough, asthma
cough, asthma, reduced appetite: My 4 year old has been complaining about leg pain for a few weeks now. ---- pains at this age of such types, are usually growing pains will be theer off n on for a year. It can be anytime day or night and the pain does not stay in the same spot. ...

Pediatrics: 4 year old with headache, running nose, feaver
running nose, feaver, medical evaluation: Dear Cynthia: If your daughter s headache has been persistent over a two week period she should undergo medical evaluation. Have her see a doctor. This could simply be from the virus she had but I would still have her checked out to confirm that. ...

Pediatrics: 4 year old with headaches, viral illness, feaver
viral illness, feaver, cold symptoms: Hi, cynthia, Lots of possibilities here. She may have another viral illness or may have a sinusitis secondary to the presumed H1N1 infection. If she has consistently had cold symptoms for several weeks, see your doctor and check about a sinusitis or other...

Pediatrics: My 4 year old sister not talking, 4 year old with global developmental delay, 4 year old with tongue tie
4 year old with global developmental delay, 4 year old with tongue tie, 4 yo not speaking: Hi, Thanks for your note and for providing information about your sister s speech and language skills. It sounds like your sister has already received a diagnosis of global developmental delay, which means that she has delayed development in several...

Pediatrics: 4 yr old with headache, headache with fever, scarlet fever
headache with fever, scarlet fever, bacterial illness: Hi, jolene, Headache is a pretty non-specific symptom that a lot of kids will have secondary to fever of any source. The headache with fever and rash is almost certainly due to a virus illness. Other possibilities might be a case of scarlet fever or...

Pediatrics: 5 day fever/cold symptoms in 3 yr old, day fever, cold symptoms
day fever, cold symptoms, cool mist: Janine: If your 3 year old is looking and or acting very ill she should be seen by the doctor. Most of these illnesses the youngsters are coming down with are viral for which there is no treatment and can last 5 or 6 days. If fever persists beyond that...

Pediatrics: 5 year old with persistent vomiting..., stomach virus, pediatric specialists
stomach virus, pediatric specialists, celiac disease: Hi, Rebecca, Please have her evaluated by someone to see why she is failing to gain weight. It may be that she is just genetically programmed to be small, but please be sure no one is missing some underlying problem, like celiac disease, that may cause...

Pediatrics: 8 month old girl, feeding, binges, food intake
binges, food intake, surges: Hi, Tasahia, This would be an usually large amount if it was happening all the time. We sometimes talk about feeding binges that babies have, with increased feeds for a day or two for little explanation. That is probably what is going on. Good luck,...

Pediatrics: 8 month old speech, infant babbling change, change in 8 month old babbling
infant babbling change, change in 8 month old babbling: Hi Bonnie, Thanks so much for asking your question about your 8-month old baby s babbling. It is normal for babies to go through starts and stops in the progression of their speech and language development. Your baby was producing syllable strings...

Pediatrics: 8 months old not eating, Toddler not eating, infant not eating
Toddler not eating, infant not eating, baby not eating: Dear Eswar, I can understand your anxiety. However, such a situation is quite common and there is no need to panic. He is not showing any sign of unhappiness with visitors...rather, I believe he must be too happy with new people around and be focussing...

Pediatrics: 8mths child with diarrhea, puneet kumar, desired outcome
puneet kumar, desired outcome, alternative treatment: Dear Lena, My sincere advice to you would be to follow up with your doctor. Through this post, I would like to give a general suggestion to all patients and parents that in any case where treatment prescribed by any doctor does not result in desired...

Pediatrics: My 9 mth daughter is nt eating properly, small quantities, milk mix
small quantities, milk mix, throat infection: read some tips are at www.infantfeeding.blogspot.com reduced intake can also be due to: throat infection, constipation, lack of knowledge about chewing, big size feeds. introduce new feeds initially in very small quantities but more frequently. feel...

Pediatrics: Abdominal Pain..., ct scan with contrast, correct antibiotic
ct scan with contrast, correct antibiotic, ovarian cyst: Hi, Generally pain with urination is not associated with small ovarian cysts. It is quite common for girls this age to have a benign ovarian cyst. I doubt if all the issues, the UTI, the cyst, the cystitis, are all related. If an ovary cyst ruptures,...

Pediatrics: Albuterol inhalation, course mommy, albuterol inhalation
course mommy, albuterol inhalation, stomach ache: Hi, Natalie, You need to see your doctor if she is having this much difficulty breathing. The stomach ache and vomiting are likely due to her increased work of breathing. The chest retractions between the ribs are worrisome and mean she is struggling...

Pediatrics: Allergic Reaction to MMR Vac, arms and legs, viral illness
arms and legs, viral illness, allergic reaction: Hi, Silvana, I think the reaction is probably a viral illness with hives. Hives can last a long time. An allergic reaction to anything would be very unlikely to manifest at 16 days. Please don t take him to the hospital if you can avoid it. If you...

Pediatrics: Antibiotics to New born, oral antibiotics, cefpodoxime
oral antibiotics, cefpodoxime, old baby: Hi, Maneesh, In the USA, we would never give a two day old oral antibiotics. It is safe, but the feeling, at least here in the USA, is that if a child is sick enough at two days to really need antibiotics, they should be given IV. What is the reason...

Pediatrics: amoxicillin, mild cases, ear infections
mild cases, ear infections, amoxicillin: hi lindsay, treatment of ear infections for a 1 year old is based on weight. we usually only treat ear infections if it is moderate to severe. treatment for mild cases are not recommend. for moderate to severe infections, the general acceptable treat recommendation...

Pediatrics: antibiotics, frequent ear infections, viral illnesses
frequent ear infections, viral illnesses, augmentin: Hi, Jeff, If he has frequent ear infections and your doctor thinks the bacteria causing the infection may be resistant to amoxicillin, Augmentin is an excellent choice. The dangers of antibiotics are mainly giving them for conditions like colds and other...

Pediatrics: Bedwetting, exam history, deep sleeper
exam history, deep sleeper, 6y: Hi, Trish, It is still quite common (probably 10% of boys), still to be wet at night. At this age we feel that something can be done to help. Discuss this with your pediatrician. Pretty much we use one of three techniques to help with this: Alarms,...

Pediatrics: Blood work 1 year old, Lab tests, CBC
Lab tests, CBC: Dear Cheyenne, Most labs are equipped even to handle a premature baby on day-1 of life!! Whether routine testing is required would depend on local guidelines and your pediatrician. Best Wishes, Dr. Puneet Kumar, Kumar Child Clinic, Dwarka, New...

Pediatrics: Bone age and teeth, bone delay, chromosome analysis
bone delay, chromosome analysis, multiple penetration: when a baby has some problem, developmental metabolic or genetic or mixed, there are various problems including defects , damages or delays. we cant reverse the situation unless any hormone levels were abnormal. otherwise we can take care to support with early...

Pediatrics: bedtime troubles, three year olds, bath time
three year olds, bath time, eldest son: Dear Illia From what you share it sounds like he perhaps likes the attention. I would be sure he is fully capable of using the toilet as three year olds can commonly have accidents in their pants. I would generally always change him if he has an accident....

Pediatrics: blanket with 3 yr. old, pointer finger, jennifer jennifer
pointer finger, jennifer jennifer, dental problem: Jennifer: I don t think the security blanket is causing a dental problem. I think it may be because he sucks his finger. You can get rid of a blanket but not a finger. I think he is young to give up his blanket but when the time is right let him wrap...

Pediatrics: Chickenpox risk in 6 month old, chicken pox vaccine, month old baby
chicken pox vaccine, month old baby, breast feed: varicella/chicken pox vaccine contains live components of virus that may produce some symptoms in weak infants when administered. http://en.wikipedia.org/wiki/Varicella_vaccine so its not recommended for use in infants. however exposed infants can be treated...

Pediatrics: Circumcision, nerve block, circumcision
nerve block, circumcision, health issue: Hi, Candice, I am a bit curious why you couldn t do a circumcision at birth. Does he have some underlying health issue that would make it unwise to do it now? I have done circumcisions as an outpatient with dorsal penile nerve block and 24% sucrose...

Pediatrics: Confused, pulmonary function tests, mild headache
pulmonary function tests, mild headache, frequent urination: Hi, Priya, I am assuming a lot of studies and tests have been done, looking for diabetes, thyroid problems and heart/lung problems. These could include chest xray, pulmonary function tests, echocardiogram and others. Another possibility is a syndrome...

Pediatrics: Cough and cold, cold medicines, bronchodilator
cold medicines, bronchodilator, exacerbations: allergic coughs come in episodes, usually with sneezing or breathlessness and with night exacerbations and they come never with fever.if its allergy it should promptly to bronchodilator and steroid inhalations. get a xray chest done for safety if cough lasted...

Pediatrics: Coughing toddler, post nasal drip, bacterial illness
post nasal drip, bacterial illness, wits end: Hi, Amie, I don t understand the wisdom of repeated doses of antibiotics, with increasing potency, in a health kid without any obvious bacterial illness to treat. What disease was supposed to have been treated? Please have the possibilities of asthma...

Pediatrics: Crossing and Clinching Legs Tightly, spasticirt, scissoring of legs
spasticirt, scissoring of legs, crossing of legs: Dear LaShawn and John, In case of stomach discomfort , she would rather flex her lower limbs over her abdomen. Crossing legs ( scissoring ) in 1 year old baby could be first sign of spasticity. Please take an appointment with her pediatrician to get her...

Pediatrics: cant get rid of a cold, cool mist vaporizer, supportive measures
cool mist vaporizer, supportive measures, pediasure: Kenda: Pediasure is not a cold product. It is a nutritional supplement. Did you mean Pediacare. Cough and cold products are no longer recommended for infants and young children. You can make your baby feel better by providing supportive measures such...

Pediatrics: constipation, miralax, happy new year
miralax, happy new year, double dose: Hi, amiee, Please don t take her to an ER for constipation. Find someone who can get the medicine for you and use a double dose over a couple of days (a double dose daily for two days) to get her back to normal. It is safe and I doubt anything is really...

Pediatrics: croup, nebuliser, bronchiolitis
nebuliser, bronchiolitis, repeat offender: coughing a little ... only day time.. will wean off. coughing in night/coughing in bouts.. lingering mucus.. may be a sign of hypereactive airway and child will need an examination by doctor, as per my experience such cough improves promptly with a levosalbutamol...

Pediatrics: delayed speech and nose bleeds?, correlation between nose bleeds and delayed speech
correlation between nose bleeds and delayed speech: Hello Lyn, I really can t think of any reason that there would be a link between a delay in speech and language skills and frequent nose bleeds. I m not a medical doctor and really don t know why your son would be getting frequent nose bleeds. I know...

Pediatrics: deli meats, deli meats, toddlers
deli meats, toddlers, bacteria: Hi, gia, Fresh deli meats are as safe for a toddler as they are for an adult. Anyone can get sick from meats that are contaminated. I would feel very comfortable feeding a toddler any food I eat, as long as they won t choke on it. Good luck, Dr. Olso...

Pediatrics: diarrhoea in 5 month old baby, diarrhea
diarrhea: Dear Pom, I don t think that diarrhea is related to the type of milk used; it is more likely infectious. However, formula milk is definitely better than animal milk. Mother s milk is the Best. Babies should not be fed according to any time-table. The...

Pediatrics: ER or wait for Monday?, low grade fever, fever 99
low grade fever, fever 99, fitful night: Hi, Arsella, I would wait until Monday, unless he starts struggling to breath without the cough or starts to breath consistently hard or fast. This still probably is a viral illness, although thinks should be checked Monday. Good luck, Dr. Olso...

Pediatrics: ear wax, excessive ear wax, qtips
excessive ear wax, qtips, two occasions: Hi, Pamela, It is hard to figure out why sniffing would be related to the ear wax. Peroxide is safe and as effective as any other wax removing treatment. Other products like Debrox can be used, but a 1:1 dilution of H2O2 in water should help. Remember,...

Pediatrics: eating, signs of iron deficiency, food fads
signs of iron deficiency, food fads, false sense of security: Dear Sam, I would like to change this question to public , as this is an issue with most children of this age. Hope you won t mind. Following factors need to be understood by parents of toddlers: Babies grow very fast in first year of life. Growth...

Pediatrics: eating habits, snack time, nap time
snack time, nap time, sippy cup: Hi, Mandy, Is she growing and developing well? If so, I wouldn t worry about anything. If not, then discuss with your pediatrician ways of enhancing her calorie intake. I ll bet she is doing fine and just doesn t need to eat a lot to gain successfully....

Pediatrics: speech problem, thyroid and child development
thyroid and child development: Hi, Thank you for clarifying that these were two different children you were inquiring about. Untreated thyroid problems can affect child development though it sounds like your son s development is on target. As I am not a physician, I m afraid I cannot...

Pediatrics: Fever, Fever
Fever: Dear Rizvi, I understand your anxiety. However, your child needs to be examined for appropriate management. I feel best course of action would be to follow up with your doctor, so tat he can revise treatment and/or request some investigations to find out...

Pediatrics: Fever for 50 days, Fever, PUO
Fever, PUO, pyrexia of unknown origin: Dear Tasha, Your anxiety is understandable. I have following thoughts to share: 1. Irrigation of ears and removal of tubes is definitely warranted and cholesteatoma also need to be ruled out. However, I doubt if adenotonsillectomy would be beneficial...

Pediatrics: Frequest cold and cough, frequent illness, daily basis
frequent illness, daily basis, viral infections: Sampada: Your son is contracting infections from other children in the preschool. Young children have no qualms about spreading their viruses from one to another. You can expect frequent illness in any young child exposed to other young children on a...

Pediatrics: Newborn lips turning black, areola, black pigment
Pediatrics: Newborn lips turning black, areola, black pigment, breastfeeding

Pediatrics: fever 11 days, fever
fever: Dear Sanjay, There is no need to panic. Body temperature upto 99F (oral) is normal. Please complete the course of medicines prescribed and follow up with your doctor if fever persists. Dr. Puneet Kumar Kumar Child Clinic, Dwarka New Delh...

Pediatrics: Green stools in 18 month old, green stools, gastroenteritis
green stools, gastroenteritis: Dear Madison, If only occasional bowel is green, it can be ignored. However, if it is persisting then you need to take him to the doctor, since there is a possibility of gastroenteritis (infection of stomach and intestines). Best wishes, Dr. Puneet...

Pediatrics: green loose stool, Green stools, gastroenteritis
Green stools, gastroenteritis: Dear Rosy, Residual milk (after 30 minutes of preparation) should be discarded. It can be a potential source of infection. Occasional green stools are normal in this age-group. However, if most stools are green, then you will have to get in touch with...

Pediatrics: growth in 15 month baby, fussy eater, poor eating
fussy eater, poor eating: Dear Parul, Your anxiety is understandable. Blisters on tip of tongue are not normal. Please consult your pediatrician regarding these. Eating in phases is normal for a toddler. So is preference of sweet food over salty, or vice versa. Weight of 8...

Pediatrics: Head, keloid scars, physical observation
keloid scars, physical observation, satisfactory treatment: hi tori, without having an physical observation of the knots, i cannot tell you what they are. as they are located on your scalp and you described a feeling of pain and soreness, i am assuming it may be keloid scars. you can google photos of keloid...

Pediatrics: Herbal tea for infants cold, Frequent cold and cough, herbal tea
Frequent cold and cough, herbal tea: Dear Neha, Frequent cough and cold is common in age-group of 1-5 years. Every child in this age group, on an average, has 6-8 episodes of cough and cold annually. Light tea (not very hot!!) with ginger-basil leaves may be given to a toddler. However,...

Pediatrics: Hi, 2 eggs, egg whites
2 eggs, egg whites, meat intake: Dear Manu: We don t recommend more than 3 to 4 eggs a week for a young child. You can try egg whites as an alternative. If you are concerned over your son s lack of ingesting a sufficient amount of protein and fat, offer yogurt daily, cheese, and puddings...

Pediatrics: Hi, egg protein, 2 eggs
egg protein, 2 eggs, lower cholesterol: Hi, Manu, Egg protein is wonderful for kids. Unfortunately, it contains a lot of cholesterol. If he is fat, or if the family has a history of high cholesterol, early heart attacks or strokes, I would go lightly on the eggs, and look for a lower cholesterol...

Pediatrics: health, optimal health, medical problems
optimal health, medical problems, medical history: Hi, henry, Henry, I have no idea how old you are, what underlying medical problems you have or your medical history. If you are not feeling well chronically, please make an appointment and see a doctor to check things out. Good luck, Dr. Olso...

Pediatrics: Intermittant fever, mountain fever, infectious disease specialist
mountain fever, infectious disease specialist, referall: Hi, Ken, There are quite a few periodic fever syndromes in pediatrics. A google of pediatric periodic fever will give you quite a bit of information on diseases that are rather rare. If she really has these cyclic fevers, then your doctor should explore...

Pediatrics: Iron supplement, puneet kumar, calcium supplementation
puneet kumar, calcium supplementation, calcium supplements: Dear Mr. Chidambaram, I can understand your situation. Actually, during the age group of 6-12 months, iron requirement for the body is more than any other age. An average Indian vegetarian diet is low in iron and high in fibre (phytates), which retard...

Pediatrics: infant weight, rice cereal, breast milk
rice cereal, breast milk, gaining weight: Hi, A, I would agree with your doctor. Why worry if she is steadily gaining weight and is healthy? If she balks at cereal, you have the wonderful option of nursing her more. Volume for volume, breast milk is denser in calories than rice cereal. Try...

Pediatrics: Light green discharge in 30 month old, body orifices, sitz baths
body orifices, sitz baths, running a fever: Hi, Jenn, Kids this age have a lot of irritative vaginitis. It usually is not associated with a UTI. Try some sitz baths, soaking her front and bottom in water without soap a couple times a day. This usually does the trick. If there is an odor, remember...

Pediatrics: Low Haemoglobin High WBC, Fever, High TLC
Fever, High TLC, low hb: Dear Sayeda, I share your concern. For best management of your child, he needs to be examined. Kindly follow up with your pediatrician. However, I would like to reassure you that: Your son s illness is unlikely to be related to the minute hole (?VSD)...

Pediatrics: Lump behind my 5 year olds nipple, premature thelarche, problem hair
premature thelarche, problem hair, underarm odor: Hi, Ramelle, Premature thelarche (breast enlargement) is very common and in and of itself, not a problem. Hair on the legs can be genetic or cultural and I don t worry about this in the absence of pubic hair. She is probably OK, but mention this on...

Pediatrics: light clay colored stools in toddler preceded by HINI shot, flu shot
flu shot: sorry for late. but the symptoms dont appear to be related to flu or flu shot. it may be an early sign of gastroenteritis. its all too difficult to predict any. life threatening symtoms are ennumerated at http://drpeds.blogspot.com/2006/11/emergency-serious-danger-symptoms.html...

Pediatrics: low body temperature, low body temperature, viral illness
low body temperature, viral illness, granddaughter: Hi, MENA, A low temperature in a reasonably healthy kid means nothing. Temperatures can be wrong or just lower than average. This should not be a reason for concern. If she is back to normal in other respects, she just needs to get better from the probable...

Pediatrics: lumps, happy holidays, lumps
happy holidays, lumps, wks: Hi, carole, This all depends on the characteristics of the lumps, like where they are, what they look like, is he sick, etc. Without looking at these, I don t have the foggiest idea. Sorry I can t be of more help to you, Happy Holidays, Dr. Olso...

Pediatrics: MMR, vaccines optional
vaccines optional: well MMR can be taken at any age, if its started before 3 year age, then 2 doses required at least 12 months apart. efficacy will be same, but no vaccine period can be risky contracting same illnesses measles, mumps or rubella. did he take his 18 month...

Pediatrics: Newborn lips turning black, Lips turning black, lips turning blue
Lips turning black, lips turning blue, blue lips: Dear Portia, All babies are relatively fair at birth and real complexion is apparent only after a few weeks/months. There is nothing we can do to alter this natural process. Please do NOT rub cotton ball forcefully over baby s lips: it can damage your babies...

Pediatrics: Nodule type projection besides both ear, mastoid process, doctors
mastoid process, doctors: without a pic its very difficult to comment on it. but from your description it appears like a mastoid process. to know how a mastoid process may look .. pls visit the link below http://judoinfo.com/discuss/uploads/monthly_03_2009/post-4836-1237075301.jp...

Pediatrics: Paste poop for 16 month old boy, Pasty stools
Pasty stools: Dear Reena, There is nothing to worry. Many babies at this age pass this kind of stools. This is normal. As he grows older, the tendency to pass such stools would definitely diminish. However, exact time-frame cannot be predicted as every child is...

Pediatrics: PKU and ADHD, scratch marks, mood swings
scratch marks, mood swings, skin infection: well, this behaviour doesnt seem to be related to her PKU, reduced sleep hours and tantrums are common in 1-4 year age and they are better titrated by counselling, talking to the child for long hours regarding good nehaviour and also by story telling. many...

Pediatrics: Poop and stimulation, first time mom, prune juice
first time mom, prune juice, month old baby: Hi, Lee, My take on this revolves around the issue of discomfort. If he is having soft stools, and is comfortable, then you really don t need to do anything except wait for him to have a bowel movement. If the stools are hard, then giving him some...

Pediatrics: Potty Training for Older children, star calendar, calendar type
star calendar, calendar type, traumatic events: Hi, Amy, A sudden change to me needs to be assessed at the doctor s office, with a urine test and a general history and exam. If the urine is normal, then probably this is a behavioral change. Talk to the teacher about events in school. He can even...

Pediatrics: pain on defecation, normal saline, ripe bananas
normal saline, ripe bananas, low calcium: dear dr, trust me, even though stools arent hard, these are early markers of constipation, than a fissure at this age. constipation is a chronic problem in school children, formula feds and who have rich milk intake and low calcium intake. easiest way...

Pediatrics: pediatrics, increase appetite, thyroid problem
increase appetite, thyroid problem, formula milk: I have a 3months boy baby(DOB 23 sep 2009) who had physiological zaundice at the time of his birth as Iam o+ and he is A+ and he is 3.3kg wt. ==== mother with o positive ... will have more than normal chance of having physiological jaundice. His...

Pediatrics: pre-teen crying, amberson, grand daughter
amberson, grand daughter, emotional abuse: Dear Diane, It sounds like a very difficult situation your grand daughter is in. I feel that the biggest change that might help her is if she is able to feel apart of a group or club or sport or band or other activities where she can feel apart of things,...

Pediatrics: probable reaction to formula milk, Milk allergy, cow milk allergy
Milk allergy, cow milk allergy, soy milk: Dear Aslam, If the baby has had allergic reaction to milk, then we need to shift to hypo-allergic formula, such as soy-milk. Medications are not required for long-term. Your doctor would advise to stop these when the baby has fully recovered (not more...

Pediatrics: recurrent infections, stomach virus, sinus infection
stomach virus, sinus infection, yeast infection: Hi, Crystal, Please have him evaluated for immune deficiency. You may just have a normal kid who catches everything, but he may have an IgA deficiency (1 in 300 do), or have an IgG deficiency with subclass deficiency. If you doctor balks at this, have...

Pediatrics: Sleep problem, sleep problems, umich edu
sleep problems, umich edu, lwm: Hi, Amit, Sleep problems are behavioral and medical ways, such as medication, have no place in their management. She needs to understand how to fall asleep on her own, without your intervention. The concept of the last waking memory is crucial....

Pediatrics: Strep rash?, scarlet fever, prickly rash
scarlet fever, prickly rash, antibiotic: Hi, Courtney, It is most likely (not definite) that this rash is caused by the antibiotic. I think it is too coincidental that it happened one hour after the first dose. I would recheck with the doctor, or call, and see if they can change the antibiotic....

Pediatrics: sick daughter, sick daughter, sudden onset
sick daughter, sudden onset, cough: Hi, della, Fever and weird cough might be croup or the rare bacterial, severe illness that can mimic croup. I would keep on eye on things and today, if she has difficulty breathing or swallowing, see the ER. Otherwise wait until Monday and discuss this...

Pediatrics: Not sleeping - screams until he vomits, bedtime routine, brush teeth
bedtime routine, brush teeth, good sleep: Hi, Jessica, Putting an infant in a crib with a bottle will sometimes work for good sleep, but what almost always happens is that when they wake up, they need their bottle and cry until they get it. I also worry about milk bottle cavities in the teeth...

Pediatrics: sore throat, tubes in the ears, pain releif
tubes in the ears, pain releif, wits end: Hi, rose, Removing the tonsils and andenoids and putting tubes in the ears will not prevent a sore throat. Sometimes a sore throat can be due to ear problems, a phenomena we call referred pain. Sometimes allergies, that stuff up a nose and cause irritating...

Pediatrics: stool holding, barium meal, ripe bananas
barium meal, ripe bananas, low calcium: all seem to be related to her constipation. I suggets a pediatrician will be better. constipation is a chronic problem in school children, formula feds and who have rich milk intake and low calcium intake. easiest way to improve is 1. wash of stacked piles...

Pediatrics: can i switch my almost 11 month old to whole milk?, whole milk, fat content
whole milk, fat content, ahold: Danielle: Your child is so close to the age of one year I think as long as she tolerated the whole milk that she got, she can be switched to whole cow s milk now. You want to keep her on full fat whole milk until the age of two years and then, if you wish,...

Pediatrics: Thin lime green bowel movement, green bowel movement, green bowel movements
green bowel movement, green bowel movements, lime green bowel movements: Hi, Summer, It would not be surprising to have a change in the stools with the addition of solids, or surprising to have a low grade viral illness that causes stool changes and fussiness. Neither requires a doctor visit. I would continue the nursing,...

Pediatrics: Todder Hoarse Voice, 3 year old with sudden, persistent vocal hoarseness
3 year old with sudden, persistent vocal hoarseness: Hi Jodie, Vocal hoarseness can be a result of allergies, but if you are concerned about your son s persistent hoarseness, and feel that the singular hasn t helped him, your next step might be to have him seen by an Ear Nose and Throat doctor (Otorhinolaryngologist)....

Pediatrics: Toilet Training, treatable problem, toilet training
treatable problem, toilet training, stool softeners: Hi, Lori, He almost certainly has encopresis, a chronic constipation syndrome with stool leaking. It would be good to be sure he doesn t have something like Hirschsprungs disease, that a lower GI test with or without biopsy, would tell you. He needs...

Pediatrics: thick creamy poop, hard stools, constipation
hard stools, constipation: Dear Staci, Baby s face going red while straining is normal. This is because, babies have higher hemoglobin (16-18gm/dL as compared to 13-14 gm/dL in adults) and relatively thinner skin. Hence, this per se shouldn t worry you much. Baby s poop is thicker...

Pediatrics: tics, recommended dietary allowance, vitamin supplementation
recommended dietary allowance, vitamin supplementation, facial tics: hi simon, the recommended dietary allowance is based on the individual s age and diseaes state. magnesium overdose/toxicity can cause the lungs to fail and coma. calcium actually can balance the magnesium level. your son s exacerbation of facial tics during...

Pediatrics: toddler refuses to eat, toddler feeding
toddler feeding: 1) she is not gaining weight properly. she was 2.7kgs when born now 7.8kgs . for age 15 months its a serious failing to thrive. she needs to be evaluated for not gaining weight. the first step would be to serially chart all weights for last year on the growth...

Pediatrics: toilet training a 4 year old, 4 year old with speech and toileting delays
4 year old with speech and toileting delays: Hi Sara, Speech and language delays would not be the cause of a child s delays in toilet training. However, if your 4 year old daughter s speech is delayed at the 2 1/2 year old level, it may be that she also has delays in other areas as well. And, if...

Pediatrics: treatment for bronchiolitis, inhalation solution, umich edu
inhalation solution, umich edu, bronchiolitis: Hi, Valerie, Hopefully the prescription that was given has some directions. This is an as needed medicine that can be used up to every 3 hours if there is considerable respiratory distress. If one is comfortable enough to sleep, don t wake her up. ...

Pediatrics: twins fight bottle every night before bed, rice starch, growth spurt
rice starch, growth spurt, organic formula: well weight is fine, so theer is no need to struggle around to force it. introduction fo rice based feed before 6 months is not advisable as a routine. leave teh child at their best. replace the night time feed by water and observe the change for a week....

Pediatrics: Undescended Testis, puneet kumar, undescended testes
puneet kumar, undescended testes, dwarka new delhi: Dear Tanu, I very well understand your anxiety, but believe me, the situation is not so dreadful. Testes should be present in scrotal sac for proper functioning. Body s temperature is 37C (98.6F), but temperature in scrotum is 35C. Longer the undescended...

Pediatrics: Urination Concern, posterior urethral valves, urinary obstruction
posterior urethral valves, urinary obstruction: Dear GLT, If urine comes in drops and your friend has never noticed a good stream of urine when the child passes urine, then you need to get the child examined. There is a possibility of a condition called posterior urethral valves . In this, there is...

Pediatrics: underweight child, underweight, malnourished
underweight, malnourished, failure to thrive: Dear Kruti, Wt of 7 kg at 11 months is definitely low, when compared with his birth weight of 2.69 kg. I need following information: Weight at various ages Her diet pattern since birth (i.e., whether breast fed or formula fed; when solid foods...

Pediatrics: unexplainable watery green stool for 14 days, old baby girl, wet diapers
old baby girl, wet diapers, diary products: Hi, Mrs. Khan, Generally stools like this are from a viral illness and it just has to run its course. A mistake in my mind is to restrict her diet in any way at this point. She needs good food to replace the lining of the bowel that has been damaged....

Pediatrics: year old daughter trouble pooping, daughter sophie, miralax
daughter sophie, miralax, gas pains: Hi, sarah, Kids are smart. When they know something is going to hurt, they don t do it, making this constipation situation even worse. Having consistently big hard stools tends to cause stool with-holding, the behavior you are seeing. I would get some...

Pediatrics: 15 month old vomiting, rabab, nephew
rabab, nephew, reply: Dear Rabab, First of all, I apologise for the late reply. Is he still vomiting? Why do you think another doctor needs to be consulted? You should ask your sis to take him back to the same doctor. -drtaher Where are you located? This will help me to...

Pediatrics: 17 month old not talking, infant/toddler language/speech delay; facilitating toddler language development.
infant/toddler language/speech delay; facilitating toddler language development.: Hi Kathy, Thanks for your note about your son and your concerns for his development of speech and language skills. I m glad to hear that Adam s hearing infection cleared, but that continuing fluid in his ear can definitely impact his mood as well as his...

Pediatrics: 17month old not speaking, toddler language development, stimulating toddler expressive language
toddler language development, stimulating toddler expressive language: Hi Nicole, Absolutely the fact that you are in Kuwait and have a nanny who doesn t speak English well can impact your daughter s speech and language skills, and I m glad you ve made mention of that. It s not to say that the nanny is necessarily the cause...

Pediatrics: 18mth old with 'diarrhea', stomach flu, loose stools
stomach flu, loose stools, large intestine: Hi, Karri, It is common for kids, usually after a bout of a stomach flu to have loose, infrequent stools for a long time. We call this toddlers diarrhea . Also, occasional loose stools can occur in healthy toddlers for other reasons, most due to food...

Pediatrics: 18mth old no words, toddler language development, toddler language delay
toddler language development, toddler language delay, stimulating toddler language skils: Hi Karri, I m glad you ve given so much information about your son, as that really helps me to get a sense of him even without seeing him, and that you ve asked this question, as your son s developmental profile is complex. You may have already heard...

Pediatrics: my 2 year old fever and congestion, high fever, cant sleep
high fever, cant sleep, cold symptoms: Hi, silvana, Antibiotics won t help with a virus illness. He is on the antibiotic for the ear infection, if indeed he really has that. If he has an ear infection and that is felt to be the cause of the fever, he should be not having a fever now. Did...

Pediatrics: 3 1/2 month old and constipation, prune juice, goats milk
prune juice, goats milk, play dough: Hi, Nicole, Why not just stick with one formula and give an oz or two of regular adult prune juice each day? The constant switching is confusing and you already know that the juice helps. Probably you don t need to give quite as much as the papaya juice....

Pediatrics: my 3 month old isn't eating, fussy baby, viral illness
fussy baby, viral illness, sunny disposition: Hi, tara, Generally the sudden onset of lack of eating is due to a brewing viral illness. I suspect you may see some other symptoms, but wouldn t be surprised if you only see a fussy baby who isn t eating. Check in with your doctor if she seems to be...

Pediatrics: Almost 3 and still not talking., 3-year old not talking; 3-year old language delays, child language delay;
3-year old not talking; 3-year old language delays, child language delay;: Hi Sasha, I m sorry to read of your son s delays in language development. It sounds as though you have tried to help him, and yet he continues to have difficulty learning language and using the words he learns. I m glad to hear, though, that you have...

Pediatrics: 3y old son bowel issues., miralax, wearing a diaper
miralax, wearing a diaper, wits end: The first thing you need to do is get control of the constipation. Every time his bowels are working better you seem to cut back on the laxatives. You need to persist and perhaps use more to start with to clear him out and then a regular dose to keep things...

Pediatrics: 3y old son bowel issues., miralax, wearing a diaper
miralax, wearing a diaper, wits end: Hi, Heather, This is not fear. This is manipulation. You are spending altogether too much time on this. Just make sure his stools are consistently soft and let him do his thing, without much comment. Praise the successes and ignore the failures. This...

Pediatrics: 4 year old daughter in pre-school, daycare, doing the right thing
daycare, doing the right thing, using the word: I feel sorry for the poor baby that she and the family is going through a mental trauma for no major reason Relax, nothing serious.. all is fine. she is just a normal kid. she definitely has some issue of slow learning.. slow social skill.. a little behind...

Pediatrics: 4 yr old - repeated Strep infections - something more serious?, stomach virus, sleep apnea
stomach virus, sleep apnea, screen culture: Hi, Nancy, I will assume that all three of these infections have been verified by a positive strep screen/culture. If not, all bets are off. I suspect this is bad luck. Recurrent strep can occur with tonsils that hide the bacteria from the immune...

Pediatrics: my 4 yr olds behaviour, types of discipline, dear elizabeth
types of discipline, dear elizabeth, facing the wall: Dear Elizabeth: You mentioned you tried different types of discipline but have you tried time out consistently and persistently. Every time your son misbehaves you need to put him in time out in an area such as on a chair in a corner facing the wall for...

Pediatrics: 4 yr olds fear of germs, Germs fear
Germs fear: Dear Brian, It is very distressing to hear about the change in your son. I sounds quite radical. Children have an extremely vivid imagination, and your son now is believing that germs may harm or perhaps even kill him. I would have him watch the movie on...

Pediatrics: 4yr old will not eat?, running a fever, lower abdomen
running a fever, lower abdomen, rubbing alcohol: Hi, pam, There is a condition called globus pharyngitis, that describes what you are observing. If your doctor can t see anything on the exam, this is probably the case. It is sort of a behavioral thing that can cause kids not to eat. Make sure she...

Pediatrics: 7 MONTH OLD GIRL SWEATS A LOT, old baby girl, month old baby
old baby girl, month old baby, excessive sweating: Hi, Penny, Excessive sweating in a healthy infant is rarely a problem. She is probably slightly overbundled, especially when she is sleeping. If she is sweating, this is a sign that she is too hot. Lighten up on the bed time clothing/blankets and she...

Pediatrics: ADHA/ADD, rapid weight loss, night mares
rapid weight loss, night mares, step mom: Hi, Cherry, Obviously if he is losing weight and is an emotional wreck, something else needs to be done. Medications can be extraordinarily helpful if the diagnosis is correct and they work without side effects. The child s doctor needs to Adjust/change...

Pediatrics: Amoxil, weight in kilograms, kim hi
weight in kilograms, kim hi, amoxil: Hi, Kimberly, For an ear infection we would give generally 80mg/kg/day in two divided doses. So...his weight in kilograms X 80 would be the total daily dose and half of this total daily dose would be given in the morning and half in the evening. Do the...

Pediatrics: abdominal pain in children, abdominal pain in children, ovarian cysts
abdominal pain in children, ovarian cysts, severe pain: Hi, Kristin, Generally the most common cause of this type of pain is constipation. Other thoughts would be ovarian cysts. If the pain is severe and getting worse, see your doctor. If it can t wait until the morning, then go to the ER. Good luck,...

Pediatrics: baby doesnt sleep, acid reflux, home remedy
acid reflux, home remedy, sonography: Q1.he does not sleep at all during the day. from 1 pm to 10 pm he is awake and playin after his feed and sometimes take 15 mins naps.what should i do about his sleep? === i feel thats common and normal. switching off lights will reduce distractions and may...

Pediatrics: Do this affect my baby?, baby dear, consistent behavior
baby dear, consistent behavior, fussiness: Hi, Michelle, Yelling once or twice at a baby this young won t hurt a thing. Consistent behavior like this, over many years, will. Let this be a lesson and learn from it. I m sure you re an excellent mother and that you will think next time this happens....

Pediatrics: antibiotics while breastfeeding, amox clav, upper respirtory infection
amox clav, upper respirtory infection, sinus infection: Hi, april, This medicine is safe for a breast-feeding mother. I would wonder why this is being given. Is this a cold ? If so, don t use it. Is it a sinus infection ? It would be a good choice for this diagnosis. The probiotic is recommended for...

Pediatrics: appetite stimulant, appetite stimulant, idea what kind
appetite stimulant, idea what kind, sippy cups: Hi, daisy, Hunger is the best appetite stimulant and, incidentally, there are no safe effective meds that will do this. He will not starve himself if offered food and drink. Why use a sippy cup? He is two years old and should be able to handle a regular...

Pediatrics: Behavior question, behavior question, stubborn child
behavior question, stubborn child, clear as day: Hi, Chrissy, These behaviors are both typical of a strong-willed, stubborn child. This is not all together bad, but it can be tough for a parent. The speech is probably completely under his control, just like the potty training is. He will do these...

Pediatrics: Blue hands and lower arms, coarctation of aorta, vascular thrombosis
coarctation of aorta, vascular thrombosis, oxygen saturation: well, this is commonly seen in coarctation of aorta or at times in vascular thrombosis .. in these cases these finding should be consistantly and repeatedly documented on its own or after some movements. if not its likely not. more commonly. cold weather...

Pediatrics: Bowel Movement, mid wife, elimination process
mid wife, elimination process, bowel movement: Dear Jacquie: Sometimes infants do skip having bowel movements but most often it is because they are breast fed primarily and then given some formula during the day. This slows their elimination process down and they may not have a stool for several days....

Pediatrics: Bronchiolitis, oxygen saturation, stomach virus
oxygen saturation, stomach virus, loose stools: Hi, serpil, Bronchiolitis is caused by a virus. It is possible that he still has an ear infection that is not being adequately or possible that the loose stools are due to another viral illness at the end of the bronchiolitis. I doubt that the fever...

Pediatrics: baby and diarrhea., high fever, throat infection
high fever, throat infection, measles: i suppose the motions are in very small quantity and they arent fowl smelling. i hope they should settle with the ongoing therapy if it is so. if not, it is likely to continue ziprax for total 10 days. prowel doesnt cure.. it helps healing of gut...

Pediatrics: baby not eating well, porridge oats, good appetite
porridge oats, good appetite, happy baby: read details at http://infantfeeding.blogspot.com what you need to understand is that.. child needs to learn to swallow small amounts repeatedly. try feeding with small spoon.. take breaks between two small sips. make feeds more sticky so they wont...

Pediatrics: baby rash, baby rash, light blotches
baby rash, light blotches, skin lesions: it might have been some form of say seborrheic dermatitis or xerosis. its unlikely to be a drug reaction./ he may have dry skin type in addition. rashes due to reactions will usually red and itchy and never scaly. its usual for skin lesions like this...

Pediatrics: balence and hearing, question about child balance and hearing difficulty, the inner ear
question about child balance and hearing difficulty, the inner ear: Hi Hayley, It s worth noting that both balance and hearing share an inner ear mechanism and the difficulty your son is having may have to do with inner ear problems. Have you spoken with your pediatrician about your son s difficulties? It s important...

Pediatrics: behaviour of my 17 month old, umich edu, tyrant
umich edu, tyrant, regimen: Hi, ritu, She is not being disciplined properly and is running the show . She will not respond to telling her lovingly . She needs to be put on a good discipline regimen to avoid her becoming a little tyrant. Here is a link that may provide some help....

Pediatrics: blood and proetion in urine, acute glomerulonephritis, protein in the urine
acute glomerulonephritis, protein in the urine, kidney problems: Hi, Kayleigh, Blood and protein in the urine can be signs of minor problems (like an infection) or significant kidney problems (like an acute glomerulonephritis). She needs to have a good history, exam by a pediatrician, and some specific blood work....

Pediatrics: breathing with difficulty during sleep, noisy breathing, respiratory problem
noisy breathing, respiratory problem, 8th january: this doesnt look like asthma or related to smoking. read noisy breathing or common cold at www.pediatricianonline.in so small baies dont get cold. we just feel like they get it, if at all they get infected by viruses that cause cold, they will be very sick...

Pediatrics: Constipation in toddler, rooibos tea, porridge
rooibos tea, porridge, nappy: Hi, Carina, She is constipated. Xrays are of little value and please don t have anyone repeatedly do them. She needs to be on a consistent regimen of stool softening. Please see a doctor that understands this and is not just sending you for xrays....

Pediatrics: career pediatrics, pediatrition, loving caring
pediatrition, loving caring, psychological problems: Dear T, I think Pediatrics is a field where a doctor has to be sensitive, loving, caring, and above all, very keyed to try and solve a problem as soon as possible, because a child s illness can both, recover very fast, and deteriorate very fast too. Psychological...

Pediatrics: chronic cough, causes of chronic cough, night cough
causes of chronic cough, night cough, lung function tests: what is your age? what time of day or night cough is maximum? you may need to undergo evaluations like x ray and lung function tests as it may be close to asthma. there are plenty of causes of chronic cough, a detailed examination and interview with...

Pediatrics: cold, old baby girl, nasal congestion
old baby girl, nasal congestion, cold symptoms: Hi, christina, Babies with cold symptoms generally due fine and yours is lucky to be able to be taking breast milk, full of nutrition and infection fighting substances. If she is eating well, having no fever and seems well otherwise, just ride this...

Pediatrics: common fever, frequent ear infections, frequent ear infections, low grade fever
frequent ear infections, low grade fever, throat swab: You will need to visit an ENT doctor for further guidance. Has he undergone any Xrays, a complete hemogram, a throat swab or a blood culture? Any investigations at all? I think you should take him to the doctor who is his primary care taker and force him/her...

Pediatrics: congenital torticollis, head tilt, head shape
head tilt, head shape, congenital torticollis: Hi, ken, I would seriously think twice about this. Mild torticollis will tend to resolve on its own and I think injections are a bit over the top. She should outgrow a mild case and grow up normally. Please get a second opinion before having someone...

Pediatrics: constant runny nose, constant runny nose, cat allergy
constant runny nose, cat allergy, allergy skin: Dear Donna: Your son may just be getting one cold on top of another especially if he is in day care. They are so susceptible. He is too young for allergy skin testing but they can do blood work to determine if he has a cat allergy so you can ask his...

Pediatrics: constipation on 1 year old since he was 5 months of age, barium enema study, miralax
barium enema study, miralax, tsp: Hi, jessica, Generally constipated kids respond well to a product called miralax, that is not prescription. A dose of about a tsp each day in 4 oz of liquid will keep the stools soft and help him not to be afraid of having a BM. If this does t work,...

Pediatrics: constipation, cow milk, sipper
cow milk, sipper, food intake: Hi, swetha, Are the stools hard and painful? If so, then this needs to be treated. If the stools are only infrequent, relatively soft and painless, this doesn t need to be treated. The only way to discover if a given food is the culprit is to keep...

Pediatrics: cough for long time, cough variant asthma, blood counts
cough variant asthma, blood counts, taher: Dear Mavis, He could be having a lingering bacterial infection even now. Please get his blood counts and get him X-rayed and then see a pediatrician. He might need a better antibiotic than the one you have chosen. Another possibility is that he may be having...

Pediatrics: My daughter now 2 mon old had stopped passing regular stool after taking some medication, glycerine suppository, strong medicine
glycerine suppository, strong medicine, stoll: doctor who was an idiot and gave her strong medicine for diarrhea ========= no such medicines are available for use in infants, and if any- the effect wont last more than 3 days. read an article on constipation at www.pediatricianonline.in pls write...

Pediatrics: my daughter health, language delay; stimulating language speech development; instruction: verbal imitation/expansion
language delay; stimulating language speech development; instruction: verbal imitation/expansion: Hi Frehiwot, Thank you for all of the detail you have written about your daughter s skills. It sounds like she does have some language understanding and use, and verbal imitation skills, and I m happy to hear that! I am glad too that you have instructed...

Pediatrics: dental care for toddler, thin smear, tooth paste
thin smear, tooth paste, toothpaste: Hi, rajeshrisoni, A very thin smear of tooth paste could be used. The main thing is to be sure the toothpaste doesn t have a lot of fluoride in it, until he is able to consistently spit out the paste, rather than swallow it. Good luck, Dr. Olso...

Pediatrics: dragging leg, muscle cramps, feet legs
muscle cramps, feet legs, muscle strain: dragging a foot can be painless or painful.. if its painful.. it can be trauma or infection. if its painless, depends on how he is dragging. if he is just dragging just shoes, feet, legs , from knees or from hip. accordingly the weakness may be defined as...

Pediatrics: Effects of Children's Benadryl, prescription drug abuse, benadryl
prescription drug abuse, benadryl, sperm donor: Hi, Derek, We give Benadryl all the time to kids under the age of two. It is safe and effective for a number of conditions. I would not use it to put kids to sleep on a consistent basis. It really has no long term effects if used properly. Daily...

Pediatrics: Egg whites, egg yolk, boiled egg
egg yolk, boiled egg, egg whites: ya do cut down on milk and you can try boiled egg whites, french toasts and omlets. be careful you wont give something that can stick to his throat or palate. give something that can easily be mashed with fingers. children will easily eat omlet with their...

Pediatrics: Extreme leg pain in a 4yo, routine immunization, leg pain
routine immunization, leg pain, time at home: well, i m worried.. but its better to take her to ER as it can more likely be like an injection abscess. give her some paracetamol as yoru doc may advice.. that will help in fever and pain. but if its there for a day.. dont waste time at home. take to ER....

Pediatrics: early puberty, growth spurt, hand exposure
growth spurt, hand exposure, underarm hair: Hi, Thompson, I suspect this is puberty. It can happen normally in boys even as early as 8 years old. Unless he was using Androgel consistently, a bit from second hand exposure wouldn t cause this at all. I would recommend a good exam by his doctor...

Pediatrics: eating, rice cereal, gastroesophageal reflux disease
rice cereal, gastroesophageal reflux disease, pedialyte: Hi, steven, First of all, see your doctor. It sounds like he may have gastroesophageal reflux disease, or commonly called acid reflux. This can be handled by a variety of techniques and possibly medicines. This is not normal. See your doctor. Good...

Pediatrics: eczema, hydro cortisone cream, flare ups
hydro cortisone cream, flare ups, outer thighs: Hi, swetha, It is often tough or impossible to find the underlying cause of eczema. Allergies may play a role. If your doctor ruled out food or cow s milk (I m not sure how that is really done, however), then just stick with the daily moisturizing...

Pediatrics: Failure to thrive, wastebasket, healthy kids
wastebasket, healthy kids, pediatrician: Hi, Anne-Marie, Failure to thrive is sort of a wastebasket diagnosis, requiring an evaluation to determine why this is happening. This could range from nothing (just the way he is, if parents are small) to serious illnesses of the heart, kidneys or...

Pediatrics: Feeding, diarrhea, spit up, rice cereal, lactose free formula
rice cereal, lactose free formula, diaper rash: Dear Stef: I am not so certain your baby is hungry. She seems to me to cry as if uncomfortable such as with reflux or she isn t tolerating this formula all of a sudden. You might want to return to the pediatrician if these symptoms persist. You don...

Pediatrics: Fever for 7 days now!, chest xray, nightime
chest xray, nightime, viral infection: Hello: Some of these viruses can last 7 to 10 days and there is some improvement as her temperature is not rising to 104 now. If this persists beyond the 10th day she then does need to go back to see the doctor. Continue to keep her at rest and push fluids...

Pediatrics: chronic cough, asthma asthma, symptom diary
Pediatrics: chronic cough, asthma asthma, symptom diary, tonsils

Pediatrics: constipation on 1 year old since he was 5 months of age, bowels, baby boy
Pediatrics: constipation on 1 year old since he was 5 months of age, bowels, baby boy, stools

Pediatrics: dragging leg
Pediatrics: dragging leg

Pediatrics: my son eatsALOT!!, oatmeal bowl, michael phelps
Pediatrics: my son eatsALOT!!, oatmeal bowl, michael phelps, cereal

Pediatrics: my sons lips and hands turn purple after drinking cold milk, purple lips, vascular problem
Pediatrics: my sons lips and hands turn purple after drinking cold milk, purple lips, vascular problem, cold beverages

Pediatrics: vomiting and no fever, liquid drug, worth the trip
Pediatrics: vomiting and no fever, liquid drug, worth the trip, girl 2

Pediatrics: fever, running a fever, danger signs
running a fever, danger signs, urinary infections: it all depends on the nature of fever and its associated symptoms. fever of continuous type without any focus can eb seen in virus infcetions of throat and also urinary infections. if its lasting 3 days, she may need blood tests. but since she is fine otherwise,...

Pediatrics: fever while potty training, recurrent uti, kidney infection
recurrent uti, kidney infection, trimeth: if you had noticed this often, the problem is lore likely to have with contamination with potty. why dont you try using a potty chair, that may amke her sit comfortably. your child is premorbid to develop recurrent UTI and it at times may result in life...

Pediatrics: frequent feeling of having to urinate, internet doctor, hi amy
internet doctor, hi amy, magic pill: Hi, Amy, This is probably the syndrome of extraordinary daytime frequency, called pollikiuria. Please have a urine checked and a good exam before you make that diagnosis. It will go away with time, but will go away quickly with a magic placebo called...

Pediatrics: frequent high fevers, cough, diper rash, degree fever
diper rash, degree fever, frequent infections: Hi, Kelly, There is little need to rush an infant to the hospital with a 102-103 degree fever. Fevers never hurt kids...illnesses that cause them sometimes can. I would like you to see his pediatrician tomorrow and have him examined and perhaps do...

Pediatrics: frequent urination, stress urinary incontinence, persistent cough
stress urinary incontinence, persistent cough, infection urine: what you are suffering is from stress urinary incontinence. its usually common after age 35 females, but can be seen in anxious females of age 20. so cough can precipitate this. in addition, you have increases frequency of urine. it can be seen in urinary...

Pediatrics: Grandson, private area, spill
private area, spill, good luck: Hi, joyce, This is called masturbation and is common in kids and adults of all ages. It is not harmful. It is not a sign of anything other than pleasure. It is comforting for him and is a private thing that he does. As long as it doesn t spill over...

Pediatrics: Growing pains, growing pains, bone marrow
growing pains, bone marrow, good luck: Hi, Marisol, There is no scientific name and there even is some doubt about how valid this diagnosis is. The best explanation I have heard is that at times of increasing growth, there is temporarily an increase in the size of the bone marrow, causing...

Pediatrics: Head Circumference, average head circumference, nutrition and brain development
average head circumference, nutrition and brain development, growth chart for boys: Dear Richa, Please let me know what his head size was at birth in cm, and what it is now. Also, his birth length and weight will be helpful to know. A simple thing to remember is that while in general the head size predicts brain growth, there can be...

Pediatrics: Head Sweating, congenital heart diseases, body temperature fever
congenital heart diseases, body temperature fever, normal body temperature: 1. Whats the reason for the sweating? sweating in infants is commonly because of 2 causes: 1. increased sympathetic activity as a response to a stimulus 2. increased basal metabolic rate and per se rapid growth of brain that is quiet normal in infants causing...

Pediatrics: Hydronephrosis with PUJ, left kidney, pyeloplasty
left kidney, pyeloplasty, specialist care: Obviously he is under specialist care and they should be answering these questions. In the UK, the general policy is that if one kidney is affected, surgery is undertaken if the function in that kidnay falls below 40% of the total. However it also depends...

Pediatrics: hyperalbuminemia + elevated BUN:Cre, high protein diet, liver edge
high protein diet, liver edge, liver specialist: Hi, CJ, This is a big liver but normal LFTs. The Albumin is probably normal. The BUN is normal and the creatinine is also. I think the ratio has no value here. I think if you have a good pediatrician who can follow things, you probably don t need...

Pediatrics: hypothyroidism, diabetes type2, single mom
diabetes type2, single mom, type 2 diabetes: Hi, frances, Depending on how old your son is, he might have some ability to read about these diseases. If your hypothyroidism is being treated and your type 2 diabetes is being treated and if you watch your weight, then you should have more energy and...

Pediatrics: Infant diarrhea and now constipation, homo milk, infant diarrhea
homo milk, infant diarrhea, consitpation: Hi, Kelly, I have several differences in my practice compared to yours. My advise is that of the Academy of Pediatrics. I would wait until one year for whole milk. Sooner can cause intolerance and possible bleeding. I never recommend low iron formulas....

Pediatrics: Irritable 17 month old, temper outbursts, separation anxiety
temper outbursts, separation anxiety, stomach pain: one thing is sure that if the stools are smelly and messy, its imortant to teach him stay clean, not to put things in mouth and not to drink outside water. Also its important to complete a course of antibiotics/antiprotozoals to treat infection of any like...

Pediatrics: infant weight loss, diet history, abnormal growth
diet history, abnormal growth, gaining weight: Hi, APRIL, Please see a good pediatrician. This is very abnormal growth (or I guess lack of growth). He needs a full evaluation including history, diet history, careful exam and some directed lab studies. The possibilities are vast and this is something...

Pediatrics: ingested foreign object, pastic, difficulty breathing
pastic, difficulty breathing, friday afternoon: Hi, serpil, It can take up to 3-4 days for an object to pass. If it was plastic, it probably won t be dissolved. Virtually all objects will pass. It is entirely possible you missed something like this. If you never find it, I wouldn t worry unless...

Pediatrics: itching burining in preteen girl, epsom salts, yeast infection
epsom salts, yeast infection, vaginal itch: Dear Susan: I would have her take sitz bath with 2 handfuls of baking soda rather than epsom salts. The baking soda is a better and more soothing vaginal itch stopped. If it persists though she may need the doctor to determine if she has a yeast infection....

Pediatrics: My Kid, astha, attention seeker
astha, attention seeker, stern voice: Dear Astha, In many ways your son sounds like a very normal child. I do wonder how ever if as a parent you are not setting enough limits with him when he misbehaves. You can not expect a six year hold to behave well if a parent is only using talking. They...

Pediatrics: How long is it safe for a 6yo to have a fever, head ache, school nurse
head ache, school nurse, viral illness: First of all, I am really sorry for this late reply. I am sure he must have recovered as the story seems to be that of a viral illness. However, if he hasn t yet recovered, kindly send me a follow-up to this question with the last few days progress and I...

Pediatrics: loss of appetite n body weight, all recipes, protein powders
all recipes, protein powders, loss of appetite: well, reforming diet is more important than any tonics or protein powders. there are plenty of protein powders in market, most are derived from soya or ground nut, why dont you give diet mashed or pureed as it will give similar nutrients. read my previous...

Pediatrics: Meningitis, extreme sleepiness, anitbiotics
extreme sleepiness, anitbiotics, panado: I am sorry to hear about your family s loss. It could have been meningitis. In a case like this I would expect there to be an investigation into the events and this should answer your questions. In particular a post mortem should identify the cauue of death....

Pediatrics: Movable lump, breast cancer, puberty in boys
breast cancer, puberty in boys, outpouring: Hi, Kelley, This is a breast bud, a common condition of puberty in boys. It is an example of the outpouring of hormones, both female and male, seen in early puberty. This will go away. If he is concerned, then see his doctor. Men can get breast cancer,...

Pediatrics: MRSA Pneumonia, red blood cells, nicotine gum
red blood cells, nicotine gum, chest tube: MRSA is always caught in hospital like settings... each of us have staph aureus or SA, they become MR only when some hospital strain grows or after a course of antibiotics. 1) If I quit now will my health improve so as I can lead a more productive and...

Pediatrics: migraine, migraine headaches, periactin
migraine headaches, periactin, propanol: Hi, michelle, My preference, based on my take of the literature and having two daughters with migraines, is a night-time dose of Elavil. I think this is a safe, reasonable med that is pretty effective. I think some of the newer meds, like Topamax, may...

Pediatrics: Nasal Congestion - 10 month old, chronic rhinitis, saline spray
chronic rhinitis, saline spray, nasal congestion: Hi, natalie, Again, I always stress that if the child is doing fine and has a runny nose, you really don t need to aggressively treat it. What the ENT said is fancy words for a stuffy nose. The relationship between the viral illnesses and the congestion...

Pediatrics: Need Help for My 2 Year KID, child guidance clinic, mail id
child guidance clinic, mail id, iron supplements: read introducing a new feed at http://infantfeeding.blogspot.com u need to stop day time milk.. by making it unavailable in day time and replacing it by milk like cereals. introduce a new cereal slowly and gradually in smallest quantity and only with...

Pediatrics: Newborn bowel movement, hard balls, bowel movement
hard balls, bowel movement, elimination process: Hello Ivy: When you begin feeding breast milk to a young infant and then introduce formula each day as well their entire digestive and elimination process slows down. It may take 4 to 5 days for the baby to have a bowel movement. As long as the baby is...

Pediatrics: getting up in the night confused and disoriented, health food store, having a nightmare
health food store, having a nightmare, scary event: Dear Junaid, Your son is having a nightmare or night terror. This could be due to things he is watching on TV, or video games that he is playing or some sort of violent of scary event that he has witnessed. Hold and reassure him until he calms down....

Pediatrics: my nine month old is having lots of trouble, speech language pathologist, enfamil nutramigen
speech language pathologist, enfamil nutramigen, karo syrup: Hi Jessica, I m so sorry to hear of all of the issues you and your son are dealing with!! And unfortunately, as a speech/language pathologist and not a pediatrician, I m not really qualified to address your concerns about your son s medical issues. ...

Pediatrics: nose bleed, bloody nose, nosebleeds
bloody nose, nosebleeds, 3 year old: Hi, Nancy, Kids get nosebleeds a lot and this is usually not reason for concern. If the nose is pinched shut for five minutes, with the head tipped forward and it doesn t stop, this is the type of bleed that should be seen by a doctor. This probably...

Pediatrics: Odor, poor weight gain, urine smells
poor weight gain, urine smells, urine smell: if you feel like the smell comes form urine and if it isnt like ammonia, she may need evaluation. common cause of such odour can be infection, so her private area may be observed by a doctor for any rash, pain, redness or discharge. If these findings are...

Pediatrics: Pediatrician, pediatrician, pediatrics
pediatrician, pediatrics, privileges: I am from India and I do private consulting practice with visits to those hospitals where I have admitting privileges. I see patients in my clinic for 3 hours in the afternoon and 3 hours in the evening. Aside of that, I do surf the net to read more about...

Pediatrics: Picky three-year-old eater, cereal bars, meat poultry
cereal bars, meat poultry, skinny side: Jennifer: You are running a restaurant for your strong willed son. Here is what you should do: .make the meal you are making for the family .put it in front of your son .if he eats it wonderful, make a big fuss .if he doesn t eat it, after 20 minutes,...

Pediatrics: Possible Stuttering?, childhood dysfluency, stuttering in childhood
childhood dysfluency, stuttering in childhood, fostering childhood fluency: Hi Elizabeth, Thanks for your question and adorable photo! Some young children -- around ages 3-4 yrs -- go through a period that is known as typical dysfluency, which differentiates their stuttering behavior from that of a real stuttering problem....

Pediatrics: Potty Training Resistance 3 1/2 yr old daughter, last question, stubbornness
last question, stubbornness, tantrum: Hi, Stefanie, The cleaning up should not be an issue. Making it one will be counterproductive. Quietly and without any comment clean her up. The underwear should be fine. Reminders won t work and will make the situation worse. Praise the successes...

Pediatrics: Preschooler can't pronounce the F or V sound, when to start speech therapy for preschoolers, developmental speech errors
when to start speech therapy for preschoolers, developmental speech errors, speech therapy: Hi Chantel, Many preschoolers make speech substitution errors, and the difficulty your son is having pronouncing the F and V sounds isn t uncommon for a child of his age. Some children will spontaneously correct their developmental speech substitution...

Pediatrics: pain on breathing, constant nasal congestion, ear nose and throat specialist, tonsils adenoids
ear nose and throat specialist, tonsils adenoids, severe nasal congestion: Hi, Shelley, Generally chest wall pain is sudden, sharp and goes away quickly. These are usually the sudden twinges that many of us experience. It usually lasts seconds, not hours. If the nasal spray works well, this is probably a sign of allergic...

Pediatrics: painful reddened labia on 2 year old, diaper rash, diaper cream
diaper rash, diaper cream, vaginitis: Hi, Vicki, At this age, this is most likely non-specific vaginitis, caused by the normal moisture and material that gets into this area. I would try some sitz baths, a bath with no soap and luke warm water that she can soak her bottom in. This should...

Pediatrics: potty resistance, strong willed child, reverse psychology
strong willed child, reverse psychology, umich edu: Hi, Holly, This won t hurt her in any permanent sense physiologically. It is the act of a strong willed child. Here is a handout I use to explain and treat this common situation. Sort of a reverse psychology approach! http://www.med.umich.edu/1libr/pa/pa_btrainin_hhg.htm...

Pediatrics: problems making bowel movement, karo syrup, bowel movement
karo syrup, bowel movement, pooper: Hi, Tangelia, If the stools are hard, then the karo syrup may help. If they are soft, then it might not help. An enema with water can be dangerous to an infant, due to the diluting effect of the water on the blood stream. Enemas are safe. I would just...

Pediatrics: Question regarding infacnt stools, stool colour, stool frequency
stool colour, stool frequency, stools: what kind of feeds is she on? variable stool frequency is known in first 2 weeks after birth, so i dont find it unusual. stool colour can change from black - green to yellowish in first 2 weeks. such stools are called transitional stools. they are normal...

Pediatrics: RE:My Baby has lost his appetite, premolars, molars
premolars, molars, gaining weight: The main consideration is whether he is gaining weight normally. If he is then I would not be too worried. If not, you need to speak to your own doctor, who may organise some dietetic advice as well as assess him for any other possible underlying problem...

Pediatrics: REgadring cough and cold to my 2 months old baby, old baby girl, month old baby
old baby girl, month old baby, little fever: please read the danger symptoms at my website.. if present one needs to visit an ER. if you feel fever is very mild, the child is feeding well.. and the chest doesnt appear to move rapidly. you may withold the antibiotics discussing with your doc. infections...

Pediatrics: Recurrent fevers in a child under 5yrs old, recurrent fevers, febrile convulsion
recurrent fevers, febrile convulsion, medical guidance: what is his weight? is he growing well despite all the problems? usually if the problem is repeated the weight gain and growth does suffer. well, if the fever-illness is documented 8 times in 6 months, lasting at least 2 days, i feel an evaluation for cause...

Pediatrics: Red Bumps, vicks vapo rub, vicks vapor rub
vicks vapo rub, vicks vapor rub, sinus congestion: Dear Elizabeth: it is difficult to determine what a rash is or caused by without seeing the rash but it sounds as if your child is sensitive to an ingredient in the Vicks vapo-rub. If the pumps are persistent and not fading out and in then it is not hives....

Pediatrics: rash with sore throat, itchy rash, respiratory illnesses
itchy rash, respiratory illnesses, scarlet fever: Hi, Carrian, Rashes can be due to viruses or in the case of a strep throat, bacteria. I would be very concerned that his rash is one of scarlet fever, a strep throat with a rash. The fact he is feeling better does not mean he shouldn t be treated. I...

Pediatrics: recurrent high fever, high fevers, stomach infections
high fevers, stomach infections, stomach pains: how many days a month does he run fever? whats the usual duration of fever free period in 2 episodes? were any tests done any time for this? pls detail with this. such episodes may be common in flu with stomach pains, but at times it may be a partially...

Pediatrics: refuses to say a name, kindergarten name avoidance, 5-yr. old avoids using boy's name
kindergarten name avoidance, 5-yr. old avoids using boy's name: Hi Meril, I m glad to hear that your niece is doing well and doesn t appear to have any difficulties with language! I m afraid, though, that I can t really answer your question as to why she s refusing to call Joshua by his name. Have you ever asked...

Pediatrics: reply required, consistency of stools, rota virus
consistency of stools, rota virus, routine urine: passing stools immediately after feeds is normal till 1 year age. having 6 stools a day may also be normal at this age. whats important is consistency of stools. that is strongly altered by diet. what kind of feeds is he on? does his motion smell foul easily?...

Pediatrics: ribs cage distortion, bad posture, left half
bad posture, left half, odd look: Hi, If this is not a long term problem, it probably isn t Poland syndrome. Please have a good doctor examine you. This is the only way to find out what is going on. Problems could range from rib abnormalities, chest wall deformities, or possibly a...

Pediatrics: Stuttering...., typical dysfluency young children, turtle talk young children
typical dysfluency young children, turtle talk young children, helping young kids speak fluently: Hi Corey, Thanks so much for getting in touch with me! I appreciate your openness and am not at all offended by your concerns. I also live, and work in Westchester County, New York, and in fact, maintain an office in Chappaqua. I m thrilled to hear...

Pediatrics: Swollen Lymph Nodes, swollen lymph nodes, sinus infection
swollen lymph nodes, sinus infection, antibotic: Generally, lymph nodes that are located approximately halfway between the Adam s Apple and the lower tip of the ear are tonsillar nodes and can be expected to increase in size with each throat infection. Viral glands are smaller, softer and distinctly apart...

Pediatrics: left side of face not moving., nerve conduction studies, facial nerve
nerve conduction studies, facial nerve, facial muscles: you may read something like facial palsy or Bell s palsy. a pic of face can be emailed to me for better confirmation. email attachment can be sent from the site.. http://askyourdoc.blogspot.com it may need steroid therapy at times. if it is since birth...

Pediatrics: sleep, tonsils and adnoids, son logan
tonsils and adnoids, son logan, sleep study: Hi, josh, Generally when kids sweat at night, they are overheated and need to have lighter pajamas or bed clothes. Poor sleep is usually a behavioral issue. Asthma is unlikely to cause this unless he is coughing at night. Apnea would be hard to...

Pediatrics: slow infant development, developmental milestones, soft finger
developmental milestones, soft finger, care therapies: DeaR Rick: Your grandaughter has a delay in her developmental milestones: crawling, walking, talking. It is good that she will see a neurologist to rule out a neurological disorder and a dietician to work with her. She definitely needs ongoing occupational...

Pediatrics: my son eatsALOT!!, thyroid test, remote possibilities
thyroid test, remote possibilities, height and weight: Hi, felicia, He is 50% for both height and weight and therefore is not fat. You might want to have the pediatrician check a thyroid test for hyperthyroidism, something that can really rev up the metabolism and cause one to eat more and still not gain...

Pediatrics: My sons high fevers, recurrent fevers, high fevers
recurrent fevers, high fevers, infectious disease specialist: Hi, Joshua, Periodic fevers syndromes are well known in kids. Cyclic neutropenia and PFAPA are two syndromes that are seen, albeit rarely, in children. If you are not seeing a pediatrician, please see one. If you are, then it would be reasonable to...

Pediatrics: my sons lips and hands turn purple after drinking cold milk, cow product, circulation problem
cow product, circulation problem, cold milk: Dear Adeline, Please note I am not a MD but a psychologist so this question is out of my area of expertise. Please ask it to someone on this site that has an MD after their name. However I would suggest that you not give your son cow s milk and switch...

Pediatrics: stomachache and vomiting, milk allergy, powder milk
milk allergy, powder milk, water intake: well, kids dont need milk at this age. if you are giving a stored milk or powder milk its likely that it may get altered and cause gastritis. if she accepts solids.. very good.. avoid milk. you may treat her with antacids and increased water intake. occasionally...

Pediatrics: Toddler Bowel Movements, prune juice, toilet training
prune juice, toilet training, umich edu: Hi, Tammy, She knows what to do and how to do it. This is toilet training resistance, a power stuggle that you will never win unless you are sneaky about it. It is doubtful this is a medical problem. Here is a handout I have found very helpful. Hope...

Pediatrics: Toddler bad breath, nasal secretions, mouth odor
nasal secretions, mouth odor, foul odor: Hi, Karena, We as pediatricians would disagree with your dentist. No kid with teeth is too little to have her teeth gently brushed. Go for it! If she is chronically congested, the nose may be the source of the odor. I also have seen kids stick stuff...

Pediatrics: Tonsils, tonsillectomy, blood loss
tonsillectomy, blood loss, turtleneck: Hi, Tina, Tonsillectomy is generally a very safe procedure, in in the morning and out in the afternoon. If they are so big that they interfere with her breathing and may be interfering with her eating, sounds like it is reasonable to have them out. ...

Pediatrics: Turning blue, legs feet, extreme days
legs feet, extreme days, blood work: well, all this doesnt seem like a heart disease but a variant of breath holding spell, that can easily be sorted out with psychological counselling. All other causes of cyanosis will be not easily reversible on its own and breath will be rapid in those cases....

Pediatrics: tear duct surgery, tear duct surgery, daily basis
tear duct surgery, daily basis, eye tear: Strictly speaking, your comparison of this problem with the tonsil thing is not correct, and I have not heard of this kind of comparison before. I think the eye surgeon is correct and you should maybe go in for the dilation surgery at least in one eye...

Pediatrics: thermometer, rectal thermometer, scenerio
rectal thermometer, scenerio, bowel movement: Hi, Sue, The constipation, rather than the rectal thermometer, probably caused the blood. If there is no more blood, then everything is probably OK. If the blood persists and the stools are soft, then see your doctor, realizing that even with this scenerio,...

Pediatrics: thermometer, bloody discharge, bowel movement
bloody discharge, bowel movement, prunes: Dear Sue: I doubt that you have inflicted trauma to your child with the thermometer as the baby would be in pain and have constant bloody discharge from the rectum. I think the small amount of blood you saw was from constipation. Don t worry. The baby...

Pediatrics: My three year old is a picky eater, cereal chicken, umich edu
cereal chicken, umich edu, chicken nuggets: Hi, Kimberly, Yes, this is pretty normal. This behavior, like lots of others in kids, is basically a power ploy...the child exerting control over the parent. Here is a handout I have used. Hopefully it will help you. Good luck, Dr. olson ...

Pediatrics: toddler holding in bowl movements, umich edu, miralax
umich edu, miralax, toilet training: Hi, renea, She is resisting having bowel movements. She also may be constipated. Discuss with your doctor getting her stools consistently soft with daily softeners, such as miralax. Then follow the advice given in this very helpful handout I use for...

Pediatrics: toddler with recurring pimples, diaper area, daycare
diaper area, daycare, topical ointment: Hi, Jodie, I culture everything that looks like MRSA, because it is always a guess if you don t. Staph that is MRSA needs different treatment than non-MRSA staph. If the infection cleared up with Keflex, it was not MRSA. It probably didn t grow...

Pediatrics: toys, lead paint, breaths
lead paint, breaths, serum: Hi, jade, The vast majority of toys that contain lead have been taken off the market. It would be reasonable, if you are concerned, for your doctor to do a serum lead level and just be sure. Lead builds up in the body and is not digestible to any significant...

Pediatrics: To get tubes now or try to wait?, infant hearing loss speech development, speech development babies conductive hearing loss
infant hearing loss speech development, speech development babies conductive hearing loss: Hi Melinda, You ve posed a difficult question and there s no single right answer. Having another child who s similarly had a history of frequent ear infections, you may already be aware that there s no one-to-one correspondence between recurrent ear...

Pediatrics: Urination, wet diapers, wet diaper
wet diapers, wet diaper: dont go by wet diapers. even if he passes urine 3 times, diaper may be seen only once wet. watch for number of times he passes.. without diaper. it should be minimum 4 in 24 hours. if its less than 2 in a day, its a serious concern and one should report...

Pediatrics: Vit D supplement, theer, vitamin deficiency
theer, vitamin deficiency, heavy dose: once vitamin deficiency is confirmed, doctor susually give heavy dose of vitamin D in 2 ways 1. injection arachtols single dose 2. oral cholecacliferol sachets for 5 days if theer si no deficiency.. docs usually prescribe supplements and most calcium...

Pediatrics: vomiting, clear liquids, coco cola
clear liquids, coco cola, mint tea: Dear Gio: If your son is vomiting you do not want to feed him food. Give small frequent feedings of clear liquids such as apple juice, gatorade, flattened gingerale and coco-cola or oral rehydrating solution, Pedialyte. It is important to keep your son...

Pediatrics: vomiting and no fever, stomach flu, one saturday
stomach flu, one saturday, diarrhea: Hi, Jenny, These are probably two distinct episodes of stomach flu . This happens a lot this time of year. I would just treat her by increasing fluids and watching for other symptoms to develop. If she seems to be getting sicker, then a visit to the...

Pediatrics: WEANING/ IMMUNIZING, hydronephrosis, question sir
hydronephrosis, question sir, sholders: pneumococcal vaccine is recommended for those who have come respiratory morbidity. given your condition it may eb advisabel to give the same. please follow up regualrly regarding status of hydronephrosis with your urologist. late detection of complications...

Pediatrics: Wetting in Bed, bladder spasms, year medicine
bladder spasms, year medicine, electronic timer: Hi, Devendra, Daytime and nighttime wetting are common and generally we like to tackle the daytime problem first. I would recommend a timed voiding schedule. He needs to try to go every couple of hours in the day time. This can be done by some type...

Pediatrics: White patches on palate, soft palates, hard palate
soft palates, hard palate, fever 99: Was the thrush because of the bottle feeding? I sterile the bottle and nipple every day. == likely. despite all precautions. How long does it take for the Nystatin to work? Is it 100% effective? === 5 days. yes it works completely. Should i take...

Pediatrics: water for babies, breast milk, sips
breast milk, sips, bedtime: Dear April: Infants do not need water. They receive enough water in their infant formula or breast milk. The only time I would recommend water is in small sips thru a sippee cup and never by bottle. The baby is growing rapidly and in order to thrive...

Pediatrics: wetting pants during day, wetting pants, urine infection
wetting pants, urine infection, sensitive child: There are a number of issues and it is not possible to properly assess them without seeing you. With regard to the wetting, the first thing to do is exclude a urine infection. I would then advise ensuring a good fluid intake and getting him to go to the toilet...

Pediatrics: withholding, glycerine suppository, elmo potty training video
glycerine suppository, elmo potty training video, cloth diapers: Hi, Valerie, This is classic toilet training resistance, a common problem with bright and stubborn kids. This is totally a power issue, especially if you are doing things like the miralax to keep things soft. Stop all references to this. Praise the...

Pediatrics: a young child who eats her own faeces, toilet roll, behavioural problem
toilet roll, behavioural problem, dear ann: Dear Ann Marie, This is called pica: it can indicate iron deficiency, or a behavioural problem that will need the attention of a child counsellor urgently.Please see his pediatrician for ruling out iron deficiency and for referral to a counsellor. -drtahe...

Pediatrics: 10 mo with cold, treatable condition, runny nose
treatable condition, runny nose, motrin: Hi, Bobbie, Tylenol or Motrin will help with the aches and pains of a cold. If she is getting more and more fussy, it would be reasonable to have her seen by the doctor to make sure she isn t developing an ear infection or some other treatable condition....

Pediatrics: 10 month old recurrent bronchitis, mild fever, adenoiditis
mild fever, adenoiditis, daycare: i eel all may be a course of adenoiditis with its co0mplications like wheezing and ear problems. i feel she should once complete a course of antibiotics for more than 10 days and continue on nasals aline drops and antihisraminics. allergies dont seem likely...

Pediatrics: My 10 year old, tooth paste, weird things
tooth paste, weird things, feces: Hi, christine, His own feces, as disgusting as this may seem, won t make him sick. I suspect he just wanted to try this out. Kids, and adults for that matter, will do some weird things and unless this is a pervasive habit or part of a larger picture...

Pediatrics: 2 YEAR OLD NOT TALKING, 2-3 year speech and productive language skills, child speech andlanguage production ages 2-3 years
2-3 year speech and productive language skills, child speech andlanguage production ages 2-3 years: Hi Tabaitha, I am glad to hear that your nearly 2 1/2 year old daughter is putting two-word phrases together and even is using some 3-word utterances. And although she s not as talkative as you might like her to be, the vocabulary and grammar you ve...

Pediatrics: 2 year girl refuses to eat, egg omelet, ml milk
egg omelet, ml milk, time rice: Dear Kavita: You can never make a child eat. It is a battle you will not win. I would not offer your child any milk unless she eats something first. Get in the habit of making breakfast, lunch and dinner for the family and place her portions in...

Pediatrics: 2 year old out of control, dear emma, disciplining a child
dear emma, disciplining a child, afternoon nap: Dear Emma: Physical punishment is never recommended for disciplining a child. Time out is the best approach. It seems as though your son is crying for attention. He obviously does not like sharing attention with the baby. He has learned to do negative...

Pediatrics: 2 yr old fell backward hit head on tile, dear cheri, goose egg
dear cheri, goose egg, headaches: Dear Cheri, I don t think she has suffered any real damage, so if I were you, I would forget about this and move on. If she vomits a lot, shows any problems in moving any limbs, has stuttered speech, headaches, or throws fits, then of course, I would urgently...

Pediatrics: 3 1/2 year old drools, 3-yr.old drooling, how to eradicate drooling in children
3-yr.old drooling, how to eradicate drooling in children: Hi Sara, I wonder why your son has suddenly started drooling, and if there are any physiological reasons for that. I m assuming your son s second molars erupted several months ago, but do question what else may be going on that has initiated this behavior....

Pediatrics: 3month baby sweating, breast feed, lung problems
breast feed, lung problems, good luck: Hi, Feza, This is probably normal, but be sure that he is looked at carefully at the 4 month physical for any sign of heart or lung problems. Usually increased sweating is due to a bit of over bundling. Try a bit less on him when feeding. Good luck,...

Pediatrics: 3yr. old not saying complete words, if at all, possible speech/language delay 3 year old nephew;encouraging parents re:child language assessment
possible speech/language delay 3 year old nephew;encouraging parents re:child language assessment: Hi Angelique, You ve asked a great question, and one that is difficult to answer because this is your nephew -- not your child. You can certainly try to explain to your sister and her husband (I m assuming -- or is it your brother and his wife?) your...

Pediatrics: 6&7 yr. granddaughters, pediatric urologist, wet clothing
pediatric urologist, wet clothing, medical evaluation: Dear Gramma: The children may be bed wetting from the stress of their prior home environment. I don t think children who wet the bed during the night can really help themselves. You should have them help with clean up however. Remove the wet linens,...

Pediatrics: 6 and half month not cooing, old baby girl, motor milestones
old baby girl, motor milestones, month old baby: Hi Vidha, Thanks for all this information. There s nothing I ve ever heard about speech delay being related to bottle drinking, and there are so many children who are bottle fed that I honestly don t believe that s a concern. And I ve never heard of...

Pediatrics: 6 month old baby not reaching for toys, infant development at 6-months, parent concern about 6-month baby not grabbing toys
infant development at 6-months, parent concern about 6-month baby not grabbing toys: Hi Miriam, From what you write about your son, it really doesn t sound like you have anything to be concerned about! Your son is socially engaging, and evidences developing gross-motor and speech development. He is also evidencing eye-hand coordination...

Pediatrics: my 7 month baby falls from bed 1 to 2 feet high, low calcium, content topic
low calcium, content topic, 3 feet: assess the child for any unusual/altered behaviour or symptom or sleep. commonly any convulsion, vomiting, unconsciousness and visible bleed or swelling. Any of the things if persisting may be a medical emergency and hence needs surely an examination from...

Pediatrics: 7 months baby going loose motions and fever, signs of dehydration, loose motions
signs of dehydration, loose motions, viral gastroenteritis: i m sorry for answering late as i want well for 3 days. what seems to be happening there is like a viral gastroenteritis.. classically like a rotavirus gastroentritis. one needs to be worried about 3 things: 1. dehydration 2. if fever persists for...

Pediatrics: 8 year old having trouble "focusing", attention deficit disorder without hyperactivity, attention deficit disorder
attention deficit disorder without hyperactivity, attention deficit disorder, principals office: Hi, Heather, He most likely has attention deficit disorder, without hyperactivity, but with perhaps some impulsivity. He needs to see his pediatrician, have a comprehensive exam, get some medical and psychologic studies and have a firm diagnosis made...

Pediatrics: Abnormal Labs, leafy green vegetables, types of anemias
leafy green vegetables, types of anemias, red cell distribution width: Colette- RDW(red cell distribution width) is a measure of the width of red cells and a marker for certain types of anemias. Red cells require iron in order to build hemoglobin and support the internal structure of the cell. The less iron (and, therefore,...

Pediatrics: Abnormal labs, blood cell morphology, red blood cell morphology
blood cell morphology, red blood cell morphology, target cells: Hi, Yahsha, Without knowing any of the lab numbers, I can t tell you anything. Some kids will have abnormal morphology of the red cells and everything is fine. I would need to know the numbers, such as hemoglobin and the actual platelet count before...

Pediatrics: Actitude of an eight year old towards girls., hispanic background, amberson
hispanic background, amberson, girls and boys: Dear Yuli, Children are naturally curious about difference between girls and boys bodies. I would not be overly concerned with his question. Many eight year olds often are not ready to accept girls. Boys go through a stage where they do not like girls this...

Pediatrics: Autism Question, autism spectrum disorder, coping mechanisms
autism spectrum disorder, coping mechanisms, neurological issues: Hi, Kim, I m not sure what you mean by on the spectrum . If you mean that he has autism spectrum disorder, this answer will apply. It is not uncommon for kids with ASD to have greater mental issues when sick. I m not sure why this is. Perhaps their...

Pediatrics: Baby allergy/ bowels and feeding, infrequent bowel movements, protein allergy
infrequent bowel movements, protein allergy, breastfed babies: Hi, Christine, I see breastfed babies with lots of loose runny stools every day. If they are gaining weight well and are healthy, I usually don t change things. Protein allergy? Well, perhaps but this is not something I think about very much. Much...

Pediatrics: Baby fell off the bed, pediatrician, 9 months
pediatrician, 9 months, good luck: Hi, Michelle, A fall like this is common and is very unlikely to cause any problem. If he is normal acting and is doing fine, a visit isn t needed for his sake. If you are still worried, a visit to reassure you of his doing well might be done. Generally...

Pediatrics: Bad breath right before stomach bug, stomach bug, tummy ache
stomach bug, tummy ache, breath right: Hi, Allison, It makes sense to me that the stomach gets a bit foul before the actual episode of vomiting occurs. I never have really heard this from anyone, but I suspect it is true. One does not vomit out of the blue; there needs some preceding stomach...

Pediatrics: baby with loose motions and vormitting, loose motions, stomach infection
loose motions, stomach infection, acceptable alternatives: Dear Ash, I don t know how I can help in this matter. You will have to go again to the same pediatrician and ask him to replace the medicines with more acceptable alternatives. Also, please give her ORS and continue feeding her on the breast. Avoid using...

Pediatrics: My baby sight, pediatric ophthalmologist, baby sight
pediatric ophthalmologist, baby sight, worries: Dear Sanlen, you can shine a torch in her eyes and look if the dark central circle within the iris becomes smaller or not; if it does, then at least she is perceiving light. Other than that, the best way is to take her to a pediatric ophthalmologist as...

Pediatrics: blood in stool, red currant jelly, blood stool
red currant jelly, blood stool, intermittent pain: It sounds like hard stools are grazing the lining of the bowel and leading to bleeding. Red currant jelly stools are associated with intussusception and the child will be ill with intermittent pain. It needs to be assessed with other clnical features ie...

Pediatrics: blue hands and feet, pnumonia, hands and feet
pnumonia, hands and feet, oxygenation: blue hand s feet etc is called cyanosis. when oxygen is not delivered to some tissue through blood.. it turns blue. pneumonia causes poor oxygenation of lungs.. so less oxygen is in blood.. and if its blue.. it may be life threatening. wish her aa...

Pediatrics: Chicken Pox, oatmeal baths, school mates
oatmeal baths, school mates, medical concern: Hi, Christine, I m not sure of the notion of skin stretching . I do know that with time, these marks tend to fade away. Whether actually the scars simply remodel and become smaller and possibly fade away, or the skin stretches is not known to me. ...

Pediatrics: Child with high-pitched voice, child pitch, 8-yr old with high pitched voice
child pitch, 8-yr old with high pitched voice, speech therapy kids' high pitch: Hello DC, I am glad you ve asked this question about your son, and the fact that his tonsils were removed definitely can impact his vocal pitch and resonance characteristics. However you mention that his high vocal pitch predated the surgery, so although...

Pediatrics: cell phones killing sperm, radio waves, problem government
radio waves, problem government, controversial statement: there are many studies that had proven this controversial statement.. to some extent. i feel if it surely does cause such problem, government will make ti comulsory to have a note on cellphones.. please dont carry in your pocket. you may read the research...

Pediatrics: cereal, morning nap, hi mary
morning nap, hi mary, eleven hours: Hi Tina: Your baby sounds like a happy, healthy contented little guy. You can certainly offer him two tablespoons of rice cereal or oatmeal cereal twice a day with enough milk added to make it a nice creamy, not watery blend. This may or may not affect...

Pediatrics: child arrogant behaviour, chld, good boy
chld, good boy, 21 months: this is like learning tantrums.. being a bit stubborn.. as child understands his potentials and independence. what one needs to do in such situations is counsell, again and again.. we call it repeatitive bombarding of thoughts about how a good boy behaves....

Pediatrics: child cannot chew, molars, 4 months
molars, 4 months, biscuits: I think you should stop badgering her and let her come to terms with her own weakesses on her own. At the same time, whenever you find her keeping the food in her mouth, don t do anything, just wait for it to go away. Don t ridicule her, or shout or demean...

Pediatrics: child cannot chew, dear alice, speech therapist
dear alice, speech therapist, molars: Dear Alice: This is not normal for a two year old child to not be able to chew. Your daughter should first be evaluated by a pediatrician and then have a speech therapist evaluate her for chewing and swallowing dysfunction. I would have her seen as soon...

Pediatrics: child complaining of sharp pains in rectum, ky gelly, child abuse cases
ky gelly, child abuse cases, belly ache: well it may be hemorrhoidss. or a fissure following starining at hard stools. its common.. occasionally it may be seen in dysentery and some child abuse cases. get her evaluated by a surgeon. he may prescribe some analgesic gelly like ky gelly and some...

Pediatrics: crup and my son, injectable steroids, bacterial diseases
injectable steroids, bacterial diseases, breathing treatments: Hi, crystal, Breathing treatments with racemic epinephrine will temporarily help, but the treatment of choice for bad croup is oral or injectable steroids. Please be sure this isn t one of the several bacterial diseases that mimic croup, for such a treatment...

Pediatrics: crystals in urinalysis, calcium oxalate crystals, amorphous urates
calcium oxalate crystals, amorphous urates, ultrasound scan: It is not that uncommon to find some crystals in the urine. Eventually it can lead to stone formation. The ultrasound scan will reveal whether there is any excess calcification. If so, the urine needs analysing, to look at the concentrations of salts. In...

Pediatrics: dosage, primary complex, treatment of tuberculosis
primary complex, treatment of tuberculosis, tb treatment: Thanks Alissa. I didn t think of it being compounded with pyridoxine but that makes sense now. Good job staying on top of your childs medications. Don t be afraid to challenge what you feel may be incorrect. It is your diligence that will help keep your...

Pediatrics: EBV, Fevers, low lymphocyte count in 6 yr old boy, low lymphocyte count, hodgkin lymphoma
low lymphocyte count, hodgkin lymphoma, nuclear antigen: Hi, Sherry, Without the normal values for these tests, based on the lab that does them, I can t interpret this. Generally IGM antibodies are signs of current infection and go away with time and IGG sign of a remote infection. Viral illnesses, and...

Pediatrics: ear infection, signs of an ear infection, ear canals
signs of an ear infection, ear canals, doctor tomorrow: I am not sure why they are wanting to scrape away the wax. Wax is the sign of a healthy ear, in that if there is an infection, the extra heat will melt the wax. However, pain will occur if something is pressing against the ear drum and will improve if it is...

Pediatrics: eczema, open cracks, skin specialist
open cracks, skin specialist, steroid creams: Hi, Wendy, Treating eczema is basically moisturizing the heck out of the skin with frequent bathes followed by moisturizing. Frequent baths will help, as long as the skin is patted dry and then lathered up with a cream. A dermatologist can be helpful...

Pediatrics: enfamilgentleease and bm, green stools, watery stools
green stools, watery stools, lipil: Hi, arlene, Loose, green stools in healthy kids are usually not a big problem. If she is gaining weight and is doing fine, I would just watch things. There is no magic formula; you just use the one that your child tolerates best. Good luck, Dr....

Pediatrics: excessive drooling, excess drooling in kids; causes of kids' drooling, 8 yr. old drools excessively
excess drooling in kids; causes of kids' drooling, 8 yr. old drools excessively, drooling/adenoids: Hi Eva, Drooling can be a problem at any age, and there can be any of multiple factors contributing to the drooling of the child to whom you refer. I ll mention several of the possible causes of drooling in this note. Possibly one of these, or several,...

Pediatrics: Feeding Infant Cereal, infant cereal, rice cereal
infant cereal, rice cereal, stomach contents: Hi, Samantha, My answer is still the same. A few kids have silent reflux , a condition where acidic stomach contents move from the stomach into the lower end of the esophagus. This causes pain, but the movement is not high enough to cause spitting. ...

Pediatrics: 3 1/2 year old drools
Pediatrics: 3 1/2 year old drools

http://en.allexperts.com/q/Pediatrics-1429/2009/3/f/7-month-baby-falls.htm


Pediatrics: 7 months baby going loose motions and fever, month old baby, incisors
Pediatrics: 7 months baby going loose motions and fever, month old baby, incisors, stol

Pediatrics: child arrogant behaviour, temper tantrums, temper tantrum
Pediatrics: child arrogant behaviour, temper tantrums, temper tantrum, hot irons

Pediatrics: enfamilgentleease and bm, watery stools, dollar general
Pediatrics: enfamilgentleease and bm, watery stools, dollar general, spray bottle

Pediatrics: Green Loose motion in 5 month old baby, urine output, ors
Pediatrics: Green Loose motion in 5 month old baby, urine output, ors

Pediatrics: toddlers voice changing, gastrointestinal problems, gastrointestinal tract
Pediatrics: toddlers voice changing, gastrointestinal problems, gastrointestinal tract, intestinal walls

Pediatrics: White tongue blisters, flinstone vitamins, bakin
Pediatrics: White tongue blisters, flinstone vitamins, bakin, days thanks

Pediatrics: failure to gain weight, calcium supplements, hello doctor
calcium supplements, hello doctor, formula milk: i am happy that her milestones and weight are upto the mark. 8 kg isnt a failure to thrive, infact failure to thrive is something if hse drops 2 pecentile lines down that is from 50% to 10 % or 10% to 3%. or consistently maintains below 5 %. read more details...

Pediatrics: failure to thrive, genetics team, pediatric genetics
genetics team, pediatric genetics, heart problems: Hi, Melissa, Has he had an evaluation of his heart? Blueness of the hands and feet don t directly correlate with heart problems, but this is a consideration with failure to thrive. I would also recommend an evaluation by a pediatric genetics team...

Pediatrics: feet and hands turning blue, poor circulation, lung problems
poor circulation, lung problems, extremities: Hi, Hannah, Lots of normal kids have this phenomena called acrocyanosis. This blueness of the extremities is usually better over time, but I still see a fair number of older kids who have this. This is normal and is not a sign of heart or lung problems....

Pediatrics: flu in a 4 year old, chicken noodle soup, stomach flu
chicken noodle soup, stomach flu, clear liquids: Dear Merri: The stomach flu can last up to a week. Be careful with the gatorade though as it can cause more diarrhea. Water it down 1/2 and 1/2. Try flat coca cola and ginger ale too. Fruit flavored popsicles are okay and so is jello. They are all...

Pediatrics: frequent accidents after being potty trained, frequent accidents, abundant attention
frequent accidents, abundant attention, bladder infection: Dear Melissa: Sometimes little girls have urinary incontinence because they have a bladder infection. You may want to have your doctor check her out and perhaps test her urine before blaming it on a behavioral issue. Be sure she is not getting any bubble...

Pediatrics: frquent cold and cough, viral fever, fever in children
viral fever, fever in children, mg dose: well, crocin syrup contains 125 mg of paracetamol for 5 ml, p-250 contains 250 mg for 5 ml so if teh child is more than 15 kg, i maty prefer p-250 as only half amount of p-250 is required to balance 125 mg dose of paracetamol that doctors routinely use...

Pediatrics: Green Loose motion in 5 month old baby, mucus in stools, blood mucus
mucus in stools, blood mucus, month old baby: what you describe looks like some early gastroenteritis. commonly due to rotavirus infection, as there was fever. such motions may last 3-7 days. may turn watery the next day. treatment is mostly supportive unless there is dehydration, high fever, reduced...

Pediatrics: Green Poop Going on nearly 2 weeks, loose motions, perianal cellulitis
loose motions, perianal cellulitis, nappy rash: what the child has developed is a like a nappy rash or perianal cellulitis following loose motions and it can become serious and spreading if neglected. if the redness around anus persists for more than 3 days.. its likely that child may be started on...

Pediatrics: Green Stool, intestinal flu, flu bug
intestinal flu, flu bug, green stool: Hi, Kara, 1. Yes 2. No 3. No Seriously, I think your little one has caught a bit of an intestinal flu bug. If she is feeling well and not vomiting, this may be the only manifestation of her illness. No treatment is needed. Breaat milk is the best...

Pediatrics: Head Injury, month old baby, routine fall
month old baby, routine fall, brain scan: Hi, Laura, Sounds like you saw a bright doctor who realizes that CT scans are not benign tests and faced with a bright active baby, he elected to follow things. I would have done the same thing. If brains were damaged by this type of fall and all...

Pediatrics: Head Injury from spinning?, baby hammock, subtle damage
baby hammock, subtle damage, intentional acts: Hi, Kendall, Kids are damaged by forceful, intentional acts, not by being spun around by their brothers. It is right to admonish your 6 year old, but I ll bet his brother had a blast! He will be fine, especially since he is really not a newborn, but a...

Pediatrics: Health, nchs data, growthcharts
nchs data, growthcharts, growth charts: read details about feeding at http://infantfeeding.blogspot.com also weight expected is ok.. but confirm the same on growth charts available at links below: a childs weight is supposed to be ok if its around 50th percentile on growth charts and is progressively...

Pediatrics: help me get my 13 month old gain weigh, gain height, toddlerhood
gain height, toddlerhood, breastmilk: Dear Natasha, I don t think your son has any major problems. His weight is also quite good. If I were in your place I would cease worrying and start enjoying his toddlerhood. There is no need to pester him to drink more milk, eat more food or to make...

Pediatrics: Immunization query, adequate care, paediatrician
adequate care, paediatrician, timely response: well, its a mishap due to lack of adequate care and history taking. it wont cause any harm in this situation. the third dose may be given at its scheduled date after 4 weeks from now. its important to notify this to the company and also to local immunisation...

Pediatrics: Infant growth, head circumference, centile
head circumference, centile, infant feeding: head circumference grows slowly after 6 months age.. so slow as 0.5 cm per month.. so may be mistreported with errors of measurement upto 1 cm. it would have been better if u had mention values of the measurement. he is now in 10-25th centile. but if...

Pediatrics: infant undereating, birthweight, apple juice
birthweight, apple juice, growth charts: if its rising on growth charts i recommend to observe. as growth isnt bad. a minimum 120gm per week is expected at this age. so considering 15 weeks, it would have been like say gain of around 2 kg would have been expected. if he is sucking on his hand...

Pediatrics: infection, tonsils and adenoids, cold fever
tonsils and adenoids, cold fever, running nose: it seems like repeated episodes of tonsillitis or adenoiditis.. get confirmed with your ENT specialist. if true, and she has enlarged tonsils and adenodis and repeatedly she isnt ok and not gaining weight, she may require some surgery to remove tonsils and...

Pediatrics: joint popping in 4 year old, shoulder blade, joints
shoulder blade, joints, several times: Hi, sara, Popping joints are a common observation of parents and I have yet to see a kid where this is a problem. I don t think the reason he woke up was the popping joints with pain. If you are concerned, have your doctor take a look. It sounds normal...

Pediatrics: laryngomalasia, toddler expressive language delay, toddler with layngomalasia
toddler expressive language delay, toddler with layngomalasia, stimulating toddler language: Hi Kelli, I m so sorry to hear of your son s laryngeal problems. As I m a speech/language pathologist and not an otolaryngologist, I m going to have to pass on responding to your question about your son s respiratory problems. I can only suggest that if...

Pediatrics: low grade fever in 2 and 1/2 yr old, low grade fever, wet diapers
low grade fever, wet diapers, running a fever: i m sorry .. i couldnt write to you immediately as i pool the questions for tehd ay ebfore answering. Excessive crying can surely be a sign of seriousness provided it remains unconsolable for 3 hours and / or associated with lethargy or irritability etc....

Pediatrics: MMR, mmr and autism, influenza vaccine
mmr and autism, influenza vaccine, perservative: Hi, jennifer, This is simple. THERE IS NO RELATIONSHIP BETWEEN MMR AND AUTISM. None. The only vaccine we have that contains a minute amount of mercury is the influenza vaccine in multi-dose vials. There are no separate shots commercially available....

Pediatrics: mucus in bowel and mouth blisters, mouth blisters, 12 month old baby
mouth blisters, 12 month old baby, intestinal polyps: Hi, Lynne, Generally most pediatricians would do an evaluation in this clinical scenerio for things like polyps, that can intermittantly bleed. This would require a lower GI exam, not really a big deal in an infant. Also most of us would do some blood...

Pediatrics: otits, 33 d old, old baby girl, fussy babies
old baby girl, fussy babies, left ear: Hi, maraia, I have seldom and perhaps never, seen an ear infection in a kid this age. It is uncommon. Different doctors may have different criteria for what they call an ear infection . I find it often is a convenient diagnosis to justify the use of...

Pediatrics: Pale Yellow Stool, loose stools, stomach bug
loose stools, stomach bug, time mary: Dear Stephanie: I have no concerns about pale yellow stools nor loose stools. I would continue to feed her regularly including milk but try 100 Lactaid whole milk. You can supplement her with some Pediatlyte if having frequent loose stools. Feed binding...

Pediatrics: Potty Training Resistance, strong willed child, wits end
strong willed child, wits end, peeing: Hi, Lisa, If you feel that taking away a special privilege might help, give it a try. He clearly knows what to do and why to do it and is manipulating you. Take away a privilege ruthlessly and consistently without a lot of emotion. It just might work....

Pediatrics: Potty Training Resistance, potty training boys
potty training boys: Hi Lisa, Potty training can be one of those very difficult issues for children and parents. However you do not want to get into a power struggle with your son. I have been a child psychologist for over 20 years, and have children in my practice who are...

Pediatrics: PYLORIC STENOSIS, moses basket, urine infection
moses basket, urine infection, milk flow: If it is thought to be pyloric stenosis then it should be looked at promptly and any fluid and electrolyte imbalance corrected. Normally such babies would be admited to hospitl until the problem is corrected. You need to speak to the anaesthetist about the...

Pediatrics: pneumococcal, feratin, hemaglobin
feratin, hemaglobin, hypocalcimia: Dear PB, I think the problems that your child went through in the neonatal period have already receded. You should go for the vaccine only if you can afford it. Your baby will need 2 shots now and one at the age of 15-18 months. By the way, pneumococcus...

Pediatrics: pneumococcal, feratin, pneumoccal vaccine
feratin, pneumoccal vaccine, iron rich foods: Hi, Pbhatnagar, No vaccination is required. All are highly, highly recommended. The pneumoccal vaccine is safe, effective and I can t think why a doctor wouldn t recommend it. This is a bacteria that is out there and causes diseases ranging from pneumonia...

Pediatrics: primary complex, primary complex, infectious disease specialist
primary complex, infectious disease specialist, infectious disease: Hi, I m not sure what you mean by primary complex. Are you referring to tuberculosis? If so, I certainly am not an expert on this disease. I would defer to someone, presumably the doctor who is caring for her, to provide the most up-to-date therapy....

Pediatrics: Red Streak on foot, sinus problems, red streak
sinus problems, red streak, niece: Dear Mike: I agree with the baby s doctor and I would watch the red streak. It could be a pressure mark or a scratch and if it is it will fade out by Monday. If the red streak extends further and feels hot to touch and or the baby gets a fever then the...

Pediatrics: Reporting a pediatric office and/or Doctor, pediatric office, weekend mornings
pediatric office, weekend mornings, nasty letter: Hi, Tricia, Doctors need to have some sort of well thought out strategy for weekend and off hours coverage. This may be go to the ER but this needs to be spelled out. Our peds office is open both weekend mornings and covered by a group of pediatricians...

Pediatrics: RSV or ASTHMA? or what?, steam humidifier, tonsils and adenoids
steam humidifier, tonsils and adenoids, lung infection: read asthma details at www.pediatricianonline.in asthma is exacerbated in night or early morning.. and doesnt come with fever. pneumonia and bronchitis come with fever and symptoms will be through out the day. What should my next step be? == ask a...

Pediatrics: reacurring colds in all 3 of my children, loss of appetite, new groups
loss of appetite, new groups, viral infections: Children will get recurrent viral infections, especially when they come into contact with new groups of children - starting nursery/school. Antibiotics are not usually necessary. They have to build up immunity. If they are growing well there is unlikely...

Pediatrics: Is it all related?, sleep apnea, pediatrician
sleep apnea, pediatrician, infancy: Dear Christi, The sleep apnea and the headaches could definitely be related, since apnea can reduce normal sleep and cause the child to have dopiness during the day. If you had the skull spots opened surgically in infancy, they are unlikely to close on...

Pediatrics: Sudden headaches, high fever, fatigue, high fever, ng tube
high fever, ng tube, water intake: any fever may be associated with headache and fatigue. only if the fever lasts more than a day.. in each episode.. one may think as it may not be viral. when fever is repeated, i request you to maintain a diary with dates and degree of fever. only then,...

Pediatrics: sideeffect of rotavirus vaccine, rotavirus vaccine, RotaTeq
rotavirus vaccine, RotaTeq, dermatological sequelae: Pratiksha- From the FDA website http://www.fda.gov/CbER/products/rotamer020306qa.htm you can read the most common problems associated with the vaccine. I did not see dermatological reactions that you mentioned however, everyone responds slightly differently....

Pediatrics: sleeping schedule, old baby girl, month old baby
old baby girl, month old baby, mom and dad: Dear Joanne: The baby is a trained night crier who has learned to cry so that she can be fed. She does not need to be fed and as long as she gets at least 24 to 28 ounces of formula during the day and evening my suggestion would be to stop feeding her...