Posts for category: Pediatric Care
Bedwetting is a common childhood problem. Many children who master toilet training during the day, usually between the ages of two and four, continue to experience episodes of bedwetting through the night. In many cases, the nighttime bedwetting incidents will gradually decrease until they have completely ceased around the age of five or six.
So, when should parents worry about their child’s bedwetting behaviors? Most pediatricians agree that it’s quite normal for children to experience occasional “accidents” and that most children will outgrow it on their own.
When to Visit Your Pediatrician
Bedwetting is rarely a serious problem. In fact, wetting up to a year after the child has successfully been toilet trained is normal. Children gain bladder control at different ages, and while most kids quit wetting at night by the age of 6, others may take a little longer. In the majority of cases, wetting does not have a medical cause.
According to the AAP, you should contact your pediatrician if your child continues to have frequent “accidents” or if you notice any of the following signs:
- Wet clothing and bed linens, even when the child uses the toilet frequently
- Unusual straining during urination, a very small or narrow stream of urine, or dribbling after urination
- Cloudy or pink urine
- Abnormal redness or rash in the genital area
- Trying to conceal wetting by hiding clothes or underwear
- Daytime wetting in addition to nighttime accidents
Parents should remember to be sensitive to their child’s wetting behavior so not to cause additional embarrassment or discomfort. Never punish the child for bedwetting. Instead, show support and encouragement by reassuring the child that it is not his or her fault and that the problem will get better.
Remember, even though childhood wetting is frustrating, it is very normal. Talk to your pediatrician if you have concerns about your child’s bedwetting behaviors.
Jaundice is a common condition in newborns, caused by excess yellow pigment in the blood called bilirubin, which is produced by the normal breakdown of red blood cells. When bilirubin is produced faster than a newborn’s liver can break it down, the baby’s skin and eyes will appear yellow in color.
In most cases, jaundice disappears without treatment and does not harm the baby. However, if the infant’s bilirubin levels get too high, jaundice can pose a risk of brain damage. It is for this reason that the American Academy of Pediatrics (AAP) recommends that all infants should be examined for jaundice within a few days of birth.
Is it Jaundice?
When parents leave the hospital with their newborn, they will want to look for signs of jaundice in the days following, as the condition usually appears around the second or third day of life. Most parents will be able to detect jaundice simply by looking at the baby’s skin under natural daylight. If you notice your newborn’s skin or eyes looking yellow, you should contact your pediatrician to see if jaundice is present.
Also, call your pediatrician immediately if your jaundiced newborn’s condition intensifies or spreads. The following symptoms may be warning signs of dangerously high levels of bilirubin that require prompt treatment.
- Skin appears very yellow
- Infant becomes hard to wake or fussy
- Poor feeding
- Abnormal behavior
While most infants with jaundice do not require treatment, in more moderate to severe cases treatment will be recommended. Some infants can be treated by phototherapy, a special light treatment that exposes the baby’s skin to get rid of the excess bilirubin. Infants who do not respond to phototherapy or who continue to have rising bilirubin levels may be treated with a blood transfusion.
Always talk to your pediatrician if you have questions about newborn jaundice.
Kids pick up germs all day, every day. Whether they are sharing toys, playing at day care or sitting in the classroom, whenever children are together, they are at risk for spreading infectious diseases.
Parents should play an active role in helping their kids stay healthy by taking extra precaution to minimize germs. Here are a few tips on how.
Spending just a few extra minutes each day tidying up your household can go a long way to keep your home germ-free and your kids healthy. Disinfect kitchen countertops after cooking a meal, and wipe down bathroom surfaces as well—especially if your child has been ill with vomiting or diarrhea. Doorknobs, handrails and many plastic toys should also be sanitized on a routine basis. Simply by disinfecting your home more regularly, and even more so when someone in your household has been ill, you can significantly cut down on re-infection.
Set a Good Example
Parents should set good examples for their children by practicing good hand washing and hygiene at home. Encourage your kids to cough or sneeze into a tissue rather than their hands. Children should also be taught not to share drinking cups, eating utensils or toothbrushes. If your school-aged child does become ill, it’s best to keep them home to minimize spreading the illness to other children in the classroom.
Finally, one of the easiest (and most effective) ways to prevent the spread of infection is by hand washing. At an early age, encourage your child to wash their hands throughout the day, especially:
- After using the bathroom
- Before eating
- After playing outdoors
- After touching pets
- After sneezing or coughing
- If another member of the household is sick
The Centers for Disease control recommends washing hands for at least 10 to 15 seconds to effectively remove germs.
Parents can’t keep their kids germ-free entirely, but you can take extra precautions to help keep your environment clean. It’s also important to help your child understand the importance of good hygiene and thorough hand washing as a vital way to kill germs and prevent illnesses.
Giving your baby his first spoonful of solid foods is an exciting time! Many parents look forward to the day their little one takes their first bite of rice cereal, and in many cases, baby is just as eager! So how do you know if your baby is ready to transition to solids?
Here are a few tips for helping you introduce and successfully navigate feeding your baby solids.
Is my baby ready for solids?
As a general rule, most babies are ready to tackle solids between 4 and 6 months of age.
- Weight gain. According to the American Academy of Pediatrics, babies are typically big enough to consume solids when they reach about 13 pounds—or about the time they double their birth weight.
- Head control. Your baby must be able to sit up unsupported and have good head and neck control.
- Heightened curiosity. It may be time to introduce your baby to solids when they begin to take interest in the foods around them. Opening of the mouth, chewing motions and staring at your plate at the dinner table are all good indicators it’s time to give solid foods a try.
To start, give your baby half a spoonful or less of one type of solid food. Generally it doesn’t matter which food is introduced first, but many parents begin with an iron-fortified rice cereal. Once they master one type of food, then you can gradually give them new foods.
Other foods, such as small banana pieces, scrambled eggs and well-done pasta can also be given to the baby as finger foods. This is usually around the time the baby can sit up and bring their hands or other objects to their mouth.
As your baby learns to eat a few different foods, gradually expose them to a wide variety of flavors and textures from all food groups. In addition to continuing breast milk or formula, you can also introduce meats, cereals, fruits and vegetables. It’s important to watch for allergic reactions as new foods are incorporated into your baby’s diet. If you suspect an allergy, stop using that food and contact your pediatrician.
Talk to your pediatrician for recommendations about feeding your baby solid foods. Your pediatrician can answer any questions you have about nutrition, eating habits and changes to expect as your baby embarks on a solid food diet.
Attention deficit disorder, or ADD, is a well-known problem about which many parents express concern. If your child has been experiencing problems with focusing and listening in school, you may have some concerns yourself. Here, our pediatrician Dr. C. Turner Lewis at Children's Medical Clinics in Kaufman, TX answer some common questions that parents have about ADD.
What is ADD?
ADD is defined as a mental disorder that affects brain function. Although it affects people of all ages, it's most often diagnosed during childhood, particularly before the age of 12. Symptoms include a long-term (six months or more) inability to pay attention or control impulsive behavior that has a negative effect on the home and school environment.
What is the difference between ADHD and ADD?
The "H" that is included in some ADD diagnoses made by your Kaufman pediatrician takes into account that some children will display hyperactive tendencies. These behaviors include restlessness, fidgeting, and difficulty waiting or remaining quiet. ADHD is clinically known as "attention deficit hyperactivity disorder, predominately impulsive type." ADD's actual title is "attention deficit hyperactivity disorder, predominately inattentive type." Many children display symptoms that are a combination of the two subtypes, giving them the diagnosis of ADHD, combined type.
What causes ADD?
The diagnosis of ADD can be due to a number of factors. Genetics is thought to play a big part in its development; the genes which regulate and transmit dopamine, a chemical in the brain that is associated with movement and emotions, are often involved in ADD. Environmental factors such as exposure to alcohol or tobacco during pregnancy can increase the likelihood that ADD will develop later. Children who have experienced a traumatic brain injury may also be at a higher risk for ADD.
How is ADD treated?
Typically, ADD is treated through counseling, medication, or a combination thereof. Counseling can not only help your child now, but the coping methods learned through therapy can help to prevent other issues, such as school failure and anxiety, from developing later. Medication usually consists of a daily stimulant that help to improve symptoms by encouraging the rest of the brain to "catch up" with the overactive dopamine receptors. ADD medication has been used for many years and is considered safe and effective. Working with your Kaufman pediatrician and being open to various treatments will help to manage your child's ADD effectively.
If you think your child may be dealing with ADD, contact Children's Medical Clinics in Kaufman, TX to schedule an appointment with Dr. C. Turner Lewis!