Posts for category: Pediatric Care
- You or your child hears a snap or grinding noise as the injury occurs
- Your child experiences swelling, bruising or tenderness to the injured area
- It is painful for your child to move it, touch it or press on it
- The injured part looks deformed
What Happens Next?
- Call 911 - If your child has an 'open break' where the bone has punctured the skin, if they are unresponsive, if there is bleeding or if there have been any injuries to the spine, neck or head, call 911. Remember, better safe than sorry! If you do call 911, do not let the child eat or drink anything, as surgery may be required.
- Stop the Bleeding - Use a sterile bandage or cloth and compression to stop or slow any bleeding.
- Apply Ice - Particularly if the broken bone has remained under the skin, treat the swelling and pain with ice wrapped in a towel. As usual, remember to never place ice directly on the skin.
- Don't Move the Bone - It may be tempting to try to set the bone yourself to put your child out of pain, particularly if the bone has broken through the skin, do not do this! You risk injuring your child further. Leave the bone in the position it is in.
Childhood asthma is more common than you might think. In fact, it is the most common chronic disorder in children, according to the Asthma and Allergy Foundation of America. Asthma is a long-term respiratory condition that causes swelling within the airways, making it different for your little one to breathe. How do you know if your child might have asthma? The telltale signs include:
- Trouble or difficulty breathing
- Wheezing or whistling when breathing in
- Tightness in the chest
- Coughing that often gets worse at night
- Fatigue, especially with exercise or play
If your child is experiencing or complaining about any of these symptoms it’s important that you schedule an appointment with a pediatrician as soon as possible. It’s important to write down the exact symptoms your little one has been experiencing, particularly because their symptoms may not be present during their evaluation. If you have a family history of asthma, this is something that your child’s pediatrician will want to know.
During the evaluation your doctor will also perform a physical exam, taking time to listen to both the heart and the lungs for signs of asthma. Sometimes a test known as spirometry will be used to test the lung function (this is most common in children over the age of 6 years old). This test is used to measure how much air is in the lungs and how quickly your child can exhale. Other tests may also be performed to check for other health issues that could be exacerbating your child’s asthma symptoms such as a sinus infection.
Asthma is serious and requires medication to keep this problem under control. While there is no cure for asthma, your pediatrician’s goal for asthma treatment is to prevent the severity and frequency of asthma attacks. We want to prevent your little one from having to rush to the hospital for a severe attack. Luckily, there are medications that your children’s doctor can prescribe to lessen asthma symptoms.
The type of asthma medication your child receives will depend on several factors including age. Infants and toddlers may require inhaled steroids to control asthma symptoms. The dosage will also change depending on your child’s age. Along with long-term medications that will be taken every day to help control symptoms and keep inflammation down there are fasting-acting medications that your child will also be prescribed (e.g. albuterol), which is only used when your little one feels an attack coming on. Before any medication is given to your child, your pediatrician will talk to both you and your little one about how to use asthma medication properly.
A number of factors can cause a child to develop a headache, such as stress, lack of sleep, skipped meals and certain medications. Other times a child may suffer from a headache due to a common illness or infection, such as a cold or flu. And in serious cases, head trauma or an underlying condition such as meningitis could be causing the child’s headache. That’s why it’s important for parents to pay close attention to their child’s headache patterns.
Although it’s easy for parents to worry, most headaches in children are rarely a sign of something serious. However, parents should contact their child’s pediatrician if the child has unexplained or recurring headaches over a short period of time or on a regular basis.
Parents should also notify their pediatrician if the child’s headache is accompanied by one or any combination of these symptoms:
- Double vision, weakness in a limb or loss of balance
- Disabling pain that does not improve with over-the-counter pain medication
- Interrupted sleep
- Decreased level of alertness
- Change in personality
To help pinpoint the causes of your child’s headaches, parents should keep a diary of their child’s symptoms. Track when headaches occur, how long they last, the severity of the headache and if anything provides relief. Over time, your notes can help you and your pediatrician understand the child’s symptoms to reach a diagnosis and proper treatment plan.
Your child’s pediatrician may also ask you a series of questions to determine the source of your child’s headaches:
- Do the headaches follow a pattern or do they change over time?
- Has your child recently suffered a serious injury?
- What seems to help or worsen headaches?
- Does your child take any medications or have any past medical issues?
- Does your child have allergies?
- Is there a history of headaches in your family?
In many cases, a child’s headache may be relieved at home with simple care. Over-the-counter pain medications, rest and avoiding those triggers that prompt headaches may be enough to ease the pain.
Remember, headaches are not always a symptom of something more serious. However, parents should be mindful of the types of headaches their child has and how frequently they occur. If you suspect something is wrong or not normal, always contact your pediatrician for an appointment.
A baby’s soft, smooth skin is delicate, making it susceptible to diaper rash, a common and mild irritation of the skin that causes redness in the area where the diaper is worn. Most cases of diaper rash are caused by excessive moisture from leaving a wet or soiled diaper on for too long. The baby’s skin becomes red, irritated and prone to chafing. Painful sores can develop, and the baby becomes vulnerable to yeast and bacterial infections.
According to the American Academy of Pediatrics, more than half of babies between 4 months and 15 months of age will experience diaper rash at least one time in a two-month period. Diaper rash is most common between 8 to 10 months of age, or when a baby is introduced to solid foods, which increases the frequency of bowel movements.
Soothing Your Baby’s Diaper Rash
If your baby develops diaper rash, one way to improve its condition is to change his or her diaper frequently. Other helpful ways to treat diaper rash include:
- Rinsing the affected area with warm water and a soft washcloth
- Pat dry; never rub
- Avoid baby wipes that contain alcohol or are fragranced
- Allow your baby’s bottom to air out whenever possible
Preventing Diaper Rash
Parents may not be able to prevent diaper rash completely, but you can do a lot to keep the irritation to a minimum. The American Academy of Pediatric recommends the following steps to keep diaper rash at bay:
- Apply a heavy layer of diaper ointment or cream to your baby’s bottom after every change.
- Leave breathing room in the baby’s diaper, and avoid putting the diapers on too tightly as it will trap moisturize and prevent air circulation.
- Switch diaper brands or use extra absorbent diapers to whisk away moisture and keep skin dry.
- Change the baby’s diaper immediately after it becomes wet—this is the key to preventing diaper rash.
The good news is that preventing and treating a diaper rash is fairly easy, and most breakouts can be resolved in just a few days. Call your pediatrician if the rash won’t go away or doesn’t improve after a few days. You should also bring your child to see his or her pediatrician if the rash is accompanied by blisters, a fever or pain.