Posts for category: Child Health 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.
A common condition seen in kids and teens, asthma is a lung condition that causes trouble breathing and shortness of breath. During an attack, the bronchial airways become inflamed and the muscles surrounding them constrict, making breathing difficult. Repeated attacks may cause permanent lung damage and in severe cases can be life-threatening. According to the American Academy of Pediatrics, more than 23 million Americans have the condition and more than one-quarter of them are children under the age of 18.
There are a variety of triggers that can lead to an asthma flare-up or make asthma worse. These vary for every person, but common triggers include:
- Allergens, such as animal dander, pollens, mold and house dust mites
- Environmental irritants, such as cigarettes, dry air, fragrances and air pollution
- Infections, such as pneumonia, sinus infection and viral infections of the nose and throat
Does my child have asthma?
According to the Asthma and Allergy Foundation of America, asthma is the most common chronic medical problem in children. Asthma symptoms will vary in frequency and severity, and most children with asthma develop their first symptoms before the age of five. Common signs include:
- Difficulty breathing
- Tightness in chest
If you think your child may have asthma, contact your pediatrician. They can help you identify the early signs of childhood asthma and provide support for prevention and treatment.
A child may be at a greater risk for having asthma if there is a family history of asthma or if the child has eczema or frequent bouts of chronic lower respiratory problems occurring before the first birthday. Keeping your kids away from cigarette smoke in the home or car, removing pets from the house, paying attention to pollen and air quality forecasts and monitoring exercise are all ways to reduce asthma problems.
The good news is that the majority of asthma cases are only mild, and when the condition is properly managed with medications and extra caution, severe asthma flare-ups can be prevented. Work with your child’s pediatrician to learn more about the condition and ensure your child leads a healthy, normal, active life.
It may seem like your teenager is ignoring you, but in reality, they may be having trouble hearing you. More and more we see kids listening to their MP3 players while doing homework, walking to school or riding in the car. The result? A surge in hearing loss.
For years, studies have shown that constant exposure to loud sound damages hearing. In fact, between the mid-1990s and 2006 there was a 31 percent increase in the prevalence of hearing problems among U.S. adolescents, according to a study by the Journal of the American Medical Association. Researchers suggest that one in every five teens today has some sort of hearing impairment.
Chronic exposure to loud noise may not cause hearing loss in the short term, but it can gradually result in irreversible hearing loss later in adult years. Even slight hearing loss can have a negative impact on a child’s academic success and social interaction. Warning signs of potential hearing loss include: difficulty following directions, asking that things be repeated, trouble with speech and language and listening to the TV at a high volume.
With the prevalence of music devices only gaining popularity, parents need to be particularly aware of their kids’ music-listening habits and educate them about the dangers of excessive noise.
To mitigate hearing loss, talk to your kids about how to use their music players properly to protect their ears from hearing damage.
- Teach kids to never play their music devices at full volume.
- Monitor your child’s music volume and frequency.
- If you can hear the music from the child’s ear buds, then the music is too loud.
- Explain to your child the importance of wearing ear protection when they are in an environment with loud noises for long periods of time, such as concerts.
The difficult truth about hearing loss is that in many cases it is not reversible, and it can even be progressive over time. Talk to your kids about the dangers of hearing loss now, and keep the volume and length of their listening to a minimum.
Whenever you have questions about your child’s hearing, talk to your pediatrician.
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.