My Blog

Posts for category: Child Health

By Goodman Pediatrics
May 16, 2022
Category: Child Health
Tags: Anxiety  

Be able to spot the warning signs of anxiety in your child.

Anxiety is undoubtedly on the rise, not just for adults but for children. The pandemic has certainly left kids feeling uncertain and worried about the future. It’s important to pick up on the signs that your child might have anxiety so you can talk with their pediatrician about tips and strategies to help them better cope with the issues they’re facing.

What Are the Signs and Symptoms?

Children with anxiety may display these behaviors or motions,

  • Avoidance
  • Anger and aggression
  • Irritability
  • Mood swings
  • Nightmares
  • Headaches
  • Unexplained physical symptoms such as stomachaches
  • Nail-biting and other “nervous habits”
  • Bedwetting
  • Appetite changes
  • Insomnia
  • Social withdrawal and isolation
  • Issues focusing or concentrating

How Can I Help My Child?

It’s important to figure out the type of anxiety your child is dealing with to help them cope with these emotions, thoughts, and behaviors. There are certain habits you can start adopting now that can help your child better deal with their anxiety symptoms,

  • Don’t try to reason with your child when they are panicked or anxiety
  • Help them take deep belly breathes to help stabilize their sympathetic nervous system
  • Validate your child’s fears and listen to them; never dismiss them or tell them to “buck up”
  • Don’t avoid the fear, which can often make it worse, but help your child face the fear with baby steps (talk to your child’s pediatrician about the best ways to do this)

These are some helpful tips to get parents started when they notice their child’s “worry brain” taking over. Of course, if you suspect that they could have a true anxiety disorder, it’s important to speak with your pediatrician right away.

How Are Childhood Anxiety Disorders Treated?

In most cases, your pediatrician will provide a referral to a psychotherapist that works with children. The first appointment, or intake session, will allow the therapist to get to know your child and determine if they have an anxiety disorder. Cognitive-behavioral therapy tends to be the ideal treatment option to help children talk through their fears and discover effective coping strategies to help them face and overcome their fears. Sometimes medications are prescribed in conjunction with therapy and lifestyle changes.

Worried that your child might have an anxiety disorder? If so, this is the ideal time to speak with their pediatrician to find out if they could benefit from additional diagnostic testing or talking to a mental health professional who works with children. A pediatrician can provide resources, support, and referrals.

By Goodman Pediatrics
September 21, 2021
Category: Child Health
Tags: Cleft Lips   Cleft Palate  
Cleft LipsThe day your child is born is one of the most exciting moments in a parent’s life. Of course, finding out your precious newborn has a cleft lip or palate can make things a little more complicated. Luckily, a pediatrician can help you determine the best way to treat your child’s cleft lip or cleft palate to put your mind at ease.
 
Why should a cleft lip or cleft palate be treated?

A cleft lip and palate can present many challenges if left untreated including serious hearing, speech, and swallowing problems. As you can imagine, a cleft lip or palate can affect a child’s speech. Children born with these birth defects are also more likely to deal with recurring ear infections and even hearing loss. By repairing this birth defect as soon as possible we can minimize these issues.

Most children will undergo a cleft lip repair between 3-6 months old, while children will often get a cleft palate repair within the first 12 months. Consequent surgeries may be required later on depending on a variety of factors, including the severity of the defect.
 
How is a cleft lip and palate treated?

Surgery is the only way to correct a cleft lip or palate. The goal of this surgery is to not only improve your child’s appearance but also make it easier for them to speak, chew, or hear. This surgery is performed under general anesthesia, so your child will be asleep throughout the procedure.

To repair a cleft lip, a surgeon will make incisions on both sides of the defect and then stitch the two pieces of tissue together to close the gap, which will greatly improve the shape and appearance of your child’s lip. A cleft palate repair is also performed under general anesthesia and involves making incisions on both sides of the palate to restructure and rebuild the roof of the mouth.
 
If your child is born with a cleft lip or cleft palate and you want to talk to us about their treatment options, then turn to your pediatrician to learn more. Your pediatrician is always here to provide you and your little one with the best care possible.
By Goodman Pediatrics
July 15, 2021
Category: Child Health
Vitamin DVitamin D deficiency is incredibly widespread in the US, and not just with adults! In fact, about one in 10 children in the US are deficient in vitamin D and as many as 60 percent could have “suboptimal levels” of vitamin D, according to Johns Hopkins Medicine. This is why all pediatricians need to screen children for a vitamin D deficiency, as this can impact bone growth, metabolism, and multiple organs and systems.
 
The Importance of Vitamin D

Vitamin D is critical for all of us, but especially children. Vitamin D is needed to absorb calcium, as well as for the support and development of a healthy body. Children with severe vitamin D deficiencies may develop muscle weakness, delayed motor development, rickets, and fractures.
 
Where to Get Vitamin D

Unlike most vitamins, which we can often get through diet alone, vitamin D is acquired through time spent in the sun. You won’t find many foods that naturally contain vitamin D. Unfortunately, if you’re in a place that doesn’t get much sunlight then chances are good your child may not be getting enough vitamin D.

Children get about 80 percent of their vitamin D from sunlight. So if your child doesn’t spend much time outdoors (especially during the winter months) it’s a good idea to talk with your pediatrician about ways to ensure that your child is getting enough vitamin D.

Children with certain health problems such as cystic fibrosis or celiac disease, as well as children who’ve undergone bone surgeries may require more vitamin D. This is something you should discuss with your pediatrician. Children over 1-year-old need at least 600 IU of vitamin D (or more) a day. Ideally, children should get around 1,000 IU of vitamin D per day.

We also know that too much time in the sun can also pose risks for children, especially their skin. During the summer months, children only need a few minutes a day in the sun to get enough vitamin D. During the winter months, kids should get about 2-3 hours per week. Children under 6 months old should never be placed in direct sunlight.

Children with darker skin will also need to spend more time in the sun to produce the same levels of vitamin D as kids with lighter skin. Just sitting inside near windows won’t be enough for your child’s body to produce vitamin D.
 
Nothing is more important than keeping your child healthy. If your child hasn’t been checked for a vitamin D deficiency, you must talk with your pediatrician to find out if this screening is right for them. Fortunately, if you find out that your child is deficient, it’s an easy fix!
By Goodman Pediatrics
June 21, 2021
Category: Child Health
Pediatric Urinary IncontinenceWhile children under 3 years old will not have control over their bladders, older kids that still have issues with bladder control may have something known as urinary incontinence or enuresis. As a pediatrician, we understand that this issue can be distressing for kids and their parents. Here’s what you should know if your child is dealing with daytime or bedtime enuresis.
 
When to See a Pediatrician

Accidents happen, but if bedwetting or daytime enuresis is becoming quite frequent in older children then it’s worth seeing your pediatrician for a closer evaluation. Girls happen to gain bladder control a little faster than boys. Girls are often diagnosed with enuresis if they continue to have bladder control issues past the age of 5, while it’s often diagnosed in boys after age 6.
 
The Causes of Enuresis

There are many reasons why your child might be dealing with enuresis, which is another reason to see a pediatrician for answers. Whether your child is dealing with nighttime or daytime enuresis, or both, gives us some idea of what the cause might be. Common causes of nighttime or daytime enuresis include:
  • Overactive bladder
  • Small bladder
  • Intense deep sleep
  • Urinary tract infection
  • Caffeine
  • Anxiety
  • Sleep disorders (often obstructive sleep apnea)
  • Structural issues within the urinary tract
  • Constipation
  • Diabetes
Treating Enuresis

Sometimes enuresis goes away on its own without treatment, while other causes may require treatment. For example, a urinary tract infection will require medication to treat the infection and alleviate the enuresis. Underlying health problems such as diabetes will also require proper treatment and long-term maintenance and care.
We will evaluate your child and ask a series of questions about their symptoms, including their fluid intake, whether they drink caffeine, issues with constipation, trouble or pain with urination, and stress levels. This is will give us clues as to what might be causing your child’s symptoms. From there, we can recommend the best course of action.
 
If you have any concerns about your child’s health, whether it’s bedwetting or immunizations, your pediatrician is the first person to turn to. If your child is wetting the bed or having issues with bladder control, don’t hesitate to talk with your child’s doctor to determine the cause.
By Goodman Pediatrics
May 17, 2021
Category: Child Health
Children's NutritionWhen you turn to your pediatrician for nutritional advice or help, they will always take a personalized approach to help your child meet their nutritional goals, whether that’s losing weight, getting more regular activity, or eating a healthier diet. You may have questions about your child’s nutritional needs, particularly as they grow. We’ve compiled some of the most frequently asked questions regarding childhood nutrition.
 
Is fruit juice healthy?

Many people seem to think that juice is healthy, and while it does contain vitamin C, there are certainly better sources for ensuring your child gets enough of this important nutrient. Today, most fruit juices found at the grocery store are chock full of sugar and can contribute to weight gain and increase the risk for cavities. A better alternative is whole fruits since they provide more nutritional value than juice will.
 
How many calories should my child consume a day?

How many calories your child consumes will depend on their gender, age, and activity level. A recommended calorie range for kids between 6-12 years old is between 1600-2200 per day. Verywell Family provides a more detailed breakdown by age and gender.
 
I’m worried that might child might not be getting the nutrients they need. What should I do?

First, it’s important to keep in mind that kids don’t need to eat as much as we do, so their portions will be considerably smaller than ours. If your child is growing then chances are good that they are getting the nutrients they need; however, if you find that your child is refusing meals or isn’t eating it’s important to bring this up with your pediatrician as soon as possible.
 
How can I prevent my child from becoming overweight or obese?

To help your child maintain a healthy weight they must be eating a healthy, balanced diet with fruits, vegetables, whole grains, and lean sources of protein. Make sure that they are also getting at least one hour of physical activity every day. Limit sugar and processed foods.
 
Is snacking okay for my child?

Young children may seem voraciously hungry and may beg for snacks. How many are actually okay? It’s normal for little ones to want food every 3-4 hours. While snacking can be a great way to prevent kids from overeating during mealtimes you don’t want to ply them with treats (and you want to be sure you’re providing them with nutrient-rich snacks rather than sugary ones).

A snack mid-day between lunch and dinner is typically the best time. If it’s only going to be a couple of hours before a meal, then something small like a piece of fruit or a slice of cheese with crackers is good. If your child isn’t going to eat for more than four hours then you’ll want a snack that incorporates protein, fat, and carbs to satiate their appetite.
 
If you are concerned about your child’s health because they are “picky eaters” or are struggling with their weight, you must speak with their pediatrician to find out options that can help them lead a healthier lifestyle.