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Posts for category: Child Health

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.
By Goodman Pediatrics
April 30, 2021
Category: Child Health
Tags: Ear Infection  
Ear InfectionWondering if your child might be dealing with an ear infection?

While you will certainly know when you’re dealing with an ear infection; unfortunately kids, particularly newborns and toddlers, can’t tell you that they are experiencing ear pain. Ear infections are incredibly common in young children, with five out of six children experiencing at least one ear infection by the time they turn three years old. Know the warning signs and when to turn to your pediatrician for treatment.

They may have trouble sleeping

It’s not too surprising that with pressure building up in the middle ear due to bacteria that your child may get fussy or even throw a tantrum about going to bed. Children with ear infections often toss and turn and feel worse when they lie down. If your little one suddenly starts crying when they lie down this could be a sign of an ear infection.

They tug at their ears

While a toddler won’t be able to tell you that their ear hurts, they can show you. You may be able to discern whether your child could have an ear infection by whether or not they are tugging and pulling at their ears. Again, the pressure inside the ears can be incredibly uncomfortable and even painful, and children might fidget with their ears to minimize the discomfort.

They could have a fever

If a child has a middle ear infection, commonly, they could also have a fever. If your child’s ear looks red, if they tug at their ear and seem fussier lately, and they have a fever over 100 degrees F then it’s probably time to see a pediatrician.

Their ears might drain

Another telltale sign of an ear infection in your little one is the presence of fluid or pus draining from the ear. If there is the presence of blood in the fluid this might be a sign of a ruptured eardrum. While the eardrum will heal on its own, it’s still a good idea to see your pediatrician if pus or fluid is draining from your child’s ear.

If your child is displaying symptoms of an ear infection, or if you’re concerned about your child’s recurring ear infections, it’s important to talk with your pediatrician. A pediatrician will be able to dispense the proper medication and discuss other ways to reduce your child’s risk of developing future infections.
By Goodman Pediatrics
March 26, 2021
Category: Child Health
Whooping CoughPertussis, more commonly referred to as whooping cough, is a contagious bacterial infection of the lungs. The nickname comes from the “whooping” sound that occurs when a child breathes. While many people assume that whooping cough is an infection that no longer exists, it’s actually more common in the US than we’d like to admit. In fact, pediatricians have seen an increase in the number of whooping cough cases over the last couple of decades.
 
Whooping Cough May Look Like a Cold

You might brush off the early signs of whooping cough because they look an awful lot like the common cold. Older children and teens may develop congestion, mild fever, cough, or runny nose; however, within the first 1-2 weeks you will notice that the cough gets worse. In fact, your child may develop severe and sudden coughing fits.

Children and newborns are more likely to display severe symptoms. They may not have a whoop in their cough, but they may vomit or show severe fatigue after coughing. While anyone can develop whooping cough, infants are at particular risk for serious and life-threatening complications so it’s important to have your family vaccinated.
 
Vaccines Can Protect Against Whooping Cough

While newborns are too young to be vaccinated against whooping cough, you should make sure that the rest of your family is fully vaccinated. The DTaP vaccine will protect against whooping cough and will be administered at 2, 4, and 6 months old, again at 15 to 18 months, and again at 6 years for a total of five doses.
 
Turn to a Pediatrician Right Away

If you suspect that your child might have whooping cough, you must call your pediatrician right away. Children under 18 months old may require hospitalization so doctors can continuously monitor them, as children are more likely to stop breathing with whooping cough. Of course, coming in during the early stages of the infection is important as antibiotics are more effective at the very start of the illness.
 
Until the body clears whooping cough, some of the best ways to manage your child’s symptoms include,
  • Resting as much as possible
  • Staying hydrated
  • Sticking to smaller meals to safeguard against cough-induced vomiting
  • Making sure your family is up to date on their vaccinations
If you want to fully protect your child against many dangerous communicable diseases, one of the best ways is through vaccinations. Your child must be up to date on all of their vaccines. Talk with your pediatrician to find out when your child should get the whooping cough vaccine.
By Goodman Pediatrics
March 16, 2021
Category: Child Health
Tags: Pediatrician   Thumb-Sucking   Pacifier  
Thumb SuckingReflexively, your baby is born with the ability to suck. It makes sense. After all, your little one must be able to suck to get nutrients, whether breastfeeding or bottle-feeding. Thumb sucking also has the ability to soothe and calm your little one. However, there are moments as your child gets older where thumb-sucking may become a problem. Your pediatrician can provide you with the tips and tricks to help your little one grow out of this habit.
 
Thumb-Sucking Tendencies

This is a normal habit in newborns that typically goes away around 6-7 months; however, this seemingly innocuous habit may actually be a cause for concern if thumb sucking continues beyond 2-4 years, where it can alter the shape of the face or cause teeth to stick out.
 
When to Consider a Pacifier

Many children desire a pacifier between feedings, but this should not be a replacement for feedings. It’s important to recognize when your child is sucking because they are hungry and whether they merely want to self-soothe. If your child still has an urge to suck and they don’t need to nurse, then a pacifier is a safe way to soothe and ease your child’s needs (if they want it).
 
It is safe for children to use a pacifier while sleeping, whether at bedtime or when they go down for their naps. Just prepare for babies to wake up fussy in the middle of the night when the pacifier falls out of their mouths, as they aren’t able to place the pacifier back in their mouths themselves. Make sure that you do not try to place the pacifier on a string around your baby’s neck or tie it to the crib, as this can lead to a serious and potentially deadly injury.
 
How to Phase Out the Pacifier
There will come a point when your child will need to give up their pacifier. While the medical community has different age ranges, The American Dental Association recommends that children stop using a pacifier by age 2, as going beyond two years old could alter the alignment of your child’s teeth or impact the shape of their face.
 
Here are some tips to phase out the pacifier,
  • Do not tease or punish your child for using a pacifier, but instead praise them when they do not use it. Provide them with rewards when they go without it.
  • Some children use pacifiers out of boredom, so give your child something to do to distract them such as playing with a game or toy (to keep their hands busy).
  • If incentives and rewards aren’t enough and your child is still using a pacifier, your pediatrician may recommend a “thumb guard” that can prevent your child from sucking their thumb. While you may feel in a rush to get rid of your child’s pacifier, it’s important to be patient. All children eventually stop this habit.
Even if you are concerned about your child’s thumb-sucking, it’s important to know that most children do grow out of it not long after starting school. While you can provide them with helpful ways to ditch the habit it’s important not to put pressure on them. With the help of your pediatrician, your child can and will outgrow this habit.
By Goodman Pediatrics
February 24, 2021
Category: Child Health
Tags: Head Lice  
Head LiceYou’ve just received a call from the school: someone in your child’s class has head lice. We know that hearing that your child has or might have head lice can be stressful, but don’t worry. Your pediatrician can help guide you through the best methods for getting rid of pesky head lice once and for all.

If you notice head lice in your child there’s no way around it: you have to treat the lice. They will not go away on their own. It might give you the heebie-jeebies but it’s important to find a treatment that will get rid of these little critters quickly. You should also check all members of your family to make sure they don’t have lice too, as this problem can spread quickly.

The good news is that you can often treat lice from the comfort of your own home. While there are certain hair salons that may cater to the treatment of lice, it’s worth it to try and treat the problem yourself. There are a variety of over-the-counter shampoos and rinses that can kill lice and their eggs (also known as nits). You may want to talk with your pediatric doctor about the treatment process, which products to use and whether or not you should reapply the shampoo or rinse days after the first application.

Still seeing lice? This is a literal head scratcher for some parents, but don’t worry. This is when a pediatrician can prescribe a much stronger treatment option such as shampoos containing benzyl alcohol, or lotions containing either ivermectin or malathion (both pesticides), or spinosad (an insecticide).

Since some of these products work differently from others, it is important that you read and follow all instructions. Some products will require more than one application while others will only require one. Again, if you have any questions or concerns about your child’s lice treatment don’t hesitate to talk to your pediatrician.

Treating Your Home After Lice

The good news is that lice need blood in order to survive so they won’t live very long if they don’t have a human host. However, you will want to wash all bedding, towels and clothes that may have lice or nits on them. Make sure to wash them thoroughly in hot water that is higher than 130 degrees F. If you can’t wash these items immediately, promptly bag them until you can clean them properly.

Head lice can be annoying, but turning to a qualified pediatric doctor can help you get the answers you need to tackle this hairy little problem. Call your pediatrician to learn more.