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Doctor Q&A for Dr. Ruben Nazario

A member asked:
Dr. Ruben Nazario
Specializes in Pediatrics
No: Although there was a lot of information floating around the web about a link between the MMR vaccine and autism, there are no credible studies to establish such a link. The lead author of the study that established such links has been widely discredited for manipulating the evidence and data in his research.
A member asked:
Dr. Ruben Nazario
Specializes in Pediatrics
No: The majority of ear infections are caused by viruses, so antibiotics won't help. Your doctor may prescribe antibiotics if your baby is less than 6 months of age, or if the infection is severe. Older toddlers who have mild illness or whose diagnosis is uncertain can be watched without antibiotics, with close follow up over the next 24-48 hours.
A member asked:
Dr. Ruben Nazario
Specializes in Pediatrics
Yes: Depending on the age of your child your doctor may do a renal ultrasound to identify any anatomical problems that could have predisposed to the uti. Your doctor may also obtain a vcug, a test that checks for the presence of urinary reflux, the back-flow of urine from the bladder to the kidneys, which can also predispose to urinary tract infections. Other tests may follow depending on those results.
A member asked:
Dr. Ruben Nazario
Specializes in Pediatrics
No: The american academy of pediatrics recommends giving vitamin d supplements to all breast-fed babies for at least the first year, as human milk does not contain enough vitamin d to prevent vitamin d deficiency, or rickets. The symptoms of rickets include softening of the bones, which can cause deformities and fractures.
A member asked:
Dr. Ruben Nazario
Specializes in Pediatrics
Yes: It could be. A bulging soft spot can indicate increased pressure in the brain, which can happen with meningitis and other serious conditions. But the fontanelle can also bulge with vigorous crying or straining. If other symptoms of meningitis, such as fever, irritability and a rash, appear with the bulging fontanelle, seek immediate medial attention. Meningitis is a very serious condition.
A member asked:
Dr. Ruben Nazario
Specializes in Pediatrics
Fever control/fluids: Measles is a viral illness easily preventible with vaccination. There has been an increase in the number of cases of measles in the U.S. Among children who are not immunized with the MMR vaccine. The symptoms of measles include fever, cough, head cold, pink eye, and a rash. Treatment is supportive with fever control and fluids, unless the child develops complications, like encephalitis.
A member asked:
Dr. Ruben Nazario
Specializes in Pediatrics
A skin infection: Impetigo is a common bacterial skin infection of infants and babies. It causes blisters or sores on the face, mostly around the mouth and the nose. These sores break and ooze, forming a yellowish crust over the infected area. Although it usually goes away on its own, your doctor may prescribe antibiotics to avoid complications.
A member asked:
Dr. Ruben Nazario
Specializes in Pediatrics
Crying unconsolably: A common definition of colic is an infant who cries for more than 3 hours a day, 3 days of the week, for more than 3 weeks. Although no one knows for sure what causes it, colic is fairly common, starting a few weeks after birth. Luckily, this condition goes away by about the third month of life. The main thing is to make sure your baby's crying is not caused by a serious condition.
A member asked:
Dr. Ruben Nazario
Specializes in Pediatrics
Yes: Febrile seizures are common and very scary events. They occur in children between the ages of 6 months and 5-6 years of age, when they have a sudden rise in their body temperature. Your child has a higher chance of having febrile seizures if he/she has had them before, or if they have a sibling that has had them.
A member asked:
Dr. Ruben Nazario
Specializes in Pediatrics
Not necessarily: Babies tug their ears for many reasons, mostly because they are there and are easy to reach! but if the baby pulls her ears at the same time she has a fever or acts sick, then have your doctor look at the ears to see if there is an ear infection present.
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