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Hendersonville, NC
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SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Pediatrics
Languages spoken
English
Doctor Q&A
47 Answers
1 Agree
The number of answers this doctor has agreed with.
A 47-year-old member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Anaphylaxis: Anaphylaxis is the most severe type of allergic reaction. It results in swelling of areas within the mouth, throat, and upper airways, which can cause... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: Colic is still a mystery to us in the infant field, but what we do know is that it's more of a developmental issue than a gastrointestinal issue. We a... Read More
6.6k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Don't fret: Remember: there are three large vessels (two veins and an artery, usually) that are drying up inside that umbilical stump. They will crack open and fa... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Crib: Most hotels can provide a crib for your infant - just call ahead and request one. If this is unavailable, a folding crib is an option - graco and baby... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: Adverse reactions, sadly, cannot be 100% predicted based on previous vaccine reaction history, either positive or negative. Though I am a huge fan of ... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: ....But not the way you might think. Allergies to foods (and thusly, vaccines) are most directly reported between siblings, not between parents. Any c... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Cereal/Fruit: Babies need to start on an iron-fortified food by the time that they're 4 months old to fortify red blood cell production in their body, so an iron-fo... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: Mastitis occurs most often when a bacteria grows in stagnant milk, but that's not the only way you can get mastitis. Cracked or bleeding skin in and a... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: Vaccines are the best public health strategy we have to protect everyone from infectious disease, especially infants. That being said, there have been... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: You've just gone through the joys and pains of childbirth and have spent the last few weeks enjoying 24/7 time alone with your new baby - it makes per... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Your OB: Talk to your OB prior to your child's birth to make plans to bank your baby's cord blood - they are usually the medical providers who have direct acce... Read More
6.5k viewsAnswered >2 years agoMerged
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Same as you.: First things first, count the number of time zones that you'll jump. Then, add that number to your baby's normal sleep time if you're going east, and ... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: There are a couple of things that a "bull's eye" rash could represent, and most of them should be followed by a medical provider. The most common of t... Read More
6.6k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Possibly: There are some things that will predispose your baby to obesity, such as a strong family history of obesity or genetic syndromes, but there are plenty... Read More
6.6k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: There are many heart murmurs that are not malformations of the heart - these are called functional or benign heart murmurs, and usually represent turb... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: Though chicken pox is a self-limited illness in most children, there are potential severe complications from varicella (chicken pox), including retini... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: I still make raspberries. However, if your child has no meaningful speech by 12 months of age (i.e. A word or a sign that your child uses to communica... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Hypoxia: The 'whoop' in whooping cough is a forceful inhalation of air after a prolonged paroxysm of cough, often lasting longer than 120 sec. This coughing at... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: Despite the fact that lead-based paint has been banned in the US since 1977 (and in Europe since 1900!), it's still a huge environmental health concer... Read More
6.6k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: I'm a huge fan of vaccines - the best public health initiative of the 20th century. Any vaccine offered to your baby has been rigorously tested - spec... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Nasal saline: I like advising the use of intranasal saline along with a bulb syringe to help to extract the mucus from your child's nose. Your provider can often gi... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: Though it's not recommended as such, breast-feeding your new baby has contraceptive implications for many women. In other words, breast-feeding your b... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
It is not.: Once you have a case of the measles, it has to run its course. Measles is a highly contagious viral illness with a high rate of medical complications.... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: Celiac disease risk can be inherited in families, but it's no guarantee that your baby will have it if you do. As it is, most celiac disease doesn't h... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: I would first ask how you know that your baby has a sore throat - they may have sore gums, or might just not like eating. I would next remind you that... Read More
6.6k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Once, probably: It really depends on what your baby eats. Breast-fed babies often have one bm/day, or sometimes one bm every 2-3 days. The most important thing is tha... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: Yes. It is ok, and often encouraged for moms at risk for iron deficiency. Though breast milk contains low levels of iron, that iron is in a form that ... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: Vaccines are safe. Serious adverse reactions are rare - around 1 in 600, 000 vaccines given. That's about as common as being struck by lightning. Ther... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: Unfortunately, there are no great studies demonstrating that this medicine is not passed in breast milk, but due to its potentially harmful interactio... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Pacifier: Your baby will need to mimic swallowing (much like you) when you're flying in order to maintain constant middle ear pressure. Try a pacifier or breast... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: I wouldn't recommend it. Over-the-counter medication manufacturers don't test their medicines together with other over-the-counter medicines. It's bes... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Time to see the MD: While there are some periodic fever syndromes (i.e. Marshall syndrome) that might give what you're describing, it's always best to check it out with y... Read More
6.6k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: Jumpers are pure fun for your baby, as most of the time, "jumping" up and down is a pure motor reflex within your baby's legs. As kids get older, they... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: It is highly contagious - so much so that contacts to certain types of bacterial meningitis need antibiotics just because they've come into contact wi... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: Pros: has been used for centuries; pleasant licorice taste; found in many indian dishes; associated with increased breast milk production.
Cons: no g... Read More
6.4k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Hormones!: The levels of circulating hormones in your baby's body after birth are really high! additionally, they might be getting an extra boost of hormones fro... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: In fact, babies only get DHA from breast milk. Dha is docosahexaenoic acid. There are formulas that contain docosahexaenoic acid single-cell oil (dhas... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Apnea; cyanosis: Apnea refers to a period where someone stops breathing entirely for 20 seconds or more. Cyanosis refers to a bluish discoloration to the skin that hap... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Social/Speech delays: The three key features of autism are 1) delay in language development, 2) poor social interactions, and 3) obsessional or repetitive behaviors. New sc... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: If your child is less than 12 months old, your provider should perform both a renal ultrasound and a voiding cystourethrogram (VCUG) in order to deter... Read More
6.5k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Fever/Lab Test: The "flu", or influenza, is usually accompanied by a spiking fever that is most often > 101 f. Irritability and fatigue often accompany it as well. Rh... Read More
6.6k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Yes: The first teeth are generally one of the four incisors, either upper or lower.
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
5: Before you scream in frustration, realize that those 5 vaccines are spaced out over the first 4-5 years of your child's life. Your baby will get three... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Best to check it out: While most of the skin lesions we see in babies require little more than reassurance, there are a few that can be infectious or even dangerous. It's b... Read More
6.6k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
See your provider: Most umbilical cords separate by 2-3 weeks of age. Cords that do not fall off by 3 weeks of age may represent a serious immunodeficiency called LAD (l... Read More
6.5k viewsAnswered >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
No: Rashes are fun - and the vast majority of rashes in newborns are not worrisome. A rash would be infectiously spreading if it moved between contiguous ... Read More
6.6k viewsReviewed >2 years ago
A member asked:
Dr. Paul Tranianswered
Specializes in Pediatrics
Vitamin D: Vitamin d doesn't pass through breast milk - it's the only vitamin that doesn't. For babies partially or completely breast-fed, the vitamin d suppleme... Read More
6.5k viewsAnswered >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
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Recommendations
177
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Trani is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Trani is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! thanks for ans.
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Thanks for your quick reply! Thank you much!
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Thank you, your answer was very helpful!
Education & Training
Medical/Graduate school
Virginia Commonwealth University School of Medicine, VA
MD
Awards
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