Doctor insights on:
Child Seeing Pediatrician
Leave it up to child: And physician.18-years is usual cut-off age. Many children & their pediatrician want to maintain their relationship until child graduates college at age 22+ years. Adolescent pediatricians often fill the gap between pediatrician and internist or family dr. Some children want to leave their pediatrician by age 16, especially if they don't have a same sex dr. Those kids should be allowed to graduate. ...Read more
Various: Many children as they get older see the pediatrician as an indication of childhood and want to see an adult doctor as proof of their maturity. There are some adolescent doctor specialists as well. Some children with disease needing frequent visions will stick to their pediatrician for a long time as they know each other well. So there are various answers and no absolute time. ...Read more
ABSOLUTELY: If you suspect muscular dystrophy speak with your physician who may refer you on for evaluation by a neurologist. ...Read more
How long does it take for baby acne (if this is what it is) to resolve? And if it doesn't, when should we see the pediatrician?
It's best to see a pediatrician or dermatologist to determine what your baby has and from there decide what therapeutic measures to apply.
Good Luck! ...Read more
Daughter 4 has red cheeks and lil bumps on them has no fever but she's had it every since she was a baby should I see my pediatrician about it?
Baby is gtube fed. Who on my medical team determines the diet and feeding schedule? Pediatrician, GI doctor or do we see a dietician/nutritionist?
If you are seeing a GI doctor, they should primarily be responsible for their feedings. However, your Pediatrician can also manage this in between your visits to the GI doctor as well.
I would talk with your Pediatric GI Specialist to learn what the plan is for the feedings. ...Read more
Depends: It depends on who is available in your area check with your pediatrician first. Some general pediatricians, including myself can evaluate and diagnose adhd using various tools. Others refer the child to a psychologist for a battery of test, then may give medicine if needs too. Others refer to a psychiatrist or even a neurologist. A developmental pediatrician, if available, could also see him. ...Read more
See below: What the tests are, why they are needed, how will the results influence your child's care, and any other options. ...Read more
Pediatrics: Make sure they are board-certified. Go to abp. Org to check credentials. Have an up-front conversation about communication, call-backs, expectations, philosophy on child-rearing, etc. Enlist them as a partner in your child's health. Once the relationship is established, let your doctor know you trust them. ...Read more
Within 24 hours: Where are you planning on giving birth? Babies are seen by a pediatrician within the first 24 hours of life; then seen each day while they are in the hospital until discharged. Typically 2 days for a vaginal delivery and 3 days for a C-section. Once they leave the hospital, they need to follow with a pediatrician between 2-5 days later. Choose a pediatrician before birth & they will go over appts ...Read more
Depends: Pediatricians treat kids and your age puts you out of that category. If you are asking about a kid, it depends on the pediatrician. Some prefer to refer most or their behavioral health issues out to child psychiatrist, and limit their treatment to straightforward cases. Some get more involved and treat a broader category of issues. ...Read more
My pediatrician says my child may have compression neuropathies, but I don't understand. What does it mean?
Yes: That should always be an option, although time may become an issue in some practices. Of course, it's important to recognize that as your daughter enters adolescence, your pediatrician may also start having to talk to your daughter without you present. ...Read more
Questionnaire & exam: In the early years, such as during a toddler's routine physical, pediatricians will observe a child's behavior during the visit. There are also well-validated questionnaires such as the M-CHAT that are standard for pediatricians to use to gather information from parents. The M-CHAT is a screening tool for kids ages 16-30 months old. ...Read more
How do I go about finding a developmental pediatrician for my child with some autistic spectrum issues?
Ask: Ask your pediatrician. If not check with the nearest children's hospital, their child development unit. ...Read more
My pediatrician says my child may have mucocutaneous leishmaniasis, but I don't understand. What does it mean?
Parasitic infection: Leishmaniasis = parasitic infection transmitted by bite of infected sand flies. In mucocutaneous forms it may start with skin sores which can develop into ulcers with inflamed lymph nodes. Inadequately treated or untreated it can lead to nose & throat lesions with congestion & nose bleeds. It can eventually destroy tissue of the nose or throat. Sometimes skin & mucosal lesions are simultaneous. ...Read more
My child has flat head and my pediatrician doesn't recommend helmets. What should I do? She is 8 1/2 months old.
2nd opinion: The term flat head is not very specific. A few may benefit from helmet therapy while a lot self correct. If the idea of waiting to see bothers you, get a 2nd opinion form another doc with appropriate experience evaluating these cases. ...Read more
Could craniosynostosis be missed until 15 months? Child has a ridge along metopic suture, but pediatrician says too late for diagnosis.
Craniosynostosis: Ridging along a metopic suture does not necessarily mean craniosynostosis. There are other findings associated with it that fit into the diagnosis of trigonocephaly. It is not too late for a diagnosis and a work up by a craniofacial surgeon might be helpful here for you. ...Read more
Child has jra and was seen by her pediatrician today. He said her knees has fluid on them. Should I tell call her rheumo and let her know?
JRA or IRA: I would recommend calling her, especially is your daughter is having pain. That way you can also ask for guidelines on when to call, when to worry, and when, what and how to treat at home. ...Read more
Pediatrician told me my premature child can possibly have cerebral palsy. How do they figure this out?
? 's for you: Dr. Ferguson gave you excellent advice; call now for free evaluation and services thru your state's ei program. My concern is your need to understand what your pede saw, either on physical exam or nicu report, that prompted him to mention cp, which you may equate needlessly with "wheelchair-bound." request a parent conference without baby. Ask questions, listen, write things down, till it's clear. ...Read more
I dream about becoming a pediatrician. Can you tell me how a doc deals with a child-patient loss, cuz I'm afraid of not being able to save a kids life.
My 11 years child has moderate anxiety. His Pediatrician wrote Prozac (fluoxetine). We are hesitant to use. Should we consult Psychiatric first. How safe is Proza?
Ok: Prozac (fluoxetine) is a relatively safe anxiety medicine that has been largely used for quite some time. Compared with other medicines, this is less addictive, less dangerous and more tolerable side effects. A face to face conversation with your doctor on why Prozac (fluoxetine) would be the choice would be recommended. A second opinion with a psychiatrist could also be beneficial. Good luck. ...Read more
A three year old child's eye has been constantly wateringwithout any irritation. Should I go to a pediatrician or an eyedoctor first?
Ophthalmologist: Tearing is due to either an over secretion of tears or a blockage in the tear drainage system. To diagnose this one would at least have to look at the eye under a microscope. As pediatricians do not have this equipment, you would be better served by going directly to an ophthalmologist. ...Read more
If my son is previously diagnosed with chiari 1 malformation in another town how do I talk with my child's pediatrician about getting second opinion?
Be direct: Speak to your pediatrician about your concern and make a direct request for a referral. ...Read more
Hi my daughter is 6 in sep pediatrician says my child has specific learning difficulties add also slt says language disorder / delay what's it mean?
ADHD and Specific: Learning disabilities co-occur in 30-35% of cases. Receptive &expressive language delays early on ("specific language impairment" if persistent to ~age 6) greatly increase risk of language-based learning disabilities in school. 90% of reading disorder cases stem from the brain's inability to process phonemes, the smallest units of sound in a language. Ask school for help. See lexialearning ...Read more
My pediatrician says my child may have knee cap tendon rupture, but I don't understand. What does it mean?
At what age does a child out grow flat feet? My child is 5 and pediatrician said she has very flat feet and this does cause some knee psin
Outgrowing Flat Feet: There are stable flat feet and unstable flat feet in children. Podiatrists are very skilled at recognizing the difference. As the child walks, the heel valgus can be measured and by 5years old should be only 2-3 degrees off a vertical heel. See a podiatrist to check out where your child is. Good luck. Dr rich blake. ...Read more
Do you think I should take my child who has a 104.3 temperature, I gave him Tylenol (acetaminophen) and Benadryl to the ER which is closer or PEDIATRICIAN?
ER: Better than Pediatrician's office in such case with high fever, later you can follow up with his Pediatrician, ...Read more
3 year old child, signs of autism, parents told to cut out bottle. 4 days pasted and child has not taken any liquids the child only eats raw whole apple slices and puffs. She will not touch any other food. The pediatrician has said to hold on for another
Go to urgent care: Now since dehydration Is a concern. Certainly the liquids a should not continue to be refused by your child for hours on end as dehydration is more important to avoid especially in the Summer. An assessment there is needed for dehydration and possible treatment. With an autistic child transitioning as always done slowly. Hope this helps! ...Read more