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Guidelines 2011: Sleep apnea is by far most common reason, 7 streps in 1 year, 5 streps per year in 2 years, 3 streps per year in 3 years, chronic tonsillitis/sore throat, concern for mass. These are respected and insurance goes by them. http://www.webmd.com/oral-health/news/20110102/new-guidelines-on-when-kids-need-tonsillectomies http://www.Entnet.Org/healthinformation/upload/cpg-tonsillectomyinchildren.Pdf. ...Read moreSee 2 more doctor answers
Varies: Kids with ADD/ADHD are easily distracted especially in group situations, such as school, home, activities. They may not even hear a complete spoken sentence as a result. So they can appear rude and disruptive. Short-term memory is limited so they forget lots especially if not written down. They get in trouble and become depressed as a result, but can frequently turn it around with treatment. ...Read moreSee 2 more doctor answers
Antibiotics: There is no definitive cause of nec, however most suspect it has to do with an immature intestinal system, alterations in blood flow and rapid escalation of milk feedings. Antibiotics for 10-14 days are generally recommended for infants with nec. Sometimes surgery may be needed as well. ...Read moreSee 2 more doctor answers
Agree with Dr. Yoder: I would add, though, that many of our kids are not doing enough exercise during the other three seasons either! i tell my patients that they need some exercise daily, and that the only day they are allowed to not exercise at all is the day of their funeral (which, i add, i hope won't come for a hundred years or so). ...Read moreSee 2 more doctor answers
Age dependent: Kids don't need to be on these sites, & if kids do go on- only with supervision and on age-appropriate sites. Sites that allow kids to interact with careful guarding of personal information (see http://bit.Ly/c53qkq) can help kids learn limits on line. It is a fact of life that they will enter onto the internet, supervised learning with safe sites can help them adjust to others as they get older. ...Read moreSee 2 more doctor answers
6 months: There is no good evidence that delaying nuts -- or any food -- beyond 4 to 6 months old reduces allergies. In fact, the delay may increase the risk food allergies. However, unless crushed, etc., nuts and nutbutters are shapes or textures that are easy to choke on. Avoid any choking hazards. Also, I do suggest avoiding commonly allergic foods when a child is on antibiotics or has a GI illness. ...Read moreSee 2 more doctor answers
No: Kids are designed to be enticed by colorful nutritious foods such as a rainbow of fruits & vegetables. Artificial colors overwhelm and hijack this attraction, luring them to processed foods. And the dyes themselves, often made from coal, have been linked in some studies to problems with learning, attention & behavior. Risks vs benefits? With no benefit, the dye's small risk is unecessary. ...Read moreSee 1 more doctor answer
Quickly: Those who are not used to a smoke filled environment may have a notably rough time when suddenly put into one. There can be an irritation of allergies, asthma, etc. If you or the children have these things, you may need to make other plans. I would prepare them tactfully so they don't loudly exclaim about it, but watch for breathing issues, coughing, etc, and if they happen, make your regrets. ...Read moreSee 1 more doctor answer
Very early: Learned behaviors start at 6 mos.; you can teach a lot by a year. At 15-16 mos., a toddler will " do what you do, not do what you say, " so model what you expect of him. At 18 mos. Developmental age a child can understand " time-out." "Little people" by Dr. Ed Christopherson is a good book . Keep your rules short, & what you want, e.g., "feet go on the floor, "not "don't stand up in that chair." ...Read moreSee 2 more doctor answers
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