Doctor insights on:
My toddler has been seen by a pediatric pulmonologist and is on flovent daily and albuterol as needed, but still coughs all night lately, suggestions?
Ask the Pediatrician: Your baby's primary pediatrician should be able to interpret the pulmonologist's advice, and help you to alter the doses of medication so that the symptoms resolve. ...Read more
Toddler uti: Hard to say. If whoever diagnosed your toddler with a UTI feels uncomfortable managing his/her UTI and wants him to see a pediatrician then I would feel grateful that your doctor recognizes when he/she needs help. A scary doctor is one who doesn't know what he doesn't know. ...Read more
Toddler eats little. Pediatrician said healthy, weight not an issue motherinlaw gives iron, won't listen, wants her fatter. Dangers, concerns?
You are parent: You or your husband need to put your foot down with this woman without exception. It is up to you, in consultation with your pediatrician, to decide what is healthy for your child. Older generations felt "fat was better". That meant people had enough wealth for food, etc. Food was given for love/affection (we still give chocolate on valentine's). If you don't want obese child at 5, nip it now! ...Read more
Toddler had glucose in urine but her pediatrician said she does not have diabetes what can cause this?
Usually normal: The diagnosis of diabetes is based on the blood glucose. Urine glucose has filtered through the kidneys and is dependent on a kidney threshold (similar to a dam wall). Some children have a low threshold allowing a normal blood glucose level to filter into the urine resulting in a positive test. Also a rise in glucose can be transient coinciding with stress, which can be an infection. ...Read more
A pediatrician recommended Benadryl (diphenhydramine) for my toddler's cold. Is allegra similar? 24lbs
My toddler has a pea sized lump on her arm. Should I take her to her pediatrician or the dermatologist?
Pediatrician: Hello. For a small lump that is otherwise asymptomatic, I think it is fine for your toddler to have it evaluated by her pediatrician first. If the lump is in the area where a vaccine was given, it could be a small cyst in the subcutaneous fat of the skin that will resolve in a few months. If the lump is something more unusual, the pediatrician will direct you on the appropriate referral doctor. ...Read more
Took my toddler to the pediatrician & she has a viral rash today (after 3 days of high fever) is she no longer contagious now that fever is gone?
My toddler has febrile seizures, &seizures without the fever. Has been to the pediatrician or hospital every other week for something for a year. Why?
Seizures: It sounds like your doctors have not been able to find a diagnosis nor a medication to control the seizures adequately. I hope a pediatric neurologist and or geneticist is involved at this point. If your toddler is taking the prescribed medications then he/she may need additional care from a specialist. ...Read more
Toddler w/ tubes. Go Feb to have them taken out. She has what pediatrician called a severe infection in right ear. Ped wants us to call ENT. Why?
Assessment: If she still has a severe infection in the right ear, your pediatrician may want an assessment before the tubes are pulled. If the infection is coming from the middle ear, the tube is enabling drainage. It is also possible the infection/ reaction may be related to the tube which is a foreign body. All the best and I hope her ears improve. ...Read more
What could cause a toddlers scrotum and back side of penis to be bright red? and sensitive to the touch? could it be serious? Pediatrics
Could be serious: Sounds like you need to have things checked out. Testicular torsion (a serious problem affecting a testicle that causes blockage in blood flow) can cause severe pain and would need to be evaluated right away. An infection can also cause redness and pain. Some infections (such as yeast in the groin) are less serious and treated with creams; others (such as bacterial) would need oral antibiotics. ...Read more
Recently 2 days back our pediatrics during 4 month wellness child checkup, found that our boy's left testicle is very small. Dr ordered ultrasound and the report was "Left Testicle Atrophic". He just talked over phone gave us this news. Our life is comple
Atrophic Testicle: This will have no clinical significance. Sometimes there is an intra utero torsion (ie. The testicle gets twisted during development). Many men are born with one testicle and they go on to have a normal life and children. Sperm production is completely normal in the other testicle. Hope this helps. :) ...Read more
Pediatrics: when should a parent get their child tested for oppositional defiant disorder (odd)? My 4 year old has been acting provocative and oppositional to adults which is beyond our control. The child frequently tantrums, constantly questions rules an
Your's: Your's child's behavior is obviously disrupting his life as well as yours. It sounds like you have tried some behvior modification techniques and haven't been successful. The first place to start is with your pediatrician to help guide you to resources in your area for child psychologists or developmental/ behavioral pediatric specialists. These specialist can help determine if this is a simple behavioral problem that can be managed with behavioral techniques or if there he has a disorder such as odd, adhd. It sounds like it's time to ask for help. ...Read more
See below: We can only help if we know what the illness is. Please let us know. ...Read more
Questions for doctor:
1. Is my child developing appropriately for age?
2. What are should the diet consist of, how much and how often?
3. When are the next vaccines due?
4. How much sleep should my child be getting?
5. Is it normal for my child to (insert behavior here)?
6. Is my child growing appropriately?
7. What other screenings should we be having done (i.e. dental, vision, hearing, psychological, etc.) ...Read more
Overheard resident say "flk" and attending say my child needs to see pediatric geneticist. What was that about?
Medical slang: Flk stands for “funny-looking kid, ” and was a general term for infants affected with various malformation syndromes, particularly those involving multiple facial abnormalities. Considered demeaning and insensitive, it is no longer in use. ...Read more
Depends: Many pediatric dentists will see kids until they don't want to come back. Some regular dentists don't want to see kids until they are old enough to talk, some won't see them until older. It is best to check with your local sources to see what the community/ provider habits are and go from there. ...Read more
Can someone tell me if pediatric dental is a requirement under the acc if you don't have a child?
Will a pediatric stethoscope hear just as well as a full-sized one, on an older child, for home use?
They are not adults: Pediatric surgeons are surgeons w additional fellowship training in the surgical treatment of infants, children and young teens. Although some general surgeons treat children, for more specialized needs a pediatric surgeon is best. Remember children are not small adults, body size, chemistry and biology makes specialized care important. Pediatric surgeons usually affiliate w children's hospitals. ...Read more
Depends: The differences between pediatric cardiology and adult cardiology are not entirely related to age of the patients. Adult cardiologists concentrate on acquired heart disease, most importantly coronary artery disease. Pediatric cardiologists concentrate on congenital heart disease. When transitioning to an adult cardiologist, make sure you find someone with competence in your disease. ...Read more
Primary care visit: Primary care means a docotr who specializes in preventive care and has basic knowledge of most of the systems and would know when to refer the patient to a specialist. I think what u mean tho is a visit for immunizations and counseling for preventive care and exam for gaging the normal devewlopment in a child. ...Read more
When should a child stop seeing a pediatric cardiologist and begin seeing a general cardiologist?
Cardiologist: When the pediatric cardiologist kicks him out. ;) They will also refer you to one they trust. ...Read more
At what age can a child stop seeing a pediatric dentist? Our daughter just turned twelve, and we're wondering what is the appropriate age to switch over to a normal family dentist? .
Maybe!: Every child is different. If you child is excited about going to the pediatric dentist I would not change. If you child is "feeling too old" then it may be time to switch up. There is a big difference in how pediatric offices are run and adult offices. It can be intimidating for a child to be put into an operatory all alone for a cleaning when they are used to being in open areas! ...Read more
Until not comfortabl: Pediatricians can see children until age 21. A female child can see her male pediatrician until then......If she becomes uncomfortable at any time and wants to switch, then consider it then. Many adult women see male gynecologists and male internal medicine docs. Having a physician you trust is theist important part...Not the gender of the doctor. ...Read more
Insurance Agent: Your insurance agent will be better prepared to answer these types of questions, since they are more familiar with the requirements of the aca provisions. As an analogy, property owners pay local school taxes, even if there are no school age children living on that property. ...Read more
Are there any pediatric tumors that grow fast from hormone increases during a child's teen growth spurt?
Should any pediatric endo doc's use adult 11.25 im (3 month slow release dose) on a child every 28days 4 precious puberty for 1 year? Why / why not?
Usually not: The 3- month prep is used every 3 months. Studies have shown its effectiveness suppressing gonadotropins in children using it that way. I've not encountered it used monthly, nor are there published studies using that formulation monthly. If 11.25 mg isn't working, there is an effective 30 mg dose which is used every 3 months. The supprelin implant which is annually replaced is also very effective. ...Read more
Pediatric neurology question? Can kids have nosebleeds from stress? Happened a few times in child under 6
Anything's possible: But it's far more likely, and common, for kids to have nosebleeds from nose picking. ...Read more
When pregnant, what are long-term risks to an unborn child of working in a pediatric office? (like being exposed to flu and other contagious diseases)
That's a tough one,: Because you can get your torch titers & take the flu-mist before you conceive, wash your hands till they're raw, & still get sneezed, pooped or peed on with goodness knows what. In light of the recent danish article on increased incidence of autism in children whose moms had a viral illness with fever for a week, not always the 'flu, i'd say it's a personal decision till we know more. ...Read more
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