Doctor insights on:
Boomer babysitter for grandkids. I have the 1980 something nelson peds book. Is that still useful?
No treatment!: Not only is there no treatment to prevent sids, it is the most common cause of death in infants. We DO know risk factors are smoking, NOT breastfeeding, Warm room temperature, baby wearing a hat to sleep, and prone sleeping. So the least SIDS risk is the baby who is breastfed, put down to sleep on his back, in a 68 degree room, without a hat, in a nonsmoking environment. ...Read more
In general: In general, you should breast feed your newborn baby every 2 to 3 hours for about 15-20 minutes on a side. Your baby's breast feeding will slow when they start taking solid food at around 5 months of age. ...Read more
History and Physical: We all do the same things on every visit. We ask questions and then do a physical. At adolescent visits you can expect to be asked about starting your period, about drinking, smoking, friends, school, what makes you happy, how you get along with family etc. Many ask about pelvics and they are not a routine part of a 14 year well visit in a teen who is not sexually active. ...Read more
Healthy 8M baby has small palpable nodes <5mm in groin (1 node x side). Peds say is normal as most healthy infants have them palpable in there. Agree?
When we were little, mom took us to peds for antibiotics a lot> now 40 I wonder why they did that. My peds wont.?
Difficult to know: In earlier years antibiotics were given out, often without an obvious need. Now most doctors are very cautious because we have become increasingly aware of the potential for overuse and complications due to antibiotics. ...Read more
My son has perpetual pinkish lesions on his elbow that he picks. Thought MRSA but peds said just use bacitracin. What is it?
No: Newborns born to diabetic mothers are at higher risk to develop respiratory distress syndrome especially when delivered before full-term. Please be aware that estimation of due date has a margin of error of 1-2 weeks. ...Read more
Infant daughter was attacked by neighbors outside cat. It's not vaccinated. Peds refuse to give rabies shot to infant. What should I do? Can't findcat
Rabies shot...: The rabies shot is safe to give in infants. The details of the "attack" are not known to me so I can only assume that the pediatrician does not feel it falls into the risk category where the shots should be given. If you are concerned, contact local health department about the incident (they are likely the ones who would need to administer vaccine anyway - it isn't usually stocked in peds office) ...Read more
A person infected with an onychomycosis for 2 years ago. What is the quickest treatment to him? Is that differs of tenia peds treatment?
The quickest..: It could be removing infected toe nails to allow the regrowing toe nail come back on the topically treated nail bed skin after an average of 6 - 9 months. ...Read more
Comes from the interaction between sweat and shoe material, and can also come from certain infections, fungal or bacterial.
Rather than focus on how to hide or treat the odor, you need to find out what's causing it. Bring your feet to a podiatrist who will be able to tell you why you have this odor and treat the cause, not just the symptom. Good luck! ...Read more
Is it normal for an 8 year old to have pale/clay colored bm for over a month? I'm getting very irritated with his peds. A mom knows when things arent right or not.
No!: There are several causes of clay colored stools in an 8 year old, but the focus of my answer is to remind you of the power you have in the doctor/patient relationship. If your needs aren't being fulfilled, let him/her know. Accept nothing less than complete satisfaction from your provider. ...Read more
Baby doctors (peds, fp), what is the thing you wish ob providers would tell their pregnant patients?
My 5 year old son has a barking cough and is vomitting. Is this just a virus or should I take him to the peds tomorrow? No fever.
Maybe croup: The characteristic cough of croup is barking of a dog or seal. It is often caused by parainfluenza viruses..Coughing can be quite bothersome and many children have post-tussive emesis (vomiiting from coughing). Try some cough syrup..Such as robitussin (guaifenesin). If not adequate, he may need to see doc for eval and treatment such as albuterol/steroid/ and stronger cough meds etc...Good luck. ...Read more
My 21 month old has been diagnosed with bronchitis from the ER doctor. He said to follow up with her reg PEDs doc in 2 days. We set the appt. for Wed.
My son woke up with a barking cough Thursday night so we took him to the doctor Friday where he was diagnosed with croup. It is now Tuesday night and he still has fever. Peds said to come back in on Wednesday if he still had fever then. What is the next s
My friend's 3 yr old daughter has a yellow discharge coming from her vagina. Is it serious enough for UC? Or wait til Peds is open?
Probably can wait: As long as child does not have other serious associated symptoms such as bleeding, pain, pain with urination, fever, etc. Sometimes discharge in children this age can be due to a foreign object such as toilet paper, etc. As long as no other issues, it can likely wait. ...Read more
22 mo. old had a fever of 102-103 for 6 days. Has had some loss of appetite and is lethargic at times w phlegmy cough. Peds.sent us home no tests done?
Needs another visit: Six days of a high fever, even in the absence of physical findings, deserves at least a urine and blood test as well as possibly a chest xray. Urinary tract infections are often missed in febrile toddlers. Pneumonia can be hard to hear on an exam. All of these could be due to the virulent enterovirus now circulating across the US but one cannot be sure or exclude other sources without testing ...Read more
My daughter is 4. I found a hard knot/lump on the left of the base of her skull near the hairline. not red or hot to touch. says it hurts when i mess with. found while drying her hair. no real cold symptoms lately.I'm a peds nurse so i overly worry.Advic
Mastoid process?: The normal skull has a hard spike like projection located behind & at the level of the middle of the ear called the mastoid process. Multiple muscles dealing with the jaw attach to this projection. Other possibilities include lymph nodes located under the skin around the ear that vary in size from that of a pea to peanut. These are part of the bodies germ fighting crew & may enlarge when they are. ...Read more
Why did peds recommend immediate help for my child for arm fracture if the orthopod wont come in?
Temporary bracing: Some peds offices are not set up to make the temporary splints used after a fracture. The swelling around the site will often prevent a good fit for any cast.Within a few days the swelling goes down & the cast would be too loose. A temporary splint, employing one hard side, padding & often ace wraps is applied by er techs & the kid seen in the ortho office in 3-5 days for the long term cast. ...Read more
2 yo lips turned blue 2x. Once when tickling. Once holding upside down and windpipe got blocked 10 sec. Back to normal rt away. Has 3 innocent murmurs. Ekg/echo normal. Been to peds cardio 2x. Worry?
No: Peri-oral cyanosis (blue around the mouth and lips) is actually not all that uncommon in infants and toddlers. Same thing with blue hands and feet. Their vasculature (blood vessels) are so much more reactive than are old stiff ones as adults. So a little breath holding with tickling, a 10 second obstruction - these things can easily cause a little cyanosis. Had normal echo, totally reassuring! ...Read more
Granddaugher, 5, has small flat brown spot on labia x1 week. Referred to peds derm by peds MD. Odds of melanoma? Bx? No fam history of any cancer.
9 yr old runing a fever of 102 off and on since sat. Took her to peds monday tested her for strep it was negative. Now complains her throat hurt?
I have a friend with a 6 month old dealing with bloody stool for almost his entire infancy. She has been seeing her own Peds Doc and has a Gastro appt. I was just wondering if you could supply any other reason that it may be occurring other than a milk al
Rare issues: Allergic reaction to formula is always worth checking out. If the baby had very hard stools thus can cause tiny tears at anus leading to bright blood. Rarer things are internal issues like a polyp or a blood vessel malformation. Have mom write down the timeline of events and treatments tried to be better organized at specialist and have a productive visit! ...Read more
Pediatricians and ent's peds only. Is it common to see vomitting with ear infections in a 3 year old?
Ear infections: If there is increased pressure in the middle ear space (which there usually is with an ear infection) then the children can have vomiting. If the vomiting is persistent, he/she's complaining of headache, if there is fever that won't go away after 2-3 days, or he/she very sleepy bring him/her in to see your doctor. Trust your mom instinct - if he/she's not right bring him/her in. ...Read more
Good question: I don't see a way to file a complaint with abp. However, if you really feel that your pediatrician has done something wrong, please start a conversation with him/her. Pediatricians are extremely interested in helping your child and can even suggest second opinions. The abp maintains specialty certification, the worst they could do was revoke certificaiton, but not a medical license to practice. ...Read more