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By Jacksonville Kids Pediatrics
November 23, 2021
Tags: Asthma  

More than 6 million children have asthma, according to the Centers for Disease Control and Prevention, and symptoms range from one person to another. Jacksonville Kids Pediatrics, Drs. Alexandra Kostur and Roman Criollo offer their Jacksonville, FL, patients the help they need regarding asthma: education, spotting symptoms, and treatments.

What Is Asthma?

Asthma is a respiratory condition that leads to difficulty in breathing because the lungs become inflamed. People experience wheezing and difficulty catching their breath. Asthma could be caused by allergies causing lungs to swell and tighten during an asthma attack. The exact cause is of asthma is unknown but it could be hereditary and children more susceptible suffer from hypersensitivity to substances in the air.

Symptoms of an asthma attack:

  • Chest tightness
  • Coughing, especially at night or early morning
  • Breathing problems
    • shortness of breath
    • rapid breathing
    • gasping for air
  • Fatigue
  • Dark circles under the eyes
  • Irritability
  • Wheezing
  • Trouble eating
  • Difficulty sucking in infants

When do children experience an asthma attack?

Other than allergens, factors that can trigger an asthma attack include stress, fear, and high-energy activities, sports, or games. But to be sure, your pediatrician uses several tools to diagnose asthma: physical exam, medical history, chest x-ray, lung function tests, and allergy skin or blood tests.

Asthma Treatments

There is no "cure" for asthma but your Jacksonville pediatrician can help manage symptoms to prevent disrupting their children's lives. Your pediatrician can prescribe inhalers for quick relief and long-term therapies (Immunotherapy) to boost resistance to allergens and reduce asthma attacks.

Is your child experiencing shortness of breath?

Parents are encouraged to seek assistance regarding asthma education and treatments. Each child is different and needs a specialized plan to help manage their specific situation and symptoms.

Jacksonville Kids Pediatrics offers asthma diagnoses and treatments. Call Drs. Alexandra Kostur and Roman Criollo in Jacksonville, FL, at (904) 446-9991 for an appointment!

By Jacksonville Kids Pediatrics
November 15, 2021
Category: Child Safety
Tags: Prediabetes  
PrediabetesDiabetes is on the rise, and not just in adults. More and more children in the US are being diagnosed with type 2 diabetes. Type 2 diabetes used to be referred to as adult-onset diabetes, but today children are more at risk for prediabetes and types 2 diabetes than ever before. Fortunately, there are ways to prevent your child from developing diabetes.

Why is prediabetes a concern?

Okay, so prediabetes isn’t considered full-blown diabetes, so why should parents be worried? Well, being prediabetic will eventually lead to diabetes if the issue isn’t addressed by a pediatrician. A pediatrician will be able to spot prediabetes through a simple blood test to check blood sugar levels. After all, blood sugar levels will be elevated even before your child develops type 2 diabetes. By catching elevated blood sugar levels early, your pediatrician can provide you and your child with simple lifestyle changes to see if that lowers their blood glucose naturally.

Are there warning signs?

The problem is that elevated blood sugar often doesn’t cause symptoms until a child develops type 2 diabetes. So, your child could be prediabetic and not even know it. That’s why it’s a good idea to speak with your pediatrician if your child has risk factors. Your pediatrician will decide if blood tests are necessary to check glucose levels. If prediabetes isn’t checked and your child develops type 2 diabetes you may begin to notice these symptoms,
  • Wounds and injuries that are slow to heal
  • Blurry vision
  • Frequent urination
  • Increased hunger or thirst
  • Fatigue
What are the risk factors?

It’s important to recognize whether your child may be at risk for prediabetes. Some risk factors include,
  • A family history of type 2 diabetes
  • Eating an ultra-processed diet
  • A sedentary lifestyle/lack of exercise (children should get at least one hour of aerobic exercise a day)
  • Obesity or being overweight
  • A mother with gestational diabetes (diabetes that develops during pregnancy)
If you are concerned about your child’s risk for prediabetes or developing type 2 diabetes, it’s important that you speak to your pediatrician. A pediatrician will be able to provide screening tools to monitor your child’s blood glucose, as well as lifestyle recommendations
By Jacksonville Kids Pediatrics
November 04, 2021
Category: Child Safety
Tags: Concussion  
ConcussionA concussion is a traumatic brain injury that occurs as a result of a blow to the head. Since concussions can be serious, it’s important that you’re able to recognize the telltale signs of a concussion so you can seek immediate treatment. While your pediatrician may be able to provide you with immediate treatment, any serious symptoms should be addressed right away at your nearest emergency room.

What can cause a concussion?

The majority of concussions in children occur while playing sports; however, a traumatic injury or accident such as a car accident or bad fall can also leave your child dealing with a head injury. Some concussions may lead to a loss of consciousness, but most of the time this isn’t the case.

What are the warning signs?

Some of the most common symptoms of a concussion include:
  • Headaches
  • Tinnitus (ringing in the ears)
  • Nausea and vomiting
  • Fatigue
  • Dizziness or lightheadedness
  • Drowsiness
  • Loss of balance or unsteadiness
  • Trouble with cognition, particularly attention, focus, and memory
A child may look dazed or slur their speech. They may also be more irritable and fussy, as well as sensitive to certain lights or noises.

If your child is alert and responds and acts normally these are often signs that the head injury is mild and probably won’t require emergency care; however, even if your child doesn’t require urgent care you should schedule an appointment to see your child’s pediatrician within the next 48 hours.

When is a concussion considered an emergency?

You should take your child to the ER right away if they develop these symptoms after a head injury:
  • Persistent nausea or vomiting
  • Loss of consciousness for more than 30 seconds
  • A worsening headache
  • Fluid draining from the eyes or ears
  • Vision problems including dilated pupils
  • Persistent tinnitus
  • Weakness in the arms or legs
  • Changes in behavior
  • Slurred speech
  • Trouble with coordination such as stumbling or falling
  • Seizures
  • Persistent dizziness or lightheadedness
  • Disorientation
If your child is showing signs of a concussion, we understand how scary this can be. Don’t hesitate to call your pediatrician right away, who can advise you as to what next steps to take.
By Jacksonville Kids Pediatrics
October 18, 2021
Category: Child Safety
Tags: Bike Safety  
Bike Safety for Your ChildJust like responsible parents, our pediatricians are interested in keeping your children well – this includes helping your kids stay safe while riding their bikes.  The National Safety Council reports a 6% increase in bike accidents in recent years, likely due to increased traffic, population density in urban areas, and a variety of other causes. There are 80 million bicyclists now sharing the road with motorized vehicles, and your children are among them. 

How to Keep Kids Safe When Biking

There are a few ways that your pediatrician recommends for teaching bicycle safety to your children:
  1. Help your kids stay visible to drivers: There are a few factors that can cause a driver not to view your child on a road, aside from texting while driving. Children are usually lower in a driver's sightlines, and they are also vying for a driver’s attention among many other road distractions such as traffic signals, construction, and more. By clothing your children in bright colors, or even having them wear a brightly colored safety vest while riding, you can call a driver’s attention to their presence, thus avoiding an accident. Also, be sure that your child’s bike has reflectors on the rear and front of the pedals and possibly on the seat and handlebars. 
  2. Encourage your child to wear a bike helmet. Helmets can protect the brain and reduce head injuries should they accidentally be hit by a driver. A properly fitting helmet should be buckled under the chin, and shouldn’t wiggle more than an inch when worn.
  3. Teach your kids to be proactive cyclists. When riding, teach your children to watch out for parked cars that might open their doors, road hazards, common traffic flows, and rules that motorists usually follow.  This can be a precursor to their learning to drive and will equip them with a sense of what drivers are most likely to do so that they can act accordingly while bicycling.
You can talk to your pediatrician about additional ways to keep your children safe when out riding their bikes. There is nothing more important than keeping your children safe, and bicycle safety is an important way to do it.
By Jacksonville Kids Pediatrics
October 01, 2021
Tags: Potty Training  
Potty TrainingPotty training is a big moment for your child and is something that may challenge them in many ways. Unfortunately, many young ones do struggle during this process and may find it very hard to understand. Is your child struggling, and you're at your wit's end? If so, a pediatrician can help you and your child overcome this frustrating situation with relative ease and understanding.

Reasons Why Some Children Struggle With Potty Training 

Most children after the age of 18 months or so should have little trouble acclimating to potty training. But if your child is struggling, and you aren't sure why there are many potential reasons. Let's take a look at a few of the most common causes of potty training difficulties with children:
  • Their Bodies are Just Not Ready — Before 18 months, your child may not have the ability to control when they "go." So putting pressure on them too early may just frustrate them. 
  • They May Not Have the Developmental Abilities — Some children just progress slower than others and may need more time in a diaper before they're ready to potty train. 
  • The Idea of Potty Training is Boring or Scary — Many children find potty training boring or even scary and may struggle to get used to the idea of "going" outside their diaper. 
  • Fear of Accidents May Develop Early — Your child wants to make you happy, and if they have accidents or fear them, they might struggle with potty training. 
You may also run into situations where a child just doesn't want to learn and refuses. Even though the child knows what you want them to do and could do it, they just don't want to listen. Any of these situations are very frustrating. As a result, you might need to work with a pediatrician who understands this situation and who can help your child start "going" when the time is right. They can help:
  • Assess while your child is struggling 
  • Talk with the child to understand their concerns 
  • Find a solution that makes sense for them 
  • Work with you and your child to get great results 
  • Adjust their care methods, as they need
Give Your Child a Helping Hand 

If you think you need help getting your child to use the potty, it might be time to reach out to a professional you can trust to help. A great pediatrician and medical team can provide you and your child with a better understanding of why they don't want to use the potty. And it can also take some of the load off your back as a parent. Frankly, you deserve some rest and relaxation.




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