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Posts for category: Children's Health

By Jacksonville Kids Pediatrics
March 16, 2021
Category: Children's Health
Tags: Pediatrician   Thumb-Sucking   Pacifier  
Thumb SuckingReflexively, your baby is born with the ability to suck. It makes sense. After all, your little one must be able to suck to get nutrients, whether breastfeeding or bottle-feeding. Thumb sucking also has the ability to soothe and calm your little one. However, there are moments as your child gets older where thumb-sucking may become a problem. Your pediatrician can provide you with the tips and tricks to help your little one grow out of this habit.
 
Thumb-Sucking Tendencies

This is a normal habit in newborns that typically goes away around 6-7 months; however, this seemingly innocuous habit may actually be a cause for concern if thumb sucking continues beyond 2-4 years, where it can alter the shape of the face or cause teeth to stick out.
 
When to Consider a Pacifier

Many children desire a pacifier between feedings, but this should not be a replacement for feedings. It’s important to recognize when your child is sucking because they are hungry and whether they merely want to self-soothe. If your child still has an urge to suck and they don’t need to nurse, then a pacifier is a safe way to soothe and ease your child’s needs (if they want it).
 
It is safe for children to use a pacifier while sleeping, whether at bedtime or when they go down for their naps. Just prepare for babies to wake up fussy in the middle of the night when the pacifier falls out of their mouths, as they aren’t able to place the pacifier back in their mouths themselves. Make sure that you do not try to place the pacifier on a string around your baby’s neck or tie it to the crib, as this can lead to a serious and potentially deadly injury.
 
How to Phase Out the Pacifier
There will come a point when your child will need to give up their pacifier. While the medical community has different age ranges, The American Dental Association recommends that children stop using a pacifier by age 2, as going beyond two years old could alter the alignment of your child’s teeth or impact the shape of their face.
 
Here are some tips to phase out the pacifier,
  • Do not tease or punish your child for using a pacifier, but instead praise them when they do not use it. Provide them with rewards when they go without it.
  • Some children use pacifiers out of boredom, so give your child something to do to distract them such as playing with a game or toy (to keep their hands busy).
  • If incentives and rewards aren’t enough and your child is still using a pacifier, your pediatrician may recommend a “thumb guard” that can prevent your child from sucking their thumb. While you may feel in a rush to get rid of your child’s pacifier, it’s important to be patient. All children eventually stop this habit.
Even if you are concerned about your child’s thumb-sucking, it’s important to know that most children do grow out of it not long after starting school. While you can provide them with helpful ways to ditch the habit it’s important not to put pressure on them. With the help of your pediatrician, your child can and will outgrow this habit.
By Jacksonville Kids Pediatrics
March 10, 2021
Category: Children's Health
Tags: ADHD  

Is your child simply daydreaming or could they have ADHD?

It seems like more and more children are being diagnosed with ADHD these days. So much so that you may be concerned when you notice your child having trouble paying attention or seeming a bit flighty. Most kids’ attention spans are going to be short. There are also going to be moments where they bounce off the walls. These moments don’t necessarily mean your child has ADHD. Have questions about ADHD? Our Jacksonville, FL, pediatricians Dr. Alexandra Kostur, and Dr. Roman Criollo are happy to answer all of your questions.

What are the warning signs?

Symptoms of ADHD will vary from child to child, making it difficult for parents to tell whether these are just typical behaviors or whether these are signs of ADHD. A child with ADHD may be more likely to:

  • Make careless mistakes with homework
  • Misplace and lose items frequently
  • Fidget, rock, and have trouble sitting still
  • Have trouble waiting their turn
  • Be prone to outbursts and cutting in on conversations
  • Daydream and space out
  • Have trouble playing quietly

Are ADD and ADHD different?

We know that this can be a bit confusing when you see ADHD and ADD being used (sometimes interchangeably). ADD was the original term for this disorder, but it changed to ADHD in the mid-90s. Now, any child with symptoms of attention deficit disorder is diagnosed with ADHD (not ADD). However, this does not mean that a child has to display symptoms of hyperactivity in order to be diagnosed with ADHD.

How is ADHD diagnosed?

If you suspect that your child might have ADHD, the best thing you can do is to talk with our Jacksonville, FL, pediatricians. When your child comes into the office, we can evaluate their behaviors to see if they are displaying signs of ADHD.

There is no one test that is used to diagnose childhood ADHD, but rather a series of evaluations that need to show that your child experiences several of the symptoms, that they have been happening for months on end, and that they impact their academic, social, and emotional wellbeing. We can also work together with your child’s psychologist or counselor to provide a definitive diagnosis.

How is ADHD treated?

Most people assume that the only way to treat ADHD is with medication, but our pediatricians will map out a comprehensive treatment plan that provides a variety of interventions and strategies to not just manage your child’s symptoms but also to set them up for academic and social success. Every child’s needs are different. Some of the treatment options we provide include:

  • Medications
  • Behavioral therapy
  • Educational assistance and support
  • Parent education
  • Skills training
  • Counseling
  • Support groups
  • Lifestyle changes (e.g., dietary changes, regular physical activity, practicing good sleep hygiene)

If you are concerned that your child could have ADHD, the first person you should turn to is your Jacksonville, FL, pediatrician. We can evaluate your child’s behaviors and provide you with the next steps if we suspect that ADHD could be a possibility. To schedule an evaluation with our pediatricians, call Jacksonville Kids Pediatrics today at (904) 446-9991.

By Jacksonville Kids Pediatrics
February 03, 2021
Category: Children's Health
Tags: Diabetes  
Diabetes in ChildrenIn the past, the most common type of diabetes to affect children and teens was type 1 diabetes. This is also referred to as juvenile diabetes. In children with type 1 diabetes, their bodies do not produce insulin, a hormone responsible for helping deliver glucose into the cells. While type 1 diabetes is quite common in children, pediatricians are also seeing a rise in type 2 diabetes in children and teens. This coincides with an increase in childhood obesity rates.
 
Symptoms of Type 1 Diabetes
While type 1 diabetes can appear in children of any age, it’s most commonly diagnosed in children between the ages of 5 and 6, and 11 to 13. It’s important to recognize the symptoms of type 1 diabetes early, as high blood sugar levels can lead to serious complications. Symptoms of type 1 diabetes typically appear suddenly, and the most common symptoms include,
  • Frequent urination, particularly at night
  • Excessive thirst or hunger
  • Weight loss, despite increased appetite
  • Cuts, bruises, and wounds that don’t heal or are slow to heal
Symptoms of Type 2 Diabetes

Unlike type 1 diabetes, type 2 diabetes symptoms usually appear gradually. While type 2 diabetes has always been considered “adult-onset” diabetes, this has changed over the years, thanks to the obesity epidemic in children. If your child is obese or overweight, they may be at an increased risk for developing type 2 diabetes. Symptoms of type 2 diabetes are similar to type 1 diabetes, the only marked differences in symptoms are,
  • Blurry vision
  • Severe fatigue
  • Tingling or numbness in the hands and feet
Treating Diabetes in Children

Even though there is no cure for diabetes, there are ways that your child’s pediatrician can help manage their symptoms. The goal of treatment is to control blood sugar levels to prevent complications and lessen symptoms.
 
The standard treatment includes managing diabetes through insulin therapy, which involves either daily insulin injections or an insulin pump. You will also need to monitor your child’s blood sugar levels throughout the day. Along with insulin therapy, you will also want to make sure that your child is eating a healthy diet and is getting regular exercise (at least one hour a day).
 
If your child is overweight or showing signs of diabetes, you must talk with your child’s pediatrician right away. A simple blood test can check their blood sugar levels and determine whether or not they have diabetes. Since uncontrolled diabetes can lead to serious health problems, it’s a good idea to see a pediatrician as soon as possible.
By Jacksonville Kids Pediatrics
December 21, 2020
Category: Children's Health
Tags: Broken Bone  
Does My Child Have a Broken Bone?Accidents happen. Perhaps your child hurt themselves falling off their bike or taking a rough tumble down the stairs. In these instances, the first thing you’ll probably do is check your child over for bumps, bruises, and possibly broken bones. It’s important to recognize whether your child could be dealing with a broken bone so that you can bring them in to see their pediatrician right away.
 
The warning signs of a broken bone include,
  • Pain
  • Swelling
  • Bruising
  • Tenderness
  • A popping or snapping sound at the moment of impact or injury
  • Trouble straightening out the limb or affected area
  • Unable to put weight on the area
  • Limited range of motion or unable to move normally
If the bone is visible through the skin, you must call 911 or head to your nearest emergency room for care. If there is no bone visible but your child is still experiencing the symptoms above, then call your pediatrician right away. This problem should be treated on the very same day by your child’s doctor.
 
The most common fractures that we see in kids often affect the bones of the elbows, ankles, and wrists. Falling off monkey bars and other injuries on the playground are incredibly common and can lead to wrist and elbow fractures.
 
How is a broken bone treated?

First, your pediatrician will run X-rays to determine the location and severity of the break. Your doctor will place a splint or cast around the broken bone to provide support and stabilization and to restrict certain movements that could impede healing.
 
Your doctor may also recommend certain exercises that your child should do at home every day to help ease symptoms such as pain, limited mobility, and swelling. Your doctor may also refer your child to a pediatric orthopedist for physical therapy, depending on the type and extent of the injury. You will also need to bring your child back into the office in a few weeks to see how the broken bone is healing.
 
A broken bone is considered a serious injury. If your child is displaying symptoms of a broken bone, it’s a good idea to call your pediatrician right away for a consultation.
By Jacksonville Kids Pediatrics
December 03, 2020
Category: Children's Health
Signs of a Pediatric UTIA urinary tract infection isn’t just something that happens to adults. Children can also develop UTIs. Since children are more likely to suffer from kidney damage as a result of a UTI you must see your pediatric doctor right away if you suspect that your child may be dealing with a urinary tract infection. Signs and symptoms include,
  • Increased urgency to urinate, even if there is no output
  • Cloudy or strong-smelling urine
  • A decreased output of urine
  • Children may complain of a burning sensation when urinating
  • Older children may complain of lower stomach or back pain
  • Younger children may cry when urinating
  • Wetting the bed
We know that infants and young children can’t tell us what hurts and where, so we have to look for other signs that they could be dealing with a urinary tract infection. Young children may have a fever, loose stools, refuse to eat, and be more irritable than usual. When they wet their diaper, you may notice that the urine smells strong or bad.
 
Diagnosing UTIs in Children

If your child is showing symptoms of a UTI you must see your pediatrician right away. A simple urine sample is all that’s needed to be able to detect the presence of bacteria. We can examine the urine sample under the microscope and provide results in a matter of minutes. The kind of bacteria that’s present will help us determine the type of antibiotics we will prescribe.
 
Treating Childhood UTIs

It’s important to seek treatment right away, as untreated UTIs can lead to more serious problems including kidney infections, abscesses, and sepsis. Your pediatrician can prescribe antibiotics. Your child should also be getting plenty of fluids during the course of their treatment to help flush out bacteria.
 
It’s also important that your child continues to take their medication even if they start to feel better (do not stop the medication). If symptoms do not improve within three days, or if they get worse, you must call your pediatrician immediately.
 
Our pediatrics team is here to make sure that your child gets the care they need, whenever they are dealing with everything from a fever or stomach upset to a UTI. If your child develops a UTI, talk to your pediatrician right away.