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By Pediatric & Neonatal Specialists
July 15, 2021
Category: Child Health
Vitamin DVitamin D deficiency is incredibly widespread in the US, and not just with adults! In fact, about one in 10 children in the US are deficient in vitamin D and as many as 60 percent could have “suboptimal levels” of vitamin D, according to Johns Hopkins Medicine. This is why all pediatricians need to screen children for a vitamin D deficiency, as this can impact bone growth, metabolism, and multiple organs and systems.
 
The Importance of Vitamin D

Vitamin D is critical for all of us, but especially children. Vitamin D is needed to absorb calcium, as well as for the support and development of a healthy body. Children with severe vitamin D deficiencies may develop muscle weakness, delayed motor development, rickets, and fractures.
 
Where to Get Vitamin D

Unlike most vitamins, which we can often get through diet alone, vitamin D is acquired through time spent in the sun. You won’t find many foods that naturally contain vitamin D. Unfortunately, if you’re in a place that doesn’t get much sunlight then chances are good your child may not be getting enough vitamin D.

Children get about 80 percent of their vitamin D from sunlight. So if your child doesn’t spend much time outdoors (especially during the winter months) it’s a good idea to talk with your pediatrician about ways to ensure that your child is getting enough vitamin D.

Children with certain health problems such as cystic fibrosis or celiac disease, as well as children who’ve undergone bone surgeries may require more vitamin D. This is something you should discuss with your pediatrician. Children over 1-year-old need at least 600 IU of vitamin D (or more) a day. Ideally, children should get around 1,000 IU of vitamin D per day.

We also know that too much time in the sun can also pose risks for children, especially their skin. During the summer months, children only need a few minutes a day in the sun to get enough vitamin D. During the winter months, kids should get about 2-3 hours per week. Children under 6 months old should never be placed in direct sunlight.

Children with darker skin will also need to spend more time in the sun to produce the same levels of vitamin D as kids with lighter skin. Just sitting inside near windows won’t be enough for your child’s body to produce vitamin D.
 
Nothing is more important than keeping your child healthy. If your child hasn’t been checked for a vitamin D deficiency, you must talk with your pediatrician to find out if this screening is right for them. Fortunately, if you find out that your child is deficient, it’s an easy fix!
By Pediatric & Neonatal Specialists
June 25, 2021
Category: Child Safety
Preventing Pediatric Heat StrokeClimate change has certainly caused the temperatures to climb here in the US, especially during the summer. While we know that kids love to play outdoors, when temperatures are high this could increase your child’s risk for heat exhaustion and heatstroke. While we certainly don’t want to wreck your child’s fun, you must be keeping your child safe from the heat. If you do have any concerns about symptoms, don’t hesitate to call your pediatrician right away.

Any temperature over 90F poses a serious health risk, especially to kids. When temperatures are at or above 90F here’s what you can do to keep your little ones safe:

Find an air-conditioned environment: If you don’t have AC in your home, it’s important to find a space that does. Make an action plan for where you can go if the temperatures become so high that you cannot safely stay in your home. You may need to stay with someone who does have AC or find free spaces such as a public library, which should also have AC.

Drink (lots of) water: You and your children must be also drinking enough water, especially on those super-hot days. While kids should normally get eight 8-oz glasses of water if a child is particularly active or it’s hot out, they must be drinking even more water to replenish what’s being lost.
Infants who are still breastfeeding should also be given additional breast milk, especially if they are under 6 months old. It’s also important to recognize the warning signs of dehydration in kids. If your child or infant is showing these warning signs, you need to call your pediatrician right away.

Wear the appropriate clothes: Just as you need a coat and gloves to protect your skin during the cold winter months, you also need to wear the appropriate clothes for those brutally hot days. Make sure your child is wearing light-colored clothes made from lightweight, absorbent materials that will wick away sweat. Since kids are less likely to sweat than adults, it’s important to keep them in the coolest and lightest clothes possible.

Stay cool: Whether jumping through the sprinkler system or simply hopping in a cold shower, there are easy steps you can take to help your child cool down when they complain of being too hot! If there is a swimming pool nearby, this is also a great and fun way to keep cool.

Whether you have questions about keeping your child safe during the summer months or you simply need to schedule their next well-child visit, a pediatrician is going to be the first doctor you turn to for your child’s health and wellbeing. Keeping your child safe this summer doesn’t have to be difficult, but if you have questions or concerns don’t hesitate to call.
By Pediatric & Neonatal Specialists
June 21, 2021
Category: Child Health
Pediatric Urinary IncontinenceWhile children under 3 years old will not have control over their bladders, older kids that still have issues with bladder control may have something known as urinary incontinence or enuresis. As a pediatrician, we understand that this issue can be distressing for kids and their parents. Here’s what you should know if your child is dealing with daytime or bedtime enuresis.
 
When to See a Pediatrician

Accidents happen, but if bedwetting or daytime enuresis is becoming quite frequent in older children then it’s worth seeing your pediatrician for a closer evaluation. Girls happen to gain bladder control a little faster than boys. Girls are often diagnosed with enuresis if they continue to have bladder control issues past the age of 5, while it’s often diagnosed in boys after age 6.
 
The Causes of Enuresis

There are many reasons why your child might be dealing with enuresis, which is another reason to see a pediatrician for answers. Whether your child is dealing with nighttime or daytime enuresis, or both, gives us some idea of what the cause might be. Common causes of nighttime or daytime enuresis include:
  • Overactive bladder
  • Small bladder
  • Intense deep sleep
  • Urinary tract infection
  • Caffeine
  • Anxiety
  • Sleep disorders (often obstructive sleep apnea)
  • Structural issues within the urinary tract
  • Constipation
  • Diabetes
Treating Enuresis

Sometimes enuresis goes away on its own without treatment, while other causes may require treatment. For example, a urinary tract infection will require medication to treat the infection and alleviate the enuresis. Underlying health problems such as diabetes will also require proper treatment and long-term maintenance and care.
We will evaluate your child and ask a series of questions about their symptoms, including their fluid intake, whether they drink caffeine, issues with constipation, trouble or pain with urination, and stress levels. This is will give us clues as to what might be causing your child’s symptoms. From there, we can recommend the best course of action.
 
If you have any concerns about your child’s health, whether it’s bedwetting or immunizations, your pediatrician is the first person to turn to. If your child is wetting the bed or having issues with bladder control, don’t hesitate to talk with your child’s doctor to determine the cause.
By Pediatric & Neonatal Specialists
May 28, 2021
Category: Child Safety
Immunization ScheduleWe understand that bringing your child in for a shot certainly isn’t fun for anyone, but keeping your child updated on vaccines is one of the most effective ways to protect them against serious and potentially life-threatening diseases. As soon as your child is born, they will begin to get a series of vaccines, which they will continue to get until they reach adulthood. Here’s everything you need to know about getting your child immunizations, including when to have them vaccinated and which vaccinations they will need at what age.
 
Getting Your Child Immunized

The CDC is your go-to for all accurate and updated information regarding childhood vaccines. They offer a variety of charts for kids 18 years old and younger that can easily help you determine what vaccines your child needs to get and at what age. Of course, your pediatrician also knows exactly what vaccines your kids need when they visit the office, so these charts are just for you to stay in the know. Of course, if you have any questions about upcoming vaccines for your child, don’t hesitate to talk with their pediatrician.
 
Throughout your child’s first 18 years of life, they will receive a series of vaccinations including:
  • Hepatitis A & B
  • DTaP (diphtheria, tetanus, and whooping cough)
  • Hib (meningitis, epiglottitis, and pneumonia)
  • Meningococcal (for bacterial meningitis)
  • Polio
  • MMR (measles, mumps, and rubella)
  • Pneumococcal (pneumonia, ear infections, and meningitis)
  • Varicella (chickenpox)
Your child may also want to get the influenza virus once a year to protect themselves and their family members from the flu.
 
The Safety and Efficacy of Childhood Immunizations

We understand that some parents may be on the fence about vaccines. In fact, this is a common concern that pediatricians hear, and it’s best to talk with your child’s doctor who is well-informed about childhood immunizations. There is a lot of misinformation out there and it can lead parents to avoid certain vaccines that could put their child at risk for more serious health problems. While some immunizations can cause minor side effects these are so minor compared to the repercussions of not having your child vaccinated.
 
Do you have questions about your child’s upcoming vaccine? Need to schedule your child’s next wellness visit? Keeping your little ones fully vaccinated is one of the best ways to protect them and keep them safe and healthy. A pediatrician can provide you with valuable information and insight into childhood vaccines.
By Pediatric & Neonatal Specialists
May 17, 2021
Category: Child Health
Children's NutritionWhen you turn to your pediatrician for nutritional advice or help, they will always take a personalized approach to help your child meet their nutritional goals, whether that’s losing weight, getting more regular activity, or eating a healthier diet. You may have questions about your child’s nutritional needs, particularly as they grow. We’ve compiled some of the most frequently asked questions regarding childhood nutrition.
 
Is fruit juice healthy?

Many people seem to think that juice is healthy, and while it does contain vitamin C, there are certainly better sources for ensuring your child gets enough of this important nutrient. Today, most fruit juices found at the grocery store are chock full of sugar and can contribute to weight gain and increase the risk for cavities. A better alternative is whole fruits since they provide more nutritional value than juice will.
 
How many calories should my child consume a day?

How many calories your child consumes will depend on their gender, age, and activity level. A recommended calorie range for kids between 6-12 years old is between 1600-2200 per day. Verywell Family provides a more detailed breakdown by age and gender.
 
I’m worried that might child might not be getting the nutrients they need. What should I do?

First, it’s important to keep in mind that kids don’t need to eat as much as we do, so their portions will be considerably smaller than ours. If your child is growing then chances are good that they are getting the nutrients they need; however, if you find that your child is refusing meals or isn’t eating it’s important to bring this up with your pediatrician as soon as possible.
 
How can I prevent my child from becoming overweight or obese?

To help your child maintain a healthy weight they must be eating a healthy, balanced diet with fruits, vegetables, whole grains, and lean sources of protein. Make sure that they are also getting at least one hour of physical activity every day. Limit sugar and processed foods.
 
Is snacking okay for my child?

Young children may seem voraciously hungry and may beg for snacks. How many are actually okay? It’s normal for little ones to want food every 3-4 hours. While snacking can be a great way to prevent kids from overeating during mealtimes you don’t want to ply them with treats (and you want to be sure you’re providing them with nutrient-rich snacks rather than sugary ones).

A snack mid-day between lunch and dinner is typically the best time. If it’s only going to be a couple of hours before a meal, then something small like a piece of fruit or a slice of cheese with crackers is good. If your child isn’t going to eat for more than four hours then you’ll want a snack that incorporates protein, fat, and carbs to satiate their appetite.
 
If you are concerned about your child’s health because they are “picky eaters” or are struggling with their weight, you must speak with their pediatrician to find out options that can help them lead a healthier lifestyle.




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