My Blog
By Farnoush Jamali
October 08, 2019
Category: Pediatrics
Tags: Appendicitis  

Truth is, anyone with an appendix can get appendicitis—even our children. Appendicitis is a painful inflammation of the hollow, finger-shaped organ attached to the end of the large intestine. If left untreated, an inflamed appendix can rupture, leading to a lengthy hospital stay for complications including abdominal infection and bowel obstruction.  

When your child complains of stomach pain, consult your pediatrician for proper diagnosis and to ensure the health of your child. Since appendicitis is potentially life-threatening, it is important to understand the symptoms so that you can spot appendicitis in your child. In order of appearance, the symptoms include:

  • Abdominal pain

  • Vomiting

  • Loss of appetite

  • Fever

Unfortunately, symptoms of appendicitis might also be hidden by a viral or bacterial infection that preceded it. Diarrhea, nausea, vomiting and fever may appear before the typical pain of appendicitis, which makes the diagnosis much more difficult.

Your child’s discomfort might also disappear, which will persuade you that they are better. However, this disappearance of pain could also mean that the appendix has just broken open or ruptured. The pain might leave for several hours, but this is the moment when appendicitis becomes dangerous, making it more important than ever to visit your pediatrician for immediate care for your child.

Treatment

When your pediatrician diagnoses your child with appendicitis, surgery is usually needed as soon as possible. Surgically removing the appendix is usually the treatment of choice, as it is important to eliminate the inflamed appendix before it bursts.  

While most children with abdominal pain do not have appendicitis, you can never be too safe when it comes to the health of your child. Visit your pediatrician for further diagnosis of this serious problem and to take the next steps toward a healthy child.

By Farnoush Jamali
August 30, 2019
Category: Pediatrics
Tags: Concussions  

Child's ConcussionA hit to the head during a soccer game or a hard fall from skateboarding may result in a serious head injury and even a concussion. The American Academy of Pediatrics describes a concussion as any injury to the brain that disrupts normal brain function on a temporary or permanent basis. These injuries are typically caused by a blow to the head, most often occurring while playing contact sports such as football, hockey, soccer, wrestling or skateboarding.

For some children, concussions only last for a short while. Other times, a person can have symptoms of a concussion that last for several days or weeks following the injury. Not all symptoms of concussions will be obvious, and in some cases take several hours to set in. Look for these signs of a concussion if your child suffers a head injury:

  • Headaches
  • Nausea or vomiting
  • Dizziness or loss of balance
  • Memory loss or confusion
  • Poor concentration
  • Vision problems
  • Fatigue
  • Irritability or changes in mood
  • Sensitivity to light or noise

Seek Medical Attention

If your child injures his head or you believe he may have a concussion, it is important that the child discontinues play immediately and visits a healthcare provider for an evaluation. All concussions are serious and should be monitored right away. A pediatrician can properly diagnose the concussion and its severity, and then make appropriate treatment recommendations.

Rest from all activities is the best treatment for concussions. Your pediatrician can make appropriate recommendations for when the child should return to future play. Recovery time depends on the child and the severity of the concussion.

Preventing Head Injuries

Not all head injuries can be avoided, but you can do a few important things to prevent them.

  • Buckle Up. Make sure your child is properly buckled up in a seat belt, car seat or booster seat.  
  • Safety Gear. If your child plays sports, make sure he wears appropriate headgear and other safety equipment.
  • Awareness. Children should be taught how to play safe and understand the importance of reporting any type of head injury to their parent or coach.

All head injuries should be taken seriously.  Early detection and treatment is the best way to prevent serious complications. It’s never a bad idea to contact your pediatrician when you have questions or concerns about your child’s head injury.

By Farnoush Jamali
July 31, 2019
Category: Pediatrics
Tags: Car Seats  

Kids may complain about being restrained in the car, but car seats and booster seats save lives. In fact, the National Highway Traffic Safety Administration reports that using a car or booster seat in a passenger car reduces the risk of fatal injury 71 percent in children younger than 1 and 54 percent in toddlers ages 1 to 4. The statistics are just as impressive for older kids.

What type of seat should I use for my child?

Infants and toddlers should ride in rear-facing seats until they reach the highest weight or height recommended by the manufacturer. In the past, children were routinely removed from rear-facing seats when they were 2, even if they didn't meet height or weight limits. The American Academy of Pediatrics recently changed their guidelines and now recommend that kids remain in the seats as long as possible.

Toddlers and pre-schoolers who have reached the maximum height or weight limits for rear-facing seats should use forward-facing car seats. Again, the seats should be used until the child reaches the maximum height and weight recommendations.

Once kids are too tall or heavy for car seats, they will transition to booster seats. Booster seats should be used until children are 4'9" tall and 8 to 12 years old. Older children can begin using seat belts at that point but should sit in the back seat when possible, particularly if they're younger than 13.

How can I tell if the car seat is installed correctly?

Both car and booster seats should be securely fashioned with a latch system or seat belt. If the seat moves back and forth freely, it's not installed correctly. Properly installed seats should move no more than an inch in any direction.

My child's legs seem too long for the car seat. What should I do?

You may wonder if your child should move up to the next seat or a booster seat if your child's feet touch the back of car seat. As long as your child is shorter than the maximum height for the seat, he or she should remain in the current seat.

Should my child use a secondhand car seat?

Passing a seat down to your next child can be a good idea if your children are only a few years apart in age. Before you reuse a seat for a younger child, make sure that it hasn't expired or been recalled since you bought it. Throw away car and booster seats after accidents, even minor ones. The seat may look perfectly fine but may be damaged internally.

Buying secondhand car seats online or at yard sales should be avoided. You won't necessarily know if the seat has been in an accident or if it has defective latches or restraints.

Using car seats consistently, whether you're going to the grocery store or taking a cross-country trip, can help your child avoid serious injuries due to traffic accidents. Talk to your child's pediatrician if you have questions about the seats.

By Farnoush Jamali
July 31, 2019
Category: Children's Health
Tags: Asthma  

Find out everything you need to know about childhood asthma and treatments.

Has our Gaithersburg, MD, pediatrician Dr. Farnoush Jamali at Prime Pediatrics just recently told you that your child has asthma? This is Asthmaone of the most common chronic respiratory conditions to affect children. It’s normal to have questions and concerns after your child’s diagnosis. Here’s what you should know about asthma.

 

What is asthma?

Asthma is the result of chronic inflammation within the lining of the airways, which makes it difficult for a person to breathe.

Common symptoms and warning signs of childhood asthma include:

  • Difficulty breathing
  • Wheezing (an audible whistling sound) when breathing in
  • Tightness in the chest
  • Coughing that gets worse at night
  • Rapid, shallow breathing
  • Recurring respiratory infections

Whether you notice these symptoms in your child or your child is complaining about having trouble breathing it’s important that you bring them in right away for care.

 

When does asthma start?

Asthma can appear at any age; however, it’s common for most people with asthma to experience symptoms by the time they are 10 years old. Most children with asthma experience their first attack before 6 years old.

 

What can trigger an asthma attack?

There are certain things that can make asthma symptoms worse or even lead to an attack. These triggers include:

  • Viral infections such as a cold or flu
  • Exercise
  • Cold weather
  • Indoor and outdoor allergens (e.g. pet dander; pollen)
  • Air pollution and other environmental irritants
  • Smoking
  • Certain foods or additives
  • Stress
  • Certain medications (e.g. aspirin)

 

Is asthma curable?

Currently there is no cure for asthma; however, our children’s doctor has helped countless children living in Gaithersburg, MD, get control of their asthma symptoms and to improve their quality of life with simple lifestyle changes and medications.

 

How is asthma treated?

Along with avoiding possible triggers through lifestyle changes, your children’s doctor will also provide long-term medication to help manage symptoms to reduce asthma attacks. Controllers are used to reduce inflammation and open up airways. These inhaler medications are used every day to prevent symptoms from getting worse.

Your child will also be prescribed a “fast-acting” medication, which should only be used when they feel symptoms of an attack coming on. When taken as soon as symptoms appear this medication can prevent an attack.

If your child is experiencing problems breathing it’s important that you schedule an evaluation as soon as possible with your pediatrician in Gaithersburg, MD. Here at Prime Pediatrics, we have helped countless children manage their asthma symptoms; let us help your child get their breathing under control.

By Farnoush Jamali
June 28, 2019
Category: Child Heatlh
Tags: Child Care   Physical Exam  

Once your child is born it’s amazing just how quickly they grow and develop. It seems like you blink and suddenly they are talking and walking. During these important milestones it’s also important to have a pediatrician that you turn to regularly to make sure that these developmental milestones are being met and that your child is healthy. After all, if there are any problems you want to find out as soon as possible when early medical interventions can make all the difference.

From the moment your child is born until 2 years old, your pediatrician will most likely want to see them every six months for wellness check ups. After your child turns 2 years old you should still bring them in once a year for a routine physical exam and preventive care. Along with checking your child’s vital signs and monitoring their height and weight your pediatrician will also check hearing, eyesight, respiration, cardiac activity and reflexes.

A physical exam will check all systems of your child’s body to make sure that everything is functioning properly. If your child’s doctor does detect a problem it can be treated immediately. Along with a physical exam your child will also undergo any additional screenings and vaccinations that are necessary for maintaining optimal health.

Furthermore, your pediatrician can also recommend workout routines and appropriate physical activity for your child based on their current health and lifestyle, as well as recommendations on diet, sleeping habits and even their emotional and behavioral health. Even if a pediatrician won’t be able to fully treat all conditions they can still refer your child to a specialist who will be able to handle a specific health problem or injury.

Once a child is old enough to go to school it’s also important that parents schedule their child’s sports physical so that they can participate in physical activity and school sports. An annual sports physical can detect past injuries and other problems that could affect your child’s ability to participate in certain activities.

These physical exams are often mandatory before a child can play school sports; however, even if it isn’t mandatory you should still bring your child in once a year for a comprehensive sports physical to make sure that they are healthy enough for certain physical activity.

Make sure your child is seeing their pediatrician regularly for care, not just when they are sick but also to ward away infections and other health problems. Schedule your child’s next physical exam today.





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