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Posts for category: Children's Health

By Farnoush Jamali
May 04, 2020
Category: Children's Health
Tags: ADHD  
ADHDParents want the best for their child, which is why check-ups and appointments with their pediatricians are so important. Yet your pediatrician isn’t just available for when your child is sick or has physical ailments. They can also help with mental and behavioral conditions, including the diagnosis and treatment of ADHD. If your child struggles with focus, impulsivity, attention, or hyperactivity, schedule them for an evaluation. It’s also important to note that children must be at least four years old for a diagnosis.
 
The Three Facets of ADHD
There are three parts to pediatric ADHD: impulsivity, inattention, and hyperactivity. Each of them is signs and are necessary for a diagnosis. Here is some information about each of them.
 
Inattention: your child spends a lot of time daydreaming or not paying attention, struggles to listen, is easily distracted, makes careless mistakes, rarely finishes tasks, and is disorganized to the point of losing or forgetting important things. 
 
It’s important to understand that children with ADHD can pay attention, it’s just harder with topics that don’t interest them. They can tune out when tasks get repetitive. Working with them to organize their schoolwork and tasks is essential. Try to provide them with a quiet and calm environment to work in.
 
Impulsivity: your child can’t wait or acts without thinking, interrupts others, and has problems taking turns.
 
Children with ADHD have trouble with self-control, which leads to the impulsive characteristics mentioned above. They have a harder time censoring themselves. This results in them invading people's personal space or asking overly personal questions. Impulsivity problems also lead to moodiness and overreactions. 
 
Hyperactivity: your child seems to constantly be moving, without being able to sit still without squirming. They also talk too much and loudly, often playing in areas that aren’t permitted. 
 
It’s normal for younger children to have high energy levels. It’s only when your child seems to be constantly moving that it could be an issue with hyperactivity. When they do sit still, they are still moving. They may tap their fingers, shake their legs, or move their feet. 
 
Diagnosing ADHD
A diagnosis won’t happen right away. There are many steps in the process before an accurate understanding is available. Your pediatrician will most likely want statements from not just you and your child, but other caregivers and teachers. 

At the appointment with your child’s pediatrician, they’ll want you and others to fill out a questionnaire about your child’s behavior. Symptoms need to be present in multiple settings, like at home and school and cause issues at both. 
 
The criteria change depending on your child’s age, so it isn’t one-size-fits-all. Your pediatrician will work with you to get an accurate picture of your child’s situation. 
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 06, 2019
Category: Children's Health
Tags: Childhood Vaccines  

How immunizations from your pediatrician in Gaithersburg, MD, can protect your child

You may be wondering about vaccines. Do they work? Are they safe? The truth is, vaccines are one of the most effective, safest ways toImmunization prevent serious diseases. Dr. Farnoush Jamali at Prime Pediatrics in Gaithersburg, MD, offers comprehensive pediatric care, including immunizations to help protect your child.

Vaccines are thoroughly tested for safety and effectiveness and approved by the Food and Drug Administration before they are ever released to the public. You can be assured they are a safe way to protect your child from serious diseases.

Vaccines have reduced and eliminated many serious diseases including polio, meningitis, influenza, the measles, and many others. You can be assured vaccines are an effective way to protect your child from serious diseases.

Your child is required to be vaccinated against certain diseases in order to be admitted to daycare and to attend school. You must show proof that your child is current with immunizations, but that’s not the most important reason to get your child immunized. Immunizations protect children from serious, and even deadly diseases. Children are very susceptible to serious complications from diseases. Immunizations can help keep your child healthy.

The Centers for Disease Control (CDC) recommends these vaccinations from birth to 18 years old:

  • (Hep B) Hepatitis B
  • (Dtap) Diphtheria, Tetanus, Pertussis
  • (Hib) Haemophilus influenza type B
  • (IPV) Polio
  • (PCV13) Pneumococcal conjugate
  • (RV) Rotavirus
  • (MMR) Measles, mumps, rubella
  • (Varicella) Chickenpox
  • (HepA) Hepatitis A
  • (HPV) Human papillomavirus
  • (MCV4) Meningococcal conjugate
  • (Influenza) Flu

There is a lot of conflicting, incorrect information available about vaccines. The truth is, vaccines are an important way to protect your child’s health. Get the facts from an expert, your pediatrician! Just call Dr. Farnoush Jamali at Prime Pediatrics in Gaithersburg, MD. Call now to find out more!

By Farnoush Jamali
June 03, 2019
Category: Children's Health
Tags: sports injuries  

Your child's sports injury can be treated just as your injury was. Or, can it? Your pediatrician knows that a child's body is still developing, responding differently to acute and overuse injuries from organized sports, gym class, and more. As such, he or she can help your child avoid injury and in the event of sprain, strain, laceration, dislocation, or head injury, will help your youngster recover and stay healthy.

Kids sports injuries

They're very common, says the American Orthopaedic Society for Sports Medicine. Annually, 3.5 million American children under the age of 14 suffer significant sports injuries. Some injuries are related to poor conditioning. Others occur because of inadequate instruction or proper protective gear such as padding, eye wear, sneakers, dance shoes, skates, and cleats.

In addition, diligent supervision on the part of parents, coaches, teachers, and other well-informed adults is critical to safe play. Well-maintained game fields and indoor surfaces avoid foot, ankle, and knee injuries.

Finally, KidsHealth reports that Pre-participation Physicals review medical histories and spot possible weaknesses in children's physiology and anatomy. Most school and organized sports teams require these check-ups either with the school physician or the family pediatrician before the sports season commences.

Treating sports injuries

The Centers for Disease Control (CDC) states that proper assessment and prompt treatment of kids' sports injuries prevent long-term problems, including pain and proper growth of areas of the body such as the long bones. Traditionally, coaches and parents have used the RICE protocol to stabilize and injury, relieve pain, and begin the healing process. It still works exceptionally well. RICE stands for:

  • Rest
  • Ice to the affected area
  • Compression with an elastic bandage
  • Elevation of the affected limb/injured area above heart level

Then, your pediatrician and other health care providers can devise a specific treatment plan to include physical therapy, strengthening exercises, over the counter analgesics, braces, and casts as needed. As a parent, you know your child well. So be sure to fully participate in your youngster's care plan.

Be safe, be well

Each child responds differently to athletic training depending on his or her gender, size, age, physical conditioning, underlying health issue,s and natural ability. You and your pediatrician can partner together in encouraging a safe sports season for your child. That's a win-win situation.

By Prime Pediatrics
February 22, 2019
Category: Children's Health
Tags: autism  

A childhood diagnosis like autism produces many questions and concerns. Arming yourself with knowledge about this condition and what itAutism means for your child is a necessity in order to properly provide care for your young one. Find out more about childhood autism with Dr. Farnousuh Jamali at Prime Pediatrics in Gaithersburg, MD.

 

What is autism?
At its core, autism itself means that a child has challenges in social communication and exhibits restricted, repetitive behaviors. Often, the symptoms of autism begin in early childhood and occur persistently, interfering with the daily life of the child. The symptoms of autism may vary in intensity and happen alongside certain physical or mental conditions.

 

Does my child have autism?
The symptoms of autism can vary greatly from person to person as this condition has a very wide spectrum. However, some of the most common signs of autism include:

  • Repetitive behaviors like hand-flapping or rocking
  • High-energy or constantly moving
  • Difficulty pretending or participating in “make-believe”
  • Picky eating
  • Short attention span
  • Aggressive behavior
  • Trouble playing, sharing, or talking with others
  • Preference for being alone
  • Doesn’t like to be comforted while upset
  • Has a hard time identifying or understanding their own or others’ emotions
  • Avoids physical contact

Many children who fall on the autism spectrum do not speak at all or have delayed speech. Often, children may also have a flat or monotone voice if they do speak. They may also not use common gestures like waving or pointing.

 

Childhood Autism in Gaithersburg, MD
If you suspect your child may be on the autism spectrum, a consultation with their doctor can help you understand and manage their condition. An early diagnosis can greatly improve the quality of life of children with autism and their families. Since there is no single diagnostic test, your child’s pediatrician will observe their behaviors and look at the big picture along with autism spectrum specialists to make a final diagnosis.

For more information on childhood autism, please contact Dr. Farnousuh Jamali at Prime Pediatrics in Gaithersburg, MD. Call (301) 977-2440 to schedule an appointment for your child today!