Posts for category: Pediatrics
With the rise of newly diagnosed cases of type 1 and type 2 diabetes in children in the US, it’s now more important than ever for both parents and children to understand ways to prevent diabetes, as well as being able to identify the symptoms of type 1 and type 2 diabetes. A pediatrician is an integral part of your child’s health, providing everything from screenings and vaccines to routine checkups and lifestyle recommendations to ensure that your child stays healthy.
What is diabetes?
Diabetes is a chronic condition that affects glucose levels in the body. When the cells in the pancreas responsible for making insulin do not produce enough insulin or are insulin resistant, this results in diabetes.
Type 1 diabetes is most often diagnosed during childhood and is not the result of a poor diet or being overweight. In those with Type 1 diabetes the cells in the pancreas are unable to produce enough insulin. Unfortunately, there is no way to prevent type 1 diabetes in children.
On the other hand, type 2 diabetes is also becoming increasingly common in children because of the high rates of obesity. Type 2 diabetes means that the body doesn’t use insulin properly. Ensuring that your child eats right, gets regular exercise and maintains a healthy weight can greatly reduce your child’s risk for type 2 diabetes.
What are the symptoms of childhood diabetes?
Symptoms of type 1 diabetes will appear suddenly, while type 2 symptoms will develop over time. Symptoms may include:
- Excessive thirst
- Increased hunger
- Frequent urination
- Extreme tiredness
- Mood swings
- Blurred vision
- Sudden weight loss
- Cuts or sores that don’t heal
- Dark patches of skin
If you notice any of these symptoms in your child it’s best to see a pediatrician right away. The sooner a diagnosis is made the sooner your child can get the proper medication and treatment they need to manage their blood sugar levels. By managing your child’s diabetes right away our doctors can prevent potentially serious complications and hospitalizations.
How is diabetes treated?
There are a variety of lifestyle modifications and medications that will be recommended to help treat your child’s type 1 or type 2 diabetes. For both forms of diabetes, a healthy diet and active lifestyle are paramount. Talk with your doctor about what foods your child should avoid. You will also want to monitor your child’s glucose levels during the day to make sure that the insulin medication is working effectively.
All children should visit their pediatricians regularly for checkups, vaccines and care. Of course, if your child displays any symptoms of diabetes, call our office immediately.
Allergies are the immune system's over-reaction to inhalants, pollen, animal dander, drugs, insects, food, air temperature and more. If you suspect your child is dealing with allergies, tell your pediatrician at Prime Pediatrics in Gaithersburg. Dr. Farnough Jamali and Dr. Vahid Khajoee will help you help your child manage symptoms at peak allergy season and throughout the year.
Many children have allergies
In fact, the Asthma and Allergy Foundation of America (AAFA) reports that more than eight percent of children have allergic rhinitis or hay fever. Many more have allergies to food; in fact, the AAFA says food allergies in children have risen sharply in recent years.
As such, parents and pediatricians must partner in identifying allergies and ways to manage them. At their Gaithersburg practice, Dr. Jamali and Dr. Khajoee encourage parents to track their children's symptoms and to report them during a well or sick office visit. Your pediatrician may refer you to an allergist or order special testing to pinpoint what your child reacts to. With this information in hand, you and your pediatrician can work out a care plan to ease symptoms and keep your child active and happy.
Symptoms of allergies
Everyone is different; however, most children who have seasonal allergies (or indoor allergies) exhibit signs such as:
- Itchy, puffy watery eyes
- Runny nose
- Post-nasal drip
- Headache along the forehead and cheeks
- GI upset such as nausea and vomiting
Anaphylactic allergic reactions to insect vectors (bee stings), shellfish, peanuts or latex may be life-threatening, producing symptoms such as:
- Difficulty breathing
- Loss of consciousness
Besides medications such as antihistamines, decongestants and allergy shots, your child's doctor may recommend preventive measures such as:
- Closing the windows in your house during the peak pollen season.
- Wearing a pollen-filtering mask when cutting the lawn.
- Washing face and hands and even changing clothes when coming in from outdoors.
- Vacuuming all soft surfaces in the home regularly and keeping a dust cover on the mattress and bed pillow.
- Humidifying the air in your house.
- Applying a cold compress to puffy eyes and aching foreheads and cheeks.
Find out more
Keep your child healthy, happy and in school. Limit his or her allergy symptoms with at-home strategies and a medical care plan from Prime Pediatrics. If you have a question or concern regarding allergies, please call your pediatricians at their Gaithersburg office. Phone (301) 977-2440.
An ear infection is one of the most common infections that children have to deal with. In fact, most children will experience at least one ear infection by the time they are five years old. Of course, it’s important to understand the telltale signs of an ear infection, as well as know how to treat the infection and when you should turn to a pediatrician for care.
An ear infection isn’t contagious and usually isn’t a cause for concern; however, you will want to monitor your child’s symptoms to make sure problems aren’t getting worse or don’t warrant seeing a doctor. In many instances, a child may develop an ear infection after they’ve had a cold.
Signs and Symptoms of an Ear Infection
So, how will you know if your child has an ear infection? Children who are old enough to talk will certainly be able to let you know that they are experiencing an earache or pain; however, a baby or toddler won’t be able to tell you that they are experiencing an earache. Therefore, signs that your baby might have an ear infection include:
- Increased fussiness
- A fever
- Pulling at the ears
- Crying or tantrums, particularly when lying down
- Having difficulty hearing noises or not responding to sounds
- Fluid draining from the ears
So, when should you wait out an infection and when should you call a pediatrician? You should give your child’s doctor a call if they have an ear infection and they are also experiencing:
- A rash
- Difficulty hearing
- Ear swelling
You should also turn to a doctor for care if your child:
- Has an ear infection and they are under 6 months old
- Is in significant pain or still experiences pain after two days of taking ibuprofen
- Also has other serious health problems
How is an ear infection treated?
In most cases an ear infection will go away on its own. If your child isn’t in significant pain and they don’t have a high fever your pediatrician may tell you to wait a couple of days to see if symptoms improve. If symptoms remain or get worse then you should bring them back to the doctor’s office.
While antibiotics are not normally prescribed to treat an ear infection they may be used if your child has a very high fever, is in significant pain or if their ear infection hasn’t improved within 48 hours. It’s important not to give your child any over-the-counter medications without first talking with your pediatrician.
Millions of children across the US regularly participate in some kind of sport. No matter whether your child is a dancer, gymnast, soccer player, or football player, the goals of parents are always the same: to keep their child healthy and to prevent injury. Having a pediatrician that you turn to regularly for care is invaluable, as this trusted medical doctor can also provide you and your child with guidance and counseling to ensure that you are taking all the precautionary measures necessary to prevent sports-related injuries in your little one.
Caring for Childhood Sports Injuries
With millions of kids also visiting the hospitals every year for sports-related injuries it’s important to acknowledge that the need for proper injury prevention practices is particularly crucial for children and teens. The most common sports-related injuries include repetitive motion injuries (e.g. tendonitis), ankle sprains, broken bones, and concussions.
Since many of these conditions are the result of overuse rather than injury symptoms may appear gradually over time. Therefore, it’s important to listen to your child when they complain about pain or other issues they are having. It’s also important that kids have ample time to rest and heal. If they don’t this can also put unnecessary stress the body and leave them prone to injury.
Minor sports injuries can often be treated with rest and home care. The RICE method is often used for treating minor to moderate sports injuries. RICE stands for rest, ice, compression, and elevation. Children may also find relief through non-steroidal anti-inflammatory medications such as ibuprofen, but it’s important to talk with your pediatrician before starting your child on any new medication.
While you may wish to treat your child’s symptoms at home it’s also important to know when to turn to a pediatrician. Call your child’s doctor if their symptoms do not improve with at-home care, if symptoms get worse, or if their symptoms affect their training. These symptoms also require immediate medical attention:
- Severe pain and swelling
- Deformity (e.g. a misaligned bone)
- Numbness, tingling or weakness
- Trouble walking or putting weight on the injured part of the body
As any pediatrician will tell you, it’s always better to prevent injuries than to treat them once they arise. There are a variety of measures you can put in place to reduce your child’s risk for injury. These injury-prevention tips include:
- Making sure that your child gets a physical exam from their pediatrician at least once a year to make sure that they are healthy enough for physical activity.
- Make sure that your child is getting ample training throughout the year so that once the season rolls around their body will be ready for the demands of their chosen sport.
- Make sure that your child is wearing the appropriate footwear and protective gear. This includes helmets, mouthguards, shin guards, and other padding.
- Your child should also stretch and warm-up for at least 10-15 minutes prior to game time. A proper warm-up can greatly reduce injury.
If your child is experiencing pain, swelling or other problems as a result of a sports injury don’t hesitate to give your pediatrician a call today. Catching and treating sports injuries right away can prevent further complications.
One moment your child is born and the next moment they are sitting up, saying their first word and taking their first steps. It’s amazing just how many milestones your child will reach in just the first few years of their life, and in order to ensure that your child reaches all of these milestones it’s important to visit their pediatrician regularly for routine wellness visits.
Seeing the doctor isn’t just for moments when your child has a fever or the sniffles, it’s also important that they visit the doctor often for well-child checkups. The benefits of these regular visits include,
- Vaccinating your child and preventing a variety of serious and potentially life-threatening diseases
- Screening them for certain health problems
- Checking their vision and hearing
- Reducing your child’s risk of getting sick
- Monitoring and treating preexisting conditions
- Detecting health problems early on and treat them quickly
- Improving your child’s health and their quality of life
There are many things that go into a well-child visit. When your child visits the pediatrician here are some things to expect,
- Monitoring of vital signs, which includes taking their temperature, heart rate and blood pressure
- Recording their height and weight
- Asking questions about your child’s current health status, physical activity level, diet, sleeping patterns, etc.
- A comprehensive physical examination
- Administering immunizations
Additional screenings, vaccines and other elements may also be included in certain well-child checkups depending on their age. For example, most children will start getting a hearing and vision screening at around three years old.
These checkups won’t just detect physical health problems but also developmental disabilities such as ADHD and learning disorders. Bringing your child in for regular wellness checkups allows your child’s pediatrician to continue to monitor their speech to pinpoint early signs that there could be a developmental delay or disability present. All children should be screened for developmental delays by the time they are 9 months old, and again at 24 and 30 months.
Bringing your child in regularly will also get them comfortable with the doctor’s office. Your child’s first visit should happen just a few days after they are born. From there, your newborn will continue to visit the pediatrician at 1 month, 2 months, 4 months, 6 months, 9 months and 12 months.
Once they reach their first birthday, they will come into our office at 15 months, 18 months, 24 months, 30 months and 3 years. From 4 to 21 years old, children and teens should visit their pediatrician once a year for a checkup.
When was the last time your child saw the doctor? Keeping them healthy means keeping up with these routine checkups. Schedule your child’s next wellness visit today.