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By Farnoush Jamali
November 04, 2021
Category: Safety
Tags: Concussion  
ConcussionA concussion is a traumatic brain injury that occurs as a result of a blow to the head. Since concussions can be serious, it’s important that you’re able to recognize the telltale signs of a concussion so you can seek immediate treatment. While your pediatrician may be able to provide you with immediate treatment, any serious symptoms should be addressed right away at your nearest emergency room.

What can cause a concussion?

The majority of concussions in children occur while playing sports; however, a traumatic injury or accident such as a car accident or bad fall can also leave your child dealing with a head injury. Some concussions may lead to a loss of consciousness, but most of the time this isn’t the case.

What are the warning signs?

Some of the most common symptoms of a concussion include:
  • Headaches
  • Tinnitus (ringing in the ears)
  • Nausea and vomiting
  • Fatigue
  • Dizziness or lightheadedness
  • Drowsiness
  • Loss of balance or unsteadiness
  • Trouble with cognition, particularly attention, focus, and memory
A child may look dazed or slur their speech. They may also be more irritable and fussy, as well as sensitive to certain lights or noises.

If your child is alert and responds and acts normally these are often signs that the head injury is mild and probably won’t require emergency care; however, even if your child doesn’t require urgent care you should schedule an appointment to see your child’s pediatrician within the next 48 hours.

When is a concussion considered an emergency?

You should take your child to the ER right away if they develop these symptoms after a head injury:
  • Persistent nausea or vomiting
  • Loss of consciousness for more than 30 seconds
  • A worsening headache
  • Fluid draining from the eyes or ears
  • Vision problems including dilated pupils
  • Persistent tinnitus
  • Weakness in the arms or legs
  • Changes in behavior
  • Slurred speech
  • Trouble with coordination such as stumbling or falling
  • Seizures
  • Persistent dizziness or lightheadedness
  • Disorientation
If your child is showing signs of a concussion, we understand how scary this can be. Don’t hesitate to call your pediatrician right away, who can advise you as to what next steps to take.
By Farnoush Jamali
October 11, 2021
Category: Child Healthcare

If your child is going back to school or thinking of starting a new sport, they can benefit from a physical exam. Your pediatrician in Gaithersburg, MD, Dr. Farnoush Jamali of Prime Pediatrics, offers physicals to make sure your child is healthy and safe.

Annual Physical

Everyone can benefit from a yearly physical, but they are especially important for children because they are constantly growing. A physical exam is a great opportunity for your Gaithersburg, MD, pediatrician to see if your child is reaching their milestones. They can also gather a medical history and add to it with each visit.

Some of the medical history information we will need includes:

  • Hospitalizations or surgeries
  • Allergies
  • Past or current injuries
  • Current medications
  • Illnesses that run in the family
  • Current Illnesses like asthma or diabetes

Each physical exam involves a checkup and health screening. Their height, weight, and vitals will be taken. Your pediatrician will also check to see if your child has all of their immunizations to prevent dangerous illnesses.

Sports Physical

Sports physicals are similar to annual physicals but are required for participation in most sports. The goal of sports physicals is to evaluate an athlete's general health, current fitness level, and risk of injury. Even if they are not required, it is a good idea to make sure that your child is going to be safe while playing. Your pediatrician will check to make sure they can participate in the sport of their choice without compromising their health. They can identify common medical problems that are seen in children and teens that play sports. They will also give them tips to avoid common injuries.

If your child is ready for their next physical, reach out to your Gaithersburg, MD, pediatrician, Dr. Jamali of Prime Pediatrics. Call (301) 977-2440 to schedule an appointment today.

By Farnoush Jamali
October 01, 2021
Category: Child Healthcare
Tags: Potty Training  
Potty TrainingPotty training is a big moment for your child and is something that may challenge them in many ways. Unfortunately, many young ones do struggle during this process and may find it very hard to understand. Is your child struggling, and you're at your wit's end? If so, a pediatrician can help you and your child overcome this frustrating situation with relative ease and understanding.

Reasons Why Some Children Struggle With Potty Training 

Most children after the age of 18 months or so should have little trouble acclimating to potty training. But if your child is struggling, and you aren't sure why there are many potential reasons. Let's take a look at a few of the most common causes of potty training difficulties with children:
  • Their Bodies are Just Not Ready — Before 18 months, your child may not have the ability to control when they "go." So putting pressure on them too early may just frustrate them. 
  • They May Not Have the Developmental Abilities — Some children just progress slower than others and may need more time in a diaper before they're ready to potty train. 
  • The Idea of Potty Training is Boring or Scary — Many children find potty training boring or even scary and may struggle to get used to the idea of "going" outside their diaper. 
  • Fear of Accidents May Develop Early — Your child wants to make you happy, and if they have accidents or fear them, they might struggle with potty training. 
You may also run into situations where a child just doesn't want to learn and refuses. Even though the child knows what you want them to do and could do it, they just don't want to listen. Any of these situations are very frustrating. As a result, you might need to work with a pediatrician who understands this situation and who can help your child start "going" when the time is right. They can help:
  • Assess while your child is struggling 
  • Talk with the child to understand their concerns 
  • Find a solution that makes sense for them 
  • Work with you and your child to get great results 
  • Adjust their care methods, as they need
Give Your Child a Helping Hand 

If you think you need help getting your child to use the potty, it might be time to reach out to a professional you can trust to help. A great pediatrician and medical team can provide you and your child with a better understanding of why they don't want to use the potty. And it can also take some of the load off your back as a parent. Frankly, you deserve some rest and relaxation.
By Farnoush Jamali
September 14, 2021
Category: Child Healthcare
Tags: Ear Infections  

If your child has an ear infection here’s how you should handle it.

Ear infections are incredibly common, particularly for young children. In fact, about five out of six children will have at least one ear infection by the time they turn three years old. Wondering whether an ear infection means you need to immediately rush over to visit our Gaithersburg, MD, board-certified pediatrician, Dr. Farnoush Jamali, for care? Does an ear infection always need to be treated with antibiotics?

What causes ear infections?

There are many reasons why your child may develop an ear infection. Often times they occur after your child has recovered from a cold or strep infection. If your child has allergies they may also be more at risk for developing ear infections. Kids who are exposed to secondhand smoke or children who are bottle-fed instead of breastfeeding may also be more at risk for ear infections.

When should I take my child to the doctor?

So, you suspect that your child has an ear infection but does this mean dropping everything to turn to our Gaithersburg, MD, pediatrician for treatment? Not necessarily. In some cases, you may be able to soothe mild symptoms with cold compresses and pain relievers (depending on your child’s age); however, you should bring your child in for an evaluation if,

  • Your child’s symptoms become worse
  • Ear pain is so severe that they can’t stop crying
  • There is bleeding or pus draining from the ear
  • Your child doesn’t seem to hear you or isn’t responding to you

Of course, we understand that dealing with a sick child may be worrisome. Don’t hesitate to call our practice and discuss your child’s symptoms with us over the phone. We can help you determine whether or not they should come into our practice to provide you with peace of mind.

Are antibiotics always prescribed?

Antibiotics aren’t always necessary. When you come into our Gaithersburg, MD, practice, our pediatrician Dr. Jamali will perform a thorough examination and determine whether we take a “wait and see” approach to see if the infection clears up on its own or whether antibiotics are necessary. Many ear infections will clear up on their own but we can provide you with helpful tips to help reduce pain and fever and help your little one feel more comfortable until the infection clears up.

If your child is dealing with a severe ear infection or recurring infections, it’s important that you speak with our Gaithersburg, MD, pediatrician to find out what’s going on. After all, leaving ear infections untreated can lead to hearing loss and other long-term issues. To schedule an appointment with Dr. Jamali at Prime Pediatrics, simply call (301) 977-2440 today.

By Farnoush Jamali
September 10, 2021
Category: Child Healthcare

Know the signs that it might be time to have your child evaluated for ADHD.

ADHD is definitely a hot-button topic these days, especially when it comes to school-age kids. When your child doesn’t seem to be paying attention, you may be wondering if they are just being defiant or if something more could be going on. Of course, detecting ADHD as quickly as possible in children is important for their personal, emotional, and academic success. Here are some signs that it might be time to turn to our Gaithersburg, MD, pediatrician Dr. Farnoush Jamali for an ADHD screening.

Your Child Fidgets… A Lot

It’s normal for kids to fidget or have trouble sitting still; even adults have issues with this from time to time, but if your child doesn’t ever seem to be able to sit still this could be a warning sign of ADHD. Kids with ADHD also have trouble playing quietly or sitting down to play. Kids with ADHD often have trouble sitting still in a classroom and may get out of their seats or disrupt the class often.

Your Child Leaves Tasks Incomplete

Does your child love to hop from one activity to the next but often leave things unfinished? Your child may show interest in lots of different things, but the telltale sign for our Gaithersburg, MD, pediatrician that something isn’t right is if your child starts things but rarely finishes them before they are switching their attention to something else.

Your Child is Often Daydreaming

Not only do you notice that your child has trouble paying attention or doesn’t seem to listen to directions when they are given, but your child’s teachers are also noticing it. In order for a child to be diagnosed with ADHD, their symptoms have to occur in more than just one environment. So if your child’s teachers also say that your little one has trouble listening to directions and often lacks focuses, and you notice this problem too, then it’s worth talking with our Gaithersburg, MD, pediatrician about whether an ADHD evaluation is needed.

Your Child Misplaces Things

Your child can’t ever seem to remember where they stashed their homework or where they put their school books. While we are all guilty of this, especially during moments of high stress, if your child is often misplacing or forgetting where they put things this could also be a sign of ADHD.

Dr. Jamali Is recognized as one of the leading pediatricians in the Washington, DC, area. If you are looking for a pediatrician in Gaithersburg, MD, that offers comprehensive ADHD screenings and evaluations, then call Prime Pediatrics today at (301) 977-2440 to learn more or to schedule an evaluation for your child.





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