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'pediatrics' posts

How to treat babies with forceful vomiting (pyloric stenosis)

Pyloric Stenosis (or infantile hypertrophic pyloric stenosis) is a condition characterized by forceful vomiting in an infant due to hypertrophy of the pylorus muscle leading to gastric outlet obstruction. This means the muscle where the stomach empties into the small intestine becomes too thick and prevents emptying. As a result, after eating, the baby vomits. The reason for this happening is not known but is likely caused by many things and family history can play a role. Pyloric stenosis is rare, occurring in about 3 of  every 1,000 live births, and most often occurs between the ages of 3-6 weeks, is more common in males, and 1/3 of the time occurs in a first-born child.
 
Vomit from pyloric stenosis usually consists of just milk or formula. Any vomit with color should raise suspicion for other diagnoses. Parents report vomiting from pyloric stenosis as forceful and projectile. Infants are often hungry after vomiting, wanting to continue eating, however eating usually continues the cycle of vomiting.
 
How to treat pyloric stenosis
 
To ...

Bellyaches in Kids (and the “Und Here” Syndrome)

Bellyaches, stomachaches, or belly pain in school-age children are a common occurrence.  At least half of the children that get referred to pediatric gastroenterologists like me come for treatment of their chronic, recurrent abdominal pain.  Parents often feel frustrated because despite multiple visits to physicians, even emergency rooms, they are left with more questions than answers all whilst their child continues to suffer.

A typical scenario is a child whose pain seems worst in the mornings after awakening and towards the evening, especially after dinner or before bedtime.  Often the child doesn’t want to eat breakfast and if forced, tells his parents he feels nauseated.   When asked where the pain is, the child most often points to the area around his belly button.

More often than not, depending on a few other factors, the diagnosis ends up being ...

Pet therapy for kids in the hospital at Swedish

During most hospital stays, a patient can expect to be visited and cared for by doctors, nurses, therapists and even social workers.  But did you know that at Swedish, we not only have a wonderful team of caregivers to provide the most optimal health care and we also have additional beneficial services like pet therapy?

Pet therapy is a wonderful service that Swedish provides to all pediatric patients and families who are not on isolation precautions.  A trained handler escorts a certified pet therapy dog room to room, visiting patients and their families at the bedside, taking the time to provide therapeutic services to all who would like it. 

Spending time with an animal has been proven to improve patient’s emotional status and ability to cope with their hospital stay.  Each pet therapy partner ...

Reducing fear for kids who need blood tests or shots

Imagine the following scenario:  for several weeks, your daughter has been complaining of a tummy ache.  You find yourself sitting in her doctor’s office hoping to uncover what’s wrong.  Your daughter is nervous, but you’re doing your best to assure her that the doctor will come in soon, ask a few questions and make the pain go away. 
 
Just as the visit comes to a close, the doctor mentions that he’d like to “run some tests”.  Immediately, the looks on your daughter’s face changes, and you know she’s scared.   Tears well-up in her eyes as she whispers in your ear, “What tests, mommy?  What does he mean….Are they going to poke me?”  Whispers soon escalate into screams, “How big is the needle?  Does this mean I’m getting shots? NO!  No shots! Please mommy, no shots!”
 
Being a phlebotomist, this is a common scenario that I know all too well.  Since I came to work at the Swedish Pediatric Specialty Care clinic almost 2 years ago, I’ve made it my personal challenge to make a child’s phlebotomy experience as smooth and pleasant as possible.  The entire team here is committed to show children that doctor visits can be fun.  Even though part of the medical experience may include having blood drawn, it doesn’t have to be painful or scary. 
 
Some of the tools I use to make children feel less nervous include ...

How to eat more vegetables

Did you know half of your plate should be from vegetables? Here are some ways to get more vegetables into your family’s meals and snacks.
 
1. Experiment with a new vegetable each week or each month!

Check out your local farmers market or produce aisle for something new and seasonal. Search the web or your favorite cook book for ideas on preparation, and don’t be afraid! Find recipes with some of your other favorite flavors or styles and you may just find your new favorite vegetable.

2. Get sneaky

  • Pureed peppers, zucchini or carrots can be “snuck” into tomato sauces for pasta or pizza. Not even the pickiest eater will notice!
  • Cauliflower, carrots or sweet potato can be steamed and pureed into mashed potatoes or a casserole.
  • Have a ...

How to prepare your child for a stay at the hospital

We all know that Swedish provides top-notch pediatric services for the emergent needs of children and their families.  You may be surprised to find out that many children come to Swedish for a planned inpatient stay as well.  There can be various reasons why a child and their family might be anticipating a hospital stay.  Some examples may include having a surgical procedure that requires them to be monitored for a set period of time afterward, neurological video monitoring, or medical preparations for a procedure the following day.

Regardless of what service your child will be receiving at the hospital, there are ways in which you can better prepare them and yourself for what to expect during your stay.

At Swedish, Child Life Specialists help children and families cope with the hospital process.  Child Life Specialists are available to help educate and prepare children and families prior to surgery and/or an inpatient stay.  Some tips on how to prepare your child for an inpatient stay include .....

Spiders and Bees and Bugs, Oh My! Treating insect bites and stings

Another beautiful Seattle summer is just around the corner.  As we stare out windows and wait for our long days of sunshine to begin, know this – the bugs are doing the same thing!  Any day now all our biting, stinging, and pinching friends will begin to appear.  Make sure you prevent bites with insect repellants.  The American Academy of Pediatrics recommends using repellants containing 30% or less of DEET for all children older than 2 months of age.  But if a bite happens, arm yourself (and your medicine cabinet) with a treatment plan to get your kids back outside ASAP.
 
Treatment for ...
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