Tags
Blog

'babies' posts

Infants with Milk Allergy

A 4 week-old infant and his mother came to my office last week.  The mother had started seeing small flecks of blood and stringy mucous in the infant’s diapers a week prior.  The baby was fine in every other way, breast feeding normally, and looked quite healthy when I examined him.

I diagnosed the infant as having cow’s milk protein-induced proctocolitis, the term referring to allergic inflammation of the lower gastrointestinal tract from exposure to cow’s milk. 

This is a diagnosis I make often. Here's what you should know about infants with milk allergies:

  1. It’s more common than you think. 2-3% of infants in the U.S. are allergic to cow’s milk protein. It is even more common in infants with eczema or who have parents or siblings with allergies.
  2. It’s seen in breast fed babies.  Over 50% of infants with this condition are breast milk-fed infants.  But remember, the babies are allergic to the dairy in their moms’ diets, not to their mothers’ breast milk per se!
  3. Switching to soy or goat’s milk doesn’t work.  Over two-thirds of infants with cow’s milk protein allergy “cross-react” to soy protein (which means that they may not be truly allergic to soy protein, but their immune systems are just too “immature” to know the difference between the two).  Similarly, if a mother switches from drinking cow’s milk to goat’s milk, it won’t help, because the source is still a “different species”; the infant’s immune system will still respond to the “foreign” protein.
  4. Treatment takes time. The inflammation resolves when all traces of cow’s milk (and soy), are  removed from the infant’s diet.  In the case of formula-fed infants, we switch to special hypoallergenic formulas.  Typically after a successful switch, the bleeding stops within a week.  However, with breast fed infants, the improvement can be a little slower.  Since it can take up to 2 weeks for the dairy in a mother’s diet to circulate into her breast milk, the full effects may not been seen for up to a couple weeks.
  5. Allergy testing is not recommended.  The type of allergy that ...

How to give safe gifts to children during the holidays

As the holidays approach, parents often wonder what toys are safe for their little ones.  When making your list and checking it twice, here are some tips to ensure that toys are appropriate for the age and developmental stage of your giftees.

For younger children/infants:

  • Make sure all parts are larger than the child’s mouth.  Most children age 3 and under consistently put toys in their mouth, and some older children do as well.  A small-parts tester, or “no-choke tube” is about the size of a small child’s airway and can be purchased to test parts if you are unsure.  If a part or toy fits inside the tube, it’s too small to be safe.
  • When buying stuffed toys, look for embroidered or secured parts rather than pieces (such as eyes or noses) that could be removed and swallowed.  Remove all loose strings and ribbons.  Avoid animals with stuffing made of small pellets or material that could cause choking. Be aware that stuffed toys given away at carnivals, fairs, or in vending machines are not required to meet safety standards, so be especially careful with these!
  • When buying hanging toys for cribs, ensure that the child cannot grab any portion, and that strings or wires are short.  These types of toys should be removed when the infant can push up onto his or her hands and knees.
  • Keep plush toys and loose, soft bedding out of the cribs of infants and young children as these can cause suffocation.

For all children:

  • Look for labeling on the package that indicates what ages the toy is appropriate for.  Remember that this doesn’t have to do with how smart your child is, it is based on physical and developmental skills for his or her age group and should be followed.
  • Ensure that batteries are  ....

Piper's first birthday honors Swedish Neonatal Intensive Care Unit

Listening to Stephanie Baily talk about her daughter, Piper, turning one year old, you can’t help but hear the pride and gratitude in her voice. Piper was born seven weeks early due to complications with Stephanie’s pregnancy and spent 25 days in the Swedish NICU before she could go home.

Because of the excellent care they received at Swedish, Stephanie and her husband Jonathan wanted to do something special to honor their daughter’s first birthday. They also wanted to give back to the place that helped Piper during those first and fragile weeks of life. So they asked family and friends, in lieu of gifts of toys and clothes, to make a donation to the Swedish NICU.to the Swedish Neonatal Intensive Care Unit.

“Swedish has such a special place in our hearts. We wanted to show our appreciation for those who helped us, and to help make things better for the next babies and parents,” said Stephanie. “It’s so important that parents know they can trust their child to the care of a nurse or doctor, especially here in the NICU. I had such a hard time leaving Piper and going home without her, but the little things the nurses did made me realize they were treating her as if she was part of their family. They let me call any time, 24/7, answered all our questions, and accepted all our emotions. They were always nice and reassuring, which is so important to a first-time parent.”

Stephanie explained that every morning she would come to the hospital and find Piper...

Infant and Child Development is not about ‘stuff’

When we are bombarded by information and products, how are we as new parents supposed to decipher what is in the best interest of our child when it comes to their development? 

Parents can quickly become bombarded with information about everything they need to do to optimize the first months of their child’s very impressionable life. A new, overwhelmed, sleep deprived parent can find everything from music for math skills, swaddling positioners for longer sleep, bottles for better speech development, and even multiple equipment options to speed up a child’s progression for walking.  Today there are so many items available for purchase that if a person wanted to, they could  go through an entire day never having to hold, cuddle, snuggle, whisper, sing, gaze, laugh, or touch their baby…..and that is exactly the point.  When it comes right down to it, the best things that we can provide for our babies development has nothing to do with the “stuff”!

Here’s what advertisements for most baby products don’t tell you:

4th Annual Holidays at the Hospital at Swedish

We hope you can join us for a winter wonderland celebration for Swedish Pediatric patients, families, & friends!

This is a free, fun, and festive holiday celebration for the community that will feature:

  • Carolers
  • Photos with Santa
  • Teddy Bear Clinic
  • Cookie decorating
  • Holiday activities and crafts tables
  • Plus, we’ll have a super special guest from the Seattle Sounders, Roger Levesque!

We’ll also be collecting toys for children up to age 18 as well as donations for art supplies and games. Donated items will be given to children at the hospital receiving care and treatment.

Where:
Swedish First Hill
1101 Madison, Medical Tower Lobby
Seattle, WA 98122
**Free parking is available on the street or in the Marion and Minor parking garage

When:
 

More tips for feeding picky eaters

In my last post, I shared a few tips about what to expect and how to help encourage your child to eat more. Here are some more tips to help your child eat more variety of foods, including more vegetables:

How can I get my child to eat more variety?

  • Offer a "nibble tray". At snack time, fill a muffin tin or ice cube tray with bite-sized portions of colorful, nutritious foods. Try cooked macaroni, cheese cubes, kidney beans, grape halves, broccoli florets, ready-to- eat cereal, and canned pineapple tidbits.
  • Let children cook. Your child is more likely to eat what he has helped to make.
  • Children can help wash vegetables, tear up lettuce, scrub potatoes, or stir batter.
  • Be playful. Call these finger foods playful names that a two-year-old can appreciate, such as: apple moons (thinly sliced), avocado boats (a quarter of an avocado), banana wheels, broccoli trees (steamed broccoli florets), carrot swords (cooked and thinly sliced), cheese building blocks, egg canoes (hard- boiled egg wedges), little O's (o-shaped cereal). "Olive or raspberry fingers" are much more appealing to be nibbled off their fingertips.
  • Serve new foods over and over again. A food not eaten at first may ...

Healthy tips for parents and kids to help prevent the spread of colds and the flu

Summer has ended, the kids are back in school, and fall is officially here. Which means….cold and flu season is upon us! Hospitals are already seeing documented cases of seasonal influenza. There are no known cures for colds and flu, so cold and flu prevention should be your goal.

Why do we care about preventing influenza? The flu can be very dangerous for children, causing illness, hospital stays and death each year. The CDC (Center for Disease Control) reports about 20,000 children below the age of 5 are hospitalized from flu complications each year.

The most effective way for preventing the flu is to get the flu shot. It works better than anything else. (Flu vaccination is recommended for all children aged 6 months and older). There are additional strategies you can employ to help ward off those nasty viruses.

Here are 6 tips you can use to help prevent colds and the flu:

Results 8-14 of 62