Parentelligence Blog

Wheezing in children

Howard M. Uman, MD

Howard M. Uman, MD
Pediatric Hospitalist

Wheezing is one of the most common symptoms in children and adults. Wheezing refers to the high pitched, "musical" sounds generated from the respiratory tract. It may originate in multiple areas, from the nose, to the throat, to the lungs. When physicians use the term "wheezing", they are usually indicating the sounds produced by tightness in the lower airways ("bronchial tubes").

Wheezing is especially important in pediatrics because children have frequent respiratory infections. These infections are generally caused by viral infections which cause much irritation in the airways. In addition, the airways of children are small and more "sensitive," predisposing them to wheezing. The location of the irritation may be in the upper or lower respiratory tract. This means that wheezing can occur with just a cold as well as bronchitis or pneumonia.

Wheezing in most children will respond to treatment with ...

Ketogenic diet as a treatment for seizures

Jenny Schoenfeld, ARNP

The ketogenic diet is a high-fat, low-carbohydrate diet that has proven to be effective in the treatment of seizures. In fact, the ketogenic diet is one of the oldest and most effective treatments available for patients with seizures regardless of age, from infancy through adulthood. The ketogenic diet must only be started under direct medical supervision.

Here are some frequently asked questions about the ketogenic diet:

What is the ketogenic diet?
The ketogenic diet is a special high-fat diet that often includes heavy cream, butter and vegetable oils to provide the necessary fat. The diet eliminates carbohydrate rich foods such as bread, rice, cereals, pasta, cookies, and cakes.

How effective is the diet at controlling or eliminating seizures?
Studies that have followed children on the diet for long periods reveal that at least 2/3 of all children on the diet have a significant reduction in seizures by over half. 1/3 of children on the diet will have a greater than 90% reduction in seizures, with half of these children ....

Three summer safety tips

Janet Lee, MD

Janet Lee, MD
Pediatric Hospitalist

Summer is a wonderful time of year to be active outdoors. Sunny days provide so many fun activities for children to get exercise and stay healthy. While enjoying the warm weather, it’s important to be aware of potential injuries and take the necessary precautions to keep kids safe. Here are three summer safety tips to keep in mind:

Helmets

Kids should always wear a helmet while riding a bike, skateboard, scooter or in-line skates. Helmets can prevent traumatic brain injury and save lives!  A child should wear a helmet on short or long rides (no one can ever predict when an injury may occur).

Make sure the helmet meets safety standards and fits appropriately.  The helmet should be worn level on the head, covering the forehead.  The strap should be tightened enough to allow only two fingers between the chin and strap.  As a parent, make sure to be a good role model for your child and wear a helmet.

Open Windows

It is common to open windows during hot days to allow for cool fresh air.  For kids, the screen is a misleading barrier between the indoors and outdoors.  Screens are meant to pop off easily in the case of an emergency.  A child leaning against a screen ...

4 tips to prevent injuries in sports

Terrence Cronin, MD

Terrence Cronin, MD
Pediatric Sports and Dance Medicine Physician

How do you prevent sports related injuries? Here are four tips:

Don't put that in your mouth

Kathleen Goetz, MD

Kathleen Goetz, MD
Pediatric Emergency Physician

Most parents have experienced a child swallowing something that was not intended to be put in the mouth. Most of the time it turns out to be okay, but not always.  It is always a good idea to check in with your doctor or Poison Control (800-222-1222).

When to worry and what to do if your child swallows...

 

Detergent pods – such as Tide or Cascade
These packets may look like candy but can cause lots of problems, and symptoms may be delayed for 1-3 days: 

  • Nausea, vomiting, diarrhea and stomach aches. 
  • Burns to the mouth, throat, esophagus and stomach. 
  • Scarring or perforation of the esophagus and stomach. 
  • Burns to the cornea of the eye.

Magnets

  • New “rare earth” magnets such as Buckyballs have stronger attractive properties
  • Attraction across ....

Child’s Belly Discomfort Caused By Allergies

Jonah Essers, MD

Jonah Essers, MD
Pediatric Gastroenterologist

This is one of the most common questions that I get asked in the office. Allergic diseases are certainly becoming more and more prevalent in the developed world. General pediatricians and specialists are on ‘high-alert’ for this when evaluating a child that may be sick. Within the realm of intestinal diseases, however, a true allergy is actually not very common. To understand this, we must first understand what ‘allergy’ means.

An allergy is a biologic response from our body’s immune system. When our body senses a foreign invader, our army of immune cells attacks it. It does this by releasing chemicals into the blood stream and/or in to the organs where the threat may lie. Those chemicals are meant to destroy the invader, but often hurt our healthy organs as well. For example, airborn pollen may land in your eye, the immune system senses that pollen, releases those chemicals, and as a consequence we get itchy, puffy, watery eyes. The same thing can happen in the bowel if we ingest food that we are allergic to.

Intestinal manifestations of food allergies

One of the more common sites of an allergic response to food is in the esophagus—the food pipe. When the esophagus gets inflamed, it can manifest in a few different ways: heartburn symptoms, chest pain, chronic dry cough, upper abdominal pain, frequent regurgitation, or food that is stuck the chest. The name of this is Eosinophilic Esophagitis. Food allergies lower in the bowels can cause diarrhea, blood in the stool, abdominal pain, weight loss, anemia, and fatigue.

There are usually other red flags

One of the most important things to remember is ....

Family Meals with Young Children

Heidi Sosa Padilla, RD, CD

Heidi Sosa Padilla, RD, CD
Registered Dietitian

Many parents don’t realize how much eating meals together as a family helps their children’s development and well-being in addition to being known to reduce the risk of obesity and improve the nutrition of children. Eating meals together is a valuable lesson and practice in sharing. By eating the same foods, hearing about someone else’s day, and telling stories, kids learn to compromise and show respect. Sitting around the table with the family is a great setting for children to see how they are a part of something bigger than just themselves.

When you have young children, it is a key time to start eating meals as a family and develop this lifetime habit. Even babies old enough to sit in a high chair but not old enough to eat everything everyone else is eating will benefit from joining the family at the table.

Here are some tips to make mealtimes more pleasant with young ones:

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Top Authors

Jennifer Wojciechowski
Uma Pisharody, MD, FAAP

Uma Pisharody, MD, FAAP
Pediatric Gastroenterologist

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Robert L. Weinsheimer, MD
Pediatric General Surgeon

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Elizabeth Meade, MD
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