Posts for category: Pediatric Health Care

By Royal Oak Pediatric Associates
August 12, 2021
Cradle CapNoticing rough, scaly patches of skin on your newborn’s scalp? If so, this is a sign of cradle cap. This condition (also known as infantile seborrheic dermatitis) is fairly common in newborns and typically isn’t anything to worry about. It’s similar to dandruff for adults; however, while it might not be harmful or painful for your little one, you may be curious to know how to get rid of it. While it will go away on its own, there are things you can do from the comfort of your own home to treat symptoms of cradle cap.

First, is it actually cradle cap?

It’s important to be able to pinpoint the signs and symptoms of cradle crap. This condition most often occurs within the first 2-4 weeks of a baby’s life. This condition is characterized by oily, scaly, white or yellow patches that may crust over. While it might look unpleasant it isn’t painful and shouldn’t itch, but may be slightly red. You may also find these scaly patches on other parts of the body including the nose, ears and groin.

If the patches are itchy or painful, this could be a sign of another skin condition that will warrant seeing your pediatrician for an accurate diagnosis.

Should I seek treatment from a pediatrician?

Your baby’s cradle cap should go away on its own with a few weeks or months. You can care for cradle cap by simply using a mild shampoo and by shampooing your baby’s scalp every few days, which can help to remove scales. It’s important that you don’t scrub or become too aggressive with the scalp; however, if your child’s symptoms are severe or aren’t responding to home care, then it’s time to turn to a pediatrician who can prescribe a special, medicated cream or shampoo.

If you ever have concerns about your child’s health or any symptoms they may have, even minor ones, it’s important to bring it up with a qualified pediatrician that can address these concerns and also provide a fast diagnosis. No concern is too small when it comes to the health and wellbeing of your child.
By Royal Oak Pediatric Associates
August 02, 2021
Tags: Glasses   Vision Screenings  
GlassesWe all want our children to be healthy and to have the best chance for success, especially once they start school. Of course, your child must be getting regular vision screenings with their pediatricians. After all, vision is critical to your child’s ability to learn, communicate, and understand, and vision problems can impact your child’s school performance and quality of life. Could your child need glasses? Here are some telltale signs.

You Catch Them Squinting When Reading

When your eyes have trouble focusing on an image, squinting may actually help your child see or focus better. Your child may squint when reading anything far away such as a menu behind a restaurant counter or when reading the chalkboard at school. Your child’s teacher may even let you know that your child needed to move closer to the front to see what was written on the chalkboard. This is a telltale sign that your child needs to have their vision evaluated by their pediatrician.

Sitting Close to the TV

Another sign that your child may have trouble with their vision is if they put phones and other electronic devices close to their face to see it. Your child may also sit really close to the TV. These could be signs of nearsightedness.

Nightly Headaches

If your child’s eyes have been overworked and straining all day your child might complain of frequent headaches, particularly in the evening.

Difficulties in School

When parents and teachers notice that their child is having trouble focusing on work they may immediately think that they have ADHD, but sometimes bad vision is actually the culprit. If your child can’t properly see the board, it’s no surprise that their attention focuses on other things. This is when you should talk to your child and find out if they are having trouble seeing the board. It might not be behavioral issues, it might just mean that they need to get an eye exam.

If you are noticing changes in your child’s vision, or if your child mentions having blurry vision or trouble seeing, you must schedule an appointment with your child’s pediatrician as soon as possible. While your pediatrician does have the tools necessary for hearing and vision screenings, they can also refer your child to a pediatric optometrist who can provide further and specialized vision testing and fit them with glasses, if necessary.
By Royal Oak Pediatric Associates
July 15, 2021
Vitamin DVitamin D deficiency is incredibly widespread in the US, and not just with adults! In fact, about one in 10 children in the US are deficient in vitamin D and as many as 60 percent could have “suboptimal levels” of vitamin D, according to Johns Hopkins Medicine. This is why all pediatricians need to screen children for a vitamin D deficiency, as this can impact bone growth, metabolism, and multiple organs and systems.
 
The Importance of Vitamin D

Vitamin D is critical for all of us, but especially children. Vitamin D is needed to absorb calcium, as well as for the support and development of a healthy body. Children with severe vitamin D deficiencies may develop muscle weakness, delayed motor development, rickets, and fractures.
 
Where to Get Vitamin D

Unlike most vitamins, which we can often get through diet alone, vitamin D is acquired through time spent in the sun. You won’t find many foods that naturally contain vitamin D. Unfortunately, if you’re in a place that doesn’t get much sunlight then chances are good your child may not be getting enough vitamin D.

Children get about 80 percent of their vitamin D from sunlight. So if your child doesn’t spend much time outdoors (especially during the winter months) it’s a good idea to talk with your pediatrician about ways to ensure that your child is getting enough vitamin D.

Children with certain health problems such as cystic fibrosis or celiac disease, as well as children who’ve undergone bone surgeries may require more vitamin D. This is something you should discuss with your pediatrician. Children over 1-year-old need at least 600 IU of vitamin D (or more) a day. Ideally, children should get around 1,000 IU of vitamin D per day.

We also know that too much time in the sun can also pose risks for children, especially their skin. During the summer months, children only need a few minutes a day in the sun to get enough vitamin D. During the winter months, kids should get about 2-3 hours per week. Children under 6 months old should never be placed in direct sunlight.

Children with darker skin will also need to spend more time in the sun to produce the same levels of vitamin D as kids with lighter skin. Just sitting inside near windows won’t be enough for your child’s body to produce vitamin D.
 
Nothing is more important than keeping your child healthy. If your child hasn’t been checked for a vitamin D deficiency, you must talk with your pediatrician to find out if this screening is right for them. Fortunately, if you find out that your child is deficient, it’s an easy fix!
By Royal Oak Pediatric Associates
April 14, 2021
Tags: Kissing Disease   Mononucleosis   Mono  
MononucleosisMono, nicknamed the “kissing disease” because of how easily it spreads from person to person, is a viral infection caused by the Epstein-Barr virus (EBV). Pediatricians most often see this infection in teens and it may be mistaken for the flu. While most cases of mono will go away on their own, it can take months for a child or teen to fully recover. It’s important to be able to recognize the differences between the influenza virus and mono.

What are the symptoms of mono?

Symptoms will vary between children, teens, and adults. Children don’t typically show the standard symptoms of mono. In fact, mono might look more like a cold or flu in your little one. The classic symptoms associated with mono are more apparent in teens and young adults between the ages of 15 to 24 years old.

Classic mono symptoms include,
  • High fever
  • Extreme fatigue and exhaustion
  • Body aches
  • Muscle weakness
  • Swollen lymph nodes of the neck
  • Sore throat
  • Rash
  • Headache
Symptoms such as fatigue, body aches, and muscle weakness may be severe and can last for several weeks.

When should I turn to a pediatrician?

As you might already know, many of the symptoms above can be caused by colds, flu, and other infections that aren’t mono. If your child’s symptoms are mild, then you might not need to come into our office right away. Of course, if symptoms persist for weeks or get worse, then it’s time to visit your pediatrician.

You should call your pediatrician right away if,
  • Your child develops a severe headache or sore throat
  • Has seizures
  • Displays changes in behavior
  • Has a very high fever over 104 F
  • Is dehydrated
  • Develops a rash
While teens and adults can often be diagnosed through a standard physical examination, your pediatrician may need to perform blood tests to detect the Epstein-Barr virus in babies and young children.

If you are concerned that your teen may have mono, you must schedule an appointment with their pediatrician as soon as possible. While most cases will go away on their own without treatment, your child’s doctor can provide you with options for helping your child better manage their symptoms and feel better faster.
By Royal Oak Pediatric Associates
October 29, 2020
Tags: Chicken Pox  
Your Child and Chicken PoxYou just got the call from your child’s school: someone in your kid’s class has chickenpox. This highly contagious virus isn’t usually anything to worry about, but it can certainly cause some very unpleasant symptoms for your child, including a terribly red and itchy rash all over the body and face. If you’re concerned about chickenpox, your pediatrician can tell you everything that you should know about this common childhood infection.

How can I tell that it’s chickenpox?

Since chickenpox is caused by a viral infection, most children will develop common symptoms of an infection before the rash even develops. These symptoms include:
  • Sore throat
  • Fever
  • Stomach upset
  • Headache
  • Body aches
  • Loss of appetite
The rash will usually appear 1-2 days after your child has been exposed to chickenpox. This rash consists of itchy, fluid-filled blisters that crust over within 4-5 days. Some children may only develop a few blisters on their body while others may develop hundreds.

How is chickenpox treated?

It is incredibly important that you keep your child from scratching the rash, as this can lead to infection and make their symptoms worse. Several home remedies can ease discomfort and itching. Some of these include:
  • Applying calamine lotion
  • Making sure that your child is drinking enough water and staying hydrated
  • Soaking in a bath with baking soda for 20-30 minutes to reduce inflammation and pain
  • Applying cold compresses to the rash
  • Taking an over-the-counter antihistamine (talk with your pediatric doctor first before giving your child any medication)

Should my child see a doctor?

If your child is experiencing the typical symptoms of chickenpox, then chances are good that you won’t have to bring them into the office. The only thing you can do is wait. You should call your pediatrician if:
  • Your newborn is showing signs of chickenpox
  • Your child’s fever goes away and then comes back
  • Your child has a high fever
  • Some areas of the rash are getting larger or are painful (signs of infection)

Is there a way to prevent chickenpox?

The good news is that children today can be protected against chickenpox with a simple vaccine. The chickenpox vaccine is administered in two doses: the first vaccine is administered when your baby is 12 to 15 months and a second vaccine is administered at 4-6 years old.

If you want to protect your child against the chickenpox, then talk to your pediatrician about getting them vaccinated. Your child has enough to worry about, without chickenpox being one of them.