By Royal Oak Pediatric Associates
October 21, 2022
Tags: Fever   Sick Child Visit  

When your child is sick, it’s comforting to know that help and advice from your pediatrician are just a phone call away. So, what happens when your child is very ill and is getting worse? Your pediatrician has a special option for you. It’s called a sick child visit.

A sick child visit can help your child feel better and recover more quickly. You need to schedule a sick child visit with the pediatrician if your child has a fever which:

  • Has lasted longer than 2 days
  • Is higher than 100.4 degrees Fahrenheit for children under 2 months
  • Is at least 104 degrees Fahrenheit in older children

You also need to schedule a sick child visit if your child has:

  • An ear infection
  • A bacterial or viral infection
  • Difficulty swallowing
  • Nausea and vomiting
  • Diarrhea and constipation
  • Headaches and sinus problems
  • Allergies or asthma
  • Abdominal pain
  • Rashes and other skin irritations
  • Fractured or broken bones
  • Injuries from an accident or sport

When you bring your child in for a sick child visit, your pediatrician will:

  • Record your child’s symptoms and health history
  • Perform a complete physical examination
  • Measure and record your child’s vital signs

Your pediatrician may also order laboratory testing and x-rays to help determine the cause or extent of an injury or illness.

Your pediatrician will also prescribe any necessary medications to make your child more comfortable and eliminate the illness. Medications may include:

  • Antibiotics, to eliminate bacteria causing the infection
  • Antivirals, to kill the virus causing illness
  • Anti-inflammatory medication, to reduce swelling
  • Pain medication, to make your child more comfortable
  • Specialized medications to treat asthma, allergies, and other conditions

When you bring your child in for a sick child visit with the pediatrician, you can be assured of excellent, compassionate care. A sick child visit can help your child heal and recover more quickly, and be more comfortable.

By Royal Oak Pediatric Associates
October 07, 2022
Tags: Fever   Child’s Fever  

When your child is sick, it can be difficult to know what to do. When your child has a fever, it can be especially scary, because a fever may indicate an infection. It’s good to know what to do when your child has a fever, and whether you should bring your child in for a visit with the pediatrician.

In most cases, fever is easy to treat, and it usually doesn’t lead to a more serious condition. Fevers can come on due to exposure to a virus like a cold or the flu. However, fever is also a common indicator of a bacterial infection.

When your child has a fever, you can try a few easy remedies to help your child feel better. Remember to:

  • Give your child infant or children’s Tylenol to reduce pain
  • Give your child a sponge bath or apply cold washcloths to your child’s skin
  • Have your child suck on popsicles

You should bring your child to see the pediatrician if:

  • Your child is under four months old and has a temperature of 100.4 degrees or higher
  • Your child is over four months old and has a temperature of over 104 degrees
  • Your child still has a fever after 2 to 3 days

You should also bring your child to visit the pediatrician if your child’s fever is accompanied by any of these signs or symptoms:

  • A rash or bruising
  • Shortness of breath
  • Nonstop crying
  • A stiff neck
  • Seizures
  • Pain while urinating
  • Decreased urine output

A fever is a common health concern for children, and you can enjoy peace of mind, because you will know what to do when your child has a fever.

If you are in doubt about how to care for your child’s fever, your pediatrician can help. Just a simple phone call to your pediatrician can put your mind at ease. To find out more about caring for your child’s fever, and other pediatric medical questions, talk with an expert. Call your pediatrician today.

By Royal Oak Pediatric Associates
September 16, 2022
Tags: Behavioral Health  

Children exhibit all kinds of interesting behaviors. Many of these behaviors are normal boundary testing, showing independence, and other healthy milestones you want to see.

Children can also exhibit behaviors you don’t want to see, like aggressiveness, sadness, and fear. Your pediatrician is an expert on child development and can help you with your child’s behavioral health.

First let’s look at normal behaviors you want to see. These include:

  • Defiance, because your child may be testing boundaries and exerting independence
  • Withdrawing, because your child needs to show autonomy, and wants to accomplish things without your help
  • Acting out, because your child may be reacting to major changes in life, like moving to a new school, divorce, or death of a close family member

Now, let’s look at behaviors that could be warning signs of a behavioral disorder. These include:

  • Threatening or harming others, pets, or themselves
  • Damaging possessions belonging to others
  • Having difficulty forming or keeping relationships with others
  • Showing frequent signs of unhappiness or depression
  • Demonstrating anxiety about going to school
  • Exhibiting defiance and hostility toward authority figures
  • Frequently lying, arguing, stealing, or skipping school
  • Using drugs, drinking, or smoking at an early age

If you notice any of the signs or symptoms listed above, it’s time for a behavioral health evaluation from your child’s pediatrician.

When you bring your child in for a visit with the pediatrician, a complete medical examination is necessary to make sure there are no underlying medical conditions which may be causing your child’s behavior or making it worse. Your pediatrician may also request additional testing including lab work and other studies.

Your pediatrician will develop a treatment plan designed to help with your child’s behavior. Treatment may include:

  • Individual, group, and family counseling
  • Lifestyle modification including diet and exercise
  • Medication if necessary to modify behavior
  • Additional specialty care with a child psychologist

Your child’s behavioral health is just as important as physical health. You want the best for your child, so call your pediatrician today.

By Royal Oak Pediatric Associates
September 07, 2022
Category: Children's Health
Tags: Asthma  

Need help controlling your child’s asthma symptoms? Your pediatrician can help.

We know that seeing your child cough, wheeze and have trouble taking a full breath can be more than a little scary, but it’s essential to know that your pediatrician can provide your child with a custom asthma treatment plan that helps get their symptoms under control. Your pediatrician can provide your child with the care and treatment they need to lead rich, healthy lives without being at the mercy of their asthma symptoms.

So, how will your child's doctor treat their asthma?

First, We’ll Create an Action Plan

Your pediatrician can provide you and your child with the adequate asthma control needed to avoid missed school days, sleepless nights and trips to the hospital. Your pediatrician can create a customized action plan just for your child. This action plan is designed to help you and your child get better control over their symptoms.

This plan will have specific instructions on ways to manage your child’s asthma and what to do when symptoms flare up, so you are never confused about what to do when your child starts to notice symptoms or if their symptoms worsen.

Next, We’ll Prescribe Medication

In most cases, your children’s doctors will prescribe two medications to manage childhood asthma. The medications and doses prescribed by your pediatrician will depend on the severity and frequency of your child’s symptoms. The two most commonly used asthma medications include,

  • Controlled medication: This is something your child will take every day, even if they feel fine. This medication helps prevent inflammation in the airways and reduces the risk of an attack.
  • Fast-acting medication: Even though controlled medication can significantly reduce airway inflammation and the likelihood of attacks, sometimes triggers such as exercise or stress can still exacerbate your child’s asthma symptoms. When you notice the very beginnings of a flare-up, your child must take this fast-acting medication to alleviate symptoms quickly.

We May Recommend a Flu Shot

If your child has ever had to deal with the flu before, you know from firsthand experience that asthma and the flu do not mix! The flu virus can exacerbate asthma symptoms and lead to more severe complications such as pneumonia. This is why your pediatrician may encourage you to get your child vaccinated against the flu every year.

By Royal Oak Pediatric Associates
August 24, 2022
Tags: School Physical  

When your child begins school, it’s time for your child to begin having school physicals by a pediatrician. School physicals are a great way to help ensure the continuing health of your child. They should be performed every year to make sure your child stays healthy.

Regular school physicals can help identify, prevent, and treat acute and chronic diseases including allergies, asthma, heart issues, and more. When medical issues are identified early, your child has a chance to regain health before school begins.

During your child’s school physical, your pediatrician will:

  • Perform a comprehensive physical examination
  • Check your child’s respiration, eyes, nose, throat, and ears
  • Perform a vision and hearing screening
  • Record your child’s height, weight, blood pressure, pulse, and temperature

Immunizations are another vitally important part of your child’s school physical. In fact, immunizations are required for your child to attend school. You must also show proof that your child is current on immunizations. Your pediatrician can give you the documentation you need.

According to the Centers for Disease Control or CDC, recommended and required immunizations from birth to age 18 are:

  • Hepatitis B
  • Diphtheria, Tetanus, Pertussis
  • Haemophilus influenza type B
  • Polio
  • Pneumococcal conjugate
  • Rotavirus
  • Measles, mumps, rubella
  • Chickenpox
  • Hepatitis A
  • Human papillomavirus
  • Meningococcal conjugate
  • Flu
  • Covid

If your child wants to play a sport, a sports physical may be combined with the school physical. A sports physical helps determine whether your child is healthy enough to play a sport.

During a sports physical, your pediatrician will also check your child’s balance, reflexes, flexibility, muscle strength, and breathing, to determine how your child might react while under physical stress.

Schools, sports, and exposure to other students provide a breeding ground for illness. Regular school and sports physicals, immunizations, and early treatment can help your child stay healthy during the school years and beyond. To find out more about school physicals, call your pediatrician today.





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