Posts for category: Pediatric Care

By Lockman & Lubell Pediatric Associates
August 30, 2019
Category: Pediatric Care
Tags: Concussions  

Child's ConcussionA hit to the head during a soccer game or a hard fall from skateboarding may result in a serious head injury and even a concussion. The American Academy of Pediatrics describes a concussion as any injury to the brain that disrupts normal brain function on a temporary or permanent basis. These injuries are typically caused by a blow to the head, most often occurring while playing contact sports such as football, hockey, soccer, wrestling or skateboarding.

For some children, concussions only last for a short while. Other times, a person can have symptoms of a concussion that last for several days or weeks following the injury. Not all symptoms of concussions will be obvious, and in some cases take several hours to set in. Look for these signs of a concussion if your child suffers a head injury:

  • Headaches
  • Nausea or vomiting
  • Dizziness or loss of balance
  • Memory loss or confusion
  • Poor concentration
  • Vision problems
  • Fatigue
  • Irritability or changes in mood
  • Sensitivity to light or noise

Seek Medical Attention

If your child injures his head or you believe he may have a concussion, it is important that the child discontinues play immediately and visits a healthcare provider for an evaluation. All concussions are serious and should be monitored right away. A pediatrician can properly diagnose the concussion and its severity, and then make appropriate treatment recommendations.

Rest from all activities is the best treatment for concussions. Your pediatrician can make appropriate recommendations for when the child should return to future play. Recovery time depends on the child and the severity of the concussion.

Preventing Head Injuries

Not all head injuries can be avoided, but you can do a few important things to prevent them.

  • Buckle Up. Make sure your child is properly buckled up in a seat belt, car seat or booster seat.  
  • Safety Gear. If your child plays sports, make sure he wears appropriate headgear and other safety equipment.
  • Awareness. Children should be taught how to play safe and understand the importance of reporting any type of head injury to their parent or coach.

All head injuries should be taken seriously.  Early detection and treatment is the best way to prevent serious complications. It’s never a bad idea to contact your pediatrician when you have questions or concerns about your child’s head injury.

By Lockman & Lubell Pediatric Associates
July 31, 2019
Category: Pediatric Care
Tags: Car Seats  

Kids may complain about being restrained in the car, but car seats and booster seats save lives. In fact, the National Highway Traffic Safety Administration reports that using a car or booster seat in a passenger car reduces the risk of fatal injury 71 percent in children younger than 1 and 54 percent in toddlers ages 1 to 4. The statistics are just as impressive for older kids.

What type of seat should I use for my child?

Infants and toddlers should ride in rear-facing seats until they reach the highest weight or height recommended by the manufacturer. In the past, children were routinely removed from rear-facing seats when they were 2, even if they didn't meet height or weight limits. The American Academy of Pediatrics recently changed their guidelines and now recommend that kids remain in the seats as long as possible.

Toddlers and pre-schoolers who have reached the maximum height or weight limits for rear-facing seats should use forward-facing car seats. Again, the seats should be used until the child reaches the maximum height and weight recommendations.

Once kids are too tall or heavy for car seats, they will transition to booster seats. Booster seats should be used until children are 4'9" tall and 8 to 12 years old. Older children can begin using seat belts at that point but should sit in the back seat when possible, particularly if they're younger than 13.

How can I tell if the car seat is installed correctly?

Both car and booster seats should be securely fashioned with a latch system or seat belt. If the seat moves back and forth freely, it's not installed correctly. Properly installed seats should move no more than an inch in any direction.

My child's legs seem too long for the car seat. What should I do?

You may wonder if your child should move up to the next seat or a booster seat if your child's feet touch the back of car seat. As long as your child is shorter than the maximum height for the seat, he or she should remain in the current seat.

Should my child use a secondhand car seat?

Passing a seat down to your next child can be a good idea if your children are only a few years apart in age. Before you reuse a seat for a younger child, make sure that it hasn't expired or been recalled since you bought it. Throw away car and booster seats after accidents, even minor ones. The seat may look perfectly fine but may be damaged internally.

Buying secondhand car seats online or at yard sales should be avoided. You won't necessarily know if the seat has been in an accident or if it has defective latches or restraints.

Using car seats consistently, whether you're going to the grocery store or taking a cross-country trip, can help your child avoid serious injuries due to traffic accidents. Talk to your child's pediatrician if you have questions about the seats.

By Lockman & Lubell Pediatric Associates
June 14, 2019
Category: Pediatric Care
Tags: Sports Injuries  

Your child's sports injury can be treated just as your injury was. Or, can it? Your pediatrician knows that a child's body is still developing, responding differently to acute and overuse injuries from organized sports, gym class, and more. As such, he or she can help your child avoid injury and in the event of sprain, strain, laceration, dislocation, or head injury, will help your youngster recover and stay healthy.

Kids sports injuries

They're very common, says the American Orthopaedic Society for Sports Medicine. Annually, 3.5 million American children under the age of 14 suffer significant sports injuries. Some injuries are related to poor conditioning. Others occur because of inadequate instruction or proper protective gear such as padding, eye wear, sneakers, dance shoes, skates, and cleats.

In addition, diligent supervision on the part of parents, coaches, teachers, and other well-informed adults is critical to safe play. Well-maintained game fields and indoor surfaces avoid foot, ankle, and knee injuries.

Finally, KidsHealth reports that Pre-participation Physicals review medical histories and spot possible weaknesses in children's physiology and anatomy. Most school and organized sports teams require these check-ups either with the school physician or the family pediatrician before the sports season commences.

Treating sports injuries

The Centers for Disease Control (CDC) states that proper assessment and prompt treatment of kids' sports injuries prevent long-term problems, including pain and proper growth of areas of the body such as the long bones. Traditionally, coaches and parents have used the RICE protocol to stabilize and injury, relieve pain, and begin the healing process. It still works exceptionally well. RICE stands for:

  • Rest
  • Ice to the affected area
  • Compression with an elastic bandage
  • Elevation of the affected limb/injured area above heart level

Then, your pediatrician and other health care providers can devise a specific treatment plan to include physical therapy, strengthening exercises, over the counter analgesics, braces, and casts as needed. As a parent, you know your child well. So be sure to fully participate in your youngster's care plan.

Be safe, be well

Each child responds differently to athletic training depending on his or her gender, size, age, physical conditioning, underlying health issue,s and natural ability. You and your pediatrician can partner together in encouraging a safe sports season for your child. That's a win-win situation.

By Lockman & Lubell Pediatric Associates
June 14, 2019
Category: Pediatric Care
Tags: Autism  

What is Autism?

Autism spectrum disorder (ASD), or autism, is a developmental disability that can cause significant communication, communication, and behavioral challenges. The thinking, learning, and problem-solving abilities of individuals with autism can range from gifted to severely challenged. Some individuals with autism need only a bit of help in their daily lives; others need more. While there's no cure for autism, early treatment can make a big difference in the lives of many children.

Overview

ASD is the fastest growing serious, developmental disability, affecting an estimated one out of 59 kids in America. Autism begins in early childhood and eventually causes problems functioning in society — at work, in school, and socially, for example. Often kids show symptoms of autism within the first year. Autism impacts how people perceive and socialize with others, causing problems in social interaction and communication.

Symptoms

Autism can look different in different people. Kids with autism have a hard time interacting with others. Social skills difficulties are some of the most common signs. A child with ASD might want to have close relationships but not know how. Most have some problems with communication. Kids with ASD also act in ways that seem unusual. Examples of this can include repetitive behaviors like jumping, hand-flapping, constant moving, fixations on certain objects, fussy eating habits, impulsiveness, and aggressive behavior.

Causes

The exact cause of ASD is not known, but it's believed that genetic and environmental factors are involved. Research shows that ASD tends to run in families. Changes in certain genes increase the risk that a child with develop autism. Research also shows that certain environmental influences may increase autism risk in people who are genetically predisposed to the disorder. Researchers are exploring whether certain factors such as medications, viral infections, or complications during pregnancy play a role in triggering ASD.

Treatment

Treatment options may include nutritional therapy, physical therapy, behavior and communication therapies, educational therapies, family therapies, and medications. No medication can improve the core signs of ASD, but specific medications can help control symptoms. For example, antipsychotic drugs are sometimes used to treat severe behavioral problems; certain medications may be prescribed if your child is hyperactive; and antidepressants may be prescribed for anxiety.


Autism can impact your child's quality of life. If you think your child may have autism, find a pediatrician near you and schedule a consultation. Proper diagnosis and treatment of autism can help your child live a happier, more successful life. The earlier children with autism get help, the greater their chance of treatment success.

By Lockman & Lubell Pediatric Associates
March 01, 2019
Category: Pediatric Care
Tags: Chickenpox  

At some point in our childhood, we might have experienced chicken pox. While chicken pox most often occurs in children under the age of 12, it can also occur in adults who never had it as children.

Chicken Pox Chickenpox is an itchy rash of spots that look like blisters and can appear all over the body while accompanied by flu-like symptoms. Chickenpox is very contagious, which is why your pediatrician in places a strong emphasis on keeping infected children out of school and at home until the rash is gone. 

What are the Symptoms of Chickenpox?

When a child first develops chickenpox, they might experience a fever, headache, sore throat or stomachache. These symptoms may last for a few days, with a fever in the 101-102 F range. The onset of chicken pox causes a red, itchy skin rash that typically appears on the abdomen or back and face first, then spreads to almost any part of the body, including the scalp, mouth, arms, legs and genitals. 

The rash begins as multiple small red bumps that look like pimples or insect bites, which are usually less than a quarter of an inch wide. These bumps appear in over two to four days and develop into thin-walled blisters filled with fluid. When the blister walls break, the sores are left open, which then dries into brown scabs. This rash is extremely itchy and cool baths or calamine lotion may help to manage the itching. 

What are the Treatment Options?

A virus causes chickenpox, which is why your pediatrician in will not prescribe an antibiotic to treat it. However, your child might need an antibiotic if bacteria infects the sores, which is very common among children because they will often scratch and pick at the blisters—it is important to discourage this. Your child’s pediatrician in will be able to tell you if a medication is right for your child.

If you suspect your child has chickenpox, contact your pediatrician right away!