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May 21, 2013
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Just a friendly reminder, that we will be closed Monday, May 27, 2013 in observance of Memorial Day.

March 14, 2013
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    As a parent, the first eruption of our babies’ tooth is an exciting development. At Champions Pediatric Associates we realize that a teething child may require a little more attention, therefore, we will briefly summarize important points to care for your child during this time.

What is teething?

    Teething is the eruption of teeth through the gums of an infant or young child. Teething may occur as early as 3 months, and continues to 3 years of age. The sequence of eruption is symmetrical (lower teeth usually before upper teeth), and occurs in the following pattern for primary teeth: central incisors, lateral incisors, first molars, canines, & second molars (AAP, 2009). By 3 years of age, the child usually has at least 20 primary teeth (AAP, 2009).

What are signs & symptoms of teething?

    Teething may occasionally cause mild irritability, crying, fussiness, a low-grade temperature (not over 101F), excessive drooling, and an increased desire to chew on something hard.  Additional symptoms may include: refusal of food due to soreness of the gum region, mild rash around the mouth due to skin irritation caused by excessive drooling, & rubbing the cheek or ear region as a result of referred pain during eruption of the molars (AAP, 2013).

Alternative medicine to sooth your teething child

Chamomile—is a gentle soother and relaxer that can be used to ease teething pain. Mix 1 drop of chamomile essential oil in ½ cup of water. Dip a finger or clean, soft cloth into the solution and rub it over the child’s gums. The solution should not be used for drinking. The actual gum rubbing is very comforting. During teething the gums ache and itch at the same time. A few drops of chamomile essential oil can also be mixed with an equal number of drops of vegetable oil. Gently massage this mixture into the skin around the baby’s cheeks and jaw line.

Aloha discomfort. A Hawaiian remedy is to rub juice from a fresh or canned pineapple onto the baby’s gums. The mild stinging effect is a counterirritant.

The marshmallow plant (Althea officinalis). Marshmallow tincture has anti-inflammatory properties and soothes sore gums. This tincture is found in health food stores and can be rubbed over sore gums.

Apply Cool items to sooth the sore gums. 

Teething Rings are safe for chewing. Do not purchase lead or liquid based teething rings.

Items to Avoid for Teething

Do not apply alcohol to gums

Avoid use of over the counter gel or liquid benzocaine products (e.g. Oragel, Anbesol). These products are found to cause methemoglobinemia & seizures. Methemoglobinemia causes reduction of the amount of oxygen carried to the bloodstream, which may be fatal (AAFP, 2011). 

References:

American Academy of Pediatrics. (2013). Teething.  Retrieved from http://www.healthychildren.org/English/ages-stages/baby/teething-tooth-care/Pages/default.aspx

American Academy of Pediatrics. (2009). A pediatric guide to children’s oral health. Retrieved from https://docs.google.com/viewer?a=v&q=cache:yeUaBwvejDQJ:www2.aap.org/oralhealth/docs/oralhealthfcpagesf2_2_1.pdf+sequence+of+teething+american+academy+of+pediatrics&hl=en&gl=us&pid=bl&srcid=ADGEESjrB53uy1IcnEGnOPFH35364SG2_hifEpsSgjedt_2f_uAlxm6W-vRYgNIziecEFR_ob2Z_29G7fkDRitXtbR28v2MH5dR6M6K1qpKfM6yF3oVGHY8WtzdkdaGxH2MhYFAKFitq&sig=AHIEtbRfn5GLMHi6qIS0Otl-AS5ySpukNQ

American Academy of Family Physicians. (2011). Risk posed by popular teething meds prompts FDA warning to parents, physicians. Retrieved from http://www.aafp.org/online/en/home/publications/news/news-now/health-of-the-public/20110412benzocaine.html

 

 

February 25, 2013
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Gastroenteritis

What is gastroenteritis?

Gastroenteritis, also known as the stomach flu, is an infection of the stomach and intestines.

What causes gastroenteritis?

Bacteria, parasites, or viruses may cause gastroenteritis. Rotavirus is the most common cause of gastroenteritis in children.

What are the signs & symptoms of gastroenteritis?

* Diarrhea or gas

* Nausea, vomiting, or decrease appetite

* Abdominal cramps, pain, or gurgling

* Fever

* Tiredness, weakness, or fussiness

* Headaches or muscle aches

How is gastroenteritis treated?

Gastroenteritis typically resolves on it’s own. The goal of gastroenteritis is to prevent or treat dehydration.

Infants should continue to feed by formula or breast milk. Children should gradually have bland, easy to digest foods, such as bananas, rice, applesauce, and toast. Children should also include complex carbohydrates (e.g. rice, wheat, bread, cereals), lean meats, yogurt, fruits, and vegetables in their diet. Children should avoid juices, sodas, dairy products, and candy as they may worsen diarrhea. Increase your child’s fluid intake by offering frequent small amounts of Pedialyte (Prescilla, 2008).

Resource:

Prescilla, R. (2008). Pediatric gastroenteritis. Retrieved from http://emedicine.medscape.com/article/964131-overview  

    We at Champions Pediatric Associates strongly feel that Trampolines are unsafe. The American Academy of Pediatrics (2012) addresses some frequently asked questions regarding trampoline use.

How do most injuries occur on trampolines?

  • About 27% to 39% of injuries happen when kids fall off the trampoline. Another 20% are injured when they contact the springs or frame.
  • Somersaults and flips tend to be the cause of the most serious injuries.
  • Most injuries happen when there are multiple jumpers, and usually the smallest child is injured.
  • One-third to half of injuries happen under adult supervision.

What types of injuries are most common on trampolines?

  • lower body sprains (especially ankle sprains), strains or soft tissue injuries
  • leg, upper extremity, sternum and other upper body fractures
  • head and neck injuries
  • cervical spine injuries

Don’t pads and nets make trampolines safer to use?

  • While netting and padding help prevent some types of injuries, they do not prevent injuries on the trampoline mat, according to the AAP.

What can be done to make trampolines safer?

  • Place the trampoline on a level surface free from surrounding hazards.
  • Inspect protective padding and the net enclosure often, and replace any damaged parts.
  • Allow only one person on the trampoline at a time.
  • Prohibit users from doing somersaults or flips.
  • Have an adult supervise those using the trampoline and enforce rules.
  • Check homeowners insurance policy to ensure it covers trampoline-related claims. If not, a rider may be needed.

What if my child is invited to a friend’s house that has a trampoline or to an event at a commercial trampoline park?

  • Commercial trampoline parks and other places with trampolines may not always enforce AAP-suggested safety rules. Tell your child not to do somersaults or flips while on the trampoline and not to go on the same trampoline as another person. Ensure that an adult will be enforcing safety rules.

  

    We at Champions Pediatric Associates value the importance of showing love & affection to children, to promote a healthy parent-child bond throughout their development. This Valentine's Day take the time to tell your child you love them.

    The American Academy of Pediatrics (2012) promotes the following 14 Ways to Show Love for Your Child This Valentine's Day and Every Day.

1. Use plenty of positive words with your child. Try to avoid using sarcasm. Children often don’t understand it, and if they do, it creates a negative interaction.

2. Respond promptly and lovingly to your child's physical and emotional needs and banish put-downs from your parenting vocabulary. Be available to listen to your child when he/she want to talk with you even if it’s an inconvenient time.

3. Make an extra effort to set a good example at home and in public. Use words like "I'm sorry," "please," and "thank you."

4. When your child is angry, argumentative or in a bad mood, give him a hug, cuddle, pat, secret sign or other gesture of affection he favors and then talk with him about it when he’s feeling better.

5. Use non-violent forms of discipline. Parents should institute both rewards and restrictions many years before adolescence to help prevent trouble during the teenage years. Allowing children of any age to constantly break important rules without being disciplined only encourages more rule violations.

6. Make plans to spend time alone with your young child or teen doing something she enjoys. Send a Valentine’s Day card to your older child or teen. Make Valentine’s Day cards together with your preschool or younger school age child.

7. Mark family game nights on your calendar so the entire family can be together. Put a different family member's name under each date, and have that person choose which game will be played that evening.

8. Owning a pet can make children, especially those with chronic illnesses and disabilities, feel better by stimulating physical activity, enhancing their overall attitude, and offering constant companionship.

9. One of the best ways to familiarize your child with good food choices is to encourage him to cook with you. Let him get involved in the entire process, from planning the menus to shopping for ingredients to the actual food preparation and its serving. It is wonderful when families eat together as much as possible. Good food, good conversations.

10. As your child grows up, she'll spend most of her time developing and refining a variety of skills and abilities in all areas of her life. You should help her as much as possible by encouraging her and providing the equipment and instruction she needs. Start reading to your child beginning at six months. Avoid TV in the first two years, monitor and watch TV with your older children and use TV time as conversation time with your children. Limit computer and video games.

11. Your child's health depends significantly on the care and guidance you offer during his early years. By taking your child to the doctor regularly for preventive health care visits, keeping him safe from accidents, providing a nutritious diet, and encouraging exercise throughout childhood, you help protect and strengthen his body.

12. Help your child foster positive relationships with friends, siblings and members of the community.

13. One of your most important gifts as a parent is to help your child develop self-esteem. Your child needs your steady support and encouragement to discover his strengths. He needs you to believe in him as he learns to believe in himself. Loving him, spending time with him, listening to him and praising his accomplishments are all part of this process.

14. Don't forget to say, "I love you" to children of all ages!

American Academy of Pediatrics, 2/12
 





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