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Conditions

Expert Question and Answer

Expert Q&A: Vascular Anomalies

In this Q&A, pediatric ENT physician Steven Andreoli, MD, and pediatric interventional radiologist, Craig Johnson, DO, discuss and answer parents’ questions about vascular anomalies. The experts begin by discussing common types of vascular anomalies. An infantile hemangioma is a type of birthmark that happens when a tangled group of blood vessels grows in or under a baby’s skin. Infantile hemangiomas become visible in the first few days to weeks after a baby is born. Hemangiomas that are visible at birth are called congenital hemangiomas. They grow differently and are treated differently. Infantile hemangiomas are much more common than congenital hemangiomas. There are two main types of infantile hemangiomas: infantile and deep. A lymphatic malformation is a clump of abnormal lymph vessels that form a growing, disorganized, spongy cluster of cysts. Lymphatic malformations appear as masses (unusual growths), but they are benign (not cancerous). A venous malformation is a place in the body where veins haven’t developed in the usual […]

Expert Question and Answer

Expert Q&A: Sleep Apnea

During this Q&A session, pediatric otolaryngologists, sometimes called ENTs (ear, nose, and throat specialists), Nicole Aaronson, MD, and Steven Andreoli, MD, discuss sleep apnea. Q: Are there any connections between sleep apnea and heart conditions? A: Some of the rare complications of long-term sleep apnea can impact the heart. Children with congenital heart diseases are monitored very closely for sleep apnea symptoms to avoid extra strain on the heart during sleep. A child that is showing signs of heavy breathing, disordered or irregular breathing, should have a sleep study.  Q: How do I know if my child needs a sleep study? A: If your child is younger than 2 years old and shows signs of sleep apnea symptoms, they should have a sleep study. Also, obese kids might need a sleep study.  Q: Are there any differences between adult and children’s sleep apnea? A: There is some crossover there, but […]

Expert Question and Answer

Expert Q&A: Cerebral Palsy

During this Q&A session, Kathleen Miller-Skomorucha, occupational therapist, and Carrie Sewell Roberts, social worker, answer questions about maximizing the potential of your child with cerebral palsy (CP) by working with your care team to set goals. Carrie is a social worker and mom to a 13-year-old daughter with CP. Throughout this discussion, she shares with us different examples of what has worked for her family, but also a plethora of resources families can use for their own means. When you’re thinking about setting goals for your child’s future, an important first step is to set a framework. For example, there’s a structure called “Person-Centered Future Planning.” She talks about ways families can use resources like the ones below to work with their child and care team to create shared goals. Kathleen is an occupational therapist who treats patients with CP. She shares her unique perspective as a therapist, discussing goals for therapy. It’s important […]

Expert Question and Answer

Expert Q&A: Adenoids & Tonsils

Dr. Nicole Aaronson and Laura Eisel, PA-C, discuss and answer questions about adenoids and tonsils. Watch this video to learn more about: What adenoids and tonsils do Symptoms and treatment of enlarged adenoids Symptoms and treatment of tonsillitis Adenoidectomies and tonsillectomies View the video on Facebook to leave a question in the comments section.

Curve Alert

Curve Alert: Don’t Miss That Scoliosis Screening

Because of the COVID pandemic, you may be putting off visits to your child’s pediatrician. But a missed well visit could mean missing a scoliosis screening. What is scoliosis? Scoliosis is an S-shaped curve in the spine.  It is a condition that occurs equally in boys and girls; however, the curve tends to increase more often in girls. Small curves usually don’t cause problems. But large curves can cause health problems like pain or trouble breathing. What causes scoliosis? The most common form of scoliosis is idiopathic which means “cause unknown.” Kids of any age — even infants — can have idiopathic scoliosis. But it’s usually found when a child begins going through puberty. How do you know your child might have scoliosis? Most often, parents, pediatricians or school nurses may notice one or more of the following signs of scoliosis: One shoulder blade more prominent Ribcage is shifted to one […]

Trouble Breathing During Exercise -- It’s Not Always Asthma, Powered by Nemours Children's Health System

Breathing Trouble During Exercise — It’s Not Always Asthma

What Is Vocal Cord Dysfunction? When a pre-teen or teenager experiences trouble breathing while exercising or playing a sport, many doctors and parents are quick to diagnose the child with asthma. But in some cases, it’s not asthma at all — it’s vocal cord dysfunction, a condition that occurs when the vocal cords do not open correctly. The symptoms of the condition are very similar to asthma, with a child experiencing difficulty breathing or coughing and wheezing. The difference, however, is that vocal cord dysfunction doesn’t improve with a rescue inhaler or a prescription steroid. And for some children, the condition is never diagnosed because, frustrated and distressed, the child quits the activity. But the good news is that vocal cord dysfunction can be diagnosed and treated with the correct therapy. Understanding the Symptoms “Children with vocal cord dysfunction often describe tightness as you’d find in asthma, but opposed to […]

PICU Basics and Preventing Post Intensive Care Syndrome

PICU Basics and Preventing Post Intensive Care Syndrome

If your child is seriously ill and needs a very high level of medical care, they may be sent to the pediatric intensive care unit (PICU). The PICU is different from other parts of the hospital; it is designed for intensive nursing care and helps for constant monitoring of things like your child’s heart rate, breathing, and blood pressure. PICU Basics Your child may be put into the PICU for the following reasons:  Severe breathing problems from asthma Serious infections Certain types of heart conditions Complications of diabetes Post care for major surgery Experienced a serious accident While in the PICU, you and your child will meet many different members of their medical team. This care team includes: Doctors (often called Attending Physicians), Residents, Fellows and Medical students Nurses Respiratory, Occupational, Physical,  and Speech Therapists Pharmacists Nutritionists Social Workers, Child Life Specialists, Psychologists and Psychiatrists Children in the PICU will […]

8 Common Running Injuries

8 Common Running Injuries

Running is a sport that can be done all year long. For many young athletes, running is their after school sport of choice. Runners can compete in the fall, winter and spring in cross country, run indoor/outdoor track, and train in the summer. Whether a student is running throughout the year or during a specific season, all are prone to running-specific injuries. Shin Splints One of the most common injuries for runners are shin splints, caused by inflammation in the tissues, tendons, and bones in the shin (tibia). This overuse injury can be due to new or increased training. Pain along the tibia is associated with shin splints, as well as sharp or dull and throbbing pain and mild swelling. The pain can last both during and after running, and the area hurts to touch. People with flat feet or worn-out or improper footwear are more prone to shin splints. […]

Dining out with diabetes

Dining out with Diabetes

Dining out is a fun, cultural and social affair that everyone should be able to take part in, including people with diabetes. It can seem daunting for those who need to count carbohydrates and administer insulin. But with preparation, guidance, and practice, dining out with diabetes can become a smooth process! Below are tips for before, during, and after dining to help ensure an enjoyable experience. Before: There is no need to change the types of restaurants frequented. Continue visiting your favorite ones and do not feel limited to ones that offer “healthier” options. In time, you may develop a list of preferred locations due to the helpfulness of staff and information made available by the restaurant. Search for the restaurant’s website online and see if the menu and nutritional information are available. If there is no restaurant website, try calling the restaurant and asking for the same information. If […]

Digital Screen Time and Links to ADHD, Powered by Nemours Children's Health System

Digital Screen Time and Links to ADHD

Too much screen time has long been linked to an increased risk of emotional and behavioral problems, especially when kids engage for long stretches — like watching TV for hours or playing too many video games­. The long-term health effects of being constantly connected to smart devices isn’t as well understood. But several recent studies show that these screens can have a negative impact on social behavior, sleep quality, and mood. And one study links attention deficit hyperactivity disorder (ADHD) to teen use of digital devices. Understanding ADHD According to the Centers for Disease Control and Prevention (CDC), ADHD is one of the most common neurodevelopmental disorders of childhood, affecting 8%‒10% of children and teens. The causes of ADHD are still unclear. Research does not show a link with eating too much sugar, parenting, or social and environmental factors like poverty. But these factors, and many others, can make symptoms […]

Know About CHS: Vomiting Syndrome Linked to Marijuana, Powered by Nemours Children's Health System

Know About CHS: Vomiting Syndrome Linked to Marijuana

Your teenager is sick to his stomach. Really sick, throwing up as much as four or five times in an hour. If your teen is a heavy marijuana user, he might have cannabinoid hyperemesis (CHS). What Is CHS? Cannabinoid hyperemesis syndrome is a scientific way of describing the body’s reaction when someone uses a lot of marijuana (cannabis) over a long period of time. Emesis means vomiting. Hyper means excessive. It’s a clinical way of saying that people with CHS throw up a lot because of heavy marijuana use. Some people take years to develop CHS. But 1 in 3 people with CHS have used marijuana for less than a year. The only way to stop CHS is to stop using marijuana. Why has CHS become a problem in recent years? A blog post published in The Lancet suggests it might be because marijuana produced today is much stronger than in […]

Autism Rates: Understanding the Rise, powered by Nemours Children's Health System

Autism Rates: Understanding the Rise

Autism diagnoses are on the rise, the Centers for Disease Control and Prevention (CDC) says in a new report. Autism rates have gone up since 2016, and 1 in 59 U.S. kids have some form of autism (also called “autism spectrum disorder” or “ASD”). Many parents are asking why — and wondering if they should worry. What Does the Rise in Autism Rates Mean? Experts say that the higher autism rates do not mean more and more kids are developing autism. Rather, ways to recognize, diagnose, and treat autism spectrum disorders have greatly improved. Ideally, doctors should look for signs of autism in babies and toddlers at every routine well visit, and perform an autism screening at the 18- and 24-month checkups. However, this may be challenging to accomplish in a busy practice. The CDC also reports that some groups were previously underdiagnosed. Black and Hispanic populations, for instance, have often […]

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