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Taking Lessons from Crohn's Disease | Promise, powered by Nemours Children's Health System

Taking Life Lessons from Crohn’s Disease

Contributed by Darcy Galnor, whose daughter is a patient of Nemours Children’s Specialty Care, Jacksonville. The morning our daughter was diagnosed with Crohn’s Disease started like any other. We woke up as just a regular young(ish) couple with two kids, jobs and life’s typical stressors. (I guess maybe not entirely typical, unless taking our 5-year-old daughter for a colonoscopy is considered an everyday event). We’d been chasing the cause of her diarrhea for months, maybe even years. Dairy? Nope. Gluten? Nope. Strawberries (her favorite food)? Nope. As we sat in the waiting room, anxiously watching for the doctor to tell us the results, we attempted to distract ourselves with work. Both of us had tablets rested on our thighs, cell phones on the arms of our chaisr. My husband downing coffee. Me biting my nails. Then, the doctor appeared. “She has inflammation throughout most of her GI tract. We’ll wait […]

After 27 Years With Type 1 Diabetes, Here’s What I’ve Learned | Promise, powered by Nemours Children's Health System

After 27 Years With Type 1 Diabetes, Here’s What I’ve Learned

I celebrated my first National Diabetes Awareness Month in 1990. I was twelve years old, had just started seventh grade, and was very aware of Type 1 diabetes – I’d just been diagnosed with it. Aside from the distinctive smells of insulin and alcohol swabs, I don’t remember much about the time I spent in the hospital after my diagnosis, or about those first few months at home. I do, however, remember the sense of bewilderment that accompanied my family home from the hospital, and how uncertain we were about how our lives would proceed with a chronic condition to manage. If I could go back to that November, there’s so much I would tell my younger self about the reality of living with diabetes. Unfortunately, I can’t – so I’m sharing what I’ve learned here. Don’t panic. It’s true that diabetes can (and will) infiltrate every part of your […]

Gestational Diabetes and Diet: How the Right Foods Can Help | Armando Fuentes, MD | Promise: Powered by Nemours Children's Health

Gestational Diabetes and Diet: How the Right Foods Can Help

You probably know someone who’s had gestational diabetes mellitus, or may have been diagnosed yourself. By any measure, it’s not rare. It’s estimated that about 200,000 cases of gestational diabetes—a condition that’s marked by glucose intolerance in pregnancy—occur every year. In fact, gestational diabetes may be present in up to 9.2% of all pregnancies. But the fact that gestational diabetes is pretty common doesn’t make it any easier to live with—especially when you’re dealing with all the other challenges of pregnancy. Gestational diabetes occurs when hormones from the placenta block the action of the insulin that the mother’s body produces. Insulin’s job is to help the body transform glucose in the bloodstream into useable energy. When the body can’t make or use insulin properly, glucose builds up in the blood, causing higher blood glucose levels that can be dangerous for a mother with diabetes and her baby. Women with gestational diabetes mellitus […]

Asthma Flare-Ups and Kids: What They Are, What You Can Do, Powered by Nemours Children's Health System

Asthma Flare-Up and Kids: What They Are, What You Can Do

A recent survey by Nemours Children’s Health System, the Delaware Survey of Children’s Health (DSCH), showed that parents of 88 percent of children with asthma were educated by health professionals on how to recognize early signs or symptoms of asthma episodes in their child. Understanding what an asthma flare-up is and how to recognize the early signs or symptoms are key steps in improving the health of your child. Increasing the percentage of parents who are taught how to recognize their child’s early signs or symptoms of an asthma flare-up (also called an asthma attack) can help reduce the number of asthma-related hospital visits and improve the overall health of their child. What is an Asthma Flare-Up? During an asthma flare-up, the breathing tubes (also called bronchial tubes) in the lungs constrict — like a straw being squeezed — which triggers wheezing, coughing and tightness in the chest. Some kids […]

Heart Murmurs in Kids: They’re Common and Usually Harmless, by Steven Ritz, MD | Promise, Powered by Nemours Children's Health System

Heart Murmurs in Kids: They’re Common and Usually Harmless

You might worry if you’re told your child has a heart murmur. But lots of kids are found to have heart murmurs at some point. And most won’t affect a child’s health at all. So What Is a Heart Murmur? The term “heart murmur” isn’t a diagnosis of an illness or disorder. The doctor might hear an extra sound in addition to the “lub-dub” we recognize as the heartbeat. A heart murmur is an abnormal sound (like a blowing or whooshing) that’s usually detected by a doctor who’s listening to the heart with a stethoscope during a routine examination. What’s an “Innocent” Heart Murmur? The most common type of heart murmur is an “innocent murmur” (also called a “benign” or “functional” murmur). This type of murmur is harmless. An innocent heart murmur is the sound of blood moving through a normal, healthy heart in a normal way. Just as you might hear air moving through an […]

6 Common Pneumonia Questions Answered, by Kate Cronan, MD, Powered by Nemours Children's Health System

6 Common Pneumonia Questions Answered

Pneumonia is a very common illness in kids. In fact, an estimated 156 million cases of pneumonia are diagnosed worldwide each year — and that’s just in children younger than 5 years old, according to the World Health Organization (WHO). So here’s what you need to know about this infection that’s all too common around this time of year. 1. What is pneumonia, anyway? Simply put, pneumonia is an infection of the lungs. It causes fever, coughing and sometimes trouble breathing. The good news is that most kids with pneumonia can be treated at home, and they usually get better in 1 to 2 weeks. However, in some cases, babies and children with certain other medical problems can get sicker and may need to be admitted to a hospital while they get better. 2. Is there a pneumonia “season?” Your child may be more likely to get pneumonia after having a […]

Osgood-Schlatter Disease, Powered by Nemours Children's Health System

Kids’ Knee Pain: Is It Osgood-Schlatter Disease?

I remember when my son was 12 years old, he would wake up in the middle of the night crying and complaining of knee pain. He had started to run track in middle school, and he started to get a little bump just below his knee cap at the top of his shin bone. Our pediatrician called it “growing pains” and said it would go away. He recommended that he do some stretches and ice after track practice. Eventually it did resolve once track season was over, and he didn’t have any problems after that. What I found out later is that this wasn’t growing pains at all – it was a common sports injury known as “Osgood-Schlatter disease.” What is Osgood-Schlatter disease? Although it sounds scary because of the word “disease,” Osgood-Schlatter is one of the most common causes of knee pain in adolescents. It’s an overuse injury that […]

Providing Support for Family and Friends with Diabetes: DOs and DON'Ts. Promise, Powered by Nemours Children’s Health System

Providing Support for Family and Friends with Diabetes: DOs and DON’Ts

People who live with diabetes need a lot of “extras” to live healthy, balanced lives. Most of those extras – testing supplies, insulin, and medical attention – can be costly. But there’s one thing that friends and family members of people with diabetes can help provide for free: understanding and emotional support. Here are some Dos and Don’ts for helping people with diabetes thrive with the condition. DO: Get informed. Diabetes can be a confusing condition, even for those who live with it every day. Take the time to learn the myths and facts about type 1 and type 2 diabetes by talking to your friend or relative with diabetes, your doctor, or relatives you know who have diabetes and by finding credible sources of information online. React calmly. For people with diabetes, high and low blood sugars can be common, even on a daily basis. Unless it’s an emergency, […]

Providing Support for Family and Friends with Diabetes: DOs and DON'Ts. Promise, Powered by Nemours Children’s Health System

Type 1 Diabetes: Myths and Facts

Diabetes can be a confusing condition, even for the children, teenagers and families who live with it every day. Here, we separate some of the myths from the truths about type 1 diabetes and those who have it. Myth: Diabetes comes from eating too much sugar. Fact: The exact causes of diabetes – both type 1 and type 2 – aren’t known. What is clear is that type 1 diabetes is an autoimmune disease, which means it results when the body’s immune system destroys its own tissues. In this case, the immune system destroys the insulin-producing cells located in the pancreas. What prompts the immune system to target these cells is unknown, but age, genetics, environment, and other factors all play a part. Overall, to reduce your chances of getting diabetes, you should reduce your sugar intake, eat smarter and perhaps consider looking into unify health reviews and others similar to ensure […]

Providing Support for Family and Friends with Diabetes: DOs and DON'Ts. Promise, Powered by Nemours Children’s Health System

The Type 1 Diabetes Warning Signs Every Parent Needs to Know

When Katy’s son’s second-grade teacher called the house one afternoon, neither of them knew they were discussing symptoms of type 1 diabetes. “The teacher contacted us because Brian was falling asleep after lunch. She was concerned that something was happening at home that was keeping him from sleeping.” A little worried, Katy took Brian to his pediatrician, who simply recommended that he get to bed earlier each night. “We started putting him to bed at 7:30 p.m., and he was still sleepy after lunch in school. It continued throughout the school year.” Katy, her son’s teacher, and the family pediatrician would later learn that Brian’s after-lunch fatigue was due to undiagnosed type 1 diabetes. “Over the summer, I noticed him drinking more and more. I eventually googled ‘excessive thirst’ and read about type 1 diabetes. The pediatrician had us come in for a urine test and sent us to the […]

10 Asthma Questions Answered - Powered by Nemours Children's Health System

Asthma: 10 Common Questions Answered

For most parents and kids, spring means sunny warm weather, outdoor sports and more outside playtime. For many others, spring also means more asthma flare-ups – more time outside means more exposure to asthma triggers, and more sports means more exercise-induced asthma. Although childhood asthma is common, many people really don’t know much about it. So we thought we’d answer some common questions about what asthma is and how it’s treated. 1. What is asthma, exactly? Asthma is a chronic disease that affects the airways in the lungs, called “breathing tubes” (or “bronchial tubes”). It’s actually the most common long-term childhood disease – the No. 1 reason kids chronically miss school. And flare-ups are the most common cause of pediatric emergency department visits due to a chronic illness. Those affected by asthma typically have swollen airways (which means that they swell and produce lots of thick mucus) most of the […]

The ABCs of Autism, Powered by Nemours Children's Health System

The ABCs of Autism

At Nemours and elsewhere around the globe, April is the month to shine a light on the autism community. As parents, learning the signs of autism spectrum disorder, observing your child’s development, getting a timely and accurate diagnosis, and beginning treatment as early as possible can make a critical difference in your child’s future. Here are the basics: What is autism spectrum disorder (ASD)? ASD is a lifelong, neurologically-based developmental disorder that’s described as a ”spectrum” because symptoms can vary in type and severity. No two cases are exactly alike. The core features of ASD are a) social and communication deficits and b) repetitive or restricted behavior, interests or activities. What causes ASD and how common is it? While a precise cause is unknown, a variety of factors, including environmental, biologic and genetic factors, are thought to increase the likelihood that a child will have ASD. The prevalence of autism […]

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