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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 […]

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 […]

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 […]

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 […]

Staying Safe With a Stinging Insect Allergy, Jordan Smallwood, MD | Promise, powered by Nemours Children's Health

Staying Safe With a Stinging Insect Allergy

Honey bees. Wasps. Fire ants. Yellow jackets and hornets. Few people are big fans of these bugs, but for those who have a stinging insect allergy, there’s more at stake than the pain of a simple sting. Anaphylaxis is a life-threatening reaction that occurs in people who are allergic to the venom of stinging insects. It happens when a person’s immune system overreacts to the proteins in an insect’s venom, and the effects are immediate and very dangerous. While most people develop pain, swelling and redness at the site of an insect sting, it’s important to watch out for symptoms of an allergy. These signs include: Hives Tightening of the throat Wheezing and/or difficulty breathing Stomachache Vomiting or diarrhea Itchiness Lightheadedness or loss of consciousness Itchy, watery or swollen eyes If your child starts having serious allergic symptoms, like swelling of the mouth or throat or difficulty breathing, give an epinephrine auto-injector […]

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 […]

Sudden cardiac arrest and teenage athletes | Steven Fishberger, MD | Promise: Powered by Nemours Children's Health System

Sudden Cardiac Arrest and Teenage Athletes: What’s the Risk?

Sudden cardiac arrest is nothing new, but it still gets plenty of attention when it affects a young athlete—usually because it’s so rare, unexpected and tragic. We’re all familiar with the stories of seemingly healthy teenagers collapsing on the field or court and succumbing to cardiac arrest. It’s estimated that between 6,000 and 8,000 young people experience sudden cardiac arrest (or SCA) each year, and only about one in 10 survive. The exact causes of SCA vary widely. Abnormalities in the heart or genetic conditions are often to blame, though there are times in which a definite cause is never found. In all cases, something causes the heart to unexpectedly beat out of control or stop beating altogether. Sudden cardiac arrest is so dangerous because it’s so hard to predict. But if the symptoms are recognized immediately, lives can be saved. Symptoms of SCA include: The Challenge of Preventing Sudden […]

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