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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 […]

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 […]

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 […]

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 […]

New Blood Pressure Guideline for Kids, Powered by Nemours Children's Health System

New Blood Pressure Guideline for Kids

The American Academy of Pediatrics recently released new blood pressure assessment guidelines for children, endorsed by the American College of Cardiology and the American Heart Association. The guidelines were last issued in 2004 and restated in 2011. Similar to prior guidelines, children are placed into four groups with regard to blood pressure: normal elevated – to be managed by lifestyle changes including diet and exercise stage 1 hypertension – to be followed by the provider and which may or may not require treatment stage 2 hypertension – which requires further workup and medication What’s Different? A difference from previous guidelines is the development of new normal blood pressure tables. In the older tables, overweight children’s blood pressure measurements were included. Now the tables are based only on children who are not overweight or obese. As a result, the new blood pressure numbers are slightly lower, leading to slightly lower thresholds […]

What is Powassan virus? | Karen Ravin, MD, Division Chief of Infectious Diseases, Nemours/AIDHC | Promise, powered by Nemours Children's Health

What is Powassan virus?

An unfamiliar tick-borne virus is making headlines this spring. What is Powassan virus and how worried should we be? Powassan virus is an extremely rare infection transmitted by a tick bite. Powassan can cause fever and vomiting, disorientation, seizures and brain inflammation and swelling. How common is Powassan? To say it is rare is an understatement. Since 2006, only 75 cases have been reported in the U.S., mostly in the Great Lakes region and New York State. One case was reported in Pennsylvania, three in New Jersey and none in Delaware or Maryland. The chances of contracting Powassan virus are about one in 50 million. Is it new? Powassan isn’t new. It was first reported in Canada in 1958. Recently, a toddler in Connecticut became ill with Powassan virus (the first case identified in that state). Reports were featured prominently in national media, raising awareness (and fear) of Powassan. In […]

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 […]

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 […]

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