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The Flu–When to Go From R&R to the ER

There are steps you can take to avoid the flu coming into your house. While there’s no guaranteed way — including being vaccinated — to have 100% protection from the flu, there are things you and your family can do to make spreading the flu less likely: Wash your hands well and often with soap, especially after using the bathroom, after coughing or sneezing, and before eating or preparing food. Never pick up used tissues. Don’t share cups and eating utensils. Stay home from work or school when you’re sick with the flu. Cover your mouth and nose with a tissue when you cough or sneeze, then put it in the trash. If a tissue isn’t available, cough or sneeze into your upper arm, not into your hands. But what if your child does catch the flu? When should you switch from R&R to the ER? Nemours pediatric pulmonologist Dr. Chris Makris, […]

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 […]

Cold & Flu Season – Does Your Child Need Antibiotics? , Powered by Nemours Children's Health System

Cold & Flu Season – Does Your Child Need Antibiotics?

It’s that time of year – your kids come home from school or their extra-curricular activities and show signs or complain of a sore throat, cough, and/or a runny nose. Are antibiotics in order? The answer may surprise you! Viruses vs. Bacterial Infections To best understand whether your child needs antibiotics, it’s helpful to know the difference between viruses and bacteria, which are the two major types of germs that cause sickness. Although certain bacteria and viruses cause diseases with similar symptoms, the ways these two organisms multiply and spread illness are different. Antibiotics fight bacteria, not viruses. Bacteria are living organisms that exist as single cells. They can live in all types of environments, from extreme cold to extreme heat. They’re everywhere and most don’t cause any harm. In some cases they may actually be helpful, like when they live in your intestines and help digest food. The bacteria that are […]

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 […]

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 […]

Vaccines: It Doesn't Have to Hurt, Powered by Nemours Children's Health System

Vaccines: It Doesn’t Have to Hurt

Back-to-school is approaching fast. If you’re like many parents, that means back-to-school physicals and possibly vaccines or blood draws for your kids too. For some families, this topic makes kids and parents alike cringe. We know the critical importance of vaccinations, but it doesn’t make it easier on a child who is frightened of needles, or on parents as they watch their kids squirm, scream, and cry in anticipation of the shot or needle. Thankfully, research doesn’t stop at the safety and efficacy of vaccines. Dr. Christine Chambers and Anna Taddio are well-known pediatric psychologists who study pain and have worked to get the message out publicly that pain management in kids is important and accessible, especially in the case of vaccine! The campaign, “It Doesn’t Have to Hurt” is an excellent resource for parents. Currently, fewer than 5% of kids receive any pain management during vaccines. It’s reassuring to […]

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 […]

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 […]

A Guide to Objects in Ears, Nostrils and Mouths by Robert Sprecher, MD | Promise: Powered by Nemours Children's Health System

You Got What Stuck Where?! A Guide to Objects in Ears, Nostrils and Mouths

It seems like everyone has a story that involves a child, a small object, and an orifice: a bean in a nostril, a pebble in an ear—maybe even a swallowed Barbie shoe or penny. It’s no wonder these instances are so common. Kids are naturally curious, and their worlds contain so many things that fit just so in the body parts they’re learning to explore. So what do you do when your child becomes one of these stories? It all depends on two things: what’s the object, and which opening is it stuck in? First things first: If you know or suspect that your child has swallowed a button battery, get to the emergency department immediately. Swallowed batteries can cause esophageal perforation (a hole in the tube that carries food from the mouth to the stomach), and other life-threatening injuries—sometimes within hours. It’s also time to head to the ER […]

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 […]

Page 8 of 10

Page 8 of 10

Page 8 of 10