My Blog
By Riverside Pediatrics, LLC
February 05, 2021
Tags: Diabetes  
Diabetes in ChildrenIn the past, the most common type of diabetes to affect children and teens was type 1 diabetes. This is also referred to as juvenile diabetes. In children with type 1 diabetes, their bodies do not produce insulin, a hormone responsible for helping deliver glucose into the cells. While type 1 diabetes is quite common in children, pediatricians are also seeing a rise in type 2 diabetes in children and teens. This coincides with an increase in childhood obesity rates.
 
Symptoms of Type 1 Diabetes
While type 1 diabetes can appear in children of any age, it’s most commonly diagnosed in children between the ages of 5 and 6, and 11 to 13. It’s important to recognize the symptoms of type 1 diabetes early, as high blood sugar levels can lead to serious complications. Symptoms of type 1 diabetes typically appear suddenly, and the most common symptoms include,
  • Frequent urination, particularly at night
  • Excessive thirst or hunger
  • Weight loss, despite increased appetite
  • Cuts, bruises, and wounds that don’t heal or are slow to heal
Symptoms of Type 2 Diabetes

Unlike type 1 diabetes, type 2 diabetes symptoms usually appear gradually. While type 2 diabetes has always been considered “adult-onset” diabetes, this has changed over the years, thanks to the obesity epidemic in children. If your child is obese or overweight, they may be at an increased risk for developing type 2 diabetes. Symptoms of type 2 diabetes are similar to type 1 diabetes, the only marked differences in symptoms are,
  • Blurry vision
  • Severe fatigue
  • Tingling or numbness in the hands and feet
Treating Diabetes in Children

Even though there is no cure for diabetes, there are ways that your child’s pediatrician can help manage their symptoms. The goal of treatment is to control blood sugar levels to prevent complications and lessen symptoms.
 
The standard treatment includes managing diabetes through insulin therapy, which involves either daily insulin injections or an insulin pump. You will also need to monitor your child’s blood sugar levels throughout the day. Along with insulin therapy, you will also want to make sure that your child is eating a healthy diet and is getting regular exercise (at least one hour a day).
 
If your child is overweight or showing signs of diabetes, you must talk with your child’s pediatrician right away. A simple blood test can check their blood sugar levels and determine whether or not they have diabetes. Since uncontrolled diabetes can lead to serious health problems, it’s a good idea to see a pediatrician as soon as possible.
By Riverside Pediatrics, LLC
January 21, 2021
Category: Child Safety
Tags: Tetanus Shot  
Tetanus ShotAll children need to get a tetanus shot. When we think of tetanus we often think of rusty nails; however, this bacterium isn’t just found on rusty metal items, it also lives in soil and dirt. If bacteria come in contact with a wound or opening in the skin this can lead to a serious infection. If your child, like many, enjoys running around outside barefoot, they must be keeping up with their tetanus shots.
 
When should my child get their first tetanus shot?

While tetanus can cause some serious symptoms including “lockjaw," it is completely preventable with a vaccination. The DTaP vaccine is used to prevent tetanus (along with diphtheria and pertussis) and your child will get their first series of shots at 2, 4, and 6 months. Your child will also need another tetanus shot between the ages of 15 to 18 months old and between 4-6 years old.
 
Children should continue to get a tetanus shot during their annual pediatric checkup until they turn 18 years old. Instead of getting the DTap vaccine, which they got as a young child, they will get the Tdap booster shot that still protects against diphtheria, tetanus, and pertussis.
 
Once your child reaches adulthood, they will get a Td vaccination, which will protect them against tetanus and diphtheria.
 
What are the signs and symptoms of tetanus?

Most children will develop symptoms within two weeks of exposure to the bacteria. Symptoms of tetanus include,
  • Painful and severe muscle spasms
  • Shoulder, jaw, and neck stiffness
  • Difficulty breathing and swallowing
  • Rapid heart rate
  • Fever
If left untreated, tetanus can be life-threatening so it’s important to bring your child in right away if they develop any of these symptoms.
 
If it’s time for your child’s next tetanus shot, your pediatrician will be able to administer the vaccine either during their next routine checkup or at a separate important. You must be keeping up with your child’s vaccine schedule so that they are fully protected against potentially dangerous communicable diseases.
By Riverside Pediatrics, LLC
January 08, 2021
Category: Child Safety
Keeping Your Child Safe While TravelingWhether you’re simply taking a weekend trip to visit the grandparents, or you and the family are flying internationally, you must know how to keep everyone healthy and safe while on vacation. After all, the last thing you want to worry about is looking up local hospitals near your hotel in the middle of the night. Here are some tips for how to keep your little ones safe while traveling.
 
Bring all Medications with You…
And make sure you have enough. This is especially important if you are going to spend a couple of weeks on vacation. You will want to make sure that your child has access to their medications and that they don’t run out. If you’re flying, make sure to pack all medications in your carry-on, just in case the airline happens to lose your luggage.
 
Get the Appropriate Vaccinations
While travel throughout the US won’t typically require your child to get inoculated, traveling abroad may require certain vaccines ahead of time. You must schedule an appointment with your child’s pediatrician about a month in advance to make sure that they get all appropriate vaccinations before travel.
 
Depending on where you’re traveling, your pediatrician may recommend certain immunizations against typhoid, yellow fever, meningitis, or rabies. Your child may also require antimalarial drugs to protect against malaria.
 
Get Travel Insurance
While we never want to imagine a medical emergency happening while abroad, it is important to be prepared just in case your child breaks their arm or gets sick. In this case, having travel insurance can be a major stress-reliever and lifesaver. Most travel insurance covers kids under 17 years of age and also provides emergency care and 24/7 assistance.
 
Traveling During COVID-19
Of course, during the pandemic, medical officials highly recommend avoiding any travel unless essential. While we understand everyone’s desire to travel again and for life to return to normal, we must be doing our part to keep everyone safe during this time. If you do need to travel make sure to wear a mask, practice good hygiene and social distancing, and choose outdoor places such as parks where you can avoid crowds and other people.
 
If you do have questions about traveling with your child, or about getting them the proper vaccines before travel, talk with your child’s pediatrician. It’s important to talk with a pediatrician a month or more before your trip so that you can ensure that your child has everything they need before traveling.
By Riverside Pediatrics, LLC
December 22, 2020
Tags: Broken Bone  
Does My Child Have a Broken Bone?Accidents happen. Perhaps your child hurt themselves falling off their bike or taking a rough tumble down the stairs. In these instances, the first thing you’ll probably do is check your child over for bumps, bruises, and possibly broken bones. It’s important to recognize whether your child could be dealing with a broken bone so that you can bring them in to see their pediatrician right away.
 
The warning signs of a broken bone include,
  • Pain
  • Swelling
  • Bruising
  • Tenderness
  • A popping or snapping sound at the moment of impact or injury
  • Trouble straightening out the limb or affected area
  • Unable to put weight on the area
  • Limited range of motion or unable to move normally
If the bone is visible through the skin, you must call 911 or head to your nearest emergency room for care. If there is no bone visible but your child is still experiencing the symptoms above, then call your pediatrician right away. This problem should be treated on the very same day by your child’s doctor.
 
The most common fractures that we see in kids often affect the bones of the elbows, ankles, and wrists. Falling off monkey bars and other injuries on the playground are incredibly common and can lead to wrist and elbow fractures.
 
How is a broken bone treated?

First, your pediatrician will run X-rays to determine the location and severity of the break. Your doctor will place a splint or cast around the broken bone to provide support and stabilization and to restrict certain movements that could impede healing.
 
Your doctor may also recommend certain exercises that your child should do at home every day to help ease symptoms such as pain, limited mobility, and swelling. Your doctor may also refer your child to a pediatric orthopedist for physical therapy, depending on the type and extent of the injury. You will also need to bring your child back into the office in a few weeks to see how the broken bone is healing.
 
A broken bone is considered a serious injury. If your child is displaying symptoms of a broken bone, it’s a good idea to call your pediatrician right away for a consultation.
By Riverside Pediatrics, LLC
December 07, 2020
Signs of a Pediatric UTIA urinary tract infection isn’t just something that happens to adults. Children can also develop UTIs. Since children are more likely to suffer from kidney damage as a result of a UTI you must see your pediatric doctor right away if you suspect that your child may be dealing with a urinary tract infection. Signs and symptoms include,
  • Increased urgency to urinate, even if there is no output
  • Cloudy or strong-smelling urine
  • A decreased output of urine
  • Children may complain of a burning sensation when urinating
  • Older children may complain of lower stomach or back pain
  • Younger children may cry when urinating
  • Wetting the bed
We know that infants and young children can’t tell us what hurts and where, so we have to look for other signs that they could be dealing with a urinary tract infection. Young children may have a fever, loose stools, refuse to eat, and be more irritable than usual. When they wet their diaper, you may notice that the urine smells strong or bad.
 
Diagnosing UTIs in Children

If your child is showing symptoms of a UTI you must see your pediatrician right away. A simple urine sample is all that’s needed to be able to detect the presence of bacteria. We can examine the urine sample under the microscope and provide results in a matter of minutes. The kind of bacteria that’s present will help us determine the type of antibiotics we will prescribe.
 
Treating Childhood UTIs

It’s important to seek treatment right away, as untreated UTIs can lead to more serious problems including kidney infections, abscesses, and sepsis. Your pediatrician can prescribe antibiotics. Your child should also be getting plenty of fluids during the course of their treatment to help flush out bacteria.
 
It’s also important that your child continues to take their medication even if they start to feel better (do not stop the medication). If symptoms do not improve within three days, or if they get worse, you must call your pediatrician immediately.
 
Our pediatrics team is here to make sure that your child gets the care they need, whenever they are dealing with everything from a fever or stomach upset to a UTI. If your child develops a UTI, talk to your pediatrician right away.




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