My Blog

Posts for: October, 2019

By Angel Pediatrics, PLLC
October 25, 2019
Category: Pediatrics
Tags: Bedwetting  

Bedwetting is a common childhood problem. Many children who master toilet training during the day, usually between the ages of two and four, continue to experience episodes of bedwetting through the night. In many cases, the nighttime bedwetting incidents will gradually decrease until they have completely ceased around the age of five or six.

So, when should parents worry about their child’s bedwetting behaviors? Most pediatricians agree that it’s quite normal for children to experience occasional “accidents” and that most children will outgrow it on their own.

When to Visit Your Pediatrician

Bedwetting is rarely a serious problem. In fact, wetting up to a year after the child has successfully been toilet trained is normal. Children gain bladder control at different ages, and while most kids quit wetting at night by the age of 6, others may take a little longer. In the majority of cases, wetting does not have a medical cause.

According to the AAP, you should contact your pediatrician if your child continues to have frequent “accidents” or if you notice any of the following signs:

  • Wet clothing and bed linens, even when the child uses the toilet frequently
  • Unusual straining during urination, a very small or narrow stream of urine, or dribbling after urination
  • Cloudy or pink urine
  • Abnormal redness or rash in the genital area
  • Trying to conceal wetting by hiding clothes or underwear
  • Daytime wetting in addition to nighttime accidents

Parents should remember to be sensitive to their child’s wetting behavior so not to cause additional embarrassment or discomfort. Never punish the child for bedwetting. Instead, show support and encouragement by reassuring the child that it is not his or her fault and that the problem will get better.

Remember, even though childhood wetting is frustrating, it is very normal. Talk to your pediatrician if you have concerns about your child’s bedwetting behaviors. 


By Angel Pediatrics, PLLC
October 25, 2019
Category: Pediatrics
Tags: Wellness Visits  

One moment your child is born and the next moment they are sitting up, saying their first word and taking their first steps. It’s amazing just how many milestones your child will wellness visitreach in just the first few years of their life, and in order to ensure that your child reaches all of these milestones it’s important to visit their pediatrician regularly for routine wellness visits.

Seeing the doctor isn’t just for moments when your child has a fever or the sniffles, it’s also important that they visit the doctor often for well-child checkups. The benefits of these regular visits include,

  • Vaccinating your child and preventing a variety of serious and potentially life-threatening diseases
  • Screening them for certain health problems
  • Checking their vision and hearing
  • Reducing your child’s risk of getting sick
  • Monitoring and treating preexisting conditions
  • Detecting health problems early on and treat them quickly
  • Improving your child’s health and their quality of life

There are many things that go into a well-child visit. When your child visits the pediatrician here are some things to expect,

  • Monitoring of vital signs, which includes taking their temperature, heart rate and blood pressure
  • Recording their height and weight
  • Asking questions about your child’s current health status, physical activity level, diet, sleeping patterns, etc.
  • A comprehensive physical examination
  • Administering immunizations

Additional screenings, vaccines and other elements may also be included in certain well-child checkups depending on their age. For example, most children will start getting a hearing and vision screening at around three years old.

These checkups won’t just detect physical health problems but also developmental disabilities such as ADHD and learning disorders. Bringing your child in for regular wellness checkups allows your child’s pediatrician to continue to monitor their speech to pinpoint early signs that there could be a developmental delay or disability present. All children should be screened for developmental delays by the time they are 9 months old, and again at 24 and 30 months.

Bringing your child in regularly will also get them comfortable with the doctor’s office. Your child’s first visit should happen just a few days after they are born. From there, your newborn will continue to visit the pediatrician at 1 month, 2 months, 4 months, 6 months, 9 months and 12 months.

Once they reach their first birthday, they will come into our office at 15 months, 18 months, 24 months, 30 months and 3 years. From 4 to 21 years old, children and teens should visit their pediatrician once a year for a checkup.

When was the last time your child saw the doctor? Keeping them healthy means keeping up with these routine checkups. Schedule your child’s next wellness visit today.


By Angel Pediatrics, PLLC
October 08, 2019
Category: Pediatrics
Tags: Appendicitis  

Truth is, anyone with an appendix can get appendicitis—even our children. Appendicitis is a painful inflammation of the hollow, finger-shaped organ attached to the end of the large intestine. If left untreated, an inflamed appendix can rupture, leading to a lengthy hospital stay for complications including abdominal infection and bowel obstruction.  

When your child complains of stomach pain, consult your pediatrician for proper diagnosis and to ensure the health of your child. Since appendicitis is potentially life-threatening, it is important to understand the symptoms so that you can spot appendicitis in your child. In order of appearance, the symptoms include:

  • Abdominal pain

  • Vomiting

  • Loss of appetite

  • Fever

Unfortunately, symptoms of appendicitis might also be hidden by a viral or bacterial infection that preceded it. Diarrhea, nausea, vomiting and fever may appear before the typical pain of appendicitis, which makes the diagnosis much more difficult.

Your child’s discomfort might also disappear, which will persuade you that they are better. However, this disappearance of pain could also mean that the appendix has just broken open or ruptured. The pain might leave for several hours, but this is the moment when appendicitis becomes dangerous, making it more important than ever to visit your pediatrician for immediate care for your child.

Treatment

When your pediatrician diagnoses your child with appendicitis, surgery is usually needed as soon as possible. Surgically removing the appendix is usually the treatment of choice, as it is important to eliminate the inflamed appendix before it bursts.  

While most children with abdominal pain do not have appendicitis, you can never be too safe when it comes to the health of your child. Visit your pediatrician for further diagnosis of this serious problem and to take the next steps toward a healthy child.