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  • Updated booster seat recommendations for kids

    Does your child use a booster seat in the car? This might be a question to ask yourself if you are a parent of a young child. It has been previously thought that a child could graduate from the booster seat around age 8, but guidelines are now being revised to take into account a child’s height, recognizing that children grow at different rates.

  • Are we putting too much pressure on our kids?

    Dreams.  Hopes.  Wishes.

  • Alcohol advertisements affect drinking behaviors in kids

    During the last week’s Super Bowl, how many of you sat down to watch the game, only to be entertained by the infamous commercials? I bet many of you would raise your hand, kids included. Each year, the commercials continue to steal the show and are often talked about in the days after. But have you noticed how popular the commercials featuring alcohol, specifically beer products, are among kids?

  • New Recommendations for Treatment of Ear Infections

    One of the most common illnesses in U.S. children is acute otitis media (AOM), which is a type of ear infection when the middle ear becomes infected. This type of ear infection is the most common condition for which antibiotics are prescribed for U.S. children. The American Academy of Pediatrics (AAP) has recently updated its recommendations to physicians taking care of uncomplicated ear infections in children ages 6 months to 12 years. This new clinical practice guideline will be published in the March 2013 Pediatrics journal. These new guidelines help provide a more specific and stringent definition of a middle ear infection, pain management guidelines, recommendations for initial observation versus immediate antibiotic therapy, and preventive measures.

    What is an ear infection?

    Usually, a child will get an upper respiratory infection or a cold, and the middle ear can become inflamed. Fluid may build up and become trapped in the middle part of the ear during an acute illness. The tube that helps drain fluid from the middle ear to the back of the nose is called the Eustachian tube, and this tube is smaller and more horizontal in children as compared to an adult’s. So when a child becomes ill with a cold, it is more difficult for this fluid to drain out and bacteria can possibly grow in this fluid that is trapped behind your child’s eardrum.

    How do I know if my child has an ear infection?

    Symptoms of an ear infection may include: Fever Headache Difficulty sleeping Difficulty hearing Crying more than usual Fluid draining from the earThese symptoms may be difficult to detect. If your child has a cold and any of the above symptoms, your doctor will be able to use an instrument called an otoscope to look at your child’s ear drums to diagnose an ear infection.

    If my child has an ear infection, do I need a prescription for antibiotics from my doctor?

    The surprising answer is that your child may not always need antibiotics for an ear infection. In treating non-severe ear infections, less may actually be more because our body’s immune systems can usually handle and take care of ear infections on its own. Studies have shown that children with ear infections usually report similar symptoms after about ten days, whether or not they received or did not receive antibiotics.

  • Gearing up for hurricane season

    Every afternoon, as the dark clouds roll in, I can’t help but wonder, “when will this rain ever go away?” But, if you live in Florida, like I do, you have probably accepted the fact the rain is here to stay. And on the days when the thunder and lightning seem unusually intense, I often anticipate a potential hurricane on the horizon. Yes, I said it – hurricane. Hurricane season officially began June 1st and is expected to last until November 30th. And weather experts are already projecting this year’s hurricane season to be a bumpy ride – estimating as many as six storms that could result in major hurricanes.

  • Going back to school and back to the pediatrician

    Since the start of school is right around the corner for families in central Florida, many of us will be taking our children to the pediatrician for an annual visit. Even if your child is completely healthy and hasn’t been sick in a very long time, it is still important to call and make that appointment with the pediatrician every year. I would recommend calling earlier in the summer to schedule an appointment with your pediatrician, since there are usually fewer sick children that come in over the summer, and more appointment times may be available. You will also avoid the big rush of patients trying to see the doctor for annual check-ups right before school starts in the fall.

  • Is going "gluten-free" just a fad?

    I remember when my great-aunt Sally came to visit, she would often bring her own bread and a tub of margarine or stick of butter. If we went out to eat to a place like Pizza Hut, she would order a salad with no croutons. When the salad arrived with croutons, she would send it back and have them remake it without them. Aunt Sally had celiac disease; a condition that damages the lining of the small intestine, causing malabsorption of nutrients after a protein called “gluten” is consumed. Even the tiniest crumb of a gluten-containing food caused Aunt Sally a lot pain.

    How common is celiac disease?

    An estimated 1% of the population in the United States has celiac disease, and 97% of those affected by celiac disease are undiagnosed. In Florida, that means approximately 195,000 people have celiac disease, but fewer than 6,000 of them know it. In one study looking at the prevalence of celiac disease in the U.S., 29 of the 35 people found with celiac disease did not know they had it prior to the study. 

  • What is the Cinnamon Challenge?

    Perhaps more commonly known as an ingredient in your favorite banana bread recipe, cinnamon has now gained traction as the favorite ingredient in a popular dare among kids and teens: the “Cinnamon Challenge.” And thanks to social media, the dare has gone viral. As of August 2012, there were over 51,000 YouTube videos of individuals partaking in the challenge, and one of these videos has been viewed over 19 million times! The Cinnamon Challenge even has its own website, and in January 2012 the phrase was mentioned an average of 70,000 times on Twitter daily. If you aren’t heavily involved in social media, trust me, the Cinnamon Challenge is a big deal and kids just want to be a part of the craze.

    What is the Cinnamon Challenge?

    The challenge is actually quite simple, or so it seems. It requires a person to swallow one tablespoon of cinnamon in 60 seconds without drinking any liquid. Sounds easy, but as you can see in the videos that are publicly displayed for viewers’ entertainment, the victims of this challenge usually end up coughing and choking, as the spice triggers a severe gag reflex in response to a burning sensation in the mouth and throat. This challenge is known to be nearly impossible and potentially harmful, as stated on the cinnamon challenge website, but this doesn’t keep kids from wanting to try it themselves.

    The dangers behind the challenge

    A recent study published in the journal Pediatrics took a closer look at the potential dangers of the popular dare. As noted in the study, eating cinnamon in small amounts and mixed with other foods does not cause a problem for most people. However, problems can arise when large amounts are consumed in isolation from other foods. The coughing, choking and gag reflex that occurs in response to consuming cinnamon in this way can cause the spice to make its way into the lungs. While most side effects are temporary, there can be long-lasting lesions, scarring, and damage to the fragile airways. Those who are allergic to cinnamon or have other diseases, such as asthma, may be at a greater risk for developing these long-term side effects.

  • Hearing the “A” word: autism

  • The benefits of finding a good support group

    As a Licensed Clinical Social Worker at The Hewell Kids’ Kidney Center at Arnold Palmer Hospital, I have many teenage patients express to me that they feel lonely, isolated, and different. They feel that that no one understands what they are going through, and sometimes, they don’t even know what they are going through, or what to expect in the future. They express feelings of grief from losing some of the freedom they once enjoyed and the carefree attitude they once had. Many of these young patients show symptoms of depression and anxiety, too.