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  • Itches and sneezes: Understanding allergies in children

    As I prepare to write about allergies, my poor daughter is sitting next to me sniffling away, red-eyed, stuffy-nosed, and miserable. If you don’t live with allergies yourself, it can be hard to understand how bad this common medical problem can make people feel. But allergy sufferers know that as their season draws near, they can count on disrupted sleep, trouble smelling and tasting food, itching out of their skin, and blowing through boxes of tissues.

    Types of allergies

    Allergies can be perennial, meaning all year long, or they can be seasonal. Perennial allergies are to things like: pet dander, dust mites, molds, and, believe it or not, cockroaches. Here in Florida, where humidity reigns, most of these allergens are everywhere. Seasonal allergies are pollen allergies, and involve trees, shrubs, grasses and weeds. In Florida, where things bloom and pollenate year-round, some unfortunate allergy sufferers can react to multiple pollens during multiple seasons, with little relief between seasons.

    Symptoms to look for

    Symptoms of allergies are many, and are sometimes hard to tell from viral or other illnesses. A common cold follows a rather predictable course: sore throat with or without fever at first, followed by runny nose, followed in another few days by cough. Things get worse over the first week, and then improve over the second week. The flu is marked by high fever and body aches. The hallmark of allergy is the lack of fever, itching of eyes, nose, throat, and/or skin, and the ups and downs of symptoms. Some people have classic allergic rhinitis, with itchy, sneezy, runny nose. Some have allergic conjunctivitis, with red, runny, itchy eyes. Some patients have maddening itching in the back of the throat.  Cough is common in allergy sufferers, and can be from post-nasal drip or from bronchospasm (allergy-induced-asthma is wheezing caused by allergic inflammation). Some allergy sufferers also have itchy dry skin, or eczema.  Complications of allergies can include infections of the ears, sinuses, lungs, and skin.

    How are allergies treated?

    Treatment of allergies may involve determining triggers and eliminating or preventing whatever you can. Sometimes, identifying triggers is easy; for example, if every time your child visits grandma and curls up with the cat she starts to tear and sneeze, your child is allergic to cat dander. You don’t need a test to prove that. On the other hand, allergy tests, which can be blood tests and/or skin tests, can be very helpful in patients with severe symptoms. For example, if your child is often congested and has recurrent sinus or ear infections and turns out to be allergic to dust mites, you can remove carpeting and curtains from his bedroom, encase his mattress and pillow in allergy-control casings, limit plush animals in his bed to one or two, and even run a dehumidifier to kill dust mites. Prevention is considered to be preferable to treatment with multiple medications.

  • Q & A on Scoliosis with Dr. Herrera and Dr. Knapp, Pediatric Orthopedic Physicians at Arnold Palmer Hospital

    Scoliosis is a relatively common condition among children and adolescents. It’s important to know that no spine is perfectly flat, but those who are unaffected by scoliosis have a spine that is straight when looking up and down the middle of the back. Likewise, those who are affected by scoliosis have a curve that runs side-to-side, sometimes resembling the letters “S” or “C,” instead of the letter “I.”

    What exactly is scoliosis and how common is it?

    Scoliosis is a condition of the spine where your back may become curved with time. Not only is the spine curved, but it also rotates on its axis, which leads to the famous “rib hump,” noticed on the spine screenings done at school, or during yearly physicals administered by primary care physicians.

  • Shopping cart injuries are on the rise

    How often do you go to the grocery store anticipating leaving in an ambulance with your child, due to a shopping cart-related injury? My guess is, never. Most parents want to get in and get out when doing the grocery shopping, especially with kids in tow. The problem is, many parents sacrifice safety while trying to hurriedly check things off their list. And despite a voluntary shopping cart safety standard implemented in 2004, the overall rate of shopping cart-related injuries among kids have not declined.

    The Study

    A recent study published in Clinical Pediatrics brought to light the prevalence of injuries among children related to shopping carts that were treated in US Emergency Departments, and the numbers were unexpected. Rather than seeing a decline in the number of injuries following the 2004 shopping cart safety standard, researchers actually found an increase in the number of concussions and closed head injuries treated. This can only mean one thing – the current safety standard is not adequate, and further action must be taken to help keep kids safe while cruising around the grocery store.

  • Car Seat Safety Guidelines: what you need to know.

    There are few things in parenting as complicated as the rules and regulations of car seats. And yet, there are few things as important for the safety and well being of our kids.

  • How I chose to discipline my son when he was a toddler

    To spank or not to spank?

  • Essential oils for children

    You may have heard of a new trend popping up in the parenting community: using essential oils to treat a variety of illnesses or to promote general good health in children.

  • ADHD medications: Things you should know as a parent

    Attention deficit/hyperactivity disorder (ADHD) is one of the most common conditions among school-aged children, affecting roughly one in 25 kids. Children with this disorder often have trouble controlling their behavior, which can have wide-ranging effects on their home and academic lives.

  • Reaching new (and more dangerous) heights: Alcohol trends among teens

    Underage drinking has been a prevalent issue among teens for years, resulting in many research studies and attention from the media in an effort to put a stop to this risky behavior. A few years back, health officials and parents alike were most concerned with how much alcohol teens were consuming on a regular basis. Fast-forward to today, and alcohol consumption among teens has been taken to a whole new level. Not only do we need to be concerned with how much teens are drinking, but also the way teens are getting drunk.

  • Are you concerned about bedwetting?

    It makes me sad as a pediatrician to see families who stress over children who wet the bed. This is usually a normal, natural issue that goes away in time, yet it can really hurt children who are treated like it is their fault.

  • Do you know the difference between a cold and the flu?

    Have your kids been sick lately?