Generally, a fever is brought on by an infection from a virus or bacterial infection. While many times a parent’s first instinct is to worry when their child has a fever, it’s not necessarily a sign that something serious is taking place. That’s because a fever is the body’s normal, infection-fighting response to infection and in many cases is considered a good sign that the child’s body is trying to heal itself.
When to Visit Your Pediatrician
Fevers are one of the most common reasons parents seek medical care for their child. Most of the time, however, fevers require no treatment.
When a child has a fever, he may feel warm, appear flushed or sweat more than normal—these are all common signs. So, when does a child’s fever warrant a pediatrician’s attention?
You should call your pediatrician immediately if the child has a fever and one or more of the following:
- Exhibits very ill, lethargic, unresponsive or unusually fussy behavior
- Complains of a stiff neck, severe headache, sore throat, ear pain, unexplained rash, painful urination, difficulty breathing or frequent bouts of vomiting or diarrhea
- Has a seizure
- Is younger than 3 months and has a temperature of 100.4°F or higher
- Fever repeatedly rises above 104°F for a child of any age
- Child still feels ill after fever goes away
- Fever persists for more than 24 hours in a child younger than 2 years or more than 3 days in a child 2 years of age and older
All children react differently to fevers. If your child appears uncomfortable, you can keep him relaxed with a fever-reducing medication until the fever subsides. Ask your pediatrician if you have questions about recommended dosage. Your child should also rest and drink plenty of fluid to stay hydrated. Popsicles are great options that kids can enjoy!
For many parents, fevers can be scary, particularly in infants. Remember, the fever itself is just the body’s natural response to an illness, and letting it run its course is typically the best way for the child to fight off the infection. Combined with a little TLC and a watchful eye, your child should be feeling normal and fever-free in no time.
Whenever you have a question or concern about your child’s health and well being, contact your Shawnee Mission pediatrician for further instruction.
Giving your baby his first spoonful of solid foods is an exciting time! Many parents look forward to the day their little one takes their first bite of rice cereal, and in many cases, baby is just as eager! So how do you know if your baby is ready to transition to solids?
Here are a few tips for helping you introduce and successfully navigate feeding your baby solids.
Is my baby ready for solids?
As a general rule, most babies are ready to tackle solids between 4 and 6 months of age.
- Weight gain. According to the American Academy of Pediatrics, babies are typically big enough to consume solids when they reach about 13 pounds—or about the time they double their birth weight.
- Head control. Your baby must be able to sit up unsupported and have good head and neck control.
- Heightened curiosity. It may be time to introduce your baby to solids when they begin to take interest in the foods around them. Opening of the mouth, chewing motions and staring at your plate at the dinner table are all good indicators it’s time to give solid foods a try.
To start, give your baby half a spoonful or less of one type of solid food. Generally it doesn’t matter which food is introduced first, but many parents begin with an iron-fortified rice cereal. Once they master one type of food, then you can gradually give them new foods.
Other foods, such as small banana pieces, scrambled eggs and well-done pasta can also be given to the baby as finger foods. This is usually around the time the baby can sit up and bring their hands or other objects to their mouth.
As your baby learns to eat a few different foods, gradually expose them to a wide variety of flavors and textures from all food groups. In addition to continuing breast milk or formula, you can also introduce meats, cereals, fruits and vegetables. It’s important to watch for allergic reactions as new foods are incorporated into your baby’s diet. If you suspect an allergy, stop using that food and contact your pediatrician.
Talk to your pediatrician for recommendations about feeding your baby solid foods. Your pediatrician can answer any questions you have about nutrition, eating habits and changes to expect as your baby embarks on a solid food diet.
It’s normal for a child to get a rash at one time or another. But one common type of rash, known as eczema, can be especially troubling. Eczema refers to many types of skin inflammation, with atopic dermatitis being one of the most common forms of eczema to develop during a baby’s first year.
You may first notice signs that your child has eczema as early as one to four months of age, appearing as a red, raised rash usually on the face, behind the knees and in the bends of elbows. The rash is typically very itchy and with time may spread and lead to an infection. The patches can range from small and mild to extremely itchy, which may make a small child irritable.
While the exact cause of eczema is not known, the tendency to have eczema is often inherited. Allergens or irritants in the environment, such as winter weather, pollen or certain foods, can trigger the rash. For most infants and small children, eczema improves during childhood. In the meantime, however, parents should help reduce the triggers that cause eczema outbreaks and control the itch to prevent infection.
While there is no cure for eczema at this time, there is treatment. Talk to your pediatrician about ways to alleviate itching and reduce the rash. Minimizing how often a child scratches the rash is especially important as the more the child scratches, the greater the risk of infection.
To prevent flare-ups and help your child cope with eczema, parents should follow these tips:
- With your doctor’s direction, use antihistamine to relieve itching and reduce scratching.
- Minimize nighttime itching by having child sleep in long-sleeved clothing to prevent scratching through the night.
- Apply cortisone creams or medication to reduce inflammation.
- Use mild soaps during bathing and avoid frequent, hot baths, as they will dry out the child’s skin.
- Wrap moist bandages around the affected areas of the skin before bed to soothe and rehydrate the child’s skin.
- Avoid triggers that aggravate eczema, such as rapid changes in temperatures or seasonal allergies.
Many kids will outgrow atopic dermatitis, but it is still important to treat the condition right away to keep it from getting worse. Work with your pediatrician to find the best combination of skin care strategies and medications to ease the itch and inflammation and keep infection at bay.
A common condition seen in kids and teens, asthma is a lung condition that causes trouble breathing and shortness of breath. During an attack, the bronchial airways become inflamed and the muscles surrounding them constrict, making breathing difficult. Repeated attacks may cause permanent lung damage and in severe cases can be life-threatening. According to the American Academy of Pediatrics, more than 23 million Americans have the condition and more than one-quarter of them are children under the age of 18.
There are a variety of triggers that can lead to an asthma flare-up or make asthma worse. These vary for every person, but common triggers include:
- Allergens, such as animal dander, pollens, mold and house dust mites
- Environmental irritants, such as cigarettes, dry air, fragrances and air pollution
- Infections, such as pneumonia, sinus infection and viral infections of the nose and throat
Does my child have asthma?
According to the Asthma and Allergy Foundation of America, asthma is the most common chronic medical problem in children. Asthma symptoms will vary in frequency and severity, and most children with asthma develop their first symptoms before the age of five. Common signs include:
- Difficulty breathing
- Tightness in chest
If you think your child may have asthma, contact your pediatrician. They can help you identify the early signs of childhood asthma and provide support for prevention and treatment.
A child may be at a greater risk for having asthma if there is a family history of asthma or if the child has eczema or frequent bouts of chronic lower respiratory problems occurring before the first birthday. Keeping your kids away from cigarette smoke in the home or car, removing pets from the house, paying attention to pollen and air quality forecasts and monitoring exercise are all ways to reduce asthma problems.
The good news is that the majority of asthma cases are only mild, and when the condition is properly managed with medications and extra caution, severe asthma flare-ups can be prevented. Work with your child’s pediatrician to learn more about the condition and ensure your child leads a healthy, normal, active life.
As children grow into adolescence, their bodies require more nutrients to grow healthy and strong. But as many parents know, for those teens with busy school schedules, sports practices and jobs, managing a healthy, well-balanced meal plan isn’t always at the top of their priority list. In many cases, a teen’s most important meals are eaten in the car or on the bus as they shuffle from one activity to the next.
Parents can play a very important role in influencing their teen to stay active while maintaining a healthy diet. These tips can help:
- Encourage your teen to not skip meals, especially breakfast. A well-balanced breakfast is essential to keeping your son or daughter nourished throughout the day.
- Educate your teen about healthy snack choices. Stock your refrigerator and cabinets with healthy foods and snacks, such as nuts, fruits, vegetables, whole grains, low-fat milk and lean meats and poultry. Avoid buying sodas and other sugary drinks and foods that are low in nutritional value.
- Involve your teen in the selection and preparation of foods to teach them to make healthy choices.
- Teach your teen how to make healthy selections when eating out at restaurants.
How many servings per day your teenager requires will depend on how many calories his or her body needs. This is based on age, sex, size and activity level. You can discuss your teen’s nutritional habits and recommended daily intake with your teen's pediatrician.
Although balancing school, sports and social activities may present challenges to eating healthy, it is possible to guide your teen on a path of nutritional food choices. Educate them now and promote healthy eating at home to help your teen develop a good understanding of proper nutrition into adulthood. The whole family can benefit from improved eating habits starting at home.
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