As an ER physician, I’ve seen firsthand the difficulty parents of children with asthma have in deciding whether or not to bring their child to the ER. Parents don’t want to put their child at risk, yet they don’t want to make an unnecessary trip to the ER. The best advice? Put together a plan with the advice of your pediatrician and stick to it. In this manner, when your child is having an asthma attack you have clear indicators and steps to follow. Ask your pediatrician to help you determine what symptoms and - if your child uses one - what peak flow meter readings indicate a trip to the ER.
In general, if you notice any of the following symptoms, seek immediate medical care.
- Bluish or gray lips, skin or fingernails.
- A peak flow reading below 50% that doesn’t improve after giving your child medication.
- Severe symptoms that reappear, peak or don’t go away despite repeated use of medication. If symptoms return quickly - within 5 to 10 minutes of using medication, contact your doctor.
- Difficulty speaking.
- Retractions - areas of skin around the base of the neck or between the ribs that pull in when your child inhales.
Finally, one of the biggest risk factors that triggers asthma is exposure to second hand smoke. This means parents shouldn’t smoke in the home or car at any time, because smoke permeates drapes, carpet, and fabric, and this can set off an asthma attack.
The dreaded “Freshman 15″ - the reputed number of pounds a college Freshman gains during the first year of college - has become almost an accepted fact-of-life on American campuses. And that’s unfortunate, especially when you consider the dramatic rise in obesity this country has experienced over the last 20 years. This rise in obesity - as well as the decrease in physical activity and excessive intake of calories, sugars and fast food - has led to the dramatic increase in the number of young people with type 2 diabetes. These youth are at increased risk of developing heart disease, nerve damage, stroke and kidney disease.
Overweight youth with poor eating habits prior to college simply cannot afford to gain the Freshman 15. It puts their long-term health at risk. And for those teens with good eating habits, college becomes a ‘testing ground’ wherein the choices they make can affect their health going forward.
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When a child is ill, parents often turn to family members, the Internet or a nurse help line for initial answers. But often a nagging question remains — should I seek medical attention, or emergency treatment, for my child?
Fortunately, during my nearly 20 years in the Emergency Room I’ve rarely diagnosed a serious disease in a young child. There have, however, been instances — such as the time a child was brought in because he experienced a seizure — his first —and tests revealed the cause was a brain tumor. And I’ve seen children who appear to have the flu, which is actually new onset diabetes.
Many parents worry about “abusing” the medical system — they’re afraid of bringing their child in too often. However, it’s important for parents to understand that there are times when your child needs medical attention — sometimes emergency medical treatment. Trust your parental instincts. If your child just doesn’t look right to you, then your child should be evaluated.
As we enter the cold and flu season, many adults will experience fevers associated with viral illnesses. When a child’s fever is high they are also at risk for febrile seizures — the most common type of seizure affecting children aged 6 months to 5 years. Let’s look more closely at this common pediatric health condition.
It is hard to believe that we are already preparing for the fall sports season. My son recently went to football camp and it brought to mind the fact that many students are due for their sports participation physical – required every other year by the state athletic association. While getting a physical may seem like a hassle for parents and students alike, it is an important step in assessing the health of your child.
Lifestyle assessment. A sports physical is a great way to have face-to-face time with your family’s health care provider – giving you the opportunity to discuss your family’s lifestyle and how it impacts your lives. Drug and alcohol use should always be discussed during this encounter, as this continues to be a problem with our youth.
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