Category Archives: family

Stomach virus recovery

“Stomach bugs” are making their rounds right now.  Rotavirus, in particular, is quite contagious and may have even made the rounds through every member of your household.  It causes diarrhea, vomiting, stomach pain, etc.  Sound a little too familiar?

What to do?

According to the American Academy of Pediatrics, usually, the virus goes away on its own.  Watch, though, for dehydration and high fever.  Dehydration can be serious in a small number of cases.  Give small amounts of fluids until the vomiting ceases.  Water is fine, but fluids like Gatorade can add electrolytes.  Stay clear of acidy drinks (like orange juice) and milk.

Be watchful regarding dehydration.  Pay attention to the frequency of urination.  The urine will become more concentrated and less frequent, but child should still be urinating.

While your child is sick, give a very bland diet:  avoid dairy, fried foods, fast foods, hot dogs, etc.  Some good foods are bananas, rice, applesauce and toast (BRAT).

However, it’s recommended that as soon as the stomach is settled, you should return to a balanced diet of fruits, vegetables and protein (meat, yogurt).

Call the pediatrician if diarrhea and vomiting don’t subside within three days, if there’s been no urine output for 10 hours, or if the fever is high or doesn’t subside.  See our blog about when to be concerned about a fever.

As always, stay healthy!

 

© 2014 MBS Writing Services, all rights reserved

Tanning beds?

Checking the thermometer—or even looking out the window—in Central Kentucky this week, it’s hard to believe that spring break is just around the corner. Many people will be heading south for a little sun and warmth.  Others are just dreaming of summer days here, with days by the pool or sunbathing in the back yard.  And still others are imagining prom pictures and how they’ll look in that special dress or tux.

Whether preparing for a trip south, wanting to look your best or thinking ahead to summer, lots of people turn to tanning beds for a “base tan” in March and April.

In Kentucky’s current legislative session a physician has introduced a bill banning the use of tanning beds in the state by anyone under the age of 18.  It’s a bill we support, and here’s why:

  • Indoor tanning (tanning beds) is associated with an increased incidence of skin cancers, including melanoma (the most dangerous kind).
  • The use of indoor tanning has increased among teens, especially girls, in recent years.
  • Depending on the particular tanning bed used, you may receive up to 15 times the UVA rays that you would receive from exposure to midday summer sun.
  • Tanning has cumulative effects.  The more sunburns, and even tanning, your body receives over the years increases the odds you will develop skin cancers.  Tanning also causes premature skin aging and damages all the layers of the skin.

A tan does not make you more healthy; the facts support the opposite—tanning causes long-term damage.

So, don’t allow or encourage your teens to use tanning beds.  Read more from the American Academy of Pediatrics here.

 

© 2014 MBS Writing Services, all rights reserved

Should we go gluten-free?

“Gluten-Free” is the new catchword for “healthy diet,” or so it would seem if you read grocery store labels.  Do gluten-free foods really make your family healthier?  It’s not always a simple answer.

Just what is gluten?  It’s a protein found in wheat and some other grains.  Why do some people avoid gluten?  There are several reasons.

Less than 1% of the population cannot eat gluten because they have celiac disease.  According to the National Institutes of Health page on the subject, “celiac disease is an immune reaction to gluten, a protein found in wheat, rye, and barley.”  It can be diagnosed as early as infancy or at any later time, and you can find a list of symptoms here from the American Academy of Pediatrics.  The only way to get relief from those symptoms is to completely eliminate gluten from the diet, a task that isn’t easy because so many products contain wheat flour.

Others think that a gluten-free diet makes them feel better, though that could simply be because they are eating fewer carbohydrates and calorie-laden fast foods.

Still others believe that gluten contributes to behavioral problems or may even have a link to autism.  Those ideas remain unproven, but there is a great article here.

Gluten-free advocates often tout a huge list of health benefits that are completely without scientific basis.

Celiac disease cannot be diagnosed without specific tests.  If it’s something you suspect your child may have, talk to your pediatrician.  And if you have to put your child on a gluten-free diet, you need to speak to a dietician about what nutrients you may be missing in the process.  Don’t forget that our office has a dietician on staff for just this type of consultation.

Bottom line:  there’s nothing wrong with eating gluten-free foods, but don’t go totally gluten-free without consulting your pediatrician.

 

© 2014, MBS Writing Services, all rights reserved

Screen time for computers and games

A couple of weeks ago we dealt with content of video games here.  If you missed it, check out that important information about monitoring what your kids are playing.  It’s also important to supervise all computer screen time.

Make sure all the computers to which your youngster has access are in open places in the house.  Search the browser history at regular intervals, and make sure you have his passwords for all social media accounts so you can check that activity.  Let him know ahead of time that this is one of the rules for the privilege of using the computer and smart phone.  Take a look at texts and other accounts on her phone, and remind her of safety rules:

  • Never give out personal information online or over the phone.
  • Never assume that someone you “meet” online is giving you accurate information, and never arrange to meet such a person face to face.
  • If you get concerned about someone contacting you, tell your parent without fear of judgment.
  • Never use your phone or computer for pornography (especially child pornography, which is illegal), sexting (a form of pornography), sending any inappropriate information, or for hurting or bullying someone else.  If you receive such content inform a parent or teacher immediately.

In addition to content, you should be aware of time.  Screen time of any kind (television, movies, computer, video games) means fewer hours are available for physical activity, face-to-face interaction, reading and homework.  Screen time isn’t necessarily bad in itself, but you should monitor the amount of time.

The American Academy of Pediatrics gives great advice about video games in this online article, including the recommendation to limit video game time to one hour per day.  The same goes for other types of screen time.  If your teen or child is spending much more time than that in front of a screen (unless, of course, it’s for school), engage him in conversation about what other activities might take the place of some gaming hours.  Allow her to choose from a list of fun ways to spend her time.

  • Reading.  If your children don’t like to read, read to or with them.  Pick an age-appropriate book and take turns reading pages or chapters.  Bedtime is great for this.
  • Physical activity.  One of the problems of screen time is its sedentary nature.  Inactivity leads to weight gain and all sorts of accompanying health issues.  Get your youngster involved in a team or individual sport.  Go walking or swimming.  Shoot hoops in the driveway or play catch in the backyard.
  • Board games.  Remember Candy Land?  Connect Four?  Pictionary?  Games are widely available and great fun.  They afford great opportunities for interaction, and for learning life skills like winning, losing, and cooperation.
  • Face time.  Not the phone app, the real face time.  Find something you and your teen can share and enjoy:  cooking, eating, hiking, stamp collecting, whatever works for you.  Time invested is time well-spent.  You will reap the rewards in getting to know your child better, and they will reap the rewards in knowing you.
  • Channel that interest in computers to online learning games, or learning video games.  Check out learning games on Amazon, or try one of the websites like Adapted Mind, where you can get a 30 day free trial of games for grades 1-6 (if you continue on with membership there’s a monthly fee).

 

Bottom line:  be in charge of what your children do, even if they aren’t always in favor of your monitoring and limits.  It’s your job, and you are aiding in their full development.

 

© 2014, MBS Writing Services, all rights reserved

Video games—pay attention to what your kids are playing

As technology increases at home and school, video games have increased in number.  Each year they become more realistic-looking and exciting.  But they are also often violent, and may contain language and themes inappropriate for your youngster.

Playing video games has benefits, to be certain. They help young people learn eye-hand coordination and computer skills, things they will need to keep up in the modern world.

But there are down sides, too.  Big ones.  Questions and concerns about content top the list, but you should also be aware that many online games require the sharing of personal information and location.

First, content.  The debate continues regarding whether or not violent video games encourage violent behavior.  Opinions abound, but the bottom line is that you should monitor and decide what your child or teen can or cannot play.  In addition to violence, language and themes may often be too adult.

  • Understand ratings.  The ESRB (Entertainment Software Rating Board) rates virtually all video games in terms of content, age-appropriateness, and interactive elements (including whether or not location and other information is shared).  All three of these areas are important.
  • Content and age-appropriateness.  The ESRB website has a great video and also written language to help you understand ratings and how they define words such as “animated blood” and “adult humor.”  The basic content and age ratings are:
    • Early Childhood;
    • Everyone;
    • Teen (13 and up);
    • Mature (17 and up);
    • Adults only.
    • Pay attention!  Games rated “Mature” have truly adult themes (sex, violence, language) and are simply NOT appropriate for younger ages.  Even those with a rating of “Teen” may surprise you with their level of violence and tasteless language.
    • PREVIEW.  Learn about games before you buy.  This website at Common Sense Media is a great source of information.  If your youngster is asking for a particular game, look for the title here to see some screen shots and other details.
    • Interactive elements.  If you are concerned about private information being shared, or worry your child or teen might be connecting (accidentally or purposefully) with people you don’t know, READ THIS.

One important note about violence.  Whether or not your teen or child plays violent video games, you should pay attention if he exhibits violent behavior.  If she is violent with you or other family members, with schoolmates or with animals, talk to your pediatrician about finding a counselor.

Bottom line:  know what your child is doing, watching, playing.  Video games are fun, but you need to be aware of content and privacy.

© 2014, MBS Writing Services, all rights reserved

 

Apps to suit your life and lifestyle

Last week we dealt with websites.  Want to be more mobile?  There are many apps for your smartphone or tablet that can help you keep your family healthy.

Here we’ve listed just a few to get you started, all of them inexpensive or free.

  • From the American Academy of Pediatrics, several great apps are available, all of which you can order here.
    • KidsDoc.  Cost:  $1.99.  This app helps you figure out what to do if your child is sick.  You enter your child’s symptoms and are given advice, including options like:  Call 911, Call Your Child’s Doctor Now, Call Your Child’s Doctor within 24 hours or Manage at Home.  Suggestions for managing at home will tell you how to care for your child’s particular ailment.
    • Car Seat Check.  Cost:  $1.99.  Enter your child’s age, height, and weight.  You’ll get reviews of appropriate car seats, installation help, and safety information.
    • Healthy Children.  Cost:  FREE.  Look up health information by age, find out what first aid is best for particular injuries, see what immunizations are needed for particular ages.
    • ADHD Tracker 1.0.  Cost:  FREE.  If your child, age 4-18, has already been diagnosed with (and treated for) ADHD, this app gives a streamlined way to complete and submit a behavioral assessment.
    • Iron Kids.  Cost:  $3.99.  Keep your child healthy and fit and sport-ready with this workout.
    • Other sources and apps.
      • Ages and Stages.  Cost:  FREE.  This app by Parenting magazine allows you to enter your own stage of pregnancy, or your child’s age, to get information tailored for you.
      • Breastfeeding Management 2.  Cost:  $1.99.  The Massachusetts Breastfeeding Coalition sponsors this app.  You can get answers to frequently asked questions; enter your child’s age, weight, and frequency of feeding to determine how many ounces each feeding should be (especially helpful if you’re pumping); research medications and breastfeeding.

Technology and health have always gone together.  These apps can keep you up to date and on top of health issues.

Artwork by Kennedy, age 2

Artwork by Kennedy, age 2

 

© 2014 MBS Writing Services, all rights reserved

Medical websites you can trust

As we enter 2014, many families will decide to be healthier this year.  One way to be on top of your health is to be knowledgeable.  The problem is that there is so much information out there, it can be overwhelming.  Even worse, a lot of the advice is misleading, incomplete, trying to sell a product, or just plain wrong.

What to do, then, if you’re looking answers to your pediatric health questions?  We have a few sites we trust that you may find helpful.

Your first stop should be here, on our own website.  There you’ll find 21 links that we trust to provide good information, on everything from general health and pediatrics to a few common illnesses and conditions, such as allergies, asthma, and disabilities.  Here are a few of the best:

  • American Academy of Pediatrics.  If you read our blog, you know that we refer to the AAP regularly.  They are the go-to organization for reliable information on the health of children and teens, including physical, social, psychological, and intellectual health.  Some of their pages are full of statistics and medical jargon, but check out healthychildren.org.  It’s very readable, practical, and up-to-date. You can search your topic or question by typing it into the search box.
  • The National Institutes of Health has a huge amount of information.  Some of it is written for health professionals, but much of it—particularly the medline plus section—is also written for the general population.  It’s a great source of health information for all ages, birth to old age.  You can even sign up here to receive e-mail updates on children’s health topics.
  • The Centers for Disease Control and Prevention gives you an alphabetized list of topics and diseases for your research.

If you have a particular issue you’re interested in researching, check with your pediatrician, who can suggest additional specific resources.

Happy internet hunting, and Happy New Year!

Artwork by Audrey

Artwork by Audrey

 

© 2014, MBS Writing Services, all rights reserved

Keeping Healthy

Cold and flu season is here.  It arrives with colder weather as people spend more time indoors, in close quarters, where germs are more easily passed from one person to another.

Here are just a few reminders of how to help keep your family healthy.

  • Wash hands.  Good old soap and water are still the best protection against contagious diseases that get passed through touching surfaces, shaking hands, etc.  Get your family in the practice of washing their hands often.  When soap and water are not handy, use hand sanitizer.
  • Get plenty of sleep.  Being well-rested keeps your immune system stronger.
  • Don’t share.  Okay, you teach your kids to share, but some things ought to be for just one person.  Water and soda bottles, lip balm, musical instruments all fall into this category.  If you have a youngster in child care, make sure the provider sanitizes toys and tables daily.
  • Cover.  Cough or sneeze into a tissue.  If there’s no tissue, use the crook of your elbow instead of your hand.  Germs on the hand are more easily transferred to other people or surfaces.

Already have a cold?  Continue to do all the above, and make sure you stay hydrated.  Drinking plenty of fluids keeps mucous thin and your throat moist.  Avoid caffeinated beverages.

It’s going to be a long winter, and your family will likely get colds at some point.  Use the common sense advice above, and you may have fewer of them.

 

artwork by Kennedy

artwork by Kennedy

© 2013, MBS Writing Services.  All rights reserved.

Television–friend or foe?

Well, honestly, it can be both.

With all the appropriate attention given to the internet these days, and its inherent worries for parents, we seem to have forgotten the conversation about television.

How many TVs are in your home?  Who has access to them when?  What are your children watching?  And what are your kids watching when you’re not watching the kids?

Content on television, even content aimed at youngsters, varies from brilliant to pitiful.  Additionally, the volume of television or videos watched can make a difference in your child’s mental and social development.

Any parent these days occasionally pops in a video or turns on the television so you’ll have a few uninterrupted minutes to cook supper, take a shower, or just relax without hearing a thousand questions.  There’s nothing wrong with that, to a point, because television has its good and bad aspects.

First, the good.  Most American kids today have learned or practiced their numbers and letters with Sesame Street, and have absorbed important social skills from Mister Rogers.  Or, they have simply been entertained by cartoons, music, and Animal Planet.  There is a big world out there, and television is a good source for information and for reinforcing skills learned at home or school.

But, not all is perfect in front of the TV.  Here are some concerns you should be aware of:

  • Social.  Though social skills can be reinforced effectively on the screen, nothing takes the place of real interaction.  Turn off the television and play a board game.  Perch your child on a chair in the kitchen while you cook and encourage him to tell you about his day.  Give the video screen in your vehicle a rest and play a car tag game or have a conversation about your road trip, whether it’s a couple of miles or a couple thousand.
  • Physical.  Too much television means too little physical activity.  That can lead to weight gain (especially when high calorie snacks are involved) and other health and wellness issues.  Get your child involved in a sport, or just play catch in the backyard.

 

What to do, then?  Here are some thoughts.

  • Limit viewing time.  The American Academy of Pediatrics recommends NO television for children under the age of 2, so that they can develop through interaction with adults and other children.  They also recommend limiting television viewing for older children to 1-2 hours/day of “educational, nonviolent programs,” supervised by a responsible adult.
  • Supervise.  You should know what your child is watching at all times.
  • Keep the television out of your children’s bedrooms.  Not only will they watch things you don’t want them to watch, their sleep patterns may be interrupted and they may be tempted to “hibernate,” avoiding healthy social interaction with family and friends.
  • Talk about television programs.  Older children and adolescents, especially, can benefit from conversations about their favorite (and your favorite) shows.  This is a good way to share something that’s important to your teen, while being sure she knows your values.
  • Turn it off.  Don’t keep the television on for “background noise.”  And be sure to limit when you have on the news.  Young children don’t need to see scenes of war, destruction, natural disasters.  Such  images lead to anxiety and sleeplessness.

 

Television can be a great tool for education and for fun.  We just need to make sure it doesn’t take the place of more important things!

artwork by Emily N., winner of our Pumpkin Coloring Contest!

artwork by Emily N., winner of our Pumpkin Coloring Contest!

 

© 2013 MBS Writing Services, all rights reserved

On-the-go eating

Families today are scrunched with work, school, sports, activities, friends…and the list goes on.  And while all of you want to make sure your child eats well, that can be hard when you’re running from place to place.

Here are a few QUICK! guidelines to help.

  • Stay aware.  Know what your child is eating when.
  • Plan ahead.  Think about the week’s activities when you’re shopping and save yourself extra trips to the grocery.
  • Eat together.  Whenever you can, have a meal with your kids, even if it’s on the tailgate at the soccer field.  Eating is a great time for catching up, and for bonding as a family.
  • Check it out.  Is your child in a sport?  Ask the coach if there are specific nutritional guidelines to avoid fatigue and help with energy levels.
  • Think “nutrition,” not just “fill them up.”  Fast food isn’t evil, but a regular diet of it leads to obesity and doesn’t provide all they need.  For about the same amount of money, or less, you can pack a healthier meal.
    • Shelf-stable milk that doesn’t have to be refrigerated, string cheese, yogurt.
    • Carrot sticks, broccoli florets, apples, grapes.
    • Sandwiches on whole wheat bread.
    • Do a little research.  Not sure what your child needs, nutritionally speaking?  Here’s the perfect web page from the American Academy of Pediatrics, giving that information for every age group.
    • Let them help plan.  Sit down with your child or teen one evening and plan some meals and snacks for the week.  Use the internet to research healthy ideas.  Make some things together, like an easy homemade granola.

It takes a little extra planning, but your family will be much healthier and happier with good nutrition under the belt!

Artwork by Kendall

Artwork by Kendall

© 2013 MBS Writing Services, all rights reserved