A small but helpful safety tip

Many years ago, I took my 3-year-old son to the Montgomery County Fair. We were having a grand time until I lost sight of Ryan for a second. When I turned around to find him, he was lost in a sea of parents, babies and screaming children. As my heart raced, I vainly...

When does medication really expire?

Most medicine cabinets contain a variety of prescription and nonprescription medication. Some drugs, like allergy medicine, are used intermittently or for long periods of time. Other drugs, like antibiotics, are generally used short-term for an infection. If a doctor...

Don’t force kids to say they’re sorry

Altercations between young children are common. If parents are around to witness the squabble, they usually ask the aggressor to say he’s sorry. This is a reasonable thing to do because adults are supposed to teach children how to behave in social circumstances....

Frequent urination in children

About twice a month, I see a child who has been urinating very frequently during the day. It usually occurs in children under the age of eight, and the pattern is remarkably similar. Rather suddenly, the child starts making frequent trips to the bathroom to pee. She...

Is it okay for a baby to sleep in a car seat?

Car seats are designed to keep babies safe in the event of a motor vehicle accident. They are not meant to be a substitute crib. However, everyone knows that babies commonly fall asleep during car rides. This happens because the vibrations and sounds inside a motor...

Blood tests are not needed at every checkup

Children are encouraged to get regular checkups. In addition to answering a parent’s questions, these visits are meant to reinforce a healthy lifestyle and to screen for certain conditions based on the child’s age. For babies and toddlers, screening questions focus on...

Switching your child to low-fat milk

The American Academy of Pediatrics (AAP) recommends breastfeeding for the first year. Most mothers are unable to breastfeed their babies for the entire year because of work or family situations. This is perfectly acceptable. If breast milk is unavailable, babies...

Tips for How to Swaddle a Baby

Swaddling is a time-honored method to help babies calm down. It helps fussy babies relax during wakeful periods and makes it easier for most newborns to sleep. Infants respond to swaddling for two reasons: Newborns have a number in innate reflexes, including the Moro...

Tag-Team Shots: Making Shots Less Painful

For most children, immunizations are the most stressful part of an annual checkup. We have a policy in my office that helps reduce the anxiety associated with this necessary evil. Whenever a child needs two vaccinations, we administer the shots simultaneously. This...

Tips for obtaining stool samples from kids

Diarrhea is a common symptom in pediatrics. In most cases, children have a viral gastroenteritis (“stomach flu”) that does not require any lab work. In some cases, however, it’s important to find out what’s causing the symptoms. Although it’s relatively easy for...

Jaundice in newborns

It’s very common for newborns to become jaundiced by the second or third day of life. Jaundice is a medical condition that presents with yellowing of the skin or sclera (whites of the eyes). It is due to a build up of bilirubin in the baby’s system....

Weaning babies from formula and bottles

Babies are traditionally weaned from formula after their first birthday. Although you can wean them from bottles when they are older, transitioning them to cups at the same time you discontinue formula is preferable for two reasons. First, it’s better for a...

Why creams sting

I get lots of calls that children complain when parents use either prescription or non-prescription creams to treat eczema and other rashes. In many cases, parents think their kids are just being difficult, and there is no way a cream can sting. Your kids are not...

Why green poops are normal in babies

One of the most common questions I get has to do with the color of a newborn’s bowel movements. The first stool that an infant has is a dark green, black substance called meconium. Babies pass meconium stools for a few days before they have something called...

Pacifiers in newborns

Infants have two types of sucking: nutritional and non-nutritional. The former is something they do when they are hungry. The latter is something they do to soothe themselves. When babies reach five or six months of age, they are developmentally able to suck their...

The problem with bubble baths

Children love to have fun during bath time. Whether it’s playing with bath toys, surrounding themselves with bubbles or just splashing around, kids enjoy having fun in the tub. However, bubble baths can cause side effects in girls. The opening to a girl’s...

Extra foreskin in circumcised infants

A common finding in male infants is a circumcised penis that has some extra foreskin—it is most noticeable on the underside of the penis. When babies are circumcised, the person doing the procedure has to be careful not to remove too much foreskin. As a result,...

Teaching children to swallow pills

Learning to swallow pills is difficult for many children. One technique I find helpful is to “hide” the pill in another food before attempting to swallow it. Bread is an excellent choice because it’s sticky and easily encases the pill. Before you suggest the technique...

Care of the uncircumcised penis

It is common knowledge that you don’t have to pull back on a baby’s foreskin to get it to detach from the head of the penis (glans). This is a natural process that will occur as the baby grows. Like many aspects of growth and development, a child’s foreskin detaches...

How to prevent nosebleeds

Nosebleeds are common in children for the following reasons: frequent colds nose picking (and other injuries to the nose) dry air (especially in the wintertime) allergies The reason these situations lead to nosebleeds is because they all irritate the lining of the...

How to stop nosebleeds

Most people do not know the proper way to stop nosebleeds. The methods I hear about most often include putting a cold compress on the bridge of the nose, leaning forward, or having the child tilt his head back so his nose is pointing up in the air. The reason such...

Make sure your kids eat sitting down

It is well known that young children are more likely to choke on food than older people. There are two things you can do to reduce the risk of choking in your children. First, avoid foods such as hot dogs and peanuts that are associated with choking. Second, make sure...

A practical suggestion for pet funerals

When a pet dies, parents often want to give the animal a funeral so their children can “memorialize” the pet as a member of the family. In many parts of the country, it is illegal to bury a pet because the body may attract scavengers such as rats. In these...

A variation on time-out

Time Out is one of the most effective behavior techniques you can use with children. Although most doctors recommend Time Out for aggressive behaviors such as hitting or biting, parents sometimes overuse Time Out by choosing this punishment for just about any...

Putting drops in children’s eyes

The most common reason children need eye drops is to treat conjunctivitis due to infection (pink eye) or allergy. The proper way to instill eyes drops involves the following steps: Have your child lean back on a couch or comfortable chair. It helps if there are no...

Hidden penis in toddlers

It’s very common for the penis of an older infant or toddler to look smaller than it is. Parents (especially dads) worry that the child will have a small penis when he is older. Unless a child had an abnormally small penis at birth, this finding is usually due to...