Bedwetting is a common childhood problem. Many children who master toilet training during the day, usually between the ages of two and four, continue to experience episodes of bedwetting through the night. In many cases, the nighttime bedwetting incidents will gradually decrease until they have completely ceased around the age of five or six.
So, when should parents worry about their child’s bedwetting behaviors? Most pediatricians agree that it’s quite normal for children to experience occasional “accidents” and that most children will outgrow it on their own.
When to Visit Your Pediatrician
Bedwetting is rarely a serious problem. In fact, wetting up to a year after the child has successfully been toilet trained is normal. Children gain bladder control at different ages, and while most kids quit wetting at night by the age of 6, others may take a little longer. In the majority of cases, wetting does not have a medical cause.
According to the AAP, you should contact your pediatrician if your child continues to have frequent “accidents” or if you notice any of the following signs:
- Wet clothing and bed linens, even when the child uses the toilet frequently
- Unusual straining during urination, a very small or narrow stream of urine, or dribbling after urination
- Cloudy or pink urine
- Abnormal redness or rash in the genital area
- Trying to conceal wetting by hiding clothes or underwear
- Daytime wetting in addition to nighttime accidents
Parents should remember to be sensitive to their child’s wetting behavior so not to cause additional embarrassment or discomfort. Never punish the child for bedwetting. Instead, show support and encouragement by reassuring the child that it is not his or her fault and that the problem will get better.
Remember, even though childhood wetting is frustrating, it is very normal. Talk to your pediatrician if you have concerns about your child’s bedwetting behaviors.
Too many parents wrongly assume that the sun is only dangerous when it’s shining brightly. The fact is, the sun’s rays are dangerous no matter what time of the year, and too much exposure during childhood can lead to serious problems later in life.
Parents should pay special care to protect their kids when playing outdoors. Here are a few simple tips to prevent overexposure to the sun:
Keep babies younger than six months out of direct sunlight, protected by the shade of a tree or an umbrella.
When possible, find a shaded area or take a break indoors to avoid sun exposure for extended periods of time.
Limit outdoor play
UV rays are the strongest between 10 a.m. and 4 p.m., so it’s best to avoid unnecessary exposure to the sun during midday.
Protective clothing that cover the arms and legs and wide brim hats can keep kids protected from sun damage.
Always apply sunscreen
Choose a sunscreen made for kids with a SPF (sun protection factor) of at least 15. Apply to all areas of the body and reapply every few hours.
Sunburn is an obvious sign of sun damage, but a child doesn’t have to get a burn to experience the negative consequences of too much exposure to the sun. The effects of chronic sun exposure can also contribute to wrinkles, freckles, toughening of the skin and even cancer later in adulthood. In fact, according to the Skin Cancer Foundation, just one blistering sunburn in childhood more than doubles a person's chances of developing skin cancer later in life.
As the saying goes, “An ounce of prevention is worth a pound of cure.” By setting good examples and teaching kids the importance of sun safety now, parents can significantly lower their child’s risk of developing skin cancer and other signs of sun damage as an adult.
Always talk to you pediatrician if you have questions or concerns about sun safety and prevention.
Jaundice is a common condition in newborns, caused by excess yellow pigment in the blood called bilirubin, which is produced by the normal breakdown of red blood cells. When bilirubin is produced faster than a newborn’s liver can break it down, the baby’s skin and eyes will appear yellow in color.
In most cases, jaundice disappears without treatment and does not harm the baby. However, if the infant’s bilirubin levels get too high, jaundice can pose a risk of brain damage. It is for this reason that the American Academy of Pediatrics (AAP) recommends that all infants should be examined for jaundice within a few days of birth.
Is it Jaundice?
When parents leave the hospital with their newborn, they will want to look for signs of jaundice in the days following, as the condition usually appears around the second or third day of life. Most parents will be able to detect jaundice simply by looking at the baby’s skin under natural daylight. If you notice your newborn’s skin or eyes looking yellow, you should contact your pediatrician to see if jaundice is present.
Also, call your pediatrician immediately if your jaundiced newborn’s condition intensifies or spreads. The following symptoms may be warning signs of dangerously high levels of bilirubin that require prompt treatment.
- Skin appears very yellow
- Infant becomes hard to wake or fussy
- Poor feeding
- Abnormal behavior
While most infants with jaundice do not require treatment, in more moderate to severe cases treatment will be recommended. Some infants can be treated by phototherapy, a special light treatment that exposes the baby’s skin to get rid of the excess bilirubin. Infants who do not respond to phototherapy or who continue to have rising bilirubin levels may be treated with a blood transfusion.
Always talk to your pediatrician if you have questions about newborn jaundice.
Kids pick up germs all day, every day. Whether they are sharing toys, playing at day care or sitting in the classroom, whenever children are together, they are at risk for spreading infectious diseases.
Parents should play an active role in helping their kids stay healthy by taking extra precaution to minimize germs. Here are a few tips on how.
Spending just a few extra minutes each day tidying up your household can go a long way to keep your home germ-free and your kids healthy. Disinfect kitchen countertops after cooking a meal, and wipe down bathroom surfaces as well—especially if your child has been ill with vomiting or diarrhea. Doorknobs, handrails and many plastic toys should also be sanitized on a routine basis. Simply by disinfecting your home more regularly, and even more so when someone in your household has been ill, you can significantly cut down on re-infection.
Set a Good Example
Parents should set good examples for their children by practicing good hand washing and hygiene at home. Encourage your kids to cough or sneeze into a tissue rather than their hands. Children should also be taught not to share drinking cups, eating utensils or toothbrushes. If your school-aged child does become ill, it’s best to keep them home to minimize spreading the illness to other children in the classroom.
Finally, one of the easiest (and most effective) ways to prevent the spread of infection is by hand washing. At an early age, encourage your child to wash their hands throughout the day, especially:
- After using the bathroom
- Before eating
- After playing outdoors
- After touching pets
- After sneezing or coughing
- If another member of the household is sick
The Centers for Disease control recommends washing hands for at least 10 to 15 seconds to effectively remove germs.
Parents can’t keep their kids germ-free entirely, but you can take extra precautions to help keep your environment clean. It’s also important to help your child understand the importance of good hygiene and thorough hand washing as a vital way to kill germs and prevent illnesses.
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 Naperville pediatrician for further instruction.
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