Take Home Pediatrics

Here is what's happening in the world of kiddos today:

• Poof! 🧠💥 No more migraines! 🚫🤕

• 🚫👶☀️ Never leave a child in a hot car! ➡ Heatstroke 🚗😰 

• Don't let mosquitoes ruin your summertime fun! ✋🦟😎

• 👨‍🍼Dads Matter! 🚼 👶❤️

Migraine treatment is complicated in children, most looking for non-medications approach. A wristband device was approved for treatment 2 years ago and further studies now show its usefulness for migraine prevention as well in adolescents 12 years and older.

Car Heatstroke is a very concerning phenomenon especially with our high summer temperatures. Recent study showed that leaving children in an unattended car still occurs with a child dying every 10 days. Education and non-judgmental approach is the best prevention.

Summer safety not only includes sun and heat protection, but also protection from insect borne diseases. West Nile virus cases are being reported as we start summer. Best protection and prevention is insect repellent to avoid those irritating mosquito bites!

Breastfeeding and sleep safety is not just solely mother’s responsibility, shown by a recent study. The study was initiated by a large number of mothers writing in the margin of a survey that fathers need to be asked and taught more. While fathers are now involved in over 90% of the sleep routine, less then 20% knew all the sleep safety rules. As healthcare providers, we need to focus on education to all adults involved in care of the child.

🚨RECALLS AND ALERTS🚨

• Baby Video Monitor

• Children’s Helmet

• Bath Toys

• Iron Supplement

• Frozen Pineapples

Hi Dr. Bhumi! My 24 month old girl was waking up with dry diapers and peeing on toilet in the mornings, but the last 2 weeks she has been waking up with wet diapers and does not pee in the morning on toilet. During the time she had dry diapers she was pretending her stuffed animals went “poopy” and “peepee” and would take them to the changing table and wipe them. Now that’s stopped. She would also grab her diaper and say “poopy” when she would go and walk to changing table, and that has also stopped. Now if she goes potty and I ask her about it she says “no poopy” even though she did. We have always celebrated going peepee and potty with a “yay!” so I’m not sure what happened. Did I miss the window for potty training? What do you recommend to do? Thank you!

Dear Reader, potty training definitely has its challenges and first and foremost , no you have not missed any opportunity. We see kids interested in potty training and then suddenly resist or just lose interest. I usually see great success and interest at 20 months and then suddenly resistance at 2 years old. Remember children are also approaching the period of “me/mine” and power struggles. Good news is it appears your child has shown all the readiness cues: sense dirty diaper, imitating, following commands, communicating, not having tantrums and has a good attention span. This is the first step. Once they have readiness cues, I usually say let’s start potty exposing. I am not sure if you are currently doing so. First, pick out the potty with your child and let her decorate it, put her name on it so she owns it. Place the potty in the bathroom so she understands that’s where to go. Make it fun and interactive- have your child just sit on the potty in the morning and every 2 hours, even with the diaper on. No need to wait for her to say “potty”, We want them to see it’s a routine. If she resists then stop for 2 weeks and again make it fun. If she cooperates sitting on potty then have her take the diaper off. Night time training usually comes on its own so do not worry that she is not waking up dry anymore. She is still young. I would like you to focus on your daytime routine. I definitely love your verbal praise! Just make sure it is not overly emotional as she may take that to her advantage to control you during a power struggle since she knows you are so dependent on her cooperating with you. Also make sure there aren’t any lifestyle changes as that could disrupt potty training- new baby, starting daycare, moving. Make sure all adults in the house are on the same page- using same word for potty, using same verbal praises, and following same daytime routine. Lastly, make sure she does not have any signs of constipation or other medical issues that could cause a change in potty habits (vaginal irritation, urinary tract infection). Take home message: once you see potty training readiness cues, start exposing and give routine, stop if meeting resistance and restart in few weeks, make it relaxing and fun and interactive so minimal power struggles, and do not worry about night time dryness at this age. Please talk to your provider to ensure no medical issues causing the setback.

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