Take Home Pediatrics

Here is what's happening in the baby world today:

• Let’s stop the Fatigue 💪🥗

• Decrease antibiotic use! 💊✅✨

• BMI 📈 is not the dictator of obesity management…there’s more to it!🤝

• Early detection ➡ early treatment ↔ cure 😊🥇

Iron deficiency is noted to be prevalent in women and young girls. Recent study noted that nearly 40% of women are iron deficient and many are undiagnosed. Along with fatigue, you can have focusing issues, hair loss, shortness of breath while exercising, and more.

Urinary tract infections are common in children and adults. While adults can be treated with short 3-5 day course, children still fall under the standard 7-10 day treatment. A recent study showed that short course may soon be part of pediatric care. The short course had slightly more treatment failure but within the 5% margin variance. This could lead to more studies that can change way UTI in children are treated and better compliance with shorter course!

BMI is calculated at every well visit. What does it tell us about your child? Finally, there is a consensus that we cannot rely solely on BMI to discuss obesity treatment. BMI does not distinguish between lean body mass and fat body mass, it does not incorporate ethnic diversity or age differences. That is why you will see those with elevated BMI may have no metabolic diseases and vice versa. New recommendations say lets take these factors into account, use other tools like body fat measurements or body distribution of fat in conjunction with BMI to aid in obesity treatment.

Newborn screening has proven to help survival rates in Severe Combined Immune Deficiency. Parents all remember the heel prick and the few drops of blood on a piece of paper done at the hospital after baby is born. These few drops test for multiple diseases and early detection of these diseases help early intervention, treatment and better outcomes.

🚨RECALLS AND ALERTS🚨

• Baby Hammock

• Chair

• Portable Charger

• Children’s Bicycle

Dear Dr. Bhumi, my 4 ½ year old son sometimes stares off for few seconds. Is he just daydreaming or thinking? Should I be worried?

Dear Reader, staring spells in young children need to be evaluated. We need to determine seizure vs. non-seizure activity. Non-seizure is the simple staring and daydreaming. It usually occurs when child is bored or sitting or watching TV. It does not occur when they are physically active. Usually, you can “snap” them out of it by tactile (touching) or vocal (calling their name) stimuli. Trying to wave or hand gesture may not work. This can last from seconds to longer. The other differential is absence seizures which usually lasts 5-20 seconds. Distinct characteristics include abrupt onset, occurring with any type of activity (sitting, playing), child does not remember it, child does not respond to stimuli, and it can be associated with eye blinking, subtle facial twitch or head nodding. Sometimes this goes for years unnoticed since it can be brief as 5 seconds. It can occur multiple times a day. The best approach is to take your child to your pediatrician and discuss the events. Your provider will be able to ask follow up questions and determine if neurology referral and EEG is necessary.

WATER SAFETY 🏊‍♀️🏖🏄‍♂️

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