Climbing trees, riding bikes, learning how to roller skate: Childhood is a time for experimentation and pushing boundaries. And, like all ages and stages of raising kids, one person’s idea of good old-fashioned fun is another person’s worry. However, there are some things that are never a good idea, so we asked ER Pediatricians and other Emergency and Critical Care physicians to set the record straight when it comes to activities that are simply unsafe. Here’s what they had to say:

1. Swim Alone

“Never allow a child to swim alone, no matter how old. This one is definitely at the top of my list of things I’d never let my child do. As a pediatric emergency medicine [doctor], I have seen drowning in children of all ages in all types of bodies of water—deep and shallow,” says Dr. Christina Johns, Senior Medical Advisor at PM Pediatric Care.

Refusing to let your kids swim alone might make you as popular as the Grinch at Christmas, but statistics back up this rule. According to the Centers for Disease Control, drowning in a pool, body of water, or bathtub is the leading cause of death in children aged 1-4 and the second leading cause of death for children aged 5-14. 

The tween in your life might argue that they’ll wear a life jacket, but stand your ground. Life jackets (also called Personal Flotation Devices or PFDs) are (literal) lifesavers. However, if you’re alone, it’s still possible to drown while wearing one. According to CDR Kim Pickens, U. S. Coast Guard Reserve Operation BoatSmart Project Officer, in the article The Other 20%–When Wearing a Life Jacket Is Not Enough, “the more comfortable PFDs—those labeled as Type III or some Type V PFDs—will not turn an unconscious victim face up, at least not consistently. What most such PFDs will do (all but manually-activated inflatables) is bring the person, whether unconscious or not, back up to the surface, enabling those nearby to quickly bring the victim to safety.” But that will only work if there’s someone around to get the tween’s face out of the water.

Bottom line: Supervise your crew when they swim, use life jackets in large bodies of water, and make sure the junior paddleboarders and canoers in your life always go out in a group.

2. Go Helmetless

“My child always wears a helmet when biking, roller skating, and skiing to protect her from head injury. As a pediatric EM physician and head injury researcher, I see the very serious consequences of unhelmeted head injuries and am vigilant in protecting my daughter (and her brain) from preventable injury,” says Angela Lumba-Brown, MD, pediatric emergency medicine physician at Stanford Medicine Children’s Health. 

With more than 26,000 children visiting an ER yearly for head injuries, wearing a helmet is a no-brainer. According to the American Academy of Pediatrics, “Wearing a helmet can decrease the risk of head injuries by about 85% and facial injuries by about 65% among bicyclists.” Wearing a helmet is like using a seatbelt. You hope never to need it, but you’ll be grateful it’s there in an accident. 

Children are less likely to complain if their caregivers are wearing helmets too. Adaira Landry, MD, MEd, emergency medicine at Brigham and Women’s Hospital and Assistant Professor at Harvard Medical School, gets the whole family involved in safety. “We always ride bikes and scooters with helmets. This risk of head and face injury is nonzero for young kids who are still learning balance and speed,” she says.  

The US Consumer Product Safety Commission recommends using specialized helmets. Buying multiple helmets might sound like overkill, but activity-specific head gear “protect[s] your head from the kind of impacts typically associated with a particular activity or sport.” In other words, a bike helmet won’t protect your little hockey hero from a puck to the head. So get the right tool for the job.

Bottom line: As Dr. Landry says, “When it comes to raising adventurous children, there is a balance between excitement and risk. I want my kids to be daring and face challenges—and that can be done safely.” Helmets keep kids safe and are cheaper than reconstructive surgery.

3. Ride Forward Facing in a Car Before Age 3

“I would never let my two-year-old toddler ride in a forward-facing car seat–all babies and young toddlers should be in a rear-facing car seat up until they’re three years old or until they reach the weight and height max of their seat. Despite their cries and protest, keeping them rear-facing may mean the difference between life and death in an accident,” says Alok Patel, MD, a pediatric hospitalist at Stanford Medicine Children’s Health.

Car accidents are the second leading cause of death in children aged 1-4, after drowning. National Safety Counsel advises drivers to keep “…3-year-olds in rear-facing car seats for as long as possible. Once children outgrow the height or weight limit for their rear-facing car seat, they should ride in forward-facing car seats with a harness and tether.”

Bottom Line: Don’t switch to a forward-facing car seat too soon.

4. Get within Reach of Hot Liquids

“When my children were toddlers, I was pretty vigilant about scald burns from hot coffee and soup. I had my antennae up all the time, with my eyes constantly darting back and forth between the child and the hot beverage,” says Alan Schroeder, MD, pediatric critical care physician at Stanford Medicine Children’s Health.

According to the American Burn Association, “In children under five years of age, approximately 27-60% of scalds occur from cups/mugs/tableware containing hot liquids; most commonly from a pull-down (48%) or spill (32%) mechanism.”

Small children lack the lived experience and impulse control to prevent a scalding injury. Add in immature motor skills, and you have an accident just waiting to happen. Young children also have thinner dermal layers than adults and will sustain a more severe burn at a lower temperature. Scald burns make up 35% of overall burn injuries admitted to U.S. burn centers; of that number, 61% are in children under five years old. 

Most of us would never leave hot food or drinks within reach of an unsupervised toddler. But if you have a tablecloth or table runner, Daddy’s coffee is just one pull away. Consider packing these items away until the kiddos are a little older.

Bottom line: The U.S. Fire Administration advises parents and caregivers to keep children three feet away from anything that can get hot.

5. Drive (or Ride on) an All Terrain Vehicle (ATV)

“I’d never let my child ride an ATV (especially without a helmet and full body protective padding, which I see all too often). Unfortunately, very young children, even under 10, operate these vehicles, which can cause major traumatic injury in the blink of an eye,” says Dr. Johns.

We get it; there’s nothing quite as thrilling as racing across a field in an ATV. And it can seem like harmless fun if you keep your little speedster on a deserted stretch of road. But the American Academy of Pediatrics (AAP) recommends that children under 16 not be allowed to operate them. ATVs have killed thousands of kids and seriously injured at least a million more. Adult ATVs can weigh almost 600 lbs; the lightest youth-sized ATVs clock in at a little over two 200 lbs. That’s too much machine for your average nine-year-old to control.

Driving an ATV safely requires the same skill level and quick thinking as any other motor vehicle. If you wouldn’t let your tween drive the family car, don’t let them get behind the wheel of an ATV.

Bottom line: Dr. Johns’ verdict is that ATVs are “Too much of a risk for too little a reward, says the pediatric emergency medicine physician, me!”

Related: 11 Items Doctors Say Every Parent Should Carry

 

Experts recommend 6-8 well-baby visits during the first year. If you’re thinking, what’s up, doc, you’re not alone. Read on to find out what to expect from each doctor’s appointment, what you should bring and how to get the most out of your visit.

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What to Bring with You

Reference documents: driver’s license, insurance card, hospital documents from baby’s birth, information about family members’ health history and allergies

Baby necessities: burp cloths, extra diapers and wipes (the doctor will remove baby’s diaper), hand wipes, baby bottle, a blanket in case baby gets cold, a lovey or favorite stuffed animal, a pacifier if you use them

Mom necessities: an extra shirt in case of spit-up, water and a snack in case you have to wait for the doctor. Once your baby is eating solids, bring snacks for them too.

Questions: Keep a list on your phone or in a small notebook so you can jot down questions when you think of them. Bring a printed version of the questions to your appointment so you don’t forget anything and can write down your doctor’s answers.

What Happens at a Well-Baby Pediatrician Appointment

Each appointment will vary depending on baby’s age, but here's what you can expect:

Measurement of your baby’s height, weight and head circumference to monitor your child’s growth curve; plus a discussion of that curve

A head-to-toe physical exam, including eyes, ears (and hearing), mouth, neck, skin, heart, lungs, abdomen, hips, genitalia and legs

A discussion of your child’s physical and cognitive development

Vaccinations, at most visits, if you’ve chosen them

Time for you to ask questions and bring up concerns

Read on for specifics of each visit.

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Day 3-5 Well-Baby Visit

In the first week of your child’s life, pediatricians will do a physical exam; measure baby’s height, weight and head circumference; and observe baby’s behavior, reactions and reflexes.

Don’t sweat it: It’s common for babies to lose some body weight after birth. They typically gain it back by the time they hit two weeks old. As your doctor tracks your child's physical growth and tells you which percentile they're in, remember that the actual numbers and percentages are usually less important than whether your child is growing steadily along their curve.

Topics to discuss:

SIDS and creating a safe sleep environment

How often and how much your child eats

Frequency of wet diapers and bowel movements, and what bowel movement look like

Your child’s growth curve

 

1-Month Well-Baby Visit

At this visit, in addition to taking measurements, doing a physical exam and checking development, your doctor may give your child a second hepatitis B shot (they typically received the first right after birth).

Don’t sweat it: It’s normal for your child (and you!) to cry when they get shots. Shots are typically done at the end of the visit so you can comfort your child with cuddles and nursing or a bottle before you leave.

Topics to discuss:

○ What to do if your child is inconsolable in the evenings (aka the witching hours)

If your child is dealing with diaper rashes, baby acne or cradle cap, the doctor can give you advice on how to treat these conditions

How often you're doing tummy time

Whether your child needs vitamin D drops

How your baby is sleeping

How often and how much your child feeds

Frequency of wet diapers and bowel movements, and what bowel movements look like. Hard, dry poop could indicate constipation, and mucousy, soft stools can signal a food intolerance.

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2-Month Well-Baby Visit

Your child will likely receive immunizations at this visit, if you've chosen them. The doctor will also check your baby’s head control and posture.

Don’t sweat it: Some babies feel discomfort in the day or two after shots, so be prepared to notice a change in your child’s behavior and energy level. Offer extra cuddles and comfort, and clear your schedule if you can.

Topics to discuss:

If your child is dealing with colic, constipation, diaper rashes, baby acne, reflux, sleep or feeding issues, the doctor can give you advice

Whether your child needs vitamin D drops

How your baby is sleeping

How often and how much your child feeds

Frequency of wet diapers and bowel movements, and what bowel movements look like

Whether your baby smiles yet

How you characterize your baby’s temperament. If your child seems weepy, restless or uncomfortable, your doctor can explore possible causes

How you’re feeling. If you’re experiencing postpartum depression or anxiety, you should bring it up to your child’s doctor and your own.

 

4-Month Well-Baby Visit

Your child will receive more immunizations, if you've chosen them, and may receive a hemoglobin screening to test for anemia. The doctor will also begin looking for, and discussing with you, age-appropriate milestones for your child.

Don’t sweat it: Babies develop at their own pace, so don’t assume the worst if your child hasn’t reached a certain milestone. Tell your doctor if your child is losing skills they once had or if you’re concerned about any aspect of their development (like crawling, talking, hearing, eyesight).

Topics to discuss:

Whether your child needs vitamin D drops

How your baby is sleeping

How often and how much your child feeds

Frequency of wet diapers and bowel movements, and what bowel movements look like

Age-appropriate milestones, such as whether your child can roll over, sit up with support, push up from their belly, grab items and kick with both legs.

Whether your baby communicates by babbling, squealing, laughing, copying caregivers’ facial expressions and sounds

 

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6-Month Well-Baby Visit

More standard tests and (sorry) immunizations. Your doctor may also do a lead screening, as older homes can have lead paint, which, in high doses, can be harmful to babies. Your child may also receive a tuberculosis test and, if any teeth have popped through, your doctor will want to see them. Since babies are likely to crawl soon, it’s a good time to talk to your doctor about ways to childproof your home.

Don’t sweat it: Childproofing your home doesn’t have to mean spending a lot of money. Here are 14 DIY babyproofing tricks to make your home safe as your baby gets more mobile.

Topics to discuss:

If it’s time to start your child on solid food. And, if so, which foods your doctor recommends

If your child has teeth, how you should care for them

Age-appropriate milestones, such as whether your child is rolling over in both directions, sitting up without support, showing interest in their environment, babbling and imitating sounds and expressions

Whether your baby needs vitamin D drops

How your baby is sleeping

How often and how much your child feeds

Frequency of wet diapers and bowel movements, and how bowel movements change after introducing solid foods

 

9-Month Well-Baby Visit

In addition to the standard tests, a review of baby’s oral health and perhaps immunizations, your doctor will look more closely at your baby’s development. The doctor will likely ask you questions about how your child moves and interacts with you.

Don’t sweat it: If your child has any developmental delays, your pediatrician can give you valuable resources. Early intervention in the form of physical therapy or speech therapy can help your child develop new skills.

Topics to discuss:

Age-appropriate milestones, such as crawling, saying words, responding to their name, pointing, using the pincer grip, feeding themselves, playing games with you or others

If your child is experiencing separation anxiety or fear of strangers

How you should care for your child’s teeth

Whether your baby needs vitamin D drops or gets enough from solid foods

How your baby is sleeping

How often and how much your child eats (breastmilk/formula and solids)

Frequency of wet diapers and bowel movements, and what bowel movements look like

 

12-Month Well-Baby Visit

You’re a pro at this point and know what to expect at these doctor visits. But as you've learned with babies, they're always learning new things and changing their routines, so you'll have lots to discuss at this and future appointments.

Don’t sweat it: You’ve almost made it through year one, with all the big changes and sleeplessness that goes along with it. You can handle whatever year two throws at you.

Topics to discuss:

Age-appropriate milestones, such as whether your child is pulling themselves up, cruising along furniture, walking, pointing, saying words, responding to what you say, playing games with you or others

How you should care for your child’s teeth

Whether you should introduce cow's milk into baby's diet

Whether your baby needs vitamin D drops or gets enough from solid foods

How your baby is sleeping

How often and how much your child eats (breastmilk/formula and solids)

Frequency of wet diapers and bowel movements, and what bowel movements look like

 

 

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What’s the Right Age for Your Child’s First Eye Exam? The Answer May Surprise You
New Health & Safety Innovations for Babies & Toddlers

You’re pregnant—congratulations! With all the excitement that comes with the anticipation of meeting your new baby, there are so many things to think about, from your registry to names and beyond! Deciding where to have your baby is one of the most important choices you can make. Frequently moms think about comfort factors like private rooms and amenities and skip one colossal detail: Is the hospital equipped to care for you and your baby if something doesn’t go as planned during the birthing process? For all of these reasons, we love MemorialCare Miller Children’s & Women’s Hospital because of their maternity and pediatric sub-specialists available 24/7. With everything you and your baby need under one roof, you can rest assured that no matter the circumstance, you will have the absolute best care at all times. Read on for five reasons why you need this hospital on your radar now.

Learn more about MemorialCare Miller Children’s & Women’s Hospital Long Beach.

1. From High-Risk Pregnancy To Unexpected Complications, They Have Your Back

MemorialCare Miller Children’s & Women’s Hospital Long Beach is the only regional hospital that delivers comprehensive maternity and pediatric care under one roof. Miller Children’s & Women’s has maternal-fetal medicine specialists and neonatologists on-site 24/7. The Cherese Mari Laulhere BirthCare Center is equipped to handle routine to high-risk pregnancies, so if delivery isn’t routine, your baby is moved just down the hall to the level IV Neonatal Intensive Care Unit (NICU) to receive specialized care.

At other hospitals without these capabilities, your baby would need to be transported—separating you from your newborn. Miller Children’s & Women’s is home to the largest Small Baby Program in the region and cares for the tiniest premature infants, often weighing less than 2 lbs., in a serene environment that mimics a mother’s womb. If you do give birth to a premie at another hospital, Miller Children’s & Women’s Access & Transport Center is available 24/7 to bring expecting mothers and premature infants to Miller Children’s & Women’s from surrounding area hospitals.

2. All-In-One Comprehensive Care

Miller Children’s & Women’s has sub-specialty physicians who underwent additional training to handle the complexities of high-risk pregnancies, prematurity and neonatal care, including maternal-fetal medicine specialists, neonatologists and OB hospitalists, that are available 24/7. The peace of mind that comes with knowing that you and your baby will get the best possible care, no matter the situation, takes all the "what-if's" out of the equation so you can enjoy your pregnancy and newborn! In addition, Miller Children's & Women's has been recognized by the California Health & Human Services Agency, Hospital Quality Institute and Cal Hospital Compare with the 2020 Honor Roll Award for Maternity Care for achieving the statewide cesarean section rate of 23.9% or lower for low-risk, first-birth deliveries.

3. For Postpartum: A One-of-a-Kind Children’s Care Center

Miller Children's & Women's care extends beyond babies to kids of all ages, including NICU graduates. The High-Risk Infant Follow-Up Program at the Stramski Children's Developmental Center provides extensive follow-up care to infants discharged from the NICU. This program allows parents to learn more about their baby and ways to help their baby develop. Earlier this year, Miller Children's & Women's opened the Cherese Mari Laulhere Children’s Village, which is the only building of its kind in Los Angeles and Orange Counties with a one-stop-shop approach to outpatient specialty care for kids. In one kid-friendly location, families have access to 30 different types of specialty physicians, a pharmacy, laboratory, imaging services, rehabilitation gyms, family resource center, education center and more.

Learn more about MemorialCare Miller Children’s & Women’s Hospital Long Beach.

4. Highly Specialized Care—With a Proven Track Record of Success

MemorialCare Miller Children’s & Women’s Hospital Long Beach provides specialized pediatric care for children and young adults, as well as maternity care for expectant mothers. Miller Children’s & Women’s is one of only eight free-standing children’s hospitals in California—treating more than 14,000 children each year—and has become a regional pediatric destination for more than 65,000 children who need specialized care in outpatient specialty and satellite centers. The BirthCare Center helps more than 5,500 families welcome babies into the world each year and cares for more than 1,200 babies in the NICU.

5. All of the Birthing Amenities You Could Want

Not only is Miller Children's & Women's hospital top-notch care for your newborn, but they make sure parents feel supported in a family-centered care environment—which is so important. They offer all private rooms for the entire birthing experience and other comfort amenities, like allowing your partner to stay the night, to make your hospital stay welcoming your new baby the absolute best experience. The private rooms are spacious with large windows bringing in natural light, bringing quality and comfort under one roof. Not to mention, they have expert physicians and comprehensive lactation support. 

Learn more about MemorialCare Miller Children’s & Women’s Hospital Long Beach.

 

—Jamie Aderski

 

Whether your little one has a bump, scrape or break, or something more serious, keeping your kids healthy and happy is a challenge every parent faces. Luckily, when your child does need more serious care, healthcare experts specializing in tiny humans are there to save the day. We talked to five physicians from top-ranked Children’s National Hospital in Washington, D.C. to hear the things they wish all parents knew about their child’s healthcare—from prevention to how to make hospital visits less stressful.

Learn more and help your loved ones grow up strong with Children’s National Hospital.

Here’s what they had to say:

It's Okay to Ask Questions

Your doctors are there to help your family, which means helping you understand exactly what's going on. “Ask questions and don't be afraid to say when you don't understand,” says Children’s National Hospital Cardiologist and Electrophysiologist Elizabeth Sherwin. “Medicine has its own language and vocabulary, and it is important to ask for clarification if something doesn't sound familiar or make sense. We want you to feel heard, and we want you to understand what is being discussed.”

Check in With Your Doctor

If you're not sure whether or not that owie, rash or cough warrants a trip to the doctor, you can always reach out before making the trip. “Do not delay in seeing a medical professional for any worrisome condition. Many visits qualify for an initial telehealth appointment. You can ask your provider if that’s an option,” says Timothy Kane, Chief, Division of General & Thoracic Surgery.

This year, Children’s National Hospital is celebrating 150 years of pediatric care, research and commitment to community! Learn more and help your loved ones grow up strong with Children’s National Hospital.

Sometimes There's Not An Easy Answer

As much as your child's doctor wants to give you an answer quickly, it's not always feasible. Associate Division Chief of Oncology Eugene Hwang shares: “Sometimes, there isn't a perfect test to diagnose a problem, and it may take time, careful observation and repeated visits in order to make the best decisions regarding diagnostic or treatment procedures.”

Give Your Doctors Details

When it comes to your child's health, there's no such thing as oversharing. Cardiologist Niti Dham says: “We want parents to feel empowered and advocate for their child. We want to hear from them. The parents’ perspective and observations at home are just as, if not more, important than what we see in the office. We want to hear how the child is doing at home: Are symptoms improving or worsening? Are they tolerating the medicines? Are there any other concerns?”

Children’s National is ranked number 1 for newborn care for the fourth straight year and as one of the top 10 pediatric hospitals in the country by U.S. News & World Report. Learn more and help your loved ones grow up strong with Children’s National Hospital.

D.C. parents and caregivers: Do you know how lucky you are?! You may have worries, but a stellar pediatric hospital close to home isn’t one. Children’s National Hospital in Washington, D.C. is dedicated exclusively to pediatrics with experts specializing in treating kids and kids only. They’re celebrating 150 years of pediatric care, research and commitment to community. Interesting fact: Volunteers opened the hospital in 1870 with 12 beds to care for Civil War orphans. Read on to learn more about this incredible pediatric hospital, practically in your backyard!

Learn more and help your loved ones grow stong with Children’s National Hospital.

Photo via iStock

“We’re No 1!”

Children’s National Hospital is among the top children’s hospitals in the United States. They’re also ranked number 1 for newborn care for the fourth straight year and as one of the top 10 pediatric hospitals in the country by U.S. News & World Report—that’s no simple feat. They’ve helped children from around the world and their pediatric specialists are internationally recognized for providing the best possible care.

(Another) humble brag: Children’s National is Magnet®-designated for excellence in nursing.

And there’s even more praise: Children’s National has attained Level 1 Surgery Verification from the American College of Surgeons, a distinction that recognizes surgery centers that have improved surgical quality, prevented complications, reduced costs and saved lives.

Children’s National is transforming pediatric medicine, and they just keep getting better.

Children’s National Hospital in Washington, D.C.

 

Innovative & Cutting-Edge Care

Children’s National has earned a (well-deserved) global reputation for pioneering new therapies and treatments, including heart, cancer, neurology and general surgery innovations. It ranks seventh among pediatric institutions for National Institutes of Health (NIH) research funding. 

This a huge deal: They’re recognized as committed advocates for children on local, state and federal health policy. They’re often the first at the table when pediatric healthcare legislation is being developed.

Photo by Bofu Shaw on Unsplash

As if Their Well-Deserved Accolades Weren’t Enough

Construction is soon to be completed on the Children’s National Research and Innovation Campus, the first in the nation dedicated to pediatric research. Children’s National has been designated twice as a Magnet® hospital, demonstrating the highest standards of nursing and patient care delivery. 

Now that you’ve learned Children’s National offers expert care, here’s a bonus: It’s also convenient care. This pediatric academic health system utilizes a community-based primary care network and specialty care locations in the D.C. metropolitan area, including the Maryland and Northern Virginia suburbs.

One last cool thing: They have a parenting site geared towards keeping your kids healthy called Rise and Shine. Topics and advice come straight from their experts that parents can interact with by submitting questions, taking quizzes, and more!

 


Learn more and help your loved ones grow up strong with Children’s National Hospital.

 

—Jamie Aderski

 

 

Disclaimer:   Please note that the information provided on this site is for general informational and educational purposes only. It is not intended as a substitute for professional advice from a qualified healthcare provider familiar with your child’s unique symptoms. Always seek the advice of your pediatrician or other qualified healthcare provider regarding any medical condition. If you believe that your child is having a medical emergency dial 911 for assistance.

The sniffles, a bug, a common cold—no matter what you call it, being sick is a pain, and seeing your tiny human under the weather is tough on parents. While you may not be able to fully prevent your little one from catching a virus, there are some steps you can take to help your odds and ways to make things easier on your family when you have a child feeling out of sorts.

We talked to Dr. Amna Husain, a board-certified pediatrician at Pure Direct Pediatrics in Malrboro, New Jersey and mom of one, about her tips for making cold and cough season a little easier on her young patients. Read on for her ten tips to survive cold and cough season:

This post is sponsored by Children’s Delsym, the #1 pediatrician recommended children’s 12-hour cough suppressant* as well as the most recommended children’s cough medication by pharmacists.**

The Common Cold Is Very Common

Ermolaev Alexander via Shutterstock

We’ll start with some tough news: your kid will likely get sick. “It is really normal to have a cold. The common cold is caused by a lot of different viruses,” says Dr. Husain. “There’s tons of viruses out there, and it’s very normal for a child to get eight to twelve colds a year.” The good news: The sniffles are usually not something to stress about, and the average cold will last three to seven days—so you don’t have to worry about them being under the weather for too long.

Remember the Basics

You already know the easiest way to prevent illness, and you child probably does too. “It really goes back to the mainstay of things that we’ve heard so commonly like wash your hands and cover your cough,” says Dr. Husain. Remind little ones to wash their hands when they leave the bathroom, before they eat, when they come in from being outside and after they sneeze, to name a few. Now is also a great time to refresh your kid’s memory about coughing and sneezing into their elbow or into a tissue, when possible.

Sanitize Smartly

As a mom herself, Dr. Husain knows the importance of on-the-go options: “Nothing will ever replace soap and water, but hand sanitizer is incredibly convenient.” If you’re using hand sanitizer, Dr. Husain says to look for a sanitizer that is at least seventy percent alcohol, which will be listed on the back of the bottle. It’s also important to use hand sanitizer correctly, which means rubbing it onto your hands until it dries naturally, as opposed to wiping off excess.

Know What to Look For

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Each child and each sickness will look a little different, but there are a few things you’ll want to check no matter what.

Fever: Kids can be sick with or without a fever, but if they are running a temp, Dr. Husain says the main thing to look for is that the fever is going away, either on its own or with proper dosing of acetaminophen or ibuprofen. If fever is not going down with the appropriate dosing of antipyretic medications or persists beyond 3 to 5 days, contact their pediatrician.

Hydration: When your little one is sick, there’s a good chance they won’t want to eat. Rather than focusing on appetite, Dr. Husain suggests closely monitoring their hydration. “When your child doesn’t get enough hydrating fluids and, they can get tired, lose energy and even begin to appear sick are much faster,” she says. If you have a young child, Dr. Husain says the number of diapers they put out is a good indicator—three to five wet diapers is ideal. With older kids, checking the color of their urine can let you know if they’re hydrated. 

Energy: Parents know their children’s energy levels. When they’re sick but still playing, it likely means they’re fighting the virus off just fine. But if they’re truly lethargic and having difficulty waking from a nap, that’s when it can become worrisome. "As a pediatrician, that’s something I want to know about," says Dr. Husain. 

This post is sponsored by Children’s Delsym, the #1 pediatrician recommended children’s 12-hour cough suppressant* as well as the most recommended children’s cough medication by pharmacists.**

Check for Retractions

You remember contractions, but do you know about retractions? “If your child is really struggling to get air in, you can see their muscles working,” says Dr. Husain. “We call these retractions.” Retractions can look like their belly popping in and out, the muscles in between their rib cage pulling in and out or their clavicles poking in and out.  If you’re noticing retractions in your kiddo’s breathing, it may be a sign that they’re struggling to get air—and a reason to get in touch with your pediatrician.

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Pick the Right Cough Syrup

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If your kid is old enough, cough syrup can be a game changer on sick days. “I often tell parents you have to look at what’s in cough syrups because there is such a big variety,” says Dr. Husain. “You have to focus in on what you’re trying to treat.” If you’re using a cough syrup, first make sure that you are giving your child medication that is FDA approved for their age. Look for a cough medicine that covers the symptoms you’re trying to treat (cough, runny nose, nighttime relief) and double check the dosing.

Children’s Delsym® provides 12-hour cough relief and multi-symptom treatment just for kids. Children’s Delsym® has a single active ingredient, dextromethorphan, and is free from pain relievers, sulfites and alcohol—which some kids may be sensitive or allergic to. Whether your child has a cough, cold, or chest congestion, Children’s Delsym ® relieves their symptoms and helps little ones feel better. If you’re dealing with more than a cough, Delsym has Cough+ products for both adults and children with daytime and nighttime formulas. Plus, it comes in two flavors: orange and grape. 

Stop the Snot with Saline

No matter how many times they blow their nose, the snot still stays. “Saline helps to clear the nasal passages, which loosens the mucus and helps them to breathe a little easier,” says Dr. Husain. She suggests using saline nasal drops and suctioning or a saline spray after bath time (when steam has helped loosen everything up) or before they go down to sleep to prevent a post-nasal drip that may cause middle-of-the-night coughs.

Cuddles Could Be a Cure

Tomsickova Tatyana via Shutterstock

Sniffles mixed with exhaustion is a recipe for disaster. “If they’re in the safe age group, you can let them sleep near you,” says Dr. Husain. “That way you can keep an eye on them, and you’re able to comfort little ones.” A warm drink can also be your best friend before bed: think warm milk with honey, hot chocolate or tea.

This post is sponsored by Children’s Delsym, the #1 pediatrician recommended children’s 12-hour cough suppressant* as well as the most recommended children’s cough medication by pharmacists.**

Keep It Contained

What’s worse than a sick kid? Multiple sick kids. “The best thing you can do is make sure that your little one who is sick stays to their room, if possible,” says Dr. Husain. She also suggests designating their own bathroom apart from other kids and holding off on sharing toys, utensils and anything else for a few days.

If You’re Concerned, Call Your Pediatrician

As a parent, it’s stressful to wonder if it’s just the sniffles or potentially something more serious. “If you’re considering going to the emergency room or an urgent care, try to talk to your pediatrician before you make a decision go somewhere,” says Dr. Husain. Your pediatrician may be able to help you determine where to go next, if needed, and can help your little one get the care level they need.

 

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Dr. Syeda Amna Husain

Dr. Amna Husain is a board-certified concierge pediatrician providing quality pediatric care to children of all ages throughout Marlboro, NJ. At her private practice she offers a wide spectrum of services for young children including acute and non-acute sick and well-care visits, physical examinations, minor procedures, and lactation services for mothers.

* Based on the QuintilesIMS ProVoice Survey, 2016
** Based on Pharmacy Times’ OTC Guide 2016-2017

Congratulations to the below San Francisco Bay Area businesses who are the local winners of the 2011 Totally Awesome Awards!

— ARTifact Studio: Art Classes

— Giggle: Baby Boutiques

— Sparky’s Balloons: Birthday Party Supply Stores

— Playland-Not-at-the-Beach: Birthday Party Venues

— Asqew Grill: Cheap or Free Eats for Kids

— Au Pair Care: Childcare Agencies and Resources

— Marin Kids Consignment: Consignment Retail Shops

— Goody Goodie Dessert Salon: Cupcakes, Bakeries, and Candy Shops

— Small Fry Dance Club: Dance, Movement, and Theater Classes

Absinthe: Date Night Spots

The Creative Learning Loft: Drop Off and Childcare Spots

— Children’s Choice Pediatric Care: Family Dentists

— Nancy Alcott Photography: Family Photographers

— Smitten Ice Cream: Ice Cream and FroYo

— Playland-Not-at-the-Beach: Indoor Playspaces

— Zocalo Coffeehouse: Kid Friendly Coffee Shops

— Princeton Seafood: Kid Friendly Restaurants and Cafes

— Fiddlesticks : Kids Clothing Retail Stores

— Tot Tank: Furniture and Gear Stores

— Alexander G.: Kids Hair Cuts

— Lango Kids: Language Classes

Tinkerlab: Local Blogs

— Nest Maternity: Maternity Stores

— Comadres Midwifery: Midwives and Doulas

— Kendra Stitt Robins (Project Night Night): Mom Run Businesses

Baby Boot Camp: Mom’s Fitness Programs

Southern Marin Mother’s Club: Mom’s Groups

— Bay Area Discovery Museum: Museums

— Music for Children: Music Classes

— Raising Happiness: Parent Education Programs

— California Pacific Medical Center: Places to Give Birth

— International School of the Peninsula: Schools

— Paresh Martial Arts: Sports and Fitness Classes

Kookle Toys: Toy Shops and Book Stores

Totally Awesome Stuff Winners:

— Tiny Prints: Announcement, Birthday & Holiday Cards Suppliers

— Clementine Art Supplies: Art Supplies

— Manny and Simon: Au-Natural Toys

— 4Moms Mamaroo: Baby Stage Must Haves

— Yikes Twins Hooded Towels: Bath Toys

— Baby DeeDee Sleep Nest: Bedding, Accessories and Room Decors

— LEGOLAND California: Big Amusement Theme Parks

— Wishbone Bike: Bikes, Trikes, Scooters, and Movers

— Zoku Popsicle Maker: Can’t Live Without Kitchen Gadgets

— Orbit Baby: Car Seats

— City Threads: Clothing and Fashion Lines for Boys

— Nohi Kids: Clothing and Fashion Lines for Girls

— PetitNest: Coolest Cribs and Beds

— Ju-Ju-Be: Diaper Bags and Backpacks

— Eebee’s Adventures: Educational Toys

— Great Wolf Lodge: Family Resorts and Hotels

— Great Wolf Lodge: Family Water Parks

— SweetSeat: Feeding Supplies

— Itzy Ritzy Snack Happened Bags: Green Kids Products

— Ella’s Kitchen: Healthy Snacks

— Piggy Back Rider: Kid Carriers and Slings

— Alphabet Rockers: Kids Music and Artists

— Hanna Andersson: Kids Pajamas

— See Kai Run: Kids Shoes

— My True Nature: Kids Skincare Products

— Travel Tot: Kids Travel Accessories

— Playland-Not-at-the-Beach: Little Amusement Theme Parks

— Easy Lunch Boxes: Lunch Gear

— More of Me: Maternity Fashion or Products

— ThredUP: New Way to Consign, Swap and Recycle

— Yummy Spoonfuls: On The Go Prepared Meals

— MoonJar Savings Bank: Preschooler Age Must Haves

— Bow Allure: Rainwear, Hats, and Other Accessories

— Squaw Valley USA: Ski Schools and Programs

— Orbit Baby: Strollers

— Dapper Snappers: Toddler Years Must Haves

— Basic Grey Storage Barrels: Toy Storage and Organizers

— Springfree Trampoline: Toys and Gear For Backyard Fun

— Monterey Bay Aquarium: Zoo and Animal Parks

Totally Awesome Online Winners:

— LilSugar: Celebrity Baby Site

— Parents Connect: Community Posting Board Sites

— Deals4Dummies: Coupon and Saving Sites

— Mamabargains: Deal Sites

— Fooz Kids: Family and Kids Apps / Games

— A Little Yumminess: Food and Recipe Sites

— In The Know Mom: Gear and Product Review Sites

— DrGreene: Medical Advice Sites

— Chic & Cheap Nursery: Nursery and Decor Sites

— It’s a Preemie Thing: Online Shopping Sites

— Happy Healthy Mom: Parenting Advice Sites

— Guncles Online: Parenting Blogger Sites

— BabyCenter: Pregnancy Sites

— Poshbrood: Travel and Vacation Sites