My Blog
By Leonard J. Grossman MD
May 31, 2018
Category: Children's Health
Tags: Fever  

Your child awoke in the middle of the night complaining that they didn’t feel well. Your first reaction is to put your hand up to their forehead to see if they have a fever. Of course, if their head feels warm the next step is to take their temperature to see if they are actually running a fever. While most children will experience a fever at some point, it’s important to know when you can treat the problem at home and when you need to visit a pediatrician immediately.

Most of the time a fever isn’t anything to worry about, especially if your child is otherwise healthy. A fever is the body’s way of fighting off the infection, after all; however, there are instances in which you will want to call your children’s doctor to find out whether you need to come in for care.

We believe in a parent’s intuition, so if it seems like something just isn’t right, you should give us a call and find out if your child’s symptoms or behaviors are something that need to be handled right away. Your child’s exact temperature and their age are two very important factors when it comes to whether or not your child should receive medical attention.

It’s important to call your pediatrician if your baby is under 3 months old and has a temperature of 100.4 F or higher. A baby between the ages of 3 to 6 months old that has a fever of 101 F or higher (or has a fever that lasts more than a day) should also see a pediatric doctor. If your child is between the ages of 6 months and one year old and has a temperature at or above 103 F or has a fever lasting more than a day, give us a call.

Other times to call a pediatrician include:

  • A high fever that lasts more than a day in children who are 1 to 2 years old
  • A child that has a fever of 104 F or higher (age does not matter in this case)
  • A fever that is accompanied by vomiting or diarrhea
  • Signs of dehydration along with a fever
  • A fever that is also accompanied by a rash
  • Children who have weak or compromised immune systems and develop a fever

If your child’s fever doesn’t require a visit to your pediatrician you can try applying warm compresses or bathing your child in lukewarm water to help ease their symptoms. Never use cold water or ice to bring down a fever.

If in doubt, don’t hesitate to call your pediatrician to find out what you should do about your child’s fever.

By Leonard J. Grossman MD
May 15, 2018
Category: Children's Health
Tags: Diabetes  

You disinfect their toys. You make sure they wash their hands. You keep them from putting odd things they find in their mouths. You do everything you can to keep your child healthy and happy, but some illnesses aren’t completely under your control. Type 1 diabetes, most commonly diagnosed in children and young adults, is an autoimmune disease where the body stops producing insulin. It has no known cause, there is no way to prevent it, it is not tied to lifestyle or diet, and there is no cure. But there are recognizable symptoms, which can help you catch it early and get your child the help they need.

Common Signs of Type 1 Diabetes

The most common early signs of diabetes are increased urination and thirst. This is because your child doesn’t have enough insulin to process glucose, leading to high blood-sugar and a reaction where their body pulls fluid from tissues. This makes your child constantly thirsty and in need of bathroom breaks. Other warning signs include:

∙         Fatigue: Your child always seeing tired or drowsy could signal their body is having trouble processing sugar into energy. Extreme instances of this include stupor and unconsciousness.

∙         Changes in vision: Having high blood-sugar often causes blurred vision and other eyesight problems.

∙         Fruity smelling breath: Having breath that smells fruity, even when it’s been a while since your child ate, often means there’s excess sugar in their blood.

∙         Increased hunger or unexplained weight loss: Extreme hunger can mean your child’s muscles and organs aren’t getting enough energy. Any sudden weight loss in your child should not be ignored, but especially when they’ve been eating more.

∙         Changes in behavior: Your child suddenly seeming moodier or more restless than normal while showing any of the symptoms.

Get Help from Your Pediatrician

Your child having heavy or labored breathing or experiencing nausea and vomiting are also signs of diabetes, but all of these symptoms, regardless of whether or not they are from diabetes, are cause for you to take your child to their pediatrician. Untreated, type 1 diabetes can be life-threatening. But with the help of a pediatrician and the same diligence you use to keep your child safe from viruses and bacteria, your child can grow up healthy and happy. If you have any questions or concerns, call our office today.

By Leonard J. Grossman MD
May 01, 2018
Category: Pediatric Health
Tags: Eye Problems  

When your little one is first born they will go through a series of tests and screenings to make sure they are healthy. This includes checking theirEye Problems vital signs, hearing, and vision. Your child’s first battery of health screenings will occur while you are still in the hospital. If everything checks out just fine then you’ll be good to go until you need to visit the pediatrician in the coming week. Of course, if we discover that there is an issue with their vision you may need to visit your child’s pediatrician sooner.

Of course, not all pediatric eye problems occur at birth. They can also happen as your child continues to develop over the years. This is why it’s so important that you are visiting your pediatric doctor regularly to ensure that if there is a problem with your child’s vision that they get the proper care they need to prevent more serious issues from happening.

Here are just some of the most common eye problems that children face:

  • Nystagmus: A condition that causes involuntary and repetitive eye movements, which results in a reduction in vision.

  • Strabismus: Sometimes referred to as crossed eyes, this is when the eyes are not aligned with one another.

  • Amblyopia: Colloquially referred to as a “lazy eye”, this condition occurs when vision is one eye doesn’t develop properly, resulting in reduced vision.

  • Congenital cataract: While most people associate cataracts with older individuals, it is possible for a child to be born with this condition that causes clouding of the ocular lens.

Some eye problems can be caught at birth; however, it’s important to understand that babies aren’t born with all of their visual capabilities. This is something that is learned over time as their eyes continue to develop and send signals to their brain. A baby’s vision isn’t as clear as ours; however, in the first few months, you’ll begin to see them focus on objects close up, develop eye-hand coordination as they grab for things they want or follow moving objects.

Of course, you will have a pediatrician schedule to follow, which ensures that your little one is getting the proper care, checkups, vaccinations, and screenings they need to check off certain developmental milestones. If your pediatrician detects vision problems they will most likely refer you to a pediatric eye doctor who can provide you with the best treatment options.

If at any time you become worried about your child’s vision, then it’s important that you make an appointment with your pediatrician to have their vision tested. Your pediatrician is here to make sure that your growing child gets the care they need throughout the course of their developing life so they can become a healthy, happy adult.

By Leonard J. Grossman MD
April 13, 2018
Category: Pediatric Health
Tags: Germs   Prevention  

Germ PreventionKids 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.

Tidy Up

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.

Hand Washing

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. 

By Leonard J. Grossman MD
March 30, 2018
Category: Pediatric Health
Tags: Sick Child   Fever  

FeverGenerally, 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 Ledgewood pediatrician for further instruction.





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