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Nimisha Shukla, M.D.
Edison, NJ 08820
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Put on your detective hat—are you suffering from the common cold or sinusitis? Many people mistake a common cold for sinusitis, and vice versa. The symptoms of a cold and a sinus infection can be quite similar to each other because the same viruses often cause both conditions. Additionally, since the nose and sinuses are connected, it is possible for viruses to move easily between the nasal passages and the sinuses.
Your child may feel run down, have a low-grade fever, post-nasal drip, and a sore throat. So is it a common cold or a sinus infection? Typically, a cold can definitely morph into a sinus infection, but there are some classic symptoms for each illness that can help distinguish between the two.
The Common Cold
With a cold, there is a cluster of symptoms that your child might be experiencing, including:
- Nasal congestion
- A run-down feeling
- Runny nose with clear discharge
- Sore throat
- Post nasal drip
- Fever may be seen in children, but not often in adults
If your child has a cold, they may even experience a cough or a headache, and it can often last from three to seven days with or without any treatment. Your child develops a cold from a virus in which the symptoms usually build slowly over the course of a day or two, peak by days three or four, then slowly improve around the fifth or seventh day.
With a cold, treatment might include supportive care, fluids and chicken soup. Drinking plenty of water is also beneficial as it helps to hydrate your child. By hydrating your child through water consumption, you can help to flush out the infection because it liquefies the mucus. There are also medications available to help make your child more comfortable as the cold passes.
Sometimes colds can set in the sinuses and cause swelling, which then prevents the flow of mucus and turns the cold into a sinus infection. Sinusitis is the inflammation of the sinuses that can be caused by a cold, an infection or allergies. Any swelling of the sinuses can produce symptoms such as:
- Pressure or pain behind the eyes or cheeks
- Pain in the top teeth
- Green or yellow nasal drainage
- Post nasal drip
Your child may also complain of being tired, having a difficult time breathing through his or her nose, decreased sense of smell, and restless sleep. If your child develops a cold every month or every other month, this is because his or her sinuses are flaring up and it is probably not a cold, but chronic sinusitis.
The main difference between a common cold and sinusitis is that a cold comes around once a year and lasts for three to five days, and then is gone and your child most likely will not experience it again until next year. Acute sinusitis typically lasts less than four weeks, with chronic sinusitis lasting more than 12 weeks. So if your child’s symptoms last more than a week, odds are they are experiencing a sinus infection and should visit Nimisha Shukla, MD.
By visiting your child’s pediatrician in Edison, you can help your child breathe easy once again. Whether it is a common cold, or a more serious sinus infection, your child’s pediatrician is available to help relieve their symptoms.
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 Edison 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 Downers Grove Pediatrics 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 Nimisha Shukla, MD 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 Edison pediatrician to see if jaundice is present.
Also, call Edison 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 Edison 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 him 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 his or her 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.
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