As a pediatrician, I know green poop in toddlers causes a great deal of concern for many parents. In fact, green poop in kids of any age commonly causes stress. It is the number one reason why parents in my pediatric practice text me (or send me pictures). Green poop does not seem like it should be normal.

But is it something that you should worry about?

There are various reasons why a toddler’s poop may have a green color.

Food-Related Causes of Green Poop

A variety of food-related factors cause green poop in toddlers. Certain foods and additives lead to changes in stool color. Foods rich in green, blue, or purple pigments affect the color of poop. Examples include spinach, kale, blueberries, or beets.

Additionally, any food with green food coloring will change a child’s poop color. Green frosting, green cookies or other green confections are often culprits. Green food dye causes brightly colored green poop in toddlers.

Finally, vegetables and fruits also contribute to green poop. When a toddler consumes large amounts of green vegetables or fruits, they often have green poop. The high fiber content causes stool to pass through the digestive system more quickly. This can result in not fully digested food being excreted, giving the stool a green appearance.

Medication Causes of Green Poop

Another reason for green poop is medications. Certain medications such as oral iron supplements or antibiotics cause green poop in toddlers. Antibiotics affect the balance of bacteria in the digestive tract and cause a change in stool color. If you have recently started your child on a new medication, likely that is the cause of the green poop. Be sure to consult with a healthcare professional if you have any concerns about medication side effects.

Infections and Green Poop

Sometimes, green poop in toddlers can signify a bacterial infection. When a toddler has a bacterial infection in their gastrointestinal tract, it can lead to changes in their bowel movements. This includes green-colored stools. Bacterial infections such as Salmonella or E. coli cause inflammation in the digestive tract. This interferes with the normal digestion and absorption of food. These bacteria can also cause bloody stools.

Bacteria is not the only cause of green poop in ill toddlers. Acute gastroenteritis (the stomach bug) is caused by either a bacterial infection or a viral infection. Rotavirus, norovirus and adenovirus are all common viral causes of GI illness in children. The latest strain of COVID has also been causing mostly GI symptoms of vomiting and diarrhea in children.

Both types of germs contribute to a change in poop color in toddlers and kids.

Please note that green poop does not always mean that your toddler is sick. However, if your toddler experiences additional symptoms such as abdominal pain, diarrhea, or vomiting, likely illness is causing the change in stool color. Seek medical care if you are concerned that your child is not keeping down enough fluids to stay hydrated.

The Scoop on Green Poop

Green poop in toddlers most often has a benign cause. As we have seen, diet and medications often change stool color in kids. However, in some cases, green poop indicates an illness in a child.

It is important to remember that while green poop is usually not a cause for concern, certain situations may warrant medical attention. If green poop is accompanied by symptoms such as severe diarrhea, signs of dehydration, abdominal pain, or weight loss, please consult your child’s pediatrician.

127 Pediatricians is Here to Help

At 127 Pediatricians, we understand the challenges and concerns that come with taking your child to the doctor’s office. That’s why we offer a unique service. We bring the expertise of a board-certified pediatrician right to your doorstep in Colleyville, Texas.

Our at-home pediatrician is experienced and trained to provide comprehensive medical care for infants, toddlers, and children of all ages. Whether it’s a routine check-up, vaccinations, or addressing specific health concerns, our team is here to provide the highest level of care in the comfort and familiarity of your own home.

Our mobile pediatric service ensures that your child receives personalized attention and care in a familiar environment. We strive to make the experience as seamless as possible, with flexible scheduling options and a compassionate approach that caters to the unique needs of your child.

At 127 Pediatricians, we are committed to delivering exceptional pediatric care, making it easier for parents to prioritize their child’s health.

Contact us today to schedule an at-home pediatric visit and experience the convenience and peace of mind that our services offer.

© 127 Pediatrics; October 2023

This article exists for informational purposes only and should not be construed as medical advice.

Dr. Andrea Wadley is the owner, pediatrician, and breastfeeding medicine specialist for 127 Pediatrics. She has an established house-calls-only concierge pediatric practice in Colleyville, TX. She is also the owner and operator of the 127 Pediatrics Online Breastfeeding Medicine and Education Center.

The post Why Does My Toddler Have Green Poop? appeared first on 127 Pediatrics.

We love this time of year at 127 Pediatrics.

For one, we are past the days of summer heat and moving on to some of our favorite holidays.

Halloween is a special time of year when families can come together and create lasting memories. There are so many fun and creative activities that can be enjoyed by everyone in the family, making this spooky season even more enjoyable.

Halloween doesn’t have to be all about scares and frights; it can be a fun and family-centered holiday. By engaging in activities like pumpkin carving, movie nights, and festive decorations, families can create treasured memories that will last a lifetime. So, gather your loved ones, unleash your creative juices, and let the festivities begin!

1. Cook together

Cooking together before and/or on the day of Halloween can be a fun and rewarding activity for parents and kids alike. It not only allows for quality family time but also helps foster creativity and build important life skills.

Consider the fun idea of having a Halloween-themed bake-off. Choose a few simple recipes such as spooky cookies or festive cupcakes, and let each family member put their own unique twist on the creations. This not only sparks creativity but also teaches kids basic cooking techniques. Plus, the end result is delicious treats for all to enjoy!

Cooking together for Halloween can also involve preparing a festive snack board or a spooky-themed dinner. Encourage kids to assist with cutting out shapes, arranging ingredients, and adding spooky garnishes like googly eyes or plastic spiders. 

2. Costume Up

Halloween is the perfect time for families to come together and celebrate the spooky season. One fantastic way to make this holiday even more enjoyable is by adding costumes into the mix. Dressing up in costumes can create a magical experience for kids and adults alike, turning an ordinary day into an extraordinary adventure.

Why not choose a theme for the entire family this Halloween? Whether it’s superheroes, mythical creatures, or beloved storybook characters, selecting a theme will add an extra layer of excitement and creativity to the festivities. Working together to create costumes based on the chosen theme can be a fun and engaging activity that allows everyone to showcase their unique personalities.

Not only does costume-up encourage imaginative play, but it also provides an opportunity for kids to develop their creativity and self-expression. With endless possibilities for costume creations, children can let their creative juices flow and put their own imaginative spin into their costumes.

Costume-up goes beyond just wearing costumes; it transforms the holiday into a family affair. From choosing the perfect fabrics to brainstorming accessories and props, the process becomes a bonding experience for everyone involved. Parents can seize the opportunity to share their love for DIY projects, creating memories that will last a lifetime.

3. Decorate your home

Get into the spooky spirit this Halloween by decorating your home in a way that’s both fun for your family and appealing to visitors. Whether you’re hosting a costume party or anticipating the arrival of trick-or-treaters, a well-decorated home adds an extra dose of excitement to the festivities.

Consider incorporating your costume theme into the decorations for a truly immersive experience. For example, if your family plans to dress up as pirates, create a treasure chest display filled with plastic spiders, googly eyes, and other eerie trinkets. Decorating with cardboard boxes painted to look like haunted houses or setting up a “Charlie Brown” style pumpkin patch can also make your home feel irresistibly festive.

Don’t forget about the exterior of your home either! Hang fake spider webs, cover your front yard with gravestones, or even create a spooky scavenger hunt leading up to your doorstep. This will not only make your home stand out to trick-or-treaters but will also create excitement for your own little ones.

4. Carve it out

Carving pumpkins is a classic Halloween tradition that not only allows families to showcase their creativity but also provides a fun time together. Gathering around a table, armed with carving supplies and creative juices flowing, everyone can come up with unique designs for their pumpkins.

Carving pumpkins as a family activity encourages teamwork, communication, and problem-solving skills. Parents can guide younger children in safely using carving tools, while older kids can express their artistic abilities. From intricate designs to goofy faces, each carved pumpkin is a masterpiece that reflects the personality and imagination of its creator.

To make the carving experience even more enjoyable, consider turning it into a mini-event. Set up a designated carving area with newspaper or a tablecloth to catch the mess. Play some Halloween-themed music in the background, or have a spooky movie playing for added ambiance.

Once the pumpkin carving is complete, arrange the jack-o’-lanterns outside for a festive display. Lighting them up with LED lights or candles creates an eerie glow that adds to the spooky spirit of Halloween. Don’t forget to take a family photo with your carved pumpkins to capture the memories and share them with friends and relatives.

5. Tell some stories

Finding age-appropriate and non-terrifying stories can add an extra layer of fun to Halloween celebrations for parents and kids. Whether it’s through books or movies, sharing spooky yet kid-friendly tales fosters a sense of excitement and imagination.

Parents can start by gathering a collection of Halloween-themed books suitable for their children’s age group. Classics like “It’s the Great Pumpkin, Charlie Brown” or “Room on the Broom” offer gentle thrills that won’t leave little ones scared. Not only do these stories provide entertainment, but they also create opportunities for parents and kids to bond through reading together.

For families who prefer movies, there are plenty of kid-friendly Halloween movies that capture the festive spirit without being too scary. Favorites like “Hocus Pocus” or “Hotel Transylvania” feature colorful characters and fun adventures that both parents and kids can enjoy. With the lights dimmed and bowls of popcorn in hand, family movie nights become memorable gatherings filled with laughter and excitement.

6. Get to the Pumpkin Patch

One of the most enjoyable and quintessential activities to celebrate Halloween as a family is a trip to the pumpkin patch. This delightful outing not only offers a fun and festive atmosphere but also provides an array of activities that can entertain kids and adults alike.

At the pumpkin patch, families can embark on a pumpkin hunt, searching for the perfect pumpkins to bring home and carve into masterpieces. The experience enhances children’s creativity as they envision unique designs for their pumpkins and develop their fine motor skills while carefully carving them.

Apart from pumpkin picking and carving, many pumpkin patches offer additional attractions, making it a whole day of fun. Families can get lost in corn mazes together, exploring twists and turns as they work as a team to find their way out. They can also enjoy tractor hayrides, petting zoos, and even visit a cozy country farm store to take home fresh produce and homemade treats.

Going to the pumpkin patch as a family not only engages everyone in the Halloween spirit but also creates lasting memories. It provides an opportunity for parents to step away from electronic devices and connect with their children in a meaningful way. From running through fields of pumpkins to taking silly photos, the pumpkin patch offers endless moments of joy.

7. Creating an Outdoor Display

One of the most enjoyable and creative ways to celebrate Halloween as a family is by creating an outdoor display. Transforming your home into a haunted house not only adds a spooky atmosphere to your neighborhood but also allows your kids to get involved in the process of choosing and making decorations.

A great starting point for your outdoor display is pumpkins. Visit a pumpkin patch with your children to pick out the perfect pumpkins for carving or painting. You can also incorporate fall leaves, gourds, and other autumnal decor to add to the festive spirit.

If your kids are older, stenciling jack-o-lanterns can be a fun and safe way to involve them in the carving process. They can choose from countless stencil designs available online or create their own. For younger children, painting pumpkins with spooky or goofy faces is a great alternative that still allows them to express their creativity.

To add an extra touch of spookiness to your outdoor display, consider making some DIY decorations, such as plastic spiders or ghost cutouts. You can involve your kids in crafting these spooky creations using simple materials like cardboard boxes, construction paper, and googly eyes.

127 Pediatrics Wishes Your Family a Safe and Happy Halloween

127 Pediatrics wishes you a safe and happy Halloween! We understand the excitement and joy that this festive season brings to families, especially children. 

We hope you find joy and excitement knowing that 127 Pediatrics is revolutionizing pediatric care by bringing it directly to the homes of families in Colleyville, TX.

With our at-home provider services, parents and children can enjoy the convenience and comfort of receiving medical care without the hassle of waiting rooms and large care networks.

By eliminating the need to travel and wait in a clinic, 127 Pediatrics allows parents to save precious time and minimize disruptions to their daily routines.

Not only does this unique approach save time and reduce stress for parents, but it also creates a more personal and intimate experience for the child. Being in a familiar environment, surrounded by their toys and comforts, can help alleviate anxiety and make medical visits less intimidating.

If you are desiring to have a pediatrician that is on call for you and your family, schedule a free meet and greet today.

© 127 Pediatrics; October 2023

This article is for informational purposes only and should not be construed as medical advice.

Dr. Andrea Wadley is the owner, pediatrician, and breastfeeding medicine specialist for 127 Pediatrics. She has an established house-calls-only concierge pediatric practice in Colleyville, TX. She is also the owner and operator of the 127 Pediatrics Online Breastfeeding Medicine and Education Center.

The post 7 Kid-friendly ways to Celebrate Halloween as a Family appeared first on 127 Pediatrics.

Nosebleeds in children occur so commonly that many parents know how to treat them at home. But what exactly causes a child’s nose to bleed? 

When my daughter was three years old, she was in a Christmas program at her preschool. She was so excited to be up on stage and singing with her friends. All of the children were dressed in their adorable holiday outfits and sang their hearts out. The audience of parents chuckled occasionally as the little people did hand motions and sang words that were not in the script. The choir teacher appeared as if she were herding cats trying to keep everyone on task.

And then there was my child.

Singing her heart out, all while her finger was up her nose. At the age of three, she had no qualms about picking her nose in front of the large crowd of parents. 

Nose picking is one of the most common reasons for nosebleeds in children, but it is not the only reason. In this article, we will look at the common causes of nosebleeds in children, how parents can treat their child’s nosebleed and when to seek medical help. 

What is a Nosebleed?

A nosebleed is also known as epistaxis. Bleeding from the nose occurs when the delicate blood vessels that line the inner nose rupture. This leads to blood coming out of the nose and/or down the back of the throat. Posterior nosebleeds can cause your child to cough up or spit out blood from their mouth. 

Bleeding from the nose can vary in severity. It can range from a few drops to a more significant amount of blood loss. While blood coming out of your child’s nose seems alarming, nosebleeds are typically not a cause for serious concern. Most of the time, this common ailment can be treated at home. For the majority of kids, their nose will stop bleeding pretty quickly with some simple maneuvers. 

Picking Their Nose 

Nosebleeds in children can occur for a variety of reasons, but nose picking is by far the most common cause. Sharp kid fingernails can do a lot of damage to the inside of the nose and lead to bleeding. 

Often children will put their fingers in their nose if they have congestion, itchiness or feel like their nose is plugged by dried mucus.  Repeated trauma to the inside of the nose, especially along the nasal septum where the blood vessels sit, lead to trauma and irritation. This can be especially problematic if a child already has dry nasal passages or if they have allergies or infections that make their blood vessels more fragile.

Kids don’t understand how delicate their nasal mucosa is. We, as parents, need to explain to them why picking their nose can cause broken blood vessels and nose bleeds. Children are especially at risk for recurrent nose bleeds if they have a blood clotting abnormality or are on blood thinners. Otherwise healthy children can also be at risk for recurrent nosebleeds if they have a habit of removing dried mucous from their nose with their tiny little fingers. 

Dry Climates and Low Humidity

Dry climates are also common causes of nosebleeds in both children and adults. In areas with dry air, such as in the mountains of Colorado or New Mexico, the air is so dry that human skin and mucous membranes dry out too. I experience this every year when we travel from the humidity of north Texas to the dry desert air of New Mexico on our family vacations. Both my husband and I go through an entire tube of chap stick each for our lips and experience nose bleeds after hiking in the dry weather.

Another cause for dryness and thus nosebleeds is low humidity during the cold winter months. Dry and cold air can irritate the delicate blood vessels in the nose. Lack of moisture in the nasal mucus membranes irritate the tissues and lead to nose bleeds. 

In order to prevent nosebleeds in these situations, it is important to keep the nasal passages moist.

• Use of a cool mist humidifier in your child’s room will add moisture to the air. This will help your child breathe easier by keeping the nasal membranes moist and thus less prone to bleeding.
• Additionally, you can apply a thin layer of petroleum jelly inside your child’s nostrils or have them do it themselves.  This helps to retain moisture and protect the nasal lining from irritating dryness.
• Finally, encourage your child to drink plenty of water throughout the day. Staying well hydrated will help their body in many ways, including keeping their nasal cavity moist. 

Allergic Rhinitis or Other Nasal Irritations 

Allergies and other nasal irritants are also common causes of nosebleeds in children. Nasal allergies occur when the immune system overreacts to substances such as pollen, pet dander, or dust mites. Inflammation in the nose from this reaction causes nasal congestion, among other symptoms. As we know, when the delicate nasal mucosa is irritated, it is also more prone to bleed. 

Sometimes nasal irritation from sinus infections can lead to a bloody nose as well. This is due to a similar mechanism as allergies. Only in this situation, the immune system is reacting to a virus or bacteria instead of an allergen. 

Injuries to the Nose

Another somewhat obvious cause of nosebleeds are injuries to the nose. Kids are constantly pushing their limits and often this can result in an injury. Common injuries that may lead to nosebleeds include blunt trauma, such as from a fall or bumping into something, as well as sharp objects like pencils and sticks. 

Nose injuries can range in severity from not so bad to heading to the emergency room. Depending on the mechanism, trauma can lead to minor bleeding vs more heavy bleeding. You can treat minor injuries to the nose at home with a few minutes of direct pressure to the area. If the bleeding stops, you can keep your child home and / or make a non-emergency visit with your pediatrician. However, if the bleeding is heavy or you can’t get it to stop, you should head to the nearest emergency room. 

With heavy bleeding from either an injury or from the nasal surgery that may follow, nasal packing will be required to control the blood flow and minimize blood loss. 

Foreign Bodies in the Nose

Another common cause of nose bleeding or nasal drainage in children is a foreign body. Children love to stick things up their nose. Foreign bodies can be anything from a small toy to a piece of food. Depending on the characteristics of the object, the resulting irritation can lead to bleeding from the nose. 

In addition to bleeding, a foreign body may cause one sided discharge from a child’s nose. This finding on a physical exam will clue your pediatrician into a nasal foreign body. The drainage can be purulent (pus), bloody or both. 

Often, your pediatrician can reach the item with a special type of forceps or grabber. Other times, the pediatrician will teach you the “mother’s kiss” technique to remove the item from the nose. 

Treatment for Nose Bleeds in Children

.At-home treatment for nosebleeds in children should focus on providing comfort and preventing further injury. The first step is to have the child sit upright and lean forward slightly, so that any blood draining can avoid going down the throat and causing choking or vomiting.

Parents should apply pressure to the bridge of the nose for at least 10 minutes or until bleeding stops. Cold compresses or ice packs can also be applied to reduce swelling and relieve discomfort. If these measures do not stop the bleeding, it is important to consult a doctor as soon as possible.

If a nosebleed does not stop after 15 minutes of direct pressure or if it occurs with other symptoms such as fever, headache, dizziness, confusion, weakness or vomiting, it is important to seek medical attention immediately as this could indicate a more serious condition.

Frequent Nosebleeds

Frequent nosebleeds are defined as recurring nosebleeds that occur more than once a week. In these cases, further evaluation may be required to diagnose any underlying conditions contributing to the nosebleeds. Often, this involves a visit to a specialist or ear, nose and throat doctor. 

An ENT surgeon can offer different treatment options to treat frequent nose bleeds in children. One of the procedures that they do frequently for this condition is cauterization of the blood vessels in the nose. This medical procedure involves carefully burning part of a tissue in order to stop bleeding.  In the case of frequent nosebleeds, cauterization uses heat to seal off any blood vessels in the nose that are causing the bleeding.

Conclusion

Nosebleeds seem to be a rite of passage in childhood. Whether your child has an injury to their nose or allergies that cause them to itch and pick at their nose, bleeding is very common. Hopefully, after reading this article you will feel more confident on what to look out for, how to treat your child at home and when to seek medical care.

Remember, almost every child picks their nose at some point in their life, and this is by far th most common cause of bleeding.

If you are looking for a pediatrician that you can text a picture to and get a quick answer about your child’s nosebleed, join my practice.

© 127 Pediatrics; October 2023

This article exists for informational purposes only and should not be construed as medical advice.

Dr. Andrea Wadley is the owner, pediatrician, and breastfeeding medicine specialist for 127 Pediatrics. She has an established house-calls-only concierge pediatric practice in Colleyville, TX. She is also the owner and operator of the 127 Pediatrics Online Breastfeeding Medicine and Education Center.

The post Common Causes of Nosebleeds in Children appeared first on 127 Pediatrics.

Help! I can’t get my baby to stop crying and I have tried everything.

This is a common sentence that gets texted to me by the parents in my pediatric practice. There is something about a fussy baby that triggers our deepest emotions as parents and causes us to worry that maybe we are missing something.

Excessive crying in babies can be normal during certain stages of their development. In this article, we will look at reasons why babies cry, what to do about excessive crying and when to seek help.

Common reasons babies cry

As parents of babies know, these tiny people cry for a variety of reasons.  Normal healthy babies cry and sometimes they cry a lot. Crying is their main form of communication, especially in the early days of life.

Reasons that babies cry might seem obvious until you are standing over an infant in the throws of a crying spell.

Babies may cry when they are

• Hungry– whether you have a breastfed baby, formula fed or both, hunger can lead to inconsolable crying until they are fed. Even if you have given your baby food recently, they may be in the midst of a growth spurt and demanding more food to keep up with their growth.
• Tired- even adults get cranky when they are tired, and babies are no different. Sometimes your baby can be extra fussy if they are not getting enough sleep. Newborns require a large amount of sleep as their bodies are doing the hard work of developing.
• Uncomfortable– discomfort can set a baby off. Whether it is a diaper that needs changing or they are feeling too hot or too cold, an uncomfortable baby will let you know through crying.
• Bored– babies need human interaction and stimulation. Crying happens when they are bored or need something new to do or look at.

Other Reasons Why Babies Cry

• Have a wet diaper or dirty diaper– enough said
• Pain– any kind of pain will cause a baby to cry. Be sure to check for a hair tourniquet or strand of hair that is wrapped tightly around a digit if your baby seems to be in pain and you can’t find a source. This can be one of the causes of inconsolable crying that if not caught early can result in serious injury to your baby.
• Gas – gas is painful, even in adults, but especially so in babies due to their gut immaturity. Bicycling their legs, rubbing their tummy or giving them a warm bath can all be good ways to help relieve gas pains.
• Startle– if your baby hears a loud noise, it will trigger their startle reflex and often cause them to cry
• No apparent reason at all – there is a period of time known as the period of purple crying where babies seem to cry for no reason at all. This could be the cause if your baby is between 2 weeks of age and 3 months of age. This can also be known as infantile colic. Colicky babies cry for certain periods of time (usually early evening) and nothing seems to relieve their crying. Babies with colic will often cry during a predictable period of time, known by most parents as the witching hour.

When Your Baby Won’t Stop Crying

As we have discussed, it is normal for babies to cry, but it can be frustrating when they seem to cry constantly. There are a few things you can do to try to ease your baby’s persistent crying:

• Make sure your baby is not hungry, wet, or uncomfortable. These are the most common reasons why babies cry.
• Try swaddling your baby. Swaddling can help to soothe babies and make them feel more secure.
• Rock your baby or take them for a walk. The motion can be calming for babies.
• Sing to your baby, play soft music or use white noise. This can help to distract them from their crying.
• Give your baby a pacifier. Sucking can be soothing for babies.
• Take your baby to a quiet place. Sometimes babies cry because they are overstimulated.
• Try to stay calm. If you are upset, your baby will pick up on your emotions and become more upset themselves.
• Change of scenery – sometimes your baby will calm down if you simply change their location, take a walk, go for a ride in the car or put them in the baby carrier and go sit at a coffee shop

When to call the pediatrician

If you have tried all of the above tips and your baby is still not calming down, it may be time to seek medical advice. Your pediatrician can help you determine if there is any other underlying issue causing your baby’s distress and they can provide advice on how to best care for your little one.

How to protect your mental health

Caring for a baby who is constantly crying can be exhausting and emotionally draining. It is important to take care of yourself as well as your baby during this difficult time. Be sure to get enough sleep, eat healthy foods, and make time to do things you enjoy. Make sure you have support from your partner or family and friends who can help you if needed.

Babies who cry excessively are at risk for abuse, especially shaken baby syndrome. This occurs when a caregiver is distressed by the constant sound of their baby’s crying and shakes them to get them to stop. This very quickly can cause severe brain damage.

If you are feeling like you may “snap” or lose your cool when your baby is fussy crying, be sure to put your baby in a safe place and walk away for a few minutes to collect yourself. There is no shame in seeking out the help of a healthcare provider if you are feeling overly stressed by these fussy periods. Postpartum depression can contribute to a short fuse, and it does not make you a bad parent to ask for help.

Crisis hotlines can also be a helpful resource in the heat of the moment. You are the most important person in your baby’s life and it is important for you to take care of yourself while you are working through this difficult time in your parenting journey.

Want to have a newborn expert on your side?

Not only am I a pediatrician, but I am also a lactation consultant/ breastfeeding medicine specialist. In addition, I am an expert in all things newborn. I offer breastfeeding medicine consults, concierge breastfeeding medicine packages, fourth trimester care packages and memberships to my pediatric practice.

Schedule a free meet and greet today to see if 127 Pediatrics is a good fit for your family.

© 127 Pediatrics; October 2023

This article exists for informational purposes only and should not be construed as medical advice.

Dr. Andrea Wadley is the owner, pediatrician, and breastfeeding medicine specialist for 127 Pediatrics. She has an established house-calls-only concierge pediatric practice in Colleyville, TX. She is also the owner and operator of the 127 Pediatrics Online Breastfeeding Medicine and Education Center.

The post How Do I Get My Baby to Stop Crying? appeared first on 127 Pediatrics.

As a pediatrician, one of the things I find myself talking to parents and caregivers about with a fair amount of frequency relates to signs of stress in children. And as a parent myself, I also need to navigate this topic in my own home.

This new school year has been especially stressful for my own child as she adapts to the new rhythms and rigor of middle school. Additionally, I have had many conversations with parents of my patients as their children are beginning a new school year.

Starting a new school year isn’t the only thing that causes stress in a child’s life.

There are various sources of stress that young children may face:

• Tension at home due family discord or parental conflict.
• Major life events like divorce, loss, or moving to a new home
• Challenges at school, such as difficulty making friends or dealing with bullies

Symptoms of Stress in Children

Most commonly, kids have physical symptoms of stress. Tummy aches and headaches are often telltale physical symptoms of stress in children. I tell parents that “tummy aches” are like a black hole symptom when it comes to kids. It takes a good amount of investigation to understand the cause of this symptom in young children. Often, we will uncover something that is causing stress or anxiety in the child’s life as the cause for these conditions.

Additionally, changes in appetite and difficulty sleeping can also be physical manifestations of stress in children. My daughter is famous for her middle of the night appearances in my room when she is experiencing stress in her life.

Emotionally, children may become irritable, moody, or more tearful. Kids are supposed to be happy and carefree. If you notice that your child is crying more easily or is snapping at their siblings, it may be time for a heart to heart discussion with them. Finding the source of the stress and helping your child to understand their feelings will allow them to navigate a stressful situation.

If you notice any of these signs in your child, it may be helpful to consult with a pediatrician or mental health professional for further evaluation and guidance. At 127 Pediatrics, Dr. Wadley is just one text away when concerns like this arise.

Let’s look at how traumatic events contribute to stress for children.

Traumatic Events and Other Stressful Situations

Traumatic events and other stressful situations can have a significant impact on a child’s overall well-being.

Unfortunately, children may experience a wide range of traumatic events, including:

• Neglect
• Abuse
• Natural disasters
• Violence

These types of stressful events can have a long lasting impact on a child’s development as well as their mental health.

When a child experiences neglect or abuse, their stress response system can be activated, leading to an increased production of stress hormones such as cortisol.

Additionally, traumatic events can have long lasting effects on a child’s development as well as how they interpret the events in their lives. Children who are exposed to these types of events are at higher risk for mental health challenges, including depression, anxiety, and post-traumatic stress disorder.

Like we discussed before, kids may also experience physical symptoms such as headaches, stomachaches, and changes in appetite as they are responding to and processing events that cause trauma in their lives.

It is important for parents and caregivers to be aware of these signs of stress and seek support from healthcare providers or mental health professionals when needed.

Let’s look at the dangers of chronic stress in children.

Chronic Stress in Children

Chronic stress in children refers to prolonged and ongoing stress. This form of stress can harm a child’s mental and physical well being. Manifestations of chronic stress in children can show up in many ways such as:

• Sleep disorders
• Eating disorders
• Difficulty with concentration
• Behavior problems
• Depression

Additionally, another major aspect to consider is the impact of ongoing stress on a child’s immune response. Studies have shown that chronic stress weakens the body’s immune system, making children more susceptible to illnesses and infections. Stress hormones have many effects on the way that immune cells function.

Sensitive and Critical Periods for Developmental Stressors

Children are growing and developing rapidly and stressors during these formative years can have long lasting consequences. Toxic stress is a name that we have assigned to this far reaching form of chronic stress during childhood. This kind of stress can alter a child’s brain chemistry and change the way that they relate to others into their adult years.

Short term stress such as moving to a new house or changing schools often does not affect development in a negative way. It is a great way to teach children how to deal with minor stress. Parents can model how to handle stressful situations and help children to understand that life will be full of stressful situations as they grow.

If You Think Your Child is Suffering from Stress

If you think your child is suffering from stress, it is important to address this issue as soon as possible.

The first step in addressing the situation is to identify the sources of stress in your child’s life. Pay attention to any changes in their behavior or emotions, and look out for signs of stress such as difficulty sleeping, mood swings, irritability, or changes in appetite.

Once you have identified the sources of stress, it is important to discuss these issues with your child. Talking openly and honestly about what they are going through can help them feel heard and supported. It is also important to provide reassurance that their feelings are valid and that they are not alone.

If your child is struggling to cope with the stress, it is important to seek professional help. A mental health provider can work with your child to provide support and develop strategies to manage their stress.

As a pediatrician, I can also help by providing resources and referrals if necessary.

By providing early intervention, we can support our children in managing their stress and ensure they have the resources to thrive.

Role of 127 Pediatrics

As a pediatrician who is on call for your family, I can be available to help guide you through hives, allergies and other common childhood conditions. If you are desiring to have a pediatrician that is on call for you and your family, schedule a free meet and greet today.

© 127 Pediatrics; September 2023

This article is for informational purposes only and should not be construed as medical advice.

Dr. Andrea Wadley is the owner, pediatrician, and breastfeeding medicine specialist for 127 Pediatrics. She has an established house-calls-only concierge pediatric practice in Colleyville, TX. She is also the owner and operator of the 127 Pediatrics Online Breastfeeding Medicine and Education Center.

The post Is My Child Struggling with Stress? appeared first on 127 Pediatrics.

Swaddling a newborn at night is one of those skills that most new parents develop over time.

As a former newborn hospitalist, I used to amaze a new mom with my swaddling skills as I wrapped her baby into a tiny cute burrito. There really is nothing cuter than a swaddled baby in my opinion. 

Wrapping a newborn baby in a snug fitting blanket or swaddle sleep sack helps the baby to feel secure, cozy and keep baby warm. Additionally, it prohibits their ability to have a Moro or startle reflex which helps both you and your baby to get extra sleep. 

In this article, we will look at both the risks and benefits of swaddling a newborn at night and during daytime sleep, when to quit and what to look out for. 

What are good swaddling techniques? 

As I stated earlier, swaddling is a technique of wrapping a baby tightly in a blanket to help them feel secure and sleep better. There are many different wrapping techniques, but some of the most common include:

• The traditional swaddle: This is the simplest swaddling technique. You will need a large, lightweight blanket. Fold one corner of the blanket down to create a triangle. Place your baby on the blanket with their head at the top of the triangle. Bring the bottom corners of the blanket up and over your baby’s body, crossing them in the middle. Bring the top corners of the blanket down and over your baby’s arms, tucking them in at the sides.
• The arms-out swaddle: This is a good option for babies who don’t like to have their arms confined. To do this, swaddle your baby as you would for a traditional swaddle, but leave their arms out. You can also tuck their hands into their armpits to help them feel more secure.
• The double swaddle: This is a good option for babies who are very active. To do this, swaddle your baby in a traditional swaddle, then wrap them in a second blanket. This will help to keep them snug and prevent them from unwrapping themselves.

Safe Sleep

Whether you chose to swaddle your newborn or not depends on you, but always be sure to follow safe sleep recommendations no matter how you put your baby to bed. 

Place a baby face up on a firm mattress with a well fitting sheet. Remove any loose blankets as they can be a risk of suffocation. Don’t put any pillows or stuffed animals in the bed with a baby.

Additionally, do your best to avoid bed sharing. When a newborn sleeps in the same bed as a parent or other caregiver, there is a greater risk of suffocation or falling from the bed. You want your baby to be in a safe sleep space that is separate from your bed but in the same room with you for the first several months. 

What about their hips? 

Hip dysplasia can be one of the risks of swaddling a newborn, especially if it is a really tight swaddle. In order to combat this risk, be sure to wrap your swaddling blanket around the baby with enough room that their legs can move freely within the blanket. This will allow their hip joint to stay in a more neutral position and avoid hip problems. 

Safety considerations 

• Always swaddle your baby on their back. Swaddling your baby and placing them face down increases the risk of Sudden Infant Death Syndrome (SIDS).
• Use a soft, lightweight blanket that is large enough to wrap your baby snugly without restricting their movement. A too-tight swaddle can restrict breathing, while a too-loose swaddle can allow your baby to wiggle out and get tangled in the blanket. If you choose to use a swaddle sleep sack, be sure that it is the appropriate size for your baby. 
• Make sure the blanket is not too tight or too loose. You should be able to fit two fingers between the blanket and your baby’s chest.
• Leave your baby’s face uncovered. Covering your baby’s face can increase the risk of suffocation.
• Check on your baby to make sure they are comfortable and not overheating. Swaddled babies are more likely to overheat, so it is important to keep an eye on their temperature. The key is to use a breathable blanket. If you are swaddling for night time sleep, be sure that the room is cool enough and don’t overdress your baby before you swaddle them. 
• Avoid swaddling a baby with certain conditions– check with your pediatrician for specific medical advice, but in general you should avoid swaddling a baby with certain risk factors like hip dysplasia, respiratory problems or illnesses
• Avoid weighted swaddles– there are theoretical safety concerns with weighted swaddles. We don’t know how much weight is too much to sit on a newborn’s chest. Additionally, baby’s chest walls are made of cartilage and potentially can be crushed by a weighted blanket or swaddle. Just because it is marketed for babies does not mean that it is safe. 

Reasons to stop swaddling 

Once your baby begins to roll, it is time to ditch the swaddle and exchange it for a sleep sack or wearable blanket instead. This occurs for most babies just prior to 2 months of age. It is part of my anticipatory guidance at the 1 month well child visit. 

If a baby is in a swaddle blanket and rolls onto their face, they are at risk for suffocation. The swaddle keeps them from being able to use their arms to get out of this dangerous sleep position. 

Getting your baby to sleep no matter if you swaddle or not

Establishing a sleep routine can be difficult at first. Newborns don’t have the normal sleep and wake cycles that are cued by dark and light as their pineal glands aren’t mature enough to produce melatonin well. 

You can help your baby to get into a good routine from day one. As you are working towards a true sleep schedule, you can start by having night time sleep occur in a cool and dark room and daytime sleep to occur in a bright and noise filled room. 

Additionally, white noise can help your baby to sleep more soundly and for longer periods of time. Early on, babies need to wake frequently overnight to eat. As time goes on, sleep for babies will start to fall into a more regular routine and their night time sleep will stretch for 4-5 hours at a time. 

Want to have a newborn expert on your side?

Not only am I a pediatrician, but I am also a lactation consultant/ breastfeeding medicine specialist. In addition, I am an expert in all things newborn. I offer breastfeeding medicine consults, concierge breastfeeding medicine packages, fourth trimester care packages and memberships to my pediatric practice.

Schedule a free meet and greet today to see if 127 Pediatrics is a good fit for your family. 

© 127 Pediatrics; September 2023

This article exists for informational purposes only and should not be construed as medical advice.

Dr. Andrea Wadley is the owner, pediatrician, and breastfeeding medicine specialist for 127 Pediatrics. She has an established house-calls-only concierge pediatric practice in Colleyville, TX. She is also the owner and operator of the 127 Pediatrics Online Breastfeeding Medicine and Education Center.

The post Should I Swaddle My Newborn at Night? appeared first on 127 Pediatrics.

Knowing the difference between cold and allergy symptoms can be difficult for parents. As Texans, most of us are familiar with our own allergy symptoms. I tell new families that have recently moved here that everyone is allergic to Texas. It just depends on which season their symptoms will be the worst. Allergy season in Texas occurs in the fall, spring, and winter with different pollen causing problems. We live in one of the worst areas for seasonal allergies in the country.

Seasonal allergies (or allergies to outdoor allergens) are only one type of allergies that children can experience. In our modern world, there are plenty of indoor allergens or environmental allergies as well. From pet dander to dust mites to indoor mold and mildew, there are plenty of allergens that keep us in misery throughout the year.

Common cold symptoms overlap with allergy symptoms, but there are a few things that distinguish these two conditions. In this article, we will look at the distinguishing factors and how you as the parent can tell the difference.

Distinguishing Between Allergies and Colds in Children

There are certain seasons and circumstances in which it seems like a child may have a continuous runny nose for months on end. Sometimes, this is due to back to back viral illnesses. This is especially true  in the winter months and more specifically among children who attend child care settings. Germs get passed from kid to kid at daycare or school. When your child is first entering into this setting, they may get several viral illnesses back to back.

We saw this recently as our babies that were born during the pandemic started becoming exposed to kid germs for the first time. Many of these kids had back to back viral illnesses when they started school or daycare. Eventually, a child’s immune system will recognize these viruses and fight them off before you even know that your child was sick.

Additionally, allergies to pollen and other nasal allergies can manifest with runny noses as well. Just like when the body reacts to a germ, it goes into the same reaction mode when it sees an allergen. While runny nose and cough can overlap between both a cold and allergies, there are a few distinguishing symptoms and conditions that can help you to recognize the difference between the two.

Age makes a difference, babies under 2 rarely have allergies

In order for the immune system to react to an allergen, it needs to be exposed multiple times. While I have seen allergies in babies, it is rare for a child under the age of 2 years old to have true seasonal allergy symptoms. Generally, it takes almost two years of repeated exposure to the same allergen before the body reacts.

However, in families with a history of allergies, babies may have symptoms earlier than age 2.

Fever signals an infection, not seasonal allergies

Fever is one of those symptoms that can help you distinguish between a common cold or viral infection and seasonal allergies. While we use names like “cedar fever” to describe symptoms from allergies to the juniper tree in the winter months in Texas, fever with allergies does not usually occur.

Defining fever is important when you are deciding if your child has one or not. Fever is defined as a temperature of 100.4 degrees F or higher. In children who are fully vaccinated, fever is rarely something to worry about. It is simply a symptom of a viral infection and can be accompanied by other cold symptoms such as nasal congestion, sore throat, body aches and GI distress.

Tiredness indicates a viral infection

If your child is sleeping more or increasingly irritable as an accompaniment to their symptoms of runny nose and cough, most likely they have a viral infection. While allergies can wear you down, viral illnesses more often cause fatigue and exhaustion as the body’s immune system is working hard to fight off the invading germs.

Ear infections can result from both allergies and colds. As the inflammation in the upper respiratory tract increases, the fluid in the middle ear is trapped and becomes infected with bacteria. Whether the congestion and inflammation are from allergies or from one of the many respiratory viruses, middle ear infection is common during childhood.

Distinguishing Allergy Symptoms

Any allergy sufferer can tell you what respiratory allergies feel like. Often runny nose or nasal congestion are the main symptoms with the addition of itchy eyes, sore throat and possibly allergic shiners or dark circles under the eyes. Additionally, in kids we often see a line or crease across the front part of the nose that results from a kid rubbing their nose to relieve the symptom of an itchy nose. On physical exams, kids with allergic rhinitis also have boggy or swollen nasal turbinates inside of their nasal passages. It is a common finding that I pick up on often when I am examining a child

Key differences between colds and allergies include these itchy symptoms and stuffy nose vs the fever and fatigue that accompany nasal symptoms in kids with the common cold.

Nasal discharge can be a clue

Common allergy symptoms as well as common cold symptoms overlap when it comes to runny nose and nasal congestion. In general, if these symptoms are due to seasonal or indoor allergies or even pet allergies, the nasal discharge is clear and watery.

Generally, the nasal discharge in kids with viral infections is thick and can either be clear, green, or yellow. Thankfully, thick nasal discharge or even colored nasal discharge rarely indicates a bacterial infection. Mostly, it signals congestion has stayed in the nasal passages long enough for white blood cells to enter the space.

Length of symptoms

Allergy symptoms typically persist for a duration of several weeks or months, depending on the underlying cause.

On the other hand, viral infection symptoms generally last about 7-10 days or even up to two weeks. Sometimes, coughing will continue for a week or two after the resolution of the other symptoms.

Antihistamines help allergy symptoms and not colds

In a kid with a history of allergic rhinitis who ends up with a viral upper respiratory infection, an antihistamine may help alleviate part of their symptoms. However, in general antihistamines only work to relieve symptoms if they are caused by an allergy trigger and not a viral infection.

These medications act to block the histamine that is released in the body in response to the allergen. Blocking histamine keeps the body from reacting to the allergen and helps relieve the accompanying symptoms.

Often, parents will ask me if they can give their kids diphenhydramine (also known as Bendaryl) before bed when they have nasal symptoms. In general, this medication is okay to give, but always talk to your child’s pediatrician first.

As a pediatrician, I mostly recommend the newer or second generation antihistamines. In general, they are safer for kids and non-sedating. These are medications like loratadine and cetirizine (Claritin and Zyrtec). 

Treatment of Allergies vs Common Cold

Relief of symptoms is the mainstay of treatment for both allergies and the common cold. While there are more definitive treatments for severe allergies, often treating symptoms will help make your child more comfortable.

Allergy symptoms

In general, allergies are treated with antihistamines and steroid treatments. If your child is also having eye symptoms, you can treat those symptoms with eye drops. For most children with common seasonal allergies, the treatment of choice is a once daily dose of non-sedating antihistamine medication.

These medications are readily available over the counter and you can purchase the formulation that works best for your child. If your child is having predominantly nasal symptoms, your child’s healthcare provider may recommend adding daily nasal spray that contains steroids to calm the tissues in the nose.

If your child experiences severe symptoms or they are difficult to control with standard over the counter medications, a visit to the allergist may be warranted. Usually, an allergist will do more definitive testing such as skin testing that can help determine more accurately what your child is allergic to. After this testing, the allergist may recommend continuing allergy medications or may recommend allergy shots.

A child with allergies may need longer-term treatment with antihistamines. However, most children will only require continuous use of this medication during the season when symptoms are the most bothersome.

Cold symptoms

Unfortunately, even as medical science evolves, there is still no cure for the common cold. The foundation of treatment for cold symptoms is supportive care. This means treating your child’s fever and pain with fever-reducing/pain medicine, suctioning or blowing their nose, humidifying the air in their room for sleep, and ensuring that they get plenty of fluids.

127 Pediatrics Can Help

Hopefully, you have a better grasp of the difference between allergy and cold symptoms in children. If you would like a pediatrician to answer your questions in real-time, schedule a meet and greet. 127 Pediatrics provides convenience, high-quality and personalized pediatric care, and direct access to the pediatrician.

© 127 Pediatrics; September 2023

This article is for informational purposes only and should not be construed as medical advice.

Dr. Andrea Wadley is the owner, pediatrician, and breastfeeding medicine specialist for 127 Pediatrics. She has an established house-calls-only concierge pediatric practice in Colleyville, TX. She is also the owner and operator of the 127 Pediatrics Online Breastfeeding Medicine and Education Center.

The post How do I know if My Child has a Cold or Allergies? appeared first on 127 Pediatrics.

Terra firma-forme dermatosis sounds like a frightening diagnosis that no parent would want their kid to have. Thankfully, it is actually quite the opposite. Even though it has a very unique name, the benign nature of this condition should not cause alarm. 

Last summer, I noticed a dark brown spot on my 9 year old daughter’s neck. It had not been too long before that she started showering independently under her own direction. My hunch was that she had some dirt on her neck that she was missing during her bathing sessions.

However, even after she insisted that she scrubbed the area during her last shower, this dirty-appearing skin persisted. 

That’s when it hit me. I remembered another doctor mentioning something similar in one of our physician Facebook groups. A dermatologist in the group commented that the likely diagnosis was terra firma-forme dermatosis and that the skin lesion should have complete resolution after using an alcohol swab on the area. 

Sure enough, the spot disappeared after cleaning it with an isopropyl alcohol pad. 

Terra Firma-Forme Dermatosis

The clinical presentation of the interesting skin condition is classic. Normally, it shows up as a patch of slightly thickened brown or black skin. The cause for this condition is not completely clear, but is it hypothesized to be delayed keratinization (or formation of the waterproof protein layer of skin).

The keratinocytes make their final home in the stratum corneum layer of skin. 

Delay in adhesion of keratinocytes or sticking together of these skin cells can lead to accumulation of dirt and other skin waste cells.  This condition is also known as dirty dermatosis or dermatosis neglecta due to these adherent cells trapping dirt, germs and accumulation of sebum (oil) leading to cutaneous discoloration. 

The age of onset of this condition is around 10 years of age and mostly occurs in pre-pubertal children. 

Diagnosis and Treatment 

Amazingly, both the diagnosis and treatment are the same. 

Cleaning the area with a 70% isopropyl alcohol wipe or gauze soaked in the alcohol will both treat and diagnose the lesion. 

What else could it be?

Terra Firma Forme Dermatosis can be confused with other common skin conditions. Our skin is the largest organ in our bodies and can show the evidence of other diseases so sometimes we have to dig deeper for the answers.

Many medical conditions such as ulcerative colitis or other inflammatory bowel disease, autoimmune and rheumatolgoical diseases and renal failure can have cutaneous eruptions that may be confused with terra firma forme dermatosis at first. 

Additionally, the dark layer of skin that accumulates on the neck and axillary (arm pit) folds of adults and children who have higher body weight or have diabetes is called acanthosis nigricans. It can be confused with terra firma forme. The difference is that acanthosis does not wipe off with alcohol like terra firma forme does. 

Is This a Life-Threatening Disease?

Although the name sounds scary, thankfully terra firma forme dermatosis is not life threatening. Often, it occurs once and resolves with treatment quickly.

Frequently children with this condition don’t even make it into the pediatrician’s office because their astute parents recognize this lesion and treat it at home.

What if you could text a picture to your child’s doctor?

If you are a member of 127 Pediatrics, you can always send me a text with a picture of any skin lesion that you are worried about. Schedule a free meet and greet today to see if 127 Pediatrics is right for your family. 

© 127 Pediatrics; September 2023

This article is for informational purposes only and should not be construed as medical advice.

Dr. Andrea Wadley is the owner, pediatrician, and breastfeeding medicine specialist for 127 Pediatrics. She has an established house-calls-only concierge pediatric practice in Colleyville, TX. She is also the owner and operator of the 127 Pediatrics Online Breastfeeding Medicine and Education Center.

The post Is Terra Firma-Forme Dermatosis Dangerous? appeared first on 127 Pediatrics.

To all of our at-home pediatrician clients and friends of 127 Pediatrics,

We hope you are all finding some rest and relaxation today. After all, Labor Day is a day to celebrate the hard work of all the people who make our lives and livelihoods possible.

We know the families we serve in the Dallas Fort Worth Metroplex work hard every day.

There is certainly joy we can find in our daily work. We certainly love providing for those in our care and want to continue doing all we can to make certain they understand the value of hard work, perseverance, and the rewards that tend to bring.

That’s why we’re here to help you take care of your children’s health without having to leave home.

Our at-home pediatricians love to come to you, so you can spend your time with your family instead of sitting in a doctor’s office.

127 Pediatricians also hope you find rest from that work today, knowing how important taking time to refresh and relax proves nourishing to the mind, body, and soul.

We hope you have a safe and enjoyable Labor Day weekend.

And if you need us, we’re just a phone call away.

From all of us at 127 Pediatrics, Happy Labor Day!

About 127 Pediatrics

If you desire to have a pediatrician who is on call for you and your family, schedule a free meet and greet today. 

© 127 Pediatrics; September 2023

This article is for informational purposes only and should not be construed as medical advice.

Dr. Andrea Wadley is the owner, pediatrician, and breastfeeding medicine specialist for 127 Pediatrics. She has an established house-calls-only concierge pediatric practice in Colleyville, TX. She is also the owner and operator of the 127 Pediatrics Online Breastfeeding Medicine and Education Center.

The post Happy Labor Day from 127 Pediatrics! appeared first on 127 Pediatrics.

Different types of urticaria (hives) in children

• Acute urticaria- acute hives are a short term reaction that is caused by an allergen or infection, typically lasts less than six weeks
• Chronic urticaria- chronic hives are a longer lasting condition that can be triggered by an underlying medical condition such as autoimmune conditions or thyroid diseases, often hives will be accompanied by other symptoms such as joint pains
• Physical urticaria – this type occurs when the skin comes into contact with a certain stimulus, this can include pressure, cold induced hives, heat, cold water, vibration, exposure to sunlight (solar hives) or physical activity

What do hives look and feel like?

Why do hives form?

Common causes for hives in children

• Allergies– An allergic reaction can cause an outbreak of hives in some children. Common triggers include foods such as peanuts, tree nuts, milk, eggs, fish and shellfish; medications like antibiotics; bee stings, mosquito bites; latex products; and pollen from trees, grasses and weeds. Food allergies are a common cause of hives in children.
• Infections– Viral infections or bacterial infections can trigger an outbreak of hives in some children. Common infections include colds, flu, ear infections and strep throat.

Viral infections are the number one reason for hives that appear out of nowhere in children.

• Food Sensitivities or oral allergies– some kids can have a reaction to certain foods that causes redness and hives around their mouth and lips, these are often due to a cross-reactivity with pollens and often cause limited symptoms when a certain food is ingested
• Environmental Factors– Exposure to irritants like dust mites or pet dander can cause hives in some kids. Other triggers may include hot temperatures or extreme cold temperatures; exposure to sunlight; physical activity or exertion; stress; emotional upset; insect bites/stings; certain fabrics like wool or polyester; soaps and detergents; perfumes/colognes/body sprays; swimming pool chlorine; certain plants such as poison ivy/oak/sumac and cigarette smoke

Treatment for Hives in Children

When to call the pediatrician

Will my child feel miserable for a long time?

What are comfort measures for my child?

• Avoid contact with what is triggering your child’s hives
• Giving them an over the counter antihistamine medication
• Using lotions or creams on the skin to help them to feel better, you can even put it in the refrigerator first if cold is not one of the triggers of their symptoms
• Applying cool compresses or taking cool showers to reduce swelling and itching
• Ensuring that your child stays hydrated

Role of 127 Pediatrics

The post What Causes Hives in Kids Out of Nowhere? appeared first on 127 Pediatrics.