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By Pediatric Associates of Davidson County
June 21, 2021
Category: Child Health
Pediatric Urinary IncontinenceWhile children under 3 years old will not have control over their bladders, older kids that still have issues with bladder control may have something known as urinary incontinence or enuresis. As a pediatrician, we understand that this issue can be distressing for kids and their parents. Here’s what you should know if your child is dealing with daytime or bedtime enuresis.
 
When to See a Pediatrician

Accidents happen, but if bedwetting or daytime enuresis is becoming quite frequent in older children then it’s worth seeing your pediatrician for a closer evaluation. Girls happen to gain bladder control a little faster than boys. Girls are often diagnosed with enuresis if they continue to have bladder control issues past the age of 5, while it’s often diagnosed in boys after age 6.
 
The Causes of Enuresis

There are many reasons why your child might be dealing with enuresis, which is another reason to see a pediatrician for answers. Whether your child is dealing with nighttime or daytime enuresis, or both, gives us some idea of what the cause might be. Common causes of nighttime or daytime enuresis include:
  • Overactive bladder
  • Small bladder
  • Intense deep sleep
  • Urinary tract infection
  • Caffeine
  • Anxiety
  • Sleep disorders (often obstructive sleep apnea)
  • Structural issues within the urinary tract
  • Constipation
  • Diabetes
Treating Enuresis

Sometimes enuresis goes away on its own without treatment, while other causes may require treatment. For example, a urinary tract infection will require medication to treat the infection and alleviate the enuresis. Underlying health problems such as diabetes will also require proper treatment and long-term maintenance and care.
We will evaluate your child and ask a series of questions about their symptoms, including their fluid intake, whether they drink caffeine, issues with constipation, trouble or pain with urination, and stress levels. This is will give us clues as to what might be causing your child’s symptoms. From there, we can recommend the best course of action.
 
If you have any concerns about your child’s health, whether it’s bedwetting or immunizations, your pediatrician is the first person to turn to. If your child is wetting the bed or having issues with bladder control, don’t hesitate to talk with your child’s doctor to determine the cause.
By Pediatric Associates of Davidson County
June 08, 2021
Category: Pediatrics
Tags: breastfeeding  

If you’re expecting soon or you’ve just had a baby, you may have questions about breastfeeding and how to start as a beginner. Your pediatricians at Pediatric Associates of Davidson County in Nashville, TN, can help you identify if breastfeeding is right for you and how to easily get started!

Breastfeeding and Your Child

When it comes to taking care of your child, your pediatrician knows that you want what’s best for you and your child. Breastfeeding is a natural way of getting nutrients to your child and if you’ve ever worried about getting criticism when feeding, your pediatrician in Nashville, TN, is here to support you every step of the way and help you feel confident when caring for your child.

Once you start breastfeeding, you’ll be able to develop a sense of understanding when to feed your baby whenever they’re hungry and your body will be able to determine when your child is in need of feeding. On average, you may be feeding your child at least eight times a day in the first six months.

Not only does breastfeeding help give your child the nutrition that they need, but it can also help establish a connection with your child and help your child feel closer to you, as well as help you feel close to your child. It’s important to establish skin-to-skin contact at a very young age to help start the relationship and give your child the comfort they need. Breastfeeding can also help protect your child from illness by giving them the antibodies needed to fight off sickness.

Contact Your Pediatrician Today!

To learn more about breastfeeding and how it can help keep your child healthy and how you can get started, be sure to contact your pediatrician as soon as possible! Call Pediatric Associates of Davidson County in Nashville, TN, today at (615) 329-3595.

By Pediatric Associates of Davidson County
May 28, 2021
Category: Child Safety
Immunization ScheduleWe understand that bringing your child in for a shot certainly isn’t fun for anyone, but keeping your child updated on vaccines is one of the most effective ways to protect them against serious and potentially life-threatening diseases. As soon as your child is born, they will begin to get a series of vaccines, which they will continue to get until they reach adulthood. Here’s everything you need to know about getting your child immunizations, including when to have them vaccinated and which vaccinations they will need at what age.
 
Getting Your Child Immunized

The CDC is your go-to for all accurate and updated information regarding childhood vaccines. They offer a variety of charts for kids 18 years old and younger that can easily help you determine what vaccines your child needs to get and at what age. Of course, your pediatrician also knows exactly what vaccines your kids need when they visit the office, so these charts are just for you to stay in the know. Of course, if you have any questions about upcoming vaccines for your child, don’t hesitate to talk with their pediatrician.
 
Throughout your child’s first 18 years of life, they will receive a series of vaccinations including:
  • Hepatitis A & B
  • DTaP (diphtheria, tetanus, and whooping cough)
  • Hib (meningitis, epiglottitis, and pneumonia)
  • Meningococcal (for bacterial meningitis)
  • Polio
  • MMR (measles, mumps, and rubella)
  • Pneumococcal (pneumonia, ear infections, and meningitis)
  • Varicella (chickenpox)
Your child may also want to get the influenza virus once a year to protect themselves and their family members from the flu.
 
The Safety and Efficacy of Childhood Immunizations

We understand that some parents may be on the fence about vaccines. In fact, this is a common concern that pediatricians hear, and it’s best to talk with your child’s doctor who is well-informed about childhood immunizations. There is a lot of misinformation out there and it can lead parents to avoid certain vaccines that could put their child at risk for more serious health problems. While some immunizations can cause minor side effects these are so minor compared to the repercussions of not having your child vaccinated.
 
Do you have questions about your child’s upcoming vaccine? Need to schedule your child’s next wellness visit? Keeping your little ones fully vaccinated is one of the best ways to protect them and keep them safe and healthy. A pediatrician can provide you with valuable information and insight into childhood vaccines.
By Pediatric Associates of Davidson County
May 17, 2021
Category: Child Health
Children's NutritionWhen you turn to your pediatrician for nutritional advice or help, they will always take a personalized approach to help your child meet their nutritional goals, whether that’s losing weight, getting more regular activity, or eating a healthier diet. You may have questions about your child’s nutritional needs, particularly as they grow. We’ve compiled some of the most frequently asked questions regarding childhood nutrition.
 
Is fruit juice healthy?

Many people seem to think that juice is healthy, and while it does contain vitamin C, there are certainly better sources for ensuring your child gets enough of this important nutrient. Today, most fruit juices found at the grocery store are chock full of sugar and can contribute to weight gain and increase the risk for cavities. A better alternative is whole fruits since they provide more nutritional value than juice will.
 
How many calories should my child consume a day?

How many calories your child consumes will depend on their gender, age, and activity level. A recommended calorie range for kids between 6-12 years old is between 1600-2200 per day. Verywell Family provides a more detailed breakdown by age and gender.
 
I’m worried that might child might not be getting the nutrients they need. What should I do?

First, it’s important to keep in mind that kids don’t need to eat as much as we do, so their portions will be considerably smaller than ours. If your child is growing then chances are good that they are getting the nutrients they need; however, if you find that your child is refusing meals or isn’t eating it’s important to bring this up with your pediatrician as soon as possible.
 
How can I prevent my child from becoming overweight or obese?

To help your child maintain a healthy weight they must be eating a healthy, balanced diet with fruits, vegetables, whole grains, and lean sources of protein. Make sure that they are also getting at least one hour of physical activity every day. Limit sugar and processed foods.
 
Is snacking okay for my child?

Young children may seem voraciously hungry and may beg for snacks. How many are actually okay? It’s normal for little ones to want food every 3-4 hours. While snacking can be a great way to prevent kids from overeating during mealtimes you don’t want to ply them with treats (and you want to be sure you’re providing them with nutrient-rich snacks rather than sugary ones).

A snack mid-day between lunch and dinner is typically the best time. If it’s only going to be a couple of hours before a meal, then something small like a piece of fruit or a slice of cheese with crackers is good. If your child isn’t going to eat for more than four hours then you’ll want a snack that incorporates protein, fat, and carbs to satiate their appetite.
 
If you are concerned about your child’s health because they are “picky eaters” or are struggling with their weight, you must speak with their pediatrician to find out options that can help them lead a healthier lifestyle.
By Pediatric Associates of Davidson County
April 30, 2021
Category: Child Health Care
Tags: Ear Infection  
Ear InfectionWondering if your child might be dealing with an ear infection?

While you will certainly know when you’re dealing with an ear infection; unfortunately kids, particularly newborns and toddlers, can’t tell you that they are experiencing ear pain. Ear infections are incredibly common in young children, with five out of six children experiencing at least one ear infection by the time they turn three years old. Know the warning signs and when to turn to your pediatrician for treatment.

They may have trouble sleeping

It’s not too surprising that with pressure building up in the middle ear due to bacteria that your child may get fussy or even throw a tantrum about going to bed. Children with ear infections often toss and turn and feel worse when they lie down. If your little one suddenly starts crying when they lie down this could be a sign of an ear infection.

They tug at their ears

While a toddler won’t be able to tell you that their ear hurts, they can show you. You may be able to discern whether your child could have an ear infection by whether or not they are tugging and pulling at their ears. Again, the pressure inside the ears can be incredibly uncomfortable and even painful, and children might fidget with their ears to minimize the discomfort.

They could have a fever

If a child has a middle ear infection, commonly, they could also have a fever. If your child’s ear looks red, if they tug at their ear and seem fussier lately, and they have a fever over 100 degrees F then it’s probably time to see a pediatrician.

Their ears might drain

Another telltale sign of an ear infection in your little one is the presence of fluid or pus draining from the ear. If there is the presence of blood in the fluid this might be a sign of a ruptured eardrum. While the eardrum will heal on its own, it’s still a good idea to see your pediatrician if pus or fluid is draining from your child’s ear.

If your child is displaying symptoms of an ear infection, or if you’re concerned about your child’s recurring ear infections, it’s important to talk with your pediatrician. A pediatrician will be able to dispense the proper medication and discuss other ways to reduce your child’s risk of developing future infections.




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