East Bay Pediatrics
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Child Health Topics

Search by category (lower right) or topic (search box on the top) to find information about common childhood illnesses, injuries and safety issues. Remember, if you have an urgent issue, please call our office: (925) 254-9203, option 6

Other excellent resources:

www.healthychildren.org - American Academy of Pediatrics website for parents
First 5 California - parenting advice for children ages 0-5 plus county based resources
Poison Control - (800) 222-1222

Appointments

Vomiting

12/17/2013

 
Vomiting is quite common in childhood, usually as part of gastroenteritis (stomach flu). Vomiting usually lasts one to three days, and may be accompanied by fever and diarrhea. The main concern with vomiting is that children are more susceptible to dehydration than adults. It is much easier to prevent dehydration than to treat it; treating it sometimes involves a stay in the hospital for intravenous fluids. To prevent this from happening, keep your child from getting dehydrated in the first place. If your child has thrown up more than one or two times, it is best to stop giving any milk or solid foods. Wait about an hour, then start offering very small amounts of clear liquid (Pedialyte®, Gatorade, apple or white grape juice, or flat coke or 7-Up) every 15 to 20 minutes for the next few hours.

Once your child has been able to keep that fluid down without vomiting, then start offering larger amounts, about two ounces. Do not offer milk or food until your child can keep down clear liquids, even if your child is complaining about being hungry – if you do, your child will likely throw it and all the clear liquids up. Do not continue an all clear liquid diet for more than 24 hours without consulting the doctor. If your child has dark green or dark yellow vomit (bile), call the office. See the section on diarrhea for signs of dehydration.

Pinworms

12/17/2013

 
Pinworms are a common infestation of childhood. They cause intense itching in the anal area, especially at night. If your child is having difficulty sleeping because of an itchy bottom, test for pinworms. At night, stick clear tape on the anus and remove it. If you see small white objects on the tape, your child has pinworms.

In the past, treatment required a prescription. Now treatment can be found over the counter with brand names such as PinX. We recommend treating all household members as the worms can spread easily. You may want to consider disinfecting your toilet and washing sheets in hot water. Do not allow children to bathe together when at least one child is infected with pinworms.

For more information on pinworms, see Healthychildren.org

Head Lice

12/17/2013

4 Comments

 
Head lice is often resistant to standard treatments. Follow these guidelines to help rid your child of this itchy scalp infestation.

Supplies:
  • white vinegar
  • stripping shampoo (baby shampoo, Prell, White Rain)
  • NIX brand cream rinse (Permethrin lice treatment)
  • metal lice comb (bought separately),Inomed for example
  • (optional) magnifying reading glasses (helps to see the nits)

Method:

  1. Rinse hair with solution of ½ water and ½ vinegar over a sink, not in the shower or tub.
  2. Use a fine-tooth comb (metal lice comb) and meticulously go through the hair, pulling off the nits. This is very time-consuming.
  3. After this is done, wash hair with the stripping shampoo. Use no conditioners as these may protect the lice from treatment. Rinse and towel dry.
  4. Apply NIX brand cream to hair. Leave on the hair for at least 4 hours. The medication could be left on for up to 12 hours (or overnight). May cover with a shower cap.
  5. Rinse hair only with clear water. Do not use vinegar at this point- this may neutralize the Nix.
  6. Go through the hair with a comb again and let hair air dry. Do not use conditioners, mousse, or hair spray for awhile. Again, these may help protect the nits and lice from treatments.
  7. Comb through the child's wet hair every 2 days to look for and remove nits...
  8. RETREAT the hair with NIX in 7-10 days.

Home Care:

  • Clean combs, brushes and hair accessories with Nix. Soak in bathroom sink and rinse with water.
  • Change child's clothes after Nix treatment.
  • Machine wash all clothing and bedding that have been in contact with infected person(s) in the past 3-4 days. Use hot water and hot dryer. Non-washables can be vacuumed.
  • Vacuum everything that hair strands could fall on: rugs, furniture, car seats and car upholstery.
  • Personal things that can't be washed or vacuumed can be tied up in plastic garbage bags for 2 weeks. Remember to keep bags out of children's reach!
  • The use of environmental products (sprays etc) is NOT recommended.
4 Comments

    Health Questions

    Remember, this page has general advice. If you have questions please call our nurses at (925) 254-9203 & choose option 6.

    Categories

    All
    Illnesses
    Infection
    Ingestions
    Injury
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    Skin And Rashes

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2999 Regent Street #325, Berkeley, CA 94705  |  fax (510) 841-5650
96 Davis Road #2, Orinda, CA 94563  |  fax (925) 254-1054 

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