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An online poison control that helps to determine if a substance is poisonous and what to do next …
Un control de envenenamiento en línea para ayudar en determinar si una sustancia es tóxica y qué hacer acontinuación…

 

Growing Up with Vaccines: What Should Parents Know?

 

Infant Immunizations FAQs

 

Portofino Pediatrics supports without exception and without revision the Vaccine Schedule of  ACIP recommended by CDC,  AAP, NIH, WHO

Portofino Pediatrics, apoya sin excepcion o revision el Programa de Vacunacion de ACIP recomendado por CDC, AAP, NIH, WHO

 

My Blog

Posts for category: Child Health Care

By Portofino Pediatrics Associates
March 19, 2020
Category: Child Health Care
Tags: Hearing Screening  

As soon as your baby is born but before they leave the hospital, they will need to undergo a hearing screening (most hospitals perform a hearing screening but it’s also a good idea to ask). Congenital hearing loss, which occurs at birth, affects less than 1 percent of newborns; however, it is also possible for hearing loss to develop later during a child’s life, which is why routine hearing screenings are necessary for all children.

Once they leave the hospital, it’s now your pediatrician’s responsibility to provide hearing screenings and other tests and treatments that your child will need until they turn 18 years old. Your pediatrician will be an asset to your child’s health and you will work closely with them, so it’s important that you choose a pediatrician that you trust and value.

Why are hearing screenings necessary for newborns?

As soon as your child is born one of the ways in which they will receive and interpret information is through what they hear; therefore, if they have problems hearing then they may also deal with other problems including delays in language development and speech problems.

By detecting hearing problems early on your pediatrician can provide early interventions including hearing aids or other treatment options to ensure that your child reaches these important and necessary developmental milestones.

Of course, if your child responds to your voice or responds to noises then you may think that their hearing is fine, but this isn’t always the case. There may still be certain noises that they can’t hear properly and sometimes even these minor hearing issues can still affect language and speech.

Should my child’s hearing be assessed regularly?

Even if your baby passes their first hearing screening it’s still important that you turn to a pediatrician for routine checkups. Most hearing screenings usually don’t warrant a separate trip to the office, which means that your child’s hearing will be assessed during regular wellness visits.

Of course, if your newborn has certain risk factors that could affect their hearing it’s important that you share these factors with your pediatrician. These factors include:

  • A family history of hearing loss
  • Facial deformities
  • Postnatal infections
  • Premature birth

Finding a knowledgeable and trustworthy pediatrician before your baby is born is one of the most important things soon-to-be parents can do. Let our team provide your little one with the quality care they need to grow up healthy and strong.

By Portofino Pediatrics Associates
March 03, 2020
Category: Child Health Care

Sneezing. Watery eyes. Stuffy nose. These could just be symptoms of a cold or these could be signs that your child has allergies. If you notice that your child’s symptoms flare-up during certain times of the year then this could definitely be a sign of seasonal allergies. Unfortunately, allergies can impact everything from performance in school to participating in outdoor activities such as school sports. If you suspect that your child may have allergies it’s important to talk with your pediatrician.

Childhood Allergy Symptoms

Allergy symptoms can also seem a lot like a cold or other upper respiratory problems. Common symptoms associated with allergies include:

  • Watery, red, and itchy eyes
  • Itchy nose
  • Dark circles under the eyes or puffy eyelids
  • Ear pain and chronic ear problems
  • Nasal congestion
  • Facial pain and pressure
  • Headaches
  • Sneezing
  • Persistent cough
  • Chest tightness

So, how can you tell that your child is dealing with allergies and not an infection? Some telltale signs include itchy eyes and nose, which are classic signs of allergies. If your child has a fever this is usually a sign of an infection and not allergies. Unlike a cold, allergy symptoms can last for weeks. You may also notice that your child’s symptoms come and go, appearing more often during the spring and fall months. Again, this is a trademark of childhood allergies.

Treating Childhood Allergy

There are many ways in which a pediatrician can help your child manage their allergy symptoms, and the treatments that are recommended will depend on the type and severity of your child’s symptoms. Most treatment plans include a variety of lifestyle changes and medication. Children with minor symptoms may find relief through over-the-counter antihistamines and decongestants, while other children may require a prescription-strength allergy medication to tackle more moderate to severe symptoms.

Lifestyle modifications may include using a dehumidifier in your child’s bedroom, wearing glasses instead of contacts during allergy seasons, bathing immediately after being outdoors, limiting outdoor activities during high pollen counts, and keeping pets out of bedrooms (if your child suffers from pet dander allergies).

For severe or unresponsive allergies, your pediatrician may recommend immunotherapy, or allergy shots. Allergy shots may be a good option for your child when other treatment options and medications have not been successful.

Are your child’s allergy symptoms impacting their daily routine? If so, our pediatricians can help them manage their symptoms so they can get back to enjoying days on the playground and time spent with family.

By Nivia E. Vazquez MD, PA dba Portofino Pediatrics Associates
July 03, 2019
Category: Child Health Care
Tags: Child Care   Physical Exam  

Once your child is born it’s amazing just how quickly they grow and develop. It seems like you blink and suddenly they are talking and walking. During these important milestones it’s also important to have a pediatrician that you turn to regularly to make sure that these developmental milestones are being met and that your child is healthy. After all, if there are any problems you want to find out as soon as possible when early medical interventions can make all the difference.

From the moment your child is born until 2 years old, your pediatrician will most likely want to see them every six months for wellness check ups. After your child turns 2 years old you should still bring them in once a year for a routine physical exam and preventive care. Along with checking your child’s vital signs and monitoring their height and weight your pediatrician will also check hearing, eyesight, respiration, cardiac activity and reflexes.

A physical exam will check all systems of your child’s body to make sure that everything is functioning properly. If your child’s doctor does detect a problem it can be treated immediately. Along with a physical exam your child will also undergo any additional screenings and vaccinations that are necessary for maintaining optimal health.

Furthermore, your pediatrician can also recommend workout routines and appropriate physical activity for your child based on their current health and lifestyle, as well as recommendations on diet, sleeping habits and even their emotional and behavioral health. Even if a pediatrician won’t be able to fully treat all conditions they can still refer your child to a specialist who will be able to handle a specific health problem or injury.

Once a child is old enough to go to school it’s also important that parents schedule their child’s sports physical so that they can participate in physical activity and school sports. An annual sports physical can detect past injuries and other problems that could affect your child’s ability to participate in certain activities.

These physical exams are often mandatory before a child can play school sports; however, even if it isn’t mandatory you should still bring your child in once a year for a comprehensive sports physical to make sure that they are healthy enough for certain physical activity.

Make sure your child is seeing their pediatrician regularly for care, not just when they are sick but also to ward away infections and other health problems. Schedule your child’s next physical exam today.

By Portofino Pediatrics Associates
November 19, 2018
Category: Child Health Care
Tags: Immunizations   Vaccinations  

The importance of immunizations

Childhood immunizations are one of the most important safeguards against communicable diseases and their serious, long-term complications. Your pediatrician closely adheres to the vaccination schedules published by the American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC). Why? Well, there's nothing more important than your youngster's health and well-being, and immunizations effectively guard them.

Just what is an immunization?

Most immunizations are given as "shots," or injections, but some, such as the Rotavirus vaccine, are oral medications. However administered, vaccines boost your child's immune system in its battle against diseases which easily spread from person to person.

Each vaccine contains a small amount of a killed or weakened micro-organisms. These altered viruses or bacteria raise the body's defenses against a particular illness such as chicken pox. pneumonia, polio, tetanus, and more...up to 14 in all by time your child is two years old, says the CDC.

Are immunizations necessary?

Your pediatrician, his or her colleagues and decades of research prove that vaccines protect the health of individual children and of the community at large. Also called herd immunity, community immunity works best when as many babies and youngsters receive all their "shots" on schedule. Community immunity protects youngsters who cannot receive vaccines because of cancer treatment, HIV infection or other serious reason. It also shields the general population when people travel from countries which cannot provide access to these important medications.

Both the AAP and the CDC publish and recommend set vaccine schedules carried out at well-baby and well-child visits at the doctor's office. In addition, there is a "catch-up" schedule for children who have begun their immunizations late or had them interrupted by illness or other serious concern.

Your pediatrician's services

They're so important. Your child's doctor keeps your child's immunization records and can distribute them to schools, camps, college, sports, daycare and other organizations who require proof of up-to-date vaccines. The doctor also monitors your child for any adverse reactions, although typically, vaccines produce no more than:

  • Localized redness and soreness at the injection site
  • Low grade fever
  • Pain and swelling
  • Fussiness
Partner with your child's physician
 
He or she provides the preventive care your youngster needs for a healthy life. Examinations and immunizations are just parts of the comprehensive services your family receives when you go to your local pediatrician.
By Portofino Pediatrics Associates
September 06, 2017
Category: Child Health Care
Tags: Bedwetting  

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 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 your pediatrician if you have concerns about your child’s bedwetting behaviors.