My Blog

Posts for: September, 2019

By Belkis R. Cepero, MD
September 19, 2019
Category: Pediatrics
Tags: Sore Throats  

Child with Sore ThroatIn infants, toddlers and preschoolers, the most frequent cause of sore throats is a viral infection. No specific medicine is required when a virus is responsible, and the child should get better over a seven to ten day period. During this period, your child may develop a fever, but they generally are not very sick. 

It is not uncommon to experience a sore throat when your child has a cold or the flu. Unfortunately, there are other reasons for sore throats to develop that may be symptomatic of more serious problems.  Children tend to have sore throats more often than adolescents or adults, with sore throats being the most common during the winter months when upper respiratory infections are more frequent. 

The major cause of a sore throat is an infection, whether it is viral or bacterial, and can also be caused by allergies and environmental conditions. If your child has a sore throat that lasts longer than the typical five to seven day duration of a cold or flu, and is not associated with an avoidable allergy or irritation, it is important to contact your local pediatrician. The following are signs and symptoms to alert you to take your child to the pediatrician:

  • Severe and prolonged sore throat
  • Difficulty breathing
  • Difficulty swallowing
  • Difficulty opening the mouth
  • Joint pain
  • Earache
  • Rash
  • Fever that is over 101 degrees
  • Frequent recurring sore throat
  • Lump in the neck
  • Hoarseness lasting over two weeks

At the first onset of a sore throat it is always important to monitor the progress and recognize any other symptoms that may accompany the sore throat, which could cause it to worsen into strep throat, inflamed tonsils, or laryngitis. Contact your pediatrician if your child is experiencing a sore throat that won’t go away. Your pediatrician will help diagnose and treat your child’s symptoms. 


By Belkis R. Cepero, MD
September 11, 2019
Category: Pediatrics
Tags: Concussions  

Child's ConcussionA hit to the head during a soccer game or a hard fall from skateboarding may result in a serious head injury and even a concussion. The American Academy of Pediatrics describes a concussion as any injury to the brain that disrupts normal brain function on a temporary or permanent basis. These injuries are typically caused by a blow to the head, most often occurring while playing contact sports such as football, hockey, soccer, wrestling or skateboarding.

For some children, concussions only last for a short while. Other times, a person can have symptoms of a concussion that last for several days or weeks following the injury. Not all symptoms of concussions will be obvious, and in some cases take several hours to set in. Look for these signs of a concussion if your child suffers a head injury:

  • Headaches
  • Nausea or vomiting
  • Dizziness or loss of balance
  • Memory loss or confusion
  • Poor concentration
  • Vision problems
  • Fatigue
  • Irritability or changes in mood
  • Sensitivity to light or noise

Seek Medical Attention

If your child injures his head or you believe he may have a concussion, it is important that the child discontinues play immediately and visits a healthcare provider for an evaluation. All concussions are serious and should be monitored right away. A pediatrician can properly diagnose the concussion and its severity, and then make appropriate treatment recommendations.

Rest from all activities is the best treatment for concussions. Your pediatrician can make appropriate recommendations for when the child should return to future play. Recovery time depends on the child and the severity of the concussion.

Preventing Head Injuries

Not all head injuries can be avoided, but you can do a few important things to prevent them.

  • Buckle Up. Make sure your child is properly buckled up in a seat belt, car seat or booster seat.  
  • Safety Gear. If your child plays sports, make sure he wears appropriate headgear and other safety equipment.
  • Awareness. Children should be taught how to play safe and understand the importance of reporting any type of head injury to their parent or coach.

All head injuries should be taken seriously.  Early detection and treatment is the best way to prevent serious complications. It’s never a bad idea to contact your pediatrician when you have questions or concerns about your child’s head injury.