My Blog

Posts for: October, 2019

By Belkis R. Cepero, MD
October 22, 2019
Category: Pediatrics
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. 


By Belkis R. Cepero, MD
October 15, 2019
Category: Child Care
Tags: Appendicitis  

Truth is, anyone with an appendix can get appendicitis—even our children. Appendicitis is a painful inflammation of the hollow, finger-shaped organ attached to the end of the large intestine. If left untreated, an inflamed appendix can rupture, leading to a lengthy hospital stay for complications including abdominal infection and bowel obstruction.  

When your child complains of stomach pain, consult your pediatrician for proper diagnosis and to ensure the health of your child. Since appendicitis is potentially life-threatening, it is important to understand the symptoms so that you can spot appendicitis in your child. In order of appearance, the symptoms include:

  • Abdominal pain

  • Vomiting

  • Loss of appetite

  • Fever

Unfortunately, symptoms of appendicitis might also be hidden by a viral or bacterial infection that preceded it. Diarrhea, nausea, vomiting and fever may appear before the typical pain of appendicitis, which makes the diagnosis much more difficult.

Your child’s discomfort might also disappear, which will persuade you that they are better. However, this disappearance of pain could also mean that the appendix has just broken open or ruptured. The pain might leave for several hours, but this is the moment when appendicitis becomes dangerous, making it more important than ever to visit your pediatrician for immediate care for your child.

Treatment

When your pediatrician diagnoses your child with appendicitis, surgery is usually needed as soon as possible. Surgically removing the appendix is usually the treatment of choice, as it is important to eliminate the inflamed appendix before it bursts.  

While most children with abdominal pain do not have appendicitis, you can never be too safe when it comes to the health of your child. Visit your pediatrician for further diagnosis of this serious problem and to take the next steps toward a healthy child.