From Dr. Cheas' Desk

Posts for category: Pediatric Health

By Silver Lake Pediatrics PA
August 17, 2020
Category: Pediatric Health
Child Behavior ProblemsWhile we may not love it, all kids are going to act up, throw tantrums and be irritable at times; however, if your child is displaying negative actions and behaviors regularly, you may be concerned that there is something more going on. Is your child just “going through a phase” or is this a sign of a more serious problem?

Is This Normal Behavior?
 
Common behaviors issues may include:
  • Being defiant
  • Lying
  • Whining
  • Impulsivity
  • Issues around bedtime
  • Issues around food (being a “picky eater” or refusing to eat)
  • Anger
  • Temper tantrums
Most of these issues are common and while they certainly aren’t pleasant at the moment, they are typically fleeting. However, you may want to seek professional help if your child’s behaviors:
  • Are still occurring regardless of discipline or punishment
  • Are affecting their schoolwork and/or social interactions
  • Aren’t appropriate for their age (e.g. throwing temper tantrums as an older child)
While the behaviors above are fairly common in children, certain behaviors are not normal and should be a cause for concern:
  • Aggressive or violent behavior
  • Harm to self, others, or animals
  • Hearing or seeing things that aren’t there
  • Breaking the rules or skipping school
  • Sudden or extreme behavioral changes
  • Showing no remorse
How can a pediatrician help?

Pediatricians come equipped to handle and address any issues regarding your child’s health, and this includes behavioral concerns you may have as a parent. If your pediatrician believes that a developmental, neurological, or mental health disorder could be to blame, then they may recommend additional testing and evaluations. This is done either through their practice or with a specific specialist who can properly diagnose and treat certain conditions such as depression, oppositional defiant disorder, ADHD, or autism spectrum disorder.

Based on the results of your child’s screening, your pediatrician will then be able to create a custom treatment plan to help you and your child manage their condition and their symptoms. Your pediatrician can also refer your child to therapists and other specialists who can also provide additional support and treatment for the whole family.

If you’re having concerns about your child’s behavior, it’s best to talk with your pediatrician at your child’s next wellness checkup.
By Silver Lake Pediatrics PA
June 04, 2020
Category: Pediatric Health
Tags: Autism  
Autism Spectrum Disorder (ASD) is a developmental condition that affects how a person views and interacts with the world around them, including other people. In most cases, differences become apparent by the time your child reaches 24 months. Mainly, parents notice behavioral differences and language delays. If you suspect that your child has ASD, schedule an appointment with your local pediatric office. We work with you to figure out what to do next.
 
Signs of ASD 
Every child with ASD is different. Not everyone will have the same symptoms or experiences. With that in mind, here are some summaries on social, communication, and behavioral differences. 
 
Social Differences
  • Your child doesn’t keep or make eye contact
  • They don’t respond to your facial expressions or smiles
  • Does not reciprocate facial expressions or have the appropriate ones
  • Doesn’t respond to parent’s pointing 
  • Has problems making friends
  • Shows a lack of concern for others
Communication Differences
  • Your child hasn’t spoken by 16 months
  • Repeats or parrots what others say
  • Doesn’t feel the need or want to communicate 
  • Starts missing language and social milestones after 15 months
  • Doesn’t pretend play but does have a good memory for numbers, songs, and letters
Behavioral Differences
  • Has an affinity for routines and schedules and does not like altering them
  • Likes to twirl their fingers, sway, rock, or spin
  • Has strange activities that they enjoy doing repeatedly
  • They are sensitive to sounds, lights, touch, textures, and smells
  • They are more interested in the parts of a toy instead of the whole thing
Common Examples
Don’t feel overwhelmed by the information listed above. As mentioned, a child can have a mixture of any of these behaviors. There are a few other common examples that your pediatrician sees. These give you insight into how a neurotypical child reacts in certain situations versus a child with ASD.  
 
By the age of 12 months, your child should turn their head when they hear their name. A child with ASD won’t respond even if their name is called multiple times.
 
By 18 months, a child with speech delays finds accommodations through gestures, facial expressions, or pointing. Children with ASD find no reason to compensate for speech. 
 
After 24 months, many children enjoy bringing their parents objects or toys to look at or play with. A child with ASD may bring their parent an object but will not play with their parent or respond to their reaction.
By Silver Lake Pediatrics PA
June 19, 2019
Category: Pediatric Health
Tags: Diabetes  

If your child has just been diagnosed with diabetes, it’s important that you have a pediatrician you can turn to in order to create a customized and effective treatment plan. While diabetes cannot be cured, diagnosing, and treating your child’s diabetes as soon as possible is key to helping them maintain a long, healthy and happy life.

There are two different kinds of diabetes: type 1 and type 2. Type 1, also known as insulin-dependent diabetes, usually happens during childhood. This autoimmune disorder occurs when the body attacks the pancreas so that it doesn’t produce insulin. Type 2 is the most common form of diabetes in adults; however, children can also develop type 2 diabetes.

Unfortunately, with the increase in childhood obesity our doctors are seeing a rise in type 2 diabetes in children, as well. The pancreas of children and teens with type 2 diabetes does produce insulin but the body just doesn’t properly respond to it.

Symptoms of Diabetes

Both types of diabetes often present with the same symptoms including:

  • Fatigue
  • Increased hunger and thirst
  • Frequent urination
  • Blurry vision
  • Sores and cuts that don’t heal properly

Other symptoms may include:

  • Mood swings
  • Irritability
  • Unexpected weight loss
  • Numbness or tingling

Treating Type 1 Diabetes

There is no cure for type 1 diabetes. Since your child’s body doesn’t produce insulin this means that they will need to receive daily insulin injections. Along with taking these injections, you will need to monitor your child’s blood sugar every day to make sure their levels aren’t too high or don’t drop too quickly.

Treating Type 2 Diabetes

Even though children and teens with Type 2 diabetes produce insulin, the body doesn’t respond properly to it. Because of this, your child will need to take daily medication to maintain healthy glucose levels. As with type 1 diabetes, daily blood sugar monitoring is necessary to make sure that the medication your pediatrician prescribed is effective.

Along with taking medication, there are certain lifestyle modifications that can also go a long way to controlling your child’s type 2 diabetes. In fact, sometimes type 2 can be reversed with a healthy diet and regular exercise alone, depending on the severity. Lifestyle modifications include:

  • Eating a healthy balanced diet
  • Limiting sugar and carbs, which can spike blood sugar
  • Getting at least 30 minutes of exercise a day most days of the week
  • Losing excess weight and maintaining a healthy weight

If your child is experiencing symptoms of diabetes or if you have questions about the best way to treat your little one’s diabetes don’t hesitate to contact your pediatrician for an appointment.

By Silver Lake Pediatrics PA
May 15, 2019
Category: Pediatric Health
Tags: Mental Health  

It’s easy for parents to be able to pinpoint when there is something physically wrong with their child. They may have a fever, body aches, or abdominal pain. When these symptoms arise parents often know to seek care from their pediatrician. Mental health issues, on the other hand, are just as important to treat as physical complaints; however, these symptoms and problems aren’t always as clear-cut.

Good mental health allows children to feel confident, think properly and develop the proper skills needed for social, personal, and even professional success throughout their lifetime. A child’s environment can greatly impact their emotional and mental states, and it’s important that parents are in tuned with their children, their emotions and what’s going on for them to spot problems right away so that they can seek proper care.

Here are some ways to foster healthy mental well-being in your child:

  • Provide your child with unconditional love
  • Foster a safe, nurturing environment
  • Help build their self-esteem and confidence
  • Encourage their passions and dreams
  • Provide guidance and discipline when necessary

Along with these simple tips it’s also important to ensure that your child is:

  • Getting regular exercise
  • Eating a healthy, balanced diet
  • Getting adequate sleep

Modeling Good Mental Health

Your child mirrors everything you do so by giving them a positive role model your child can mirror good behaviors that foster good mental health. When you take care of yourself your child also learns the importance in self-care. When you find joy in your life your child will also make a priority out of finding things that bring them joy.

Talk to a Pediatrician

We know that it isn’t always easy to determine what behaviors are normal and which ones warrant a deeper look. This is where your children’s doctor can provide you with the information you need. A pediatrician can answer questions about everything from healthy social and emotional skills to behaviors that could be problematic.

It’s also important that parents do not ignore their own mental well-being. After all, mentally healthy parents also provide better care and a positive, happy environment for their children to thrive. If you are having trouble with your own mental well-being it’s okay to talk to your child’s pediatrician about your issues.

If you have questions about your child’s mental health and wellness don’t hesitate to sit down and discuss your questions or concerns with a pediatrician who will be able to guide you along the way to make sure that you are providing your child with everything they need for optimal mental and emotional well-being.

By Silver Lake Pediatrics PA
May 07, 2019
Category: Pediatric Health
Tags: Autism  

What is Autism?

Autism spectrum disorder (ASD), or autism, is a developmental disability that can cause significant communication, communication, and behavioral challenges. The thinking, learning, and problem-solving abilities of individuals with autism can range from gifted to severely challenged. Some individuals with autism need only a bit of help in their daily lives; others need more. While there's no cure for autism, early treatment can make a big difference in the lives of many children.

Overview

ASD is the fastest growing serious, developmental disability, affecting an estimated one out of 59 kids in America. Autism begins in early childhood and eventually causes problems functioning in society — at work, in school, and socially, for example. Often kids show symptoms of autism within the first year. Autism impacts how people perceive and socialize with others, causing problems in social interaction and communication.

Symptoms

Autism can look different in different people. Kids with autism have a hard time interacting with others. Social skills difficulties are some of the most common signs. A child with ASD might want to have close relationships but not know how. Most have some problems with communication. Kids with ASD also act in ways that seem unusual. Examples of this can include repetitive behaviors like jumping, hand-flapping, constant moving, fixations on certain objects, fussy eating habits, impulsiveness, and aggressive behavior.

Causes

The exact cause of ASD is not known, but it's believed that genetic and environmental factors are involved. Research shows that ASD tends to run in families. Changes in certain genes increase the risk that a child with develop autism. Research also shows that certain environmental influences may increase autism risk in people who are genetically predisposed to the disorder. Researchers are exploring whether certain factors such as medications, viral infections, or complications during pregnancy play a role in triggering ASD.

Treatment

Treatment options may include nutritional therapy, physical therapy, behavior and communication therapies, educational therapies, family therapies, and medications. No medication can improve the core signs of ASD, but specific medications can help control symptoms. For example, antipsychotic drugs are sometimes used to treat severe behavioral problems; certain medications may be prescribed if your child is hyperactive; and antidepressants may be prescribed for anxiety.


Autism can impact your child's quality of life. If you think your child may have autism, find a pediatrician near you and schedule a consultation. Proper diagnosis and treatment of autism can help your child live a happier, more successful life. The earlier children with autism get help, the greater their chance of treatment success.