Smart Tips to Enjoy Sweets Without Harming Your Teeth!

Don’t let the sugar in those treats trick you and harm those precious pearly whites! Our dental experts have a few tips to help you sort through all that yummy candy on halloween night so that you reduce your risk of getting cavities.
Read more

Spooky Smiles: Tips for a Healthy Mouth This Halloween & Dental Hygiene Month!

What could be more spine-chilling than Halloween? Neglecting National Dental Hygiene Month! According to the American Academy for Oral Systemic Health, there exists a connection between oral health and broader health issues like heart disease, diabetes, stroke, and more. In honor of National Dental Hygiene Month, here are four straightforward tips to safeguard your well-being.

Brush

Brushing your teeth is a fundamental aspect of good oral health. By scrubbing tooth surfaces daily, you can help prevent cavities. Stimulating your gums and removing plaque along the gum line can also help prevent gum disease.

Floss

Even the most thorough brushing leaves bacteria in the tight spaces between each tooth and under the gum line. To remove plaque, food particles, and bacteria from these areas, be sure to floss once a day.

Use Mouth Rinse for Extra Protection

Your teeth account for less than half of the surfaces in your mouth, so rinsing is important to remove biofilm and bacteria that brushing and flossing leave behind. Mouth rinse isn’t a substitute for either, but it can supplement your other dental hygiene efforts to reduce the chance of tooth decay and infection.

See Your Dentist

At-home oral care is vital for good overall dental hygiene, but you also need regular trips to the dentist. Professional cleanings, exams, and X-rays keep your teeth and gums healthy and help you catch problems when they’re still easy to treat.

While the idea of dental issues might seem scarier than any haunted house, the good news is that with simple yet consistent practices, we can protect our oral health. For more dental tips, schedule an appointment with your NOAH dental provider today.

Skin Care Tips for Teens

“Adolescence can be a tough time – especially on your teen’s skin! Almost 8 out of 10 teenagers will have acne at some point,” says NOAH pediatrician Dr. Deborah Bauer. This is because the changing hormones cause an increase in oil production and can lead to clogged pores. This can happen all over your child’s body, not just their face. And while acne isn’t dangerous for their health, it can cause scars and decrease their self-esteem.

Here are a few pointers for home care of your teen’s skin:

  • Keep it clean: They should wash their face with warm water and a gentle cleanser twice per day. CeraVe, Cetaphil and Dove make reasonably-priced and effective cleansers.
  • Be gentle: Harsh scrubbing or rough washcloths are not recommended. Your teen should be using just their hands to gently rub in the cleanser and rinse off.  Very hot water or very cold water should not be used.
  • Stick to the routine: Oily skin and acne can last for months or years, so it’s important to have a good skin routine to minimize the effects. Remind your teen to always remove make-up before sleeping.  And change sheets and pillowcases frequently.
  • Don’t pop pimples: Although it’s tempting, squeezing pimples will only make things worse. Not only will they introduce more oil onto their skin from their hands, but this will probably push the oil deeper into the skin and cause inflammation and swelling.
  • Keep moisturizing: Drying out their face can actually lead to more acne because their body will try to produce even more oils to keep their face from being so dry. Make sure the moisturizer bottle says “oil free” or “noncomedogenic” on it so it doesn’t clog their pores more.
  • Use sun block: This is important for every child, but especially for those with acne. The sun’s rays can irritate skin and make acne and scars much, much worse. Make sure the sunscreen is at least SPF 15.

Some kids even need prescription medication to help manage acne, and our NOAH Pediatricians are here to help with that too!

For more information about taking care of your skin, visit the American Academy of Dermatology.

Time to get Ready for School!

The 2024-2025 school year is just around the corner and the back-to-school feeling is nice to have back. As kids everywhere begin to get ready for the year, here are ways to make sure the start of the school year is a healthy and safe one.

Well-child Appointments
Well-child checks or well-child visits are crucial for healthy development among children. Make sure your child has their well-child appointment before school starts!

Schedule a Sports Physical
If your child is playing any sport this fall or spring, it’s a good time to get them a physical before the season gets into full swing.

Make Sure Immunizations Are Up to Date
Schools require immunizations and they keep your child and their classmates protected from unnecessary, dangerous, and sometimes fatal diseases. Take a look at the CDC list of childhood vaccines.

Start a Good Sleep Routine
Kids need enough sleep to develop and do well in school and everything else. Most children need between 9-12 hours of sleep each night, so start a routine now and keep it up!

Be Physically Fit
Kids need at least one hour of exercise every day. Make sure they get enough activity whether it is walking, swimming, playing soccer or basketball, dancing, or something else.

Get School Supplies Ready
Start the school year with a sturdy backpack. Make sure your student has whatever supplies, like notebooks, folders, pens, and pencils, etc. to start the year successfully.

Talk About Bullying
Make sure your child knows about the seriousness of bullying. It can hurt people emotionally and mentally and can harm their learning. If your child is being bullied or sees another student bullied, make sure they know to tell a bully to “Stop!” and to talk to a trusted adult (teacher, counselor, nurse) at school.

Ready to start this school year and get your student in for their back-to-school medical appointments? NOAH pediatricians, counselors, nutritionists, and community resource specialists can help your student and family head into the year with everything you need for success. Make an appointment today!

Tips to Manage Your Child’s Phone Time Over the Summer

With summer in full swing, it’s important to balance allowing your child to enjoy their time off and ensuring they don’t spend too much time on their phone. Managing screen time can be challenging with the allure of social media, games, and endless online content. By setting clear boundaries, offering engaging alternatives, and promoting various activities, you can help your child make the most of their summer while developing healthy phone habits. Here are some practical tips to guide you in managing your child’s phone time effectively.

  • Set Clear Boundaries
    Establish specific times when phone use is allowed, such as after chores or outdoor playtime. Clear rules help set expectations and reduce conflicts.
  • Create a Schedule
    Develop a daily schedule that includes time for reading, outdoor activities, family time, and phone use. Balance is key to keeping your child engaged in various activities.
  • Encourage Outdoor Activities
    Promote outdoor play and sports. Organize family outings, nature walks, or visits to parks to keep them active and away from screens.
  • Use Parental Controls
    Utilize parental control apps to set limits on screen time, block inappropriate content, and monitor phone usage. This helps ensure your child’s online safety.
  • Offer Alternatives
    Provide a variety of non-screen activities such as board games, puzzles, arts and crafts, and books. Keeping them occupied with fun alternatives can reduce their reliance on phones.
  • Lead by Example
    Be a role model by limiting your own phone use. Show your child that engaging in offline activities can be enjoyable and rewarding.
  • Establish Tech-Free Zones
    Designate certain areas of the house, such as the dining room and bedrooms, as tech-free zones to encourage family interaction and better sleep hygiene.
  • Set Goals and Rewards
    Create a reward system for adhering to phone rules. For example, extra screen time can be earned through completing chores or participating in educational activities.
  • Communicate the Reasons
    Explain to your child why it’s important to limit phone use. Discuss the benefits of balancing screen time with other activities for their overall well-being.
  • Plan Tech-Free Activities
    Schedule regular family activities that do not involve screens, such as cooking together, playing sports, or having a movie night with no phones allowed.

By implementing these tips, you can help your child develop healthy phone habits and enjoy a well-rounded, active summer. For questions related to your child’s overall health, call 480-882-4545 and schedule an appointment with your child’s NOAH provider.

Summer Fun – Pool Safety Tips

By Amit Jain, MD FAAP MBA | Pediatrician

Swimming is a great way to beat the summer heat here in Arizona and is a fun activity for children to pass the summer by. Drowning is the third most common cause of unintentional – injury related deaths. Among children aged 1-4, drowning stands as the leading cause of unintentional deaths, placing them at the greatest risk. As such, we here at NOAH wanted to share some important water safety tips!

  • Never leave children alone, even for a moment, in or near pool areas or other bodies of water (lakes, beaches, and even bathtubs or buckets of water)!
  • Install a fence at least 4 feet tall around the pool, which should ideally surround the pool on all 4 sides and completely separated the pool from your home and yard. It should not have any gaps that a small child could slip over, under, or through. The gate should be a self-closing and self-latching gate that cannot be opened / reached by a small child.
  • Newer technology offers alarms, both for the gate and within the pool, that can alert you to anyone around the pool.
  • When any inexperienced swimmer is around the pool area, make sure there is a designated adult for supervision. This adult should not be under the influence, should not have any distractions (cell phone turned off or handed off to another adult), and preferably knows how to swim and perform CPR.
  • Keep rescue equipment such as a shepherd’s hook and a life preserver to reach / throw for rescues.
  • Avoid inflatable swim aids such as floaties, as they are not a substitution for proper life-preserving equipment such as life jackets.
  • Consider swim lessons for your child if over the age of 1, as it may reduce the risk of drowning. Talk to your NOAH Pediatrician about your child’s developmental readiness to take swim lessons.
  • Talk to your pool operator to make sure your pool / spa and its drains are compliant with the pool and spa safety act.

At NOAH, we want to make sure that you have the proper tools, education and resources to protect you and your family while swimming. Most importantly, we hope you have a safe and fun-filled summer!

The Importance of Pediatric Vision Screenings

Growth and development are tracked in many ways throughout every stage of life. Just like weight, height, brain function, and dental health are regularly measured, it’s important to monitor eye health as well. Children don’t have a reference point for “good” or “bad” vision like adults do and rarely feel pain or discomfort from conditions affecting eyesight. That’s why regular vision screenings are so important for young children.

Vision screenings are simple tests performed by a pediatrician or other primary care provider during your child’s routine well-child exams. According to the American Academy of Ophthalmology, eye health should be checked on the following schedule:

Newborn

Your NOAH provider will examine baby’s eyes to check for basic indicators of eye health including:

  • red reflex (like seeing red eyes in a flash photograph). If shining a bright light into the eye fails to produce a red reflex, further testing may be needed
  • blink and pupil response

An ophthalmologist (a doctor who specializes in eye health) should do a comprehensive exam if the baby is:

  • born prematurely
  • has signs of eye disease
  • or has a family history of childhood eye disease

6 to 36 months

A second check is usually part of a well-child exam between 6 and 12 months and a third screening by 36 months. During these exams your child’s pediatrician or primary care provider will:

  • reevaluate red reflex, blink, and pupil response
  • visually inspect the eyes
  • check for healthy eye alignment and movement

3 to 5 years

Between the ages of 3 and 5, or as soon as they can read an eye chart, children should begin having routine visual acuity testing. This testing determines the sharpness or clarity of eyesight (ie. 20/20). This is also a good time to look for issues like misaligned eyes, lazy eye, refractive errors, or other focusing problems.

5 years and older

By age 5, children should be getting regular vision screenings during their yearly well-child exams. Your provider will conduct a visual acuity test and reevaluate for vision problems or symptoms of eye disease.

If anything from your child’s vision screening is considered abnormal, your provider may recommend further testing (a comprehensive eye exam) with an ophthalmologist. It’s important to diagnose issues as early as possible and begin treatment. Untreated vision problems can worsen over time and affect a child’s development and ability to learn to read and write.

To schedule a well-child exam along with recommended vision screenings, request an appointment online or call 480-882-4545.

La importancia de los exámenes de visión pediátricos

El crecimiento y el desarrollo se rastrean de muchas maneras a lo largo de cada etapa de la vida. Al igual que el peso, la altura, la función cerebral y la salud dental se miden regularmente, también es importante controlar la salud ocular. Los niños no tienen un punto de referencia para la visión “buena” o “mala” como los adultos y rara vez sienten dolor o molestias por afecciones que afectan la vista. Es por eso que los exámenes regulares de la vista son tan importantes para los niños pequeños.

Las pruebas de detección de la visión son pruebas simples realizadas por un pediatra u otro proveedor de atención primaria durante los exámenes de rutina de su hijo. De acuerdo con la Academia Americana de Oftalmología, la salud ocular debe revisarse en el siguiente horario:

Recién nacido

Su proveedor de NOAH examinará los ojos del bebé para verificar si hay indicadores básicos de salud ocular, incluyendo:

  • reflejo rojo (como ver ojos rojos en una fotografía flash). Si el brillo de una luz brillante en el ojo no produce un reflejo rojo, es posible que sea necesario realizar más pruebas
  • parpadeo y respuesta de la pupila

Un oftalmólogo (un médico especializado en salud ocular) debe hacer un examen exhaustivo si el bebé es:

  • nacido prematuramente
  • tiene signos de enfermedad ocular
  • o tiene antecedentes familiares de enfermedad ocular infantil

de 6 a 36 meses

Un segundo examen suele ser parte de un examen bien infantil de 6 a 12 meses y un tercer examen de detección de 36 meses. Durante estos exámenes, el pediatra o proveedor de atención primaria de su hijo:

  • reevaluar la respuesta de reflejos rojos, parpadeos y pupilas
  • inspeccionar visualmente los ojos
  • comprobar si hay alineación y movimiento ocular saludable

de 3 a 5 años

Entre los 3 y 5 años de edad, o tan pronto como puedan leer una carta ocular, los niños deben comenzar a someterse a pruebas de agudeza visual de rutina. Esta prueba determina la nitidez o claridad de la vista (es decir. 20/20). Este también es un buen momento para buscar problemas como ojos desalineados, ojos perezosos, errores refractivos u otros problemas de enfoque.

5 años o más

A los 5 años, los niños deben someterse a exámenes de visión regulares durante sus exámenes anuales de bienestar infantil. Su proveedor realizará una prueba de agudeza visual y reevaluará los problemas de visión o los síntomas de la enfermedad ocular.

Si algo de la detección de la visión de su hijo se considera anormal, su proveedor puede recomendar más pruebas (un examen ocular completo) con un oftalmólogo. Es importante diagnosticar los problemas lo antes posible y comenzar el tratamiento. Los problemas visuales no tratados pueden empeorar con el tiempo y afectar el desarrollo del niño y su capacidad para aprender a leer y escribir.

Para programar un examen bien infantil junto con las pruebas de visión recomendadas, solicite una cita en línea o llame a 480-882-4545.

Know the Facts about Children and Diabetes

The Defeat Diabetes Foundation (DDF) has named April Defeat Diabetes Month. Defeat Diabetes Month is a time to raise awareness about diabetes prevention, management, and treatment throughout our communities. At NOAH, we are here to help you through all aspects of defeating diabetes, from awareness to treatment.

There are multiple forms of diabetes, but the two most common forms are called type 1 and type 2 diabetes mellitus. Both forms can occur at any age, but a child is typically more likely to be diagnosed with type 1 diabetes. However, with childhood obesity rates on the rise, the number of children diagnosed with type 2 diabetes or who are at risk of developing type 2 diabetes later in life is also increasing. According to the DDF, 1 in 3 US children is overweight or obese. 75% of these children will become overweight or obese adults, and 87.5% of adults diagnosed with type 2 diabetes in the US are overweight or obese.

The DDF has created three different steps to help win the fight to defeat diabetes. The three steps include awareness, action, and prevention.

  • Awareness – creating awareness of the risk factors, warning signs, and complications.

Diabetes is a chronic disease that is characterized by high levels of glucose (sugar) in the blood. Insulin is needed to help lower the levels of sugar and maintain normal blood sugar levels. Diabetes occurs when insulin is not produced in sufficient amounts or the cells of the body are unable to use the insulin properly. Over time, high blood sugar levels may lead to serious complications such as diseases of the eyes (retinopathy), kidneys (nephropathy), nerves (diabetic neuropathy), and blood vessels (that can eventually lead to poor circulation in the extremities). Diet and lifestyle changes can help decrease the risk of these complications.

Type 1 diabetes is a chronic disease that is almost exclusively based on genetics, and it cannot be prevented. With type 1, the pancreas produces very little or no insulin, leading to high blood sugars. Symptoms include increased urination, excessive thirst, increased appetite, and weight loss.

Type 2 diabetes is highly preventable and can be characterized by insulin resistance, decreased insulin production, or a combination of both. Some of the modifiable risk factors for type 2 diabetes include diet, physical activity, and weight management.

  • Action – taking action and providing individuals with the information they need to make the right dietary, lifestyle, and treatment choices to ensure their optimal health.

It’s important to talk with your child’s doctor to find the best treatment plan. Your child’s doctor will talk you through the importance of lifestyle, diet, and medication in order to keep your child’s blood sugar under control. Eating healthy and maintaining an active lifestyle can help manage BOTH type 1 and type 2 diabetes. As mentioned, Type 2 diabetes is highly preventable, so it is even more important to start creating healthy nutrition and lifestyle habits at a young age.

Children who are at risk or are diagnosed with diabetes can live a happy, healthy life through self-management and with an integrative team approach with various medical professionals. An integrated approach with your child’s doctor, a registered dietitian, and a behavioral health specialist can help develop a nutrition, physical activity, and medication plan that can help.

Here are some healthy nutrition tips from The American Academy of Pediatrics:

  • Eat at least 5 servings of fruits and vegetables each day.
  • Stick with water, avoiding juices and other drinks high in sugars.
  • Include high-fiber, whole-grain foods such as brown rice, whole-grain pasta, corns, peas, and breads and cereals at meals. Sweet potatoes are also a good choice.
  • Choose lower-fat or fat-free toppings like grated low-fat Parmesan cheese, salsa, herbed cottage cheese, nonfat/low-fat gravy, low-fat sour cream, low-fat salad dressing, or yogurt.
  • Select lean meats such as skinless chicken and turkey, fish, lean beef cuts (round, sirloin, chuck, loin, lean ground beef—no more than 15% fat content), and lean pork cuts (tenderloin, chops, ham). Trim off all visible fat. Remove skin from cooked poultry before eating.
  • Include healthy oils such as canola or olive oil in your diet. Choose margarine and vegetable oils without trans fats made from canola, corn, sunflower, soybean, or olive oils.
  • Use nonstick vegetable sprays when cooking.
  • Use fat-free cooking methods such as baking, broiling, grilling, poaching, or steaming when cooking meat, poultry, or fish.
  • Serve vegetable and broth-based soups or soups that use nonfat (skim) or low-fat (1%) milk or evaporated skim milk when making cream soups.
  • Use the Nutrition Facts label on food packages to find foods with less saturated fat per serving. Pay attention to the serving size as you make choices. Remember that the percent daily values on food labels are based on portion sizes and calorie levels for adults.
  • Prevention – take a personal pledge to prevent diabetes in your family and your community.

Feel free to reach out to one of your NOAH Health Centers with any questions you may have. NOAH offers a full range of primary and preventable health services for all ages!

To learn more about the DDF and the prevention and management of diabetes, visit their website at https://defeatdiabetes.org/

To read more about Type 1 Diabetes in children visit https://www.healthychildren.org/English/health-issues/conditions/chronic/Pages/Diabetes.aspx

To learn more about type 2 diabetes and tips for healthy living check out https://www.healthychildren.org/English/health-issues/conditions/chronic/Pages/Type-2-Diabetes-A-Manageable-Epidemic.aspx

Tis’ the Season – When is a Cold Not a Cold?

By Dr. Patty Avila, Pediatrician

It is that time of year again!  The busy time of year when everyone is preparing for the holidays is also when children are getting more colds and other respiratory illnesses.  These are the most common type of illness that children will see their doctor for, and it is important to recognize when to worry or not.  Most of these will be simple colds and resolve on their own, but there are some that can be serious.

The Common Cold; also called an Upper Respiratory Infection.

The common cold is caused by several different viruses and is the most common of all the respiratory illnesses. In the 1st 2 years most children will have about 3 to 5 colds per year. Older school age children and children in daycare can get sick even more often, because they are exposed to others.  Fortunately, most of these are just colds and will go away on their own and not lead to anything worse. 

Symptoms of the Common Cold:

  • Low fevers (101-102 degrees F).
  • Runny nose, nasal congestion comma and sneezing.
  • Sore throat.
  • Cough.
  • Not eating well.
  • Fussiness.

Most children will be better after 7 to 10 days of illness, but some may take up to 10 to 14 days to get better.

When to worry with the common cold:

Most children will not need to see their doctor with a common cold or upper respiratory infection. Infants younger than 3 months should see their pediatrician because they are at higher risk of getting very sick. 

See your doctor immediately if your child or infant is having:

  • Trouble breathing or fast breathing – using their muscles in between their ribs to breathe or the openings of the nose get larger with every breath.
  • Nails or lips turn blue.
  • The symptoms are lasting longer than 10 to 14 days.
  • Dehydration or not drinking well and not urinating well.
  • Child/infant is too sleepy or very fussy and not consolable.
  • Ear pain or any other concerns for child/infant not improving or getting worse.

Antibiotics do not treat the common cold since it is caused by a virus. 

Supportive care includes:

  • Increased fluids.
  • Use of pain/fever medication such as acetaminophen or ibuprofen.
  • Nasal saline with suctioning for congestion.
  • Honey for cough in a child OLDER than 1 year (NEVER given an infant <1 year of age honey).
  • Use of a humidifier may provide relief. 

The Flu; sometimes called Influenza.

The flu is also caused by respiratory viruses called influenza and can present very similar to the common cold.  Children with the flu feel much worse and are sicker than with the common cold.  The flu can have very serious complications including need for hospitalization and sometimes death.   

Symptoms of the Flu:

  • Rapid onset of high Fevers (above 101 degrees F), chills.
  • Headaches, body aches.
  • Runny nose, nasal congestion.
  • Chest pain and cough.
  • Sore throat.
  • Poor appetite.
  • Feeling tired and weak.

Most children will get better after 2 weeks. Fevers from the flu can last up to 5 to 7 days. 

See your doctor immediately if your child or infant is having:

  • Trouble breathing or fast breathing – using their muscles in between their ribs to breathe or the openings of the nose get larger with every breath.
  • Nails or lips turn blue. 
  • Dehydration or not drinking well and not urinating well.
  • Child/infant is too sleepy or very fussy and not consolable.
  • Ear pain or any other concerns for child/infant not improving or getting worse.

Young children and infants as well as children with high-risk medical conditions should see their pediatrician as soon as possible. These high-risk medical conditions include:

  • Heart defects.
  • Chronic lung issues.
  • Asthma.
  • Low immune system.
  • Diabetes.
  • Cancers. 

Supportive care includes:

  • Increased fluids.
  • Use of pain/fever medication such as acetaminophen or ibuprofen.
  • Nasal saline with suctioning for congestion.
  • Honey for cough in a child OLDER than 1 year (NEVER given an infant <1 year of age honey).
  • Use of humidifier may provide relief. 

Outside of supportive care, there is an antiviral medication called Tamiflu which may be indicated and started if the flu is diagnosed within the first one to 2 days.

Bronchiolitis.

Bronchiolitis is another respiratory illness that can be commonly seen during the winter months.  There are several viruses that can cause this illness but RSV, also known as Respiratory Syncytial Virus, is the most common.  RSV is an infection that will affect almost all children at least once before they turn 2 years old.  It usually starts as a cold and is followed by lower respiratory symptoms around 3 to 5 days of the illness.  For some children the illness can be severe, especially younger infants, preemies, and those with heart or lung defects.   

Symptoms of Bronchiolitis:

  • Cold symptoms with fevers, runny nose, nasal congestion, and cough.
  • Fussiness.
  • Poor Feeding.
  • Wheezing.
  • Difficulty breathing.

See your doctor immediately if your child or infant is having:

  • Trouble breathing or fast breathing – using their muscles in between their ribs to breathe or the openings of the nose get larger with every breath.
  • Nails or lips turn blue. 
  • Dehydration or not drinking well and not urinating well.
  • Child/infant is too sleepy or very fussy and not consolable.
  • Ear pain or any other concerns for child/infant not improving or getting worse.

Supportive care includes:

  • Increase fluids.
  • Use of pain/fever medication such as acetaminophen or ibuprofen.
  • Nasal saline with suctioning for congestion.
  • Honey for cough in a child OLDER than 1 year (NEVER given an infant <1 year of age honey).
  • Use of humidifier may provide relief. 

For infants who are high risk there is an injection that is given monthly during the winter months called Synagis that can decrease the risk of severe RSV infection. 

Croup.

Croup is a common respiratory illness during the Fall and Winter months and is usually seen in infants and young children – children younger than 5 year of age.  It is caused by several different viruses including the flu virus and some cold viruses.  The illness is characterized by swelling of the upper airways including the voice box (larynx) and the windpipe (trachea). Symptoms from Croup are usually worse at the beginning of the illness. 

Symptoms of Croup:

  • Fevers which can be low grade or high.
  • Cold symptoms with runny nose and nasal congestion.
  • Hoarseness of voice.
  • Barky or “seal like” cough.
  • Noisy breathing when breathing in – stridor.

The swelling of the airway can sometimes be severe and need immediate medical attention.

See your doctor immediately if your child or infant is having:

  • Trouble breathing – struggles to catch their breath.
  • Noisy breathing that is getting louder and child/infant appears to struggle to breathe.
  • Cannot talk because of difficulty breathing.
  • Lips/mouth or nails turn blue.
  • Drooling and not able to swallow saliva.
  • Dehydration or not drinking well and not urinating well.
  • Child/infant is too sleepy or very fussy and not consolable.

Steroids can decrease the swelling and can be given by mouth, injection, or in a breathing treatment.  If given early can help decrease the need for hospitalization and improve breathing.  There are breathing treatments with epinephrine that can be given as well in severe cases, but these will require careful observation in the Emergency Department or Hospital setting.

Use of cold moist air can help improve mild symptoms as well and can be used at home with a cool mist humidifier.

PREVENTION TIPS

  • For all respiratory infections, the best form of prevention is to avoid exposing infants/young children to people who are sick or crowded situations. 
  • Breastfeeding infants as long as possible (at least 6-12 months) is also an important way to help prevent and fight infections because breastmilk provides antibodies. 
  • Practicing and teaching children good hand hygiene is key.
  • Use soap and water and scrub for at least 20 seconds (singing the ABCs).  Another option is the use of an alcohol-based hand rub if hands are not visibly soiled. 
  • Teach children to cover their coughs and sneezes properly by using a tissue or coughing in their arm rather their hands. 
  • Keep children home from daycare or school when they are sick to avoid spreading the illness. 
  • Eating a healthy balanced diet high in fruits and vegetables can help boost the immune system and help decrease the chances of getting sick.   

At NOAH, we’re here for you. If you have any questions for your child’s pediatrician, give us a call at 480-882-4545. You can also send a message to your pediatrician via your child’s MyChart account.

Tips to Treat Nosebleeds in Children by Dr. Debbie Bauer, Pediatrician

“Nosebleeds are very common in children, especially during these winter months,” says Debbie Bauer, Pediatrician. The dry air from outside combined with the dry air from heaters inside can make the skin inside the nose more fragile and sensitive. This is one of the most common reasons children get nosebleeds. Some children also get nosebleeds from picking their nose, from sniffling too much from allergies/colds, or of course from being hit in the nose.

Learn what to do if your child has a nosebleed and when to get help from a doctor below. Also, check out our tips on how to prevent nosebleeds from coming back!

What should you do if your child has a nosebleed?

– First, don’t panic! Nosebleeds are rarely serious. Your child will have an easier time following your instructions if you remain calm.

– Have your child sit down and put their head slightly forward, NEVER have them tilt their head backwards.

– Put firm pressure on either side of their nose with your fingers and hold it there for 10 minutes.

– After 10 minutes, check to see if the bleeding stopped. If it hasn’t, hold firm pressure again for 10 more minutes.

– When bleeding has stopped, gently clean blood off their face with water but do not put anything in their nose or have them forcefully blow their nose.

When should you get help from a doctor?

– If your child has a nosebleed for more than 20 minutes without stopping.

– If your child looks very pale, weak or sweaty.

– If you see blood in your child’s urine or stool.

– If your child has strange, unexplained bruises.

– If frequent nosebleeds are concerning you.

How can you prevent nosebleeds?

– You can use a saline nasal spray to keep their nose from getting dry.

– You can use a humidifier in their room.

– You can apply a small amount of Vaseline inside their nose carefully with a Q-tip.

– If your child picks their nose, keep their fingernails trimmed short.

At NOAH, we’re here for you. If you have any questions for your child’s pediatrician, give us a call at 480-882-4545. You can also send a message to your pediatrician via your child’s MyChart account.