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Behavioral and developmental health is as critical to your child as physical health - and working with a pediatrician in Raleigh, NC that kidsunderstands this is vital. Carolina Kids Pediatrics is firmly committed to serving your child's behavioral and developmental needs. If you have noticed that your child seems different than their peers, has different interests or is not keeping up with other kids in some way, it may be time to take a step back to dig a little deeper. Often, this starts with a behavioral or developmental consultation at Carolina Kids Pediatrics.

A few common reasons that families seek a behavioral or developmental consultation with us include delayed communication skills in toddlers and preschoolers, excessive or unusual tantrums or behavioral changes, difficulty with age-appropriate play or social interactions, and academic challenges in the early school years. 

If you are thinking that your child is not on the same level as the other kids their age, consulting with the physicians at Carolina Kids Pediatrics in Raleigh could help. If you are worried about whether your young child is developing appropriately, my favorite website to provide you with some additional guidance is www.firstsigns.org. Although designed as a website to increase awareness of early signs of autism, it also provides great general information on normal early childhood development.

The public school system also provides some great resources for early childhood assessment. For kids under age 3, the school system provides free developmental assessment to determine if your child is on track, or if they need access to early intervention services because of specific developmental challenges. Your county's early intervention contact information can be found at http://www.beearly.nc.gov/index.php/contact/cdsa

For preschool age children with developmental challenges (age 3 - kindergarten), please contact your county's Child Find office. Information about Wake County's process for evaluating preschool kids for developmental help can be found at: http://www.wcpss.net/Page/4310

Wake County offers an additional program that provides assistance to the parents of toddlers and preschool kids when it comes to common parenting challenges around behavior and development. The Project Enlightenment program offers both parent and preschool consultations, as well as a great series of parenting classes. Check out their website at: www.projectenlightenment.wcpss.net

All of these resources are also listed on the "Community Resources" page of www.carolinakidspediatrics.com

Regardless of your concerns, the first step is to seek help from a pediatrician in Raleigh, NC that has experience with behavioral and developmental challenges. Making sure that your child has the resources that they need is essential. A qualified pediatrician will be able to assess, diagnose and refer you to the resources that will put you on the right track for the future. If you have concerns about your child's development, call Carolina Kids Pediatrics today at 919-881-9009 to schedule an appointment.

By Carolina Kids Pediatrics
January 26, 2017
Category: Children's Health
Tags: Well Child Visits  

As the old saying goes, an ounce of prevention is worth a pound of cure.

Over the next couple of months, you may receive a patient portal message or text message if your child has not been seen for a well well child visitschild care visit in a while. We don't want to nag, so we will only send one reminder, but we do believe that regular checkups are among the most important things we do for kids. 

Here's a great link from the AAP about checkups - it provides you not only with an explanation of recommended well child care visits, but also links to some checklists and questionnaires that you can use to get ready for your child's visit:

https://www.healthychildren.org/English/family-life/health-management/Pages/Well-Child-Care-A-Check-Up-for-Success.aspx

So, what do we do at checkups anyway? 

It's about a lot more than checking your child's heigh and weight and giving needed immunizations. Carolina Kids Pediatrics follows the AAP's "Bright Futures" guidelines for preventive screening, a comprehensive guideline that recommends health screening in many areas of a child's life. This includes behavior, development, growth, nutrition, school performance, sleep routines, laboratory screening (such as newborn screening, iron checks, cholesterol checks, etc.), blood pressure screening, vision and hearing screening, fluoride treatments, and much more. 

By scheduling regular visits with your child’s Raleigh, NC, pediatrician, we can insure that your child is healthy and developing properly. If there are any health or developmental concerns, they can be addressed early before they lead to more problems. Carolina Kids Pediatrics provides well child care visits for children beginning at birth and continuing all the way through young adulthood.

Well Child Care Visits

Your child needs several well child care visits during the first two years of life and should see a Raleigh pediatrician at birth and 2 weeks, as well as 2, 4, 6, 9, 12, 15 and 18 months of age. Beginning at age 2, children should have one well child care visit every year. For school age children who need a physical for school entry or to participate in sports, that can also be completed during the well child care visit - we'll generally require that your child has had a well child care visit within 12 months of providing clearance for any sport.

Well child care visits are an important part of keeping children healthy. Regular visits allow your child’s Raleigh, NC, pediatrician to keep track of your child's overall health. To schedule a well child care visit for your child, please call Carolina Kids Pediatrics at (919) 881-9009.

By Carolina Kids Pediatrics
November 30, 2016
Category: Children's Health
Tags: Breast Feeding  

According to the U.S. Department of Health and Human Services, Office of Women's Health, there are many benefits and advantages to breast feedingproviding all or part of a baby's diet in the first year of their life with breast milk. The pediatricians at Carolina Kids Pediatrics in Raleigh, NC offer breast feeding support through our lactation consultant, Jerrianne Webb, and prenatal education and counseling for expectant mothers interested in breast feeding.

Prenatal Education and Pediatric Care in Raleigh, NC

The decision to breast feed is a personal one for every family. Carolina Kids Pediatrics encourages soon-to-be parents to ask questions, conduct research and to become as informed as possible in order to make the best decisions for their child and family.

The Benefits of Breast Feeding for Children

The American College of Obstetricians and Gynecologists, and the American Academy of Pediatrics (AAP) recommend breast milk because it is:

  • Rich in essential vitamins, fat, and protein
  • Contains antibodies against viruses and bacteria
  • Lowers the risk of asthma and respiratory illnesses, allergies, ear infections and diarrhea
  • May help to promote healthy weight and lower the risk of obesity and diabetes as children grow

Some studies have suggested that breast feeding may also carry potential secondary benefits for growing babies, such as cognitive benefits in some cases, a lower risk of sudden infant death syndrome (SIDS) and bonding time with mom.

What are the Breast Feeding Benefits for Mothers?

As with babies, breastfeeding may also offer benefits for mothers. In addition to burning calories, which helps to shed some post pregnancy weight, breast feeding may also help to reduce uterine stretching and bleeding after childbirth, due to the release of the hormone oxytocin. It is also believed to potentially lower the risk for osteoporosis and breast and ovarian cancers in some women. Of course breast milk also helps to save on formula and related costs!

Find a Pediatrician in Raleigh, NC

For more information on the benefits of breast feeding, lactation consultation and prenatal and pediatric care, contact Carolina Kids Pediatrics by calling (919) 881-9009 to schedule an appointment today.

By Carolina Kids Pediatrics
October 12, 2016
Category: Children's Health
Tags: Sports Physical  

If your child wants to play sports during the school year, it’s time to schedule their sports physical.

School is already in session and you may be feeling like the whirlwind of getting your kids ready for another school year has finally sports physicalstarted to settle down. If your child really wants to play sports this year have you already gotten a sports physical? If not then it’s time you called Carolina Kids Pediatrics, your Raleigh, NC pediatricians.

What does a sports physical entail?

During your child’s appointment, we will go through their entire medical history. This includes questions about:

  • serious illnesses among family members
  • illnesses that kids had when they were younger or may have now, such as asthma, diabetes, or epilepsy
  • previous hospitalizations or surgeries
  • allergies (to insect bites, for example)
  • past injuries (including concussions, sprains, or bone fractures)
  • whether the child has ever passed out, felt dizzy, had chest pain, or had trouble breathing during exercise
  • any medications taken (including over-the-counter medications, herbal supplements, and prescription medications)

We will also perform a thorough physical examination. During the physical part of the exam, the doctor will usually:

  • record height and weight
  • take a blood pressure and pulse (heart rate and rhythm)
  • test your child's vision
  • check the heart, lungs, abdomen, ears, nose, and throat
  • evaluate your child's posture, joints, strength, and flexibility

Getting a sports physical about 6 weeks before the sports season begins allows enough time to follow up on something, if necessary. If the sports physical is the day before baseball practice starts and it turns out there's something that needs to be taken of care of, there may not be adequate time for rehabilitation to occur.

Many schools require students to undergo an annual physical exam from their Raleigh children’s doctor in order to provide clearance and insure that they are up to date on health screening and immunizations. In addition, children will need a sports physical if they want to participate in any team sports. These regular exams are crucial because it allows our Raleigh children’s doctor to address important health issues with both your child and you.

Carolina Kids Pediatrics is here to make sure that children get the school and the sports physicals they need. If your child hasn’t had their sports physical this year call our Raleigh, NC pediatric doctors office today and schedule an appointment.
For more information on sports physicals, check out:
http://kidshealth.org/en/parents/sports-physical.html#

By Carolina Kids Pediatrics
July 27, 2016
Category: Children's Health
Tags: ear infection  

Learn about common signs of outer and middle ear infections - and how to tell them apart - from our Raleigh pediatricians.

In the summertime, symptoms of ear infection in kids can be even more confusing than during the rest of the year. Not only do kids ear infectiondevelop the middle ear infections which can occur all year long, but in the summer we also frequently encounter external ear infections, or swimmer's ear. Here are some tricks for distinguishing middle ear infections from swimmer's ear from our Raleigh, NC pediatricians at Carolina Kids Pediatrics - as well as some tips for preventing them! 

1. External ear infections: Swimmer's ear

External ear infections, or swimmer's ear, are most commonly caused by water trapped in the outer ear canal after swimming, leading to bacterial overgrowth and infection of the outer ear canal. Swimmer's ear is more common in kids who are old enough to put their head under water and dive (preschool, school age, and adolescents). They are also more common after exposure to lake water. Typically, external ear infections cause pain with wiggling of the outer ear or pressing on the front or behind the ear. Most external ear infections do not cause cold symptoms, fever, or cough, but they can cause ear drainage. External ear infections are typically treated with antibiotic ear drops, and can be prevented by instilling several drops of alcohol or a mixture of alcohol and distilled vinegar in both ears after swimming.

2. Middle ear infections: Deeper down

In contrast, middle ear infections have nothing to do with swimming, and are caused by infected fluid trapped behind the ear drum, often due to Eustachian tube swelling after a cold. Middle ear infections are more common in infants and toddlers, and are more likely to be accompanied by fever, runny nose, cough, night waking, fussiness or poor appetite. Oral antibiotics are often used, although some middle ear infections will get better in a few days without antibiotics (pain control with ibuprofen or acetaminophen is still important). Avoiding bottle use after the first year of life, avoiding lying down with a bottle, avoiding smoking in the home, and breastfeeding have all been associated with decreased risk of ear infections.

If you're worried that your child has an ear infection, please contact Carolina Kids Pediatrics in Raleigh, NC at (919) 881-9009, or get in touch with us through our patient portal. 





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