Delayed Puberty

Puberty is considered to be delayed when the physical signs do not show  by the age of 13 years  for girls and 14 years for boys. This condition can be hereditary or it can be due to chromosomal abnormalities, chronic diseases or tumor that damages  the pituitary glands  or the hypothalamus which affects  maturation.


What are the symptoms of delayed puberty ?

Lacking signs of puberty is the main indicator. Symptoms may be common, however each child may experience it differently. Symptoms include the following :

    • Lack of any breast development by age 13
    • Failure to menstruate by age 14
    • More than 4 years between initial breast growth and first menstrual period
    • Lack of pubic hairs by age 15
    • Lack of testicular enlargement by age 14
    • More than 4 years  to complete adult genital development

    The doctor will be able to diagnose delayed puberty through blood tests, X-rays, CAT scan and MRI. read more

Ways to lower toddlers’ choking risk

Young children are naturally curious about their surroundings. Part of this behavior involves putting food and other objects in their mouths. These objects can stick in their windpipe and make it impossible to breathe.

What you should do

Monitor mealtime : Children before the age of 4 aren’t able to grind food into small pieces.  You should protect your child by making  a safe eating environment  and avoid eating certain foods until the age of 4.

During meals :

  • Supervise your child.
  • Sit the child upright in a high chair.
  •  Discourage eating and talking at the same time.
  • Don’t allow your child to run with food in his / her mouth .
  • Cut your child’s food into smaller pieces until his / her molars come in.

Don’t allow your child younger than 4 to have these  foods. read more

How parents can help their child deal with a bully

Physical and emotional changes can make children the target of bullies.  Being a bully or a victim of bully puts children at risk  for engaging in violent behaviors such as fighting .  Bullying comes in several forms such as name calling , unrelenting teasing, spreading rumors  and deliberately excluding a child from an activity. Cyberbullying using the Internet or mobile phones, racial slurs, mocking cultural traditions, and unwanted physical contact are all forms of bullying.

Signs that may indicate that your child is being bullied includes the following : read more

Difference Between A Cold And Allergies In Children

Colds are infections of the upper respiratory tract. The respiratory tract includes the sinuses, nasal  passages , throat and larynx. Colds are spread by several viruses and are spread by the following ways.


  • Touching a person with a cold.
  • Breathing the virus in the air after an infected person coughs or sneezes into the air.
  • Touching an object that someone with a cold has touched.

Seasonal allergies also know as hay fever, are caused by the immune system reacting to pollen from trees, grass or weed as if they are harmful. Allergic reaction can cause symptoms such as a cold. Allergies usually run in families. Seasonal allergies occur at certain times of the years. Allergy symptoms occur when the your child is allergic to allergen which include dust mites, pollen, mold and cockroaches. read more

Does My child Need Braces ?

Your dentist will tell you if your child will need braces or not. He/She is the best person to tell you if your child will benefit from seeing an orthodontist regardless of the age.


Some of the things that indicate that your child  is likely to benefit from seeing an orthodontist  include the following :

  • Early, late or irregular loss of teeth
  • Mouth breathing
  • Difficulty in chewing or biting
  • Thumb or finger sucking
  • Biting the cheek  or roof of the mouth
  • Teeth that meet abnormally or  do to meet  at all
  • Crowded , misplaced or blocked out teeth
  • Jaw that shift, make sounds , protrude or are recessed
  • Jaws and teeth that are out of proportion  to the rest of the body
  • read more

    Tonsils : Having Your Child’s Tonsils Removed

    Should my child’s tonsils come out ?

    Tonsils are one of the immune systems first line of defense. They trap airborne bacteria and virus particles as they are inhaled. This keeps them from entering the respiratory or GI ( Gastrointestinal ) systems. However the body has many layers of immune defense . This means that if your child needs to have her tonsils removed, it wont be a problem.

    Surgery to remove the tonsils known as tonsillectomy is very common. There are two reasons why your child’s tonsils may be removed.

    • Airway obstruction  and sleep apnea :When the tonsils are too big, they can obstruction and partially block the child’s airway. This is the  primary reason why children between the ages of 2 and 5 may need to have their tonsils removed . Symptoms to look out for include the following :
      • Snoring and pauses in breathing – Enlarged tonsils can result in turbulent flow in children which results in snoring and pauses in breathing .
      • Restless sleep – This will be seen in a child who is in bed all night and appears to be sleeping but wakes up very tired.
      • Bedwetting – If your child is suddenly in a pattern of wetting the bed, it could be a sign of sleep apnea.
      • Difficulty paying attention in school – If your child is  having difficulty concentrating in school or has behavioral problems,  it could be a sign of not having enough sleep.
      Recurrent tonsil infections : Strep throat is the most common tonsils infection but there are other causes too. These criteria need to be met before surgery is considered.
      • Severe infections in one year.
      • Five infections each year for 2 consecutive years.
      • Three infections each year for 3 years in a  role

      NOTE read more

    Common Triggers of Headaches in Children

    Headaches are a common problems for young children of all ages. The pain of headaches can be triggered by a number of factors.

    headaches in children

    Most common triggers of headaches in children

  • Dehydration : Not drinking enough fluids is one  of the leading causes of headaches. This is especially true when the weather get warmer and kids are more active outside  and lose fluid through sweating.  In this case the best cure is simply drinking water.
  • Stress : Children and teen go through stress from time to time. If your child is under a lot of pressure at school or going through a big change at home such as divorce or a big move, a headache can result.
  • Vision problems : If your child is straining his eyes to see faraway, this is known as eye strain. This can be interpreted as headaches even though it is different from recurrent headaches . An  eye test can be used to determine whether your child’s  eyestrain is caused by vision problems.
  • Diet : Skipping meals can trigger headaches. It is also important to make sure that your child is eating a balance diet with lots of fruits and vegetables.
  • Sleep : It is important that your child gets the right amount of sleep each time. Not sleeping enough at night can cause headaches.
  • read more

    2019/2010 Flu Season

    The flu season is here again. Many don’t realize how dangerous the flu can be. It causes thousands of deaths in the United States every year. It is important as parents to protect your children from the flu by getting them vaccinated  before the flu starts circulating in your community. Everyone around  kids should be vaccinated too.


    What types of influenza vaccines are available ?

    There are 2 types of vaccines available for the 2019-2020 flu season. The first one is what many people call the flu shot and the second one is the nasal spray. All the vaccines available this year contain all the four influenza viruses , two A and two B  viruses. Vaccines for adults will contain three or four viruses. read more

    Will my baby’s belly button always stick out ?

    Your baby’s belly button may not always stick out. About 20% of all newborns  have an umbilical cord hernia which is also known as an “outie”. The umbilical cord heals and falls off after birth and the opening of the abdomen usually closes spontaneously. However occasionally the opening does not close  and results  in a bulging belly button especially when there is increased abdominal pressure such when the child cries or during a bowel movement.


    The hernia usually does not cause any problems. As long as the child is comfortable , the area is not swollen and tender and the bulge is soft  and compressible, there is no reason to be concerned. These hernias usually go away in about 12 to 18 months and surgery to close them is not usually necessary . read more

    Anemia in Newborns

    Babies who have anemia have a red blood count that is lower than normal. Red blood cells carry oxygen throughout the whole body.

    What causes anemia in newborns

    There are 3 main causes of anemia in newborns. They include the following :

    • The baby doesn’t produce enough red blood cells : Most babies have some anemia in the first few months of life. This is known as physiologic anemia. This occurs because the baby is growing fast and it takes time for red blood cells production to catch up.
    • The body breaks down red blood cells quickly : This problem is common when the mother and baby’s red blood cells do not match. This is known as Rh/ABO incompatibility. These babies usually have jaundice which causes the skin to become yellow. In a few babies, anemia can also be caused by  infections or genetic disorders.
    • The baby loss too much blood : Blood loss in the Neonatal Intensive Care Unit NICU usually occurs because frequent blood tests need to be done. These tests are needed  to help the medical team manage your baby’s condition. The blood that is taken is not  replaced immediately which causes anemia.

    Other causes of anemia include the following :

    • Internal bleeding
    • Transfer of blood between the baby and the mother  while the baby is still in the womb.

    Symptoms of anemia in a newborn

    Most babies with anemia don’t have symptoms. However if symptoms do occur, they include the following :

    • Pale skin
    • Poor feeding
    • Feeling sluggish
    • Fast heart rate  and rapid breathing when resting

    What are the treatments for newborn anemia ?

    Your baby’s doctor will determine the best treatment option. Many babies with anemia do not need any treatment. However very premature babies  who are sick may need a blood transfusion  to increase the number of red blood cells. read more