Volume 11, Issue 11
NOVEMBER 2009   

 

   
    
With the holidays are fast approaching, our staff
    "anxiously await" for the mail to see all the cards
    and pictures from our patient families. This gives
    us the opportunity to see how your child(ren) have
    grown and since we love our patients...we'll be
    sure to post it on the bulletin board at your primary
    office location. If you want to save a stamp you
    can certainly drop off copies of your holiday
    pictures at one of your next visits. See you then!
 
 
  
We understand many people are
  concerned about the novel H1N1
 
  swine flu virus. This is why we continue to post any
  and all updates from the CDC, which are available
  to you 24 / 7, via our website.

  We will advise you, if and when, our vaccine order
  is delivered and how we will administer the shots.
  Thank you again for your continued patience.

   
   
The following physical activity advice comes from the American Academy of Pediatrics (AAP):

    With participation in all types of physical activity declining dramatically as a child's age and grade in
    school increases, it is important that physical activity be a regular part of family life. Studies have shown
    that lifestyles learned as children are much more likely to stay with a person into adulthood. If sports and
    physical activities are a family priority, they will provide children and parents with a strong foundation for
    a lifetime of health.

    Parents can play a key role in helping their child become more physically active. Following are 11 ways
    to get started:

 

    1. Talk to your pediatrician. Your pediatrician can help your child understand
        why physical activity is important. Your pediatrician also can suggest a sport
        or activity that is best for your child.


    2.
Find a fun activity. Help your child find a sport that she enjoys. The more
        she enjoys the activity, the more likely it is that she will continue. Get the
        e
ntire family involved. It is a great way to spend time together.

    3.
Choose an activity that is developmentally appropriate. For example,
        a 7- or 8- year-old child is not ready for weight lifting or a 3-mile run, but
        soccer, bicycle riding, and swimming are all appropriate activities.


    4. Plan ahead. Make sure your child has a convenient time and place to

  

        exercise.

    5.
Provide a safe environment. Make sure your child's equipment and chosen site for the sport or
        activity are safe. Make sure your child's clothing is comfortable and appropriate.
 

    6.
Provide active toys. Young children especially need easy access to balls, jump ropes, and other
        active toys.


    7.
Be a model for your child. Children who regularly see their parents enjoying sports and physical
        activity are more likely to do so themselves.


    8.
Play with your child. Help her learn a new sport.

    9.
Turn off the TV. Limit television watching and computer use. The American Academy of Pediatrics
        recommends no more than 1 to 2 hours of total screen time, including TV, videos, and computers and
        video games, each day. Use the free time for more physical activities.

  10. Make time for exercise. Some children are so overscheduled with homework, music lessons, and
        other planned activities that they do not have time for exercise.


  11.
Do not overdo it. When your child is ready to start, remember to tell her to listen to her body.
        Exercise and physical activity should not hurt. If this occurs, your child should slow down or try a less
        vigorous activity. As with any activity, it is important not to overdo it. If your child's weight drops below
        an average, acceptable level, or if exercise starts to interfere with school or other activities, talk with
        your pediatrician.


       
Remember
       
There is a powerful relationship between childhood obesity and lifelong weight and related medical
        problems.

       
Exercise along with a balanced diet provides the foundation for a healthy, active life. One of the most
        important things parents can do is encourage healthy habits in their children early on in life. It is not
        too late to start. Ask your pediatrician about tools for healthy living today
.
  

At APL, no question is too silly and remember the first five-thousand are free.


    
 
    
Food allergies occur when your child becomes hypersensitive to specific
     foods. Ingestion of an offending food may trigger the sudden release of
     chemicals, including histamine, that result in an allergic reaction. Food
     allergies affect about 6% of children from birth to 3 years. Many children can
     “outgrow” food allergies while others remain allergic throughout their lives.
     The most common food allergens include cow’s milk or soy milk, egg, peanut,
     wheat and fish.

    
Food allergy symptoms typically appear within minutes to two hours after the
     food ingestion. The reactions can sometimes be serious and even life-threatening and may include one
     or more of the following:

     Gastrointestinal reactions - vomiting, diarrhea, bloody stools, tingling in the mouth, swollen tongue

     Skin reactions - itchy rash, hives, swelling (urticaria and angioedema)

     Respiratory reactions - stuffy nose, sneezing, wheezing, shortness of breath, tightness of the throat

     Anaphylaxis - combination of difficulty breathing, chest and throat tightness, hives and fainting

     Not all reactions to food are allergic reactions. In some cases there may be a “food intolerance” rather
     than a “food allergy”. Food intolerance does not involve the immune system and is not life-threatening.     
     For example, some people have trouble tolerating milk due to lactose intolerance which mainly presents
     as abdominal cramps, diarrhea and bloating. These people are not “allergic” to milk. The best way to
     determine what your child may be allergic to is to keep a food diary of what is eaten, the symptoms that
     occur after the ingestion, and how long after eating the symptoms occur.

     Food allergies are definitively diagnosed by a skin prick test or a blood test, such as the RAST
     (radioallergosorbent test). Both tests are reliable although there are instances when one is better than
     the other. Many doctors, for example, perform RAST for young children or for patients who have eczema
     or other skin problems that would make it difficult to read the results of a skin prick test. The results of
     either test are combined with the history of symptoms and sometimes a food challenge to determine
     whether a food allergy exists.

     Once your child has been diagnosed with a food allergy, strict avoidance of the allergy-causing food is
     the only way to avoid a reaction. Reading ingredient labels of all foods is essential. Families must be
     vigilant about verifying ingredients and preparation methods when dining away from home. Some
     manufacturers currently use scientific terms to indicate an allergy-causing ingredient such as “albumin”
     and “lysozyme” for egg-containing products or “casein” and “whey” for milk products. Since it may take
     some time before all products have simple language on their labels (e.g. “egg” and “milk”), be sure to
     learn the scientific names for the food your child is allergic to and call manufacturers to ask about
     unfamiliar ingredients. Also be sure that when cooking to avoid “cross-contact” of foods which can
     occur when using the same utensil to prepare an allergy-containing food and an allergy-free food.

     Although there is no medication to “cure” food allergies, prompt treatment with certain medications are
     available for when an allergic reaction occurs. If your child has had anaphylaxis or other serious food
     reactions, be sure to keep a self-injectable epinephrine kit (eg. EpiPen, Twinject) handy at all times.
     You and your child will be taught how to inject this medication to interrupt severe reactions. Be sure to
     also go to the closest emergency department or call 911 after a serious reaction has occurred, even if
     you have already treated your child with epinephrine. For less severe reactions (hives but no signs of
     anaphylaxis), or if your child accidentally ingests a known allergen but shows no signs of a reaction, you
     may also give an antihistamine and then call your doctor or 911 if symptoms occur or do not improve.
 

 

 

We have made it easy for you by
centralizing calls for both offices.
To make an appointment, talk to
a nurse or to contact a physician,
dial our main office number.
 
(847) 398-0400 Main Number
(847) 398-9590 Fax

 
algonquinpediatrics.com
arlingtonpediatrics.com
 

   Thanks to everyone who took
   the time to fill out our online
   survey! There was such a huge
   response we are just finishing
   up with reviewing the results.

   We will provide you with some

 
   insight into what we've discovered and what may
   come in the near future. Be sure to watch for our
   December issue to see what's in store for APL.
   Thanks again for your feedback, it is appreciated!
 

Our motto: "We treat our patients like our own children and grandchildren."

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