Mary L. Anderson

Sadly the picture of the affected are is blurred and small. At best suspect mosquito bite with inflammation secondary to toddler scratching general area. Mary L Anderson MD

Hi and Happy New Year,

Your genetic metabolic clock does dictate your ultimate height, and that final # of inches will be maximized as you continue a healthy lifestyle with proper nutrition and NO SMOKING!!! You have just crossed the threshold into your teen years and your last spurt has begun.

Your desire to achieve many inches more in a short period of time is unrealistic. There are no known ways to tweak more than your genetic clock is pre-set to achieve. You did not share your parents' heights, but there are formulas that predict ultimate height using that data along with the # of inches tall you were at two years of age. Perhaps your pediatrician's
chart of your progress includes that.

I encourage you to aspire to the most nutritious diet you can maintain on a daily basis. Not only will your general health be boosted, but your mood, academic performance, immune system, and stamina will all benefit. Do not short change your sleep requirements! Eight hours at a minimum, and no blue lights from devices or tv left on!!!!!! Mood, mental alacrity,
intestinal health, and GROWTH are all stimulated during DEEP restful sleep. Focus on the stature of your brain rather than your skeletal height as that commodity will accelerate your progress in this wonderful life.

My best to you,

Mary L Anderson, MD

Good morning,
Sorry you have a persistent worry since your toddler enjoyed your pasta. We're you witness to a brief choking spell at the table? If so, the more likely event is that he/she cleared the airway successfully leaving a minor
irritation feeling in the back of the throat. However, if you have observed a consistent attempt to clear the throat or irregularly irregular persistent cough even at night while asleep, then a trip to his MD would be warranted to rule out a particulate inhalation. The possibility exists that a piece could remain lodged in a bronchi.

So sorry he acquired this common illness, but know that symptom relief is doable with peppermint lozenges or Hall's (sore throat) lozenges. If agreeable to learning a new talent, you can teach gargling with warm salt water (1 tsp salt/ 1 cup water), and encourage him to do that 3 - 4 times throughout the day as this soothes plus washes the inflamed area.

Tylenol - dosed for his age - is helpful too. If he has fever, an inflamed palate, and a white coating on his tonsils, have his pediatrician exclude strep throat (bacterial infection) by a throat swab culture. It is important that antibiotics be used for strep as untreated in some patients it can progress to systemic illness affecting the heart.

Most of the time sore throat is caused by a common cold virus which resolves on its own. Both the viral and bacterial sore throat will make the child feel "bad". Allergies with post nasal drip can irritate the throat, but the child does not feel ill.

Good luck and hope this was helpful.
Dr Mary L Anderson

The use of the diaper did not not cause the UTI. You might be concerned that the school is not changing the diaper as frequently as you, but a 3 year old typically would stay dry longer than a 2 hour interval.
Has she a problem with frequent constipation? Stool retained in the rectal vault for prolonged periods of several days will block complete bladder emptying, and the resultant stagnant pool of urine can overgrown fecal bacteria if contamination has occurred.
A single UTI is not problematic, but recurrent UTI in young patients does warrant a work up to rule out an atomic anomalies that could be causative.

As a general rule a child of 3 years should be off formula by twelve months of age. The nutritional demands at that point can no longer be met by liquid formulas alone. The need for omega 3’s in quality fats (avocado etc) are then essential for the rapidly growing brain, quality protein in eggs, fish, and meats, & beans are necessary for muscle and body growth, and good carbohydrates (No High fructose corn syrup) for energy can be found in fruits, vegetables, and grains.
A nutritional smoothie would be a terrific calorie boost which your child would more than likely consider to be a treat. Were you to “Google” Dr Bill Sear’s Family nutrition information, he has a number of wonderful smoothie recipes that could be added once or twice a day to boost nutritional intake. This could be used from now through all school years as a good habit for better eating.
Remember to introduce new foods up to as many as 14 times if initial resistance is met. What is not liked at first becomes accepted - 98% of the time - after diligence and sometimes different ways of preparation are utilized.
Most toddlers like to “graze” on nutritious snacks that are left out on coffee tables, and seen in passing.
Hope this has been informative and helpful to you.

A sound that is perceived to be a wheeze - especially a consistent one whether awake or sleeping should be heard via stethoscope by the pediatrician. There is a benign tracheal abnormality that causes a stridor that is outgrown which is identifiable on exam. Infections certainly can cause wheeze and of course that possibility mandates a visit to your pediatrician.
Hope this helps.

Dear mom,

Fear not. Your 10 month old was indeed a speed demon, but the 14 month old by statistics and developmental standards is not late... if infact he has been able since @ 12 months to stand at the edge of the couch and by now support his weight standing solo for a little bit. The developmental specialists chart that by the end of the 15th month, 97% of infants are taking some solo steps.

The more important thing is to be reassured that other milestones have been met for age, and good progress in other areas are on track. Your 15 month and 18 month regular check-ups would be a good time to review the developmental chart with your pediatrician.

Hi new mom,
The most accurate answer comes with a few return questions of necessity to be most accurately responsive:
1) What has been your child's weight gain since birth at 3 kgs? A normal/average gain for this interval would be reassuring to you, and would put the issue of too much sleep to rest.
2) How many voids/day is your infant having? The average # would reflect adequate liquid intake.
3) Describe the character and # of stools per day. Again the range of normal would be reassuring as this reflects adequate breast milk or formula intake.
4) Do you breast or bottle feed? A well fed infant with either source tends to sleep comfortably for long intervals. Long restful sleep is the time of maximal growth, and reflects easy comfortable digestion of intake as well.
An infant that feeds well and lustily over a short interval, is sated, tends to fall asleep readily, and gives mom the gift vacuuming and dish washing time.

I look forward to responding again after reading your responses to the inquiry of 4 questions.

Dr Mary