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Janine
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Eileen
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Curt Hinson
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Marilyn Augustyn
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THE QUESTION :

Our families live on the other side of the country, and we'd really like to fly home for Christmas. My baby is due in October. Will it be too soon to fly with a newborn? Are there any health or safety issues we should be thinking about?
 

THE ANSWER:

It's perfectly fine to take your new baby home for the holidays. The danger isn't in the airplane itself, but the potential contact with sick individuals. If possible, wait until she is 6-to 8-weeks old and has received her first set of vaccinations--to protect against whooping cough, pneumococcal and Hib meningitis and rotavirus (a vomiting and diarrhea illness).

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Tanya Remer Altmann
THE QUESTION :

My two-year-old has always been a good sleeper, usually going down at 7:30 p.m. and sleeping until 7 a.m. Recently, he's been waking up every two hours screaming. He doesn't have a fever or any signs of a cold or flu, but he is drooling up a storm and seems like he's in pain. When I ask him where it hurts, he always points to his mouth. Would something as simple as a new tooth cause this much stress? He seems so upset. He's not complaining during the day, so I'm baffled.
 

THE ANSWER:

Since you have a history of a consistent bedtime routine and your toddler previously slept well, it does sound like something is causing him discomfort and disrupting his night. He's at the right age for teething and some toddlers do experience quite a bit of pain as teeth poke their way through sensitive gums...ouch!

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Tanya Remer Altmann
THE QUESTION :

My son is almost 14-months old. I switched him to Vitamin D milk when he turned 1, and for the first few weeks, I mixed the milk with his formula. Now that he's on milk alone, he doesn't seem to have regular bowel movements. He's always constipated, and I have to give him a laxative mixed in with his milk or juice. I give him juice daily but that doesn't seem to improve anything. He's pretty active, although he doesn't walk yet. Is there anything else we can do? I don't like giving him laxatives every day.
 

THE ANSWER:

Constipation is common in toddlers and can usually be corrected with some simple, healthy dietary changes. So before you take him off milk, take a look at everything your son eats and drinks.

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Tanya Remer Altmann
THE QUESTION :

I have a 10-month-old, and she wakes up at 6:30 every morning, extremely active and ready to crawl around and play. I have a very hard time going to bed at the same time she does, and I don't get much sleep. When she wakes up early, I feel automatically angry and impatient. I've tried to put her in her playpen so I can lie back down, but she'll scream for me until I take her out of it. I feel like I'm not being fair to her, but I also feel like I'm having the life sucked out of me at the same time. Please help.
 

THE ANSWER:

I'm sorry you have an early riser, and I know it's exhausting, but 6:30 is when some children wake up. While you can try black-out curtains, an earlier or later bedtime, and even ignoring the crying, it may not make much difference. She's had a full night of sleep and now it is morning and that means playtime! As my son says, "The world is bright. Get up!"

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Tanya Remer Altmann
THE QUESTION :

My daughter is 2, and we are traveling to Mexico in a couple of weeks. I have never flown with her before, and I am very nervous about it. Is there anything that I should do to prepare before we leave?
 

THE ANSWER:

Depending on where you live, you might be able to visit a children's museum with a mock plane so your child can see what the process is like. At a minimum, you might try a trial run to the airport so she can see the hustle and bustle of the security process, the crowds, the lines etc.

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Marilyn Augustyn
THE QUESTION :

My 6-year-old son has been sleepwalking, and it scares me. Will he grow out of this? Also, does it mean that he's stressed or upset? He has no recollection of it the next morning. What can I do to help him?
 

THE ANSWER:

Sleepwalking is common, especially in kids ages 4 to 8. We don't know what causes sleepwalking, but it does tend to run in families.

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Tanya Remer Altmann
THE QUESTION :

My 16-month-old son just started attending a big daycare center. I expected him to get sick from the other kids, but he came home on his first day with a stuffy nose that has transformed into diarrhea and vomiting. How can I protect him from getting sick like this all the time?
 

THE ANSWER:

Healthy children can catch around 10 infections a year--almost one a month! This is especially true when they are in daycare. During the summer months kids are mostly well, but during the winter, they may get sick every other week. Why? Because children constantly touch things and viruses can live on toys and surfaces for hours.

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Tanya Remer Altmann
THE QUESTION :

My 4-year-old recently stopped wanting to participate in karate after loving it for more than two months. He says he's afraid, although he can't say what he is afraid of. Just one day before this began, I lost him for moments in a store and he was obviously upset. What can I do to help him?
 

THE ANSWER:

Fear is an intrinsic human emotion -- a vestige of our days as cave people when fear was critical to survival. In many cases, that is still true today: fear protects us from many risks. That said, it's important to differentiate a fear from a phobia.

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Marilyn Augustyn
THE QUESTION :

My 11-year-old really wants to start shaving. She's Hispanic, Italian and Portuguese, and she does have dark hair on her upper lip, and very hairy legs and eyebrows. She has not started her period yet. What is the best way to handle this?
 

THE ANSWER:

There is no "right" answer to this question -- only the one that fits your family's needs and beliefs. Many girls will start to experience darkening and coarsening of their hair sometime between the ages of 10 and 13, with lots of cultural variation. In the melting pot that we've become in the U.S., this is now even harder to predict.

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Marilyn Augustyn
THE QUESTION :

I have an 11-year-old son with severe ADHD. He struggles in school and with almost everything. We also have a 9-year-old son who excels in almost everything he does. He gets good grades and has a ton of friends. Our 11-year-old sees this and thinks that there is something wrong with him. How do we give the special attention that our ADHD child needs without making our 9-year-old feel like his issues aren't important to us? Likewise, how do we boost our 11-year-old's self esteem without making him feel like his brother is better than him?
 

THE ANSWER:

Every child is unique and different in his or her own way. It can be challenging for a family when there are two extremes in the house. It's important to help your older son feel special in his own way and boost his confidence in things he does well. Perhaps he runs fast. Maybe he's a real comedian. Praise character and other accomplishments instead of grades. Create a task or a situation in which you know he will excel and then congratulate him.

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Tanya Remer Altmann
THE QUESTION :

My 15-month-old son is co-sleeping with my husband and I. We've tried everything to get him into his own bed. He will cry and scream for hours and then vomit in his crib. It kills me. My husband doesn't mind him sleeping with us, but I am not getting any rest. (My husband sleeps through anything.) We pulled down the side rail of his crib, thinking that he might be afraid of being locked in, but he won't nap or sleep in it. Help!

THE ANSWER:

No matter how you choose to address the co-sleeping issue, it's critical that you and your husband are in agreement. Talk out any options first and make a decision to support each other. This won't be easy, but after a week or two of difficult nights, most children make the adjustment smoothly.

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Marilyn Augustyn
THE QUESTION :

My daughter is 9 and has breast buds that occasionally cause some discomfort. I've talked to her about her changing body, but some say I should let her have a few moments alone with our pediatrician to ask her own questions. Is this appropriate at her age?
 

THE ANSWER:

Not only is it appropriate, it's a good routine to start. However, she might not have much to say at age 9, which is fine.

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Tanya Remer Altmann
THE QUESTION :

My daughter's body is changing. She has never had a weight problem, but since her 11th birthday she has started to get chubbier. I can tell that she's self-conscious about her rounder physique, and I think she's purposely watching her diet, as I see her declining seconds and treats. How can I broach the subject with her and encourage her to eat well?
 

THE ANSWER:

You might not need to broach the subject at all. She is already declining desserts and seconds so you don't need to tell her to stop eating but you will need to protect her from misinformation. Most girls her age learn what they know about food from advertisers. They incorrectly believe foods carrying nutrition claims such as "low fat", "sugar-free" or "lite" are always better choices than regular foods, and your daughter may eat these highly-advertised foods thinking they do not count. I find snack foods and drinks marketed to kids her age can be a tremendous source of unnecessary calories.

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Eileen Behan
THE QUESTION :

Should I slow my child's vaccine schedule a bit? I would never risk not vaccinating at all, but the links to autism scare me. My doctor insists there is no longer thimerisol in any of the shots, but I can't help but worry.
 

THE ANSWER:

First, let me reassure you that medical research has never shown any link between vaccines and autism. There is also no evidence that delaying vaccines has any potential benefit over giving vaccines according to the recommended schedule -- the CDC schedule that scientists spent years developing and studying. We do know, however, that delaying vaccines may put your infant at risk for catching infections that cause serious disease and death. In the last 10 years, I have seen two forms of childhood meningitis (a serious infection around the brain and spinal cord) virtually disappear, thanks to vaccines. And, we have seen how quickly diseases can make a comeback when small groups decide not to protect their children -- Measles and Hib meningitis outbreaks occurred recently in our country, causing illness and death in young children.

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Tanya Remer Altmann
THE QUESTION :

I know it's not a good idea to put my baby in a used car seat or crib. But now I'm concerned about the lead levels in hand-me-down toys. What should I do with the great stuff I've received?
 

THE ANSWER:

Say thank you, and then decide if you should keep or toss the items. Lead may be found in paint on toys as well as in flexible plastics.

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Tanya Remer Altmann
THE QUESTION :

I'm the mom of 10-month-old twins and I am thoroughly confused about the chemicals in plastic toys and bottles. How can I figure out what's safe and what's not?
 

THE ANSWER:

Your 10-month-olds are still at an age where they enjoy putting things in their mouths. It's part of being an infant and hard to prevent. So, how do you know which items are safe to suck and which aren't? That's the million-dollar question that scientists and environmentalists are trying to figure out.

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Tanya Remer Altmann
THE QUESTION :

Is it too late for my 10-year-old to get a flu shot? My youngest, who is two-years-old, has gotten one. I thought my older son would be fine without it. But I worry about new strains. What to do?
 

THE ANSWER:

It's a bit late to get a flu vaccine this year, but I am still seeing a few cases every day in my practice. Yearly flu vaccines are recommended for everyone 6 months of age and older, which includes your 10-year-old and you as well. For next flu season, the most ideal time to get the flu vaccine and protect your family from catching the flu is in the fall or early winter--before the flu hits.

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Tanya Remer Altmann
THE QUESTION :

My 3-year-old almost always has a runny nose. This season is no different, but she also has a stubborn cough. She doesn't have a temperature and the symptoms don't really stop her from playing or going to school. My doctor says it's "just a virus." Should I be worried?
 
THE ANSWER:

Lots of children spend a good portion of their toddler and preschool years with mucus running out of their noses. And many kids' coughs are less serious than they sound. While it's of little relief for parents to hear, both result from common colds and usually will go away by themselves.


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Tanya Remer Altmann
THE QUESTION :

How can I help my 8-year-old son with his sore tummy? A sensitive stomach does run in the family. I was a worrier as a kid and I remember lots of tummy aches. I've tried talking to my son about how he's feeling, but he says he's not worried. Our general practitioner says sore stomachs are very common in children. Anything I can do?
 
THE ANSWER:

Stomachaches are very common at this age. But keeping a diary can often help you discover what is causing or contributing to your child's belly soreness. Write down everything he eats and drinks; when he goes to the bathroom; when he has the pain; and what is going on at the time of the pain.


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Tanya Remer Altmann
THE QUESTION :

My 1-year-old son keeps throwing up every time he drinks whole milk, even lactose-free whole milk, cheese and yogurt. He gets a red rash whenever he eats dairy. I'm confused because he has always been breast fed, so I'm not sure what the problem is with whole milk. Please help.
 
THE ANSWER:

It sounds like your son may have an allergy to milk and dairy products, something that can develop at any age. Some children who are truly allergic to milk are not affected by mom's breast milk. Signs of a milk allergy are the appearance of a rash, wheezing or trouble breathing, vomiting or diarrhea after ingesting milk or milk-based products.


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Tanya Remer Altmann
THE QUESTION :

When do you recommend starting a child on a multivitamin?
 
THE ANSWER:

I actually don’t routinely recommend supplements unless your child has a specific need. Maybe he’s a vegan or has an iron deficiency. Or, of course, your pediatrician recommends one.

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Eileen Behan
THE QUESTION :

Is it ever too late to start giving my child fluoride supplements? My son is 2, and I’m worried it’s too late and the damage has been done to his teeth.
 
THE ANSWER:

It’s not too late if your child is truly not getting enough fluoride. But you don’t want to go overboard, either.

If your child gets too little fluoride, he won’t get the strengthening of the enamel that can protect against cavities. But if he gets too much, you can do cosmetic damage to the teeth (called fluorosis), so you’ll want to be sure he gets the right amount.

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Eileen Behan
THE QUESTION :

Can you recommend some good non-dairy sources of calcium for my lactose-intolerant teenage daughter?
 
THE ANSWER:

You could use lactose-free milk (such as the brand Lactaid), or your teen could supplement her diet with pills that aid in the digestion of lactose. But this is also where calcium-fortified foods come in really handy.

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Eileen Behan
THE QUESTION :

My 3-year-old is always getting ear infections, but his doctor doesn’t always prescribe antibiotics. How can I stop the pain?
 
THE ANSWER:

Many ear infections will improve on their own without antibiotics. Antibiotics are used to treat bacterial infections, not viral infections. You can’t always tell if the infection is viral or bacterial without sticking a needle in and taking fluid out. We don’t do this very often anymore, but years ago, it was done and that's how we discovered that most infections children get are viral. 

 

Many parents today do understand that using antibiotics when they’re not needed can cause further problems. Some parents tell me that they don't want an antibiotic it's absolutely necessary, while others request on for every little cough and cold. Have an open conversation with your pediatrician about your child's illness and whether or not treatment is indicated. 

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Tanya Remer Altmann
THE QUESTION :

My 8-year-old is demanding a cell phone. Despite my thinking that she’s too young for a social life, I’ve heard that too much cell phone exposure can lead to brain cancer. Is this true?
 
THE ANSWER:

There is some recent research that may connect cell phone use during the younger years with increased risk of brain cancer later on. We don’t have all the answers, but based on what we know, limiting your child’s exposure is important.

 

But the real question is: Why does an 8-year-old need a cell phone? It opens a lot of doors to potentially dangerous things. When I was growing up, there was a phone in the middle of the house, and if I was talking to a friend, I knew that my parents could hear even though I tried to talk really quietly.  Once you give your child a cell phone, he or she can text anyone or talk anytime when you're not around.  You have no way to control it who she communicates with, or who communicates with her. A child in second gradestill needs a parent to be involved in their life, place limits and keep them safe. An adult should drop him off at school and pick him up. I can’t really think of a situation where a child at this age would need a cell phone.

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Tanya Remer Altmann
THE QUESTION :

My 18-month-old is still drinking plenty of baby formula fortified with DHA. Is this okay?
 
THE ANSWER:

It’s an expensive way to get nutrition. You can get DHA from other sources. DHA is a fatty acid that is found in breast milk (and marine animals), and it’s linked with brain development and disease prevention. It has been added to formula in the past few years for the purpose of replicating breast milk.

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Eileen Behan
THE QUESTION :

No matter how hard I try, my daughter will eat only pureed baby carrots. The problem is she's 4 years old. And sneaking vegetables in doesn't work. I didn't like vegetables as a kid, but now I love them. Can't I just wait until she's older and avoid food struggles?
 
THE ANSWER:

Absolutely. If you like veggies, chances are your kid will like them. Just offer good food, and eat it yourself. That’s all you need to do. I wouldn’t worry about it. If your pediatrician says your child is growing well, you’re okay.


Kids do need some texture in their foods, though, so I would offer foods like apple slices. By the age of 4, your child should experience the texture of cooked vegetables like broccoli. If your child is healthy and sees Mom and Dad eating it, chances are she’ll eat it, too. You do need to offer new foods as many as 10 or 15 times, though, but most parents stop at three.

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Eileen Behan
THE QUESTION :

I’ve been breastfeeding my baby -- she’s almost 4 months old now -- and I want to start her on solids. However, eczema runs in my family and I’ve heard that food allergies can cause it. Is there any way I can feed her so she won’t get eczema?
 
THE ANSWER:

By breastfeeding, you’re already doing the very best thing you can do to prevent allergies. There’s evidence that breastfeeding for at least four months may prevent or delay eczema.

 

We used to think that holding off on feeding a baby certain foods would delay the onset of food allergies. Earlier this year, however, the American Academy of Pediatrics, after evaluation of all the research, released a statement that basically says that doing so may not decrease the chance of a child becoming allergic later on. 

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Tanya Remer Altmann
THE QUESTION :

I’ve been told by my pediatrician that my 8-year-old son is overweight, yet he seems active and happy. Should I really be concerned?
 
THE ANSWER:

Yes. Your pediatrician won’t bring it up unless it’s really an issue. So listen carefully. He or she looks at the height and weight chart to get your child’s BMI (body mass index), a measure of fatness. Your pediatrician is looking for a change. For example, if your child is in the 80th percentile for BMI, and suddenly there’s a blip and he’s in the 90th or 95th, something has happened. What’s going on? This is especially important if there are any health issues in the family, such as a history of heart disease.

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Eileen Behan

 
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