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	<title>Kids MD, Dr. Taaha Shakir</title>
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	<link>https://kidsmdclinic.com</link>
	<description>Personalized Pediatric Care</description>
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		<title>Summer Checklist</title>
		<link>https://kidsmdclinic.com/summer-checklist/</link>
		
		<dc:creator><![CDATA[Dr. Taaha Shakir]]></dc:creator>
		<pubDate>Sun, 29 Nov 2020 17:14:53 +0000</pubDate>
				<category><![CDATA[Kids MD]]></category>
		<guid isPermaLink="false">http://kidsmdclinic.com/?p=3208</guid>

					<description><![CDATA[What child doesn’t want to spend all day running around outside after winter is over?? I know lots of your children would prefer to use a tablet or some other gaming system, but if you CAN get them out, here are the basics to keep them healthy: Sun protection. The UV exposure from the sun&#8230;]]></description>
										<content:encoded><![CDATA[<p id="viewer-9k3vq" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What child doesn’t want to spend all day running around outside after winter is over?? I know lots of your children would prefer to use a tablet or some other gaming system, but if you CAN get them out, here are the basics to keep them healthy:</span></p>
<ol class="public-DraftStyleDefault-ol">
<li id="viewer-25dmr" class="ljrnk _1QOLZ public-DraftStyleDefault-orderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr public-DraftStyleDefault-reset _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">Sun protection. The UV exposure from the sun can cause skin cancer, I am not telling you anything you don’t know. So, please apply appropriate level sun block. Be careful with spray sun block around a child’s face.</p>
</li>
<li id="viewer-9a52i" class="ljrnk _1QOLZ public-DraftStyleDefault-orderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">Make sure they use helmets, knee pads and elbow pads when using bikes, skateboards or hoverboards. Using this equipment will save you a visit to your local emergency room.</p>
</li>
<li id="viewer-j533" class="ljrnk _1QOLZ public-DraftStyleDefault-orderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">Consider how you will monitor your child as they use trampolines and monkey bars. There is no need to wrap your child in bubble wrap, but it’s good to be careful and take precautions.</p>
</li>
<li id="viewer-b0vii" class="ljrnk _1QOLZ public-DraftStyleDefault-orderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">HYDRATION!! WATER! Not too much all at the same time, then, they &#8212; you know… return it.  Remember, those high sugar drinks like juices and sodas are high in sugar and further dehydrate the body. <a class="_2qJYG blog-link-hashtag-color _2xVcV" href="https://www.bittymd.com/blog/the-truth-about-fructose-and-glucose" target="_blank" rel="noopener noreferrer"><u class="sDZYg">Did I mention water is better than high sugar beverages?</u></a></p>
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<li id="viewer-3h24a" class="ljrnk _1QOLZ public-DraftStyleDefault-orderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">Swimming pools. Please make sure that any child that is in the water is appropriately supervised. Drowning and near drowning incidents can happen in a split second. Always make sure that small children who are not strong swimmers, are never more than an arms length away. No wrestling or horse play should be encouraged while in the water. If there is a pool nearby, please make sure it is closed off on all 4 sides. Please also remember that a child can literally drown in a water level of a few inches. Common sense safety is useful here. Most importantly, as I said before, do not let children in water unsupervised and if there is a body of water, it should be closed off on all 4 sides.</p>
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		<title>My tummy hurts</title>
		<link>https://kidsmdclinic.com/my-tummy-hurts/</link>
		
		<dc:creator><![CDATA[Dr. Taaha Shakir]]></dc:creator>
		<pubDate>Sun, 22 Nov 2020 17:13:31 +0000</pubDate>
				<category><![CDATA[Kids MD]]></category>
		<guid isPermaLink="false">http://kidsmdclinic.com/?p=3206</guid>

					<description><![CDATA[Your child can have a “tummy ache” for lots of reasons. What I tell residents or medical students is to think like a doctor and give me a pathology affecting any system that presents with abdominal pain. Since I am not writing this for medical students and residents, I will try my best to give you&#8230;]]></description>
										<content:encoded><![CDATA[<p id="viewer-b3i9t" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">Your child can have a “tummy ache” for lots of reasons. What I tell residents or medical students is to think like a doctor and give me a pathology affecting any system that presents with abdominal pain. Since I am not writing this for medical students and residents, I will try my best to give you the information you need to avoid Dr. Google. And as always, if there is anything more you need, you can reach out to us, but if there is an immediate concern, please do contact your doctor. </span></p>
<div id="viewer-b02ub" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<p id="viewer-4u0pk" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">Some things to think about…. When and for how long does the pain come?  Does it come and go, is it sharp, where is it? What is your child’s diet and water intake like? Does your child hold their poop in school, or when they are playing? Is your child waking at night to pee or having accidents?  </span></p>
<div id="viewer-4qofb" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<p id="viewer-9m9b7" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">A tummy ache could be a lot of things: constipation, new onset diabetes, strep throat…. But don’t try and diagnose your child using the internet! Keep a log of their symptoms, when it happens and what their diet and activities are like when they are having their pain. Is it related to stress? Is it worse on weekends or weekdays? Belly pain is a vague complaint that can be caused by many different culprits… poop, bacteria, stress… keep a log and talk to your doctor. Try and increase water intake, encourage your child to attempt to pass stool, and talk to them to see if anything is causing them stress. Those are some first steps to see what might be causing your child’s tummy ache. If you are concerned that they need immediate attention, then by all means, please take them to a doctor sooner than later!</span></p>
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		<title>Cold Care</title>
		<link>https://kidsmdclinic.com/cold-care/</link>
		
		<dc:creator><![CDATA[Dr. Taaha Shakir]]></dc:creator>
		<pubDate>Sun, 08 Nov 2020 17:12:33 +0000</pubDate>
				<category><![CDATA[Kids MD]]></category>
		<guid isPermaLink="false">http://kidsmdclinic.com/?p=3204</guid>

					<description><![CDATA[I get it. When your child has a cold, and is up all night coughing and congested, you can’t sleep. Unfortunately, there is no magic pill to fix this. Most colds are caused by viruses, and no antibiotic will work. What works well to help your child the best is saline/suction of their nasal passages and&#8230;]]></description>
										<content:encoded><![CDATA[<p id="viewer-4k0o0" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">I get it. When your child has a cold, and is up all night coughing and congested, you can’t sleep. Unfortunately, there is no magic pill to fix this. Most colds are caused by viruses, and no antibiotic will work. What works well to help your child the best is saline/suction of their nasal passages and motrin/Tylenol for fevers. Of course, if the fever lingers for more than 48-72 hours, please have them seen by a doctor to make sure there is no concern for an ear infection, urinary tract infection or something else.  </span></p>
<div id="viewer-fb2sg" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<p id="viewer-chsuj" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">To help with congestion and nasal discharge, spraying saline into their nose and using a bulb suction to help clear the mucous is the best way to go. It’s like a Netty-Pot for kids. Please make sure you clean the syringe and saline spray after use!</span></p>
<div id="viewer-c5423" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<p id="viewer-6sev8" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">As for what I don’t use, there are a few don’ts that I have. Humidifiers, I personally don’t care for them, but if you like them, go ahead. Please do NOT give your child a cough suppressant if they are younger than 5 years of age, and even if they are older, remember, its best for them to clear their mucous, as that is the reason they cough. If your child is younger than 1 year of age, avoid anything with honey.</span></p>
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		<title>The truth about fructose and glucose</title>
		<link>https://kidsmdclinic.com/the-truth-about-fructose-and-glucose/</link>
		
		<dc:creator><![CDATA[Dr. Taaha Shakir]]></dc:creator>
		<pubDate>Sun, 08 Nov 2020 17:11:10 +0000</pubDate>
				<category><![CDATA[Kids MD]]></category>
		<guid isPermaLink="false">http://kidsmdclinic.com/?p=3202</guid>

					<description><![CDATA[While both glucose and fructose are “simple sugars” that provide 4 calories per gram, the body processes them differently. Glucose is metabolized by several organs (including the brain, liver, muscles, and fat tissue) and has a direct effect on blood sugar and insulin levels. Fructose is metabolized primarily by the liver, and though it does&#8230;]]></description>
										<content:encoded><![CDATA[<div class="kcuBq _1PkHV blog-post-page-font _3f8WX uatYj" dir="ltr">
<div class="kaqlz _1FQ9t blog-post-page-font zJfAe">
<p id="viewer-foo" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">While both glucose and fructose are “simple sugars” that provide 4 calories per gram, the <a class="_2qJYG blog-link-hashtag-color _2xVcV" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2682989/" target="_blank" rel="noopener noreferrer"><u class="sDZYg">body processes them differently</u></a>. Glucose is metabolized by several organs (including the brain, liver, muscles, and fat tissue) and has a direct effect on blood sugar and insulin levels. Fructose is metabolized primarily by the liver, and though it does not have a significant effect on blood sugar or insulin levels, it can have a more immediate effect on <a class="_2qJYG blog-link-hashtag-color _2xVcV" href="http://www.berkeleywellness.com/self-care/preventive-care/article/triglycerides-research-roundup" target="_blank" rel="noopener noreferrer"><u class="sDZYg">triglycerides</u></a> (fats in the blood). Both <a class="_2qJYG blog-link-hashtag-color _2xVcV" href="https://www.ncbi.nlm.nih.gov/pubmed/26376619" target="_blank" rel="noopener noreferrer"><u class="sDZYg">human and animal studies</u></a> show that when fructose is consumed in excess it can lead not only to higher triglycerides but also to a fatty liver, decreased insulin sensitivity, and increased levels of uric acid (which causes <a class="_2qJYG blog-link-hashtag-color _2xVcV" href="http://www.berkeleywellness.com/self-care/preventive-care/article/dealing-gout" target="_blank" rel="noopener noreferrer"><u class="sDZYg">gout</u></a>).</span></p>
<div id="viewer-eicn1" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<p id="viewer-tv50" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">The difference in how the body handles the two sugars has led to the belief that HFCS is much worse for you than regular sugar. However, several studies have clearly shown that HFCS and sucrose have indistinguishable metabolic effects and the same <a class="_2qJYG blog-link-hashtag-color _2xVcV" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5133084/pdf/nutrients-08-00697.pdf" target="_blank" rel="noopener noreferrer"><u class="sDZYg">health consequences</u></a>. That is, neither type of sugar is good for you.</span></p>
<div id="viewer-6g0ar" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<p id="viewer-3kb3o" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">The <a class="_2qJYG blog-link-hashtag-color _2xVcV" href="https://health.gov/dietaryguidelines/2015/guidelines/chapter-2/a-closer-look-at-current-intakes-and-recommended-shifts/" target="_blank" rel="noopener noreferrer"><u class="sDZYg">2015–2020 U.S. Dietary Guidelines</u></a> recommend that added sugars from any source, including HFCS, be limited to no more than 10 percent of calories a day. For someone consuming 2,000 calories a day, that&#8217;s no more than 50 grams of added sugar. To put that into perspective, a 12-ounce Coca-Cola contains 39 grams of sugar (as HFCS in most formulations); a 16-ounce Coca-Cola has 52 grams, already above the recommended limit. Many other products, from bread to soup, also have added sugars, often as HFCS.</span></p>
<div id="viewer-fbpgi" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<p id="viewer-cpbh1" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">The best advice is to avoid sweetened sodas, which provide nothing more than empty calories (meaning the calories are not accompanied by any nutrients), and limit foods with any type of added sugars, which go by many names, including high-fructose corn syrup, sucrose, honey, turbinado sugar, dextrose, <a class="_2qJYG blog-link-hashtag-color _2xVcV" href="http://www.berkeleywellness.com/healthy-eating/nutrition/article/truth-about-evaporated-cane-juice" target="_blank" rel="noopener noreferrer"><u class="sDZYg">evaporated cane juice</u></a>, and concentrated fruit juice. Total added sugars will be listed on the new Nutrition Facts label, which was supposed to go into effect for most foods by July 2018, but may now be delayed for several years under the Trump administration. In the meantime, check the ingredients list for them.</span></p>
<div id="viewer-8hj2u" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<p id="viewer-culdr" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What about fruit? Don’t worry about the <a class="_2qJYG blog-link-hashtag-color _2xVcV" href="http://www.berkeleywellness.com/healthy-eating/food/article/dont-be-afraid-fruit" target="_blank" rel="noopener noreferrer"><u class="sDZYg">fructose in fruit</u></a>, since it’s accompanied by healthful nutrients and antioxidants, as well as fiber, which slows absorption of fructose. Plus, you would have to eat several servings of fruit to get as much fructose as in a can of soda. But limit fruit juices to no more than a cup a day; some contain nearly as much fructose as soda.</span></p>
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		<title>Hydration</title>
		<link>https://kidsmdclinic.com/hydration/</link>
		
		<dc:creator><![CDATA[Dr. Taaha Shakir]]></dc:creator>
		<pubDate>Sun, 01 Nov 2020 17:08:42 +0000</pubDate>
				<category><![CDATA[Kids MD]]></category>
		<guid isPermaLink="false">http://kidsmdclinic.com/?p=3200</guid>

					<description><![CDATA[So, this is a BIG topic! Parents are always thinking about what their kids are drinking, and if it’s good for them. Hydration is important, and questions about it vary depending upon the circumstance.   What should a child drink when they are doing their everyday activity? Every day activity is easy! We are mostly&#8230;]]></description>
										<content:encoded><![CDATA[<p id="viewer-foo" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">So, this is a BIG topic! Parents are always thinking about what their kids are drinking, and if it’s good for them. Hydration is important, and questions about it vary depending upon the circumstance.</span></p>
<div id="viewer-8fl8j" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<h3 id="viewer-flidr" class="_3tkn1 _208Ie blog-post-title-font _1eFQ0 _3a6SV _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What should a child drink when they are doing their everyday activity?</span></h3>
<p id="viewer-5885d" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">Every day activity is easy! We are mostly made up of water, children even more so. If your child has headaches, stomachaches, constipation, dry skin, even difficulty focusing—all of these issues could be related to your child needing to drink more water. One good way to assess their water intake is their urine color. The darker it is, the more water they need to drink. </span></p>
<p id="viewer-6de" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What about if your child doesn’t like to drink water? Some people say their child doesn’t like the taste… I always get a kick out of that. First, it’s good to explain that everything does NOT need to be sweet. Maybe make a pitcher of water and add berries, oranges, or some fruit. That can add some flavor. Some other flavored substitutes can be added as well, if you like. Please do NOT substitute water with juice or sports drinks or soda. Even if something is 100% organic or all natural, it’s still not good for you. Think of juice like candy. It’s more of a treat. Servings of juice can have as much sugar as soda, if not more. Think of it this way: just because something is all natural, doesn’t make it good. If I gave you 100% all-natural pure heroin, is that good for you? </span></p>
<div id="viewer-fpj97" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<h3 id="viewer-46red" class="_3tkn1 _208Ie blog-post-title-font _1eFQ0 _3a6SV _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What should they drink when they are playing sports?</span></h3>
<p id="viewer-2s6vh" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What do professional athletes drink &#8212; juice, soda? Is your child a professional athlete?   Water is good enough here, as well. G2 Gatorade has less sugar than G, and Powerade is comparable, but has more sugar. Sports drinks need 4-8% sugar, Gatorade lives around 6%, whereas Powerade lives around 8%. Gatorade is more electrolyte balanced as well, but these differences between Gatorade and Powerade are small. I prefer Gatorade over Powerade because it doesn’t have high fructose corn syrup (<a class="_2qJYG blog-link-hashtag-color _2xVcV" href="https://www.bittymd.com/blog/the-truth-about-fructose-and-glucose" target="_blank" rel="noopener noreferrer"><u class="sDZYg">HFCS</u></a>), but too much sucrose is bad as well. So, in conclusion, for even moderate exercise, water is best. And if you have a teenager or older child who is trying to watch their calories, running a mile then drinking a Gatorade… you just gained weight. You were better off not running and not drinking anything. Did I say water is best, I don’t remember. One other option &#8212; Coconut water is a good option as well, as it has the appropriate electrolyte balance and the right amount of sugar.</span></p>
<div id="viewer-fidol" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<h3 id="viewer-3j2r6" class="_3tkn1 _208Ie blog-post-title-font _1eFQ0 _3a6SV _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What should they drink in the summer?</span></h3>
<p id="viewer-6v42n" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">In the summer, just more water.  Some sports drinks to help them drink water, but really it’s the same as any other time of year.</span></p>
<div id="viewer-222lr" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<h3 id="viewer-dihn5" class="_3tkn1 _208Ie blog-post-title-font _1eFQ0 _3a6SV _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What should they drink when they are ill?</span></h3>
<p id="viewer-cbmqp" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What about when they are sick…. That’s a great question! What about Pedialyte? Well, it’s good for you, but it tastes like… well, not good. If your child drinks it, great. If you can freeze it and make ice pops that they will consume, great. If not, half sports drink and half water, or half juice and water is fine. If they are vomiting, that’s ok, that happens sometimes. If you can give them 5ml (one teaspoon) every 10 to 15 min great, but if they still vomit, cut the volume in half. Keep decreasing what you are giving them until you find the magic amount they can tolerate. Keep giving that until it’s tolerated, then increase as tolerated. Re-introduce food when and how it is tolerated. If they have diarrhea, same thing—most importantly keep them hydrated.</span></p>
<div id="viewer-694u0" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<h3 id="viewer-7kal0" class="_3tkn1 _208Ie blog-post-title-font _1eFQ0 _3a6SV _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">How do you know if they are dehydrated?</span></h3>
<p class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">Another good question! Do you see tears when they cry? Did they pee within the last 8-10 hours? Is their heart racing? Are they easily arousable? If you are concerned about any of</span></p>
<p id="viewer-emu20" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">these factors, take them to see a doctor, preferably a pediatrician.</span></p>
<div id="viewer-4vp6e" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<div id="viewer-6514l" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
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<p><span class="_1cwDk image-caption" dir="auto">A brief table providing the appropriate amount of fluids needed for consumption</span></p>
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		<title>Fever</title>
		<link>https://kidsmdclinic.com/fever/</link>
		
		<dc:creator><![CDATA[Dr. Taaha Shakir]]></dc:creator>
		<pubDate>Sun, 25 Oct 2020 16:07:12 +0000</pubDate>
				<category><![CDATA[Kids MD]]></category>
		<guid isPermaLink="false">http://kidsmdclinic.com/?p=3198</guid>

					<description><![CDATA[Are they bad? They are a sign your body is fighting an infection… which is a good thing! Think of it as a house alarm. If someone is breaking in and it does NOT go off, I got bigger problems! Remember, there are no absolute answers in medicine. If your child is less than 2&#8230;]]></description>
										<content:encoded><![CDATA[<div class="kcuBq _1PkHV blog-post-page-font _3f8WX uatYj" dir="ltr">
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<h2 id="viewer-foo" class="_3f-vr _208Ie blog-post-title-font z6qNR BOfyy _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">Are they bad?</span></h2>
<p id="viewer-c147v" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">They are a sign your body is fighting an infection… which is a good thing! Think of it as a house alarm. If someone is breaking in and it does NOT go off, I got bigger problems!</span></p>
<p id="viewer-crggc" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">Remember, there are no absolute answers in medicine. If your child is less than 2 months of age, please seek medical care immediately. If they are 3 to 6 months please seek medical attention as well, to ensure that your child does not have a serious underlying infection, but if your child does not appear to be in distress, you can wait to have them seen by a doctor within 12-24 hours. However, if your child has a temperature above 106<strong>°</strong> Fahrenheit, then brain damage is a possibility depending upon what is the underlying problem causing the fever.</span></p>
<div id="viewer-fp4i" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<h2 id="viewer-59f9c" class="_3f-vr _208Ie blog-post-title-font z6qNR BOfyy _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What are signs that I should be worried about?</span></h2>
<p id="viewer-e1hbp" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">It’s NOT about the number on the thermometer, it’s about how your kid looks to YOU. If they have a “cold”, make sure they are drinking and peeing and are able to breathe, and just give them supportive care (appropriate fluids, fever medicine).</span></p>
<div id="viewer-28alv" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<h2 id="viewer-esbv3" class="_3f-vr _208Ie blog-post-title-font z6qNR BOfyy _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">But, ask yourselves these questions when wondering if you need medical care:</span></h2>
<p id="viewer-cb6v4" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">Do you think your child looks ill? Are you concerned? Are you worried about the way they are breathing? Are they not speaking normally? Does it hurt when they use the bathroom? Do they cry when they try and walk? Do they have a new rash? Simple problems or big problems can present similarly at times. The source could all be viral, but if your child has trouble breathing, then it’s important to assess their respiratory status. If they aren’t eating and drinking much and their urine output is MUCH lower than normal, they may be dehydrated. If you are concerned, and if your child is not appropriately alert, don’t hesitate to seek medical care. Bring them in to someone who is board-certified in pediatrics!</span></p>
<div id="viewer-t0ns" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr"> </span></div>
<h2 id="viewer-48ocg" class="_3f-vr _208Ie blog-post-title-font z6qNR BOfyy _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What about febrile Seizures? </span></h2>
<p id="viewer-2fiqq" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">GREAT QUESTION! So, lets answer this with some quick short answers to give you the basic facts you need, and a little extra to help save you some time using Dr. Google.</span></p>
<ul class="public-DraftStyleDefault-ul">
<li id="viewer-34h9v" class="ljrnk _1QOLZ _2eQSj _1BJwx public-DraftStyleDefault-unorderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr public-DraftStyleDefault-reset _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">Febrile seizures can be classified as simple or complex.</p>
</li>
<li id="viewer-6fc54" class="ljrnk _1QOLZ _2eQSj _1BJwx public-DraftStyleDefault-unorderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">Febrile seizures are common and are seen in about 5% of the population.</p>
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<li id="viewer-9fjto" class="ljrnk _1QOLZ _2eQSj _1BJwx public-DraftStyleDefault-unorderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">They are usually caused by viral infections, and have no lasting effects AND there is no higher risk of epilepsy.</p>
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<p id="viewer-575sv" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">YES! They can happen again, especially if:</span></p>
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<li id="viewer-41g28" class="ljrnk _1QOLZ _2eQSj _1BJwx public-DraftStyleDefault-unorderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr public-DraftStyleDefault-reset _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">There is a family history.</p>
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<li id="viewer-5mm0u" class="ljrnk _1QOLZ _2eQSj _1BJwx public-DraftStyleDefault-unorderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">Your child was younger than 18 months when the first one occurred.</p>
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<li id="viewer-emfmt" class="ljrnk _1QOLZ _2eQSj _1BJwx public-DraftStyleDefault-unorderedListItem public-DraftStyleDefault-depth0 public-DraftStyleDefault-list-ltr _2QAo- _25MYV _1Fao9 ljrnk">
<p class="_208Ie _2QAo- _25MYV _1Fao9 ljrnk">The fever start and seizure onset were close in proximity.</p>
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</ul>
<h2 id="viewer-6qdf" class="_3f-vr _208Ie blog-post-title-font z6qNR BOfyy _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">What can I do to manage a fever at home, and do I always have to give some type of medicine or antibiotic?</span></h2>
<p id="viewer-2jb5k" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">Another great question! You can treat fevers with Tylenol or Motrin (as long as the child is over 6 months), but NEVER Aspirin! <a class="_2qJYG blog-link-hashtag-color _2xVcV" href="https://www.mayoclinic.org/diseases-conditions/reyes-syndrome/symptoms-causes/syc-20377255" target="_blank" rel="noopener noreferrer"><u class="sDZYg">Reye&#8217;s Syndrome</u></a> can be a complication from aspirin given to children.</span></p>
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		<title>Discharge Instructions</title>
		<link>https://kidsmdclinic.com/discharge-instructions/</link>
		
		<dc:creator><![CDATA[Dr. Taaha Shakir]]></dc:creator>
		<pubDate>Sun, 11 Oct 2020 14:40:31 +0000</pubDate>
				<category><![CDATA[Kids MD]]></category>
		<guid isPermaLink="false">http://kidsmdclinic.com/?p=3196</guid>

					<description><![CDATA[So, how do you keep your kids at home and out of the emergency room?? What we want to do here is give you pediatric information in ways that are easy to understand. You will find “write ups” of common pediatric questions and problems that I hope will help you avoid unnecessary stress. Also, you&#8230;]]></description>
										<content:encoded><![CDATA[<p id="viewer-foo" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">So, how do you keep your kids at home and out of the emergency room?? What we want to do here is give you pediatric information in ways that are easy to understand. You will find “write ups” of common pediatric questions and problems that I hope will help you avoid unnecessary stress. Also, you will find links here to recent pediatric articles, new or interesting tools or groups that could be useful or informative for any parent.</span></p>
<p id="viewer-4gdga" class="XzvDs _208Ie ljrnk blog-post-text-font blog-post-text-color _2QAo- _25MYV _1Fao9 ljrnk public-DraftStyleDefault-block-depth0 public-DraftStyleDefault-text-ltr"><span class="vkIF2 public-DraftStyleDefault-ltr">The main premise to what I hope you take away from this website is when people talk about doing “research”, they search the web for any and all information. I don’t want to point a finger or disparage anyone. People should feel free to follow anyone they choose. However, they should remember one word: <strong><u class="sDZYg">accountability</u></strong>. Will these “researchers” stand by their studies and their rhetoric when your child is ill? Can they care for your child in a hospital? Do they have a hospital or any inpatient care facility? Or will they put their hands up, say “I am not a doctor, you need to go to the hospital”? As a pediatric hospitalist, I care for sick children in inpatient and critical care settings. I am a board-certified pediatrician who has been faculty and worked at children’s hospitals. I will provide you with evidence based information, and I look forward to reading your constructive feedback on how I can provide you relevant information that helps you better care for your family and relieve some of the anxiety that all parents feel today.</span></p>
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