Food Fight: Is your toddler a picky eater?

Food Fight: Is your toddler a picky eater?

It happens to parents of toddlers all the time: you prepare your child’s favorite meal, and place it lovingly in front of them only to watch them hurl the plate to the floor. They loved this meal yesterday, how could they refuse it today? Simply put: toddlers tend to be picky eaters. For parents, this can generate a lot of anxiety about the well being of their child. I’m sharing the advice I give moms and dads in my practice to help avoid a daily food fight around the kitchen table.

Don’t sweat it.

Toddlers are developing their food preferences. What they like today they may dislike tomorrow and vice versa. For a week straight, they may request (or demand) only one or two of their preferred menu items. That’s normal. And exasperating. Try to be patient, and avoid getting frustrated. Otherwise, mealtime will turn into a power struggle between you and your toddler, and no one wins. Try to include one or two of your toddler’s preferred menu items for each meal, and offer foods to your child more than once. Today may be the day they decide to love something new!

Think big picture.

Ensuring your toddler gets the nutrition they need is one of the biggest concerns when dealing with a picky eater. Consider your child’s food intake throughout the week, not just day to day or meal to meal. They may gobble up a huge breakfast and then nibble here and there for lunch. They may eat great some days and next to nothing on others. Generally, if your child is consistently growing, they are most likely getting enough calories and protein. If they’re easily moving their bowels on a daily basis, there’s enough fiber in their diet. A hungry toddler will consume more at mealtime, so make it easier on yourself by avoiding snacks and lots of liquids prior to a sit-down meal.

Work together in the kitchen.

Including toddlers in the meal planning and preparation may give them more incentive to try something new, and give them an outlet for their desire to control which foods they are eating. Invite your toddler to help you choose healthy items at the grocery store, pick new recipes or ask them to choose the side dishes for your next meal. Toddlers are eager to help, so allowing them to safely assist in the kitchen with stirring, scooping, sifting, counting and adding ingredients can grow their interest in mealtime. You may even want to surprise them with their own apron and chef’s hat!

Don’t give up!

Very few toddlers eat five servings of fruits and vegetables each day. When they exclaim “all done!” at the end of their meal, you’ll often find the serving of veggies exactly as you placed it on their plate – untouched. Again, that’s normal. Continue to offer them healthy choices at each meal, and set an example by making healthy choices yourself. Eventually, they will be open to trying new things, and may even come to enjoy those vegetables!

If you are feeling concerned about your child’s diet, make an appointment with your pediatric provider. They can help navigate this stage of life to ensure your little one is getting the nutrition they need to grow and develop. It’s easy to schedule an appointment with your pediatric provider – simply visit our online appointment tool, scroll to find your pediatric provider, and click to schedule an appointment at a time that works for your family!

It’s easy to schedule an appointment with your pediatric provider – simply visit our online appointment tool, scroll to find your pediatric provider, and click to schedule an appointment at a time that works for your family!

Make An Appointment

On your mark, get set, go! Summer Health and Fitness: Family Style

Family Fitness Fun

Physical fitness is truly a family affair – it’s good for every body! For people of all ages, physical activity is one of the most important parts of a healthy lifestyle. It’s recommended by the U.S. Department of Health and Human Services that adults have at least 150 – 300 minutes of moderate physical activity per week and children at least 60 minutes per day. Working another 30 – 60 minutes into already packed schedules is not easy, so it has to be fun, or let’s face it – we’re not doing it. We put our heads together and came up with some ideas for summer fun that make getting active as a family no sweat.

Make a splash!

Pool, sprinklers, water balloons, slip and slide, a car wash, or just the hose: you really can’t go wrong with any water-based activity. Just don’t forget to keep your sunscreen on-hand, and reapply throughout the day.

Create an obstacle course

Using what you have around your home and yard combined with physical activities (jumping jacks, anyone?), create a fun obstacle course. Time each other to see who can complete the course fastest.

Take a bike ride

Explore your neighborhood or local trails on bicycle. Biking is a great activity for all ages and skill levels. Don’t forget your helmet!

Neighborhood scavenger hunt

Create a list of objects to gather or tasks that can be completed in your yard or neighborhood. Or, try a photo scavenger hunt: rather than collecting treasures, have your scavengers take a photo of the object or activity. The first to return with all their boxes checked wins!

Go to a park

Need a change of scenery to get motivated? Check out your local parks. They offer trails for running, hiking or biking, team sports, swimming, play structures and oftentimes activities for kids – all within your community.

Play a game

When you love what you do, it doesn’t feel like work. The same is true for fitness. If you choose an activity that you and your family enjoy, you won’t event realize you are achieving your fitness goals. Whether its soccer, baseball, kickball, basketball or something you make up – pick your teams and let the games begin!

Dance party!

Create a playlist of family favorite tunes, and turn up the volume!

Plant a garden

Planning and creating a garden creates a reason to go outside every day. Maintaining the garden provides an opportunity for physical activity and as an added bonus creates a sense of responsibility. Plant and cook from a vegetable garden for an extra positive impact on your family’s health.

Join a class

The best way to fit fitness into your schedule, is to literally schedule it. Find a local facility that offers family fitness classes, or sign up individually.

Sign up for a race

Many charities or organizations will host a fun run or race as a fundraiser. Find one that appeals to your family, and sign up! The approaching race date will give you the motivation to train, and most of the time there are shorter route options for different ages and fitness levels, so everyone can join in.

Use a fitness tracker

Weekly Fitness Tracker

Keeping track of your physical activity is a great way to ensure you achieve your goals for daily activity. There are several digital trackers available for purchase or use this fridge-ready template to add up your minutes. As a friendly competition, have the whole family keep track of their time. Accountability goes a long way!

Remember: 15 minutes counts. A quick driveway basketball game or bike ride around the block can make some great strides towards a healthier lifestyle, and make an impact on your child’s lifestyle as they grow.

If you have questions or concerns about physical activity for anyone in your family, make an appointment with your pediatric or primary care provider today. And then get moving!

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Your Baby’s Best Shot: FAQs About Vaccines

Your Baby's Best Shot

 

Parents today have no shortage of information and input on raising a child. It’s easy to get overwhelmed, especially for new parents. We want to ensure our children have all that they need to grow and develop normally, but sorting through the mountains of recommendations can be daunting, to say the least. For parents of newborns, a frequent topic of discussion during well visits centers around vaccines. Which vaccines does your child need and when should they receive them? Let’s breakdown the most frequently asked questions around vaccines for our littlest patients.

There are a lot of vaccines out there, does my child need all of them?

Just because a vaccine exists, doesn’t mean it is recommended for your child. Your doctor will discuss with you the routine vaccination schedule, which is based on current recommendations from the American Council on Immunization Practices. This schedule applies for all children living in the U.S. Additional recommended vaccines based on travel, disease outbreaks, or other unique circumstances, can be discussed with your doctor on an individualized basis.

Watch for these common differentiators between a cough caused by a virus and one caused by asthma.

Why does my baby get so many vaccines before they are two?

Vaccines are given based on a thoughtfully developed schedule to ensure children are protected when they are most vulnerable or likely to be exposed to an illness. Pertussis (whooping cough), for instance, can be life threating to an infant, so three doses of the vaccine are given in the first year of life. For illnesses that may not impact a child until adolescence, the vaccine is delivered at a later time.

Is it safe to give my baby several vaccines at one time?

Safety is of the utmost concern when giving a young child vaccines. That’s where the Centers for Disease Control’s Recommended Vaccine Schedule comes in. Extensive study and analysis have demonstrated conclusively that there is no risk or harm in giving multiple vaccines at once. Specifically, the Recommended Child and Adolescent Immunization Schedule in the U.S. has been carefully examined and has been proven to be safe and effective.

Does my child need vaccines?

Definitely. In addition to protecting our own children from serious, life-threatening illnesses, we all need to be mindful of the risks we pose to others to when we don’t vaccinate. We’re constantly interacting with others in public (for example at school, playgroups, parks) and there are many people that are not able to receive vaccines. These individuals include infants or those with compromised immune systems from chemotherapy or other conditions, are at mich greater risk of severe illness or death when exposed to some of these diseases. When you have your child vaccinated, you are helping to eliminate the risk of a harmful disease resurfacing. This not only protects your child, but also helps to protect others who are vulnerable to the spread of vaccine-preventable diseases.

How do I know which vaccines my child will receive for the first two years of their life and beyond?

Your baby’s provider can discuss the vaccine schedule which is right for your child. Talk with your pediatric provider about which vaccines your child needs, and when he or she should receive them.

  

It’s easy to schedule an appointment with your pediatric provider – simply visit our online appointment tool, scroll to find your pediatric provider, and click to schedule an appointment at a time that works for your family!

 

Make An Appointment

 

Toddler Sleep 101

New Parents and Sleep Deprivation

 

There’s nothing magical about the pitter patter of little feet at two o’clock in the morning. When a toddler isn’t sleeping well, it affects the whole household. Toddlers ages 1 to 3 years require 12 to 15 hours of sleep per day, and that sleep happens both during the day and at night. Oftentimes, a good night’s sleep will setup daytime sleep nicely, so that your child will be able to take their regular nap. So, how do you get a toddler to achieve a good night’s sleep? Start with these 3 steps:

1. Consistency is key for toddlers.

Create a bedtime routine, and follow it. Every. Single. Time. Start your routine at the same time every night and for every nap. Follow the same order of events, for example: bath, brush teeth, books, sip of water, song, lights out. Once this is a regular routine in your home, your child will come to expect each step and know when it’s time for bed.

2. A child’s bedroom should make them feel safe and comfortable.

Your child may benefit from a night light or some other ambient light that allows them to feel more at ease in their bedroom. Some calming music on a timer may also help them transition to sleep. Lastly, make sure the temperature in their bedroom is nice and cool. You don’t want them waking up from feeling hot.

3. Make a plan for the inevitable: at some point your toddler will show up in your bedroom in the middle of the night.

Parenting is hard, and doing it in the middle of the night doesn’t make it easier. Create a plan around how you will approach a toddler asking to come into your bed at night, and stick to it (see point number 1). Start by reassuring your child, and then place them back in their bed. Your middle of the night encounters should be brief and to the point – it is time to sleep. Avoid encouraging them to exit their room by playing with them or fulfilling requests for a glass of milk.

If you’re struggling with your toddler’s sleep schedule, there may be other sleep problems affecting your child. Make an appointment to discuss your concerns with your pediatric provider.

It’s easy to schedule an appointment with your pediatric provider – simply visit our online appointment tool, scroll to find your pediatric provider, and click to schedule an appointment at a time that works for your family!

 

Make An Appointment

 

New Parents and Sleep Deprivation: A to ZZZs

New Parents and Sleep Deprivation

 

Before a mother gives birth, she’s likely to hear the advice “sleep while the baby is sleeping.” Maybe more than once. Sleep deprivation is one of the greatest challenges for new parents. A newborn is on their own schedule for sleeping and eating, and it’s a 24-hour cycle. New parents will find themselves exhausted from getting up with their little bundle every two to three hours throughout the night. A foggy, scattered feeling sets in and memory lapses become a daily nuisance. Did I turn off the coffee pot? Many don’t take the advice to sleep when you can. It’s tempting to try to catch up on housework, answer an email or text or fit in the newest episode of their favorite show. Plus, when exhaustion sets in, it’s hard to believe an hour of sleep will make a noticeable difference.

Myth: An hour nap won’t make a difference.

In reality, frequent naps throughout the day really do add up, just like they do for infants. If parents can adjust their schedule to grab some ZZZs while the baby is getting their required amount of sleep, it can improve the quality of life for everyone in the house.

If you’re struggling with nodding off on demand, try setting the mood for sleep. Darkening shades can help create a dark space for a mid-day snooze. Turn off the TV and face bright devices away from you. And that sound machine in your baby’s room? It may also provide some much-needed distraction from the noises of the day.

This sleep schedule can present new challenges when it’s time to return to work. Most offices don’t feature napping pods. Work with your pediatric provider on sleep training your infant, so you and your little bundle are getting the most rest possible during the night by the time maternity leave comes to an end.

Adjusting to a new baby can be difficult. If you are worried about your newborn’s routine, your pediatric provider can help. 

It’s easy to schedule an appointment with your pediatric provider – simply visit our online appointment tool, scroll to find your pediatric provider, and click to schedule an appointment at a time that works for your family!

 

Make An Appointment

 

Asthma or Cough?

Asthma or Cough?

 

Does my child have a cough or asthma?

A cough is one of the most common symptoms of both asthma and a cold. Understanding when a cough is related to a virus and when it’s asthma will help you get the right treatment for your child quickly.

Watch for these common differentiators between a cough caused by a virus and one caused by asthma.

Timing of the cough.

In asthma patients, a cough is going to be worst in the morning and at night. When a cold is the cause of the cough, symptoms may worsen slightly at night, but your child will cough consistently throughout the day and night.

Type of cough.

Dry and brassy coughs are common with asthma, while a cold will produce a wet, and more productive cough.

Secondary signs of asthma.

A child suffering from asthma may feel a tightness in their chest or shortness of breath. You may even hear some wheezing.

 

Coughs can be tricky to diagnose. If you are worried about your child’s cough, your pediatric provider can help.

It’s easy to schedule an appointment with your pediatric provider at IHA – simply visit our online appointment tool, scroll to find your pediatric provider, and click to schedule an appointment at a time that works for your family!

Make An Appointment

Is it time for your colonoscopy?

Is Tamiflu Right For You?

 

 

KEEPING YOUR COLON HEALTH IN CHECK IS IMPORTANT FOR EVERYONE

Did you know that nearly 100,000 people are diagnosed with Colon Cancer and 40,000 with rectal cancer each year? In other words, one in 24 men and one in 22 women will develop colon or rectal cancer in their lifetimes.  March is Colon Cancer Awareness Month, a time to evaluate the state of your colon health and learn how to monitor colorectal health going forward. Stay in touch with your colon!

COLONOSCOPY 101

Unlike other cancers screening tools, colonoscopy is unique in that it can both diagnose and help prevent colorectal cancer by removing polyps before they progress to cancer.

WHO SHOULD GET A COLONOSCOPY?

Common misconceptions are that you only need a colonoscopy if you have a family history of colorectal cancer or polyps. However, 80-90% new colorectal cancer cases have no family history – this means that the vast majority of new cases will be the first person in their family to be diagnosed.

Others think that if they have no symptoms, they can’t possibly have colorectal cancer. But by the time patients develop symptoms of weight loss, abdominal pain or changes to their bowel habits, the cancer has often already progressed to a very late stage.

This is why screening is so important. We want to find polyps and early cancer that are easily treated.

WHEN SHOULD I GET MY FIRST COLONOSCOPY?

Every adult should undergo their first screening by the age of 50. Some patients should start earlier, depending on other factors. It is best to talk to your doctor about when you should start screening.

Some people delay or avoid screening because they are afraid of the test. A focus of Colon Cancer Awareness Month is to spread the word about colonoscopy – the test is not painful and is very safe.

SCHEDULE YOUR COLONOSCOPY

It’s easy to schedule your colonoscopy with IHA – simply visit our online appointment tool to request your colonoscopy appointment. Our team will verify that you’re eligible for colonoscopy screening with your primary care provider and will confirm your appointment.

Is Tamiflu right for you?

Is Tamiflu Right For You?

 

With this year’s widespread influenza outbreak, you may have heard of Tamiflu, an antiviral medicine used as a treatment option for influenza. While Tamiflu may minimize flu symptoms, it won’t help everyone with the flu. Galen Engel, CNP, a trusted provider at IHA Urgent Care locations advises on common questions about Tamiflu – learn why it may or may not be the right option for you this flu season. 

I visited an IHA Urgent Care location and was tested for the flu – it turns out I have it. Why didn’t the Urgent Care provider prescribe me Tamiflu? I want to feel better, stat. 

Tamiflu isn’t a cure-all treatment for influenza. First, it is only recommended within the first 48 hours of the onset of flu symptoms. Additionally, the Centers for Disease Control and Prevention (CDC) recommends prescribing Tamiflu for “high risk” populations like those with chronic conditions (including asthma and diabetes), immunocompromised individuals, children less than 2 years of age (and some children less than 5 years of age), and pregnant women. Learn more about “high risk” populations. Finally, it is very important to have a conversation with the provider you are seeing at an IHA Urgent Care location to review your medical history and the length of your illness, so the best medical decision can be made for you as an individual. 

My kids / coworkers / classmates have the flu – can I get Tamiflu so that I don’t get sick too? 

Tamiflu as a preventive measure should be considered for populations who are “high risk” (see above) for complications from influenza – Tamiflu and other antiviral drugs may prevent serious complications and can make you feel better, faster. If you are concerned about exposure to the influenza virus, contact your primary care provider for guidance about possible preventive treatment. 

I’ve been sick for days – I heard Tamiflu is the only thing that works! Can I get it? 

Tamiflu is recommended within the first 48 hours of the onset of flu symptoms. Most people with the flu have mild illness and do not need medical care or antiviral drugs. 

I just started experiencing flu-like symptoms a few hours ago – what should I do? 

If you get sick with flu symptoms, in most cases, you should stay home and avoid contact with other people except to get medical care. If, however, you have symptoms of flu and are in a “high risk” group, or are very sick or worried about your illness, contact your primary care provider as soon as possible for guidance about treatment. Most people with the flu have mild illness and do not need medical care or antiviral drugs. 

Please seek medical attention immediately if you have any of the following: difficulty breathing or shortness of breath, purple or blue discoloration of the lips, pain or pressure in the chest or abdomen, sudden dizziness, confusion, severe or persistent vomiting, seizures or flu-like symptoms that improve but then return with fever and worse cough. Learn more about taking care of yourself & others through the flu. 

I’m breastfeeding my baby – will Tamiflu help me keep her safe from the flu? 

Tamiflu is advised to take during pregnancy and breastfeeding if necessary. There is a very low concentration of Tamiflu in breast milk. However, if you have the flu it is important to take precautions to avoid spreading the flu to your infant as babies cannot get a flu shot under 6 months old. Influenza may cause serious illness in postpartum women and prompt evaluation for febrile respiratory illnesses is recommended. Learn more about protecting your baby from the flu. 

 

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The 2017 – 2018 flu season is beginning to wane, but it is always important to protect yourself and others from the spread of the flu. If you haven’t had a flu shot since September 2017, it’s not too late – learn more & schedule your flu shot at IHA. 

 

Information for this blog post was interpreted from the Centers for Disease Control & Prevention’s resources on influenza. 

Cervical Health Awareness

Cervical Health Awareness Image

 

MAINTAINING YOUR CERVICAL HEALTH IS IMPORTANT FOR WOMEN OF ALL AGES

Did you know that nearly 13,000 women are diagnosed with Cervical Cancer each year in the United States alone? January is Cervical Health Awareness Month, a time to take the opportunity to learn how to monitor your own cervical health for early detection of cervical cancer and human papillomavirus (HPV) related issues. It is important to stay up-to-date with cervical cancer screening recommended by your OB-GYN provider based on your age. Stay in touch with your body – here are common recommendations for women of all ages:

AGES 9-26

It’s time to get your Gardasil Immunization to prevent infection and transmission of the most common strains of HPV (Human Papilloma Virus, the most common cause of cervical dysplasias and cervical cancers). No cervical screening is recommended for young women before age 21.

AGES 21-29

When you turn 21, it’s time to start with regular cervical cytology – commonly known as the Pap test or Pap smear – every three years. If your results are ASCUS (borderline between normal and abnormal), your doctor may recommend HPV triage, which is done using the same cells taken at your screening and will look for any high-risk HPV infections. This approach may be taken between ages 21 and 24 and it is preferable between ages 25 and 29.

AGES 30-65

At age 30 it is recommended to maintain cervical cytology alone every three years, or to get co-testing, cytology and viral culture, every five years.

AGES 65 AND BEYOND

Once you reach age 65, no cervical screening is needed if prior testing has been normal. 

 

Of course, your gynecologist will chart your plan of care based on your personal screening history – it can vary, but annual care is most important!

 

Learn more about cervical health and cancer warning signs from the CDC. 

Learn more about HPV screening and safety from the CDC. 

I Vaccinate

I Vaccinate is a campaign focused on informing Michigan parents about vaccinations using information and tools based on real medical science and research. Support for the campaign is provided by the Michigan Department of Health and Human Services and the Franny Strong Foundation.

At IHA, we believe in the safety and benefits of childhood immunizations. We advocate following the American Academy of Pediatrics guidelines for immunizations. We stay informed about newly published immunization studies and have not seen any studies that lead us to support the delay of immunizations or use of alternative immunization schedules. Alternative immunization schedules leave children unprotected at the most vulnerable ages.

To best protect your children, our other patients, as well as our staff and providers from preventable illnesses, we have made the decision to only accept new families into our practices who plan to fully immunize their children according to the Center for Disease Control and American Academy of Pediatrics guidelines. If your child is behind on the recommended immunizations, the office may contact you or we ask that you discuss this with your child’s provider at their next visit.

Click here to learn more about I Vaccinate.