The Food Battle

kiwiI am sure that many of you can relate to the battles that occur at dinner time. It can lead to a lot of frustration and power struggles. How often have we all said “eat your dinner”? It has been known to happen in our home from time to time although I would like to think that I have gained wisdom over time.

This is a topic that comes up at least once a day while I am seeing patients. The concerns range from “my child is a picky eater” to “my child does not eat enough.”  I suspect the underlying fear is that many parents feel that they are not doing a good job at feeding their child unless they see them eat something at dinner time even if it means offering not so healthy options. The tactics I see used range from bribery to not being allowed to leave the table until they eat their dinner no matter how long it takes.

It does not have to be this way. For starters, your child has a better sense of knowing when they are hungry or not than we do yet often times we want to tell them when they should eat. There is nothing magical about eating 3 means a day. This is a schedule that has been forced upon most of us to conform to the workday. We all would probably be better off if we ate much smaller amounts spread out across the day into 4 or 5 meals which is what we did when we were toddlers.

If your child eats a well balanced diet and does not want dinner on a given night then do not force the issue. Nobody wins in this scenario. Every child has different calorie needs and they would know best if they are hungry or not. Also, do not compare food intake between children. Eating more is not better. We have a huge obesity problem in this country already.

Avoid the power struggle. Your job as a parent is to offer good nutritious food choices. It is then up to your child to decide what and how much of it they are going to eat. My son and daughter have heard me say some variant of this mantra hundreds of times. If you try to pressure your child to eat something, they are more likely going to refuse, even if it is something they would typically eat. Think about what you would do if a decision was being forced upon you, would you say sure or push back. Children want choice or the illusion of choice.

How else can you support your child’s healthy eating habits and decrease their risk for being overweight.

  • Eat together as a family whenever possible.
  • Have healthy foods for dinner.
  • Limit screen time to 1-2 hours a day.
  • Encourage physical activity.
  • Make sure that the get ideally 9 hours of sleep a night.

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Teddy Bear Clinic

This last weekend I saw more than 50 patients on one Saturday. Normally it this would have been a crazy day, but these patients were stuffed animals that kids brought in for a check-up at the third annual KidsQuest Children’s Museum Teddy Bear Clinic. Their ailments ranged from sore throats to broken legs.

I and some of my colleagues volunteer at this event every year. The event helps kids see that a trip to the doctor can be fun and hopefully makes their next doctor’s trip less stressful for everyone.

Check out the video below: Continue reading ‘Teddy Bear Clinic’

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Upcoming event

A few things

I just did a quick interview for Parent Map magazine last week about birthmarks and when to worry. There are a lot of common ones and very few should cause parents to worry.  It should be coming out soon.

kidsquest
Also, this Saturday from 10 a.m. to noon at KidsQuest Children’s Museum in Factoria mall is the 3rd annual Teddybear Clinic. It is a great event where children bring their prized stuffed animals to the museum for a full check up. Everything from a weight station to immunizations.  It is fun for both the kids and us health care workers that donate some time for this great event. Continue reading ‘Upcoming event’

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Whats that noise?

teddybearI thought I would share a recent event in our household.  Many would think that by me being a pediatrician, I can solve everything medical at home. Although it does have its perks, sometimes a problem arises that is bigger than one I can solve, at least at home that is.

Did you hear something?
About a week ago, my wife and I heard noise coming from our sons room.  Since his sister had been sick with vomiting a few days earlier, I went upstairs assuming that was the case. What I found was a frighten child with a seal like barking cough who was unable to breath comfortably from stridor.

Knowing he had croup, I  took him outside and attempted to calm him down in the cool nighttime air. I told my wife to hold him while I got the car keys to take him in to the urgent care. Fortunately when he calmed down, he quit blocking off his airway but we still made the journey to get some medicine to prevent him from getting worse.

This is certainly an example knowing what is going on but being unable to address the issue at home. There is something different when it involves your own child. It can skew your decision making process in a not so good way. I often get asked if I am the pediatrician for my own children and the answer is no. At home I want to be a dad.

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Childhood Obesity

soupMore and more these days we hear about childhood obesity in the news. It is a major problem that our society is facing and there are many reasons for it. It is an important topic that is covered at every well visit I do.

One of my observations is that some parents feel they are not doing a good job of feeding their child unless they eat a lot. Quite often it seems they have a skewed perspective around the actual amount of food their child really needs with their estimate being on the high side. Most children do a pretty good job of regulating the calories they need yet us parents come along and tell them to eat when they are not hungry.

Many of the families I see have heard me say that our job as parents is to offer good nutritious foods, whether our child chooses to eat it is up to them. Sure there is the rare exception to this rule, but most children will not starve themselves. Most children however can outlast their parents.

What are some simple things we can do as parents for our children? Well a recent study said there are three simple things we can do.

  1. Have the family eat dinner together at least six nights a week
  2. Make sure that they get an adequate nights sleep (10.5 hrs on weeknights)
  3. Limit screen viewing time to less than two hours

These three behaviors where associated with a 40% lower prevalence of obesity.
The study’s conclusions in Pediatrics by Sarah Anderson: PEDIATRICS (doi:10.1542/peds.2009-0417) had the following:
US preschool-aged children exposed to the three household routines of regularly eating the evening meal as a family, obtaining adequate nighttime sleep, and having limited screen-viewing time had an 40% lower prevalence of obesity than those exposed to none of these routines. These household routines may be promising targets for obesity-prevention efforts in early childhood.

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Demystifying the bugs that bug your child

An infection is an “invasion” of foreign cells or particles, such as bacteria or viruses, that enter a susceptible site in the body and multiply, resulting in disease. Sometimes the infection is localized to one particular part of the body, or can affect the whole body causing fever. Fever helps the body fight infections by making the body’s defense systems work more efficiently. Also, bacteria and viruses do not like the higher temperatures and are killed by fever.

Ear Infections Continue reading ‘Demystifying the bugs that bug your child’

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Autism and MMR

I came across this in the last day and found it quite interesting. The whole article that started the autism and MMR fears was just retracted from the Lancet this week. In a nutshell the study was flawed and unethical.

Associated Press

UK medical journal retracts flawed vaccine study

Tue Feb 2, 10:56 am ET

LONDON - A major British medical journal on Tuesday retracted a flawed study linking the measles, mumps and rubella vaccine to autism and bowel disease.

The retraction by The Lancet comes a day after a competing medical journal, BMJ, issued an embargoed commentary calling for The Lancet to formally retract the study. The commentary was to have been published on Wednesday. Continue reading ‘Autism and MMR’

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When Disaster Strikes

Certainly there is a lot going on in the world right now and it is impossible for our children to not hear about disasters that are occurring. Haiti is just a recent example.

Depending on the age, it is very appropriate to limit children’s exposure to graphic images of disaster victim’s devastation that are all over the news right now. This can be quite overwhelming to a child and needs to be done with care. Continue reading ‘When Disaster Strikes’

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Food Allergies. Is avoidance in early childhood the best thing?

I came across an interesting article in the January issue of the Journal Pediatrics.

Right now, many of us pediatricians currently recommend avoidance of  foods that have a high risk for food allergies until one year of age and at times longer is there is a strong family history of food allergies.

A recent article in Pediatrics may give us some food for thought. “The recommendation of exclusive breastfeeding for the first 6 months for the prevention of allergic diseases may lack strong scientific evidence,” Continue reading ‘Food Allergies. Is avoidance in early childhood the best thing?’

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Sibling Rivalry

Ridding Rivalry During the Holidays

If you have more than one child, you know how hard it is to try and be equitable, whether it be time spent with your children or equal division and cost of gifts. Dealing with your children’s own view of what is fair—even if they are completely off base—can be added aggravation. This is certainly the case with my daughter in that she feels the need for more parent time than her sibling and wants to be the best at everything. When this does not occur, her attitude is less than desirable.

Some ways to be fair, and thus hopefully reduce sibling rivalry and competition includes: Continue reading ‘Sibling Rivalry’

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