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NC Medicaid is changing to a multipayer system. What does that mean for you? You will be required to pick a Payment Health Plan AND you must be sure to select a Robeson Pediatrics' Provider as your child's Primary Care Provider. Be sure to ask a staff member for more information. 

 

For more important information regarding Coronavirus and our practice, click here. (updated 6/3/2020) 

 

 

My Blog

Posts for category: Children's Health

By Robeson Pediatrics
May 18, 2022
Category: Children's Health
Tags: Anxiety  

Be able to spot the warning signs of anxiety in your child.

Anxiety is undoubtedly on the rise, not just for adults but for children. The pandemic has certainly left kids feeling uncertain and worried about the future. It’s important to pick up on the signs that your child might have anxiety so you can talk with their pediatrician about tips and strategies to help them better cope with the issues they’re facing.

What Are the Signs and Symptoms?

Children with anxiety may display these behaviors or motions,

  • Avoidance
  • Anger and aggression
  • Irritability
  • Mood swings
  • Nightmares
  • Headaches
  • Unexplained physical symptoms such as stomachaches
  • Nail-biting and other “nervous habits”
  • Bedwetting
  • Appetite changes
  • Insomnia
  • Social withdrawal and isolation
  • Issues focusing or concentrating

How Can I Help My Child?

It’s important to figure out the type of anxiety your child is dealing with to help them cope with these emotions, thoughts, and behaviors. There are certain habits you can start adopting now that can help your child better deal with their anxiety symptoms,

  • Don’t try to reason with your child when they are panicked or anxiety
  • Help them take deep belly breathes to help stabilize their sympathetic nervous system
  • Validate your child’s fears and listen to them; never dismiss them or tell them to “buck up”
  • Don’t avoid the fear, which can often make it worse, but help your child face the fear with baby steps (talk to your child’s pediatrician about the best ways to do this)

These are some helpful tips to get parents started when they notice their child’s “worry brain” taking over. Of course, if you suspect that they could have a true anxiety disorder, it’s important to speak with your pediatrician right away.

How Are Childhood Anxiety Disorders Treated?

In most cases, your pediatrician will provide a referral to a psychotherapist that works with children. The first appointment, or intake session, will allow the therapist to get to know your child and determine if they have an anxiety disorder. Cognitive-behavioral therapy tends to be the ideal treatment option to help children talk through their fears and discover effective coping strategies to help them face and overcome their fears. Sometimes medications are prescribed in conjunction with therapy and lifestyle changes.

Worried that your child might have an anxiety disorder? If so, this is the ideal time to speak with their pediatrician to find out if they could benefit from additional diagnostic testing or talking to a mental health professional who works with children. A pediatrician can provide resources, support, and referrals.

By Robeson Pediatrics
May 04, 2022
Category: Children's Health

Make sure your child is following a healthy, balanced diet.

One in 5 school children is considered obese in the US. So, how do we stop these statistics from getting any higher? It starts with proper nutrition, regular exercise, and a healthy lifestyle. Your child's pediatrician can always provide some helpful tips for ensuring your child is getting the vitamins and nutrients they need.

Daily Caloric Guidelines By Age

The number of calories your child consumes every day will depend on their age and their activity levels and gender. These are the caloric guidelines you should follow,

  • 2-3 years old (both girls and boys): 1,000-1,400 calories
  • 4-8 years old (boys): 1,200-2,000 calories
  • 4-8 years old (girls): 1,200-1,800 calories
  • 9-13 years old (boys): 1,600-2,600 calories
  • 9-13 years old (girls): 1,400-2,200 calories
  • 14-18 years old (boys): 2,000-3,200 calories
  • 14-18 years old (girls): 1,800-2,400 calories

Incorporating the Right Foods into Your Child’s Diet

It’s important that your child is getting a variety of healthy foods to ensure that they get all the essential vitamins and nutrients they need to grow up strong and healthy. This includes,

Lean protein: This includes seafood, poultry, eggs, beans, and nuts

Vegetables: It’s important to incorporate many vegetables into your child’s diet every day. This can include everything from leafy greens to vibrant peppers to beans. If you do choose canned vegetables, make sure to check nutrition labels to ensure that there isn’t added sugar or sodium.

Fruits: Stay away from fruit juice, which can have a ton of added sugar, and opt for fresh or frozen fruit instead. Also, limit dried fruits, which can be high in calories.

Whole grains: Whole grains provide more benefits than refined grains (e.g., white bread and rice) and include whole-wheat bread, oatmeal, quinoa, and brown rice.

Dairy: Include some low-fat or fat-free dairy products such as yogurt, cheese, or milk into your child’s daily diet.

While sugar won’t cause harm in moderation, it is important to limit added sugars and trans and saturated fats (found in red meat, full-fat dairy, and poultry). Wonder if your child’s diet gives them all the nutrients they need? This is something that your pediatrician can discuss with you during their next well-child visit.

Are you having challenges helping your child maintain a healthy weight? Are you concerned about their health? If so, it’s time to turn to your child’s pediatrician. They can provide you with strategies to help your child eat healthier and maintain a healthy weight.

By Robeson Pediatrics
March 01, 2022
Category: Children's Health
Tags: Peanut Allergy  
Peanut Allergies in ChildrenIn the past 15 years, we’ve seen a massive increase in the number of children with peanuts allergies, so it goes without saying that most parents are worried about giving their children peanuts; however, is the peanut a food to avoid, even in children that aren’t presenting with allergies? How do you know if your child has an allergy to peanuts? A pediatrician can provide you with the information you need on peanut allergies.

Is it safe to incorporate peanuts into my child’s diet?

Research shows that introducing a small number of peanut products to your baby’s diet may actually reduce their risk for an allergy. This means everything from adding a little bit of peanut butter to peanut powder to their food. You can introduce your child to peanut-based products at around 4-6 months old.

Is my child at risk for a peanut allergy?

It is important to recognize if your child is at high risk for a peanut allergy. If your child has an egg allergy or has severe eczema they may be more likely to have a peanut allergy and should be properly screened by a pediatrician, as even trace amounts of peanut products could cause a reaction. A skin or blood test may be performed to check your child’s response to peanuts and look for allergy signs.

What are the signs of a peanut allergy in children?

Symptoms can range from mild to severe, often coming on suddenly and lasting for hours. Mild symptoms may include hives on the face and mouth or a rash. Signs of a more severe allergic reaction include:
  • Widespread hives
  • Tongue or facial swelling
  • Trouble breathing
  • Wheezing
  • Vomiting
  • Swelling of the lips
If your child is experiencing symptoms of a severe peanut allergy it’s important to call 911 or to head to your local emergency room for immediate medical attention.

My child has a peanut allergy. Now what?

While there isn’t a way to cure a peanut allergy the best treatment option is to simply avoid consuming peanuts and peanut products. Your child’s pediatrician can provide you with an extensive list of products your child will need to avoid. Make sure that they also don’t share food with other kids at school. Your pediatrician may also prescribe an EpiPen, which is to be used if your child has a severe allergic reaction. Your pediatrician may also recommend that your child see a pediatric allergist who can provide further and more specialized recommendations.

If your child is showing signs of a peanut allergy, call your child’s pediatrician today to schedule an evaluation. If you simply have questions about incorporating peanuts into your child’s diet to reduce their risk for an allergy, your pediatrician can also provide you with expert advice.
By Robeson Pediatrics
December 17, 2021
Category: Children's Health
Tags: Constipation  
Your Infant and ConstipationIt’s not typically common for infants to have issues with constipation; however, sometimes it happens. While many babies won’t deal with constipation they may have irregular bowel movements as their bodies naturally try to adjust to a set schedule. If you are concerned it’s always best to talk with your child’s pediatrician. Recognize the real signs of constipation in your infant.

Know the Warning Signs

For your child to truly be dealing with constipation, here are some of the warning signs:
  • Stools that are hard to pass
  • Infrequent stools
  • Excessive straining or straining more than normal
  • Swollen belly with gas
  • Painful stomach cramps
  • Stools that resemble small hard pellets, as well as stools that are too soft
  • Diarrhea-like stools
Treating Constipation in Infants

For an adult, they may simply take an over-the-counter laxative to help them go, but treating constipation in infants is different. You never want to give them an over-the-counter laxative or suppository unless otherwise told by your pediatrician. If your child is old enough to eat solid or strained foods, you may want to increase their fruits and vegetables to increase fiber intake.

If your infant is too young for strained food, give them just a couple of ounces of prune or apple juice each day to see if that helps soften the stools. If the stools are too loose, lessen the amount of juice you’re giving them.

When to See a Pediatrician

It’s important that you call your pediatrician if you are ever concerned about your infant’s health. No question is a silly one, especially when it comes to your child. You should call your pediatrician if you notice blood in your baby’s stool, if home remedies do not improve their constipation, or if your baby is fussy due to stomach cramping or pain.

If your little one is having trouble going to the bathroom, a pediatrician will be able to provide you with the answers you need, as well as tips for how to best address the issue. A pediatrician is going to be invaluable, especially for new parents, as they navigate parenthood. Talk to your pediatrician today.
By Robeson Pediatrics
September 22, 2021
Category: Children's Health
Tags: Cleft Lips   Cleft Palate  
Cleft LipsThe day your child is born is one of the most exciting moments in a parent’s life. Of course, finding out your precious newborn has a cleft lip or palate can make things a little more complicated. Luckily, a pediatrician can help you determine the best way to treat your child’s cleft lip or cleft palate to put your mind at ease.
 
Why should a cleft lip or cleft palate be treated?

A cleft lip and palate can present many challenges if left untreated including serious hearing, speech, and swallowing problems. As you can imagine, a cleft lip or palate can affect a child’s speech. Children born with these birth defects are also more likely to deal with recurring ear infections and even hearing loss. By repairing this birth defect as soon as possible we can minimize these issues.

Most children will undergo a cleft lip repair between 3-6 months old, while children will often get a cleft palate repair within the first 12 months. Consequent surgeries may be required later on depending on a variety of factors, including the severity of the defect.
 
How is a cleft lip and palate treated?

Surgery is the only way to correct a cleft lip or palate. The goal of this surgery is to not only improve your child’s appearance but also make it easier for them to speak, chew, or hear. This surgery is performed under general anesthesia, so your child will be asleep throughout the procedure.

To repair a cleft lip, a surgeon will make incisions on both sides of the defect and then stitch the two pieces of tissue together to close the gap, which will greatly improve the shape and appearance of your child’s lip. A cleft palate repair is also performed under general anesthesia and involves making incisions on both sides of the palate to restructure and rebuild the roof of the mouth.
 
If your child is born with a cleft lip or cleft palate and you want to talk to us about their treatment options, then turn to your pediatrician to learn more. Your pediatrician is always here to provide you and your little one with the best care possible.