Posts for category: Childs Health

By Ramesh P Kadewari MD
June 17, 2019
Category: Childs Health
Tags: Diabetes  

If your child has just been diagnosed with diabetes, it’s important that you have a pediatrician you can turn to in order to create a customized and effective treatment plan. While diabetes cannot be cured, diagnosing, and treating your child’s diabetes as soon as possible is key to helping them maintain a long, healthy and happy life.

There are two different kinds of diabetes: type 1 and type 2. Type 1, also known as insulin-dependent diabetes, usually happens during childhood. This autoimmune disorder occurs when the body attacks the pancreas so that it doesn’t produce insulin. Type 2 is the most common form of diabetes in adults; however, children can also develop type 2 diabetes.

Unfortunately, with the increase in childhood obesity our doctors are seeing a rise in type 2 diabetes in children, as well. The pancreas of children and teens with type 2 diabetes does produce insulin but the body just doesn’t properly respond to it.

Symptoms of Diabetes

Both types of diabetes often present with the same symptoms including:

  • Fatigue
  • Increased hunger and thirst
  • Frequent urination
  • Blurry vision
  • Sores and cuts that don’t heal properly

Other symptoms may include:

  • Mood swings
  • Irritability
  • Unexpected weight loss
  • Numbness or tingling

Treating Type 1 Diabetes

There is no cure for type 1 diabetes. Since your child’s body doesn’t produce insulin this means that they will need to receive daily insulin injections. Along with taking these injections, you will need to monitor your child’s blood sugar every day to make sure their levels aren’t too high or don’t drop too quickly.

Treating Type 2 Diabetes

Even though children and teens with Type 2 diabetes produce insulin, the body doesn’t respond properly to it. Because of this, your child will need to take daily medication to maintain healthy glucose levels. As with type 1 diabetes, daily blood sugar monitoring is necessary to make sure that the medication your pediatrician prescribed is effective.

Along with taking medication, there are certain lifestyle modifications that can also go a long way to controlling your child’s type 2 diabetes. In fact, sometimes type 2 can be reversed with a healthy diet and regular exercise alone, depending on the severity. Lifestyle modifications include:

  • Eating a healthy balanced diet
  • Limiting sugar and carbs, which can spike blood sugar
  • Getting at least 30 minutes of exercise a day most days of the week
  • Losing excess weight and maintaining a healthy weight

If your child is experiencing symptoms of diabetes or if you have questions about the best way to treat your little one’s diabetes don’t hesitate to contact your pediatrician for an appointment.

By Ramesh P Kadewari MD
June 04, 2019
Category: Childs Health
Tags: Sports Injuries  

Your child's sports injury can be treated just as your injury was. Or, can it? Your pediatrician knows that a child's body is still developing, responding differently to acute and overuse injuries from organized sports, gym class, and more. As such, he or she can help your child avoid injury and in the event of sprain, strain, laceration, dislocation, or head injury, will help your youngster recover and stay healthy.

Kids sports injuries

They're very common, says the American Orthopaedic Society for Sports Medicine. Annually, 3.5 million American children under the age of 14 suffer significant sports injuries. Some injuries are related to poor conditioning. Others occur because of inadequate instruction or proper protective gear such as padding, eye wear, sneakers, dance shoes, skates, and cleats.

In addition, diligent supervision on the part of parents, coaches, teachers, and other well-informed adults is critical to safe play. Well-maintained game fields and indoor surfaces avoid foot, ankle, and knee injuries.

Finally, KidsHealth reports that Pre-participation Physicals review medical histories and spot possible weaknesses in children's physiology and anatomy. Most school and organized sports teams require these check-ups either with the school physician or the family pediatrician before the sports season commences.

Treating sports injuries

The Centers for Disease Control (CDC) states that proper assessment and prompt treatment of kids' sports injuries prevent long-term problems, including pain and proper growth of areas of the body such as the long bones. Traditionally, coaches and parents have used the RICE protocol to stabilize and injury, relieve pain, and begin the healing process. It still works exceptionally well. RICE stands for:

  • Rest
  • Ice to the affected area
  • Compression with an elastic bandage
  • Elevation of the affected limb/injured area above heart level

Then, your pediatrician and other health care providers can devise a specific treatment plan to include physical therapy, strengthening exercises, over the counter analgesics, braces, and casts as needed. As a parent, you know your child well. So be sure to fully participate in your youngster's care plan.

Be safe, be well

Each child responds differently to athletic training depending on his or her gender, size, age, physical conditioning, underlying health issue,s and natural ability. You and your pediatrician can partner together in encouraging a safe sports season for your child. That's a win-win situation.

By Ramesh Kadewari, M.D.
March 04, 2015
Category: Childs Health
Tags: Metabolic Disorder  

Metabolic SyndromesFind out if your child is at risk for developing this serious health condition.

Obesity has become a serious epidemic not only for American adults but also children, as well. In fact, about one in three children are now overweight or obese. With sports and physical activities being swapped for video games and television, it’s not hard to see what could be to blame for this serious issue.

If your Easton, PA pediatrician has recently told you that your child might have metabolic syndrome than naturally you are concerned for their health and wellbeing. Find out more about this condition and what you can do to make sure your child lives a healthy life.

What is metabolic syndrome?

Metabolic syndrome, which is different than metabolic disease, refers to a variety of problems that put children at risk for developing type 2 diabetes and heart disease.

What are the risk factors involved in developing metabolic syndrome?

Children who have been diagnosed with metabolic syndrome often have three or more of these risk factors:

  • High blood pressure
  • Excess abdominal fat
  • High blood sugar
  • High cholesterol levels

While it can be surprising to hear about children dealing with high blood pressure and high cholesterol, poor diet coupled with lack of exercise is leading to more and more children developing metabolic syndrome.

What causes metabolic syndrome in children and how can I prevent this from happening to my child?

There are a multitude of factors that can cause children to develop metabolic syndrome, but luckily these are all causes that can be prevented with a little awareness. The first thing you’ll want to do is take a look at your child’s diet. If they are consuming a lot of fast food, sodas and lacking healthy nutrients then it’s time to change their diet. Incorporate lean meats, low fat dairy, and fruits and vegetables into their meals and avoid keeping junk food in the house.

Also, children are spending an excessive amount of time in front of the television. One study found that children between the ages of 6-11 spend approximately 28 hours each week watching television, and children ages 2-5 spend about 32 hours in front of the screen. Try to swap out the time spent playing video games and watching TV with after-school sports or even physical activity right in your own backyard.

If your child is overweight, inactive or an unhealthy eater then you may be concerned about metabolic syndrome. However, your Easton, PA pediatrician, Dr. Ramesh P Kadewari, MD can help. Schedule an appointment for your child at Pediatric Medical Center of Lehigh Valley and put their health first.

By Ramesh Kadewari, M.D.
January 28, 2015
Category: Childs Health
Tags: Sports Injury  

Childhood is full of bumps and bruises. However, sports-related accidents can be traumatic, especially if they are not properly managed at home.

With more options and specialized equipment and gymnasiumschildren who play sports are more involved than ever before. Unfortunately, this also means that sports-related injuries are on the rise. The problems may come from repetitive use of their Sportsshoulders (as in baseball or swimming) or knees (typically seen in gymnasts or dancers). Other injuries can be more accidental, such as an on-field collision in football or a jammed finger on the basketball court. Organized sports usually have a medical professional available to triage injuries immediately and make the determination if the child needs to be seen by a doctor. But after the diagnosis, what happens?


For overuse injuriesyour pediatrician in Easton will typically recommend resting the affected limb or joint and possibly anti-inflammatory medication to reduce the characteristic swelling. Sometimes the injury is severe enough to require physical therapy. The doctor's orders must be followed to the letter to prevent recurrence or further damage, and the activity may have to be pared down or modified once the child returns to the sport.

Likewise, more serious trauma will require a period of rehabilitation, which will likely mean complete downtime from their sport. Broken bones need time to heal under casts, while concussions generally employ a "watchful waiting" approach after diagnosis. In any case, a slow return to normal activities is advised.

Prevention and proactivity

Parents will likely be hypersensitive to the possibility of further injury after their child returns to their activity. It is important to communicate with both your child and their coaches to make sure safety techniques and equipment are being utilized properly. Warming up, stretching and adequate hydration should be advocated as well to prevent another problem.

Although any physical activity has risk factors involved, children should be encouraged to play sports that meet their interest and skill level to maintain their health and social interaction. With proper safety measures in place and diligent parenting and coaching, injuries are much less likely to occur.

By Ramesh Kadewari, M.D.
December 17, 2014
Category: Childs Health
Tags: flu vaccine  

Your Lehigh Valley Pediatrician tells you how to protect your children from the flu.

With the winter winds already beginning to brew and flu season in full swing, your pediatrician in Easton and Lehigh Valley recommends following these tips for keeping your children healthy and happy this year.

Wash up!

This might seem like a no-brainer, but you would be surprised how many children (and even adults) don’t wash their hands properly or often enough. When flu season hits, hand washing is one of the most important habits anyone can adopt. Teach kids to wash hands for a minimum of 20 seconds, or teach them to sing the “Happy Birthday” song while they wash.

Also, washing up isn’t just for hands. It’s also vital to disinfect and clean toys, surfaces and remotes. Anything in the house that gets handled needs to be cleaned on a regular basis to decrease exposure to germs.

Adopt etiquette

Nothing is more annoying than having someone cough or sneeze around you and not cover his or her mouth. This is certainly a major way to share germs. Therefore, it’s important to teach your child to cover his mouth or nose with a tissue and to dispose of the tissue immediately after. Always make sure your child has tissues on hand so this can be an easy habit to adopt. Also, teach your child to wash his hands right after sneezing or coughing to keep germs to a minimum.

Practice a healthy lifestyle

One of the best ways to keep germs and infections away is to adopt a healthy lifestyle. This means getting regular exercise, eating well, and maintaining enough sleep to keep your immune system strong. Toddlers should be getting around 12 hours of sleep a night and school children should be getting at least 10 hours. Also, incorporating healthier food choices like fruits, vegetables and milk will help keep their bodies strong.

Opt for the flu vaccine

The CDC recommends that everyone 6 months old and over should get an annual flu vaccine. While these vaccinations do not completely prevent the flu, it can certainly shorten the illness and lessen symptoms. Plus, it also prevents flu-related hospitalizations and other serious health complications. Talk to your Lehigh Valley pediatrician about whether the flu vaccine is a good idea for your child.

If your child begins to exhibit fever, chills, body aches or other symptoms of the flu, do not delay; call our office today. Nothing is more important than the health of your child!