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About Dr Graham Smith
(Top Expert on this page)

Expertise
I am accredited in general paediatrics and paediatric nephrology and and am happy to answer questions on both topics. It is not possible or safe to assess acutely sick children through this medium. Such children should be taken to their own doctor, where a full history can be taken and an examination carried out.

Experience
I have been a consultant paediatrician and paediatric nephrologist for 13 years. I have been involved in paediatrics for 22 years.

Organizations
Royal College of Paediatrics and Child Health
British Association for Paediatric Nephrology
European Society for Paediatric Nephrology
International Pediatric Nephrology Association

Publications
Archives of Disease in Childhood
British Medical Journal
Pediatric Nephrology
Current Paediatrics
Nephrology, Dialysis and Transplantation
Nephrology and Urology

Education/Credentials
MA (Cantab)
MB BS (London)
MRCP
FRCPCH

   

You are here:  Experts > Kids > Health for Kids > Pediatrics

Questions Answered By Expert  Dr Graham Smith 
In Category  Pediatrics

SubjectDate Asked

My 13 month old suddenly stopped walking10/13/2008
  Q: I noticed about 5 days ago that my 13 month old daughter has stopped walking. She had been walking ...
  A: You need to get this problem properly assessed and soon. There could be a number of explanations. ...
3 YR OLD CHILD WILL NOT EAT10/9/2008
  Q: He understands when he's hungry and thirsty and he also does want to eat but when it actually boils ...
  A: It does not sounds as if he has a functional problem with eating, just that he is fussy. If he is ...
Emptying the bladder8/30/2008
  Q: My 18month old daughter got very sick with a uti the did xrays and found she doesnt fully empty the ...
  A: A wide variety of causes: Vesicoureteric reflux (leakage of urine from the bladder back to the ...
HYDRONEPHROSIS OF MY SON8/27/2008
  Q: Sir Yesterday I had asked you the question regarding the left side mild hydronephrosis of my 29 days ...
  A: You may be able to attach them to a question. Nevertheless, the doctors looking after your son ...
HPV Vaccine8/12/2008
  Q: I have two daughters who are in the recommended age range for the HPV vaccine. Based on what I have ...
  A: I too have been looking at this as I have an 11 year old daughter, although it was a while ago and I ...
tonsills7/8/2008
  Q: my son is 3 years old and his tonsils just dont look right.. they have been inflammed and red for ...
  A: I would advise getting an ENT surgeon to take them out! Maybe messy on the kitchen table. (sorry ...
constipation7/7/2008
  Q: a quick question- i have a 17 week old boy that weighs 7.7kgs..he has been breast fed exclusively ...
  A: At 17 weeks he should really be on milk and perhaps just starting solids. The recommendations are to ...
Infant constipation7/1/2008
  Q: Dr Graham, My son is almost 9 months old and has been suffering from cronic constipation since the ...
  A: I am not sure if it is recommended to give magnesium hydroxide in this age group. I would ensure ...
advise6/16/2008
  Q: We have got a son aged 2 yrs & 9 mths. He brings out the food in irregular pattern say atleast once ...
  A: I am not sure if he makes himself vomit? If he is not chewing his food then this needs looking at - ...
conductive hearing loss6/11/2008
  Q: my son is 3 months old, administered through the province I live in, his hearing was tested twice ...
  A: The normal test when the middle ear was by-passed would seem to confirm fluid in the middle ear. ...
protein in urine6/10/2008
  Q: i have a 16 year old son that has been having protein in his urine for about 2 years.he is checked ...
  A: ACE inhibitors are commonly used to manage proteinuria but I have not heard of such a dramatic ...
undiadnosed unusual symptoms6/9/2008
  Q: My baby will vomit 12+ times when she eats anything containing rice, wheat or anything like those ...
  A: Her failure to thrive needs investigating. There are a huge number of possible causes but a full ...
urethral pain6/3/2008
  Q: My 10 year old complains of intermittant pain on urination near the tip of his penis. (He points to ...
  A: As a nephrologist, this is not really my area of expertise. Obviously he would have been checked for ...
RSV Effects6/2/2008
  Q: My daughter was born at 34 weeks on 11/09/07. She spent the first two weeks of her life in the ...
  A: I doubt if your daughter would have been given the antibody here in the UK. RSV is quite common and ...
Chicken Pox Question5/29/2008
  Q: In May, my youngest daughter (6 yrs old) was diagnosed with chicken pox. The rash was not severe and ...
  A: If she was in close contact with her sister when she had chicken pox it would be unlucky if she had ...
Breastfeeding and medication questions5/29/2008
  Q: I am due next month with my second child. I have a couple questions about breastfeeding and ...
  A: Antihistamines can get in milk but unlikely to be a problem. However manufacturers of a number of ...
4 month old daughter wails in sleep5/14/2008
  Q: My daughter has just turned four months old. during the past few weeks her sleep has become ...
  A: I have not heard of night terrors in this age group. The Prevacid should have an effect quite ...
baby weight5/10/2008
  Q: My son is 18 weeks old. His birth weight was 3.5 kg (in the 50 percentile) but four weeks ago his ...
  A: Babies do not always gain weight along the same centile at which they were born. The problem with ...
Nighttime vomiting5/8/2008
  Q: I have a 9 month old son (1st child) that has had the occassional spit up due to acid reflux. He is ...
  A: I am not sure and cannot really assess the problem properly without seeing you and your son. You ...
recurrent UTI for 13 mth old boy4/22/2008
  Q: My 13 month old boy had his first UTI when he was 4 months old. He had Cystogram and MCU 4 weeks ...
  A: The usual cause of recurrent infections is incomplete bladder emptying. Constipation can lead to ...
UTI/MCU/DMSA Scan3/28/2008
  Q: Thanx a lot for ur help online.My nephew is 2 yr old with UTI, haematuria from 5 months.No fever, no ...
  A: Magnex is not a trade name used in the UK, so I don't know what it is. I guess it is an antibiotic, ...
9 Month Old Baby Vomiting and Loose Stools3/24/2008
  Q: Over the past 8 weeks or so my 9 month old daughetr has had several vomiting episodes. Initially I ...
  A: The presence of undigested food in the stools is suggestive of "toddlers diarrhoea". It is due to a ...
post UTI treatment2/29/2008
  Q: Sub:is there any side effect or bad effects for use of antibiotics for long time ?. Dear sir I have ...
  A: Sporidex I think is cefalexin. It can be used as prophylaxis, as a single night-time dose of 12.5 ...
6 month old lasting cold symptoms2/19/2008
  Q: I really need help. I have a 6 month old daughter who I think caught a cold from her day nanny. I ...
  A: There si no evidence that steam helps in these situations. I am not sure what you want me to say. If ...
8 1/2 wk old baby has fever and cries when he burps also not sleeping well2/9/2008
  Q: My son is 8 1/2 wks and about 5 kilos not sure about his hight. The week of 1/28 - 2/4 my son had a ...
  A: You don't say if he has problems with vomiting, but he may be having some gastro-oesophageal reflux. ...
Flu or Infection1/25/2008
  Q: I am a very concerned parent about the health of my 24 months old son. He was down with cough, ...
  A: I am not prepared to commit myself to any diagnosis without examining your daughter or seeing the X ...
future outlook for young grandaughter1/25/2008
  Q: My 3.5 YO grandaughter was born premature. She was a 25 week baby. However she was released from ...
  A: Need to speak to her doctors about the chest. The risk of further febrile convulsions will continue ...
Loose and acidic stools in my 12 month old1/24/2008
  Q: Graham, I am concerned about my son who is also in the process of getting his eye teeth but over the ...
  A: You do not say how long the loose stools have been a problem. Children can get what is known as ...
persistent diaper rash1/23/2008
  Q: I have a 1 yr old son who has persistent diaper rash. He was diagnosed with pneumonia over a month ...
  A: I was only aware that neosporin came in drops. I am not sure it would be a great idea but your own ...
my 5 year old health1/21/2008
  Q: My 5 year old daughter is constantly sick, she has 3 other siblings and yet she is the only person ...
  A: The paediatrician is the one who needs to ask the questions and obviously then work out if there is ...
Rash on genitals, peeling fingers on 3 years old1/11/2008
  Q: I have a 3 year old son. About a week and a half ago he developed cold like symptoms. He had a ...
  A: Kawasaki disease is a diagnosis based on clinical criteria, which include fever for at least five ...
Large Tonsils1/9/2008
  Q: Good Morning Dr. Smith, I have a six year old that I have been told has large tonsils. I am ...
  A: I am not sure how the tonsils will have an effect on teeth. There is not a problem with having them ...
lymphnodes1/5/2008
  Q: My two year old daughter has had 2 swollen lymphnodes in the middle of the back of her head for ...
  A: Lymph nodes become enlarged when the body is dealing with infection. They should then get smaller ...
8 months old tilting her head funny12/8/2007
  Q: My name is Marcella and I have an 8 months old - actually now 9 month old - littel girl who lately ...
  A: It is impossible to give guidance without seeing her. You are best placed to make an assessment and ...
scarletina12/2/2007
  Q: on the 29th of november my doctor told me that he thinks my 7 month old son has scarletina, he has ...
  A: Scarlet fever spreads by droplet and by contact transmission. Close contact is necessary to get the ...
scarletina12/2/2007
  Q: on the 29th of november my doctor told me that he thinks my 7 month old son has scarletina, he has ...
  A: Scarlet fever has an incubation period of 1-7 days. The disease onset is acute and the rash appears ...
Dytan HC11/23/2007
  Q: DO you know what the proper dosage of Dytan HC is for a 3 year old, 30 pounds? Thank you.
  A: I have no experience of using this drug as it is not available in the UK, certainly not under the ...
8 month old is not making bowel movements11/21/2007
  Q: My 8 month old daughter has been having bowel movement problems for over 4 months now. She will go ...
  A: If it is simple constipation she obviously needs more laxatives. It is also important that she has ...
my height11/20/2007
  Q: well i am currently 5'6 and i am 16 years and 6 months..i have not grown since about 14 years and 8 ...
  A: I cannot really answer these questions without seeing you. The X ray would have determine your bone ...
41/2 month old frequent night wakings11/19/2007
  Q: My 4 1/2 month old breast-fed daughter has started waking up every 1-2 hours at night. This had ...
  A: It is very difficult to give any specific recommendations. All babies are different. She may be ...
Breastfeeding11/16/2007
  Q: My daughter is 5 weeks old. I read that it is okay to let her sleep through the night if she ...
  A: Babies usually wake when they need to, although all night at this age is a ittle unusual. However, ...
14yo w/ kidney stone11/16/2007
  Q: Smith, My 14yo son was just diagnosed with a urinary tract infection (he has recurrent ones - this ...
  A: 8mm is a reasonable size and probably warrants removal. However the urologist should be able to ...
14yo w/ kidney stone11/16/2007
  Q: Smith, My 14yo son was just diagnosed with a urinary tract infection (he has recurrent ones - this ...
  A: There may be some obstruction to urine flow which predisposes to infection and stone formation. ...
fever11/15/2007
  Q: My four month old received her vaccinations yesterday and this evening she is running a temperature ...
  A: It may be the vaccines and I usually advise giving paracetamol just prior to the injection. If she ...
Fifth Disease more than once?11/13/2007
  Q: My son is 5 and over the past 3 years has been diagnosed with 5th disease 6 times. Could there be ...
  A: 5th disease is caused by Parvovirus B19 and once you have had the infection, you should become ...
nephritic syndrome11/13/2007
  Q: my son age 3 years 6 months suffering from Nephritic syndrome (IgM Nephropathy in biopsy report). ...
  A: Again, you are best discussing this with your own doctor, who has more information about your son. ...
my son luca he is 3 yrs old11/12/2007
  Q: on a regular basis in the day my sons lips and surrounding area go a blue/purple colour and are ...
  A: Sounds like he has a form of Raynauds syndrome. The blood vessels in the skin constrict in the cold ...
7 months baby not eating solid food suddenly11/8/2007
  Q: My 7 months old daughter has suddenly stopped eating solid foods and its worrying me.She was eating ...
  A: There are a multitude of possible reasons. If she is otherwise perfecty well I would expect it to ...
Frequent Urination at night11/7/2007
  Q: My 4 year old recently started waking at night 7-9 times to urinate. Some comes out every time. I ...
  A: You do not say why she is on the Zirtek but I do not think this is related to the urinary frequency. ...
10 month old boy got a UTI10/24/2007
  Q: Doc, my son will be 11 months by the 30, was having problems with his bowel movements a few days ...
  A: Following a UTI at this age he would have an ultrasound scan of his kidneys. I would also carry out ...
my son growth10/24/2007
  Q: my son is now 13 month old. lates weight is 9.2 Kg in the hight of 72 cm .As he was born at 3.7 KG ...
  A: There are a multitude of reasons for a fall in position on the centile chart. You really need to ...
development issues10/18/2007
  Q: I have a 91/2 month old baby. She is crawling and doing all the other things a 91/2 month old baby ...
  A: The question is whether she CAN'T or WON'T sit. Developmental assessment looks at a number of ...
laryngomalacia10/9/2007
  Q: My three year old was just diagnosed with laryngomalacia. All of the info. I have found on the ...
  A: Laryngomalacia is due to a congenital abnormality or floppiness of the epiglottis and supraglottic ...
4 month old nasal congestion9/30/2007
  Q: My 4 month old seems to have a lot of nasal congestion, but when we use saline and aspirator suction ...
  A: Not a lot more you can do. The congestion is as much due to the swelling of the lining of the upper ...
NEUTROPENIA9/27/2007
  Q: My 15month daughter was diagnosed with neutropenia cyclic. she was being tested for thalessemia, ...
  A: Cyclic neutropaenia is a congenital disorder of neutrophil production. It can be inherited. The ...
My child has larnygomalacia9/23/2007
  Q: What is larnygomalacia, what is the cause for and what is the medication for. My child is almost ...
  A: Laryngomalacia is due to a congenital abnormality or floppiness of the epiglottis and supraglottic ...
My 13 year old son...9/13/2007
  Q: Over the past 5 months my son has lost a total of 8 pounds and his white count has dropped from 3.9 ...
  A: The white cell count is normal. There are numerous possible explanations for the weight loss and I ...
is it okay to continue breastfeeding.9/11/2007
  Q: my sister has a six week old baby boy and she has gotten some kind of stomach flu, chills, diarrhea, ...
  A: As far as I am aware it should be OK to continue breast feeding. Just need to ensure wash hands ...
4 month weight9/8/2007
  Q: my 4 month baby , born at first of may, weighs now 9.4 kgs. i am worried about this. i think he is ...
  A: Certainly a weight of 9.4 kg at 4 months is high. There are a number of questions. Has his weight ...
chicken pox carrier8/23/2007
  Q: I am 60 years old and want to know if I should get the shingles vaccination. I was exposed to the ...
  A: If you have had chicken pox, the virus can lay latent in nerve cells and you are at risk of ...
Protein8/22/2007
  Q: My son is six years old last 3 year he has problem that, protein pass through urine, in urine ...
  A: It sounds like he has relapsing nephrotic syndrome. When he relapses he should have high dose ...
nephritis? Is this what it is?8/22/2007
  Q: My 9 year old son has blood and protein in his urine. So far they have been sending him for blood ...
  A: HSP is one of the causes of nephritis in children. There is no proven treatment. We have just ...
9 month old will not sleep8/22/2007
  Q: My 9 month old will not take naps and will not go to sleep at night? We tried leaving him in his ...
  A: Obviously the time you need him to sleep is over night. If after you put him down he starts crying, ...
Toddler with recurring fevers8/14/2007
  Q: I have a little boy who will be 2 years old in Sept. 2007. In April 2007 he had a high fever which ...
  A: There is a condition similar to PFAPA called cyclical neutropaenia when the white cell count drops ...
Digestive issues in 2 year old8/14/2007
  Q: Dr.Smith, I have a 2 year old daughter who has had digestive issues since birth. I breastfed her ...
  A: You do not say whether she is growing and gaining weight normally as this is the most important ...
frequent urination8/13/2007
  Q: what should be the frequency of urination in a 5 month old? when would one be concerned? what other ...
  A: If your baby is taking a normal amount of feed and not losing weight and becoming dehydrated then ...
Child eating feces8/10/2007
  Q: My child is 18 months old and I recently found him in his crib with no diaper on and feces ...
  A: Obviously eating faeces is a problem. With respect to drinking from a bottle, it is important as to ...
doesnt drink alot of milk8/9/2007
  Q: last time he checked he was exactly 16 pounds. that's when he was 6 months old. plus at times he can ...
  A: The phrase "below average" will by definition apply to half the population. With a weight of 7.26kg ...
Asthma3/28/2007
  Q: My son of 11 months has had a weasing chest pretty much since birth. Everytime he gets ill it goes ...
  A: At this age it is difficult to diagnose asthma and most wheezing is related to viral infection. I ...
height3/26/2007
  Q: My son is 8.5 years old. I am worried about his height. He is only 4 feet tall and 55 lbs. I am 4 ...
  A: According to my calculations, given your height and your husband's height his target height is ...
white blood cells3/16/2007
  Q: My daughter complained a few months ago of her "private" hurting. This lasted for about a week and ...
  A: The first thing is to check the urine is not infected. The presence of white cells would fit wiht ...
Bladder Issues3/2/2007
  Q: I did take her in to see the doctor and he was able to rule out a bladder infection, although he is ...
  A: This sounds like urge incontinence and is due to an irritable bladder. The first thing to do is ...
aquestion3/1/2007
  Q: iam his docter so i need to discuss this case with youplease send to me what you want to know to ...
  A: It is very difficult to assess such a problem from a distance. Things to consider are ARPKD (are ...
Head Circumference: No Change2/13/2007
  Q: My baby girl, Emma (4 months old), was born on October 23, with 2 Kgs weight, 46cm length, and ...
  A: I assume she was premature but you do not say by how much. The head circumferences need to be ...
13 month old, is it a sinus infection?2/1/2007
  Q: My 13 month old has had an ongoing cough and runny nose for the last two months. I have taken her to ...
  A: The most likely thing is that she has picked up a couple of viral infections. However without being ...
anemia1/26/2007
  Q: When my baby is about 1 and half month old, we found that she has anemia. Her RBC (I believe it is ...
  A: I don't tend to work to RBC but to haemoglobin level. Iron deficiency can be assessed by measuring ...
HBeAb; HBcAb1/4/2007
  Q: We are reviewing some medical records of a child from China that we are considering adopting. The ...
  A: The report indicates presence of antibody to hepatitis B. The presence of antibody indicates ...
baby1/2/2007
  Q: I have a 5 week old baby boy. He is breastfed only. Yesterday we introduced him to a bottle(breast ...
  A: Bowel motions do tend to be different between bottle and breast fed babies but it is related to the ...
High reoccurring fevers12/29/2006
  Q: My daughter (3.5 yrs old) experiences high reoccurring fevers that go as high as 40.5C (105F) and ...
  A: Obviously the best people to give advice are the doctors who have seen your daughter. The only ...
feeding and potty training12/14/2006
  Q: My 26 months old daughter only eats crackers, cereal and drinks milk everyday. Everytime I try to ...
  A: With regard to her diet, the key thing is whether she is gaining weight and growing normally. A ...
Infant Bowel Movements12/6/2006
  Q: My son is 7 weeks old. For each feeding I breastfeed him until I feel my breasts empty. I never ...
  A: I would not be worried about the stools if he is otherwise well. With regard to the breast feeding, ...
child vomits regularly12/4/2006
  Q: My child vomits on a regular basis. At least 6 to 10 times a day. My wife to her to the doctors and ...
  A: You do not say how old your child is. Omeprazole is used in the management of gastro-oesophageal ...
baby sweats through his head12/1/2006
  Q: Smith My ten weeks old sweats a lot through his head. When he wakes up after sleep the spot on the ...
  A: The important thing is not to let your baby get too hot. The ideal range for a baby’s room is ...
loose stools11/30/2006
  Q: My 20 month old boy has very rarely passed a formed stool in his. I kept expecting him to grow out ...
  A: If he is growing normally, I would not be too worried. There is a condition called "toddler's ...
17 mth old not walking11/22/2006
  Q: i saw the paediatrician last week who was unconcerned by my son not walking...he doesnt want to see ...
  A: Delays in developmental milestones need to be taken in context with other aspects of development and ...
17 mth old not walking11/22/2006
  Q: should i be concerned that my 17 mth old son does not walk yet? he sits well, crawls, pulls himself ...
  A: Not walking at 17 months is delayed and should lead to further assessment of development. Babies ...
baby sleeping pattern11/10/2006
  Q: Good night, dr Graham I've got a 2 months baby girl who sleep very few hours. During the day she ...
  A: Bottle fed babies tend to settle slightly better than breast fed babies because they feel fuller. ...
muscles around belly button11/7/2006
  Q: Was told when my daughter was 3 not to worry about the dip above her belly button as sometimes there ...
  A: The question is whether she has an umbilical hernia. Congenital ones normally close spontaneously. ...
weight gain not proper by the baby10/12/2006
  Q: i have a 88 days old baby that is all most three month old. sir firstly since the day this baby ...
  A: Certainly his weight gain is not ideal. This could well be related to the laryngotracheomalacia. ...
Blood in urine9/29/2006
  Q: My son is 9 years old and has been in good health until the last six months. In February of this ...
  A: The commonest cause of haematuria is UTI, but this seems to have been excluded. The next question is ...
scarlet fever9/21/2006
  Q: i have triplets they are five years old. all three were fine this weekend except two had a stuffy ...
  A: Scarlet fever is caused by streptococci that produce toxins. The symptoms are fever, vomiting, ...
Bloody Noses9/20/2006
  Q: As of recent I have been getting Bloody noses at night *possibally once every 3 nights*. But that ...
  A: There are various reasons for nose bleeds, including high blood pressure and a bleeding tendency. ...
Blood chemistry question?9/9/2006
  Q: My son is 8, is very thin (with a BMI of less than 12). He has numerous food and environmental ...
  A: It is difficult to make very much of a single blood result without the information your doctors will ...
Renal Tubular Acidosis/Hydronephrosis7/18/2006
  Q: I am the mother of an 11 month old little boy, that was diagnosed with Hydronephrosis prenatally. ...
  A: As I am sure you are aware the two problems are unrelated. The hydronephrosis should have been ...
C-reactive protein7/12/2006
  Q: my daughter is almost 8 year old and has been dealing with some urinary leakage and incontenance for ...
  A: CRP is a non-specific marker of inflammation and is often used to identify whether infection is ...
Transient Heart murmur in infant7/9/2006
  Q: Graham! On Jan 27 I delivered to an adorable son and I was not informed by the hospital's ...
  A: It was almost certainly an innocent murmur. Blood flow through a normal heart can sometimes be ...
lump on baby's chest7/7/2006
  Q: my almost 5 month old has a lump on her chest near her nipple, it is larger than pea size under the ...
  A: The head circumference has gone from just above the 50th centile to the 91st centile. This may or ...
Water for a 6 month old?6/23/2006
  Q: I have two children one 20 month old and one 6 month old. I was told when my oldest daughter was a ...
  A: I'm afraid to say I am not sure. It is not something I have ever been asked. Water wouldn't do any ...
benadryl6/10/2006
  Q: my son has had a cold and has been having trouble sleeping. I have heard of some parents giving ...
  A: Benadryl contains cetirizine which is a non-sedating anti-histamine. It is used for allergy relief ...
Feeding the baby5/17/2006
  Q: " Hi I have a 10 months boy. He is an active baby. He is under weight, but his height is good. The ...
  A: It is very difficult to respond to this question from a distance. I would advise going back to your ...
urology infections uti's5/9/2006
  Q: my 2 yr old daughter has had many uti's. She has had all the testing done, normal results, but for ...
  A: The key thing is whether she is emotying her bladder properly when she goes to the toilet. Urine ...
Urinary Issues5/4/2006
  Q: My 8 year old little boy is autistic and mentally challenged. He will go to school and not urinate ...
  A: How fast his bladder fills up is dependent on how much he is drinking. If there is a problem with ...
travelling with a newborn5/4/2006
  Q: We have my brother's wedding to go to in about three and half weeks....our baby is due May 7th this ...
  A: There are no specific recommendations about newborns and air travel. If the baby is well, it is ...
Chicken Pox4/13/2006
  Q: I am a healthy 27 years old, female. (Although, I do catch things easy, poison ivy for instance) ...
  A: If you have had chicken pox, you will not catch it again. It is passed on through respiratory ...
how baths not good for fever4/11/2006
  Q: Can taking a hot bath with a high fever elevate the fever and lead to the death of brain cells? Is ...
  A: It is not clear why the body responds to infection by causing a rise in body temperature but it may ...
Fluid behind the ears3/28/2006
  Q: Do decongestantshelp relieve the fluid behind the ears? Can fluid behind the ears be dangerous?
  A: The fluid behind the ears needs to drain through the Eustachian tube which connects the middle ear ...
rash accompanied by a swollen eye3/13/2006
  Q: My 10 yr old son woke up this morning with a rash on the inside of his entire arm, his face and his ...
  A: I really cannot make any comment without being able to examine your son. The generalised nature of ...
1 year old excessive crying3/9/2006
  Q: Dr. Smith, My wife and I have a little girl, 1 year old yesterday, who has to be the calmest, ...
  A: If she is not crying with her grandmother, it sounds like a behavioural problem. Personally, if she ...
17 month old will not drink anything2/8/2006
  Q: I am so desperate, I do not know what to do. My son refuses to drink. No milk, no water, no juice. ...
  A: If he is not getting enough fluid he will eventually become dehydrated. Thirst should step in ...
4 year old girl with UTI, suffering intense pain at tummy button area2/8/2006
  Q: My grand-daughter has been suffering severe 'tummy' pain for the past two weeks, has vomiting ...
  A: I assume she is on antibiotics if she has a UTI. If they are working she should be better in a few ...
My 1 month old baby2/1/2006
  Q: I have a one month old baby who has watery eyes (left eye much more watery than the left), has been ...
  A: If she is otherwise well and in particular feeding OK, it is probably fine to just wait and see for ...
Infant & toddler immunizations? Which are necessary? No longer necessary?1/23/2006
  Q: I have a 14 month old. What types of vaccinations would you recommend for my son? What are the ...
  A: If you are in the US the immunization program is different from here in the UK. I would recommend ...
Protein in Urine1/19/2006
  Q: My 9 year old daughter had a urinalisys done and protein showed up in her urine. She then had a 24 ...
  A: The ANA test is not very specific and I quite often see positive results which I ignore. It ...
child with asthma1/17/2006
  Q: If a child has asthma and is around a smoker, won't there asthma flare up at that time, not 2-3 days ...
  A: Smoking will have an adverse effect on the airways of all children, particularly those with asthma. ...
Asthma medications1/9/2006
  Q: My 8 year old daughter has been using the pulmicort turbohaler once daily for about 8 months to ...
  A: I am not an asthma specialist but according to the guidelines set down by the British Thoracic ...
Testicle Injury?12/18/2005
  Q: My son is 4 years old and attends daycare full time. On Friday night while changing him into his ...
  A: The two main causes of such symptoms are testicular torsion and epidydimo-orchitis (a viral ...
frequent voiding11/19/2005
  Q: my son, Bradley, is 3 years old . He has asthma and take flovent and singulair on a daily basis. He ...
  A: The simplest test is to measure the osmolality (concentration) of the urine from first thing in the ...
Head circumference concern10/13/2005
  Q: My son is 3 months old he's 14 lbs 24 1/2 in long and he's been growing at a steady rate. but his ...
  A: You are right in saying that his head is a bit small for his body size. Was the measurement taken ...
Gassy baby in much pain10/12/2005
  Q: My baby is 6 weeks old. I wanted to breastfeed him but it didn't go so well therefore we had to use ...
  A: It sounds as if he has colic and there is no convincing treatment. I am sure different feeds will ...
asthma9/12/2005
  Q: I am wondering your opinion about the safety of daily use of pulmicort for asthma treatment. My 7 ...
  A: In babies a viral chest infection known as bronchiolitis can lead to persistnet wheeze for upto a ...
bone x-rays5/31/2005
  Q: My 8 year old son had x-rays on his hand due to a sprain or possible hairline fracture. I was not ...
  A: I am not a radiologist, but my understanding is that at 4 not all the wrist bones will have ossified ...
fever in toddlers5/4/2005
  Q: i've been up since 4am this morning with my 20 month old son who has a fever.the very first reading ...
  A: Obviously he has an infection but causes of infection in this age group are multiple. The most ...
very small one year old4/14/2005
  Q: I have a daughter that just turned one last week. She was born at 5lbs 7oz and 18inches at birth at ...
  A: It sounds like she is growing normally and will be small as a result of the genetic information she ...
enlarged kidney in utero3/29/2005
  Q: I am 37 weeks pregant and 9 weeks ago a perinatologist noticed through a level 2 ultrasound that my ...
  A: If the kidneys are of normal texture it is more likely that the right kidney is small and the left ...
positive organisms found in UA of infant girl3/28/2005
  Q: My daughter is 2 months old and twice now there have been "positive organisms" found in her urine. ...
  A: Urine infection in a 2 month old needs to be treated and investigated, because of the risk of damage ...
my 4 year old refuses to eat anything3/14/2005
  Q: My 4 year old daughter decided 2 days ago that she does not like any kind of food and pretty much ...
  A: If there is no underlying medical problem, as sounds to be the case, I would not expect her to run ...
FHH2/22/2005
  Q: Can you tell me what the symptoms are and if there are any complications resulting from Familial ...
  A: This is not a condition I have ever seen, but from reading the text books it is inherited in an ...
kidney transplants2/20/2005
  Q: Can you please tell me if for a successful transplant the donor's blood group and tissue type must ...
  A: Blood groups should match in the same way as for a transfusion - this does not mean they have to be ...
8 Year old daughter2/15/2005
  Q: my daughter has a problem she messes her pants constantly during the day it is very offensive and i ...
  A: I certainly would not ignore it and would suggest seeing your GP for an assessment. There may be a ...
"narrowing" of kidney2/10/2005
  Q: I have a son, 11 yrs old, diagnosed with an unspecified Mitochondrial Disease. Amongst his many ...
  A: I am not sure what the narrowing refers to - you should discuss this with your doctor. Urine ...
baby cough2/4/2005
  Q: its me karin again, I'm sorry to bother you so much, thanks for the advice about my babys sleeping ...
  A: Firstly I am not familiar with bromhexine. I don't usually advise cough medicine in babies. Thrush ...
Help please1/18/2005
  Q: Are those percentiles OK or not? My husband is 5'10" and I am 5'2". What kind of deficiency? Also ...
  A: Given you and your husband's height, the target height is between 164 and 184 cm which he falls ...
Help please1/18/2005
  Q: I'm hoping you can help my husband and I with our son, who is now 11 years old. We recently had him ...
  A: 4th and 2nd centiles and his height is nearer the 9th centile. His final height will depend ...
iron12/23/2004
  Q: Is 11.2 low for iron for a 13 month old girl? I have given her a iron rich diet and was surprised ...
  A: 11.2 what? I guess it could be the haemoglobin level which is within the normal range of 11 - 14 at ...
Spitting up and not sleeping well12/15/2004
  Q: My baby is 5-6 weeks old. He has been congested for 3-4 weeks. Over the last 3-4 days he has been ...
  A: It depends how much of the feed he is keeping down. If he is gaining weight OK then I would not be ...
vomiting12/13/2004
  Q: I have a little girl who will be 2 years old in January. I can't seem to get a straight answer from ...
  A: I am not sure if it is just the milk which sets off the vomiting? She may have gastro-oesophageal ...
Protein in Urine12/3/2004
  Q: Smith, I took my 15 yr old son for his pre-participation sports physical. His urine test showed ...
  A: It is not unusual to have protien detected on dipstick testing of the urine. I am not sure what the ...
Diarrhea in an 11 month old11/27/2004
  Q: Good Evening, Dr. Smith. My son, Ian, is 11 months old and this past week he has developed an ...
  A: He is a bit young for toddlers diarrhoes the hallmark of whihc is undigested food (peas and carrots) ...
question about strep11/26/2004
  Q: My question is, if a 5 year old child is crying and complaining about his mouth hurting, and has a ...
  A: If there is pus on the tonsils, this indicates tonsillitis. The two main causes are a strep ...
belly button11/22/2004
  Q: "when my son was born after his umbilical cord fell off he still had some extra skin on it like a ...
  A: There can sometimes be a connection which runs between the umbilicus and bladder which remains open ...
feedings11/11/2004
  Q: my son is 3 months and 1 week and is eating his last bottle at 7 and falls asleep by 9.I cannot keep ...
  A: At this age babies should be getting around 100-120 mls/kg/day. 25 ounces is approximately 750 mls. ...
Chicken pox11/10/2004
  Q: I am a teacher for kids the age 6 & 7. last week my son had chicken pox. I would like to ask , am I ...
  A: It is transmitted by aerosol secretions. I am not sure if you can catch it from the sofa. You are ...
belly button11/10/2004
  Q: when my son was born after his umbilical cord fell off he still had some extra skin on it like a ...
  A: There can sometimes be a connection which runs between the umbilicus and bladder which remains open ...
Reflux?11/9/2004
  Q: I have a five and a half month old little boy, who has been vomiting since six weeks when he was ...
  A: If the doctors who have seen your son think this is reflux, it is very difficult for me, who has ...
Fever11/6/2004
  Q: My son is 11.5 months old, and has had a recurring fever for the past 5 days. He is not "lethargic" ...
  A: The tylenol will help with the fever, but as you say does not treat the cause. With such a high ...
baby's formula11/5/2004
  Q: my baby has been on normal milk since he was 5 months old, doctors orders, because he seemed to be ...
  A: If he is gaining weight OK then I would not be worried. I have to say I can see little reason to ...
bed wetting11/4/2004
  Q: . I have a son who is 7 1/2 yrs. old and is still waking up every morning to a wet bed. He has never ...
  A: There are two approaches to bed wetting: 1. An alarm. I'm afraid I cannot compare the different ...
my 20 mth old son11/3/2004
  Q: I have a set of 20 mth old twin boys. One was born 3 lbs 13 oz., the other 2 lbs 1 oz. The one that ...
  A: It is not unusual for one twin to be smaller than the other. There was obviously a significant ...
Breastfeeding Question - Issue10/20/2004
  Q: This is a little long so I just want to forewarn you. I am a 36 year old female and was diagnosed ...
  A: The British National Formulary says with regard to morphine that "Therapeutic doses unlikely to ...
Dear Dr.Smith, My son is...10/11/2004
  Q: Smith, My son is 22 and he is very short(about 164 sm) I don't know if he will grow or not. I did ...
  A: Unless he has some illness which has delayed his skeletal maturation he will not grow any more and ...
5 month old10/7/2004
  Q: This whole flu vaccine shortage has me upset. I have a 2.5 year old and they won't let her have it ...
  A: I am not really aware of what happens in the US. Here in the UK most people (including children) do ...
eating9/23/2004
  Q: our little girl is 3 1/2 yrs old. the problem is she will ONLY drink milk for breakfast lunch and ...
  A: The first thing is whether she is growing properly on this diet. It is unlikely a diet solely of ...
nose bleeds9/17/2004
  Q: my son has been getting bad nose bleeds and i was wondering if it was something to worry about or a ...
  A: The bleeding usually comes from capillaries just under the skin on the inside of the nose. On some ...
lactose intolerance9/15/2004
  Q: If a mother who is lactose intolerant has a child, what are the chances that the child will be ...
  A: My understanding of lactose intolerance is that it is not generally inherited. There are a few ...
vesiureteralreflux9/7/2004
  Q: good morning, i have a 3 year old daughter who was just diagnosed w/VUR, and my question is ...
  A: The majority of children with this condition do not come to surgery and the main treatment is ...
white cells in urine test are up8/30/2004
  Q: I took My daughter to her 3year check up today, she has had some white substance around her ...
  A: White cells in the urine are a relatively non-specific finding. They can indicate a urine infection ...
Renal Tubular Acicosis8/16/2004
  Q: My pediatrician thinks my 10 month old son may have RTA. Here are his current lab results: Urine PH ...
  A: On the blood gas you have given me he is not acidotic and is therefore unlikely to have RTA. The ...
Toddler phase?8/14/2004
  Q: I have a 15 month old son who has started licking his hands. At first we thought he was just ...
  A: It is not something I have come across before. I am unsure of the significance - if any. The only ...
Medicating Infants8/2/2004
  Q: My question is: I have a 15 weeks old daughter who started daycare at 12 weeks. Last week she ...
  A: I'm afraid dimeatapp is not used in the UK and so I am not sure what it is. Paracetamol ...
Recurrent pneumonia7/14/2004
  Q: I am the mother of a 16-month old boy. He was born 5 weeks early, with a ductus that healed by ...
  A: I am not a chest specialist and if you are concerned it may be sensible to get your son seen by a ...
Cat Scratch Fever7/10/2004
  Q: Smith, I have a 13 yr old son that has had a swollen gland in his armpit. I noticed while he was in ...
  A: CSF is very common with more than 24,000 estimated cases per yearin the US. The duration of lymph ...
SIDS7/7/2004
  Q: My son will be 6 months old next week. He was born a month early but has had impecable health. He is ...
  A: The precise aetiology of SIDS is still not really understood and is undoubtedly multi-factorial. ...
children crying in their sleep7/5/2004
  Q: My 4 1/2 year old daughter has been having periods when she cries and screams, during the night, ...
  A: There is a condition called "night terrors". They are relatively common, occuring in 1-3% of ...
Hi, I have a daughter who...6/30/2004
  Q: I have a daughter who is going to be 3mths on Monday. She seems to keep her hands in a tight fist ...
  A: Everything sounds fine. The grasp reflex you describe is an important one because in our ancestors ...
Weight6/23/2004
  Q: I am a 13 year old boy who is 5'8 171 lbs and is still growing and has to lose some weight to play ...
  A: If you are growing height wise, even if you do not actually loose any weight, you will become less ...
Two month old holding fingers in tight fist6/16/2004
  Q: I have a two month old girl who keeps her fist held tightly together alot except when she sleeps. I ...
  A: In evolutionary terms it is important for new born primates to grip tightly so they can hold onto ...
uit in 3 mth old baby6/15/2004
  Q: Family hx of alports syndrome Granfather had 3 transplants,died of renal failure. Baby developed a ...
  A: This is not related to any possible diagnosis of Alports. The gene for Alports is carried on the X ...
lab result6/14/2004
  Q: can you help me with a lab result? My doctor will only discuss lab results in person and they don't ...
  A: IgM are antibodies produced during an acute infection and then disappear while the presence of IgG ...
prepulcid5/26/2004
  Q: my 4 month old son has reflux grade II and II. the doctor told me to get him prepulcid. i wanted to ...
  A: Cisapride (Prepulsid) was taken off the market in Europe a few years ago because of concerns that it ...
Night terrors, and change in behavior5/20/2004
  Q: My oldest daughter is alittle over 6 years old, and has had night terrors from the age of 2. I have ...
  A: This is not my area of expertise but this certainly sounds like night terrors. They occur in 1-3% ...
Prune Belly / Underdeveloped Kidneys5/2/2004
  Q: My daughter had twin sons on April 28th. They flew the first born to Texas Children's, due to ...
  A: As you say prune belly syndrome involves lack of abdominal musculature. It is associated with ...
rectal bumps4/20/2004
  Q: BUT FOR THE PAST 2 WEEKS WHEN HE HAS A BOWL MOVEMENT AND WIPES HIMSELF THERE IS A SMALL BARELY ...
  A: It sounds like he may be constipated and the hard stool is causing small tears in the lining of the ...
lump under 5-month-old girl's nipple4/9/2004
  Q: My five-month-old baby girl has a lump under her nipple. It is not part of the chest wall; it moves ...
  A: Sometimes babies can have breast enlargement after birth because of the female hormones they can get ...
frequent urination4/7/2004
  Q: My 4 month old daughter has been urinating frequently (3 wet diapers an hour). We had some tests ...
  A: I assume by "low levels of CO2" you mean that your daughter is acidotic with low total CO2 / low ...
childhood constipation4/5/2004
  Q: My child is 7 1/4 years of age and suffers from chronis constipation. He is extremely intelligent ...
  A: It sounds as though he is having overflow, where liquid stool is leaking round impacted faeces. It ...
blood specimen from CVC line4/4/2004
  Q: Is it safe to return back the first blood that was extracted from the CVC line when you take a ...
  A: Often this is discarded. However it can be returned. The unit using the CVC line will have a ...
Infant hydradation3/26/2004
  Q: My son will be 10 months old in 3 days (he is of average size/weight and otherwise healthy; thank ...
  A: Fluid requirement at this age is based on approximately 100 mls/kg/day. However if he is breast ...
chronic cough3/20/2004
  Q: my daughter is seven years old, she has been suffering with a junky cough for almost 4 months. She ...
  A: It sounds as if she has been thoroughly investigated by a number of specialists. There is really ...
Protein In Urine3/11/2004
  Q: I was told that my daughter has an unusal amount of protein in her Urine for a child her age (5 ...
  A: I can see no reason to push fluids. The first thing is to exclude what is known as orthostatic ...
worried2/20/2004
  Q: I am feeling guilty about something. Obesity runs in my family and my husbands family. We have ...
  A: Obviously skimmed milk has less calories than whole milk. However it is unlikely to have caused ...
hieght of eleven year old boy2/19/2004
  Q: Greetings, I am concerned about the growth rate of my eleven year old son. He is 54 inches and very ...
  A: 4'6" is just below the 25th centile for an 11 year old i.e 25% of boys of his age will be shorter ...
recurrent infections2/18/2004
  Q: My son is presently 18 months old. He has milk and egg allergy,possible asthma, and is small for his ...
  A: He appears to be getting a lot of infections and if he is failing to thrive ie dropping on the ...

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