It happens seemingly overnight…

Measuring Blood Sugar Level Of Teen Girl With GlucometerType II diabetes gets all the press, mainly because the disease can be preventable and can often go into full remission with lifestyle changes.

Type I diabetes, or juvenile diabetes, is a very different story. Scientists still don’t understand what causes Type I diabetes. About 15,000 kids are diagnosed with Type I each year and in an ironic twist, about 15,000 adults are diagnosed too, making “Type I” a much more accurate name that “juvenile” diabetes. For the 3 million American children and adults diagnosed with Type I diabetes, it’s a condition that they will never outgrow; there is no cure.

Type I diabetes is not caused by eating too much sugar, being overweight or eating too many processed foods. Type I diabetes happens when your child’s immune system destroys the beta cells that produce insulin in the pancreas. In a healthy person, the pancreas is constantly adjusting the insulin production to regulate blood sugar. In Type I diabetes, the pancreas cannot produce the insulin, resulting in uncontrolled blood sugar levels.

Symptoms of Type I diabetes include:

  • Noticeably increased and extreme thirst
  • Frequent urination
  • Lethargy or extreme tiredness
  • Fruity or sweet-smelling breath
  • Dry mouth or itchy skin
  • Unexpected weight loss
  • Increased hunger
  • Cuts or sores that are very slow to heal

Type I diabetes symptoms happen suddenly, in a matter of days, and may create a panic in you and your child. Your Alzein Pediatrics medical professionals will order one of a variety of blood tests. Your child may have to fast overnight.

If your child is diagnosed with Type I diabetes, her blood sugar levels will have to be carefully monitored several times each day. The goal of treatment is to keep her blood sugar level normal, about 80-120 mg/dL before meals, and no higher than 180 mg/dL two hours after eating. Treatment includes diet changes and monitoring carbohydrates, proteins and fats, regular exercise and weight management, and using insulin when necessary. Insulin is administered through injections or a pump, a pod of insulin connected to a catheter inserted under the skin near the stomach.

Many factors affect a Type I diabetic’s blood sugar including insulin intake, eating too much or too little, certain medications, illness, stress, puberty and menstrual cycles.

When blood sugar spikes, your child will feel very thirsty, urinate frequently, have blurred vision and may feel hungry. His breath may smell fruity or sweet, he could become confused, exhausted or begin vomiting. High blood sugar leads to diabetic ketoacidosis, when his body starts burning fat and tissue for energy, releasing toxic ketone acids, leading to coma.

When blood sugar dips, your child will feel sweaty, and may experience blurry vision, clumsiness, dizziness and have trouble concentrating. Low blood sugar leads to seizures and coma and can be fatal.

If you suspect your child has Type I diabetes, call Alzein Pediatrics at 708-424-7600 immediately for an Urgent Care appointment. We’ll check your child’s overall health, order diagnostic tests and do all we can to relieve symptoms. If your child is diagnosed with Type I diabetes, we’ll work with you and your child to create a treatment and management plan that will keep your child at maximum health.

Questions about Type I diabetes or your child’s general health? Please feel free to call; we are always happy to talk to our families!

Blurp! Why does my baby spit up?

First teeth are going

It’s a common hazard of parenting. You’re ready to leave the house, cleaned up and dressed up, when your baby suddenly spits a blob of drippy, smelly curdled milk all over your shoulder.

Yuck. Why does this happen and is there anything you can do to help? Alzein Pediatric Associates explains here.

“Spit happens” because babies are born with an immature lower esophageal sphincter (LES). This muscle is located where your baby’s esophagus, the tube that carries food from the throat to the stomach, meets the stomach. In new babies, the LES is not yet strong enough to close tightly to seal the stomach from the esophagus, so stomach contents flow back into the esophagus, into the throat and out of mouth. This is known as infant reflux or infant acid reflux.

About 50% of healthy babies experience infant reflux and will spit up after meals. While it seems like spitting up can last forever, and some LES muscles take nearly a year to fully mature, many infants will stop spitting up by the time they are about 7 months old and can sit upright without help.

When that spit up dribbles down your baby’s front, you may worry that your child is losing most of what he or she just ate. In reality, normal spit up is just a teaspoon or two. Rest assured your baby is typically still getting all the nutrition she needs.

It’s important to distinguish between spit up and vomiting. When your child spits up, she hardly notices it, and will still play or laugh without missing a beat. The spit up just dribbles out, often prompted by a burp. Vomit, on the other hand, spews out with force, shooting out of his mouth and causing your child to react with distress as if in pain.

A weak LES is also what causes gastrointestinal reflux disease in adults, resulting in heartburn. This connection has caused an increase in the prescribing of acid-suppressing medicines for infants. Before any such drastic measures are taken, we will give your baby a full exam, including carefully checking weight gain progress. Very few babies will require a prescription for spitting up.

You can’t eliminate spit up entirely until your child’s LES matures, but you can do a few things to help lessen the occurrence.

  • Hold your baby in an upright position when feeding him, especially from a bottle, and keep him upright for at least 30 minutes after.
  • Make sure the hole in the bottle’s nipple is not too large, which causes gulping, or too small, which causes the swallowing of air.
  • Ask Alzein Pediatrics about a formula change if bottle feeding.
  • If you’re breast-feeding, ask Alzein Pediatrics about how changes in your diet may relieve your child’s spitting up.
  • Burp frequently and thoroughly, about every 3-5 minutes during feeding.
  • Don’t bounce or jostle your baby for about 30 minutes after feeding.
  • Don’t start cereal or solids before your Alzein Pediatric medical professional gives the okay.

While most spit up is perfectly normal, there are times to be concerned. It’s time to call Alzein Pediatric Associates when:

  • Your baby isn’t gaining weight.
  • Your baby vomits rather than spits up.
  • The spit up is green, yellow, or shows signs of blood, like red or brown.
  • Your baby is refusing the bottle or breast.
  • You see blood in your baby’s diaper.
  • Your baby has a fever, difficulty breathing, is listless or shows other signs of illness.
  • Your baby starts spitting up after 6 months of age or older.

If you have questions about spit up, or any other health concerns, call us at 708-424-7600. We may help you tweak diet or feeding habits, or make an appointment to see your baby and analyze weight gain and growth. We are always here to help!

Just a cold? Just a sniffle? Or is it RSV?

baby boy without hair beating the disease isolated on

Autumn brings us crisp apples, fallen leaves, pumpkin carving – and Respiratory syncytial virus (RSV). From late fall through early spring, RSV can gallop through schools, day cares and other places where children and adults gather.

As a matter of fact, most children will contract RSV at some time in their first two years of life. Because there are many kinds of RSV, getting it once doesn’t provide immunity; your child – and you – can get it again and again.

For most people, adults and children included, RSV will present as a cold, with symptoms such as:

  • Runny nose
  • Loss of appetite
  • Low-grade fever
  • Coughing
  • Sneezing

Most RSV infections resolve themselves within a week or two, helped along by typical care for a cold; rest, plenty of fluids, suctioning mucus from the nose, and, with Alzein Pediatric Associates go-ahead, acetaminophen (such as Tylenol) or ibuprofen (such as Motrin) for fever. You may consider using a cool-mist vaporizer, cleaned daily, to keep mucus from clogging noses and lungs.

Remember – never give your child younger than 20 years old aspirin for a viral infection, as aspirin can cause Reye syndrome, a life-threatening disease. 

However, RSV can be particularly dangerous when it spreads to the lower respiratory tract. There, it will cause pneumonia or bronchiolitis. Call our office immediately if your child, or any family member, shows these symptoms:

  • Mid-grade fever
  • Severe cough
  • High-pitched wheezing when your child exhales, or breathes out
  • Difficulty breathing, especially when lying down
  • Cyanosis – a bluish color in your child’s lips, nostrils, fingertips or toes.

Your infant or toddler is especially at risk of contracting RSV and requiring hospitalization for treatment if:

  • Born prematurely, at or before 29 weeks
  • 6 months or younger in age
  • Younger than 2 years old with heart or lung conditions
  • Have a weakened immune system
  • Have difficulty swallowing, coughing or blowing the nose, with neuromuscular disorders

When your child is at greater risk of RSV, your Alzein Pediatrics medical staff can help. Monoclonal antibodies, given in monthly doses for about five months, can halt the virus from multiplying in your child’s body, not actually preventing RSV, but containing the virus to a mild infection.

Call Alzein Pediatric Association immediately, or head to an Urgent Care if your child or family member experiences these symptoms:

  • High fever
  • Chest, belly and skin pull in with each breath; difficulty breathing
  • Has cyanosis
  • Has a persistant cough
  • Refuses food or drink
  • Is unusually tired or fussy

The best way to avoid RSV complications is to prevent the virus in the first place. Like any virus, washing hands frequently and thoroughly (sing “Happy Birthday” slowly as you wash with a mild soap) is the best defense. Keep your child, especially infants younger than 6 months, away from people with cold symptoms. Wash toys daily. Wipe down kitchen and bathroom surfaces often. Don’t share cups or eating utensils, or eat from the same plate of food. Throw away used tissues immediately.

Don’t smoke! Children exposed to smoke are at a higher risk of contracting RSV and of developing more dangerous complications.

Have questions about RSV or think your child may have been exposed to RSV? Call Alzein Pediatric Associates at 708-429-7600. We’ll do all we can to help!

Get to know Darius Sanders

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Alzein Pediatric Associates loves to share our patients’ stories. Darius Sanders has been our patient since he was a newborn and now he’s a world champion. While he’s always been a champion with us, we hope you enjoy his story. 

Glenwood Teen Roller Skating World Champion Looks Toward Summer Olympics 2020

– As the International Olympic Committee edges towards recognizing roller figure skating as a full-fledged Olympic sports, one Glenwood family is watching particularly closely. Darius Sanders laced up his first pair of roller skates when he was 4 years old, two years after the IOC first selected roller sports for consideration to be an official part of the Olympic Summer Games.

Today, 14-year-old Darius, along with his partner Samantha Krusza of Lynwood, is a United States Rolling Figure Skating Champion, winning the title in Albuquerque, New Mexico. He is hoping to compete in the 2020 Summer Olympic Games in Tokyo, Japan as a fully-recognized Olympic athlete.

Darius began skating free style with his family at an early age. Mom Cassandra was a competitive skater and Dad Philip and brother Philip Jr. love to skate as well.

“It’s a different type of physical activity than the more traditional sports,” says Philip Sanders. “Baseball and soccer are fine, but skating is just great overall exercise. Skating works out your whole body.” Sanders shows a great deal of concern about the childhood obesity crisis and strongly advocates skating as a factor in the solution.

“Not only do your leg muscles get exercise with the spinning and jumping – those skates are about 10 pounds apiece – and your arms get a workout with lifts, and your lungs and heart get a workout too,” says Sanders.

Darius has skated in competitions all over the country, including Nebraska and New Mexico. He is on track to compete in Poland in 2018. As a world-class skater himself, Darius is now competing at higher levels.

“Now he’s moving up a level and feeling a little frustrated,” smiles Sanders. “He is used to winning those first place medals and now, against older skaters, he’s placing down on the podium. I tell him, “Now is not your turn. Your turn is coming. You will get older and stronger, and you’ll be even better than that guy is now.” But he still wants those firsts.”

That work ethic is something coach Anita Roberts noticed a long time ago. “I’ve been working with Darius since he was a tiny tot, just 4 years old. He is a conscientious skater and a hard-working skater.”

Coach Julie Jessup agrees. “I’ve been working with Darius for three years now and he is just a joy to work with.”

As part of the Glenwood Skate Club and the Lynwood Skate Club, Darius has accumulated well over 100 medals over the course of his skating career. He is an expert at the fluid arabesques, majestic jumps, and stunning spins that make up a figure skating routine. He loves to spin; he is fast and he is smooth. The lifts he performs with Samantha are considered signature moves. Darius also loves to ice skate, but finds the difficulty of managing four wheels a more satisfying challenge.

Darius began high school this fall and discovered that all that skating has also made him an remarkably quick sprinter. So far, he remains focused on skating and getting to competitions in Paris, in Poland and to the 2020 Olympics.

Getting there does require considerable financial support. To raise funds for coaching costs, travel fees, uniforms and equipment, Sanders has set up a GoFundMe page, https://www.gofundme.com/darius-roller-skater-champion-2017. Contributions of any size are welcomed and deeply appreciated.

When the IOC recognizes roller figure skating as an Olympic Sports, Darius Sanders will be there, skates on and ready to spin.

Do you have a story about your child you’d like to share? We’d love to help! Email csynoga@alzeinpeds.com and we’ll contact you.

Can you thay thocks?

Big Kiss

Your newborn can curl her hand around your finger immediately, but it can take nearly a year to develop the fine motor skills to use a pincer grasp to pick up a Cheerio. Just like these muscles strengthen and refine as your child grows, it will take time – sometimes years – for your child’s tongue, lips, mouth and facial muscles to develop sufficiently to properly make all the sounds for clear, perfectly understandable speech.

There is a reason most toddlers say “ma ma” first. It’s because that sound, “m”, is one of the first that develop. You may also hear “p”, “h”, “w”, “b” and “n “by your child’s first birthday. If you don’t, there is no cause for alarm; it can take up to 3-1/2 years for your child to clearly enunciate these sounds. Between ages 2 and 4, you may also start hearing “k”, “g”, “d” and “t” sounds.

By the time your child reaches kindergarten, he’ll start using blends, such as “st”, “pl”, and “gr”. For example, “stop” will no longer be “top” and “great” will sound just great, rather than like “gate”.  The blends “sh” and “ch” may take until age 7 to accurately develop, saying “shopping” rather than “chopping” when you need to buy groceries. The “th” blend may take up to 8 years to develop, to properly say “thumb” instead of “tum.”

Substituting a “w” for an “l” such as in “wuv” instead of “love” may continue until age 7.

Some sounds present more noticeable problems and continue well into elementary school, such as a lisping “th” instead of a clear “s”, a “w” substitution for “r”, such as “buwd” instead of “bird”, or trouble with “ing” such as “goink” instead of “going”. These sounds are also among the most difficult to form, taking up to 8 years old for all muscles and skills to be strongly developed.

When you are concerned that your child’s speech is difficult for strangers – and sometimes family and friends – to understand, first take your child’s age into consideration. It may just not be time yet for those particular troublesome sounds to be fully developed.

Sometimes, there is cause to intervene – and intervene early. Red flags needing immediate attention are when your child:

  • Drools excessively, even when not teething
  • Doesn’t use his lips when eating or cannot eat neatly, dropping food from her mouth
  • Keeps his mouth open and/or tongue out; an open mouth posture
  • Is unable to touch her tongue to her upper lip, or to lick her lips
  • Is a mouth breather
  • Has difficulty making a “kiss face” or blowing “raspberries”
  • Has difficulty blowing out candles, or blowing bubbles
  • Cannot bite his lower lip

When you notice these muscular or functional challenges – at any age – it’s best to call Alzein Pediatric Associates for a full physical exam including a hearing check and a possible referral to a speech pathologist.

Questions about your child’s speech development or want to make an assessment appointment? Call our office at 708-424-7600. We are here to serve you and your family!

The flu vaccine is here! Are you?

Flu Shot

The 2017-2018 vaccine to protect your child against influenza has arrived in our offices.

Your child needs a new flu shot each and every year. The influenza, or flu, viruses are constantly changing, so scientists change the formula each season to best protect against the newest and most aggressive viruses each year. Also, the protection that your child received last year has now weakened over time.

  • Every child over 6 months of age healthy enough to receive the vaccine should get it.
  • It takes about two weeks for the vaccine to develop antibodies in your child, so getting it early can prevent an early flu.
  • Even if your child is perfectly healthy, vaccinating your child provides herd immunity, which means they won’t infect a medically fragile infant, senior or someone with a compromised immune system.
  • If your child is under 5 years old and contracts the flu, there’s a good chance it will be severe enough to require medical attention.
  • Children are at risk for serious complications such as sinus infections, ear infections and pneumonia.
  • In some cases, the flu can cause inflammation of the heart, brain or muscles and organ failure.

Call 708-424-7600 for your child’s flu vaccine today.

Getting Rid of the Back-To-School Butterflies

Mother gets child ready for first day of school

Summer seems to have hardly begun and we’re already staring down back-to-school. Where did the time go? We hope you and your child have had the opportunity to spend time together, enjoy the outdoors, and explore your local library.

The first day of school can be fraught with anxiety for your child, even if he loves school. Here are a few ways to make the transition from summer play to school days easier.

New school or kindergarten? Take a private meet-and-greet tour!
While it’s wonderful that schools and teachers welcome kids and parents for a “before school begins” get-together, that crush of people can be overwhelming for many children. Call your school to explain that your child would like to visit and tour the school privately, before the rush of peers and parents. Point out the bathroom, the library, the gym or playground and her classroom. Introduce her personally to her new teacher, giving her a moment to really connect to this person who will be very important in her life for the next nine months.

Concentrate on the positive.
Remind your child about friends she will make new or see again. Explore what she thinks she’ll learn this year and why that’s exciting for her. Talk about that certain hot lunch she enjoys. Explain that she can visit with former teachers she admires. Reminisce together about a particularly happy school day in the past.

Send them prepared.
Obtain a list of necessary school supplies and collect them at least a week before school begins, so your child knows she has everything she needs to be successful. Studies show that children who are properly equipped have less anxiety, concentrate better and earn better grades.

Make sure your child is getting a nutritious lunch each day, with a protein like chicken or turkey, water or milk instead of juice and a serving of fruit and a serving of vegetables.

If you are under financial strain, call your school’s office and ask where you can access free or deeply discounted supplies and meals.

Be present, even if you’re not there.
Your presence during the day is important, but tread carefully. Notes in lunchboxes should focus on having a fun and successful day, such as “You will ROCK that spelling test” or a short joke. Avoid thoughts like “I miss you” which will make him think about missing you in return.

You’re all in this together.
Explain to your child that most of his classmates are feeling a little nervous right about now too. Tell your child about your own school days butterflies, and then relate a positive story about one of your first days, perhaps how you loved your new school shoes or when you discovered that you were going to learn everything about dinosaurs in third grade.

Be alert.
When your child can’t sleep, even after school has started and is in regular session, when your child’s personality has undergone a change, when she cries easily, begins biting nails or other destructive habits, it’s time to take a closer look. Is there a bullying situation? Is she having trouble comprehending a subject? Ask careful questions about what makes your child happy at school and on the bus and what makes her uncomfortable. If her answers set off alarms, talk to her teacher immediately. The quicker a problem is recognized by adults, the sooner it can be resolved.

Need a Back To School Physical ASAP? Call us at 708-424-7600 to make an appointment!

Do You See What I See?

Newborn Baby Girl

Your baby enters this big, exciting, colorful world able to actually see very little of it. Just like your infant’s motor skills and verbal skills, vision takes time to develop.

Your delivering physician will examine your child’s eyes for any neonatal problems and usually apply an antibiotic ointment to avoid eye infections caused by bacteria in the birth canal.

When your newborn first opens her eyes after arriving, she doesn’t see in color. Her vision is just like an old black and white movie, and she’ll be most interested in the areas of sharpest contrast, where light meets dark. She’ll have difficulty focusing on objects farther than 8-10” away. When you hold and talk to your newborn, your face is about 4-6” away from hers, quickly leading to her preference for your face over anyone else.

Your newborn’s eye are about 50 times less sensitive to light than yours, so leaving a nightlight on won’t interfere with sleep patterns.

When your child is about one week old, he’ll be able to see red, orange, yellow and green. Blues and purples will come a little later.

During the first month or so, your child will often appear cross-eyed. Eyes may seem to float towards the nose or far apart. The muscles around his eyes will strengthen to work as a team within about 8 weeks from birth.

Between 2 weeks and 2 months, your baby’s tear ducts will be developed and you’ll see real tears when he cries.

At about 3 months, your baby will start tracking moving objects with just her eyes, not turning her head. She’ll also begin reaching for things as she develops eye-hand coordination. Light sensitivity increases, so dim that nightlight.

By 5 months, your child will see the world in a fully 3-dimensional way and in good color. Studies show that children who crawl longer than their peers are able to use their eyes, hands and feet together more effectively than early walkers who did little crawling.

When your child celebrates his 5th birthday, his vision should be fully developed.

You can help your child develop good vision by:

• Decorating his nursery with bright, contrasting colors and shapes
• Change the location of the crib every week or so if possible, or place her head at different ends of the crib.
• Change items in the room frequently, giving him new visual stimulation
• Move objects – or yourself! – so your baby can practice tracking, reaching and moving.

Call your Alzein Pediatric Associates medical professional at 708-424-7600 immediately if you notice:

• eyes seem to cross or misalign after 2 months of age
• lack of tears when crying after 2 months of age
• eyes “jump”
• consistently watery eye
• extreme sensitivity to light
• red, inflamed or crusty eye
• whiteness in the pupil

We are always happy to help!

Newborn Hygiene Care

AlzeinPeds hygiene

There is so much information out there about your newborn; sleeping, eating, bonding, peeing, pooping and much more.

What seems to be lacking, however, is information about what else is contained in your child’s diaper. Parents should be aware of several things about their newborn’s genitals, both boys and girls.

Circumcision Care

The decision to circumcise your newborn boy may be based in your religion or culture, societal norms or health concerns. The American Academy of Pediatrics agrees that there are health benefits to circumcision, but hesitates about recommending it as a routine, standard procedure.

Research suggests boys who are circumcised have a lower risk of urinary tract infections, penile cancer, and sexually transmitted diseases.

If you make the decision to have your son circumcised, it should be done as soon as possible. Some of the foreskin that covers the penis will be removed, exposing the glans and urethra opening. The procedure is very quick and a local anesthetic will be applied to minimize pain.

After the procedure, you may notice the penis is raw-looking or yellowish. At each diaper change, apply a liberal amount of petroleum jelly to the penis to prevent sticking to the diaper as it heals. Wash your hands thoroughly before and after each diaper change. Your son’s penis should heal quickly. If it has not healed within 10 days of the procedure, if you see any new bleeding or increased redness at any time, or if you still see a yellowish discharge after 7 days, call our offices.

Uncircumcised Care

Your son’s foreskin will eventually naturally retract from the tip of his penis, but there is no exact timetable for this. It could occur before your child turns two, or it might not happen until puberty. Do not force this retraction as it can cause tears in the foreskin, bleeding and severe pain.

As foreskin and penis separate, you may see white, pearly lumps under the foreskin. This is dead skin cells shedding and completely normal.

Until the foreskin retracts, keep the outside of the penis clean. As the foreskin retracts, it is important to clean under it regularly. Teach your son how to gently pull back the foreskin, wash the area underneath with mild soap and warm water, and then pull the foreskin back over the penis. This hygiene is especially important to perform daily – just like brushing his teeth – once he begins puberty and every day thereafter.

Your Daughter’s Care

Seeing blood in your newborn girl’s diaper can be upsetting, until you know that this discharge, along with any thick, milky substance is perfectly normal.

About 2 to 3 days after birth, a tiny menstrual period may appear, due to your daughter’s withdrawal from the hormones she was exposed to while in utero. Her labia major and clitoris (the areas outside of her vagina) may also be swollen and enlarged from the hormone exposure.

Avoid using soap, lotions, ointments or powders on your daughter’s genitals. Use warm water only and wipe any bowel movements away from her vagina. Gently wash the creases in her labia and understand that she has a natural cleaning system for the inside her vagina.

If the bleeding persists for more than a day or two, or if there is any foul odor from the discharge, call our office for an appointment.

When you have questions about your newborn’s health and wellness, we are here to help! Just call 708-424-7600 or visit alzeinpeds.com and click “Make An Appointment.” 

Your child is 2-1/2! That’s a milestone!

Thoughtful Little Girl

While it might not be a birthday, 30 months old is HUGE for your child. So many important markers should now be met – or very close to it. Ensuring that your child is on track, or getting early intervention for things that are concerning, is an important part of your child’s 30-month well visit.

Your Alzein Pediatrics medical staff will exam your child’s physical health with a complete exam, listening to heart and lungs, examining ears, eyes and throat, bone, spine and posture development and alignment. We’ll check your child’s height and weight and also his BMI (body mass index), as obesity issues can start at this age. We’ll make sure immunizations are up-to-date.

We’ll check for developmental milestones and make recommendations if we see something that could be of concern. Things we’ll look for and ask about include:

  • jump in place
  • dress with some assistance
  • use “I”, “me” and “you” when speaking
  • match shapes and colors
  • throw a ball using an overhand motion
  • identify body parts
  • show an interest and beginning ability to play with other children

Your child should be showing an interest in potty training, such as sitting on a potty chair and watching parents or siblings use the toilet. Your child should have a dry diaper for hours at a time, be understanding the physical urge to “go” and telling you when his diaper is soiled and needs changing.

We’ll discuss sleeping habits. Toddlers need about 13 hours a day, and may still be taking an afternoon nap.

Diet and eating habits will be discussed, but we won’t be troubled if you relate that your child eats little to nothing on some days, or only eats yellow foods on other days. Your job as a parent is to provide healthy, nutritious meals and snacks throughout the day; your child’s job is to determine for himself how much he actually needs to fuel his body at that time.

While you’re here, we’ll encourage to ask us about any struggles or questions you may be having at this time of your child’s life, whether it’s about physical issues, behavioral issues or developmental milestones. We are always here to support you!

30 months – 2-1/2 years old – is a big deal! When your child is near or just past that age, make an appointment with Alzein Pediatric Associates by calling 708-424-7600 or visiting alzeinpeds.com and clicking the yellow “Book an Appointment” button.