Tuesday, November 19th, 2013
Amid reports that a growing number of kids are showing up at emergency rooms with gastritis, an irritation of the stomach lining, health officials are warning parents that super spicy foods including chips and crackers may not be safe for kids. More from ABC News:
Dr. Martha Rivera, a pediatrician at White Memorial Medical Center in Los Angeles, said she sees between five and six cases of children with gastritis daily.
“We have a population who loves to eat the hot spicy, not real foods, and they come in with these real complaints,” Rivera told KABC-TV.
Dr. Robert Glatter, an emergency room physician at Lenox Hill Hospital in New York, said he believes that the flavoring coating the chips and snacks is what might be causing the stomach pH to change, rather than just the spiciness of the snacks. For example, he said he hasn’t had a lot of people coming in doubled over from eating too much spicy salsa.
“In the past, I had not seen any problems with snack food until spicy flavoring became more popular,” said Glatter.
Glatter said it wasn’t just the high fat or high salt content that the kids or adolescents crave but the actual burn of the spicy flavoring.
“It’s almost like a food addiction. They seek out the burn,” said Glatter. “It’s a little thrill-seeking. ‘It’s like how much can I tolerate?’ and I’ve seen a number of children who eat four or five bags and come in screaming in pain.”
Image: Spicy snacks, via Shutterstock
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Tuesday, November 12th, 2013
Warnings that children under age 4 should not use over-the-counter cough or cold medicines, even those intended for children, appear to be having a positive effect on the number of families that misuse those products, according to a new study published in the journal Pediatrics. More from The New York Times:
Government researchers said on Monday that those moves have had a remarkable effect: a significant decrease in emergency hospital visits by toddlers and infants with suspected medical problems after using these medicines.
Dr. Daniel Frattarelli, a former chairman of the committee on drugs at the American Academy of Pediatrics, praised the study, saying it showed that “the label is a very powerful tool for changing parent behavior.”
In the new study, published in the journal Pediatrics, researchers at the Centers for Disease Control and Prevention reviewed data from 63 hospitals to estimate the number of emergency visits from 2004 to 2011 by young children who had taken cough and cold medicines.
Children under 2 accounted for 4.1 percent of all emergency visits for suspected drug-related effects before the 2007 withdrawal, the researchers found, and accounted for 2.4 percent afterward. Among 2- to 3-year-olds, emergency room visits linked to cough and cold medicines decreased to 6.5 percent from 9.5 percent after the label change.
Yet there was no significant reduction in emergency visits among children ages 4 to 11. Among 4- and 5-year-olds specifically, visits attributed to cough and cold drugs increased to 6.5 percent from 5.6 percent.
“We’re making great progress in under-2s, and we’re making relatively good progress in 2 to 3s,” said Dr. Don Shifrin, a pediatrician in Seattle and a spokesman for the American Academy of Pediatrics. “But we’d like better news for kids over 4.”
The new report may reignite the debate over when it is safe for parents to give cough and cold medicines to their children, some experts said.
“I would call this Chapter 1 in the story,” said Dr. Matthew M. Davis, a professor of pediatrics and public policy at the University of Michigan in Ann Arbor. “Chapter 2 is going to require additional changes in policy to reduce adverse drug events for older children, 4 and older, and to ensure safer medications in the home medicine cabinet for all ages.”
Dr. Frattarelli said he would like to see “do not use” labeling for children ages 6 and younger, since the drugs continue to be misused for 4- and 5-year-olds.
Image: Cough medicine, via Shutterstock
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Monday, August 12th, 2013
The number of children who went to the emergency room or were treated elsewhere because they had swallowed magnets–a highly dangerous situation that can lead to emergency surgery–quintupled between the years 2002 and 2011, according to a new study published online in the journal Annals of Emergency Medicine. More from ScienceDaily.com:
“It is common for children to put things in their mouth and nose, but the risk of intestinal damage increases dramatically when multiple magnets are swallowed,” said lead study author Jonathan Silverman, MD, of the Department of Pediatrics at the University of Washington in Seattle, Wash. “The ingestion of multiple magnets can severely damage intestinal walls to the point that some kids need surgery. The magnets in question were typically those found in kitchen gadgets or desk toys marketed to adults but irresistible to children.”
Over a 10-year period, 22,581 magnetic foreign body injuries were reported among children. Between 2002 and 2003, incidence of injury was 0.57 cases per 100,000 children; between 2010 and 2011, that jumped to 3.06 cases per year out of 100,000 children. The majority of the cases occurred in 2007 or later.
In cases where children ingested multiple magnets, 15.7 percent were admitted to the hospital (versus 2.3 percent of single magnet ingestions). Nearly three-quarters (74 percent) of magnets were swallowed; twenty-one percent were ingested through the nose. Nearly one-quarter (23.4 percent) of the case reports described the magnets as “tiny,” or other variants on the word “small.”
Image: Magnets, via Shutterstock
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Friday, August 9th, 2013
Young athletes suffer injuries–mostly strains, sprains, and fractures–about once every 25 seconds, resulting in around 1.35 million emergency room visits each year, according to a study by the organization Safe Kids Worldwide. Sports injuries, the group found, account for 20 percent of all ER visits by children. More from CBS News:
“We uncovered some surprising and disturbing data about how often our kids are being injured playing sports,” Kate Carr, president and CEO of Safe Kids Worldwide, said in a statement.
For the new report, researchers from the child injury awareness organization looked at emergency room data collected in 2011 on injuries related to the top 14 sports for kids, including basketball, soccer, baseball, softball, cheerleading and ice hockey.
The most common injuries were strains and sprains, followed by fractures, bruises and scrapes.
Especially concerning though were the researchers found about 163,000 of those ER visits — or 12 percent — were for concussions. That’s about one child concussed every three minutes, Safe Kids points out. Nearly half of the concussions (47 percent) occurred in children between 12 and 15 years old, a “disturbing” trend because younger children take longer to recover from concussions than older ones. Serious and potentially deadly brain swelling is also more common in young people with traumatic brain injuries than adults, the report added.
In March, the American Academy of Neurology issued new guidelines recommending that kids sit out of games after suffering a concussion until they have been cleared by a doctor.
Image: Boy playing football, via Shutterstock
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Tuesday, July 30th, 2013
Thirty four US children per day are seen in emergency rooms nationwide for choking incidents where the culprit is food, according to a new study published in the journal Pediatrics. More from NBC News:
That amounts to more than 12,000 emergency visits a year from kids ages birth to 14, but the problem is actually even more significant since most kids who choke don’t wind up at the hospital.
“As dramatic as this study is, this is clearly an underestimate,” says Dr. Gary Smith, the study’s senior author and director of the Center for Injury Research and Policy at Nationwide Children’s Hospital in Columbus, Ohio.
Those children between the ages of birth to 4 were most likely to choke on food, with hard candy accounting for 15 percent of choking incidents. Other kinds of candy and gum were the culprit behind 13 percent of episodes, followed by meat — not including hot dogs — and bones. Nuts, seeds and hot dogs were the foods most likely to end up in a hospital stay — nuts and seeds because they’re difficult for little teeth to chew and hot dogs because they can be sucked into the airway and cause more serious choking.
“If you were going to get the best engineer in the world, you couldn’t design a better plug for a child’s airway than a hot dog,” says Smith.
Children’s airways are relatively small compared to those of adults, notes Dr. Phyllis Agran, a pediatric gastroenterologist and professor emerita at the University of California, Irvine’s medical school. “The bigger you are, the more room there is,” says Agran.
The American Academy of Pediatrics recommends keeping foods including hot dogs, nuts, chunks of meat or cheese, whole grapes and hard candy away from kids younger than 4.
Image: Whole grapes, via Shutterstock
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