Helping Kids Who Are Afraid to Visit the Doctor

Dr. Kevin Buckwalter practices as a physician in the Las Vegas, Nevada, area. In addition to offering health services to adults, Dr. Kevin Buckwalter also provides pediatric care, or health care for children.

It is very important that children see a doctor regularly for preventive care and regular checkups, as well as to address any sicknesses or health problems that may arise. However, getting a child to cooperate when it’s time for a doctor’s visit can be a challenge, particularly if the child is afraid of the doctor or sees going to the doctor as a negative experience. Fortunately, there are a number of things parents can do to make taking their children to the doctor more pleasant.

First of all, a parent should help the child know what to expect. For example, the parent might talk with the child and tell him or her what might happen during the visit. This can include discussing which tools the doctor will use, such as the stethoscope and tongue depressor, and how the doctor will use them. The parent should then answer the child’s questions and correct any misconceptions the child might have. In some cases, it might help a younger child to tag along on an older sibling’s visit to the doctor. Finally, the parent should convey the experience of going to the doctor in a positive light by explaining that the purpose of going to the doctor is to stay well and healthy. This way, the child will be less likely to view visits to the doctor as negative or scary events.

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Signs of Appendicitis in Children

Dr. Kevin Buckwalter practices family medicine in Henderson, Nevada, where he regularly sees patients with common childhood illnesses. Dr. Kevin Buckwalter also has built extensive experience treating patients in a hospital setting.

Stomach aches are one of the most common everyday symptoms in children, and parents can find it difficult to tell when the pain signals something more serious than gas or constipation. Appendicitis stands out as a more serious cause of stomach pain, particularly as its symptoms can be vague in children. Adults typically present with a classic symptomatology that includes lower-right quadrant pain, loss of appetite, nausea, and vomiting. However, physicians have found that these symptoms do not necessarily indicate appendicitis in children.

In conducting an in-depth study of pediatric appendicitis, researchers at the Johns Hopkins Children’s Center found that a more reliable predictor is rebound tenderness in the lower-right abdomen. If a child has appendicitis, applying pressure to the lower belly and subsequently letting go will more than likely worsen the pain. In addition, appendicitis pain in children typically begins around the navel and travels to the lower right. Physicians recommend that parents in doubt seek medical attention.

Penn State Milton S. Hershey Medical Center, Flu Therapy

Since 2002, Kevin Buckwalter, MD, has been providing care to patients of his family practice in Henderson, Nevada. Dr. Kevin Buckwalter completed his medical studies at Ross University and went on to intern with the department of surgery at Penn State Milton S. Hershey Medical Center.

Penn State Milton S. Hershey Medical Center, located in Hershey, Pennsylvania, works together with Penn State College of Medicine and the Penn State Hershey Children’s Hospital to provide patient care, educate students in health related professions, and advance medical knowledge through research. Established as a gift from the Milton S. Hershey Foundation in 1963, the Penn State Milton S. Hershey Medical Center currently provides a variety of state-of-the-art treatment techniques and top-notch medical care to the residents of Pennsylvania.

This past flu season more than a dozen patients were referred to the Penn State Milton S. Hershey Medical Center to receive an advanced form of therapy generally reserved for critically ill patients. The therapy, known as ECMO, uses a pump to circulate blood in patients suffering from flu-related virus. With the proper equipment and trained staff, Penn State Milton S. Hershey Medical Center was able to provide this service for patients who had come from as far away as Syracuse, New York.

Diagnosing and Treating Ear Infections

By Kevin Buckwalter, M.D.

As a family practice doctor in Henderson, Nevada, I treat a wide range of health issues in patients of all ages. Ear infections are one of the most common medical issues among children under the age of six. These infections can take many forms, including external otitis or “swimmers ear,” which affects the outer ear and ear canal. When a young child has an outer ear infection, it is identifiable by an earache that becomes more acute when the outer earlobe is moved. While ear discharge is a symptom of external otitis, fever is not, and the condition is generally treatable through antibiotic ear drops.

The most common type of ear infection is otitis media, which involves infection of the middle ear and often results in fluids filling the middle-air space behind the eardrum. Middle ear infections may occur within a week or two of a child experiencing upper respiratory tract infection. If the fluid becomes infected, pain and fever may develop. Symptoms of this condition among infants include irritability, continuous crying, trouble sleeping, and tugging at the ears. Parents who suspect their infant has such an infection should bring the child to a hospital or clinic immediately. The physician will examine the eardrum for redness, pus buildup, and other signifiers of otitis media. While middle ear infections may get better on their own, it is generally best to treat them with an antibiotics regimen. Unfortunately, resistance to antibiotics is growing in the United States. This is particularly true among children who have been prescribed antibiotics recently and those who are exposed to other children who have recently undergone antibiotics treatments. During the recovery phase, keep in mind that it is common for children to retain fluid behind the eardrum for one to three months. Otitis interna, which affects the inner ear, is relatively uncommon. As this part of the ear contains sensory organs essential to hearing and balance, a common symptom of its inflammation is vertigo.

Risk factors for ear infections that parents should be aware of include changes in climate or altitude, pacifier use, recent illnesses, exposure to cigarette smoke, and daycare attendance. Ear infections are most common during the winter months, when the weather is cold. They are also relatively common among infants who spend significant time drinking from sippy cups while lying on their back.

About the Author: A family practice physician, Dr. Kevin Buckwalter completed his M.D. at the Ross University School of Medicine and served his medical residency at the Department of Family Medicine at the University of Pittsburgh Medical Center.