Pediatrics On Call

Pediatrics On Call Expert Pediatric Care, Where You Are, When You Need It. Pediatric telemedicine in your community! Or woken up to a sick child on the weekend? Too many to count?

Expert Pediatric Care, Where You Are, When You Need It

How many times have you picked your child up from daycare, school or aftercare just to discover they were not feeling well and your pediatrician's office was already closed? That is where we come in! By joining Pediatrics On Call for only $15.99 per month (plus the one-time registration fee of $100), you will receive a home medical kit (which includes a digital thermometer, pulse oximeter, and smart-phone compatible digital otoscope) and have unlimited access to expert pediatric care via telehealth 24 hours per day, 7 days per week with no co-pays, deductible, or additional fees. No contracts, no cancellation fees, and no insurance required! We even offer discounted rates for families with more than one child! How many times did you just have a quick question you wanted to run by your pediatric provider but it took days to get a phone call back? That's also what we're here for! We can handle many different types of questions or concerns via our innovative telehealth platform, including:

Runny Nose
Cough
Fever
Ear Pain/Ear Infections
Sore Throat/Strep Throat
Conjunctivitis (Pink Eye)
Stomach/Gastrointestinal Concerns
Urinary Concerns
Rashes
Acne
Skin Concerns
Insect Bites
Minor Cuts and Scrapes
Breastfeeding/Lactation Concerns
Developmental Concerns
Sleep Concerns
Behavioral Concerns
Mental Health (Anxiety and Depression)
Lab and/or Xray Orders (when necessary)
Prescriptions (when necessary)
School Notes (when needed)
​​

We are not meant to replace your pediatric primary care provider, but to compliment the expert care they already provide for you. You can have confidence in knowing you are reaching an expert, board-certified, local pediatric primary care provider from your own Volusia/Flagler community to help you when you can't get in to see your normal provider. And we will even send visit notes to your regular care provider to keep your continuity of care.

This is a timely post as I just saw this in the office yesterday...🐜 Chigger Bites (Trombiculosis)🐜 What are Chigger Bit...
04/07/2026

This is a timely post as I just saw this in the office yesterday...

🐜 Chigger Bites (Trombiculosis)

🐜 What are Chigger Bites?
Chigger bites are caused by tiny mites (larvae of mites) that attach to the skin and feed on skin cells. They are very common in grassy, wooded, or outdoor areas, especially in warm climates like Florida.

What causes it:
Chiggers (larval mites) attach to the skin and inject digestive enzymes that break down skin cells, causing irritation.

Who it affects:
👶 Children who play outdoors
🏕️ Kids in grassy fields, parks, woods, or near lakes
🌴 Very common in the Southeast U.S.

Symptoms parents may notice:
🔴 Small red bumps or welts
🔥 Intense itching (often worse at night)
📍 Clusters of bites, often around:
• Ankles
• Waistline
• Behind knees
• Groin area

⏳ Itching usually starts several hours after exposure

How it spreads:
❌ Chigger bites are NOT contagious
🦠 They come from contact with grassy/brush areas — not from other people

What parents can do at home:
✔ Wash skin with soap and water after outdoor play
✔ Apply anti-itch creams (hydrocortisone)
✔ Use oral antihistamines if needed (per pediatric guidance)
✔ Keep nails short to prevent skin damage from scratching
✔ Cool compresses can help relieve itching

How long it lasts:
⏳ Itching can last several days to 1–2 weeks
⏳ Bumps may take up to 2 weeks to fully resolve

🚨 Red flag symptoms (seek medical care):
• Signs of infection (increasing redness, warmth, pus or blister formation)
• Severe swelling
• Fever
• Persistent worsening rash

📚 Source:
CDC – Mites (Chiggers)
https://www.cdc.gov/parasites/chiggers

👉 If your child is sick and you need medical advice and treatment today, join Pediatrics On Call now by clicking sign up from our homepage at www.pediatricsoncall247.com

For educational purposes only, not for medical advice.

Photo credit: health.com

🚽 What is Constipation?Constipation is when a child has infrequent, hard, or painful bowel movements.What causes it:• Lo...
04/03/2026

🚽 What is Constipation?
Constipation is when a child has infrequent, hard, or painful bowel movements.

What causes it:
• Low fiber diet
• Too much milk intake
• Dehydration
• Stool withholding
• Changes in routine including new introduction to potty training

Who it affects:
👶 Common in toddlers and school-aged children

Symptoms:
😣 Hard stools
🚫 Infrequent bowel movements
😖 Abdominal pain
💩 Pain with stooling

How it spreads:
Not contagious

At-home care:
✔ Increase water intake and cut back milk intake to 16oz/day or less (for children over 1 year of age)
✔ Add fiber (fruits, veggies)
✔ Encourage regular bathroom time
✔ Physical activity

Duration:
⏳ Can be ongoing without treatment

🚨 Red flags:
• Blood in stool
• Severe abdominal pain
• Vomiting
• Weight loss

📚 Source: https://www.healthychildren.org and photo credit kidshealth.org

👉 If your child is sick and you need medical advice and/or treatment today, join Pediatrics On Call now by clicking sign up from our homepage at www.pediatricsoncall247.com

**For educational purposes only, not for medical advice.

At Pediatrics On Call, we value strong community connections. Because so many of our families come to us through trusted...
04/02/2026

At Pediatrics On Call, we value strong community connections. Because so many of our families come to us through trusted referrals, we’ve created a Business Partner page on our website to highlight local businesses we personally know, trust, and collaborate with—so you can feel confident in the care and services you choose!

Today we are giving a shout out to one of our partners, The Children's Workshop A highly sought after daycare and preschool in Ormond Beach! The Children’s Workshop is a developmental preschool for two-, three- and four-year old children. Since 1983, The Children’s Workshop has established a reputation for academic excellence in early childhood education.

At The Children’s Workshop, children develop concepts in the cultural arts, language arts, mathematics, science, and social studies by actively exploring, discovering, and creating through play.

Check them out today on our Business Partner page!
https://pediatricsoncall247.com/business-partners/

🌙 What is Croup?A viral illness that causes swelling of the upper airway, leading to a distinctive barking cough.Cause:P...
04/01/2026

🌙 What is Croup?

A viral illness that causes swelling of the upper airway, leading to a distinctive barking cough.

Cause:
Parainfluenza virus

Who it affects:
👶 Most common in children ages 6 months–3 years

Symptoms:
🐶 Barking cough
🎤 Hoarse voice
🫁 Noisy breathing (stridor)

Spread:
🦠 Respiratory droplets

At-home care:
✔ Cool mist humidifier or steamy shower
✔ Keep child calm
✔ Fluids & popsicles

Duration:
⏳ 3–5 days

🚨 Red flags:
• Stridor at rest (noisy inhaling sound)
• Difficulty breathing
• Drooling

📚 Source: https://www.healthychildren.org and photo credit kidshealth.org

👉 If your child is sick and you need medical advice or treatment today, join Pediatrics On Call now by clicking sign up from our homepage at www.pediatricsoncall247.com

**For educational purposes only, not for medical advice.

👶 What is RSV?RSV (Respiratory Syncytial Virus) is a very common virus that affects the lungs and airways. Almost all ch...
03/30/2026

👶 What is RSV?

RSV (Respiratory Syncytial Virus) is a very common virus that affects the lungs and airways. Almost all children get RSV by age 2.

What causes it:
A respiratory virus that infects the airways and is most common in the Winter months but can be seen year-round.

Who it affects most:
👶 Infants and toddlers (highest risk under 1 year)
👧 Can affect older children but usually milder

Symptoms parents may notice:
🤧 Runny nose (A LOT)
😷 Cough
🌡️ Fever
🫁 Wheezing
🥛 Decreased feeding in infants

How it spreads:
🦠 Coughing and sneezing
🤲 Touching contaminated surfaces
👶 Close contact (very common in daycare)

What parents can do at home:
✔ Saline drops + suction
✔ Cool mist humidifier
✔ Encourage fluids
✔ Keep child upright when possible

How long it lasts:
⏳ 7–10 days (cough may last up to 2–3 weeks)

🚨 Red flag symptoms (seek care immediately):
• Rapid or labored breathing
• Retractions (pulling in between ribs)
• Bluish lips
• Poor feeding or dehydration

📚 Source: https://www.cdc.gov/rsv

👉 If your child is sick and you need medical advice and treatment today, join Pediatrics On Call now by clicking sign up from our homepage at www.pediatricsoncall247.com

For educational purposes only, not for medical advice.

💧 We're seeing quite a bit of the dreaded stomach bug lately with vomiting and diarrhea.  The biggest concern with vomit...
03/29/2026

💧 We're seeing quite a bit of the dreaded stomach bug lately with vomiting and diarrhea. The biggest concern with vomiting and diarrhea is dehydration. Dehydration can develop quickly in children.

Cause:
Vomiting, diarrhea, or poor intake

Symptoms:
💧 Dry mouth
🚫 Fewer wet diapers
😴 Lethargy--limp and not responding normally

Typical duration:
Improves quickly with proper hydration

Treatment:
Oral rehydration or IV fluids in severe cases

At home:
✔ Small frequent sips of CLEAR fluids (1-2 tablespoons every 5-10 minutes for 4 hours. If no vomiting, then slowly advance volume. If vomiting occurs during the 4 hours, then start the timer over)
✔ Electrolyte solutions such as Pedialyte, Drip Drop, Gatorade and Powerade are great. But other clear fluids such as ginger ale, apple juice, chicken broth, popsilces and jell-o are also good options.

🚨 Red flag symptoms that would warrant immediat in-person evaluation:
• No urination >8 hours, no tears when crying, dry mouth
• Sunken eyes
• Extreme lethargy

At Pediatrics On Call, we can help guide you through your child's illness, including prescribing medications when necessary. If you are not yet a member, join today and receive 50% off registration with code POCSAVE50 by clicking sign up on our website www.pediatricsoncall247.com

📚 Source: AAP HealthyChildren

Photo credit: Cottonbro Studios

*For educational purposes only--Not for medical advice

👶 Bronchiolitis is a common lung infection in infants, often caused by RSV but can also be caused by other viruses.   RS...
03/27/2026

👶 Bronchiolitis is a common lung infection in infants, often caused by RSV but can also be caused by other viruses. RSV Bronchiolitis is the #1 reason for hospitalization in infants under the age of 1, but we FINALLY have a way to prevent it either by mom receiving the RSV vaccine during pregnancy or the baby receiving Beyfortus (an RSV antibody) during their first RSV season if they are under 7 months of age. RSV season generally occurs during cold and flu season by has variations depending upon which region of the country you live in.

Cause:
Viral infection (most commonly RSV)

Symptoms:
😷 Cough with copious clear runny nose
🫁 Wheezing
🥛 Poor feeding
😴 Decreased energy

Typical duration:
Symptoms peak around day 3–5 and improve over 7–14 days, though cough may linger as long as 2-3 weeks.

Treatment:
Supportive care and time

At home:
✔ Nasal Saline + lots of suction
✔ Fluids
✔ Monitor breathing

🚨 Red flag symptoms:
• Labored breathing
• Poor feeding
• Dehydration--not making a wet diaper at least every 6-8 hours, no tears when crying, dry mouth
• Limp/lethargic

At Pediatrics On Call, we are very familiar with bronciolitis and how scary it can be to see your little one sick. We are here 24/7 to help guide you through your child's illness and treatment, help you learn what to expect and guide you through next steps if your child needs to be seen in person. If you are not yet a member, join today and receive 50% off registration with code POCSAVE50 by signing up on our website at www.pediatricsoncall247.com!

📚 Source: AAP Bronchiolitis Guidelines & Nemours Kids Health
Photo credit: Nemours Kids Health

**Educational purposes only — not medical advice.

At Pediatrics On Call, we value strong community connections. Because so many of our families come to us through trusted...
03/26/2026

At Pediatrics On Call, we value strong community connections. Because so many of our families come to us through trusted referrals, we’ve created a Business Partner page on our website to highlight local businesses we personally know, trust, and collaborate with—so you can feel confident in the care and services you choose!

Today we are giving a shout out to one of our partners, Martha Muller with Tree of Tranquility Counseling and Wellness in Deland! She is a Licensed Marriage and Family Therapist who specializes in anxiety and grief and treats ages 9 through adults! She is a wonderful and kind person and therapist and even offers unique "Walk and Talk" sessions! Check her out today on our Business Partner page!

https://pediatricsoncall247.com/business-partners/

‼️‼️Screening ECGs are mandatory beginning this next school year for all student athletes in the state of Florida playin...
03/24/2026

‼️‼️Screening ECGs are mandatory beginning this next school year for all student athletes in the state of Florida playing middle school or high school sports ‼️‼️

Register your student athlete for their FREE annual sports physical with FREE ECG screening all in one place! This will be the single easiest way to get this done! Don’t miss out! 

💙 Good people know good people… and we’re here to share them with you!Pediatrics On Call has grown almost entirely throu...
03/24/2026

💙 Good people know good people… and we’re here to share them with you!

Pediatrics On Call has grown almost entirely through word-of-mouth referrals, and we couldn’t be more grateful for the families who continue to share us with others. 🙌

That’s exactly why we created our Business Partner Page—to return the favor.

We’ve highlighted trusted local businesses who work with children and families and who we confidently recommend to our own patients.

✨ Think of it as your go-to list of “parent-approved” local resources.

👉 Explore our recommendations here: https://pediatricsoncall247.com/business-partners/

Because when we support each other, everyone wins. 💫

Fifth Disease, also known as erythema infectiosum or "slapped cheeks", is one of many rashes we see in Pediatrics.  Did ...
03/23/2026

Fifth Disease, also known as erythema infectiosum or "slapped cheeks", is one of many rashes we see in Pediatrics. Did you know it is commonly referred to as Fifth Disease because it was the 5th rash listed on a the list common rashes seen in Pediatrics? Read below to learn more:

👧 Fifth disease is known for the “slapped cheek” rash where the child's cheeks look red like they've been slapped.

Cause:
Parvovirus B19.

Is it contagious?
Yes, but the tricky part is it is usually most contagious in the days prior to the appearance of the rash...when most people don't know they have it. Once the rash appears, the contagious period is generally over.

Symptoms:
😊 Red cheeks
🌸 Lacy rash
🤒 Mild fever

Typical duration:
Rash may last 1–3 weeks.

🚨 Red flag symptoms:
• Severe fatigue
• Joint swelling
• Persistent fever

Children with Fifth Disease should avoid being around women who are in their first trimester of pregnancy as there is a small but serious risk to fetal health.

If you think your child may have Fifth Disease and you need a visit today, join Pediatrics On Call now and save 50% off registration with code POCSAVE50! Same day visits in minutes! www.pediatricsoncall247.com

📚 Sources: CDC Parvovirus B19, The Cleveland Clinic (https://my.clevelandclinic.org/health/diseases/15774-fifth-disease) and Nemours Kids Health (https://kidshealth.org/en/parents/fifth.html?ref=search)

Photo Credit: The Cleaveland Clinic

**For informational purposes only, not for medical advice

Viral Gastroenteritis...🤢 The dreaded “stomach bug" is making its rounds over the past couple of weeks in Central Florid...
03/20/2026

Viral Gastroenteritis...🤢 The dreaded “stomach bug" is making its rounds over the past couple of weeks in Central Florida.

Cause:
Norovirus or rotavirus.

Symptoms:
🤮 Vomiting
💩 Diarrhea
🤒 Sometimes Fever

Typical duration:
Most cases improve within 1–3 days.

At home:
✔ Small frequent sips of CLEAR fluids (ie. Pedialyte, Gatorade, Powerade, Ginger Ale, Apple Juice, Chicken Broth, Popsicles, Jell-O, water) every 5-10 minutes for 4 hours. If no vomiting for 4 hours, then slowly advance as tolerated.
✔ Once able to tolerate clears for 4 hours, then may SLOWLY offer bland foods such as crackers, toast, noodles.
✔ AVOID dairy until no vomiting for 24 hours and until diarrhea resolves.

🚨 Red flag symptoms:
• No urination for 8+ hours
• Persistent vomiting or red or green vomit
• Blood in stool
• Severe abdominal pain or pain in their right lower corner of their belly

If your child is sick with vomiting and/or diarrhea and you need a visit today, join Pediatrics On Call today and receive 50% off registration with cod POCSAVE50. Same day visits available in minutes! www.pediatricsoncall247.com

📚 Source: CDC Norovirus and Nemours Kids Health https://kidshealth.org/en/parents/gastroenteritis.html?ref=search

Photo credit: Cottonbro Studio

**For informational purposes only, not for medical advice

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Ormond Beach, FL
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