After Hours Kids Care

Home
United States
San Juan Capistrano, CA
After Hours Kids Care

A unique service offered by Dr. Niazi Sidhom, a pediatrician with 25 years experience in General Pediatrics with special interest in managing asthma.

A new service offered by Dr. Niazi Sidhom, a local pediatrician providing an innovative approach to after hours care.

10/20/2021

What causes vomiting in children?
Vomiting in children, and especially in infants, is often not a sign of illness. Children vomit easily from things like cough or even just mucus in the back of the throat, even without notable signs of congestion and runny nose. So how can you tell if it is that or a stomach flu or something else? Stomach flu which is a viral infection of the stomach (or stomach and intestines) would cause repeated vomiting episodes with or without diarrhea. Food poisoning causes the same exact symptoms (vomiting with or without diarrhea) but the symptoms only last 24 hours, whereas with stomach flu the symptoms will last up to five days. Two conditions are serious and although not common parents need to keep them in mind if their child is vomiting. The first one is “Pyloric stenosis” (blockage at the outlet of the stomach) tend to happen when the baby is 3 to 6 weeks old (and rarely after 12 weeks of age) and is characterized by the baby vomiting right after eating every time he is fed and then acting hungry and wanting to eat again. The second is “intussusception” (which causes obstruction of the intestines) usually occurs in infants between 6 and 36 months of age and typically presents with vomiting on and off, sometimes with episodes of tummy ache (with drawing the legs up), and sometimes with blood in the stools. Both conditions are considered emergencies and if suspected the baby or child should be seen immediately at an Emergency Room (not an Urgent Care) preferably at a Children Hospital, if there is one near you. Of course children can have appendicitis but it usually does not present with the typical symptoms.
All and more in our page, link in profile.
Facebook & Instagram:

10/12/2021

What is reflux? And what causes it?
Simply stated, reflux in an infant is when the contents of the stomach come back up. When we swallow food or a drink, it goes down a tube (called esophagus) and enters the stomach passing thru a valve at the very top of the stomach. In a large number of babies this valve is not completely competent and therefore does not close all the way allowing fluids (such as breast milk and formula) to come back up the esophagus. Breastfed babies tend to spit up more (because breast milk is thinner / lighter than formula), and almost all breastfed babies do spit up to some extent, at least in the first two months. Sometimes the contents of the stomach will go back up the esophagus but not all the way to the mouth then come back down to the stomach. Some other times the contents will make it all the way up to the mouth only to be swallowed back down again by your baby and no spitting up is seen. However most of the times the breast milk or formula will make it all the way up and appear as a dribble coming out of the mouth. This is normal “reflux” and does not need treatment.
All and more in our page, link in profile.
Facebook & Instagram:

10/05/2021

What should I do if my baby has a fever?
If your baby (less than three months of age) is generally healthy you would become concerned if your baby has a temperature ≥38.0°C (100.4°F). The temperature has to be measured rectally (unless your baby has a contraindication). In this age group infrared thermometers (ear and forehead thermometer) are not recommended. If this occurs you should contact your pediatrician immediately and if not available, you should go to an emergency room, preferably one that is in a Children Hospital, if there is one near you.
All and more in our page, link in profile.
Facebook & Instagram:

09/26/2021

Common colds are illnesses caused by a long list of different viruses and typically occur during the cold months, although there is the occasional “summer cold”. They affect the so-called “Upper Respiratory Tract” which is the nose, sinuses, vocal cords and throat, but not the lungs. Symptoms include nasal congestion, sinus congestion with headache, ears feeling plugged, a runny nose which will be discoloured at times especially upon waking up in the morning, sore throat, cough, hoarseness or loss of voice, and sometimes fever. Common colds typically last 7 to 14 days in babies and young children, 5 to 10 days in older children and 5 to 7 days in adolescents and adults. Most common colds resolve without complications but children, especially in Day Care or Preschool, can have a common cold starting at the tail of another cold and since the cough is what lingers the longest, some children (and babies with older siblings) will appear as if they have had a cough the entire winter. In these circumstances, a visit to your pediatrician may help reassure you.
All and more in our page, link in profile.
Facebook & Instagram:

09/25/2021

How does chronic constipation happen?
The normal process of passing stools is actually more complex than one may think.
Do you want to read more about it? Visit our website, link in the profile.
Facebook & Instagram:

09/17/2021

If your baby is less than 3 months do not administer neither acetaminophen nor ibuprofen before your baby has been checked by a pediatrician. From 3 to 6 months you can only give your baby acetaminophen (1 ml for every 5 lbs of weight) every 4 hours. For babies and children 6 months and older you can give acetaminophen every 4 hours, and ibuprofen (1 ml for every 5 lbs of weight) every 6 hours. Actually acetaminophen and ibuprofen can be given at the time (like when your baby has a high temperature >102oF). The main rule is that between one acetaminophen dose and the next acetaminophen dose there has to be a 4 hours interval, and between one ibuprofen dose and the next ibuprofen dose there has to be a 6 hours interval. For the first two days of fever, I recommend giving ibuprofen every 6 hours (even before the temperature rises) and if during the 6 hours interval (between the doses of ibuprofen) the temperature starts to rise then to give acetaminophen at that time. In my experience this method provides better control than alternating acetaminophen and ibuprofen every 3 hours.

09/09/2021

Common triggers are exercise, cold air, inhaling allergens (or irritants) present in the air or catching a cold. Exercise-triggered symptoms typically develop 5 to 15 minutes after a brief (e.g. five minutes) period of exertion or about 15 minutes into prolonged exercise and resolve with rest over approximately 30 to 60 minutes. This is different from the shortness of breath caused by exercise alone without asthma which typically begins shortly after the onset of exertion and resolves within five minutes of stopping exercise. If you have exercise induced asthma, exercising in cold air makes it even worth. Aside from cold air making exercise induced asthma worse, inhaling cold air (without exercise) can cause an asthma attack in a classic asthma patient.
The most common trigger for asthma symptoms (attack) is inhaling allergens (pollens, dust mites, etc.) or irritants (smoke, chemicals, dust, etc.) that are present in the air (outdoors or indoors).
All and more in our page, link in prAll and more in our page, link in pr .
Facebook & Instagram:

09/02/2021

Spitting up or “reflux” without signs of discomfort or pain is considered normal and does not need treatment. Reflux can be caused or made worse if you are overfeeding your baby. Breastfed babies sometimes will keep nursing even when they are already full, simply because nursing is very soothing to them. In that case simply reducing the duration of breastfeeding will reduce the amount of spitting up, and if you are feeding your baby formula, then reducing the amount of formula offered every feeding will help improve the spitting. Also, the interval between feedings is important and I usually recommend breastfeeding every two and half hours and if formula offers a bottle every three hours. That interval between feedings is important to allow the stomach to empty completely before it starts filling up again. But babies in the first three months are sucking all the time: their thumb, a pacifier, a bottle or a breast, but that does not mean that they are hungry and want to eat all the time. The thing is, sucking is very soothing to babies, and that reflex starts to weaken at two months and is usually gone by three months as the baby develops other soothing methods. So if you want to get rid of the “pacifier” the best timing would be when your baby is three months old. However, if towards the end of feeding your baby gets fussy or shows signs of discomfort (whimpers, cries or arches the back) then you may try holding your baby upright for 20 minutes after each feeding and see if that helps, and I recommend that you also visit your pediatrician.
All and more in our page, link in profile.
Facebook & Instagram:

08/24/2021

Constipation can occur when a person is not passing stools regularly (usually once a day), or not drinking enough water, or not eating foods containing enough fiber. To better understand how constipation happens take a look at the full post on our page, link in profile.
Facebook & Instagram:

08/17/2021

What can I do if infrared thermometers (ear and forehead thermometers) are not recommended for baby with less than three months of age?
See our fever article, link in profile.

Address

30210 Rancho Viejo Road
San Juan Capistrano, CA
92675

Telephone

+15592801429

Website

http://www.afterhourskidscare.com/

Alerts

Be the first to know and let us send you an email when After Hours Kids Care posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to After Hours Kids Care:

Shortcuts

Want your practice to be the top-listed Clinic in San Juan Capistrano?

Our Story

A new service offered by Dr. Niazi Sidhom, a local pediatrician providing an innovative approach to after hours care. A Personalized Pediatric Consultations Service utilizing TeleMedicine and Home Visits.