Constipation in Kids

Constipation in Kids

Constipation is one of the most common conditions that pediatricians see. From the toddler squirming on the exam table to the school-aged child with recurring belly pain, functional constipation is everywhere in pediatric primary care. In this episode, we will discuss how to diagnose, when additional testing is needed and treatment strategies that work.

Joining us for this episode is Christine Waasdorp-Hurtado, MD. She is a pediatric gastroenterologist, the Southern Colorado Executive Faculty Director for the Department of Pediatrics, and a professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

  • Identifying the signs of functional constipation
  • Steps primary care physicians can take with families before referral
  • How advice changes depending on the child’s age
  • Why managing constipation improves more than just a kid’s bowel movements

For more information on Children’s Colorado, visit: childrenscolorado.org.

Episoder(449)

Seizure Management (S1:E9)

Seizure Management (S1:E9)

In this episode, Amy Brooks-Kayal, MD, discusses acute seizure management. The conversation includes the importance of gathering a detailed history of a seizure event, identifying provocations of a seizure and options for anti-seizure and rescue medications. Dr. Brooks-Kayal is the Chief of the Pediatric Neurology, Co-Director of the Translational Epilepsy Research Program and past president of the American Epilepsy Society. In this episode: Responding to a patient's first seizure Importance of a detailed history of a seizure event Identifying provocations of a seizure Neurological examination Focal onset versus a generalized seizure Chances of seizure reoccurrence Anti-seizure and rescue medications Managing the anxiety of families Basic seizure safety Current research into pediatric epilepsy

26 Sep 201720min

Acute Scrotum Pain Management (S1:E8)

Acute Scrotum Pain Management (S1:E8)

In this episode, Duncan Wilcox, MD, talks about acute scrotum management. The conversation includes the most common indications of acute scrotum and how to differentiate an incarcerated hernia and a hydroceles scrotal trauma. Dr. Wilcox is the Chair of Pediatric Urology and Surgeon-in-Chief at Children's Colorado. He is also a professor of surgery at the University of Colorado School of Medicine. In this episode: The most common indications of acute scrotum The role trauma plays in acute scrotum How to treat testicular torsion and urgent treatment Differentiating an incarcerated hernia and a hydroceles scrotal trauma Why an incarcerated hernia needs to be treated rapidly The three groups of acute scrotum patients Long-term outcome for patients living with one testicle

19 Sep 201718min

Fidget Spinners and Other Ingested Foreign Objects (S1:E7)

Fidget Spinners and Other Ingested Foreign Objects (S1:E7)

In this episode, Robert Kramer, MD, talks about the dangers of kids and adolescents swallowing common household toys and a recent case involving ingested fidget spinner parts. Dr. Kramer is a pediatric gastroenterologist at Children's Colorado. In this episode: Recent cases of patients ingesting fidget spinner parts Dangers of ingesting button batteries and other small components Why magnets represent a special threat for kids Age groups impacted by incidental ingestion of objects Batteries ingested into the gastrointestinal tract and how to manage them Types of injuries that can occur beyond damage to the blood vessels The importance of getting the battery out as soon as possible after ingestion

12 Sep 201718min

Teen Reproductive Health (S1:E6)

Teen Reproductive Health (S1:E6)

In this episode, Eliza Buyers, MD, talks about reproductive health in teenagers. Dr. Buyers is a pediatric and adolescent gynecologist at Children's Colorado and a senior instructor of obstetrics and gynecology at the University of Colorado School of Medicine. In this episode: How to talk to teens and their parents about reproductive health Implementing a universal screening approach in your practice Dealing with push back from parents Setting up one-on-one time with adolescent patients Misconceptions about teens and their reproductive health Long-acting reversible contraceptive (LARC) methods Non-contraceptive benefits of LARC Importance of hormonal therapy Reversing long-term hormonal care and contraception Talking to teens about screening for sexually transmitted diseases When to send a patient to a specialist

5 Sep 201727min

Heart Arrhythmia Diagnosis (S1:E5)

Heart Arrhythmia Diagnosis (S1:E5)

In this episode, Johannes von Alvensleben, MD, pediatric cardiologist and electrophysiologist at Children's Hospital Colorado and assistant professor of pediatrics at the University of Colorado School of Medicine, talks about heart arrhythmias. He discusses some of the most common heart arrhythmias in the primary care setting, including identifiable characteristics and treatments. In this episode: Palpitations and syncope (commonly known as fainting) as symptoms for heart arrhythmia Characteristics of common heart arrhythmias Supraventricular tachycardia (SVT) in an infant versus a young child Differences in children with syncope Inherited heart arrhythmia syndromes Importance of obtaining an electrocardiogram (ECG) Co-morbidities in children that can impact diagnosis with arrhythmias Drug-related arrhythmias in older children Treatment options for heart arrhythmias in young children The success rate of ablation for arrhythmia

29 Aug 201723min

Constipation Treatment and Management (S1:E4)

Constipation Treatment and Management (S1:E4)

In this episode, Joel Friedlander, MD, pediatric gastroenterologist at Children's Colorado, addresses the management of constipation and the effects of leaving it untreated, especially in young children. In this episode, Dr. Friedlander discusses: Addressing constipation and uncomfortable stools early Potential long-term complications associated with constipation Two key components to focus on in the physical examination Miralax, a common used laxative for the treatment of constipation The use of lactulose for young children Categorizing medications for constipation Different medications with different adverse effects Steps to behavioral modification Constipation split between organic and functional Why medication to treat constipation won't work without a change in behavior

22 Aug 201723min

Asthma Management (S1:E3)

Asthma Management (S1:E3)

In this podcast, Bill Anderson, MD, co-director of the multidisciplinary Asthma Programat Children's Colorado and assistant professor of pediatrics at the University of Colorado School of Medicine, talks about asthma. He discusses challenges in the management of asthma, the effect of asthma on pediatric patients and treatment options now available. In this episode, Dr. Anderson discusses: Common challenges for managing asthma in pediatric patients Factors that come into play when choosing controller medications Why steroids are better suited for atopic patients Teaching patients and families how to use a spacer How co-morbidities affect children with asthma The impact that psychosocial factors have on asthma Working with social workers to help families overcome hurdles Latest treatment options for treating pediatric asthma Overcoming the adherence barrier using technology Natural medications available to pediatric asthma patients Advice for people with dog allergies

22 Aug 201720min

Approaching Concussions in Primary Care (S1:E2)

Approaching Concussions in Primary Care (S1:E2)

In this episode, Julie Wilson, MD, co-director of the Concussion Program at Children's Colorado and assistant professor of orthopedics at the University of Colorado School of Medicine, discusses pediatric concussions in sports. She also talks about the concussion recovery process, working with parents and coaches to return young athletes to play and the classroom, comorbidities that impact concussion recovery, and more. In this episode, Dr. Wilson discusses: The signs and symptoms of a concussion in a young or adolescent patient Why grading scales for concussions no longer exist Comorbidities that can impact concussion recovery How long a patient needs to rest after a concussion Current guidelines on concussions in sports "Return to play" concussion protocol is and why it's important How to address parent concerns in a treatment plan The correlation between concussion rates and sports How the primary care provider can address the whole patient as they treat for a concussion Red flags in concussion treatment How many concussions are too many Latest treatment options for concussion management See our clinical care guidelines from Children's Hospital Colorado - for concussion (.pdf).

22 Aug 201720min

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