Author: Jessica Cerretani

Recurrent UTIs in boys

urinary tract infection in boys
PHOTO ILLUSTRATION: PATRICK BIBBINS/BOSTON CHILDREN’S HOSPITAL

Painful, frequent and urgent urination — they’re the telltale signs of a urinary tract infection, or UTI, something most pediatricians see on a regular basis. The approach to care is usually simple: urinalysis, a course of antibiotics, plenty of fluids and a discussion about proper hygiene. Most of the time, the infection clears up with no further issues. …Read More

When rectal prolapse requires a referral

colorectal

Rectal prolapse: It’s a visually alarming problem that can send worried parents straight to their child’s pediatrician, if not the emergency department. Despite its often-graphic appearance, rectal prolapse is usually benign and easily treated. Indeed, the majority of young children who experience rectal prolapse can be treated without surgery and won’t have a recurrence. …Read More

Four things to know about your short bowel patients

short bowel syndrome

Short bowel syndrome is commonplace to Danielle Stamm, RN, FNP-BCR. As one of the dedicated nurse practitioners in the Center for Advanced Intestinal Rehabilitation (CAIR) at Boston Children’s Hospital, she sees children with this rare but serious condition on a daily basis. But what’s familiar to Stamm and her colleagues is unusual to many other clinicians. …Read More

Hypertension in kids: When to refer

high blood presssure
(Illustration: Fawn Gracey)

We typically associate hypertension with older people, but elevated blood pressure isn’t an uncommon finding in children and adolescents. According to the American Academy of Pediatrics (AAP), pediatric hypertension occurs in 2 to 5 percent of kids and is one of the top five chronic diseases in children.

Despite those numbers, the diagnosis is missed in up to 75 percent of pediatric patients in primary care settings. “We should be checking blood pressure at every routine well-child visit for kids age 3 and older, and more often in kids with cardiometabolic risk factors, such as obesity and diabetes,” says Corinna Rea, MD, MPH, a pediatrician in Boston Children’s Primary Care at Longwood. …Read More