Common Pediatric Surgeries

Posted on April 30, 2025 by Patrick Hercules

Children can experience several health conditions, some of which may require surgery. These surgical procedures can be minor or major. Pediatric surgery focuses on diagnosing and treating surgical conditions in infants, children, and adolescents. These conditions can include:

Surgery for abnormalities of the groin in childhood and adolescence, such as undescended testes, hernias, and hydroceles
Surgical repair of birth defects
Surgical repair of serious injuries
Surgical removal of tumors
Transplantation surgeries
Minimally invasive endoscopic procedures
All other general surgical procedures for children

The most common pediatric surgical procedures are those related to the ear, nose, and throat, such as tonsillectomies, adenoidectomies, and tympanostomy tube replacement. Other common pediatric surgical procedures include:

Appendectomy
Gallbladder removal
Thyroidectomy
Hernia repair
Trauma surgeries

The pediatric surgeons at Jamaica Hospital Medical Center provide many different surgical services to younger patients. For more information about our Queens, NYC pediatric surgical services or to make an appointment, please call (718) 206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Ear Infections

Posted on December 18, 2024 by Patrick Hercules

An ear infection, or acute otitis media, occurs when a virus or bacteria infects the space behind the eardrum. Children are more likely to get ear infections than adults, making them one of the most common childhood illnesses besides colds.

Signs and symptoms of an ear infection common in children include:

Ear pain, especially when lying down
Tugging or pulling at an ear
Trouble sleeping
Crying more than usual
Fussiness
Trouble hearing or responding to sounds
Loss of balance
Fever of 100˚ F (38˚ C) or higher
Drainage fluid from the ear
Headache
Loss of appetite

Common signs and symptoms of an ear infection in adults include:

Ear pain
Drainage of fluid from the ear
Trouble hearing

Ear infections often begin after a cold or another upper respiratory infection. The germs travel into your middle ear through the Eustachian tube, causing the Eustachian tube to swell and become blocked. The blockage leads to poor Eustachian tube function and infected fluid in your middle ear.

Ear infections aren’t contagious, but the viruses and/or bacteria that cause them are.

Several factors can cause a risk of ear infections, including:

Age
Family history
Colds
Chronic illnesses
Ethnicity
Poor air quality and smoky environments

Most healthcare providers can tell if you have an ear infection based on symptoms and a physical exam. Other tests include:

Tympanometry test
Acoustic reflectometry test
Tympanocentesis test

Treatment for ear infections can include:

Pain medication
Anesthetic drops
Antibiotic therapy

To make an appointment with an ENT doctor at Jamaica Hospital Medical Center, please call 718-206-7110.

Lazy Eye in Children

Posted on November 19, 2024 by Patrick Hercules

Lazy eye or amblyopia is reduced vision in one eye caused by abnormal visual development early in life. The weaker or lazy eye often wanders inward or outward. Amblyopia generally develops from birth up to seven years old, and rarely affects both eyes.

Signs and symptoms of lazy eye include:

A wandering or crossed eye
Eyes that appear not to work together
Poor depth perception
Squinting or shutting an eye
Head tilting
Abnormal results of vision screening tests

It is important to note that some children display no symptoms of amblyopia. The child’s strong eye and brain can compensate for the weaker eye, making it appear that the child has good vision. Over time, the brain gets used to working with only one eye. The eye that’s being ignored by the brain doesn’t develop normal vision.

There are three main causes of amblyopia, including:

Strabismus- which occurs when a child’s eyes aren’t aligned. The eyes don’t work together, leading the brain to ignore one eye
Refractive error or need for glasses- children are especially at risk if one eye has a larger need for glasses compared to the other eye
Conditions that cause poor vision in one eye, like cataracts or droopy eyelid, prompt the brain to ignore the blurry pictures seen by that eye

Additional factors that can place a child at a higher risk for amblyopia, include:

A family history of amblyopia
Prematurity
Developmental delay
Craniofacial disorders
Certain genetic conditions, such as:
- Down syndrome (trisomy 21)
- 22q deletion syndrome
- Williams syndrome
- Noonan syndrome

Vision screening is the best way to diagnose amblyopia and its risk factors. Photoscreening, a type of vision screening that uses a special camera to determine how well a child can see, is often performed in conjunction with vision testing.

Treatment options depend on the cause of lazy eye and how much the condition affects your child’s vision. Treatment your doctor may recommend include:

Corrective eyewear
Eye patches
Bangerter filter
Eye drops
Surgery

Treatment while your child is young and the eyes are still developing, gives them a better chance of overcoming amblyopia. The goal is to make your child’s brain use both eyes. Getting the eyes to work as a team becomes harder as your child grows. Therefore, early treatment is best. Treatment may not work if started after seven to ten years of age.

If your child is experiencing symptoms of lazy eye, schedule an appointment at Jamaica Hospital Medical Center’s Ophthalmology Center now by calling (718) 206-5900.

Walking Pneumonia in Children

Posted on November 12, 2024 by Patrick Hercules

Walking pneumonia is a mild form of pneumonia. Pneumonia is a lung infection that causes your airways to swell, and the air sacs in your lungs to fill with mucus and other fluids. It can also cause a high fever and a cough with mucus.

A cold lasting longer than seven to ten days, especially with a cough that gets worse over time is often a sign of walking pneumonia. Other symptoms may include:

· A fever of 101 degrees F or below

· Fatigue

· Headache, chills, sore throat, and other cold or flu-like symptoms

· Fast breathing or breathing with grunting or wheezing sounds

· Labored breathing that makes rib muscles retract

· Ear pain

· Chest or stomach pain

· Malaise or feeling of discomfort

· Vomiting

· Loss of appetite

· Rash

· Joint pain

Symptoms can come on suddenly or take longer to start. The symptoms are often mild, but can sometimes be more severe

Most children with walking pneumonia don’t feel sick enough to stay home, but even a child who feels fine should stay home for a few days until antibiotic treatment kicks in and symptoms improve

Walking pneumonia symptoms usually depend on where the infection is concentrated. A child with an infection in the top or middle part of the lungs will probably have labored breathing. A child with an infection in the lower part of the lungs may have no breathing problems but may have an upset stomach, nausea, or vomiting.

Walking pneumonia is often caused by bacteria called Mycoplasma pneumoniae. Other bacteria, viruses, or mold can also cause it.

Doctors usually diagnose walking pneumonia by performing an exam. They will check a child’s breathing and listen for a crackling sound that often indicates walking pneumonia. If needed, a chest x-ray or test of mucus samples from the child’s throat or nose will be ordered to confirm the diagnosis.

Walking pneumonia is treated with antibiotics because they are an effective treatment. A five to ten-day course of oral antibiotics is usually recommended. If your doctor prescribes antibiotics, make sure your child takes them on schedule for as long as directed to recover more quickly.

To schedule an appointment with a physician at Jamaica Hospital Medical Center, please call 718-206-7001.

Volvulus

Posted on October 17, 2024 by Patrick Hercules

Volvulus is a condition that occurs when the intestine twists on itself, obstructing the flow of material through the bowel. This can cut off the blood supply to the intestine. Volvulus is commonly due to a birth defect called malrotation. This complication can cause the intestinal tissue to die, and can lead to the following symptoms:

Yellow or green vomit
Severe abdominal pain
Abdominal swelling or distention
Rapid heart rate
Rapid breathing
Bloody stools
Constipation
Shock

Volvulus of the small intestine usually occurs in infants and children. Children with volvulus may not have long-term problems if the condition is treated promptly. However, surgery is required within hours of the onset of symptoms for this to occur.

Volvulus in adults typically forms in the colon. This is known as sigmoid volvulus.

Some factors that may increase the risk of volvulus include:

Chronic constipation
A high-fiber diet
Past abdominal surgery

Volvulus is diagnosed based on its symptoms, which include abdominal pain, nausea, abdominal distention, constipation, and inability to pass gas. A healthcare provider may suspect volvulus based on the symptoms and begin looking for a possible cause. This can be done by performing a physical exam and ordering:

Lab tests
CT scan
X-rays
Contrast enema

Volvulus treatment focuses on two goals, fixing the twisted intestine and preventing future episodes. The process of untwisting the intestines is called “reducing” the volvulus. This requires a flexible sigmoidoscopy procedure, which uses a flexible, tube-like instrument equipped with a light and camera. Inserting and advancing the instrument can help untwist a sigmoid volvulus and restore blood supply while allowing the gastroenterologist to see and assess any tissue damage. This may help determine if surgery is necessary.

If you or your child is suffering from symptoms of volvulus, you can schedule an appointment with a gastroenterologist at Jamaica Hospital Medical Center by calling (718) 206-6742.

Whooping Cough

Posted on October 3, 2024 by Patrick Hercules

Whooping cough or pertussis, is a highly contagious respiratory tract infection that causes a distinct “whooping” cough.

Whooping cough primarily affects children too young to have completed the full course of vaccinations, and teenagers and adults whose immunity has faded.

Once you become infected with whooping cough, it takes seven to 10 days for signs and symptoms to appear, but it could take longer. The symptoms are usually mild at first and resemble the symptoms of a common cold, which include:

Runny nose
Nasal congestion
Red, watery eyes
Fever
Cough

After a week or two, the signs and symptoms of whooping cough worsen. Thick mucus accumulates inside your airways, causing uncontrollable coughing. Severe and prolonged coughing attacks may also cause:

Vomiting
Extreme fatigue
A high-pitched “whoop” sound during the next breath of air

Whooping cough is caused by a type of bacteria called Bordetella pertussis. When the bacteria enter your respiratory system, they attach to the tiny, hair-like extensions that line your respiratory tract called cilia. The bacteria then release toxins damaging the cilia, causing the airways to swell, increasing mucus secretions, and creating severe coughing.

It is difficult to diagnose whooping cough early because the signs and symptoms resemble those of other common respiratory illnesses, like a cold, flu, or bronchitis. Doctors can sometimes diagnose whooping cough by asking about symptoms and listening to the cough. Medical tests may be needed to confirm the diagnosis. Tests can include:

A nose and throat culture and test
Blood tests
A chest X-ray

The best way to prevent whooping cough is with the pertussis vaccine, which doctors often give in combination with vaccines against two other serious diseases, diphtheria and tetanus.

Treatment for whooping cough is dependent on age and vaccination history. Infants are typically hospitalized for treatment because whooping cough is more dangerous for that age group.

Treatment for older children and adults can be managed at home. Antibiotics can be prescribed to kill the bacteria causing whooping cough.

To speak with a doctor about appropriate vaccinations, please schedule an appointment at Jamaica Hospital by calling (718) 206-7001 or your primary care physician as soon as possible.

National Bullying Prevention Month

Posted on October 2, 2024 by Patrick Hercules

October is National Bullying Prevention Month. It is a time to acknowledge that bullying has devastating effects on children and families.

There are many forms of bullying. It can be verbal, physical, through social exclusion, or digital sources like email, texts, or social media. Unlike mutual teasing or fighting, bullying occurs when one person or group of people is perceived as being more powerful than another and takes advantage of that power through repeated physical assaults, threats of harm, intimidation, or by purposely excluding a person from a valued social group.

Being bullied can severely affect a person’s self-image, social interactions, and school performance, leading to mental health problems such as depression, anxiety, and substance abuse. It can lead to suicidal thoughts and behaviors as well.

There are many steps you can take to prevent bullying, including:

Addressing bullying at school- educators and teachers can create a safe and supportive learning environment and a classroom culture of positivity, inclusivity, and respect.
Talking about bullying at home- parents and caregivers can talk with their children about their school and digital life, and the many roles children can play in bullying.
Supporting your community- mentors can model kindness, inclusivity, and respect.
Raising awareness- share information about bullying prevention, its impact, and resources for support on social media to educate your community.
Support anti-bullying organizations- contribute to or volunteer with organizations dedicated to bullying prevention and support for victims.
Organize anti-bullying events- plan or participate in events, workshops, and seminars in your community that focus on bullying prevention and promote empathy.
Engage in school programs- encourage schools to implement anti-bullying programs and provide resources for students, teachers, and parents.
Be an upstander- teach children and teenagers the importance of standing up for others and reporting bullying incidents when they occur.

Participating in bullying prevention allows you to join the fight against bullying and create a more inclusive and empathetic society.

Hand Hygiene for Children

Posted on September 4, 2024 by Patrick Hercules

Hand hygiene is essential for overall health. Parents and caretakers play an important role in teaching children how to wash their hands. Good hand washing is the first line of defense against the spread of many illnesses as it is the best way to keep children from getting sick.

Here are some tips you can use to turn handwashing into a healthy habit for life:

Explain the benefits of handwashing
Demonstrate the correct steps of handwashing
- Step 1: Wet hands with running water
- Step 2: Apply enough soap to cover wet hands
- Step 3: Scrub all surfaces of the hands, including the back of the hands, between the fingers, and under the nails
- Step 4: Rinse hands thoroughly with running water
- Step 5: Dry hands with a clean cloth or a single-use towel
Hands should be washed with soap for at least 20-30 seconds. An easy way to determine the time is by singing the entire “Happy Birthday” song twice.
Set the times when they should be washing their hands
- When they are visibly dirty
- Before and after eating
- After using the toilet
- After touching animals and pets
- After blowing their nose or when they cough or sneeze
- Before and after visiting friends and relatives
Turn it into a fun family activity

There might be moments when children can’t get to a bathroom to wash their hands with soap and water. Teach them how to use hand sanitizer, especially one that contains at least 60% alcohol.

Handwashing can become a lifelong habit if you start teaching it to children at an early age. The time you spend at the sink could save you trips to the doctor’s office.

Updated Vaccine for Returning Students

Posted on August 21, 2024 by Patrick Hercules

The new school year is right around the corner. That means parents will be taking their children shopping for new school supplies and clothes. In addition to updating their child’s wardrobe and supplies, parents should remember to schedule vaccinations before the school year begins.

Vaccines are the best way to prevent your child from getting many illnesses and spreading them to others. Each age group has recommended vaccines they need to receive before starting their new grade:

Vaccines for children aged four to six before they start kindergarten:

Flu – needed every year
COVID-19
Measles, mumps, and rubella (MMR)
Diphtheria, tetanus, and pertussis (DTaP)
Chickenpox
Polio

Vaccines for children aged seven to 10 before they start elementary school:

Flu
COVID-19

Vaccines for children aged 11 to 12 before they begin middle school:

Flu
COVID-19
Tetanus, diphtheria, and pertussis (Tdap)
Meningococcal conjugate (MenACWY)
HPV

Vaccines for children aged 13-18 before they enter junior and high school:

Flu
COVID-19
Meningococcal conjugate (MenACWY)
HPV

Vaccines for college-aged teenagers:

Flu
COVID-19
Meningococcal conjugate (MenACWY)
HPV

You can find the complete schedule of recommended vaccines for your child by age on the Centers for Disease Control and Prevention’s website. To schedule an appointment for your child to receive the vaccines needed, you can call Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001.

What Parents Should Know About Oral Nicotine Pouches

Posted on August 9, 2024 by Patrick Hercules

According to the Centers for Disease Control and Prevention, cigarette smoking hit a historic low in 2023, with the adult smoking rate dropping to 11%. Because of the steady decline of smokers over the years, tobacco companies have tried other ways to retain customers as well as attract new ones by introducing new products.

One of those new products is oral nicotine pouches. Oral nicotine pouches are small permeable pouches typically placed between the lip and the gum containing crystalized nicotine powder in various flavors. Although little is known about the product, nicotine pouches have become one of the fastest-growing categories, increasing sales from about 126 million units to over 800 million units between 2019 and 2022.

Oral nicotine pouches are aimed at adults who are looking for a tobacco-less, smoke-free alternative to cigarettes as they try to stop smoking. However, according to the 2023 National Youth Tobacco Survey conducted by the Food and Drug Administration and the Centers for Disease Control and Prevention, in October of 2023, 1.5% of middle and high school students reported using nicotine pouches in the previous 30 days.

Tobacco companies sell nicotine pouches in attractive packaging and assorted flavors, including citrus, berry, peppermint, coffee, and mango. Researchers are concerned that this marketing tactic is likely to appeal to young people who may not be aware of the harmful effects of nicotine. Some social media influencers have promoted the use of nicotine pouches by showing how they use them in their daily lives, discreetly placing them in their mouths at work and school, as well as doing taste tests.

“Nicotine pouches are marketed as a nicotine product that provides a buzz without the harmful effects of tobacco or smoking. However, people using these products should be aware that ‘tobacco-free’ does not mean ‘risk-free’”, says Alexandra Howell, DMD, Oral Medicine Specialist and Assistant Professor in the Department of Oral Diagnostic Services at Virginia Commonwealth’s University’s School of Dentistry.

Despite the long-term health impact of nicotine pouches being unknown, the side effects of its use can include:

Nicotine addiction
Irritation of the gums
Lung problems
Infertility problems
Stomach problems
Sore mouth
Hiccups
Nausea

Nicotine pouches can also present several cardiovascular risks. The use of these products can lead to increased heart rate and blood pressure increasing the risk of developing cardiovascular diseases such as hypertension, heart disease, and potential heart attacks.

To speak with a Family Medicine doctor at Jamaica Hospital Medical Center about smoking cessation, please call (718) 206-6942.