WartsWWartsWartsEnglishDermatologySchool age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)SkinSkinConditions and diseasesCaregivers Adult (19+)NA2009-12-29T05:00:00ZMiriam Weinstein, MD, FRCPC;Michelle Lee, RN;Jackie Su, RN;Elena Pope, MD, MSc, FRCPC4.7000000000000079.4000000000000714.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn about the types of skin warts, what causes warts, how to prevent warts and what common treatments are used</p><h2>What are warts?</h2> <figure> <span class="asset-image-title">Common warts</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Warts_MED_ILL_EN.jpg" alt="A hand with warts on the fingers and a close-up of warts around the fingernail" /> <figcaption class="asset-image-caption">Common warts are usually found on the fingers, toes and knees. They make up about 70% of warts.</figcaption> </figure> <p>Warts are common, harmless growths of skin. They are caused by a virus called <a href="/Article?contentid=25&language=English">human papillomavirus (HPV)</a>. Warts are caused by the rapid growth of skin as a result of the virus. They are not cancer. </p><p>Normally, warts are found on the top layer of skin (epidermis). They may look different depending on what area of the body they are on. They can often have small black or dark red spots in the center. These spots are very small clotted blood vessels. </p><p>Some warts can cause pain and bleeding, especially the plantar type on the bottom of the feet.</p><p>Warts are most common in people between the ages of five and 20 years.</p><p>Generally, your child's doctor can diagnose a wart by looking at it. Your child will not need special tests.</p><h2>Key points</h2> <ul> <li>Warts are common growths of skin. </li> <li>Warts are caused by a virus called HPV. They can spread. </li> <li>Warts often go away on their own. </li> <li>Wart treatment may or may not work. </li> </ul><h2>Treatment of warts</h2> <h3>Option not to treat</h3> <p>Viral warts will often go away on their own. They can also persist for years if not treated.</p> <h3>Option to treat</h3> <p>There is no treatment to cure HPV, the cause of warts. Most treatments kill the cells that contain the virus. If treatments are started, the aim is to remove the wart without scarring. </p> <p>Some warts go away on their own, so stronger treatments are often not used, except with plantar warts. Also, treatments can be painful and may not work well. </p> <h4>Common treatments<br></h4> <ul> <li>Duct tape or other airtight tape may be used to remove the wart. </li> </ul> <h4>Doctor's office treatments<br></h4> <ul> <li>Salicylic acid or lactic acid paint of the wart. This may need up to three months or more of careful use.</li> <li>Liquid nitrogen, also called cryotherapy. Very cold liquid nitrogen is applied to the wart. The liquid nitrogen causes the skin to blister and scab. When the scab comes off, the wart will come with it. This treatment is quick but can also be painful. Sometimes this treatment can fail, so repeat or other treatments are often needed.</li> <li>Other treatments include <a href="/Article?contentid=86&language=English">bleomycin</a> injections, cimetidine, imiquimod, cantharone and tretinoin/Tarazotene. </li> </ul> <h4>Not so common treatments<br></h4> <ul> <li>Electrosurgery with a carbon dioxide (CO2) laser requires a pain medicine called a local anaesthetic. </li> <li>Surgery is very rarely used, as it may increase the chances that the virus may spread in the skin. </li> </ul>https://assets.aboutkidshealth.ca/AKHAssets/warts.jpg
Water safety and drowning preventionWWater safety and drowning preventionWater safety and drowning preventionEnglishPreventionChild (0-12 years);Teen (13-18 years)NANAHealthy living and preventionCaregivers Adult (19+)NA2016-10-17T04:00:00ZShawna Silver, MD, FRCPC, FAAP, PEng​;Emily Louca, BSc, RRT​7.0000000000000072.60000000000001623.00000000000Flat ContentHealth A-Z<p>Learn how to keep children safe in or around water.</p><p>Timing is critical when it comes to saving your baby or your child from a near-drowning (submersion) episode. If enough oxygen is not being delivered to the brain, severe damage can occur within a few minutes. If your child's heart has stopped beating for more than eight to 10 minutes, their chances of surviving are greatly reduced.</p><h2>Key points</h2> <ul> <li>Drowning can occur in as little as 20 seconds.</li> <li>Delayed drowning can occur one to 24 hours after a near-drowning rescue. Be sure to monitor your child, and see a doctor right away if they lose consciousness or have difficulty breathing.</li> <li>Most accidents happen when swimming, boating or bathing in the bath tub.</li> <li>Always supervise children near any water and keep young children within arm's reach.</li> <li>Do not put your life at risk trying to save your child. If you must enter the water to perform a rescue, bring a flotation device with you.</li> <li>If your child is unconscious and not breathing, have someone call 911 and get an AED right away.</li> </ul>https://assets.aboutkidshealth.ca/AKHAssets/water_safety_and_drowning_prevention.jpg
Weight gain after a blood and marrow transplantWWeight gain after a blood and marrow transplantWeight gain after a blood and marrow transplantEnglishHaematology;Immunology;OncologyChild (0-12 years);Teen (13-18 years)BodyImmune systemNATeen (13-18 years) Adult (19+)NA2010-03-19T04:00:00ZJohn Doyle, MD, FRCPC, FAAPChristine Armstrong, RN, MScN, NP Peds10.200000000000052.3000000000000520.000000000000Flat ContentHealth A-Z<p>Learn how to prevent and manage your child's weight gain, after a transplant.</p><p>Some children who have undergone an allogenic transplant may gain weight. This is particularly true for those who have taken the steroid, prednisone. Children are at most risk of gaining weight during their treatment and up to one year after finishing it.</p><h2>Key points</h2><ul><li>To prevent weight gain, encourage your child to eat healthy, exercise, and maintain a healthy lifestyle.</li><li>Long-term survivors of BMT are at risk for developing high blood pressure, high blood sugar levels, hyperlipidemia, heart disease and type 2 diabetes.</li><li>Children who have a BMT are at risk of becoming obese due to steroids used for treatment and a lack of physical activity.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/weight_gain_after_a_blood_and_marrow_transplant.jpg
What causes juvenile idiopathic arthritis?WWhat causes juvenile idiopathic arthritis?What causes juvenile idiopathic arthritis?EnglishRheumatologyChild (0-12 years);Teen (13-18 years)BodySkeletal systemNAAdult (19+)Joint or muscle pain;Pain2017-01-31T05:00:00ZJennifer Stinson RN-EC, PhD, CPNPLori Tucker, MDAdam Huber, MSc, MD, FRCPCLynn Spiegel, MD, FRCPCLaura Schanberg, MDPatrick McGrath, OC, PhD, FRSC7.2000000000000066.8000000000000477.000000000000Flat ContentHealth A-Z<p>Find out why arthritis can occur in young people. This page describes how joint inflammation happens, and how juvenile idiopathic arthritis can hurt your joints. It also outlines some of the symptoms of arthritis in young people.</p>It is important to remember that JIA is not contagious. It is also not known for certain what the exact cause is. In JIA, the immune system is not working normally. The immune system's job is to fight off germs and disease. However, in JIA, the immune system attacks healthy joints, causing inflammation.<p></p><h2>Key points</h2> <ul><li>The exact cause of JIA is not known.</li> <li>In JIA, the immune system attacks healthy joints causing inflammation.</li> <li>If the inflammation of JIA is not treated it can lead to permanent damage of the joint.</li> <li>A flare is when there is an overall increase in symptoms for a longer period of time, while a remission is when the symptoms go away.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/what_causes_juvenile_ideopathic_arthritis.jpg
What causes scoliosis?WWhat causes scoliosis?What causes scoliosis?EnglishOrthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)Vertebrae;SpineMuscular system;Skeletal systemConditions and diseasesAdult (19+)NA2008-06-01T04:00:00ZSandra Donaldson, BA;Reinhard Zeller, MD, ScD, FRCSC9.2000000000000051.2000000000000649.000000000000Flat ContentHealth A-Z<p>Read about some of the implicated causes of scoliosis, including genetics, growth issues, and problems with connective tissue or the nervous system.</p><p>Most teens with scoliosis have idiopathic scoliosis. The word idiopathic means <em>of unknown cause</em>. Researchers don’t know what causes idiopathic scoliosis. Genetics might be one cause. There are many other theories. It is not known if these factors cause the scoliosis or are the result of scoliosis. Most researchers agree that more than one factor causes scoliosis.</p> <p>Here are what some researchers think could cause scoliosis.</p><h2> Key points </h2> <ul><li> Scoliosis in most teens is idiopathic.</li> <li>Most researchers agree that multiple factors could cause scoliosis, including genetics, rapid growth, defects in connective tissue, problems with the nervous system, and low melatonin levels.</li> <li>Researchers have not determined if these factors cause scoliosis or are the result of scoliosis.</li></ul>
What causes seizures?WWhat causes seizures?What causes seizures?EnglishNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemConditions and diseasesCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZElizabeth J. Donner, MD, FRCPC​9.5000000000000053.60000000000001182.00000000000Flat ContentHealth A-Z<p>Learn about the causes and types of seizures and the concept of the seizure threshold.</p><p>Electrical activity in the brain is usually carefully balanced. Normally, neurons fire singly or in small groups to accomplish a task and then stop firing. A seizure happens if many neurons fire at once in uncontrolled bursts. This firing results from a combination of factors that interfere with how the brain normally functions.</p><h2>Key points</h2> <ul> <li>A provoked seizure has a direct cause such as a head injury, an infection or low blood sugar.</li> <li>An unprovoked seizure does not have an immediate cause. A child must have two or more unprovoked seizures before epilepsy will be considered.</li> <li>A seizure threshold is a person's likelihood to have a seizure. The higher the threshold, the less likely it is that a seizure will happen. </li> <li>Factors that raise a seizure threshold include getting enough sleep every night and taking anti-epileptic drugs according to instructions. </li></ul>
What does scoliosis look like?WWhat does scoliosis look like?What does scoliosis look like?EnglishOrthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)Vertebrae;SpineMuscular system;Skeletal systemConditions and diseasesAdult (19+)NA2008-06-01T04:00:00ZSandra Donaldson, BA;Reinhard Zeller, MD, ScD, FRCSC5.0000000000000080.8000000000000486.000000000000Flat ContentHealth A-Z<p>There are five different curve patterns in the spines of teenagers with scoliosis. Learn about these, and other physical changes that can occur.</p><p>There are three parts to the spine: the cervical spine (neck), the thoracic spine (mid back), and the lumbar spine (low back). The spine should look relatively straight when viewed from the front or back. Scoliosis is when the spine curves sideways, usually into the shape of an <em>S</em> or a <em>C</em>. An S-shaped curve is also called a double curve. A C-shaped curve is also called a single curve.<br></p><h2> Key points </h2><ul><li> The spine is made up of the cervical spine (neck), the thoracic spine (mid back) and the lumbar spine (low back). </li><li> Scoliosis is when the spine curves sideways, typically into an S-shape (a double curve) or a C-shape (single curve). </li><li> There are 5 main curve patterns.</li><li> A curve in the spine is accompanied by changes to the rib cage, shoulders and hips. As the curve in the spine increases, the spine and ribs twist, making the ribs more pronounced on one side of the body (a "rib prominence.")<br></li></ul>
What happens if scoliosis is not treated?WWhat happens if scoliosis is not treated?What happens if scoliosis is not treated?EnglishOrthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)Vertebrae;SpineMuscular system;Skeletal systemConditions and diseasesAdult (19+)NA2008-06-01T04:00:00ZSandra Donaldson, BA;Andrew Howard, MD, MSc, FRCSC;James G. Wright, MD, MPH, FRCSC8.7000000000000061.1000000000000355.000000000000Flat ContentHealth A-Z<p>Informed decision making is an important component of choosing whether to treat scoliosis. Learn about what can happen if scoliosis is not treated.</p><p> Without treatment, your teen's curve may increase. Their doctor and an orthopaedic surgeon can advise as to whether surgery is the best option.</p><h2> Key points </h2><ul><li>A young teen with a medium to large sized curve will probably see their curve increase without treatment.</li><li>Older teens with a small or medium curve will probably not see an increase.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/what_happens_if_scoliosis_is_not_treated.jpg
What is a blood and marrow transplant?WWhat is a blood and marrow transplant?What is a blood and marrow transplant?EnglishHaematology;Immunology;OncologyChild (0-12 years);Teen (13-18 years)BodyImmune systemProceduresAdult (19+)NA2010-02-12T05:00:00ZJohn Doyle, MD, FRCPC, FAAPChristine Armstrong, RN, MScN, NP Peds7.5000000000000066.10000000000001166.00000000000Flat ContentHealth A-Z<p>Learn what a blood and marrow transplant is, and where blood stem cells come from.</p><p>During a blood and marrow transplant (BMT), doctors replace your child’s bone marrow system with healthy blood stem cells. These stem cells are young, immature cells that grow into more specialized cells. The stem cells your child receives during the transplant will grow into mature blood cells. During the transplant, your child’s bone marrow absorbs the healthy stem cells. Once inside the bone marrow, the cells start to produce healthy blood cells. This process is called engraftment.</p><h2>Key points</h2><ul><li>Your child may need a BMT because they have too few blood stem cells, the blood cells do not work properly, or as part of cancer treatment.</li><li>Healthy blood stem cells can come from bone marrow, circulating (peripheral) blood, and cord blood.</li><li>Graft vs host disease is a common complication that can occur when a child receives a BMT.</li></ul>https://assets.aboutkidshealth.ca/akhassets/Graft_vs_Host_Disease_MED_ILL_EN.jpg
What is a good A1c reading?WWhat is a good A1c reading?What is a good A1c reading?EnglishEndocrinologyChild (0-12 years);Teen (13-18 years)PancreasEndocrine systemTestsAdult (19+)NA2016-10-17T04:00:00ZCatherine Pastor RN, MN, HonBSc;​​Vanita Pais RD, CDE;Andrea Ens MD, FRCPC8.1000000000000063.6000000000000285.000000000000Flat ContentHealth A-Z<p>Find out what a good A1c reading is and what it means for your child.</p><p>An A1c test measures the average glucose level over the previous three months. This section will tell you what a good A1c reading is.</p><h2>Key points</h2> <ul><li>A child should aim for an A1c level based on their age.</li> <li>Your child should have their A1c measured and recorded every three months.</li> <li>Children and teens using insulin pumps may be able to aim for lower blood glucose targets and achieve lower A1c levels.</li></ul>https://assets.aboutkidshealth.ca/akhassets/IMN_hemoglobin_A1c_targets_EN.png
What is asthma?WWhat is asthma?What is asthma?EnglishRespiratoryChild (0-12 years);Teen (13-18 years)LungsRespiratory systemConditions and diseasesAdult (19+)NA2009-01-29T05:00:00ZSharon Dell, BEng, MD, FRCPC;Bonnie Fleming-Carroll, MN, ACNP, CAE;Jennifer Leaist, RN, BScN;Rishita Peterson, RN, BScN, MN;Gurjit Sangha, RN, MN;James Tjon, BScPhm, PharmD, RPh6.1000000000000069.7000000000000390.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Asthma is the most common chronic condition in children. Learn about what happens during an asthma attack and how bronchiole constriction affects breathing.</p><p>Asthma is a chronic lung condition. When properly managed, children with asthma can live perfectly normal lives.</p><h2> Key points </h2><ul><li>Asthma can be a lifelong condition, but good asthma control can allow your child to live a normal life.<br></li><li>Asthma symptoms are different in different children.</li><li>In certain conditions, a child with asthma's airways become narrower, making it harder to breathe.<br></li></ul><figure><span class="asset-image-title">What happens during an asthma attack?</span> <div class="asset-animation"> src="https://akhpub.aboutkidshealth.ca/Style%20Library/akh/swfanimations/swf.html?swffile=Asthma_Attack_MED_ANI_EN.swf" </div> </figure> <p>Asthma is a condition that affects your child's lungs. The most common signs of problems with asthma include:</p><ul><li>feeling short of breath</li><li>tightness in the chest<br></li><li>coughing</li><li>wheezing</li></ul><p>These symptoms may be mild, moderate, or severe. Sometimes your child may feel well, and at other times your child may feel worse because of the asthma.</p><p>Asthma may affect your child's lungs for the rest of their life. But with good asthma control, your child can go on to live a perfectly normal life.</p><p>Asthma is the most common chronic (long-term) illness in children. About 10 per cent to 13 per cent of children have asthma.</p><h2>Asthma symptoms are not always the same</h2><p>Asthma symptoms are different in different children, even within the same family.</p><p>Your child may have different asthma symptoms triggered by different things.</p><p>Your child's symptoms may look or feel different from one episode to the next. They may change over time.</p>https://assets.aboutkidshealth.ca/akhassets/Asthma_MED_ILL_EN.jpg
What is autism spectrum disorder?WWhat is autism spectrum disorder?What is autism spectrum disorder?EnglishNeurologyChild (0-12 years)NANervous systemConditions and diseasesAdult (19+)NA2009-03-09T04:00:00ZJanice Mulligan MSW, RSWRadha MacCulloch, MSWWendy Roberts MD. FRCPCLee Steel8.2000000000000060.5000000000000989.000000000000Flat ContentHealth A-Z<p>General information about autism spectrum disorder, its possible causes, and how it is diagnosed. Also discusses related conditions such as pervasive developmental disorder and Asperger's syndrome.</p><br><p>Autism spectrum disorder affects your child's social behaviour, communication, and play behaviour and interests. This page explains general characteristics of ASD, how ASD is diagnosed, and common misconceptions about its causes. </p><h2> Key points </h2> <ul><li>Autism spectrum disorder (also called ASD) refers to a specific set of behavioural and developmental issues affecting your child's communication, social and play skills. </li> <li> Every child with ASD is unique and has their own combination of characteristics.</li> <li> A diagnosis of ASD is based on what a medical doctor or psychologist observes and learns about your child’s behaviour and development in the early years. </li> <li> ASD is not a mental illness. </li> <li> No one specific cause of ASD is known. </li> <li> There is no medical cure for the difference in the brain that cause ASD, but with the right treatment, some behaviours can be changed. </li></ul>https://assets.aboutkidshealth.ca/AKHAssets/what_is_autism_spectrum_disorder.jpg
What is diabetesWWhat is diabetesWhat is diabetesEnglishEndocrinologyChild (0-12 years);Teen (13-18 years)PancreasEndocrine systemConditions and diseasesAdult (19+)NA2016-10-17T04:00:00ZCatherine Pastor, RN, MN, HonBSc;Vanita Pais, RD, CDE;Andrea Ens, MD, FRCPC;Danielle van der Kaay, MD, PhD​​​​8.3000000000000061.6000000000000851.000000000000Flat ContentHealth A-Z<p>Diabetes is a life-long condition. Learn what causes it and what role insulin plays in the body.</p><p>Diabetes is a life-long condition that occurs when the body is not able to use and store sugar for energy.</p><h2>Key points</h2> <ul><li>Diabetes occurs when the body is not able to use and store sugar for energy</li> <li>Insulin is made in the pancreas and helps the body use and store glucose for energy.</li> <li>In order for us to supply our bodies with energy, we must eat food.</li> <li>Carbohydrates are used for energy by the cells after they break down into sugar.</li></ul>https://assets.aboutkidshealth.ca/akhassets/IMD_pancreas_cells_EN.jpg
What is juvenile idiopathic arthritis?WWhat is juvenile idiopathic arthritis?What is juvenile idiopathic arthritis?EnglishRheumatologyChild (0-12 years);Teen (13-18 years)BodySkeletal systemNAAdult (19+)Joint or muscle pain;Pain2017-01-31T05:00:00ZJennifer Stinson RN-EC, PhD, CPNPLori Tucker, MDAdam Huber, MSc, MD, FRCPCLynn Spiegel, MD, FRCPCLaura Schanberg, MDPatrick McGrath, OC, PhD, FRSC8.3000000000000058.5000000000000596.000000000000Flat ContentHealth A-Z<p>JIA can occur in young people, up to age 16. Discover the differences in arthritis between young people and adults, how common arthritis is in young people, and how it can affect the joints.</p><p>The word arthritis comes from the Greek words "arthron" meaning "joint," and "itis", meaning inflammation. Thus, arthritis is inflammation in the joints, the places where the bones come together. Many people think that arthritis is something only old people get. Children and teenagers get a type of arthritis called juvenile idiopathic arthritis (JIA). "Juvenile" means young (16 years of age or younger) and "idiopathic" means the cause is not known. JIA is also sometimes called juvenile rheumatoid arthritis (JRA).</p><h2>Key points</h2><ul><li>Arthritis is inflammation in the joints, the places where the bones come together.</li><li>JIA affects about 10,000 children and teens in Canada.</li><li>Symptoms of joint inflammation include redness, swelling, warmth, stiffness, and pain.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/what_is_jevenile_ideopathic_arthritis.jpg
What is the difference between IBD and IBS?WWhat is the difference between IBD and IBS?What is the difference between IBD and IBS?EnglishGastrointestinalPre-teen (9-12 years);Teen (13-18 years)Small Intestine;Large Intestine/ColonLarge intestine;Small intestineConditions and diseasesCaregivers Adult (19+)NA2011-01-24T05:00:00ZCristina Cicco, RD10.100000000000050.1000000000000829.000000000000Flat ContentHealth A-Z<p>Find out how inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS) are each diagnosed and treated.<br></p><figure> <span class="asset-image-title">Digestive system</span> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_digestive_system_V3_EN.jpg" alt="The salivary glands, esophagus, stomach, large and small intestines, anus, pancreas, gallbladder and liver" /> </figure> <p>When children have chronic troubles with their digestive system and parents start looking for answers, they often get confused between <a href="/Article?contentid=823&language=English">irritable bowel syndrome (IBS)</a> and <a href="/Article?contentid=821&language=English">inflammatory bowel disease (IBD)</a>. While many of the symptoms of these two conditions are similar, there’s actually a large difference between the two. These differences also include how each is diagnosed and treated.</p><h2>Key points</h2><ul><li>Irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) have similar symptoms but are different conditions.</li><li>IBD causes inflammation. There are two types of IBD, ulcerative colitis (affects the colon) and Crohn's disease (affects any part of the digestive system).</li><li>IBS does not cause inflammation. With IBS, the digestive system appears normal but does not work properly.</li></ul><p>For more information, you can reach Specialty Food Shop Dietitians with your nutrition questions by calling 1-800-737-7976 (toll-free line) Monday to Friday or by sending an e-mail to <a href="mailto:sfs.admin@sickkids.ca">sfs.admin@sickkids.ca</a>. Or, visit the web site at <a target="_blank" href="https://www.specialtyfoodshop.ca/">www.specialtyfoodshop.ca</a>.</p>https://assets.aboutkidshealth.ca/akhassets/IMD_digestive_system_V3_EN.jpg
What to avoid before scoliosis surgeryWWhat to avoid before scoliosis surgeryWhat to avoid before scoliosis surgeryEnglishOrthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)Vertebrae;SpineMuscular system;Skeletal systemProceduresAdult (19+)NA2008-06-01T04:00:00ZSandra Donaldson, BA;Andrew Howard, MD, MSc, FRCSC;James G. Wright, MD, MPH, FRCSC9.6000000000000054.8000000000000457.000000000000Flat ContentHealth A-Z<p>There are certain preparatory steps that must be followed prior to having surgery. Learn about some things to avoid leading up to an operation for scoliosis.</p><p> Before surgery, your teen will need to avoid certain substances and medications to lower the risk of blood clots and other complications.</p><h2> Key points </h2> <ul> <li> Teens using hormone-based birth control will need to stop at least one month before surgery to prevent blood clots. After surgery, hormone-based birth control can be resumed after your teen completes her next menstrual cycle.</li> <li> Teens will need to stop smoking cigarettes and avoid second-hand smoke for up to one year after surgery to ensure the bones in their spinal column heal in a straight position. </li> <li> Alcohol and drugs can react badly with your teen’s anaesthetic and other medication while in hospital. </li> <li> Teens should do their best to avoid contracting infections before surgery so it can proceed without delay. </li> <li> Teens can consider having an enema or increasing their fibre intake to ensure bowel is empty before surgery and prevent constipation. </li></ul>
What to do before scoliosis surgeryWWhat to do before scoliosis surgeryWhat to do before scoliosis surgeryEnglishOrthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)Vertebrae;SpineMuscular system;Skeletal systemProceduresAdult (19+)NA2008-06-01T04:00:00ZSandra Donaldson, BA;Andrew Howard, MD, MSc, FRCSC;James G. Wright, MD, MPH, FRCSC8.2000000000000061.9000000000000438.000000000000Flat ContentHealth A-Z<p>Find out what should be done prior to having an operation for scoliosis, such as when to stop eating and what to bring to the hospital.</p><p>In order for scoliosis surgery to be successful, there are a few things you and your teen must do to prepare.</p><h2>Key points </h2><ul><li>Your teen must come to surgery with an empty stomach or surgery will be cancelled. If there are contents in their stomach while they are under anaesthesia, they may vomit and inhale their stomach contents, leading to serious complications.</li><li>Don't forget necessary to bring paperwork, medications, toiletries and desired comfort items to the hospital.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/what_to_do_before_scoliosis_surgery.jpg
What to do in case of a seizureWWhat to do in case of a seizureWhat to do in case of a seizureEnglishNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemConditions and diseasesCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZIrene Elliott, RN, MHSc, ACNP;Janice Mulligan, MSW, RSW7.7000000000000067.90000000000002208.00000000000Flat ContentHealth A-Z<p>Read about what to do in case of each type of seizure to ensure your child's safety and comfort.</p> <p>Some seizures only involve short periods of unresponsiveness and do not require specific interventions. Other types of seizures are more intense and so require specific interventions such as ensuring the child maintains a clear airway to allow air into the lungs. </p> <p>It is important for you, your family members, teachers, babysitters, and anyone else who looks after your child to know what to do when your child has a seizure. The most important things to do in response to any type of seizure are to remain calm and to keep your child safe. No matter what the seizure type, if your child seems to be having prolonged seizures, many seizures in a short period of time (clusters of seizures), or many more seizures than usual, seek medical attention.</p> <p>Here are some suggestions for how to help your child with different seizure types. You may find that some tips work better than others, or that your child needs one particular type of help during a seizure. You may already know or will come to know what works best for your child. Let other people know as well. </p><h2>Key points</h2> <ul><li>When your child has a seizure, remain calm, keep them safe and make them as comfortable as possible.</li> <li>Observe and take notes about your child's seizure, for instance when and how the seizure began, what your child's movements were like during and right after the seizure and how long the seizure lasted.</li> <li>Call 911 if your child's seizure lasts a long time (more than five minutes), if your child does not regain consciousness after a seizure or if your child seems confused for more than an hour after the seizure ends. </li> <li>Call your child's doctor if your child's seizures seem unusual or are happening more often than usual.</li> </ul>
What to expect on the day of epilepsy surgeryWWhat to expect on the day of epilepsy surgeryWhat to expect on the day of epilepsy surgeryEnglishNeurologyChild (0-12 years);Teen (13-18 years)BrainNervous systemProceduresCaregivers Adult (19+) EducatorsNA2010-02-04T05:00:00ZElizabeth J. Donner, MD, FRCPC7.2000000000000068.50000000000001256.00000000000Flat ContentHealth A-Z<p>Read about what a child will experience in the hours leading up to their epilepsy surgery.</p><p>Your child's healthcare team will meet with you and your child in the days or weeks before surgery to discuss the preparations that will be needed before you come to the hospital. </p><h2>Key points</h2> <ul><li>On the day of surgery, your child will have their hair washed and will have some of it shaved in the operation room.</li> <li>Your child will receive a general anaesthetic to make them sleep during the surgery. Follow the pre-anaesthetic eating and drinks instructions from the healthcare team.</li> <li>After surgery, your child will receive pain relieving medications in the recovery room and will be monitored by a nurse.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/what_to_expect_on_the_day_of_epilepsy_surgery.jpg
What your newborn baby looks likeWWhat your newborn baby looks likeWhat your newborn baby looks likeEnglishNeonatologyNewborn (0-28 days)NANANAAdult (19+)NA2009-10-18T04:00:00ZAndrew James, M​BChB, MBI, FRACP, FRCPC7.6000000000000069.90000000000001784.00000000000Flat ContentHealth A-Z<p>Learn about what your newborn baby looks like at birth, including detailed descriptions of their head, face, eyes, skin, arms, legs, genitals and urine.</p><p>When your baby is born, they may not look exactly as you expected. If you have not spent much time around newborn babies up until this point, you may be downright surprised at their appearance. However, after a few days your baby will begin to look more like what you expected a baby to look like.</p><h2>Key points</h2> <ul><li>Babies who were born vaginally may have an elongated head or "cone head" due to pressure on the skull to fit through the birth canal; babies born by C-section will have a rounder head.<br></li> <li>You may notice changes in your baby's skin, limbs, genitals, stool and urine over the next few weeks.</li> <li>Most newborn babies do not take in much nourishment in the first three to four days of life and may experience some weight loss.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/what_your_newborn_baby_looks_like.jpg
Wheat allergyWWheat allergyWheat allergyEnglishAllergyChild (0-12 years);Teen (13-18 years)BodyImmune systemConditions and diseasesCaregivers Adult (19+)NA2014-12-18T05:00:00ZVy Kim, MD, FRCPC;Anna Kasprzak, RN​8.5000000000000062.3000000000000864.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Find out how to help your child manage a wheat allergy.</p><h2>What is a wheat allergy?</h2><p>A wheat allergy occurs when the body reacts to one or more of the proteins found in wheat.</p><p>A wheat allergy is very different from a condition known as <a href="/Article?contentid=816&language=English">celiac disease </a> . With celiac disease, a person cannot tolerate gluten, a different protein found in wheat and other grains.</p><h2>Will my child always have a wheat allergy?</h2><p>Most children will outgrow a wheat allergy by school age. An allergist (a doctor who specializes in diagnosing and treating allergies) can help you find out when to test your child and see whether they have outgrown their allergy.</p><h2>Key points</h2> <ul> <li>A child with a wheat allergy will usually outgrow it by school age. The protein responsible for a wheat allergy is different from that responsible for a gluten intolerance. </li> <li>Other names for wheat include bulgur, farina, spelt, couscous, semolina and graham flour. Food products that contain wheat include baked goods, canned soups, salad dressings, cereals, pastas, seasonings and soy sauce.</li> <li>Your child can get the nutrients in wheat from other foods such as vegetables, fruit, rice, peas, beans, milk, cheese and meat. Safe wheat-free grain alternatives include quinoa, millet, oats, barley and corn. </li> <li>To prevent an allergic reaction, always read food product labels, avoid foods if you are not sure of the ingredients and avoid using utensils or containers that might have come in contact with wheat.</li> <li>If your child's diet is limited because of a wheat allergy, a registered dietitian can offer advice on getting a balanced diet.</li> </ul><h2>Possible sources of wheat</h2> <p>Wheat is used in a range of packaged foods. Below is a list of some of the many food products that contain wheat.</p> <table class="akh-table"> <tbody> <tr> <td>Baked goods and baking mixes (cakes, cookies, donuts, muffins)</td> <td>Baking powder, flour, icing sugar</td> </tr> <tr> <td>Battered or fried foods</td> <td>Bread, cereals, crackers, pastas</td> </tr> <tr> <td>Canned soups (“thickened” soups)</td> <td>​Coffee substitutes</td> </tr> <tr> <td>Gelatinized or modified starch</td> <td>Ice cream</td> </tr> <tr> <td>Meat, fish and poultry binders and fillers (found mainly in deli meats and hot dogs)</td> <td>Natural flavouring (from malt or wheat)</td> </tr> <tr> <td>Pie fillings</td> <td>Prepared ketchup, mustard</td> </tr> <tr> <td>Salad dressings, sauces, gravy</td> <td>Seasonings, spices</td> </tr> <tr> <td>Snack foods (candy, chocolate bars)</td> <td>Soy sauce</td> </tr> </tbody> </table><h2>Reducing the risk of cross-contamination</h2> <p>Cross-contamination occurs when a harmless substance comes in contact with a harmful substance, for example a potential allergen or harmful bacteria. If the substances mix together, the harmful substance taints the other substance, making it unsafe to eat.</p> <p>Food allergens can contaminate other foods when, for example, the same containers, utensils or frying pans hold a range of foods.</p> <p>Bulk food containers pose a high risk of cross-contamination because they are often used for different products.</p> <p>Be sure to avoid using utensils or containers that may have come in contact with allergy-causing foods and ask about possible cross-contamination when eating out.</p> <h2>How can my child get the right mix of nutrients if they must avoid wheat?</h2> <p>The main nutrients in wheat include fibre, protein, B vitamins, folate, iron, magnesium and zinc. Your child can still get these nutrients even if they must avoid wheat.</p> <h3>Nutrients in wheat that are found in other foods</h3> <table class="akh-table"> <thead> <tr><th>Nutrient</th><th>Where to find it</th></tr> </thead> <tbody> <tr> <td>Fibre</td> <td>Vegetables, fruit</td> </tr> <tr> <td>Protein</td> <td>Meat, fish, poultry, eggs, cheese, milk, beans, soy</td> </tr> <tr> <td>B vitamins</td> <td>Rice, milk, cheese, beef</td> </tr> <tr> <td>Folate</td> <td>Leafy green vegetables, beans (navy, pinto, kidney, garbanzo), lentils</td> </tr> <tr> <td>Iron</td> <td>Spinach, tomato puree, edamame (soy beans), lima beans, snow peas, instant oatmeal, cereal</td> </tr> <tr> <td>Magnesium</td> <td>Peas, pumpkin, squash or sesame seeds</td> </tr> <tr> <td>Zinc</td> <td>Meat, fish, poultry, vegetables</td> </tr> </tbody> </table> <h2>Wheat-free bread and cereal alternatives</h2> <p>A wheat allergy does not mean that your child must avoid all cereals, breads, pastas or baked goods. Safe, wheat-free alternatives include products made from rice, corn, potato, sorghum, oats, barley, amaranth, buckwheat, tapioca, millet, arrowroot, soy, lentils, peas, beans and quinoa. Foods labelled “gluten free” are also safe to eat since all gluten-free foods are also free of wheat. Always read the nutrition label to make sure ingredients have not changed.</p><h2> When to see a dietitian for a wheat allergy</h2> <p>If you have removed many foods from your child's diet because of a wheat allergy, it may be a good idea to speak to a registered dietitian. The dietitian can review the foods your child still eats to decide if they are getting enough nutrients. If necessary, they can also recommend alternative foods that your child can eat safely, such as the wheat-free options above. </p><h2>​Further information</h2><p>Health Canada. <a href="https://www.canada.ca/en/health-canada/services/food-nutrition/reports-publications/food-safety/wheat-priority-food-allergen.html" target="_blank">Wheat & Triticale - Priority food allergens</a></p>https://assets.aboutkidshealth.ca/AKHAssets/wheat_allergy.jpg
When babies feel painWWhen babies feel painWhen babies feel painEnglishNeonatologyNewborn (0-28 days)BodyNANAAdult (19+)Pain2010-10-18T04:00:00ZAndrew James, MBChB, MBI, FRACP, FRCPCSharyn Gibbins, NNP, PhD9.0000000000000061.8000000000000816.000000000000Flat ContentHealth A-Z<p>Pain is experienced by people of all ages, including babies. Learn about what causes pain and how to help alleviate pain in newborn babies.</p><p>Just like adults and older children, babies can feel pain. In addition to being able to feel pain, babies also have the right to pain relief. Every reasonable effort should be made to keep babies pain free. </p><h2>Key points</h2> <ul><li>Pain results when we are exposed to situations that are likely to lead to injury or tissue damage.</li> <li>Acute pain is short-term and chronic pain is long-term, lasting at least three months without interruption.</li> <li>Babies may experience pain because they are sick or injured in some way or from painful procedures, both diagnostic and therapeutic.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/when_babies_feel_pain.jpg
When brain tumour treatment affects learningWWhen brain tumour treatment affects learningWhen brain tumour treatment affects learningEnglishNeurology;DevelopmentalChild (0-12 years);Teen (13-18 years)BrainNervous systemNAAdult (19+)NA2009-07-10T04:00:00ZLaura Janzen, PhD, CPsych, ABPP-CN8.4000000000000057.30000000000001232.00000000000Flat ContentHealth A-Z<p>Detailed information concerning the impact that treatment, tumours, and surgery may have on your child's ability to learn.</p><p>Some children treated with radiation therapy or with certain types of chemotherapy develop problems with learning. These are called neurocognitive late effects. They do not appear right away, but develop slowly and appear one to two years after treatment. </p> <p>If your child is at risk of developing these problems, you and your child’s teachers will need to work together to make sure your child has the extra help they need. In some cases, a neuropsychological assessment may be needed to help understand your child’s abilities and areas needing special education services. </p><h2>Key points</h2> <ul><li>Radiation or certain types of chemotherapy can cause learning problems in some children.</li> <li>Children may develop problems with reading, writing, math, speech, attention and memory.</li> <li>Early intervention is important to address any learning problems your child may experience.</li> <li>A neuropsychological assessment can help to provide recommendations for your child in the classroom.</li></ul>
When to worry about mathematicsWWhen to worry about mathematicsWhen to worry about mathematicsEnglishDevelopmentalToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years)NANANAPrenatal Adult (19+)NA2009-10-31T04:00:00ZVirginia Frisk, Ph.D., C. Psych8.2000000000000052.7000000000000302.000000000000Flat ContentHealth A-Z<p>Math skills are divided into different categories. Within these categories, here are some specific signs that your child may be having difficulty. </p><p>Math skills are divided into different categories. Within these categories, there are some specific signs that your child may be having difficulty. </p><h2>Key points</h2> <ul><li>Math skills are divided into five categories: number sense and numeration; measurement; geometry and spatial sense; patterning and algebra; data management and probability.</li> <li>Within each category there are specific signs that your child may be having difficulty in that area.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/when_to_worry_about_mathematics_premature_babies.jpg
When to worry about reading problemsWWhen to worry about reading problemsWhen to worry about reading problemsEnglishDevelopmentalToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years)NANANAPrenatal Adult (19+)NA2009-10-31T04:00:00ZVirginia Frisk, Ph.D., C. Psych10.000000000000065.4000000000000245.000000000000Flat ContentHealth A-Z<p>There are several signs you can look for to determine if your child is having trouble with reading. While all children develop at their own pace, if you suspect your child has a problem, the earlier it is resolved the better the outcome will be for their future learning.</p><p>There are several signs you can look for to determine if your child is having trouble with reading. While all children develop at their own pace, if you suspect your child has a problem, the earlier it is resolved the better the outcome will be for their future learning.</p><h2>Key points</h2> <ul><li>There are several signs to look for at each grade level that will indicate if a child is having problems with reading.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/when_to_worry_about_reading_problems.jpg
When to worry about speech and languageWWhen to worry about speech and languageWhen to worry about speech and languageEnglishDevelopmentalBaby (1-12 months);Toddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years)NANANAPrenatal Adult (19+)NA2009-10-31T04:00:00ZVirginia Frisk, Ph.D., C. Psych10.600000000000053.9000000000000437.000000000000Flat ContentHealth A-Z<p>There are a number of markers you can watch for to help make decisions about whether to seek a professional opinion about your child's language development. </p><p>While each individual child develops at a different rate, there are certain signs to look for that indicate their speech and language are not developing properly.</p><h2>Key points</h2> <ul><li>There are a number of signs you can watch for to help make decisions about whether to seek a professional opinion about your child's language development.</li> <li>In the classroom, language problems may become obvious if the child has trouble understanding instructions and new concepts.</li> <li>When problems with language are not attended to early, they can lead to negative effects on listening and reading comprehension in later grades.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/when_to_worry_about_speech_and_language_premature_babies.jpg
When to worry about visuomotor skillsWWhen to worry about visuomotor skillsWhen to worry about visuomotor skillsEnglishDevelopmentalPremature;Newborn (0-28 days);Baby (1-12 months);Toddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years)NANANAPrenatal Adult (19+)NA2009-10-31T04:00:00ZVirginia Frisk, Ph.D., C. Psych9.3000000000000057.0000000000000335.000000000000Flat ContentHealth A-Z<p>Learn to recognize problems with visuomotor skill development. Trouble controlling a pencil and trouble colouring within lines are a few good indications. </p><p>While each child is different and develops at their own pace, there are certain signs that your child's visuomotor skills are developing poorly. This could have a negative effect on your child's success in the classroom.</p><h2>Key points</h2> <ul><li>There are certain signs that your child's visuomotor skills are not developing properly such as poor pencil grip and poor scanning of visual material.</li> <li>Poor development of visuomotor skills will also impact your child's success in the classroom.</li></ul>https://assets.aboutkidshealth.ca/AKHAssets/when_to_worry_about_visuomotor_skills.jpg
White matter damage (WMD) in premature babiesWWhite matter damage (WMD) in premature babiesWhite matter damage (WMD) in premature babiesEnglishNeonatology;NeurologyPremature;Newborn (0-28 days);Baby (1-12 months)BrainNervous systemConditions and diseasesPrenatal Adult (19+)NA2009-10-31T04:00:00ZHilary Whyte, MSc, MB, BCh, BAO, MRCPI, FRCPC9.5000000000000058.7000000000000333.000000000000Flat ContentHealth A-Z<p>Read about WMD, or damage to the so-called white matter of the brain. The negative impact of WMD varies depending on the site and extent of the damage.</p><p>White matter damage is damage to the so-called white matter of the brain. The impact and complications of WMD varies depending on the site and extent of the damage.</p><h2>Key points</h2> <ul><li>White matter are the fibrous tracts of the brain that make up a large part of the whole brain.</li> <li>The severity and potential long-term outcomes of WMD vary depending on the site and extent of the damage.</li></ul>
Who gets scoliosis?WWho gets scoliosis?Who gets scoliosis?EnglishOrthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)Vertebrae;SpineMuscular system;Skeletal systemConditions and diseasesAdult (19+)NA2008-06-01T04:00:00ZSandra Donaldson, BA;Reinhard Zeller, MD, ScD, FRCSC8.6000000000000062.7000000000000489.000000000000Flat ContentHealth A-Z<p>Learn about some risk factors that can increase a child's chance of developing a more severe scoliosis curve, including age at the time of diagnosis.</p><p>Most scoliosis occurs at the onset of puberty, around ages 10 to 16 years. This is called adolescent idiopathic scoliosis (AIS). The word "idiopathic” means <em>of unknown cause</em>. Of children and teens in this age group, 2% to 3% will develop scoliosis. There are equal numbers of males and females with small curves of less than 10 degrees. However, females tend to outnumber males (10 to 1) in curves greater than 30 degrees. Less than 10% of patients diagnosed with scoliosis will require surgery.</p> <p>This website focuses on idiopathic scoliosis that may require surgery.</p><h2> Key points </h2> <ul><li>Most scoliosis is called adolescent idiopathic scoliosis and occurs at the beginning of puberty.</li> <li> The younger a person is when scoliosis is diagnosed, the greater the risk the curve will increase. </li> <li>Double (S-shaped) curves are more likely to increase than single (C-shaped) ones. </li> <li>If teens are diagnosed before they have begun menstrual periods, and if their bones are still growing at time of diagnosis, the greater the risk the curve will increase. </li></ul>https://assets.aboutkidshealth.ca/AKHAssets/who_gets_scoliosis.jpg
Williams syndrome and congenital heart conditionsWWilliams syndrome and congenital heart conditionsWilliams syndrome and congenital heart conditionsEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartCardiovascular systemConditions and diseasesAdult (19+)NA2009-12-14T05:00:00ZFraser Golding, MD, FRCPC10.600000000000042.1000000000000314.000000000000Flat ContentHealth A-Z<p>Most children with Williams syndrome have a heart or blood vessel problem.</p><p> Most children with Williams syndrome have a heart or blood vessel problem.</p><h2> Key points </h2> <ul><li>Williams syndrome is a rare, spontaneous condition in which chromosome 7 is missing genetic material.</li> <li>Most children with Williams syndrome have heart or blood vessel problems.</li> <li>Children with Williams syndrome have certain physical characteristics as well as physical and developmental problems, very outgoing personalities, and poor motor control. </li></ul>
Wilson diseaseWWilson diseaseWilson diseaseEnglishGeneticsChild (0-12 years);Teen (13-18 years)Brain;LiverLiver;BrainConditions and diseasesCaregivers Adult (19+)NA2013-06-12T04:00:00ZBinita M. Kamath MBBChir;Alison Stewart RN, BScN6.9000000000000066.20000000000001053.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Wilson disease is a genetic disorder that allows copper to build up in the body. Learn about how it is diagnosed and treated.</p><h2>What is Wilson disease?</h2> <p>Wilson disease is a genetic disorder that allows copper to build up in the body and cause damage.</p> <h3>Our body needs a small amount of copper</h3> <p>To work well, our body needs a small amount copper. Copper is a metallic element. It helps keep the immune system healthy, build strong bones and form red blood cells. We absorb copper from a variety of food such a nuts, seeds, oysters and liver. Normally, our bodies regularly dispose of copper to prevent it from accumulating in the body.</p> <h3>Too much copper damages the tissues</h3> <p>Some children are unable to get rid of copper. This inability is a disorder called Wilson disease. The excess copper is stored in the main organs, such as the liver, brain, kidneys and eyes. In the liver, extra copper causes damage and scarring. This causes the liver to stop working correctly.</p><h2>Key points</h2> <ul> <li>Wilson disease is a genetic disorder that allows copper to damage the liver.</li> <li>Children are born with Wilson disease.</li> <li>Doctors diagnose Wilson disease by taking blood tests, urine samples, liver biopsy and a genetic test.</li> <li>Treatment requires a life-long commitment to eating a low-copper diet and taking prescription medicines.</li> <li>After treatment starts, the health care team will book follow-up appointments to monitor your child.</li> </ul><h2>Signs and symptoms of Wilson disorder</h2><p>Symptoms are more likely in children 10 years and older. In Wilson disease, copper usually accumulates in the liver and brain. This is why symptoms are mainly liver disease and neurological problems.</p> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_wilson_disease_affected_organs_EN.jpg" alt="Upper body of a child with brain and liver identified" /> </figure> <h3>Symptoms of liver disease</h3><ul><li>tiredness</li><li>yellow skin (<a href="/Article?contentid=775&language=English">jaundice</a>) or yellow colour of the white of the eyes</li><li>enlargement of the abdomen</li><li>vomiting blood</li></ul><h3>Symptoms of neurological problems</h3><ul><li>confusion<br></li><li>emotional or behavioral changes such as depression, anxiety and psychosis</li><li>slow or decreased movement</li><li>slurred speech</li><li>tremors in the hands</li><li>clumsiness</li><li>worsening of academic performance</li></ul><h2>Wilson disease is a genetic disease</h2><p>A change or mutation in a gene causes Wilson disease. Children are born with it.</p><p>If a person has one copy of this gene they are a carrier of the disease. About one in 100 people carry this gene. A child needs to be born with two copies of the gene to develop the disease. If both parents carry the gene for Wilson disease, there is a 25% chance their child will have the disorder.</p> <figure class="asset-c-80"> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_wilson_disease_inheritance_EN.jpg" alt="Chromosome distribution from parents carrying Wilson disease" /> </figure> <h2>How common is Wilson disease?</h2><p>About one in 30,000 people have Wilson disease. It is most common in eastern Europeans, Sicilians and southern Italians. Wilson disease typically appears in people under 20 years old. In children, it is rarely diagnosed before the age of four years. Younger children rarely show any symptoms. Doctors suspect Wilson disease during routine blood tests.</p><h2>Diagnosis of Wilson disease</h2> <p>If your child experiences the symptoms listed above or there is a known family history, the doctor may suspect Wilson disease.</p> <h3>Blood tests</h3> <p>To help confirm the diagnosis, the doctor will take a sample of your child's blood. They will test for:</p> <ul> <li>The amount of copper in the blood.</li> <li>The presence of liver enzymes. High levels of these enzymes mean the liver cells are damaged.</li> <li>The amount of a liver protein called albumin. Albumin levels decrease in the blood when the liver is damaged.</li> <li>How long it takes for the blood to clot</li> <li>The amount of a protein which transports copper in the blood, called ceruloplasmin. Its levels are lower in Wilson disease.</li> </ul> <p>The health care team will arrange for you to collect your child's urine over a 24-hour period. This will be explained in more detail when you are in clinic. They test the urine for copper levels.</p> <p>Excess copper in the eyes can cause dark rings to form around the iris. These are called Kayser-Fleischer rings. They are difficult to see without a special eye exam. Your child's doctor may do an eye exam to check for these rings. However, the absence of the Kayser-Fleischer rings does not rule out the disease.</p> <p>Your child's health care team may do other tests such as an <a href="/Article?contentid=1290&language=English">ultrasound</a> of the abdomen and a <a href="/Article?contentid=1272&language=English">CT scan</a> or <a href="/Article?contentid=1270&language=English">MRI</a> of the brain.</p> <h3>Liver biopsy</h3> <p>After finding signs that suggest Wilson disease, your child's doctor will take a sample of the liver. They check for specific changes in the liver. They also measure the amount of copper in the liver.</p> <h3>Genetic test for Wilson disease</h3> <p>The doctor may use a sample of your child's blood to run a genetic test for the Wilson disease gene. You will likely wait several weeks before finding out the results of the test.</p><h2>Treatment for Wilson disease</h2> <p>Wilson disease is a life-long disease. However, your child can lead a better quality of life and avoid serious complications by carefully following the treatment plan.</p> <p>The goal of treatment is to lower the amount of copper in the tissues. It requires a life-long commitment, which involves: </p><h3>Eating a low copper diet</h3> <p>Your child should try to avoid eating the following copper-rich foods:</p> <ul> <li>chocolate</li> <li>dried fruit</li> <li>mushrooms</li> <li>nuts</li> <li>liver</li> <li>shell fish</li> </ul> <h3>Taking prescribed medicines</h3> <ul> <li>Zinc tablets which helps block copper from being absorbed in your intestines</li> <li>Penicillamine or trientene. These medicines bind with copper in the body and then both are excreted in the urine.</li> </ul> <h3>Continual monitoring</h3> <p>Your child's health care team will book follow-up appointments to:</p> <ul> <li>Ensure they are consistently taking medicines. Do routine blood tests to check the levels of liver enzymes and copper. This happens every four to six months.</li> <li>Collect urine samples for 24 hours to check for copper levels. Your child's health care team will do this about one to two times a year.</li> </ul> <h3>Liver transplant</h3> <p>In more serious cases, your child may be considered for a liver transplant. If this is an option for your child, the doctor will discuss the procedure more clearly with you.</p> <h2>Communicate with your child's health care team</h2> <p>Wilson's disease is a life-long condition. It is important to maintain open communication with your child's health care team. <a href="/Article?contentid=1144&language=English">Talk openly with the doctor</a> if you have any questions or concerns about your child's treatment. Make sure you update the doctor with any new symptoms your child may experience. Remember the health care team is there to support you and your child.</p>https://assets.aboutkidshealth.ca/akhassets/IMD_wilson_disease_affected_organs_EN.jpg
Winter tipsWWinter tipsWinter tipsEnglishNAChild (0-12 years);Teen (13-18 years)NANAHealthy living and preventionCaregivers Adult (19+)NA2018-01-19T05:00:00Z000Landing PageLearning Hub<p>Winter is a time of year when we participate in outdoor activities and then gather around a fire. Unfortunately, we may also experience seasonal illnesses. Keep the family healthy during the cold weather with our winter tips.</p><p>Winter is a time when we experience cold weather, snow and ice. It is a time of year when we look forward to participating in outdoor activities and then gathering around a warm fire. Unfortunately, we may also experience those annoying seasonal illnesses. Keep the whole family safe, healthy and happy during the cold weather season with our winter tips.</p>wintersafetyhttps://assets.aboutkidshealth.ca/AKHAssets/winter_safety_landing_page.jpg
Wound careWWound careWound careEnglishDermatologyChild (0-12 years);Teen (13-18 years)SkinSkinNon-drug treatmentCaregivers Adult (19+)NA2019-02-28T05:00:00ZElizabeth Berger​, BA, MD, FRCPC, FAAP, MHPE​​;Daryl Graham, MD5.9000000000000080.30000000000001364.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how to care for sutures and stitches and how to keep the wound clean and what you can do to prevent scarring. </p><div class="asset-video"> <iframe src="https://www.youtube.com/embed/l8FkHMdzqh8?rel=0" frameborder="0"></iframe>  </div><p>Some wounds need to be repaired by a health care provider in a hospital or clinic. This information will help you care for your child’s wound at home after it is repaired.<br></p><h2>Key points</h2><ul><li>Ask the health care provider who is managing your child's wound what to expect in terms of healing and scarring.</li><li>See a doctor if your child has signs of infection, including fever or pain, redness and swelling at the wound.</li><li>Most wounds that go through the upper layers of skin will heal with a mark or scar. This mark may be more noticeable in the weeks following the injury, but it should mature or diminish over many months.</li></ul><h2>When to see a doctor</h2><p>As your child’s wound heals, the edges will become slightly pink. This is normal.</p><p>Watch for any signs of infection. Take your child to their regular doctor or the nearest Emergency Department if any of the following happen:</p><ul><li>Your child’s wound becomes painful, red or swollen</li><li>There is a yellowish or greenish fluid coming from your child’s wound</li><li>Your child develops a <a href="/article?contentid=30&language=english">fever</a> in the next 72 hours</li><li>Your child’s wound opens up or starts bleeding</li></ul><h2>Caring for a wound with stitches (regular or dissolving) or staples</h2><p>Keep the wound covered, clean, and dry. Keep your child’s wound completely covered with a bandage for ____ days. After that, you may want to put a bandage on to protect the wound during activities, but leave it off and leave the wound open to the air when your child is resting or in quiet activity at home. Do not let your child play with or pull on the stitches. If the stitches are on an arm or leg, raising the arm or leg will keep your child more comfortable.</p><p>Depending on your doctor’s instructions, you may need to change the bandage one or two times a day. To change the bandage, you need to remove the soiled bandage and apply a fresh one. You may also need to need to put antibiotic ointment (a cream that kills germs to prevent infection, such as Polysporin) on the wound two times a day for seven days or more, depending on the wound and your doctor’s advice.</p><p>When squeezing the antibiotic cream out of the container, avoid contamination by making sure not to touch the opening of the tube with a dirty finger or by applying the tube directly to the wound. Instead, squeeze the cream directly onto a clean cotton swab or cotton ball and then use this to apply it to the wound.</p><h3>Washing the wound</h3><p>After ____ days, you can gently wash the wound with mild soap and water. Wash it only one or two times each day. Do not rub or soak the wound.</p><h3>Bathing</h3><p>Do not give your child a bath if the wound will go under water. It may be easier to have your child stand up in the bathtub or shower and use a damp towel to wash the non-wounded parts of the body. A shower is another bathing option while the wound is healing.</p><h3>Protecting the stitches or staples</h3><p>Your child should avoid contact sports and swimming until their wound has closed and their stitches or staples have been removed. This will give the wound the best chance to heal. Try to prevent your child from playing with sand, mud or paint near their wound as this could cause the wound to get dirty which could lead to infection.</p><h3>Removing stitches or staples</h3><p>If your child’s wound was treated with regular stitches or staples, your child’s doctor should remove these in ____ days. If your child’s wound was treated with dissolving stitches, they do not need to be removed. They will dissolve, or melt away, on their own after ___ days.</p><h2>Caring for a wound treated with glue</h2><p>The glue should peel or fall off between five to 14 days.</p><p>There is no need to cover the wound with a bandage, but some parents may put a bandage over the wound to prevent the child from picking at the glue. Avoid using a bandage that could remove the glue if the bandage comes off. Your child does not need to see the doctor after the glue has peeled or fallen off.</p><h3>Bathing</h3><p>You should try to keep the wound dry for at least five days. After that, it is fine to wash the wound but do not soak in water for a long time. Do not give your child a bath if the wound . will be under water. It may be easier to have your child stand up in the bathtub or shower and use a damp towel to wash the non-wounded parts of the body. A shower is another bathing option while the wound is healing. After the shower, the wound should be patted dry with a towel. Your child should not swim while the glue is still in place.<br></p><h3>Protecting the wound and glue</h3><p>Do not pick or scratch the wound or the glue. Pat the wound dry and do not rub it. Avoid wearing tight clothing that could rub against the wound. Do not apply any creams or ointments to the wound until the glue peels or falls off. Applying creams or ointments may make the glue come off too soon.</p><h2>Caring for your child’s wound treated with adhesive strips (Steri-strips)</h2><p>You can trim the edges of the strips as they naturally separate from the skin with time. If the strips remain in place after seven days, you can remove them at home by soaking them in water. Your child does not need to go back to see the doctor after the strips have peeled off.</p><h3>Bathing</h3><p>Keep the wound and adhesive strips dry for the first 24 hours. Then you can gently wash the wound with soap and water. Do not soak or rub the wound. Your child can have a shower after which the wound can be patted dry with a towel. Your child must not swim for seven days.</p><h2>Occlusive dressings</h2><p>Sometimes your health care provider may suggest using a special layered dressing called an occlusive or semi-occlusive dressing. This type of dressing keeps the healing area moist and helps to promote the growth of new skin cells. It consists of : </p><ul><li>a base or "contact" layer that will not stick to the wound (non-adherent)</li><li>an absorbent layer to absorb any fluid or blood</li><li>an outer layer to anchor the dressing and provide some pressure, if needed</li></ul><p>You can buy these layers at the drugstore. Some adhesive bandages provide all three layers in one.</p><p>To change a layered dressing, you should usually leave the contact layer in place. Change the absorbent and outer layer every day, or more often if the dressing becomes dirty or wet. When changing the contact layer, remove it carefully so as to not disrupt the healing skin.</p>woundcarehttps://assets.aboutkidshealth.ca/AKHAssets/wound_care.jpg
Wrist fractureWWrist fractureWrist fractureEnglishOrthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)WristBonesNon-drug treatmentCaregivers Adult (19+)NA2009-11-10T05:00:00ZPreeti Grewal, RN, MN, APN;William Cole, MBBS, MSc, PhD, FRACS, FRCSC5.5000000000000081.3000000000000603.000000000000Health (A-Z) - ProcedureHealth A-Z<p>A wrist fracture requires a full cast or a half cast. Read about broken wrists, treatment, follow up appointments and recovery which can take up to a year. </p><figure> <span class="asset-image-title">Fractured wrist</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Fracture_wrist_MED_ILL_EN.jpg" alt="Wrist with fractured radius" /> <figcaption class="asset-image-caption">The radius, ulna and wrist bones (carpal bones) meet at the wrist joint. Any of these bones can be broken in a wrist fracture.</figcaption> </figure> <h2>A broken or fractured wrist</h2><p>Your child has a broken or fractured wrist. A fractured wrist might also be called a cracked wrist.<br></p><h2>Key points</h2> <ul> <li>Your child needs a half or full cast to heal a fractured or broken wrist. </li> <li>A half cast can be removed at home after about three weeks. </li> <li>A full cast will likely not be removed for at least six weeks. </li> <li>You child will need to avoid high-impact activities after the cast is removed. </li> <li>Your child's wrist may need a year to fully recover strength and movement.</li> </ul><h2>Your child will need a cast</h2> <p>For the bone to heal, your child will need a <a href="/Article?contentid=1178&language=English">cast</a> and possibly a sling. What type of cast your child will need depends on how serious the break or fracture was. </p> <p>Minor fractures usually only need a half cast. A more serious fracture or a break will probably need a full cast.</p> <h3>Half cast</h3> <p>A half cast will stay on for three to four weeks. About one week after the cast is put on, your child will need to have a follow-up appointment with the fracture clinic at the hospital. At the clinic, staff will make sure your child's wrist is healing properly. If your child has a half cast, you may also be shown how to remove the cast at home. </p> <p>Depending on the size of the fracture, it may take six months to a year before your child's wrist can fully straighten, bend and twist. However, most children do not need physiotherapy. </p> <h3>Full cast</h3> <p>If your child has a full cast, it will have to stay on for four to six weeks or perhaps longer. Your child will have follow-up appointments at one week, two weeks, and four to six weeks after the cast was put on. </p> <h2>Follow-up clinic information</h2> <p>Write down the dates and times of your follow-up appointments here:</p> <p>Write down the number of the fracture clinic here:</p> <p>Write down the name of the doctor or nurse at the fracture clinic here:</p>wristfracturehttps://assets.aboutkidshealth.ca/AKHAssets/wrist_fracture.jpg
Writing and printing resourcesWWriting and printing resourcesWriting and printing resourcesEnglishDevelopmentalPreschooler (2-4 years);School age child (5-8 years)NANASupport, services and resourcesCaregivers Adult (19+)NA2009-10-31T04:00:00ZVirginia Frisk, Ph.D., C. Psych10.200000000000042.9000000000000196.000000000000Flat ContentHealth A-Z<p>Learn about resources that are available for parents to help their children improve their writing and printing skills.</p><p>There are many resources available for parents to help their children improve their writing and printing skills. Here are just a few.<br></p><h2>Key points<br></h2><ul><li>​Use books, workbooks and other resources to help your child learn writing and printing skills.​<br></li></ul>https://assets.aboutkidshealth.ca/AKHAssets/writing_printing_resources.jpg

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