My Blog

Posts for: October, 2018

By Good Health Pediatrics
October 16, 2018
Category: Child Safety
Tags: Sports Injuries  

Even though you try as hard as possible to keep your child safe while they are playing sports, accidents still happen. At these moments, it’s important that you know whether these are injuries that can easily be treated from the comfort of your own home or whether you need to turn to a pediatrician for proper medical attention.

Pediatricians have seen a lot of sports-related injuries over the years and while we also focus as much of our attention on prevention, we know the importance of being able to get immediate and comprehensive care when your child does sustain an injury.

Common sports-related injuries include:

  • Dislocations (particularly in the shoulder)
  • Traumatic injuries (this includes cuts, sprains and strains, and broken bones)
  • Stress fractures
  • Tendinitis (often in the hand or wrist)
  • Concussion

When a dislocation happens many times it is accompanied by an audible popping sound at the moment that the injury occurred. This unnerving sound is often followed by sudden and intense pain. It’s important that you turn to a pediatrician who can put the shoulder or any other area of the body back in place. The joints of a child’s body are looser than adults, so it makes shoulders and other areas more prone to dislocations.

Minor cuts, sprains, and strains can often be handled with at-home care. In most cases, the RICE method is a great way to ensure that your child gets the rest they need to heal properly and to stay off of the injury until it fully heals. Icing and elevating the injured area can also reduce pain and swelling. Of course, if you suspect that your child has a broken bone, this will need to be evaluated by a medical professional right away.

Children who are serious or long-term athletes are more likely to experience overuse injuries. These injuries occur over time rather than suddenly and they are often the result of performing repetitive movements. Overuse injuries include stress fractures and tendinitis. If your child feels pain whenever they move a certain area of the body or if they notice pain or swelling in a certain area it’s important that they get checked out.

Wearing a helmet is crucial for protecting your child’s head while playing sports. Of course, if your child has received a blow to the head and is experiencing dizziness, fatigue, frequent or severe headaches or just seems out of sorts it’s crucial that you bring them in right away to see if they’ve incurred a concussion.

When in doubt, pick up the phone and talk to a pediatrician about your child’s injuries and symptoms. They will be able to determine whether or not they should come in for proper care.


By Good Health Pediatrics
October 12, 2018
Category: Child Care
Tags: Asthma  

It breaks your heart and frightens you. It's your child's asthma, the chronic lung condition that, according to the Asthma and Allergy Foundation of America, affects 8.3 percent of American youngsters. As difficult as it is, you and your child absolutely can control asthma symptoms, and your pediatrician, Dr. Linda Neely-Shelmire, and her dedicated team in Friendswood can, and will, help.

Child AsthmaWhat is Asthma?

Asthma constricts the narrow airway all the way from the throat down into the lungs and its tiny, air-exchanging alveolar sacs. Inflammation and mucous cause the all-too-familiar symptoms of asthma, including:

  • Wheezing
  • Shortness of breath
  • Nighttime coughing
  • Fatigue
  • Chest heaviness

While symptoms vary in intensity, most all asthmatics experience a worsening of symptoms during periods of stress and strenuous physical activity.

What Triggers Asthma

Asthma seems to run in families, so there is certainly a strong hereditary component. However, the environment factors in as well, with common triggers such as:

  • Outdoor pollution
  • Allergens such as fragrances, pet dander, and plant pollen
  • Cigarette smoke
  • Cold weather

Treating Childhood Asthma

The identification and subsequent avoidance of asthma triggers is foundational to your pediatrician's child's lung health plan. Dr. Neely-Shelmire asks parents and children (as is age appropriate) to monitor asthma symptoms and possible triggers by keeping a written log.

Additionally, you and your pediatrician in Friendswood will formulate an asthma action plan as recommended by the American Lung Association. This tool will help you track how well your child is breathing (through simple monitoring with a peak flow meter), what medications maintain his or her lung function, which medications are rescue prescriptions, and what to do when your child has an attack or is sick with a cold or the flu.

A Word on Medications

Most children with asthma need a maintenance inhaler and a rescue inhaler. For severe attacks or times of prolonged symptoms, Dr. Neely-Shelmire may advise a nebulized bronchodilator or other medication to keep the airway as open as possible. She also informs parents about when to come into the office and when a hospital ER visit is warranted.

A Normal Healthy Life

Your friends at Good Health Pediatrics make this our goal for each and every patient who walks through the door. Through our proven methods and treatments, your child's asthma can be controlled and its impact minimized. So, if your child has this chronic condition, take advantage of the premier care Dr. Neely-Shelmire offers. If you have any questions or concerns about your youngster's asthma, please call our office at (281) 534-9335.


By Good Health Pediatrics
October 01, 2018
Category: Child Care
Tags: Child Care   Sports Physical   Sports  

Your child is eager to start the school year so they can participate in sports. That’s great news! Keeping your child active is an important part of a healthy lifestyle and sports can be a great experience for many children; however, it’s also important that your child’s pediatrician performs a yearly sports physical to make sure that they are ready for physical activity.

A sports physical is necessary for every child regardless of their current health. In fact, some schools make it mandatory for children to get an annual sports physical before they participate in any school sports. Regardless of whether this physical is mandatory or not, it’s highly advised that all children get a sports physical once a year.

Your child’s sports physical will involve going through their medical history and conducting a physical examination. The physical examination is pretty self-explanatory. We will check their vitals, as well as their height and weight. We will perform a vision test and evaluate everything from their heart and respiratory system to their musculoskeletal system. The goal of a physical exam is to make sure that your child hasn’t incurred any past injuries or developed any health problems that could be exacerbated by physical activity.

A pediatrician can also answer questions and provide counseling on nutrition, healthy weight loss or gain, and habits that could help your child’s physical health. Remember to bring any questions along with you.

Besides the physical examination, we will also sit down with you and your child and ask questions about their medical history. It’s important to be as detailed as possible. If it’s the first time they are having a sports physical it’s important to bring in a list of any supplements or medications (both over-the-counter or prescription) that they are currently taking.

We will ask a series of questions to find out if there are any serious or chronic health problems that run in the family, if your child has experienced any past injuries, if they’ve ever undergone surgery or been hospitalized, if they have any allergies or if they have any current disorders or illnesses. It’s important to provide as much detailed history as possible so that our pediatric team can perform a thorough and comprehensive physical.

Don’t wait until the last minute to schedule your child’s sports physical. It’s important to get your child on the books before the summer is gone and the doctor’s schedule fills up. You don’t want your child being benched during the season because they didn’t get a sports physical. Call your pediatrician today.