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Physicians want Lincoln to push for healthier school lunches.

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Here is an article from ArkansasNews.com where I was interviewed about healthier school lunches.  I've added some links to related posts here on the Colic Care Blog.  I hope you enjoy.

By John LyonArkansas News
Arkansas News Bureau

LITTLE ROCK — Sen. Blanche Lincoln, currently occupying center stage in the debate over health care reform, is about to start hearing from proponents of a different health-related cause: The push for healthier lunches in public schools.

In the coming months, the Senate Committee on Agriculture, Nutrition and Forestry, chaired by Lincoln, will take up the Child Nutrition Act, which regulates the National School Lunch Program and other federal nutrition programs and is up for reauthorization in 2010.

The Washington-based Physicians Committee for Responsible Medicine has been gathering names on an online petition urging Lincoln and others in Congress to help schools provide healthy food options.

“We’re asking that vegetarian options be included as part of the national school lunch and breakfast programs and that provisions for soy milk and other plant-based milks are made, and basically to make funding available for that to happen,” said Dr. Ruby Lathon, the committee’s nutrition policy manager.

The U.S. Department of Agriculture requires schools receiving lunch subsidies to meet nutritional standards, which include offering fruits and vegetables, but schools are not required to offer vegetarian entrees and nondairy milks. Lathon said the physicians are not asking for mandates but would like to see additional incentive money made available to schools willing to offer new options.

“Most schools provide at least two entree options every day anyway, so we’re looking at, perhaps one of those could be a vegetarian option,” she said.

Two Arkansas doctors, Tara Hickman of Fayetteville and Sadia Malik of Little Rock, plan to deliver a copy of the group’s petition to Lincoln’s office in Little Rock on Thursday. They expect to have about 110,000 names on the petition.

Asked Friday for a comment, Lincoln said in a statement issued by her office, “A top priority for the committee is reauthorization of our child nutrition programs, which fight hunger and promote health among tens of millions of children in Arkansas and across the country. We must improve the nutritional quality of the meal benefits provided through these programs.

“With obesity, diabetes and nutrition–related chronic diseases epidemic among us, we must take steps to provide foods that nourish and promote the development of our children. As the committee moves forward with reauthorizing federal child nutrition programs, we will explore opportunities to provide healthier, more nutritious foods
through the school lunch program,” Lincoln said.

Hickman said the issue of child nutrition is related to the health care debate currently occupying Congress’ attention.

“A lot of chronic illness stems early on from poor eating habits,” she said. “Overall you’re going to going to decrease the amount of money spent in the health care system if we can provide healthier options to kids early on.”

The national obesity rate has more than doubled since 1990, with 26.6 percent of the population considered obese. In Arkansas, the rate has increased 6.3 percent since 1990, with 29.5 percent of the state’s residents considered obese, according to a report released last month by three health associations.

The report ranked Arkansas 40th in the nation in overall health, up from 50th in 1998.

The more students are exposed to healthy eating options at school, “the more they get used to seeing those types of food and then choosing those on their own as well,” Hickman said.

The additional options would also benefit students who are lactose intolerant or have food allergies, she said.

Arkansas has taken steps on its own to improve nutritional options in schools. In 2005, at the request of then-Gov. Mike Huckabee, the state Education Department began requiring healthier foods in school vending machines and banned the machines from elementary schools.

Department spokeswoman Julie Thompson said the state does not require schools to offer vegetarian entrees on a daily basis.

At its annual convention in Little Rock on Friday, the Arkansas Farm Bureau, the state’s largest farm lobby, adopted a policy of opposing programs like “Meatless Monday,” which encourages people to go without meat on Mondays.

Spokesman Gregg Patterson said the Farm Bureau opposes restrictive diets in school menus but does not oppose giving students more choices. In fact, the organization supports expansion of the USDA’s Fresh Fruit and Vegetable Program, a pilot program that seeks to put a wider variety of fresh produce in schools.

Lathon said the physicians are “absolutely” not seeking to restrict students’ options.

“In addition to what’s already being served, there would be an option right next to that that would be available that’s vegetarian, so it doesn’t impede any choices. It just basically provides an additional choice,” she said.

 

As always, if you have any questions or comments, please feel free to write them below or visit our Ask Dr. Tara page.

Helpful Tips about Vaccinations for your Baby

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vaccination

The most common question I see in my office is regarding vaccinations. My role is not to tell the parents what to do, but to provide information and ways to minimize the adverse effects that vaccinations can cause. Every child is different, and it is important to find a health care provider that can evaluate your individual risk. Below are a few suggestions that could help:

Alternative Schedules

  • The amount of vaccinations that your child will receive has more than doubled in the past 35 years.
  • Spreading out vaccinations can be helpful in theory, although no studies have been conducted regarding these types of schedules.
  • Increases in autoimmune disease and asthma could be linked to multiple vaccinations.
  • Talk with a provider about the risks and benefits of alternative schedules.

Avoid Daycare Until At Least 2 Years Old

  • The highest risk of mortality is in infants under 2 years old, and exposure to meningitis causing organisms and pertussis is most deadly in this age range

Breastfeeding

  • Breastfeeding provides protection against these same organisms that can cause death in infants.
  • Breastfeeding during the vaccination can lessen pain.

Supplements

  • Vitamin A increases response to vaccination and decreases adverse effects.
  • Probiotics populate the GI tract and respiratory tract, decreasing chances of contracting disease and decreasing recovery time.
  • Low levels Vitamin D are associated with autoimmune disease. Just 15 to 20 minutes of sunshine is equivalent to 200 glasses of milk.

Again, it is important to work with a knowledgeable health care provider if you are concerned with the current vaccination schedule. Vaccinations have, in many cases, reduced the occurrence of life threatening disease, and it is important that parents make fully informed choices regarding vaccinations.

As always, if you have any questions about this blog posting, or any other posting on our website, please feel free to Ask Dr. Tara. Or you can just make your comments below. Thanks for reading!!

Tips on Preventing Cavities

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Baby Brushing TeethCavities can become problematic for some children at a very young age. Cavities in children are truly a growing problem. As many as 28 percent of children ages 2 to 5 have cavities in their baby teeth, and children as young as 10 months old are getting multiple cavities in their baby teeth. In 2001, Centers for Disease Control and Prevention (CDC) sponsored screening of 3rd grade children attending 26 New Hampshire public schools and found that 52% had tooth decay, or dental caries, and about 22% had untreated cavities.

It appears that there may be some genetic susceptibility, but there are things that you can do to prevent cavities. Tooth decay generally starts as a dark discoloration on the tooth, which can progress to holes, particularly in the rear teeth. After tooth decay has happened, parents and dentists are then faced with the difficult dilemma of fixing the teeth,  which can be traumatic for the child and usually requires general anesthesia for infants. Some of the suggestions below may help to prevent this from happening.

  • Mom and Daughter Brushing TeethBegin addressing oral hygiene as soon as teeth appear. In an infant, this means using something as simple as a washcloth to gently wipe the teeth after feedings.
  • In older children (at least a year) begin using the fluoride-free, training toothpastes and an infant brush. Brushing should be done at least twice per day. Try to make it fun by singing a favorite song during the brushing so that the child begins to have a pleasant association with brushing.
  • Bottle-feeding can increase the possibility of cavities.  This is particularly true if the child is allowed to have a bottle with sugary liquids, such as juice, for extended periods of time. Juices should be used very sparingly and should always be watered down by at least 50%. If the baby requires a bottle to go to bed, water should be used instead of milk or juice. Saliva decreases during the night and reduces the ability to wash the teeth, resulting in a build up of acid.
  • Some nutrients may be helpful for cases where tooth decay has already begun. Talk to your health care provider about possible suggestions. Supporting the body’s immune system and making sure that proper nutrients are available are very important. Homeopathy can also help to support the body’s inherent healing processes. A great option is to use Xylitol—several studies have shown cavity prevention by utilizing this natural sweetener. The best results were from using chewing gum that was 100% Xylitol. Xylitol is one of the components of Colic Care® that helps to give it a great taste.

I hope this article helps.  If you have any questions, comments or concerns regarding tooth decay or infant oral hygiene, please feel free to state them below in the comments section or you can just Ask Dr. Tara.

Ear Infections

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ear infection

One of the most frequent causes for visits to the pediatrician is the dreaded ear infection.  Unfortunately, antibiotics are still frequently prescribed, even though the American Academy of Pediatrics (AAP) has made the recommendation for a “wait and see” approach. This is due to research that shows that antibiotics do not speed recovery time. In addition, antibiotics kill off the “good” bacteria that reside in our GI and respiratory tract, making us even more susceptible to illness. Not to mention the current problems with antibiotic resistant bacteria because of unnecessary antibiotic use.

Luckily, there are things that you can do to both treat and prevent ear infections.

  • Upright feeding as much as possible. The eustachian tubes of infants are much shorter than adults, allowing fluid to accumulate and cause inflammation.  Feeding at a slight angle allows for more drainage and less accumulation.

  • Use immune support as soon as baby starts to get the sniffles. Again, because of the shorter eustachian tubes, extra fluid due to a cold can increase the chances of eardrum inflammation. Great things to try include vitamin C, probiotics, larch tree, vitamin A, and Zinc. Of course you should work with a practitioner to determine the correct dosage for your infant.

  • Ear drops. The same research that found that antibiotics were ineffective, also found that ear drops containing things such as garlic, mullein, and hypericum, were more effective than doing nothing and helped to relieve pain. However, you should be sure that the ear drum is intact before putting anything into the ear.

  • Breastfeeding. Breastfeeding is protective both because of the immune components of the breast milk, as well as the larger motion of the jaw that an infant has to use (promoting movement in the eustachian tube area), as compared to using a bottle.

  • Avoiding allergens. This can be food and/or environmental. Using a hepa filter, removing stuffed animals from the crib, and using a hypoallergenic laundry detergent may be helpful for sensitive infants. Food considerations - if breastfeeding, consider eliminating dairy and wheat, or other known food sensitivities.

  • Homeopathy. Finding a qualified homeopathic practitioner can help with chronic ear infection conditions. During an acute phase, remedies like chamomile (extreme fussiness, better with fast rocking), pulsatilla (whimpering/whining, better being carried) or belladonna (extreme pain, red face, screaming) can be tried and are very safe and effective for infants.

It is unlikely that you will be able to avoid the occasional ear infection, but using the above tips will keep the frequency and duration to a minimum. Ear tubes should be a last resort if other avenues have been tried with no relief.

We would love to hear your thoughts or comments.  Just enter them below.  If you have any questions or concerns, please feel free to Ask Dr. Tara. Good Luck!!

Battling Morning Sickness

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morning sickness Morning sickness is common in the first trimester, most likely due to fluctuating hormones. Occasionally, it progresses to a serious condition known as hyperemesis gravida, which causes the mother to become dangerously dehydrated. For the most part however, women who experience morning sickness have a mild version and will feel much better by the second trimester. In the mean time, what can you do to help?

  • Small, frequent, meals containing a higher protein content. This seams to balance blood sugar and help with nausea.
  • Keep crackers by the bed to eat first thing in the morning. Again, this helps to regulate blood sugar.
  • Use teas or lozenges containing ginger. Ginger is a great antinausea spice and can make a big difference for some people.
  • Try B6. The reason that B6 works is unclear in the medical community, but 25 mg, two times per day have been helpful for many moms. Be sure to check with your health care practitioner to determine the right dosage.
  • Homeopathy is great for morning sickness. Some common remedies to consider are ipecac, arsenicum, phosphorus, nux vomica, sepia, pulsatilla, and tabacum. Any of these are well worth considering. A qualified practitioner can help you determine which one is best for your situation.

Morning sickness is one of the “not so fun” parts of pregnancy, but luckily, it will subside. Focusing on the exciting parts of becoming a parent can help, along with the above suggestions, will help to get you through the rough spots. Good Luck!!

If you have found other ways to deal with morning sickness that weren't listed here, please pass that information along to other mothers.  You can post your comments below.  And as always, if you have any questions about what you have just read, please feel free to Ask Dr. Tara.

Flu Fighters: The All Natural, Healthy Way

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This winter will no doubt be a troubling flu season for everyone, especially kids.  Prevention is always the best option and I have included some helpful tips to make sure that your family has the best chance of avoiding the flu.

  1. all natural flu preventionWash your hands. This has no doubt had a bigger effect on germ transmission than anything else.  Friction is just as important as soap, so rub your hand vigorously under running water, and teach you kids to do the same.
  2. Eat well and get rest.  This seems like a no brainer, but if your children do not eat their fruits and vegetables, they will be more susceptible to flu bugs. Don’t be afraid to tell them this.  Let them know that eating those foods will make them strong and keep them from getting sick.  To learn more about getting your kids to eat healthy, read Dr. Tara's article, “Broccoli is Gross!” - A mom's guide to healthy eating for kids, in The Colic Care® Blog.
  3. Stay on probiotics the entire winter season. Probiotics are “friendly” bacteria that provide precursors for our immune system, among a host of other beneficial processes.
  4. Consider herbal teas.  Make herbal teas made of lemon balm, avena, echinacea, etc. and try them on your kids. You never know, they may like the taste. Try adding some xylitol which has its own immune boosting effects, and is a natural sweetener.
  5. Vitamin C.  The key to vitamin C is to keep a high level throughout the day, not a big dose at one time. It is water soluble, so it tends to exit the body quickly. A mere 250 to 500mg several times per day is much more effective at boosting the body’s immune response.  Emergen-C is a great option and tastes great for kids.
  6. Visit a licensed naturopathic physician.   They can help you with dosing immune boosting nutrients, such as vitamin A and vitamin D. These are fat-soluble vitamins, which means that you can overdose on these, and you need a knowledgeable medical professional to help you determine what dosage is appropriate for your child.

Hopefully, this season will not be the pandemic that is predicted.  And following the above tips can help you avoid contracting any bugs that may be going around. Thanks for reading and don't forget to Ask Dr. Tara if you have any questions!!

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Swine Flu: To vaccinate or not to vaccinate?

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swine flu vaccinationOne of the most common questions I see in my office is concerning vaccinations. The fear-based campaign (on both sides!) has made it extremely difficult for parents to feel confident about decisions regarding how and when to vaccinate.  I believe in educated choices, and do everything I can to direct parents to information from both sides.  This is easier for vaccinations that have been used for several years, but what about new vaccines, such as the H1N1 (Swine Flu)?

With all new vaccines, the safety profile is the most concerning. When a similar “Swine flu” outbreak happened in the 70’s, the vaccine created caused a serious complication called “Guillian-Barre Syndrome” (ascending paralysis), and the actual flu virus was not the fatal pandemic they were expecting.  Besides complications (that are worse than the risk of contracting the flu), the other concerns would be what preservatives and “immune stimulators” will be in the vaccine. Much work has been done to eliminate mercury from most children’s vaccines, but flu vaccines are notorious for still using mercury as a preservative. I will be waiting to see what the ingredients contain, as well as what the safety trials show before making any recommendations.

Ultimately, there will not be enough vaccine for everybody, and their will be preference given for pregnant moms, children over 6 months, elderly, health care workers, and young adults (19-24).  So far, this flu has not been the deadly pandemic that they have predicted, and I will be treating this flu in the same way that I approach all disease—by supporting the body’s natural immune system. It is more effective to provide an inhospitable environment within the body for any bug, than it is to run around trying to find specific vaccines and medications to fight every bug that comes along. Our bodies have an amazing, built-in system to keep foreign invaders at bay, and the most effective therapy is anything that supports this system.    

If you have any questions about this article, or anything else for that matter, please feel free to Ask Dr. Tara!! 

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Wearing Your Baby - Why Slings Can Be Helpful

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If you spend any amount of time in a baby store, you will see a multitude of different types of “slings” that are designed to allow a hands-free approach to carrying your infant. What are the benefits of using a sling?

 

wear your baby in a sling

  1. Slings mimic the womb environment

  2. The first month after birth is often referred to as the “fourth trimester” because babies are still developing at a rate similar to the womb. They have been enclosed in a small, warm space, with limited stimuli, and are now in a bright, noisy, open, environment. This most likely contributes to fussiness and possibly colic. Being enclosed in a sling can make them feel more secure and mimics the environment of the womb thus soothing your baby.

    hands free baby sling
  3. Hands free for mom or dad

  4. Having your baby in a sling can allow you to comfort your baby, while still going about your normal routine without having to deal with bulky carriers and strollers.

  5. Promotes bonding

  6. You infant will be happier while close to mom or dad, which fosters a good feeling for parents. The motion of the parent, as well as the shared body warmth and sounds of the parent’s heartbeat will calm babies. And we all know that parents are happy when their babies are happy!

  7. Discrete breast-feedingbreastfeed in your sling

  8. Slings can help to provide some privacy while nursing, which allows more freedom.


The hardest aspect of the sling is finding one that works for both you and your baby. There are many options, and the best way to find one that works is to talk to other parents and if possible, try several different varieties before investing in one. The right sling can give you several months of having a happier baby and being a happier parent.

What are your experiences with slings?  Pass on your wisdom by telling us your stories about wearing your baby has helped you. Or, if you have any questions about this article, or anything else, please feel free to Ask Dr. Tara !! 


How to Swaddle Your Baby

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Sometimes babies just can't seem to "relax" or they just seem a bit stressed out.  Some babies may simply be startled by their own muscle movements.  A common technique of soothing a baby is to mimick the womb environment. This is why slings can be helpful. Another way is to keep the baby “swaddled” or wrapped up tightly, so that the baby’s limbs are not flailing around and causing distress.  If your baby is born in a hospital, the nurses will no doubt clean up baby and hand him or her back to you in a nice little bundle.  Continuing this method at home can make your life a lot easier when your new baby is having difficulties calming down. You can actually use any blanket for swaddling—check out this little video:



Another option is to use a blanket made specifically for swaddling. These blankets are cut so that there is no folding involved, usually has Velcro, and has places to tuck in the blanket. There are many options available and most baby stores have at least one option in stock.  Be sure however, to discontinue the swaddling after three weeks so that normal muscle and limb development can continue. Also remember not to swaddle in an especially warm room because overheating is a SIDS risk factor. I hope this helps and happy swaddling!

If you have any questions about this article, or anything else, please feel free to Ask Dr. Tara!!  Or, if anyone has anything to add about swaddling babies, we would love to hear about it!  Please comment below...

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“Broccoli is Gross!” - A mom's guide to healthy eating for kids.

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healthy eatingChildren are the pickiest eaters around. At times, it seems impossible to get them to eat anything even remotely healthy. Childhood obesity is at an all time high, and the incidence of non-insulin dependent diabetes is on the rise, something not seen 10 years ago. It is vitally important to help your child get the best start in life, by encouraging healthy eating habits, so that they can avoid serious health consequences. Below are a few suggestions to get your children on the right path.

  • Imitation! They are much more likely to eat healthy foods if they see mom and dad eating them.
  • Fun with shopping: The grocery store is a great teaching tool—let them pick out the fruits and veggies, and reinforce that their choice is going to help them become “big and strong”. Point out how pretty and colorful the food is, and include statements like—“these carrots will make your eyes super powerful” or “broccoli has iron, which makes you strong and good at soccer” (or whatever their favorite activity is).
  • Visit the local farmers market, visit gardens, or even grow a few veggies in your own back yard: This helps the kids connect to where the food came from.
  • Let them help with cooking: Kids love to sample things that they helped to make. When they see the food from start to finish, they are less likely to turn up their nose when you put it in front of them at the dinner table.
  • Sneak in veggies whenever you can: Puree veggies for use in other recipes—even grilled cheese sandwiches can have sweet potato puree mixed in with the cheese. Cauliflower and white beans can be pureed into a mac and cheese dish. I love the book by Jessica Seinfeld “Deceptively Delicious”. It has some really inventive recipes.
  • Experiment with dips: Kids love to dip things. Try carrot sticks, cucumber slices, whole wheat crackers, cherry tomatoes, apple slices, even avocado slices, paired with their favorite dip-ranch and peanut butter are typical favorites.

These are just a few suggestions. Remember that exercise is important too! Make sure they do something active every day. Good Luck!!

If you have any questions about this article, or anything else, please feel free to Ask Dr. Tara!!  Or, if you have any tips or tricks to get kids to eat more healthy, please pass them along to our readers by commenting below!

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