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Reflux in Babies: What’s Normal and When to Call Us
If your little one seems to spit up after every single feeding, you are far from alone. Reflux, or gastroesophageal reflux, is incredibly common in babies, affecting nearly 80% of

Keeping the Bugs at Bay
Summer is finally here, and while we’re all excited to get our kids away from the screens and out into the fresh air, more time outdoors naturally means a lot

Awesome Summer Reading Programs with Sweet Rewards
Keeping Young Minds Active This Summer (With a Few Sweet Perks!) School is officially out for the summer! While we are all looking forward to endless pool days, backyard BBQs,

Water safety for all ages!
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Honey: a natural cough reliever
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When a tantrum involves “low-risk” behavior (crying or screaming without danger), the best initial strategy is planned ignoring (also known as extinction). During the Tantrum Avoid Engagement: Do not negotiate,

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Seasonal allergies happen when your child’s immune system gets a little too protective. It starts overreacting to harmless things in the air—mostly pollen and mold spores. The body treats these

Why is coming for check-ups so important?
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Mastering the Bottle: Tips for Success
When bottle-feeding, the goal is to let your baby take the lead. Choosing a slow-flow nipple (Stage 0 or 1) is best for most infants, as it mimics the natural

Tiny Teeth, Big Smiles: A Guide to Your Baby’s First Toothbrush
Seeing that first tiny tooth poke through is a major milestone! But once those pearly whites arrive, many parents in Katy ask us: “When do we actually start brushing? And

Little Words, Big Emotions: Teaching Kids to Speak the Language of Feelings
Why Emotional Vocabulary Matters for KidsAren’t you relieved ? You did it !!! Your child is back in school and no longer eating all the snacks from the pantry. Based
Reflux in Babies: What’s Normal and When to Call Us
If your little one seems to spit up after every single feeding, you are far from alone. Reflux, or gastroesophageal reflux, is incredibly common in babies, affecting nearly 80% of all infants. As parents ourselves (and as pediatricians who see a lot of spit-up on our shoulders), we know how messy and worrying it can feel in the moment. Here is a down-to-earth guide to help you understand what’s normal, what to watch for, and when it’s time to give us a call.
The Good News: Most Reflux Is Just a Laundry Problem
Reflux usually peaks around 4 months of age. From there, it typically starts to improve, with most babies seeing real progress by 6 months and full resolution by their first birthday. Part of the reason things get easier is simple: as your baby grows, they spend more and more time upright, which naturally helps keep things down.
Most babies fall into a category we affectionately call “happy spitters.” These are babies who spit up frequently but aren’t showing signs of real distress, and who continue growing well and thriving otherwise. In these cases, reflux is honestly more of a laundry problem than a medical one.
When You Can Manage Reflux at Home
As long as your baby isn’t losing weight, vomiting forcefully, becoming dehydrated, or showing blood or bile in their spit-up, reflux can typically be monitored and managed conservatively at home. A few things that can help:
- Burp your baby well during and after feeds.
- Hold them upright for a bit after each feeding.
- Talk to your pediatrician before thickening formula at home, since pre-thickened infant formulas are often a better option to consider first.
It’s also worth knowing that while some medications can help manage the acidity and discomfort associated with reflux, they don’t reduce the actual volume of the spit-up. Your baby may continue spitting up even while on treatment, and that’s expected.
What About Sleep?
Even if your baby has reflux, we still recommend placing them on their back to sleep, without raising the head of the crib. This remains the safest sleep position for babies, reflux or not.
When to Reach Out to Your Pediatrician
A quick call to us is a good idea if your baby is:
- Arching or stiffening their back during or after feeds
- Coughing or choking with episodes
- Vomiting so forcefully that it shoots across the room, or appears projectile
- Having blood or mucous in their stool
- Having delayed, forceful, and repetitive vomiting after feeds
None of these signs mean something is seriously wrong, but they are worth talking through with us so we can help you figure out the best next step for your baby.
We’re Here for You
Spit-up happens, and most of the time, it’s simply a normal part of your baby growing and developing. But if you’re ever unsure whether what you’re seeing is typical reflux or something that needs a closer look, please don’t hesitate to reach out. Whenever you’re ready to get your next check-up on the calendar, you can easily access our online patient portal or give the front desk a call.
Blog written by Dr. El-Loubani
Keeping the Bugs at Bay
Summer is finally here, and while we’re all excited to get our kids away from the screens and out into the fresh air, more time outdoors naturally means a lot more opportunities for bug bites. Between the mosquitoes, ants, and everything else buzzing around our Katy backyards, it can feel like a constant battle to keep your little ones from becoming a walking buffet.
At our practice, we see a lot of buggy situations this time of year. To help you keep the itching at bay and handle any creepy-crawler encounters with total confidence, here is a down-to-earth guide on preventing and treating bug bites like a pro.
When it comes to bug bites, a good defense is the best offense. You can protect your kids and drastically cut down on the scratching with a few simple habits:
- Choose the Right Repellent: Hands down, products containing 20% to 30% DEET are the most effective and well-studied options out there. DEET is completely safe for babies 2 months and older—just apply it sparingly and make sure to avoid their hands, eyes, and mouth so they don’t accidentally ingest it or wipe it in their eyes. Picaridin is another great, safe alternative for the 2-month-and-up crowd.
- A Quick Warning on Natural Oils: If you prefer plant-based options, Oil of Lemon Eucalyptus (OLE) is popular, but it should never be used on children under 3 years old.
- Dress for Success: If you’re heading out to grassy, wooded, or notoriously buggy areas, try to dress your child in long sleeves and long pants. This is especially true during the early morning and late evening hours when mosquitoes are out in full force.
- Protect the Strollers: For tiny infants, skipping the sprays and draping a tight mosquito net over their stroller, crib, or baby carrier works wonders.
- Ditch the Hotspots: Try to steer clear of dense vegetation and standing water, which are basically luxury resorts for mosquitoes and ticks.
- The Post-Play Checklist: After the kids come inside from playing, do a quick “tick check” over their entire body. Pay extra attention to hidden spots like the scalp, behind the ears, underarms, belly button, and groin. Throwing them straight into the bath within two hours of coming inside is also a fantastic way to wash off any hitchhiking bugs before they can bite.
What to Do If They Get Bitten
Even with the best prep, bites happen. Most of the time, they just cause a little minor redness, swelling, and annoying itching that you can easily manage right at home.
For General Bites and Stings
- Cool It Down: Press a cold compress or an ice pack against the bite for 10 to 15 minutes. This does wonders for numbing the pain and bringing down the swelling.
- Soothe the Itch: A dab of over-the-counter 1% hydrocortisone cream or calamine lotion is perfect for calming irritated skin.
- The Right Allergy Meds: If they are fiercely itchy, an oral antihistamine like Zyrtec (cetirizine) or Claritin (loratadine) can bring immense relief. We highly recommend avoiding older, first-generation antihistamines like Benadryl (diphenhydramine) for young children, as the newer options are much safer and less disruptive.
- Ease the Aches: If a sting or bite is genuinely hurting them, a standard dose of acetaminophen or ibuprofen will help them rest easy.
- Trim Those Nails: It’s a simple trick, but keeping your child’s fingernails short stops them from scratching a bite raw, which is the main way a normal bite turns into a nasty bacterial infection.
If It’s a Bee Sting
Time is of the essence! Remove the stinger as quickly as possible by scraping it off flat with a fingernail or the edge of a credit card. Do not try to squeeze it out with your fingers, as you want to avoid pumping more venom into the skin. The quicker it’s out, the less it will hurt.
If It’s a Tick Bite
Take a deep breath and grab a pair of fine-tipped tweezers. Grasp the tick as close to the skin’s surface as possible and pull straight upward with steady, even pressure. Resist the urge to twist it, burn it with a match, or smother it in petroleum jelly—those old-school tricks can actually backfire.
Once it’s out, clean the area thoroughly and pop the tick into a sealed plastic baggie just in case we need to identify it later.
When to Skip Home Care and Call Us
It is completely normal for a bug bite to look bright red and swollen—most of the time, this is just a standard, angry inflammatory reaction and not a sign that they need antibiotics. Most bites fade on their own within a few days.
However, you should definitely give our office a call if you notice any of these red flags:
- The swelling continues to expand rapidly after 24 to 48 hours.
- The area is increasingly hot to the touch, oozing pus, or looking heavily streaked with red (signs of an actual infection).
- Your child develops a sudden fever, chills, or body aches a few days after being bitten.
- You see a distinct “bull’s-eye” rash—a red ring expanding outward around a tick bite—which can be an early sign of Lyme disease.
- A tick was attached to your child for more than 36 hours. Give us a call so we can determine whether any follow-up care or preventive treatment is needed.
- The bite simply isn’t improving at all after several days of consistent home care.

Enjoy the Great Outdoors! Don’t let the bugs keep you cooped up inside this season. With a little bug spray and a quick look-over before bed, your family can enjoy every bit of summer safely.
We love hearing about all your family’s summer adventures! If you’re ever unsure about a rash or just want to make sure your little one is completely up to date on their wellness goals, we are always here to help.
Whenever you’re ready to get that next check-up on the calendar, you can easily access our online patient portal or give the front desk a call. Stay safe out there!
Blog written by Dr. Palvadi
Awesome Summer Reading Programs with Sweet Rewards
Keeping Young Minds Active This Summer (With a Few Sweet Perks!)
School is officially out for the summer! While we are all looking forward to endless pool days, backyard BBQs, and a much-needed break from the morning school rush, it’s also that time of year when we want to keep our kids’ brains from turning to mush.
The trick is making reading feel less like a chore and more like a game.
The great news is that you don’t have to motivate them all on your own. There are tons of fantastic local and national rewards programs out there designed to keep your little ones turning pages all summer long. We’ve rounded up some of our absolute favorite community programs that offer everything from free books to free pizza just for reading.
Fun Summer Reading Programs to Tap Into
Libraries and Bookstores
Your first stop should always be the local library. The Harris County Public Library (and honestly, pretty much every local library branch around us) hosts incredible, completely free summer reading challenges that get kids genuinely excited about tracking their books.
If your kids love a trip to the bookstore, Barnes & Noble Summer Reading Challenge has a sweet deal where kids can earn a completely free book just by logging their summer reading in a printable journal. Books-A-Million runs a similar summer adventure program with cool perks, and Half Price Books gives kids a $5 voucher to use toward a book of their choice, which makes for a fun little shopping spree.
Food and Play Rewards
If you need a little extra leverage for reluctant readers, you can connect page-turning to some of their favorite treats. Pizza Hut still runs its classic BOOK IT! program, where your child can earn a free personal pan pizza for hitting their goals. Even H-E-B loves getting in on the fun—our favorite Texas grocery store puts out an annual H-E-B Buddy Summer Reading Flyer with great ways for kids to get rewarded.
For a mix of active play and reading, Chuck E. Cheese has printable “page-turning Pro” certificates. . Once your child builds up those good reading habits and completes the chart, you can hand over the award and they can redeem it for free play points at the games.
Free Books by Mail
If you’re looking to grow your home library without spending a dime, you can also look into The Good and Beautiful, which allows families to sign up online to receive free physical books sent straight to their door.
Shaking Things Up at Home
If none of those formal programs feel like a good fit for your schedule, you can easily gamify your reading list at home to spark some excitement.
Instead of just tracking dry minutes on a log, try printing out a Reading Bingo Card or setting up a Reading Scavenger Hunt. It turns reading into a challenge where kids check off squares for reading in funny scenarios—like reading with a flashlight, building a living room fort, or hunting for specific animals and funny words hidden inside the chapters. It’s a brilliant way to make a lazy afternoon way more engaging.
A Quick Mom-to-Mom (or Dad-to-Dad) Tip: Don’t stress too much about what they are reading. Graphic novels, comic books, chapter books, or even listening to an audiobook together in the car on the way to swim practice, they all counts.
At the end of the day, these summer habits are all about supporting your child’s growth and development. We always love hearing about what your kids are reading, so feel free to share their favorite summer stories with us at their next check-up!
Whenever you’re ready to get your next wellness visit on the calendar, just hop onto our online portals or give the front desk a call. Have a wonderful, book-filled summer!
Blog written by Dr. Palvadi
Water safety for all ages!
Water Safety For All Ages!
As we head into the summer months, it’s the perfect time to talk about something that hits close to home for all of us: water safety. Whether you’re heading to a neighborhood pool party here in Katy, spending a day at the lake, or just filling up the bathtub at home, keeping our kids safe around water is a year-round job.
It can be a tough topic to think about, but the reality is that drowning is the second leading cause of death for kids between the ages of 1 and 4. The good news is that nearly all of these accidents are preventable if we stay one step ahead of our quick little explorers.
Here is a practical, down-to-earth guide on how to protect your family at every stage of the game.
Bath Time Basics (From Day One)
Water safety actually starts the day you bring your newborn home. Babies love bath time, but they require 100% of your focus.
- The Arms-Reach Rule: When your baby is in the tub, stay within arm’s reach at all times. Never step away to grab a ringing phone, answer the front door, or check on another child. If you absolutely have to leave the room, wrap the baby in a towel and take them with you.
- Gather Your Supplies First: Before you even turn on the tap, make sure your towel, soap, and clean diaper are already within arm’s reach so you don’t have to step away.
- Skip the Bath Rings: Avoid using those adult tub plastic ring seats or laundry baskets as makeshift baby tubs. They can easily tip over and lead to injuries or drowning.
- Ditch the Distractions: Keep your eyes on the baby and put down the cell phone during bath time—it only takes a second of distraction for an accident to happen.
Toddler Proofing Your House
Toddlers are fast, adventurous, and fiercely curious. Because drowning can happen in as little as 1 to 2 inches of water, we have to think about water safety even when it’s not swimming day.
- Secure the Bathroom: Keep the bathroom door shut with a latch and install safety latches on your toilet seats.
- Pull the Plug: Always pull the drain plug out of the bathtub when it’s not in use. That way, if your toddler sneaks in and turns on the faucet, the tub won’t fill up.
- Turn Down the Heat: Set your home’s water heater to a maximum of 120°F to prevent accidental burns.
- Empty the Toys: The moment playtime is over, dump out water from wading pools, sensory splash tables, and cleaning buckets.
- The Sibling Effect: If your toddler has older brothers or sisters, they are at a higher risk of trying to sneak into the bathroom to play. Make sure you teach these water safety boundaries to everyone in the family.
Swimming in Texas: Pools, Lakes, and Parks
Living in Texas, pools and lakes are just a part of our summer lifestyle. Even if your own home doesn’t have a pool, chances are your child will be around one at a friend’s house, a neighborhood pond, or a local park.
- Start Swim Lessons Early: Kids can actually start formal swim safety lessons as early as 1 year old. It’s a foundational skill every child should learn and practice regularly.
- Ditch the “Floaties”: Inflatable arm bands or “floaties” are toys—not safety devices. They give parents a false sense of security, can slip off easily, won’t stop a child from falling face-forward into the water, and can restrict their movement. Opt for a proper life jacket instead when you’re at water parks or natural bodies of water.
- Assign a “Water Watcher”: This is huge. At family gatherings or pool parties, don’t assume someone else is looking. Tragically, many drownings happen when plenty of adults are around because everyone thinks someone else has eyes on the kids. Explicitly designate one adult as the “Water Watcher” whose only job is scanning the pool.
- Backyard Pool Safety: If you have a private pool, it needs a 4-foot fence with a self-closing latch and door alarms leading out to the yard. Remember, pool covers don’t replace fences; most accidents happen when a child isn’t even expected to be outside in the pool area.
- Learn CPR: Knowing how to perform CPR can literally be the difference between life and death if an accidental water submersion happens.
- Never Stop Watching: Even if your child completely knows how to swim, direct and constant supervision is always mandatory.
Big Kids and Teens
Our teenagers need a different kind of water safety conversation. As they start heading out to lake days or water parks with their friends, remind them of a few non-negotiables:
- Life Jackets for Sports: If they are doing water sports, wearing a life jacket is an absolute, non-negotiable rule.
- Feet First: Teach them to respect “No Diving” signs. In natural bodies of water like lakes or rivers, they should always enter feet first because you can’t see hidden hazards.
- The Alcohol Factor: It’s a tough conversation, but a necessary one. Drinking and swimming or boating don’t mix. In fact, alcohol or drugs are involved in up to 30% to 70% of recreational water deaths among American adolescents.
- The “Call Me Anytime” Rule: Reassure your teen that their safety always comes first. Let them know that no matter what the situation is, they can call you for help if they feel unsafe—getting that phone call is infinitely better than getting a call that they have been hurt or worse.
Let’s Keep Summer Fun and Safe! Our goal is to give you the peace of mind to enjoy these sunny days to the fullest. If you ever want to chat about swim readiness, safety resources, or your child’s milestones, feel free to bring it up at your next visit!
Whenever you need to schedule your child’s summer wellness check-up, just hop onto our online portals or give our front desk a call.
Have a safe and happy summer!
