What is anemia? Anemia is a low number of red blood cells or a low amount of hemoglobin in your red blood cells. Hemoglobin is a protein that helps carry oxygen throughout your body. Red blood cells use iron to create hemoglobin. Anemia may develop if your body does not have enough iron. It may also develop if your body does not make enough red blood cells or they die faster than your body can make them.

What increases my risk for anemia?

•    Trauma or surgery that causes massive blood loss

•    A gastrointestinal bleed

•    A woman's monthly period

•    A family history of blood disease or anemia

•    Liver or kidney disease, cancer, rheumatoid arthritis, or hyperthyroidism

•    Alcohol abuse

•    Lack of foods that contain iron, folic acid, or vitamin B12

What are the signs and symptoms of anemia?

•    Chest pain or a fast heartbeat

•    Lightheadedness, dizziness, or shortness of breath

•    Cold or pale skin

•    Tiredness, weakness, or confusion

How is anemia diagnosed? Blood tests will show if you have anemia.

How is anemia treated? Treatment depends on the type of anemia you have. You may need any of the following:

•    Iron or folic acid supplements help increase your red blood cell and hemoglobin levels

•    Vitamin B12 injections may help boost your red blood cell count and decrease your symptoms

•    A blood transfusion may be needed if your body cannot replace the blood you have lost

•    Surgery may be needed to stop bleeding, or if your anemia is severe

How can I prevent anemia? Eat healthy foods rich in iron and vitamin C. Nuts, meat, dark leafy green vegetables, and beans are high in iron and protein. Vitamin C helps your body absorb iron. Foods rich in vitamin C include oranges and other citrus fruits. Ask your healthcare provider for a list of other foods that are high in iron or vitamin C. Ask if you need to be on a special diet.

Call 120 or have someone call 120 for any of the following:

•    You lose consciousness

•    You have severe chest pain

When should I seek immediate care?

•    You have dark or bloody bowel movements

When should I contact my healthcare provider?

•    Your symptoms are worse, even after treatment

•    You have questions or concerns about your condition or care

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

© 2017 Truven Health Analytics LLC All illustrations and images included in CareNotes^® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

What do I need to know about a colectomy diet?

 You will need to make changes to the foods you eat for about 6 weeks after surgery. These changes will help your colon heal and prevent certain problems that can occur when you have an ostomy. These problems include odor, gas, diarrhea, or obstruction (blockage in your intestines). After you heal, you can eat the foods you regularly ate before surgery. 

What foods can I eat after surgery? 

You will be given clear liquids right after surgery. Examples include clear juices, coffee or tea (with no cream or milk), gelatin, and broth. Next, you will be allowed to eat low-fiber foods. Your doctor may recommend that you limit fiber to 8 to 13 grams each day. 

•    Grains: Choose grains that have less than 2 grams of fiber in each serving. Examples include the following: 

○   Cream of wheat and finely ground grits

○   Dry cereal made from rice 

○   White bread, white pasta, and white rice

○   Crackers, bagels, and rolls made from white or refined flour

 •    Fruits and vegetables: 

○   Canned and well-cooked fruit without skins or seeds, and juice without pulp

○   Ripe bananas and soft melon

○   Canned and well-cooked vegetables without skins or seeds, and strained vegetable juice

○   Potatoes without skin 

○   Shredded lettuce on a sandwich

 •    Dairy:

○   Cow's milk, lactose-free milk, soy milk, and rice milk

○   Yogurt without nuts, fruit, or granola

 •    Protein:

○   Eggs, fish, and tender, well-cooked poultry (such as chicken and turkey) and beef 

○   Tofu and smooth peanut butter

What foods should I avoid after surgery?

Do not eat high-fiber foods right after surgery because they are harder to digest. Avoid foods that cause gas, odors, and diarrhea. Do not eat foods that may cause a blockage. 

•    Foods that are high in fiber: 

○   Whole-grain foods such as whole-wheat breads, brown rice, or oats

○   Raw fruits and vegetables

○   Dried fruit

○   Dried beans

 •    Foods that may cause blockage: 

○   Vegetable and fruit skins

○   Apples, dried fruit, grapes, and pineapple

○   Celery, corn, cucumber, green peppers, peas, and bean sprouts

○   Salad greens, cabbage, coleslaw, and spinach

○   Casing on sausage and tough, fibrous meats such as steaksNuts (such as almonds and pecans) and peanuts

•     Foods that may cause gas or odor: 

○   Apples, bananas, grapes, prunes, and melons

○   Asparagus, broccoli, brussels sprouts, cabbage, cauliflower, and corn

○   Onions, garlic, or leeks

○   Cucumber, green pepper, onions, radishes, and turnips

○   Alcohol

○   Cheese, peanuts, dried beans and peas, eggs, and fish

○   Carbonated drinks such as sodas

 •    Foods that may cause diarrhea: 

○   Alcohol

○   Apricots, plums, peaches, prunes, and fresh or dried fruit

○   Fruit juice

○   Beans, fried meats, fish, poultry (chicken or turkey), nuts, or seeds

○   Broccoli, brussels sprouts, cabbage, corn peas, tomatoes, turnip greens, and green leafy vegetables

○   Bran, wheat, and other whole grains

○   Licorice and sugar-free substitutes 

○   Spicy foods

○   Drinks with caffeine

○   Foods high in fat and sugar

What are some nutrition guidelines I should follow after surgery? 

•    Drink plenty of liquids as directed. Your dietitian or doctor may recommend that you have at least 8 to 10 eight-ounce cups of liquid each day

•    Take small bites of food and chew them well. This will allow your body to better digest and absorb nutrients. This will also help to prevent a blockage and decrease gas

•    Eat small amounts of food every 2 to 4 hours. Your appetite may be lower than normal right after surgery. Eat regularly throughout the day to get enough nutrients. Regular meals and snacks will also help decrease gas

•    Eat your full meals in the middle of the day. This will decrease the amount of bowel movement that comes from your stoma at night

•    Avoid acidic, spicy, high-sugar, and high-fat foods. These foods can cause diarrhea. Acidic foods include citrus fruits such as oranges

•    Avoid chewing gum, drinking with straws, smoking, and chewing tobacco. This will help to decrease gas

•    Take vitamin or mineral supplements as directed. Chewable or liquid forms are the best types

When should I contact my doctor? 

•    You are urinating less than usual or your urine is dark

•    You feel dizzy when you stand

•    You feel extremely tired

•    You have abdominal cramps

•    You have questions or concerns about your condition or care

CARE AGREEMENT:

You have the right to help plan your care. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. 

© 2017 Truven Health Analytics LLC All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

What is syncope? 

Syncope is the medical term for fainting. It describes what happens when you pass out. Syncope is a sudden loss of consciousness, followed by a quick and complete recovery (coming to). Syncope is very common. One out of three people will faint at some point in life.

What causes syncope?

To function properly, your brain needs the oxygen your blood supplies. Fainting occurs when there is an interruption to the brain's blood supply. This can happen if:

•    Your heart beats too slowly or your blood vessels expand. This is called ’vasovagal syncope’ and can be caused by extreme emotion (shock or fear), severe pain, or an unusual response to normal body functions such as coughing or urinating

•    Your heart beats too quickly or too slowly for a different reason than vasovagal syncope, usually related to a heart problem or caused by the side effects of some medicines

•    Your heart cannot pump out enough blood because something is blocking the flow of blood. This happens with some kinds of heart conditions

•    Your blood pressure drops when you stand or sit up. Causes can include not drinking enough water, drinking alcohol, health problems that affect blood pressure and side effects from some medicines

Is fainting dangerous?

It can be dangerous if you fall and hurt yourself when you faint. It can also be dangerous if you pass out while driving. Although fainting is usually not a sign of any serious problem, you should let your doctor know when you have a fainting spell.

What will the doctor do to find out what is causing my syncope?

Your doctor will probably check your blood pressure and heart rate while you are sitting, lying down and standing up. This may help show if something is wrong with the heart valves or heart muscle. It is important to tell your doctor about all the medicines you are taking, including over-the-counter and herbal medicines. One of these medicines, alone or in combination with another medicine, could be causing your problem.

Are there tests that can help show what is causing me to faint?

If syncope is an ongoing problem, your doctor may order an electrocardiogram (EKG) to see whether your heart beat is normal. There are other tests, including a tilt table test and an exercise test, that show how your heart beats in different circumstances. These tests can be ordered if the problem persists.

What can I do to keep from fainting?

If you and your doctor can find out what is causing you to faint, you can avoid those activities or figure out a way to do them more safely. For instance, standing and sitting up slowly may help. Lying down with your feet up when you feel light-headed or dizzy may help bring oxygen-rich blood back to your head. If you have circulation problems, wearing elastic compression stockings can keep blood from pooling in your legs.

What is the treatment for syncope? 

This document is not a substitute for your care team’s medical advice and should not be relied upon for treatment for specific medical conditions.

© 2017 The General HospitalCorporation.

Primary Care Office lnSite

developed by the MGH Laboratory of Computer Science and Division of General Internal Medicine

What do I need to know about choking in children?

Infants and very young children explore their environment by putting objects in their mouth. This increases their risk of choking if they swallow a small object. Small objects can easily get stuck in their airway because the airway is very narrow. Young children are also at increased risk of choking on certain foods because they cannot chew food well. Young children may not be able to cough strongly enough to clear an object from their airway. Choking can become life-threatening. 

What increases my child's risk of choking? 

•    Age younger than 4 years

•    Trouble swallowing due to medical conditions such as developmental delay or traumatic brain injury

•    Walking, running, lying down, talking, or laughing with food in his mouth

•    Playing games with food such as throwing food in the air and catching it in his mouth or stuffing his mouth with food

What objects can cause choking? 

•    Balloons

•    Small marbles or balls 

•    Small toys, toy parts, or game pieces

•    Small hair bows, barrettes, or hair ties

•    Small pieces ofjewelry or beads

•    Caps from markers or pens

•    Coins or buttons

•    Small button-type batteries

•    Refrigerator magnets or toy magnets

•    Pieces of dog food

What foods can cause choking?

 Do not give the following foods to children under the age of 4 years: 

•    Whole grapes or chunks of raw vegetables or fruit

•    Hot dogs and sausage

•    Nuts and seeds

•    Chunks of meat, cheese, or peanut butter

•    Popcorn

•    Chewing gum and marshmallows

•    Hard candy

What should I do if my child is choking? 

•    Call 120 if your child was choking and has passed out. Do CPR if you are trained on how to do it. If you or no one else has been trained, just wait for help to arrive

•    Call 120 if your child is awake but cannot breathe, talk, make noise, or he is turning blue. Do abdominal thrusts (Heimlich Maneuver)if you are trained on how to do these. Abdominal thrusts must be done properly to avoid causing harm to a young child. Abdominal thrusts are taught in First Aid courses. CPR is also taught as part of this course

•    Watch your child carefully if he can breathe and talk. Your child's airway is not completely blocked if he is able to breathe and talk. Do notpat his back or reach into his mouth to try to grab the object. These could push the object farther down the airway.Stay with your child and keep calm until the choking has stopped

What can I do to help prevent choking? 

•    Inspect toys carefully before you give them to your child. Look at the toy closely to make sure there are no small parts that can easily come off and cause choking. Toy packages usually include warnings about choking risk in young children.Toys may not be safe for very young children even if the toy package shows that it is

•    Teach older children about choking dangers. Remind your older child to keep his toys out of your younger child's reach. Ask him to never let your younger child play with his toys. Older children should not offer foods that can cause choking to infants and young children

•    Regularly check your home for small items that a child can choke on. Look in places where small items may not be clearly visible, such as under furniture. Get down on the floorto look for small items that your child can find and put in his mouth

•    Cut food into small pieces for your child. The pieces should be ½ inch or smaller in size. Remind your child to chew food well

•    Supervise your child when he is eating. Have your child sit down during meals. Teach him not to run, walk, play, or lie down with food in his mouth. Do not allow your child to run, play sports, or ride in the car with gum, candy, or a lollipop in his mouth

•    Take a first aid or CPR course. These courses can help you be prepared in case of emergency. Ask a doctor for training organizations near you

When should I seek immediate care? 

•    Your child begins to drool, gag, or wheeze, or he continues to cough after he recovers from choking

•    Your child has trouble swallowing or breathing after he recovers from choking

•    Your child did recover after choking, but he turned blue, became limp, or passed out while choking 

•    You think your child swallowed an object such as a small toy or battery 

When should I contact my doctor? 

•    Your child was choking, but recovered after coughing

•    You have questions or concerns about your child's condition or care

CARE AGREEMENT:

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child. 

© 2017 Truven Health Analytics LLC All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics. 

What are the choices for feeding my baby with a bottle? 

•    Pump milk from your breasts and feed your baby breast milk from a bottle

•    Feed your baby formula from a bottle

•    Feed your baby both breast milk and formula from a bottle

What should I know about breast milk? 

What is Iron deficiency anemia？ 

•       Lack of iron is the most common cause of anemia

•      Anemia occurs when there are too few red blood cells in the bloodstream or when there is not enough hemoglobin (oxygen-carrying protein) in the red bloodcells

•      You need iron because it allows red blood cells and muscles to transport and use oxygen in the body

What can you do about it? 

•       You need to take iron to treat your anemia. The amount of iron in a daily multivitamin is not enough to replace iron deficiency. There are many different kinds of iron supplements. All are effective

•       All iron supplements can cause side effects such as constipation, nausea, and stomach discomfort. If you get constipated, try using a fiber supplement or stool softener

•       To avoid side effects, start slowly with a low dosage and increase over time to full dosage. For example, take one tablet a day for 2 weeks. Then increase to 2 tablets a day for the next 2 weeks. Then increase to 3 tablets a day for the next 2 months. Be sure to drink plenty of water

•       Ferrous gluconate (Fergon) and polysaccharide iron complexes (Niferex) cause fewer side effects

Important DOs & DON'Ts

•      DO take iron supplements with food. Take them with acidic foods like orange juice or with vitamin C. Acid improves absorption of iron

•      DON'T take iron supplements with milk products or antacids. These can decrease iron absorption

•      DO eat an iron rich diet. Try to get 10 to 15 milligrams of iron from food every day. See below for a list of foods that are high in iron

•      DO follow up with your doctor in 3 months after starting an iron supplement

Ask your doctor or nurse what kind of iron supplement is best for you to take. Your doctor or nurse can tell you how much iron you should take as a supplement and for how long.

This document is intended to provide health related information so that you may be better informed. It is not a substitute for your care team's medical advice and should not be relied upon for treatment for specific medical conditions.

© 2012The General HospitalCorporation.

Primary Care Operations Improvement Site prepared by the MGH Laboratory of Computer Science

What is an ulcer?

An ulcer is a break or hole in the lining of the stomach (gastric ulcer) or upper intestine(duodenal ulcer). Not too many years ago we thought that ulcers were caused by certain foods, acid that your stomach produces or from stress. We now know that the majority of ulcers are caused by an infection caused by bacteria called Helicobacter pylori (H. pylori).

What are the symptoms of an ulcer?

Most patients have a burning or gnawing feeling in their abdomen. This burning or gnawing often occurs when the stomach is empty like between meals or early in the morning. It can also can happen at other times. The burning or gnawing feeling may last just a few minutes or may take several hours to go away. Food and antacids like Maalox®, Tums® and Mylanta® may make the feeling go away.

How is the infection with H. pylori diagnosed?

There are several tests that can help make the diagnosis. The most commonly used is a blood test to identify antibodies to H. pylori. Your body makes this antibody as it tries to fight the infection. This test is very sensitive, but not specific; it may stay positive for years after someone has been successfully treated for H. pylori. The stool antigen test looks for pieces of actual H. pylori bacteria in a stool sample. This test is helpful to determine if treatment was successful. A less commonly used test is a urea breath test, which also looks for active infection.

Falls are a leading cause of injury and death among older people. Falls are especially dangerous for women. Because of a common loss of bone strength (osteoporosis), older women can easily break their hips in a fall. The best way to reduce your risk of falling is to keep yourself healthy and to make your homesafe.

How can I keep healthy?

•    Have a physical exam each year

•    If you feel your vision, hearing, or sense of balance has changed, talk to your doctor or nurse

•    Wear your glasses and hearing aids when you're awake

•    Use special care when wearing new glasses

•    If you have blind spots in your vision, look around by slowly moving your head to each side

•    Use these techniques to avoid dizziness:

 o   Get up slowly from a lying or sitting position

 o   Prop your head on a pillow when you lie down

 o   Sit on the side of the bed for a moment before standing up

 o   Don't work with your arms raised above your head

What can I do to keep my home safe?

Some home safety projects, such as tacking down carpets and putting non-skid rubber mats in baths tubs and showers, are easy to do yourself. For others, you may need to ask a friend or relative for help, or you may need your landlord's consent. Some changes also can cost a lot. Your local Human Resources and Social Security Bureau or home care agency might be able to provide you with a list of:

•    Workers, paid or volunteer

•    Sources for low-cost building materials

•    Sources of funding for your safety projects

To contact your local Human Resources and Social Security Bureau, please call 12333.

Lighting

To avoid entering a dark room or hallway:

•    Have light switches next to doorways

•    Set timer lights to come on automatically at dusk

•    Use automatic lights that come on when there is noise or movement near them

•    Use night lights 

•    Keep flashlights in easy-to-reach spots in case of power failure

To cut down on glare:

•    Use light bulbs rather than fluorescent lighting

•    Use thin curtains or mini-blinds in bright sunlight

•    Avoid high-gloss floor and furniture polishes

To cut down on shadows: 

•    Use high watt, low-glare bulbs

•    Use more lamps

•    Light corners

Floors and Carpets

To cut your risk of slipping or tripping:

•    Use non-skid waxes and floor cleaners on bare floors

•    Let washed floors dry before walking on them

•    Wipe up all spills and puddles quickly

•    Back carpets with non-slip padding

•    Tack down loose carpets

•    Replace thick-pile carpets with low-pile carpets

•    Remove or tack down all scatter rugs

•    Turn under and hem rug fringes and repair unraveled edges

•    Keep floors free of objects

•    Never run electric cords across a floor or under a rug. Secure cords to the wall and around doorways with tape or electrical staples

•    Put bright tape on thresholds

•    Don't walk around in stockings or socks. Be sure to wear shoes with rubber soles

Stairs

To make indoor and outdoor stairs safer:

•    Have light switches at top and bottom

•    Install handrails on both sides

•    Use non-skid surfaces

•    Avoid using dark or busy-patterned carpeting on stairs

•    Add rubber treads for extra grip

•    Put bright tape on the edge of each step

If it is hard for you to use the stairs, you might:

•    Convert a first floor room to a bedroom

•    Install a stair lift you can sit in to ride up and down the stairs

Living Areas and Bedroom

To move safely through your home without danger of falling:

•    Make a clear path through each room

•    Remove clutter and extra furniture

•    Remove unstable furniture (such as wobbly tables, chairs on rollers, and rickety bookcases)

•    Use a sturdy step stool to reach high places. Never use a chair as a stepladder

Bathrooms

To make your bathroom safer and easier to use:

•    Use non-skid mats on the bathroom floor

•    Install grip bars on the walls beside the bath and toilet

•    Install a higher toilet seat

•    If you don't use a non-skid plastic shower chair in the tub or shower, be sure to use a non-skid rubber mat

How do I reach help easily in an emergency?

•    Put telephones in easy-to-reach spots

•    Post emergency numbers next to the telephone

•    Use a telephone that you can program so emergency numbers can be reached by pushing one button

•    If possible, keep a cordless telephone close at hand. Keep in mind, it may be harder to hear on a cordless telephone

What about exercise?

Regular exercise helps prevent falls, strengthens your muscles, and keeps your reflexes quick. Weight-bearing exercise, like walking, also helps keep bones strong. Be sure to talk to your primary care doctor or nurse practitioner before starting any new exercise program. Here are three simple exercises that are good for balance and flexibility: 

1.  Hip circles: Put your hands on your hips. Make big circles with your hips by swiveling them to the right five times. Stop and swivel to the left five times

2.   Toe stands: From a standing position, raise the heels of both feet at the same time and go up on your tiptoes. Hold for five seconds. Return to a standing position with your feet flat. Repeat five times. If you feel unbalanced, you can do this exercise while holding onto the back of a sturdy chair for support

3.   One-leg stands: Start in a standing position. Lift your left leg in the air and stand on your right leg for five seconds. Put your left leg down. Now lift your right leg in the air and stand on your left leg. Hold for five seconds. Repeat 10 times. If you are worried that you will fall, do this exercise while holding onto the back of a sturdy chair for support

This document is intended to provide health related information so that you may be better informed. It is not a substitute for your care team's medical advice and should not be relied upon for treatment for specific medical conditions.

© 2017 The General HospitalCorporation.

Primary Care OfficelnSite

developed by the MGH Laboratory of Computer Science and Division of General Internal Medicine

What is obesity? 

Obesity is when your child's body mass index (BMI), for his or her age, is 95% or higher. Your child's age, height, and weight are used to measure the BMI. 

What are the risks of obesity? 

•    Low self-esteem, being bullied, depression, or eating disorders 

•    Diabetes 

•    Heart disease, high blood pressure, and high cholesterol

•    Asthma and sleep apnea (episodes in which your child stops breathing at night) 

•    Arthritis, knee, and hip pain 

•    Gallbladder and liver disease 

•    Abnormal monthly periods and other hormone problems in girls 

•    A higher risk of obesity as an adult 

How is obesity treated?

The goal of treatment is to decrease your child's BMI and decrease his or her risk for health problems. In some cases, your child's doctor may suggest that his or her weight is maintained. As he or she grows in height, the BMI will decrease. Even a small decrease in BMI can reduce the risk for many health problems. Your child's doctor will work with you and your child to set a weight-loss goal. 

•    Meet with other doctors to help you and your child start to make lifestyle changes. Other providers may include a dietitian, physical therapist, and psychologis

•    Lifestyle changes include making healthy food choices and getting regular physical activity

•    Other treatments may be suggested by your doctor if your child is older and has medical problems caused by obesity. These treatments are used in addition to lifestyle changes to treat severe obesity. Medicine may be given to decrease the amount of fat your child's body absorbs from the food he or she eats

What eating changes can our family make? 

•    Stick to a schedule of 3 meals a day and 1 or 2 healthy snacks. Meals and snacks should be 2 to 4 hours apart. Only offer water between meals

•    Eat dinner together as a family as often as possible. Ask your child to help you prepare meals. Limit fast food and restaurant meals because they are often high in calories

•    Decrease portion sizes. Use small plates, no larger than 9 inches in diameter. Fill your child's plate half full of fruits and vegetables. Do not put serving dishes on the table. Do not make your child finish everything on his or her plate

•    Limit soda, sports drinks, and fruit juice. These sugary beverages are high in calories. Offer your child water as his or her main beverage

•    Pack healthy lunches. An example is a turkey sandwich on whole wheat bread with an apple, baby carrots, and low-fat milk 

What activity changes can our family make? 

•    Encourage your child to be active for 60 minutes most days of the week. Find sports or activities that are fun for your child, such as cycling, swimming, or running. Be active with your child. Go for a walk, go bowling, or play at a park

•    Limit screen time to 1 to 2 hours each day. Do not let your child have a TV in his or her bedroom. Do not allow eating in front of a TV or computer. Turn off electronic devices at a set time each evening 

•    Help your child have a regular sleep schedule. Make sure your child gets at least 8 hours of sleep each night. Sleep schedules that are not consistent can affect your child's weight

What are other things I can do to help my child? 

•    Set small, realistic goals. An example of a small goal is to offer fruits and vegetables at every meal

•    Teach your child how to make healthy choices at school and when he or she is away from home. Praise your child when he or she makes healthy choices. Do not talk about diets or weight. Do not allow teasing in your home

•    Do not use food to reward or punish your child. Reward him or her with fun activities or social events with friends

•    Try not to bring chips, cookies, and other unhealthy foods into your home. Ask your child to help you make healthy choices while grocery shopping. Shop for healthy snacks, such as fruit, yogurt, nuts, and low-fat cheese

When should I seek immediate care? 

•    Your child has a severe headache or vision problems

•    Your child has trouble breathing during physical activity

When should I contact my child's doctor? 

•    Your child has lost interest in social activities, does not want to go to school, or seems depressed

•    Your child has signs of diabetes, such as being very hungry, very thirsty, and urinating often

•    Your child has signs of gallbladder or liver disease, such as pain in the upper abdomen

•    Your child has hip or knee pain and discomfort while walking

•    Your child has signs of sleep apnea, such as daytime sleepiness, snoring, or bed wetting

•    You have questions or concerns about your child's condition or care

CARE AGREEMENT:

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

© 2017 Truven Health Analytics LLC All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.