A small-appearing penis in an 8 year old child may be a matter of context if he has a large frame or if he is overweight. Most typically, it is a normal variant. However, there is a condition known as "micropenis" that is associated with various rare genetic or endocrine (hormonal) conditions.
If this has been an issue since infancy, then it may increase the likelihood of an underlying medical condition. You should discuss your concerns with your pediatrician, who will want to examine your son and should measure his penis. If you feel like you want a second opinion, I would suggest you consider seeking out a pediatric endocrinologist for a consultation.
An average penis in an 8 year old boy when stretched gently and measured from the bone at the base to the tip is 2.4 or 2.5 inches, and it would be considered abnormally small if it measures 1.5 inches or less. When measuring, be sure to push down on the surrounding fat pad to get to to the base.
Hopefully, your measurements will be re-assuring, but I would encourage you to discuss this issue (with measurement in hand) either way.
Has there been any discussion between you and him about the sharp contrast between your daughter and his son?
Does the child have a well-child doctor's visit coming up? third birthday? The pediatrician may identify something there.
Birthday parties are one opportunity for parents to see their children compared to peers. This would take it out of a comparison of your daughter and his son.
Consider a daycare or preschool program for the fall. This would provide another child care professional to observe and render an opinion.
Consider evaluation by early intervention (until age 33 months) or by the local school district after age 33 months. These evaluations are free, as would be any recommended treatment. You could likely get a brochure describing these options mailed to you from a local agency.
Review of family history can be helpful. You could ask the father to clarify with his own mother if the father was much different from the child. This could also trigger a referral.
At 30 months, boys do not have to speak in long sentences; 2-3 word phrases are acceptable.
Let us know what comes of this and how you handle this. lView Thread
The diversity of responses reflects in part the diversity of opinions about co-sleeping. As Louise noted, what is aberrant in our culture is the norm in others.
If I were to speculate, I would guess that this is a single mother who works during the day and who prefers the comfort and maternal intimacy that comes with sleeping with her son. I see this scenario in my own practice. I would find this more troubling if the father was also at home and the mother did not work.
Also, as many of you know, sometimes we create our own Frankensteins when it comes to bad sleep habits. I suspect that the co-sleeping in this case is a guilty pleasure in a non-Oedipal sense.
So, tell us -- is there a husband in the house? does mom work?View Thread
I do not know what is causing these changes. You should take some comfort in the fact that her neuro work-up has been negative (normal) so far and that the falling has decreased. I suspect this will gradually get better on its own, but I would also keep up with the neurologist for follow-up.View Thread
The likelihood is that this is a behavioral problem and not a medical one, and that it will respond to a behavioral intervention. Nonetheless, the child should be seen by her pediatrician to be sure there is no suggestion of a neurological problem or a UTI. Once the medical eval is completed, then a behavior chart with motivating rewards will likely help this come to an end. Of course, one would also want to make sure there are no emotional traumas that could be precipitating this as well.View Thread
The thread has migrated from autism to Down syndrome, touching on issues of "choice" with a touch of doctor-bashing in the process.
As a point of clarification, we are still far from having tests to identify the cause of autism in most cases, and autism likely has multiple causes. As for prenatal testing for Down syndrome, I can't speak to the issue of pressure to get tested, but I do know moms who refused testing (and proceeded to have a child with Down syndrome).
As a pediatrician who specializes in the care of children with developmental disabilities, I see first-hand the variability of how different parents react and cope with the additional challenges of having a child with a severe disability.
As for doctors and misinformation, I will not try to defend the status quo. I tihnk parents should turn to their health care providers for info, and hopefully these professionals can provide helpful guidance in one form or another even when they do not have the answers in hand. Certainly, the internet insures that almost everyone now has access to good (and bad) information. The trick is recognizing one from the other.View Thread
The middle ear and inner ear -- though adjacent -- present with different symptoms. Tubes are inserted in theear drum to keep fluid from accumulating in the middle ear and getting infected. The middle ear is not involved with balance. The inner ear is responsible for maintaining balance.
The difficulty your daughter had with walking prior to 9 months may have been due to the fact that she was barely 9 months and had nothing to do with her middle ear issues. Her improved gross motor skills following the tubes was likely coincident with her approaching the age at which kids start to master upright ambulation.View Thread
Most children are pretty adaptable and a quality daycare setting should be appealing to him pretty early on (nurturing adults; interesting activities; engaging peers for play).
I agree that phasing it in part-time may be a good idea, but if that is not possible, then not to worry. Trying to identify an ideal time is almost academic since you have limited options. It sounds like you are dealing with multiple waiting lists at centers. That gives you the option to test each one as positions open up. That may help you determine what is the best time and allow you to gauge his readiness.
Lastly, you mentioned that you are "terrified" about putting him in a situation that will frighten him. I am not sure how much you are exaggerating by your use of the term "terrified" but it is a pretty strong word and thus makes me wonder if you are more overanxious than your son. Realistically, although we want to protect our children from preventable major emotional traumas, there is no reason to think that placement in a different quality daycare will be a major trauma for him. As for mild anxiety with the unfamiliar, I suspect your son will quickly adapt with no adverse long-term consequences.View Thread
On a somewhat hopeful note, althugh lead poisning is often associated with later developmetal or behavioral issues, some children who experience even higher lead levels do not have any significant developmental or behavioral issues.View Thread
Binkies don ot cause dental problems in infants or toddlers so you do not have to worry about this. Likewise, binkies may reuce the incidence of SIDS (crib death). I do not think you need to take it away, though your son will get used to whatever. Some parents prefer to encourage thumb-sucking since the thumb is always "handy" (sorry -- bad pun).
Bottom line: make a decision and go with it. If you want to terminate the binkie, know that there may be a few rough nights but your son will adjust. If you want to continue to support it, then just do so knowing that there will be no long-term benefits (if it is stopped by age 5), and that there may also be some benefit.
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