Dr. Curtis Cary, MD

In cold weather, we see a lack of moisture in the air and in our skin. Without this moisture, you can see dry and peeling skin. Usually with the addition of a skin moisturizer, the peeling you see on cold days will go away.

L. Curtis Cary, MD, FAAP, FACP, MRCP (London)

I have not used them in my practice. I recommend a full evaluation by a board certified allergist for all my patients.

L. Curtis Cary, MD, FAAP, FACP, MRCP (London)

Ibuprofen is usually dosed at a level of 10 mg per kg per dose. Typically a good approach would be to start with the package label instructions:

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Bronchiolitis is a diagnosis usually seen in children < 2. However the viruses that can cause bronchiolitis in this age group can also cause respiratory illnesses in children older than two with varying degrees of symptoms.

L. Curtis Cary, MD, FAAP, FACP, MRCP (London)
Program Director, Internal Medicine Residency Program
Affiliated Associate Professor of Internal Medicine and Pediatrics
University of Tennessee College of Medicine Chattanooga
Office Phone: (423) 778 – 6634
Cell Phone: (859) 948 - 4871

"The way to get started is to quit talking and begin doing." -- Walt Disney

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The contents of this e-mail message and any attachments are confidential and are intended solely for addressee. The information may also be legally privileged. This transmission is sent in trust, for the sole purpose of delivery to the intended recipient. If you have received this transmission in error, any use, reproduction or dissemination of this transmission is strictly prohibited. If you are not the intended recipient, please immediately notify the sender by reply e-mail and delete this message and its attachments, if any.

Confidential & privileged pursuant to the TN Patient Safety and Quality Improvement Act of 2011 at T.C.A. § 68-11-272 & Healthcare Quality Improvement Act of 1986, Public Law 99-660.

Far and away the vast majority of abdominal pain in children is from stool retention and constipation. At times, children may have functional pain too unrelated to a heavy stool burden. A careful discussion with your provider about this will usually illicit the cause and a treatment plan can be formed. In general though, a well balanced diet with good fiber and water intake is always a plus.


L. Curtis Cary, MD, FAAP, FACP, MRCP (London)

Most sore throat cases are caused by viruses. If that is the case I have had the most success from increased fluid intake and rest. Local analgesic therapy with warm liquids, salt water gargles or lemon can also be of benefit. Bacterial cases should be diagnosed by a pediatrician and treated with antibiotics at the discretion of the evaluating provider. Improvement in this cases is usually seen with effective treatment and the same measures mentioned above. Occasional use of Tylenol or Motrin can be of benefit but usually if does not have to be alternated or scheduled for isolated pain control.

L. Curtis Cary, MD, FAAP, FACP, MRCP (London)
Program Director, Internal Medicine Residency Program
Affiliated Associate Professor of Internal Medicine and Pediatrics
University of Tennessee College of Medicine Chattanooga
Office Phone: (423) 778 – 6634
Cell Phone: (859) 948 - 4871

"The way to get started is to quit talking and begin doing." -- Walt Disney

Statement of Confidentiality:
The contents of this e-mail message and any attachments are confidential and are intended solely for addressee. The information may also be legally privileged. This transmission is sent in trust, for the sole purpose of delivery to the intended recipient. If you have received this transmission in error, any use, reproduction or dissemination of this transmission is strictly prohibited. If you are not the intended recipient, please immediately notify the sender by reply e-mail and delete this message and its attachments, if any.

Confidential & privileged pursuant to the TN Patient Safety and Quality Improvement Act of 2011 at T.C.A. § 68-11-272 & Healthcare Quality Improvement Act of 1986, Public Law 99-660.

I have found that consistency is the biggest part of a good night’s sleep in patients. School age children typically benefit from a scheduled approach to the day and how to approach bedtime. A firm target on the time and location always help with as little deviation as possible. Establish a bedtime and make sure that prior to that you have a routine of making sure all tasks have been done – chores, brushing teeth, homework checked, etc. Try to eliminate all distractions from the bedroom itself and provide a calming, darkened environment that won’t be interrupted by any electronics or technology. Sleep aides, especially medications, have little to no role in helping children sleep. If he is having unrestful sleep or snoring a visit to your pediatrician would be warranted to see if a sleep study or evaluation at a pediatric sleep center would be of benefit. Stress can also manifest in children as disordered sleep. Engaging the child in stress reduction and evaluating and eliminating stressors will also help. Sleep can also be discomforting if the child is having dreams or nightmares. Talking to them about sleep and its importance and necessity to their health is of benefit many times.

L. Curtis Cary, MD, FAAP, FACP, MRCP (London)

Viral illnesses are usually self limited - with time, rest, and adequate fluid intake - they go away on their own. For fever in patients that are school age, you can use age appropriately dosed acetaminophen or ibuprofen. If the fever persists for more than three or four days, it would be a good idea to have your local pediatrician or family doctor to examine your son to see if anything other than a virus is going on to explain the continued fever.

L. Curtis Cary, MD, FAAP, FACP, MRCP