Health Care Provision
Paediatric practice "de kinderdokters" offers medical care for new-borns to 16 year-olds. To ensure that the paediatricians can really make a difference in providing care for your child, we will conduct a preliminary intake by phone. In this conversation, we will discuss your care needs with you and in which way “de kinderdokters” can contribute to tailor-made care for your child.
"de kinderdokters" does not provide emergency services. If an emergency should arise, please contact your GP or go to the emergency department of your local hospital.
Focal points of the paediatric practice “de kinderdokters”:
- More attention for parent and child by offering longer appointments (first appointment 45-60 minutes, follow-up appointments about 30 minutes)
- Direct communication with one of the experienced paediatricians of "de kinderdokters"
- Flexible hours: doctors appointments can also be scheduled in the evening or during the weekend
- Child-friendly doctors office with a relaxed atmosphere in an easily accessible location
ADHD is the abbreviation of Attention Deficit Hyperactivity Disorder. Together with Praktijk Pluspunt, "de kinderdokters" started an initiative to offer ADHD care. Also see www.kinderADHDcentrum.nl.
Coughing and shortness of breath may be signs of asthma. Asthma is a chronic inflammation of the airways. Children with asthma sometimes have difficulty breathing, they can be short of breath, they may ‘squeak’ or cough. Asthmatic children usually experience bouts of these symptoms on a daily basis.
The diagnosis of asthma can only be established in children over the age of 4. In younger children, viruses are usually the cause of coughing and tightness of the chest, and the symptoms are temporary. Most children outgrow these symptoms, which are commonly referred to as “viral induced wheezing”.
Children with asthma have very sensitive or “irritable” airways. Inhaling airborne allergens can cause asthmatic children to be short of breath. The most common allergens are dust mites and animal dander from pets like cats, dogs, guinea pigs and horses. During spring and summer, inhaling airborne tree and grass pollen can cause nasal, eye and lung complaints: commonly referred to as hay fever. Non-allergenic triggers that cause irritation to the airways include cold and/or damp air, tobacco smoke and other irritants like perfume or gasoline fumes.
At “de kinderdokters“ will analyse the symptoms and determine if asthma should be diagnosed. Asthma is often treated with medication, generally taken through an inhaler.
When allergies are suspected, a paediatric lung specialist or the paediatric allergy centre may help determine what lies at the root of the symptoms. A consult by a specialised asthma nurse, for instance for an evaluation of allergens in the home, is among the possibilities.
Abdominal pain is common among children. It may surprise most parents that 15% of children under 14 are affected by chronic abdominal pain. An astonishing one third of 7-year-old children suffer daily from serious, painful discomfort. This condition is referred to as ‘irritable bowel syndrome’ or IBD (irritable bowel disease).
There are many causes for abdominal pain, among which are constipation and lactose intolerance. However, there are also non-medical causes like stress. We refer to the latter as functional complaints, or a disturbed reaction of the body to pain.
In most cases, the cause of abdominal pain is quickly identified so “de kinderdokters“ can provide care that is tailor-made to your child’s needs.
Growth and development, puberty
The way a child grows and develops is highly individual: every child is different. The word ‘different’ can be used as deviating from what’s ‘normal’. And it may raise a lot of questions and concerns. If this is the case, you can come to us so we can determine if small is too small, tall is too tall, early is too early and late is too late. One of the things we can do is predict how tall your child will become, when you have concerns about the quick, or maybe slow growth of your child. In the rare event of a hormonal disorder, we can refer you to one of the paediatric endocrinologists (paediatrician specialised in hormone-related disorders) for treatment.
Crying babies are all infants whose unsettled behaviour or severe crying creates such a challenge for their parents that intervention is necessary. Infants under the age of 6 months are called a crying baby when they exhibit the following behaviour:
- (Excessive) crying and/or
- Problematic feeding behaviour and/or
- Unsettled behaviour.
In close cooperation with the parents, the paediatrician of “de kinderdokters” will look into the cause of this behaviour. When underlying medical issues lay at the root of this restlessness, our treatment will be aimed towards solving those issues. However, if medical causes can be ruled out, the infant’s unsettled behaviour can be alleviated with baby massage or swaddling.
Problems with bowel movements / urination
In the period of becoming potty trained, children are often plagued by problems related to their bowel movements or urination. Potty training is usually a natural process, in which a child follows the example set by parents, siblings or classmates. In some cases, however, problems can arise at this time. A number of issues lie at the root of this problem.
When a child does not learn to use the muscles of his/her bladder and pelvic floor appropriately, it could lead to constipation or complaints concerning urination.
Common complaints are: urinating too often, not often enough, or at inappropriate times, urinary tract infections and bedwetting.
Feelings of shame, as well as discomfort and pain may cause children (and their parents) to end up in a vicious circle. Problems may worsen and might cause tension in a family. The paediatrician will identify the root cause of the problems and make a treatment proposal.
Sometimes, a child is ‘not feeling well’ and/or he or she is often sick. This may be a result of infections, or being constantly pushed to his limits (for a variety of reasons). During your first appointment we will discuss the concerns extensively, followed by a physical examination and possibly additional tests. When a functional abdominal disorder (a disturbance of the nervous system, resulting in abdominal pain) is diagnosed, the paediatrician will draw up a treatment plan. The approach could include the involvement of a child development therapist, a children’s coach, child psychologist or paediatric physiotherapist.
Headaches are common, also among children. In children over the age of 6, 50% has a headache once or twice a year. One in twelve children suffer from migraines.
Children can also get a headache when they are struggling at school or within the family, or when they feel they can’t meet expectations.
Depending on the diagnosis, the symptoms can be treated with medication, or treatment by a paediatric (physio)therapist or psychologist.