H. B. Jandoc-Dulay Pediatric Clinic

11/08/2025

Respiratory Syncytial Virus awareness.

04/08/2025

Meningococcal infection is rare but potentially deadly disease. Get vaccinated for protection. Ask your Pediatrician about it.

22/07/2025

Para po sa ating kaligtasan. Ingat po tayo lagi.

19/07/2025

Night-time cough in kids. What we need to know.
ctto.

18/07/2025

🚨 RSV Warning Signs

I’ve seen a few cases of RSV (Respiratory Syncytial Virus) recently at the clinic, and I thought it’s important to share this with you.

RSV often starts off looking like a common cold such as a runny nose, cough, maybe a little fever. But in some children, especially babies, it can quickly become more serious.

➡RSV can be mild for some children (monitor at home):
🤧 Runny or blocked nose
😮‍💨 Coughing or sneezing
😴 Tiredness or irritability
🍼 Less interest in feeding (especially in infants)
🌡️ Mild fever (check if chest or back feels warm)

➡ However, here are some danger signs to look out for:
😤 Fast, difficult, or noisy breathing (wheezing, chest sucking in between ribs or at the neck)
🤒 A worsening, persistent cough
💙 Lips, tongue, or skin turning bluish or gray (low oxygen)
🌡️ High fever (over 38°C for babies under 3 months or 39°C in older children)
🍼 Poor feeding, dry mouth, or fewer wet diapers (signs of dehydration)
🛌 Very sleepy, unresponsive, or extremely irritable
⏸️ Long pauses in breathing (apnea – especially in young babies)

I always tell parents that if something doesn’t feel right, trust your instincts and get your child checked.

Early care can prevent serious complications like bronchiolitis or pneumonia.

🧼 If you have anyone at home A few prevention tips:
✋ Wash hands often
🤲 Avoid kissing or holding babies when you're unwell
🧽 Disinfect toys and surfaces regularly

👶 Stay alert, and let’s keep our little ones safe. 💙

If you have any concerns or questions, feel free to reach out.

02/07/2025

05/06/2025

03/06/2025

🌡️ "Should I let the fever run its course?"

One of the most common questions I get is:
"If I give fever medicine, will it delay my child’s recovery?"

Let’s break it down with facts👇

🔬 What does the research say?
Multiple clinical studies have shown:

✅ Fever is a natural immune response — yes, it helps the body fight infection.
❌ BUT using fever-reducing medicine like paracetamol or ibuprofen does not significantly prolong the illness.

📚 In fact, large-scale studies and pediatric guidelines confirm:
“There is no strong evidence that treating fever with antipyretics delays recovery or weakens the immune system.”

💊 So why do we use fever meds?
Because comfort matters.

✔️ Reduces irritability and discomfort
✔️ Helps with sleep and hydration
✔️ Lowers the risk of febrile seizures in susceptible children
✔️ Improves feeding and activity levels

🧠 But when should you not give fever medicine?
🚫 Fever under 38.5°C if your child is playful, eating, and well-hydrated — medication may not be needed.
🎯 Treat the child, not just the number.

Fever is your body’s helper, not enemy — but comfort and hydration are key.

Fever-reducing medicine helps your child feel better and does NOT delay healing.

Always dose by weight, and ask your doctor when unsure.

12/05/2025

No Clinic for today. Let's exercise our rights to vote. 🙂

06/05/2025

🖐👣 “Doctor, should I isolate my kids… or just let both fall sick and get it over with?”
Ah, the sibling dilemma during a Hand, Foot and Mouth outbreak!

👩‍⚕️ As a pediatrician (and a mom!), here’s what I usually share with parents:

🔹 HFMD is highly contagious.
It spreads through saliva, nasal secretions, blisters, and even p**p 💩. If one child has it, it’s very likely the other may be exposed before the symptoms even show up.

🔹 So… is isolating worth it?
✅ If possible, early isolation may reduce the risk — especially if the second child is vulnerable (e.g., under 6 months, has eczema, or a weak immune system).
⚠️ But in reality, isolating siblings in the same house can be nearly impossible — shared spaces, toys, hugs… you get it.

🔹 “Isn’t it better for both to just fall sick and get it over with?”
This might sound practical, but intentionally exposing a child to an illness isn’t recommended. HFMD can vary in severity — one child may have mild rashes, another may refuse to eat or drink and risk dehydration.

💡 Here’s what you can do:
✅ Practice good hygiene: handwashing, separate towels, disinfect surfaces
✅ Monitor both kids closely for early signs
✅ Keep them home from school/kindy until fully recovered
✅ Hydration, rest, and lots of cuddles 💕

🎯 Bottom line: You may not always be able to stop the spread between siblings — but you can make the illness more manageable and protect other children outside the home.

06/05/2025

Have your flu shot now.

24/12/2024

🏩𝐏𝐫𝐢𝐦𝐚𝐫𝐲 𝐂𝐚𝐫𝐞 𝐯𝐬. 𝐄𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐃𝐞𝐩𝐚𝐫𝐭𝐦𝐞𝐧𝐭 🚑
As a parent, it’s natural to worry when your child feels unwell, but knowing where to go—Primary Care (your regular clinic) or the Emergency Department (ED)—can make all the difference.

🩺 𝐏𝐫𝐢𝐦𝐚𝐫𝐲 𝐂𝐚𝐫𝐞: 𝐖𝐡𝐞𝐧 𝐭𝐨 𝐕𝐢𝐬𝐢𝐭 𝐘𝐨𝐮𝐫 𝐃𝐨𝐜𝐭𝐨𝐫 𝐨𝐫 𝐏𝐞𝐝𝐢𝐚𝐭𝐫𝐢𝐜𝐢𝐚𝐧
Primary care is the best place for non-urgent medical issues that can be managed during clinic hours.

📌Mild to moderate fever (less than 3 days) with no signs of distress.
📌Cough, cold, or sore throat that’s not severe.
📌Rashes (not accompanied by difficulty breathing or swelling).
📌Ear pain or suspected ear infections.
📌Mild stomach pain, vomiting, or diarrhea with no signs of dehydration.
📌Minor cuts, scrapes, or injuries that don’t need stitches.
📌Behavioral concerns or routine checkups (vaccines, growth tracking).

🚨 𝐄𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐃𝐞𝐩𝐚𝐫𝐭𝐦𝐞𝐧𝐭 (𝐄𝐃): 𝐖𝐡𝐞𝐧 𝐭𝐨 𝐒𝐞𝐞𝐤 𝐈𝐦𝐦𝐞𝐝𝐢𝐚𝐭𝐞 𝐂𝐚𝐫𝐞
Head straight to the ED for severe, life-threatening, or rapidly worsening symptoms:

⚠Difficulty breathing
⚠Rapid breathing, wheezing, or chest pulling in with each breath.
⚠High fever: above 40°C (104°F) or persistent fever that doesn’t respond to medication.
⚠Fever with a stiff neck, seizures, or if your child is unresponsive.
⚠Severe vomiting or diarrhea with signs of dehydration - no tears, dry lips, sunken eyes, or reduced urination.
⚠Head injuries - loss of consciousness, vomiting, or unusual behavior after the injury.
⚠Severe allergic reactions - swelling of lips, tongue, or face, difficulty breathing, or hives spreading quickly.
⚠Uncontrolled bleeding or deep wounds that need stitches.
⚠Seizures especially first-time seizures or seizures lasting longer than 5 minutes.
⚠Severe pain - pain that’s unbearable or not improving.
⚠Ingestion of poisonous substances or objects.

𝐐𝐮𝐢𝐜𝐤 𝐓𝐢𝐩 𝐟𝐨𝐫 𝐏𝐚𝐫𝐞𝐧𝐭𝐬 🧡
If you’re unsure where to go, call your doctor's office first for advice.

Trust your instincts, but remember:

𝐏𝐫𝐢𝐦𝐚𝐫𝐲 𝐂𝐚𝐫𝐞 = 𝐅𝐨𝐫 𝐫𝐨𝐮𝐭𝐢𝐧𝐞 𝐚𝐧𝐝 𝐦𝐢𝐥𝐝 𝐜𝐨𝐧𝐜𝐞𝐫𝐧𝐬.
𝐄𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐃𝐞𝐩𝐚𝐫𝐭𝐦𝐞𝐧𝐭 = 𝐅𝐨𝐫 𝐬𝐞𝐫𝐢𝐨𝐮𝐬, 𝐮𝐫𝐠𝐞𝐧𝐭, 𝐨𝐫 𝐰𝐨𝐫𝐬𝐞𝐧𝐢𝐧𝐠 𝐬𝐲𝐦𝐩𝐭𝐨𝐦𝐬.

Choosing the right care ensures that your child gets the treatment they need as quickly and safely as possible. 🏥✨