18 & Under MD Pediatric & Adolescent Medicine

18 & Under MD Pediatric & Adolescent Medicine Pediatric practice nestled in Flower Mound, TX. Pediatrician

01/16/2026

Got gunky eyes? A blocked tear duct causes discharge and pooling of tears in your baby’s eye.

This is commonly due to lacrimal duct stenosis, when the tiny passage from your baby’s eye to the inner nose is a bit too narrow. This causes a blockage of tear drainage in one or both eyes. Roughly 5% of babies have it!

Symptoms may not show up for weeks or months after birth since this is when a baby really starts producing tears. 💦 The most common symptoms are pooling of tears in the inner eye, tears draining down the eyelid and cheek, and mucus-like discharge of the eye.

A blocked tear duct is generally painless with no associated redness of the eyeball itself. Parents commonly express concern for pink eye – but with pink eye (conjunctivitis), the whites of the eyes typically turn bright pink.

Make sure to be on the lookout for any of these red flag signs: enlargement of the eyeball, sensitivity to light, excessive eye rubbing/pain, or notable swelling/redness of the eyeball or surrounding skin. Call your doctor if you detect these signs. 🚩

Fortunately, blocked tear ducts typically resolve all on their own by about 1 year of age. In the meantime, you can try gentle tear duct massage. Using clean hands or a Q-tip, apply downward pressure strokes to the area along the side of the nose starting near the inner corner of the eye. 👁 Try doing 5 short downward strokes at a time, roughly 3-4 times per day. The goal is to force fluid through the blocked end of the tear duct located inside the child’s nose. It’s okay if you push some extra gunk back out of the tear duct into the eye – just gently wipe it away with a soft washcloth or cotton ball.

Your doctor may prescribe antibiotic drops if the discharge gets really bad, but symptoms usually come back once the drops are discontinued, so it’s not all that helpful. 👎 There are surgical treatment options for children who do not outgrow duct obstructions by 1+ year of age (such as probing or stent placement).

📸 Holly Graciano Photography

01/07/2026
When even the grown ups are having a hard time processing traumatic events, it’s important to remember that children may...
12/16/2025

When even the grown ups are having a hard time processing traumatic events, it’s important to remember that children may be hearing about these scary things from friends, social media, etc, and checking in on how they are feeling.

12/15/2025

A new CDC report reveals that pediatric flu deaths in the 2024-’25 season tied a record high. A newly reported death from last season brings the 2024-’25 total to 288, which is higher than any other regular flu season since tracking started in 2004. Last season’s pediatric deaths include at least 21 children who had a rare but severe neurological complication from the flu.

The first child death has also been reported for the current season. The death occurred in late November and was associated with influenza A, according to the CDC report. Read more in AAP News: https://bit.ly/494O6i5

This is what we mean when we say measles is very contagious.
12/12/2025

This is what we mean when we say measles is very contagious.

Reminders for this season! Not every child loves loud, lights, etc and that is okay!
12/09/2025

Reminders for this season! Not every child loves loud, lights, etc and that is okay!

Christmas isn’t meant to be perfect… it’s meant to feel safe.
Some autistic kids need quiet, predictable moments more than anything under the tree.”

💙 Gentle holidays are still real holidays.
💙 Their comfort matters more than traditions.

11/26/2025

Our office will close today at noon. We will reopen Monday, Dec 1, so that our team can spend Thanksgiving with their families. Happy Thanksgiving!

11/26/2025
Our clinic had a wonderful time celebrating Friendsgiving today at lunch! We may be biased, but we think we’ve got the b...
11/20/2025

Our clinic had a wonderful time celebrating Friendsgiving today at lunch! We may be biased, but we think we’ve got the best team around! 🧡

11/12/2025

Newborn classes!

We are thrilled that Dr. Burgess will be starting classes for new parents- or even experienced parents that need a refresher! Our first class will be this Saturday, Nov 15, from 10-12 at our Argyle location. Please call our office to be scheduled! This class will be free for all who attend!

Address

3041 Churchhill Drive Suite 300
Flower Mound, TX
75022

Opening Hours

Monday 9am - 7:30pm
Tuesday 9am - 7:30pm
Wednesday 9am - 7:30pm
Thursday 9am - 7:30pm
Friday 9am - 4pm
Saturday 9am - 12pm

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