Tarpon Springs Pediatrics, Carlos A. Hidalgo, MD

02/04/2026

Cold Sores in Kids, Teens & Grown Adults

“Cold sores”, or oral herpes, is a viral infection caused mainly by herpes simplex virus type 1 (HSV-1). It produces painful, fluid-filled blisters that typically appear on or around the lips but can also occur on the cheeks, chin, nose, tongue, or inside the mouth.

What causes oral herpes?

- Transmission occurs through direct contact with an infected person’s saliva or skin, most often during childhood. Common routes include kissing and sharing utensils, drinking glasses, lip balm, or razors.
- After the initial infection, the virus travels along nerve pathways and stays dormant in nerve cells, where it can reactivate later and cause new outbreaks.

Does cold weather make it worse and why?

- Cold weather itself isn’t a primary cause, but extreme weather conditions can trigger outbreaks for some people. Outbreaks are more commonly triggered by factors that stress the body or skin, such as fever, sun exposure, fatigue, emotional stress, hormonal changes, or physical injury. Some studies indicate that the virus resides in the nervous system, so, anything that affects the neevous system radically, can trigger an outbreak. Cold, dry air may irritate the lips and skin barrier, which can contribute to reactivation in susceptible people.

Symptoms and course

- The first infection may include fever, sore throat, swollen lymph nodes, and painful blisters around the mouth.
- Recurrent outbreaks usually start with tingling, burning, or itching, followed by blisters that break, form a crust, and heal over days to a few weeks.

How can children avoid getting it?

Talk to them about it.
- Avoid kissing or close contact with people who have visible cold sores.
- Don’t share items that touch the mouth (straws, cups, utensils, lip balm, toothbrushes).
- Teach frequent hand washing and discourage touching the face, mouth, or eyes after contact with others.
- Encourage covering active cold sores and avoiding intimate contact until sores have healed.

If sores are severe, frequent, or accompanied by high fever or widespread infection, seek medical advice for possible antiviral treatment and guidance.

01/30/2026

Freeze warning from Friday through Sunday! We may see snow! Stay warm!

Tips:
- As you turn the heater on, keep a humidifier on the baby’s room, to offset the dry air. It helps keep mucous membranes’ moisture.
- Make a nice hot soup for the weekend and have it in the fridge for heating up when necessary.
- If staying inside, plan for family activities that incorporate movement, to play in the living-room. Dancing, singing, hide and seek, kareoke, Twister can be some good examples.
- Fill your fridge and kitchen counters with healthy snacks like fruits, prepared veggie platter with yogurt dip, boiled eggs, cut up meats like chicken or pork no nitrites low salt cubed bites, cut up cheese, and nuts. Make a fresh low sugared lemonade and keep waters close.

The more you are physically moving and entertained, the best food choices we make, as long as there are choices! 😉

Enjoy your weekend!

01/29/2026

Not to scare anyone…
But using a chimney after not being used for a while is super dangerous and here is why.



🔥🔥🔥Educate yourself about everything that can go wrong with an unused chimney. The air can back up and return carbon monoxide into your house and literally kill those breathing it in! This is nothing to play with. Especially if you have babies in the house, as they are even more sensitive to gases!! 🔥🔥🔥

Using a chimney that has been unused for years can pose several potential risks, including:

1. Creosote Build-up: Over time, creosote can accumulate inside the chimney, increasing the risk of a chimney fire when you begin using it again.

2. Blockages: Animal nests, debris, or other blockages may obstruct the flue, preventing smoke from venting properly and leading to dangerous smoke backups in your home.

3. Structural Damage: Age-related wear and tear, or damage from moisture or pests, can compromise the structure of the chimney, increasing the risk of collapse or leakage.

4. Carbon Monoxide Poisoning: An improperly functioning chimney can lead to the buildup of carbon monoxide, a colorless, odorless gas that can be fatal if inhaled in high concentrations.

5. Improper Ventilation: If the chimney is not properly ventilated, it can result in poor air quality indoors and make it dangerous to burn materials within the fireplace.

6. Flue Damper Issues: The damper may be rusted or stuck, either not allowing it to open, which can trap smoke in the home, or not sealing properly, which can allow cold air to enter.

7. Fumes and Smoke Damage: If the chimney has been unused, there may be residual odors or smoke stains that can affect indoor air quality when you resume using it.

8. Legal or Regulatory Issues: Local building codes may require inspections or specific maintenance for chimneys that have been unused for extended periods, and failing to comply could result in fines or safety violations.

A blocked Chimney…

Blockages in a chimney can significantly affect indoor air quality in several ways:

1. Smoke Backup: When a chimney is blocked, smoke generated from burning wood or other materials cannot escape properly. This results in smoke backing up into the living space, leading to poor air quality and potentially harmful inhalation of smoke particles.

2. Carbon Monoxide Build-up: Blockages can prevent the proper venting of gases produced by combustion, particularly carbon monoxide (CO). This colorless, odorless gas can accumulate indoors, posing serious health risks, including headaches, dizziness, and in severe cases, poisoning or death.

3. Increased Humidity: A blocked chimney can trap moisture inside, leading to increased humidity levels. High humidity can promote the growth of mold and mildew, which can further degrade indoor air quality and cause respiratory issues.

4. Odors: Residual odors from smoke and other materials can linger in a blocked chimney. When the chimney is used, these odors can be released into the home, leading to an unpleasant environment.

5. Dust and Particulates: The blockage might contain dust, soot, or debris that can become airborne during use, leading to particulate matter indoors. This can exacerbate allergies and respiratory conditions.

6. Pest Infestations: Blockages can also create environments conducive to pests, such as birds, rodents, or insects. These pests may introduce allergens, diseases, and further contamination to indoor air.

7. Poor Ventilation: Overall, a blocked chimney disrupts the natural ventilation of air, leading to stagnant air conditions. This reduces air quality and can cause discomfort and health issues for occupants.

Check your chimneys and follow the fire department’s protocols to make sure you and your family are safe!

01/26/2026

Measles can be fatal.

Do you know its symptoms?
🔴 Rash that starts on the face and spreads over the body
🔴 Fever
🔴 Cough
🔴 Red and watery eyes
🔴 Small white spots inside the cheeks

Call us if you suspect you or your child has measles.


727-772-5982

01/22/2026

Understanding Teen Health: Navigating Sexual Health Conversations with Care

As parents, discussing sexual health with our teenagers can feel daunting. However, it's crucial for their well-being and developing a sense of responsibility toward their bodies. Here are essential points to help facilitate open and supportive conversations about sexual diseases and health:

1. Start Early and Normalize the Conversation
Begin discussions about sexual health before they reach their teenage years. By introducing topics related to body changes and relationships early on, you create a foundation for open dialogue. This ongoing communication will make it easier for them to come to you with questions or concerns later.

2. Choose the Right Moment
Look for natural opportunities to discuss sexual health, such as during casual family dinners, while watching a show that addresses relationships, or during car rides when teens may feel less pressured. Avoid awkward or controlled settings; instead, aim for relaxed situations that encourage openness.

3. Use Educational Resources
Incorporate books, articles, or videos about sexual health that are age-appropriate. Discuss these materials together, ensuring your teen understands the information without feeling judged. This provides an informative basis for conversation and can ease the transition into more personal topics.

4. Be Honest and Direct
Speak clearly about the facts surrounding sexual diseases, emphasizing the importance of safe practices and regular check-ups. Use language that is straightforward yet age-appropriate, allowing your teen to grasp the seriousness without fear or shame.

5. Encourage Questions
Invite your teen to ask questions, expressing that they can talk about anything without fear of judgment. Let them know it’s okay to have curiosity about sexual health; this encourages an environment of trust and openness.

6. Share Personal Stories Thoughtfully
If appropriate, consider sharing your experiences or knowledge about the significance of sexual health, emphasizing how it impacts overall well-being. This can help them relate better to the topic.

7. Discuss Consent and Boundaries
Highlight the importance of consent, respect, and understanding boundaries in relationships. Equip your teen with the knowledge of how to express their own boundaries and respect others’.

8. Offer Support and Resources
Make sure your teen knows where to find further information or support, whether from you, a trusted family member, or a healthcare professional. Providing pamphlets or directing them to reliable online resources can also be helpful.

9. Allow for Ongoing Dialogue
Reassure them that this conversation doesn’t have to be one and done. Let them know you're always available to discuss sexual health matters whenever they feel ready.

By fostering an environment where teens feel comfortable discussing sexual health, you can help them develop an informed and responsible attitude toward their bodies. Let’s empower them to make safe choices and take control of their health without fear or shame.

Together, we can create a generation that values their health and well-being.

01/21/2026

We are in the process of Re-Credentialing with Sunshine Health. We will still see our patients.
Call ☎️ 727-772-5982 to schedule appointment
Thank you for your trust!

01/21/2026

🌟 Wellness Wednesday: Prioritizing Children's Health! 🌟

Hello, parents! As a pediatrician, I want to remind you today of the essential aspects of your child's health and well-being.
Here are a few key tips to consider:

1. Nutrition Matters: Ensure your child is eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Healthy eating habits established early on can lead to lifelong benefits!

2. Stay Active: Encourage your kids to engage in at least 60 minutes of physical activity each day. This can include playing outside, sports, dance, or even family walks. Movement helps keep their bodies strong and minds sharp!

3. Sleep Well: Adequate sleep is crucial for your child's growth and development. Establish a bedtime routine and ensure they get the recommended hours of sleep for their age group.

4. Regular Check-ups: Don’t skip those annual pediatric visits! Staying up-to-date with vaccinations and health screenings is essential to ensure your child’s wellness.

5. Mental Health Counts: Be mindful of your child’s emotional well-being. Foster a supportive environment where they can express their feelings, and don’t hesitate to seek help if needed.

Let's work together to make children's health a priority! If you have any questions or concerns, feel free to reach out. 💙

01/19/2026

Ironing out iron deficiency in children and teens 💪

Iron deficiency is the most common cause of anemia worldwide. However, recognizing iron deficiency as its own disease entity is essential. It can adversely affect physical endurance, cognitive performance, neurodevelopment, immune function and growth in pediatric patients — before anemia develops.

Proactively screening for iron deficiency in at-risk pediatric patients

The American Academy of Pediatrics (AAP) recommends screening for anemia — not iron deficiency — using:

Risk assessment performed at age 4 months and every well-child visit after age 12 months.
Laboratory testing performed at age 12 months, suggesting a venous hemoglobin (Hgb) test instead of the previously recommended capillary test.
"The challenge is that iron deficiency anemia (IDA) does not occur until the deficiency is severe, and hemoglobin is the last lab to change when iron deficiency occurs," says Dr. Steien. "Pediatric populations that have risk factors and mild or no symptoms are often missed. Healthcare professionals should consider adjusting their screening practices for those patients."

The most at-risk pediatric patients include:

Toddlers ages 12 months to 2 years.
Teenage females, who have a 40% risk of developing iron deficiency following menarche.
Adolescent athletes, who may experience increased iron loss during training.
Beyond taking a thorough health and family history, pediatric physicians should ask questions specific to iron intake, absorption and loss, such as:

How much cow's milk is being consumed? (Calcium can inhibit iron absorption.)
Does the child's daily diet include iron-rich foods, such as meat, legumes and dark green, leafy vegetables?

Has the child been taking an iron supplement or a multivitamin that contains iron?

What does the teen's physical activity entail?

Have periods begun?

Rethinking the interpretation of iron deficiency tests

Measuring iron stores, called serum ferritin, provides an overview of a child's iron stores that can help physicians identify iron deficiency early. Current guidelines put forth by the World Health Organization (WHO) set serum ferritin thresholds for iron deficiency as:

Infants and children under 5 years of age: < 12 µg/L.
Children and teens ages 5 and older: < 15 µg/L.

More…https://www.mayoclinic.org/medical-professionals/pediatrics/news/ironing-out-iron-deficiency-in-children-and-teens/mac-20592251

01/14/2026

📌🏐ONE WEEK AWAY🏐📌Youth volleyball class begins on Wednesday, January 21st at 7 pm! This class is open to boys and girls ages 10-17 and focuses on various skills including passing, setting, attacking, blocking, defense, game strategy, positions & rotations, serving, receiving, & more. The cost for the 6 week session is $75 with Rec Card or $90 without Rec Card. The class is held at the Community Center on Wednesdays from 7-8pm. This class will run from January 21st through March 11th.

01/14/2026

😱 Did you know that you can start breastfeeding again even if you've stopped for a while? It's called "relactation," and it's a great option for moms who want to give their babies the benefits of breastmilk. Your local WIC agency can help you get started!

Visit www.signupwic.com to find a WIC agency near you.

Did you know that you can start breastfeeding again even if you've stopped for a while? It's called "relactation," and it's a great option for moms who want to give their babies the benefits of breastmilk. Your local WIC agency can help you get started!

Visit www.signupwic.com to find a WIC agency near you.