Pediatrics is a branch of medicine that deals with the treatment of children, from their birth to the end of adolescence. It is a medicine of the developmental age, because growth and development are specific only for the children’s population.
In addition to examinations and treatment of sick children, our pediatric service also offers regular examinations of healthy children, by monitoring the growth and development of the child.
Pulmoallergology is a branch of pediatrics that deals with diagnosis, examination and therapy of allergy, asthma and pulmonary diseases in children from birth to 16 years of age. It covers:
- Acute and chronic diseases of the respiratory system
- Allergy to food and allergy to inhalatory allergens (home dust, pollen, pet hair, etc.)
- Pollen fever (allergic rhinitis and conjunctivitis)
- Obstructive sleep apnea
- Skin rashes (eczema, urticaria)
- Insect stings allergy
- Examination by a pulmoallergologist
- Allergic skin tests with inhalatory and nutritive allergens
- Spirometry (examination of lung function)
- Bronchodilator test (Ventolin test)
- Rtg of the lungs
- 256-slice MSCT of the chest
- Inhalation therapy
- Intravenous / Infusion therapy
- Intramuscular therapy
- Counseling for children with asthma
Allergy skin tests with inhalatory and nutritive allergens, such as allergens present in the air (dog hair, dust, home dust, pollen, animal dandruff, mold, etc.), as well as allergens present in food (milk, egg yolk, egg white, wheat flour, fish, soy, etc.). The method of performing the test is by pricking (skin prick test) with a drop of allergens, and the result is ready in 10 minutes.
Bronchial challenge test (“Ventolin” test) is a method for assessment of the airflow through the airways before and after the use of Ventolin. A diagnostic-positive test suggests asthma.
We can perform all the required laboratory analyses of blood and urine. If necessary, inhalatory, intravenous and intramuscular therapy can be administered.
Counseling for children with asthma
Counseling for children with asthma
Asthma - inflammatory disease of the airways – it is one of the leading chronic diseases in children, with a significant progress in the world and in our country. In the pediatric sector, asthma is a problem that affects both children and parents. In addition to examination and therapy, in our service we offer advice for parents and children in order to better control the disease.
Congenital heart defects are problems with the heart structure that have been present since birth. These defects include:
- Defects of the inner walls of the heart
- Defects of the valves in the heart
- Defects of the arteries and veins that carry blood in the heart and out of it, in the body.
Congenital heart defects change the normal flow of blood through the heart. This occurs as a consequence of underdeveloped parts of the heart before birth.
Congenital defects do not cause chest pain or other painful symptoms. Severe defects cause signs and symptoms, most commonly in infants, and these include:
- Rapid breathing
- Weak circulation
There are many types of congenital heart defects that can be simple defects without symptoms to complex defects with severe, life-threatening symptoms. Some examples of congenital defects include:
- Atrial septal defect
- Ventricular septal defect
- Pulmonary valve stenosis
- Coarctation of the aorta
- Right ventricular hypertrophy
- Tetralogy of Fallot (a combination of several defects)
Depending on the severity, the complexity and the type of the defect itself, it can be treated with a catheterization procedure (interventionally) or with an open heart surgery. There are also defects for the treatment of which a combination of both types of treatment is used due to the complexity of the defect.
Open heart surgery in children with congenital heart defects is recommended in cases where the defect cannot be treated with an interventional procedure.
- Closing the gaps between the ventricles and the atria with patch plasty
- Reconstruction or replacement of the heart valves
- Opening of the arteries or the openings of the heart valves
- Reconstruction of complex defects that include problems with blood vessels near the heart (underdeveloped or placed in the wrong location)
In the optimal treatment of children with congenital heart defects that are characterized by changes in heart rhythm, implantation of pacemakers and cardioverter defibrillators (ICDs) is also applied. The pacemaker is used for regulation of the abnormal heart rhythm, while defibrillators are used for correction of life-threatening disorders of the heart rhythm.
- Examination by a pediatric cardiologist
- Doppler echocardiography
- Ergometry (heart stress test)
- 24-hour blood pressure monitor
- 24-hour Holter ECG
- Interventions of congenital heart defects
- Surgeries of children with congenital heart defects
Gastroenterology is a branch of pediatrics that deals with the diagnosis and therapy of diseases of the digestive system and nutritional disorders of children and adolescents. The focus of the activity is the treatment and management of digestive disorders such as the gastroesophageal reflux, abdominal pain, obstipation and nutritional problems, in order to help patients and parents to cope with the disease and to improve the health and quality of life of their child. The conditions that are being treated include:
- Abdominal pain
- Eating disorders/obesity/lack of progress in body weight
- Diarrhea of non-infectious origin
- Gastroesophageal reflux and reflux disease
- Allergy and food intolerance
- Inflammatory bowel disease
- Ulcer disease
- Allergic colitis
- Celiac disease
- Examination by a pediatric gastroenterologist
- Tips for proper nutrition for children
- Oral rehydration
- Abdominal ultrasound
- 256-slice MSCT of the abdomen
- Laboratory diagnostics
- 24-hour pH metrics for diagnosis of GER
- Genetic testing for celiac disease
Diagnostics and therapy
- acute and repetitive abdominal pain
- constipation in children
- gastroesophageal reflux
- repeated vomiting
- food allergy
- chronic diarrhea and malabsorption (eg. celiac disease)
- eating disorders (poor weight gain / obesity)
- acute and chronic liver disease
- intravenous/infusion therapy
- intramuscular therapy
Tips for nutrition
- Healthy children and older children
- Children with eating disorders (malnutrition/obesity)
- Children with food allergies
- Children with specificity in the diet in some chronic diseases / conditions