Expert Q & A

Q: My three-year-old has frequent tantrums where he throws himself on the floor if he doesn’t get his way. Is this normal behavior or should I have him assessed?

A: This is a very common experience for parents of toddlers! At this age, children are learning how to express big feelings, and they often don’t yet have the words or emotional control to manage frustration or disappointment. Tantrums are a normal part of development, especially between ages two and four. That said, if the tantrums are extremely intense, happening many times a day, or your child is hurting themselves or others, it’s a good idea to check in with your pediatrician. We can help assess behavior and offer support or resources if needed.

Q: What exactly is Behavioral Health and how does this topic apply to my child? Are there certain mental health concerns I should be aware of regarding my middle-schooler?

A: Behavioral health is a broad term that includes emotional, social and mental well-being. For kids, this includes how they manage emotions, cope with stress, build friendships and navigate family and school life. Middle schoolers face a lot of change—socially, academically and physically—so it’s a key time to check in regularly. Look out for signs like ongoing sadness, irritability, withdrawal from friends, sudden drops in grades or changes in sleep and appetite. Early conversations and support can make a big difference, and your pediatrician is here to help guide that process.

Q: I am seeing a lot of discussion about sugar and processed foods in the news. When shopping for my family, should I be avoiding certain items? They love to snack!

A: It’s great that you’re thinking about nutrition! While the occasional treat is totally fine, keeping added sugars and ultra-processed snacks to a minimum helps support your child’s energy, mood, focus and long-term health. Try to prioritize whole foods like fruits, veggies, nuts, cheese, yogurt and whole grains. When shopping, check labels—many packaged foods marketed to kids are surprisingly high in sugar or sodium. Look for simple ingredients you recognize and aim for a balance of fun and fuel when it comes to snacks.

Q: My four-year-old daughter has had several ear infections which are quite painful. What are the risks of antibiotics and are they necessary for this type of infection?

A: Ear infections are very common in young children, especially between ages six months and four years. Not every ear infection needs antibiotics—many are caused by viruses and will resolve on their own within a few days. When we do prescribe antibiotics, it’s usually because the infection is bacterial, persistent or causing significant pain or fever. Overuse of antibiotics can lead to resistance or upset stomach, so we try to be thoughtful about when they’re truly needed. Your pediatrician will consider your child’s symptoms, age and history to guide treatment.

Q: When is a rash a health concern? My husband and I have noticed several rashes on our infant’s belly and limbs, but she seems happy and healthy. What is going on?

A: Babies commonly get rashes as their skin adjusts to the world! Many are harmless—like heat rash, dry patches or mild eczema—and will resolve with gentle care and moisturizer. If your baby is otherwise acting happy, eating well and doesn’t seem itchy or uncomfortable, it’s likely nothing serious. That said, rashes that are widespread, painful, blistering or accompanied by fever, irritability or swelling should be evaluated. When in doubt, a quick check-in with your pediatrician can provide peace of mind.

This article appears in BendNest Fall 2025.