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April 21, 2014

Andrew Silow-Carroll: Passoverkill? Suggestions to make next year's seders even more culturally sensitive

Sara Israelsen Hartley: Seeking the Divine: An ancient connection in a new context

Christine M. Flowers: Priest's execution in Syria should be call to action

Courtnie Erickson: How to help kids accept the poor decisions of others

Lizette Borreli: A Glass Of Milk A Day Keeps Knee Arthritis At Bay

Lizette Borreli: 5 Health Conditions Your Breath Knows Before You Do

The Kosher Gourmet by Betty Rosbottom Coconut Walnut Bars' golden brown morsels are a beautifully balanced delectable delight

April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Mayo Clinic Medical Edge: Child with persistent fatigue despite adequate sleep

By Chris Derauf, M.D.



JewishWorldReview.com | DEAR MAYO CLINIC: My 8-year-old is tired all the time even though she gets 11 to 12 hours of sleep a night. Is this part of growing up, or should I address it with her pediatrician? I wondered if she might be anemic, but I have read this is rare in children.

ANSWER: It's not uncommon for children to feel tired occasionally. Many factors can lead to tiredness. A busy schedule, not getting enough sleep at night and even being hungry can all make a child tired. But if a child is consistently feeling tired, especially when he or she is getting enough sleep, it is a good idea to talk about it with a pediatrician. In some cases, tiredness may be a sign of an underlying problem.

Being tired at the end of the day is normal for most children, especially those who are active. Children also may feed tired when they get hungry between meals. In those cases, all it usually takes to relieve their tiredness is a healthy snack. For many kids the best way to prevent daytime tiredness is a good night's sleep. Children generally need at least 10 hours of sleep a night to function best during the day.

Interestingly, school-age children don't usually complain of daytime tiredness or fatigue, even when they do feel a little tired. Instead, these concerns are more often noticed by a child's parents or caregivers. So when a child talks about being tired or shows obvious signs of fatigue, like lying down to rest in the middle of the day, for example, that should be taken seriously. It may point to an underlying medical condition that needs evaluation.


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A variety of illnesses can cause a child to be tired. Most acute illnesses -- for instance, upper respiratory infections like colds, or ear, throat or sinus infections -- make children tired. But with these illnesses, the fatigue goes away when the infection clears.

More prolonged or significant tiredness could be a sign of allergies or asthma. Tiredness that lasts is the most common and prominent symptom of mononucleosis -- often called "mono" -- caused by Epstein-Barr virus. Fatigue that persists could also be related to poor sleep that results from a sleep disorder, such as obstructive sleep apnea.

Rarely, chronic fatigue may reflect a more serious underlying condition, such as tuberculosis, diabetes, inflammatory bowel disease, chronic kidney disease, heart failure, cancer or very poor nutrition. It also may indicate an emotional, educational or social problem.

As you mentioned, parents frequently bring up anemia as a possible cause of a child's tiredness. Anemia is a condition in which there aren't enough healthy red blood cells to carry adequate oxygen to the body's tissues. Tiredness can be a symptom of anemia. But unless it's quite severe, anemia is rarely the cause of persistent fatigue in children.

In your child's situation, I suggest first confirming that he or she is, indeed, getting at least 10 hours of restful sleep each night. Check to see if snoring, restlessness or other sleep disturbances may be interfering with healthy sleep. Make sure your child is eating a well-balanced diet with healthy snacks between meals.

Also, talk to your child about any difficulties he or she may be having at school or other social, emotional or learning problems that could be at play. Check for other symptoms of illness, allergies or asthma, too.

If changing sleep habits and diet does not help, or if you suspect a sleep disorder or other medical problem could be to blame for the fatigue, talk to your child's pediatrician about your concerns and have the situation evaluated. -- Chris Derauf, M.D., Community Pediatrics and Adolescent Medicine, Mayo Clinic, Rochester, Minn.

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