Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Frequently Asked Questions Here, you'll find answers to the most common questions about our practice and services. We aim to provide you with clear and helpful information to enhance your experience. If you have any further questions, feel free to reach out

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Services At Jefferson Pediatrics & Family Medicine, we provide comprehensive pediatric and primary care for individuals of all ages! Our services focus on providing holistic, collaborative pediatric and primary care. We offer comprehensive health assessments, personalized treatment plans, and ongoing support to address your family's unique needs. Our dedicated team works together to ensure seamless care that promotes emotional and social well-being. Experience the difference of holistic collaborative healthcare tailored for your family. Well Child Examinations A routine check-up that assesses a child's growth, development, and overall health. Sick Visits Evaluation and Treatment for common illnesses. Chronic Conditions Management of long-term health issues. ADHD & Autism Support Pediatric evaluations, referrals, and holistic support. Prenatal Support Comprehensive prenatal support in office for expecting mothers. Lactation Support Holistic lactation support & personalized guidance for mothers and babies. Newborn Care Local hospital privileges and care for newborns from day one. Circumcisions In-office circumcisions available. School & Sports Physicals A health exam to ensure fitness for participation and safety. In Office X-rays Convenient in-office X-rays, so you don't need to go elsewhere. Our advanced technology ensures quick imaging for a seamless experience! Lip & Tongue Tie Correction Our use of Diode lasers offer quick healing and fewer complications by precisely targeting tissues. This results in faster recovery and minimal side effects. Experience effective healing with diode laser. Osteopathic Manipulative Treatment (OMT) A hands-on method to diagnose and treat conditions by manipulating the musculoskeletal system, enhancing health and promoting healing through improved circulation and pain relief. Non-Pharmaceutical Support

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Lip & Tongue Tie Revision for Infants, Children, & Adults Gentle, evidence-based support following tongue or lip tie release Laser Frenectomy Procedure Info Home Packet Testimonials FAQ OMT Benefits Why Choose a Local Provider for Tongue & Lip Tie Care? 1. Consistent Follow-Up & Rechecks Frenectomy healing is not just a one-time procedure—it’s a process. Local providers can: Monitor healing in-person Catch reattachment early Adjust your care plan in real time Provide same-week or urgent recheck visits if needed When you’re nearby, you don’t have to delay care if something feels off. 2. Easier Access to a Whole-Body Team Optimal results often depend on collaboration with: Lactation consultants (IBCLCs) Bodyworkers (OMT, CST, pediatric chiropractors) Feeding or speech therapists (SLPs) Local providers often have trusted referral networks, so you’re not left searching alone. 3. Personalized, Relationship-Based Care Local practices like ours get to know your child and your family. We offer: Ongoing guidance through healing Familiar faces at every visit The ability to adapt care as your child grows At Jefferson, you’re not just a procedure—you’re part of our community. 4. Lower Stress for Your Baby (and You) Traveling long distances with a fussy or healing baby is exhausting. Choosing a provider close to home means: Less time in the car More rest and recovery Easier return visits if feeding concerns arise 5. You’ll Never Be Alone in the Process We’re here when questions come up at 2 days, 2 weeks, or 2 months post-procedure. With a local team, you get real-time answers, real support, and reliable access—not a long drive or an out-of-state portal login. Will the procedure hurt? No. We use a topical numbing gel to ensure your child is comfortable and pain-free during the procedure. We also offer a sedative (Versed) for older patients which helps provide a sense of calm and relaxation during the procedure. How long will the mouth be numb? Infants: About 15–30 minutes Toddlers/Children: Up to 1 hour if local anesthesia is used Note: Numbness may make feeding right after the procedure temporarily tricky. That’s okay—it improves as the numbing wears off. How sore will my child be afterward? Most children have mild to moderate soreness for a few days. A small number of infants may be extra fussy for up to a week—this is uncommon but possible. What can I give for discomfort? Under 6 months: Infant Tylenol (acetaminophen) Over 6 months: Infant Ibuprofen (50 mg/1.25 mL) works best Optional: Arnica Montana 30C (natural remedy) 👉 See our “Before Your Visit” section for detailed dosing instructions. Any feeding restrictions? No restrictions! Infants can feed right after the procedure if they want to Toddlers/children can eat normal soft foods Older kids/adults: Avoid hot, spicy, crunchy, or acidic foods for the first day or two to reduce irritation Will feeding improve right away? Feeding often stays the same at first—this is normal. Most improvements are gradual and can take 1–2 weeks or more, especially when paired with lactation or feeding support. How often do I need to do stretches? For infants and kids under 6, stretch the wound every 4 hours, even overnight. ✅ Start the next day ✅ Continue for a full 3 weeks This keeps the site from reattaching and ensures good healing. Will my child get an infection? Very unlikely. The mouth heals rapidly and naturally. We've treated hundreds of cases and have not seen any post-op infections to date. Will there be bleeding at home? It’s rare—but a tiny spot of blood during healing or stretching is okay. 💡 If bleeding occurs, feeding or gentle pressure with a clean cloth is usually all that’s needed. What is reattachment? Reattachment happens when the healing tissue fuses back together instead of staying open and flexible. This can restrict tongue or lip mobility again and limit the benefits of the procedure. Reattachment is more likely if stretches are missed, if the initial cut was not deep enough (which can be difficult to asses with posterior ties), or if there’s underlying muscle tension that wasn’t addressed. This is normal but rare and completely dependent on the patients anatomy. At JPFM we use a C02 diode laser which reduces the risk of reattachment allowing for deeper more accurate treatment. We also recommend patients stick to the aftercare and follow up with our office for OMT. We directly refer to local SLP , chiropractors, and lactation services for a comprehensive approach. Combined this reduces the risk for reattachment. What is OMT and how does it support frenectomy healing? Osteopathic Manipulative Treatment (OMT) is a gentle, hands-on therapy that helps release tension patterns in the body. After a frenectomy, it can: Improve tongue, jaw, and neck mobility Support nervous system regulation Enhance feeding function Reduce muscle compensation and reattachment risk Promote calm and comfort during healing What is bodywork and should I consider it? Many babies with tongue or lip ties develop tightness in the neck, jaw, or shoulders from months of compensating during feeding. Bodywork gently releases this stored tension so the body can fully integrate the benefits of the procedure and form new, healthier movement patterns. Osteopathy or OMT (offered in our office) Craniosacral therapy Chiropractic Physical/occupational therapy If your child has feeding difficulties, tension, torticollis, or oral restriction, bodywork can be highly beneficial before and after frenectomy. Do I need to see a lactation consultant after the procedure? Yes. Working with an IBCLC (International Board Certified Lactation Consultant) can be essential—before and after the procedure. They help support: Breastfeeding challenges Bottle-feeding difficulties Progress monitoring and long-term feeding goals Some families may also benefit from a feeding-trained SLP (speech therapist). Will this prevent future speech, dental, or feeding issues? While there’s no guarantee, early treatment can reduce future dysfunction risks and improve oral function. Every child is different—tongue and lip ties are part of a bigger picture, and outcomes depend on many factors, including therapy, anatomy, and support. What does an OMT session look like for a baby? Dr. Vijay Veerula will use light pressure and stretching techniques around your baby’s head, jaw, spine, and abdomen. Treatment is calm, soothing, and adapted to your baby’s comfort level. Parents stay present and involved throughout the session. How does OMT fit into the full aftercare plan? Think of OMT as part of a team-based approach. Alongside: Daily stretching exercises to prevent reattachment Lactation or feeding therapy for skill-building Home care strategies for comfort and recovery OMT helps optimize the long-term outcomes of your child's frenectomy. How do I schedule an OMT session at Jefferson? Call our office at (260) 436-7722 and request an OMT appointment after frenectomy. We’ll help you time it appropriately based on your child’s procedure and support needs. What is the rate of reattachment? When aftercare is followed closely—including proper stretches and bodywork—reattachment is rare. At Jefferson, we’ve seen excellent outcomes with consistent aftercare, especially when paired with lactation or feeding therapy and early OMT (osteopathic bodywork). How do I know if reattachment is happening? Signs of reattachment may include: Worsening latch or feeding fatigue after initial improvement Clicking, gulping, or popping off the breast/bottle returning Trouble lifting the tongue or upper lip again Tension in the jaw or body Reflux, gassiness, or fussiness returning Shallow diamond-shaped wound starting to narrow or close prematurely What should I do if I suspect reattachment? 📞 Call our office right away. Early intervention can make a big difference. We may recommend: An in-office recheck to examine the healing site OMT to release compensatory tension A referral to lactation, feeding therapy, or a bodyworker In some cases, a brief touch-up revision may be needed—this is typically simpler than the original procedure

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Join our mailing list Email* Subscribe I want to subscribe to your mailing list.

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Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Lip & Tongue Tie Revision for Infants, Children, & Adults Gentle, evidence-based support following tongue or lip tie release Aftercare Procedure Information Before Your Visit Aftercare Information Testimonials FAQ During Your Visit OMT Benefits Info Packet Post-Procedure Care Download our Home Reference Guide. Download What to Expect After the Procedure Most patients experience only minimal discomfort and recover quickly, but consistent aftercare is essential for a lower risk of reattachment. Most infants will nurse immediately after or as soon as the topical numbing cream wears off (15-30 minutes). We recommend trying to nurse immediately after the procedure, as this can be soothing for newborns and helps us determine what further steps are needed. They may or may not latch right away, or there may still be a painful latch. It may take time to retrain the infants sucking patterns. Don't be discouraged, but let the provider know before leaving. OMT, Bodywork, SLP, or Lactation follow-up may be needed. Some mothers and infants do experience immediate relief, especially if done as soon as possible after birth and diagnosis. Reattachment risk is significantly reduced with the use of a Co2 Diode Laser, but proper aftercare adherence is essential. Please plan for 4-6 weeks of oral stretches and repeat visits to our office for follow-up or referrals. Reattachment is normal, but it's risk can be reduced. The mouth tends to heal quickly, and reattachment relies heavily on the patient's cooperation and adherence to the aftercare protocols. With its multi-factorial nature, reattachment can occur, and symptoms may remain even if best-practice is observed. That is why at JPFM, we encourage repeat visits after the procedure. The best outcome is one where all systems of the body are addressed, not just the frenulum. Normal things you may notice after the procedure: A diamond-shaped wound under the tongue or lip Mild fussiness or disrupted sleep for 24–48 hours Slight swelling or white/yellow healing tissue (this is not infection) Temporary feeding challenges as your baby learns new movement patterns If feeding challenges or pain persist longer than a few days, schedule a visit with us . Your baby may need further follow-up support. Healing from a frenectomy is usually smooth, but if something doesn’t feel right, we want to hear from you. Aftercare at a Glance Important: Your baby may need time to adjust to new oral movements. Expect: Temporary fatigue or frustration during nursing, bottle feeds, and stretches. More frequent or shorter feeds New muscle patterns that need time to develop Pain Management Comfort nursing and skin-to-skin contact. Arnica Pellets (homeopathic) or Infant Tylenol . (speak with your provider about dose) (Dose:______) (Dose:_____) Breastmilk, cold washcloths, or chilled pacifiers may offer relief. Wound Care & Oral Stretches To prevent the tissue from reattaching, stretching exercises are critical . Begin stretches the morning after the procedure. Continue for 4–6 weeks. Stretching Schedule: 6 times per day (including once overnight if possible) Space out every 4–5 hours (e.g., early morning, late morning, afternoon, evening, bedtime, overnight) 💡 Be gentle but firm. The goal is to prevent the healing tissue from sticking back together. Additional Support: We encourage incorporating lactation, OMT, chiropractic care, or SLP into your aftercare depending on your needs. Call us if you notice any remaining symptoms or issues. Signs to Watch For Contact us if you notice: Excessive bleeding Signs of infection (fever, pus, foul odor) Refusal to feed for more than 8 hours Poor urine output (<4 wet diapers in 24 hrs) Call our office at 260-436-7722 or our after-hours emergency line at 260-241-0655 Leave a message, and we will get back to you as soon as possible! Osteopathic Manipulative Treatment for Tongue Ties We usually recommend Osteopathic Manipulative Treatment (OMT) be scheduled for a couple of days post-frenectomy. OMT is a gentle, hands-on therapy that helps the body self-regulate and heal by addressing structural imbalances, tension patterns, and restrictions. It’s particularly useful for infants as tongue-tie, feeding issues, and body dysregulation usually go hand-in-hand, especially after traumatic births. It is common to feel subtle shifts in tension and improvements immediately after a session. It is also normal to feel some muscle soreness. These responses are part of the body’s natural recalibration process. OMT has been shown it can improve the overall outcome of tongue and lip tie releases. We are excited to have our own Dr. Vijay Veerula offer this service in the office during your follow-up to improve outcomes for our patients. What to Expect After OMT Everyone responds differently, but you may notice: Increased relaxation or fatigue Mild soreness or body awareness Digestive shifts (e.g., gurgling belly, increased bowel movements) Emotional release or changes in mood Improved sleep or restlessness for 24–48 hours These effects typically resolve within 1–3 days. They are signs of your body adjusting and should not be a cause for concern. For Infants & Children With OMT incorporated into your aftercare, you may see: Improved latch, feeding, or digestion More relaxed sleep Easier tummy time or head-turning Reduced congestion or reflux symptoms Learn more about OMT and how it can help : HERE or call 260-436-7722 📍 Jefferson Pediatrics & Family Medicine 3919 W Jefferson Blvd, Fort Wayne, IN You’re not alone—we’re here to support you through every step of your health journey.

< Back MMR Vaccine Information The MMR vaccine protects against measles, mumps, and rubella—three contagious viruses that can cause serious complications like pneumonia, hearing loss, or birth defects if left unvaccinated. 💉 MMR Vaccine: What Parents Need to Know Protecting Your Child from Measles, Mumps & Rubella At Jefferson Pediatrics and Family Medicine, we believe prevention is powerful. The MMR vaccine protects your child from three potentially serious diseases—measles, mumps, and rubella—with just two simple doses. Here’s everything you need to know about this essential part of your child’s care. 🧠 What Is the MMR Vaccine? The MMR vaccine is a combined immunization that protects against: Measles – A highly contagious virus that causes fever, rash, cough, and can lead to pneumonia or brain inflammation. Mumps – A virus that causes painful swelling of the salivary glands and can lead to hearing loss or infertility. Rubella (German measles) – A mild illness in children, but dangerous to unborn babies if a pregnant person is infected. The MMR vaccine helps your child build long-term immunity against these illnesses—and helps stop outbreaks in the community. 📅 When Should My Child Get the MMR Vaccine? The routine schedule includes two doses: First dose: 12–15 months of age Second dose: 4–6 years of age (typically at a kindergarten check-up) ✈️ Traveling or During an Outbreak? Your child may need an earlier dose if: They are 6–11 months old and traveling internationally or in a community with an outbreak They are exposed to one of the illnesses and not fully vaccinated Talk to your pediatrician to customize your child’s vaccine plan if needed. 🛡️ How Effective Is the MMR Vaccine? 1 dose: Protects ~95% of people 2 doses: Protects 97–99% of people 💡 Getting both doses offers lifelong protection for most people. 🤒 Are There Any Side Effects? Most children have no side effects or only mild ones, such as: Low fever Mild rash Temporary swelling of glands in the neck Less common reactions may include: Joint pain (more common in teens and adults) Temporary low platelet count (very rare) Fever-related seizures (very rare and not harmful long-term) Serious reactions are extremely rare, and the benefits far outweigh the risks. 💬 Common Questions from Parents Is the MMR vaccine safe? Yes. The MMR vaccine has been used for decades and has a strong safety record. Ongoing studies continue to confirm its safety and effectiveness. What if my child missed a dose? It’s never too late to catch up. We can help schedule the next dose and ensure your child is fully protected. 🏥 Schedule Your Child’s Vaccines Today Protecting your child doesn’t have to be complicated. Call us to get your child up to date with the MMR vaccine. By vaccinating, you’re not just protecting your child—you’re helping protect other families in your community too. Previous Next

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Join our mailing list Email* Subscribe I want to subscribe to your mailing list.

< Back Rubella Rubella is a contagious virus that causes a red rash, low-grade fever, and swollen glands. It spreads through respiratory droplets when an infected person coughs or sneezes. Thanks to the MMR (measles, mumps, rubella) vaccine, rubella is now rare—but outbreaks can still happen, especially among unvaccinated individuals. Symptoms to Watch For: A red or pink rash that starts on the face and spreads Low-grade fever Swollen lymph nodes (especially behind the ears or at the back of the neck) Headache Runny nose Mild conjunctivitis (red eyes) Aching joints (more common in teens and adults) If your child develops these symptoms, especially if they've been exposed to someone with rubella, give our office a call before coming in. 💡 Caring for Your Child at Home Rubella usually goes away on its own within a few days, but you can help your child stay comfortable with supportive care: 🛌 Rest Encourage rest to help the body recover naturally and reduce fatigue. 💧 Fluids Keep your child hydrated with water, juice, or broth—especially if they have a fever or decreased appetite. 🧊 Cool Compress If your child has a mild fever or joint pain, a cool compress can be soothing. 🍲 Light Meals Offer light, easy-to-digest meals and snacks—comfort foods like soup, crackers, and fruit are great options. 💊 Fever Relief Use acetaminophen or ibuprofen (as recommended by your child’s doctor) to ease fever and discomfort. 👨⚕️ When to Call Us Reach out to Jefferson Pediatrics and Family Medicine if: Your child has a fever over 102°F Symptoms last longer than a week You suspect rubella exposure during pregnancy Your child is unusually sleepy, irritable, or dehydrated 🛡️ Prevention is Key The MMR vaccine is the best protection against rubella. It's given in two doses—typically at 12-15 months and again at 4-6 years. This vaccine not only protects your child but also helps prevent the spread of rubella to others, including pregnant women, for whom the virus can be very serious. Not sure if your child is up to date? Contact us—we’ll be happy to check their vaccine records and get them on track. 📞 Questions? We’re Here to Help. Previous Next