Reston Pediatrics

Reston Pediatrics

Offering quality care in a fun, safe environment for patients up to the age of 21.


Happy Fourth of July!
We are closed today, but please call 703-450-8660 for any urgent advice.

[07/02/19]   Holiday Hours: We are closed for Fourth of July. Open Friday regular hours.

Anyone? 😂

Need even more parenting laughs? We have a growing library of parenting humor from ’round the web —>

Happy coming here? Please vote for us at Loudoun Now - The Best of Loudoun 2019

[06/18/19]   We are CLOSED 1pm - 2pm today for an office meeting.
Please leave a message.

Measles | Cases and Outbreaks | CDC

Please call us if you have questions about the measles vaccine. Children usually receive the vaccine at 12 months and again at four years. They can have the vaccine as early as 6 months, but will still need to get it again at 12 months and 4 years. From year to year, measles cases can range in number. In some years, there are more measles cases than usual because of outbreaks.

Healthy Children

To reduce gun-related injuries and death, American Academy of Pediatrics recommends that all guns in homes with children be stored unloaded, locked, and away from ammunition. Learn more here: #EndGunViolence

Calendar of Events & Opportunities |

Wondering what to do this weekend? Here's a list... Find hundreds of events and opportunities for your family! Our calendars are free to use — no sign-up or sign-in...

[06/13/19]   Due to a hospital provider meeting that all our pediatricians need
to attend, we are closing at 5pm today.

Kids Obstacle Challenge |

Summer ideas... Rope swing into a mud pit, scale up cargo nets, and even army crawl through rough and tough terrain...

Food Safety at Fairs and Festivals Learn how to have a safe cooking, eating, and drinking experience.


Did a nurse or doctor tell you that your baby did not pass the hearing screening? Now what? Learn what the results mean and why follow-up is so important:

Healthy Children

Experts and media warn against the dangers of screen time for kids and adults alike - but how worried should parents be, really?

How to Reduce Added Sugar in Your Child’s Diet: AAP Tips

How to Reduce Added Sugar in Your Child’s Diet

On average, sugar makes up 17% of what children consume each day. That's a lot of sugar―and half of that comes from drinks with added sugar!

What's Added Sugar?
Many foods or beverages have extra sugar and syrups added to them when they are processed or prepared. These added sugars have many different names, such as brown sugar, corn sweetener, corn syrup, dextrose, fructose, glucose, high-fructose corn syrup, honey, lactose, malt syrup, maltose, molasses, raw sugar, and sucrose.

Here are ideas for how you can help your family reduce their added sugar intake:
Read nutrition facts labels carefully. Many foods now list added sugar separately. You also can find added sugar by reading the ingredients.
Aim for less than 25 grams (about 6 teaspoons) of added sugar per day for children 2 years of age and older.
Avoid serving foods and drinks with added sugar to children under 2 years of age.

Serve water and milk. Avoid soda, sports drinks, sweet tea, sweetened coffee, and fruit drinks. Milk contains natural sugar (lactose) and provides calcium, protein, vitamin D, and other nutrients children need.

Limit fruit juice. It has more sugar per serving than whole fruit. The AAP recommends no more than 4 ounces of 100% fruit juice a day for children ages 1 through 3 years; 4 to 6 ounces for children ages 4 through 6; and 8 ounces for children ages 7 through 14. Do not give fruit juice to infants under 1 year old.

Go fresh and limit processed, pre-packed food and drinks. Sugar is often added to them while they are being made or at the table. For example, there are hidden sources of added sugar in processed foods like ketchup, dried cranberries, salad dressing, and baked beans.

Satisfy your child's sweet tooth with whole fruit. ​On average, sugar makes up 17% of what children consume each day. That's a lot of sugar―and half of that comes from drinks with added sugar! Here are ideas for how you can help your family reduce their added sugar intake. 

Happy Memorial Day! Today we honor and remember everyone who has given their lives to serve our beautiful country.
Reminder: We are CLOSED today. Please call our on-call doctor for urgent advice: 703-450-8660

Holiday Weekend Hours:
Open Saturday 8am-11am
Closed Monday in Observance of Memorial Day
Open regular hours on Tuesday.

Healthy Children

Swim lessons can reduce the risk of drowning; but even with swim lessons, #DrowningPrevention measures are still needed! When to start swim lessons is an individual decision for parents, based on their child’s development, frequency of exposure to water, emotional maturity and health concerns related to swimming pools.

Reston Pediatric Associates Ltd | Leesburg, VA

"Great pediatricians!" says LOCOMOMMA on Google ★★★★★ Great pediatricians!

ACEs – Adverse Childhood Experiences

Let's face it, children don't come with instructions. And life is beautiful and messy, complicated, and hard. And there is no such thing as a "perfect" parent. Sometimes, a child's behavior happens not because of family genes or anything a parent did or did not do―but because of something that happened to the child or happened to someone in the family.

I think of a child's behaviors as a set of clues to help me understand the child and family better. For children who have tantrums, it can be because they don't yet have the words to tell you what is bothering them. Or maybe they can't make sense of what is happening around them and the strong feelings inside are hard to control.

For many families, events happen that are unpredictable; these events can affect how a child feels and behaves.
For example, when parents make the hard decision to separate or divorce, it can be very confusing for young children. They may act out, cry or feel sad, lose developmental skills, or have trouble sleeping. Some have problems concentrating and have a hard time at school.

See more... ​For many families, events happen that are unpredictable; these events can affect how a child feels and behaves. We call these events ACEs―Adverse Childhood Experiences―and they are more common than you may think. Learn more here.

Reston Pediatric Associates Ltd | Leesburg, VA

"Dr. Rui Rodrigues is awesome. He has been my daughters pediatrician ever since she was a little baby. Very knowledgeable and informative!" says Andrew on Google ★★★★★ Dr. Rui Rodrigues is awesome. He has been my daughters pediatrician ever since she was a little baby. Very knowledgeable and informative!

Anxiety in Teens is Rising: What's Going On?

Anxiety in Teens is Rising: What's Going On?

According to the National Institutes of Health, nearly 1 in 3 of all adolescents ages 13 to 18 will experience an anxiety disorder. These numbers have been rising steadily; between 2007 and 2012, anxiety disorders in children and teens went up 20%.
These stats combined with the rate of hospital admissions for suicidal teenagers also doubling over the past decade leaves us with many concerning questions.
What's going on? While we don't know for sure, there are a number of factors that could be contributing. In addition to genetics, brain chemistry, personality, and life events, take the following into consideration:

High expectations and pressure to succeed. Between standardized testing and a culture of achievement, today's youth can feel pressure to succeed in ways previous generations did not. A survey done every year by Higher Education Research asks incoming college freshmen if they feel overwhelmed by all they have to do. In 2016, 41% of students said "yes" compared with 28% in 2000 and 18% in 1985.

A world that feels scary and threatening. We've seen an increase in school shootings, with resultant drills and lockdowns in schools. We've seen shootings in public places. There have been terrorist attacks here in the US and around the world taking many lives. From just watching or reading the news, it is reasonable for anyone to feel afraid in public spaces that previously would have felt safe.

Social media. Today's children and teens are constantly connected to social media. It's not surprising that their self-esteem―and worldview ―becomes connected to responses to social media posts. It's hard for them not to compare their life and social connections to what they see others posting on social media.

There are also some children who have unexpected and disproportionate reactions to normal developmental experiences like going to school, going to a party, doing a sleepover or going to camp; children who worry excessively about everyday life activities. This often starts in the years right before puberty.

Whatever the cause, this rise in anxiety is a real problem for our youth.
Chronic anxiety can lead to serious mental health problems―depression, substance use, and even suicide. It can interfere with the ability to focus and learn causing school problems that can have lifelong impact. It can also lead to physical problems, such as headaches, chronic pain, digestive problems, and later heart disease.

Anxiety disorders cut across all demographics―suburban, urban, and rural. They affect those who are college-bound and those who are not.

So, what can parents, teachers, and anyone else who interacts with children and teens do?
Be aware of the signs of anxiety. Sometimes children may say that they are anxious, but other times it is less clear―especially as they may not even realize it themselves. Signs can include:

Recurring fears and worries abo ut routine parts of every day life
Changes in behavior, such as irritability
Avoiding activities, school, or social interactions
Dropping grades or school avoidance
Trouble sleeping or concentrating
Substance use or other risky behaviors
Chronic physical complaints, such as fatigue, headaches, or stomachaches.

Talk with kids about potential stressors. Try to see the world the way they do—and help them to keep perspective and find ways to cope.

Be mindful of the expectations you set for children and teens. High expectations can help children reach their potential, but they need to be realistic ones. Not only that, remember that kids need time to relax, play, and be with friends—all of which are crucial for their mental and physical health. And it's important for all of us to remember that there is more to life than achievement.

Talk with kids about their social media use. Help them take breaks—and help them think critically and rationally about the effect of social media on their lives. See How to Connect with Your Teen about Smart & Safe Media Use.

The world is a challenging place.
As parents (or anyone else who interacts with young people), you have a very important role in helping children take on new challenges, build coping strategies, and learn the resiliency skills they need to adapt in the face of adversity.

If you are noticing signs of anxiety in your child or are worried that something you are seeing could be related to anxiety, talk with your pediatrician.

How pediatricians screen kids for anxiety:
At visits―whether they are well child visits or appointments made because of a concern―pediatricians ask questions about a child's physical complaints, mood, behavior and activities, as well as what is going on at school, at home, and in other areas of life.

Pediatricians also use screening tools such as the Pediatric Symptom Checklist (PSC) that look for signs of various different mental health problems, including anxiety. Pediatricians often refer to mental health professionals, as well, in order to more fully evaluate children when there is a concern.

Know anxiety is treatable!
According to the Anxiety and Depression Association of America, 80% of kids with a diagnosable anxiety disorder are not getting treatment―and anxiety disorders are highly treatable! As with most problems, the earlier it is diagnosed the easier it is to treat.

The most effective treatments with for anxiety disorders are cognitive‐behavioral therapy (CBT) and SSRI medications.
CBT focuses on changing how the child thinks about his fear, increasing exposure to feared situations, and relaxation strategies such as deep breathing, muscle relaxation, and positive self‐talk (repeating positive or reassuring statements to oneself). Exposure therapy, a type of CBT, focuses on increasing exposure to feared objects or activities.

SSRIs (selective serotonin reuptake inhibitors) ―commonly prescribed antidepressants―are the medications most frequently used for treating anxiety disorders in children.

Studies have found a combination of CBT and medication for 12 weeks yields a positive response in 80% of children with anxiety disorders. In fact, 65% of those children had no or minimal anxiety symptoms after the 12 weeks of treatment. With CBT alone, 60% had a positive response―about 35% of those children having no or minimal anxiety symptoms. However, it is important to note that SSRI medications can be administered safely and be an important part of child's anxiety disorder treatment.

As with any mental health disorder, anything that supports general wellbeing is an important part of anxiety disorder treatment―regular sleep, exercise, meditation, relaxation apps or yoga can be helpful. However, these are not a substitute for CBT or medication.

The most important thing is to be aware of your children's mental health, ask questions, and ask for help! The number of teens with anxiety disorders has been rising steadily―along with hospital admissions for teens who are suicidal. This leaves parents, teachers, and anyone who interacts with these kids with many concerning questions. Read on. 


For children born between 1994 and 2018, vaccines will prevent an estimated 936,000 deaths and 419,000,000 illnesses in their lifetimes.

Learn more about how you can protect your child from 14 serious diseases by age 2:

Dr. Mann with her patients that she has seen since birth - and who now both tower over her. ❤️
(used with permission)

Its time to schedule your child's annual physical for summer and 2019-2020 school year. Summer can be a busy time at RPA and schedules fill up quickly. Be sure to book ahead.

The Journey of Your Child’s Vaccine

This video describes the journey of a vaccine for children from development through post-licensure monitoring. Learn about the three phases of clinical trial...

It's our 30 year anniversary! Congrats RPA and Dr. Mann and Dr. Forman! Thank you for 30 incredible years.
If you'd like to send a message to one of the partners please leave a comment or inbox us, and we will make sure they get it.

Reston Pediatrics

Reston Pediatrics's cover photo


CDC reports 695 measles cases in the United States- the highest since measles was eliminated from this country in 2000. Stopping these measles outbreaks is a priority for CDC and we are working 24/7 to protect Americans from this contagious disease. Vaccination is the best way to protect against measles. Today, the overwhelming majority of parents choose to protect their children with vaccines.

CDC continues to encourage parents to speak to their family’s healthcare provider about the importance of vaccination. CDC also encourages local leaders to provide accurate, scientific-based information to counter misinformation.

Dr. Joel Madrid, M.D. | Reston Pediatrics | Care Your Child Can Count On

Meet Dr. Joel Madrid! He has been with RPA for over six months now and our patients love him. Dr Madrid has 22 years of pediatric experience and we are thrilled to have him on our team.
If you'd like to meet Dr. Madrid, please call 703-450-8660 to schedule a meet and greet with him, or simply book an appointment with him.
For more please visit Dr. Joel Madrid D.R.S. is Board Certified by the American Board of Pediatrics with over 22 years of clinical experience in direct patient care. Dr. Madrid’s areas of interest include allergy and asthma, and dermatology.

Bugs, including mosquitoes, ticks, fleas, and some flies, can spread diseases such as malaria, yellow fever, Zika, dengue, chikungunya, and Lyme, all of which have risk of severe and lasting consequences. Several diseases spread by bug bites cannot be prevented or treated with vaccines or medicine, such as Zika, dengue, and Lyme. Reduce your risk of getting these diseases by taking steps to prevent bug bites.

Reston Pediatric Associates Ltd | Leesburg, VA

"It's always a pleasure see our friends of Reston Pediatrics." says VĂ­ctor Hugo Madera on Google ★★★★★ It's always a pleasure see our friends of Reston Pediatrics.

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We are Reston Pediatrics




44160 Scholar Plaza Suite 450
Lansdowne, VA

Opening Hours

Monday 07:30 - 17:00
Tuesday 07:30 - 17:00
Wednesday 07:30 - 17:00
Thursday 07:30 - 18:00
Friday 07:30 - 17:00
Saturday 08:00 - 23:00
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