Seasonal allergies, or hayfever, are very common at this time of year. Typical symptoms include watery, itchy, red eyes; a clear runny nose; sneezing; and an itchy palate or throat. The most common triggers are trees in the spring, grasses in the summer, and weeds in the fall!
Effective non-sedating medications are now available for children over the age of 2 without a prescription for treatment of seasonal allergies. These include loratadine (generic Claritin), Claritin, and Zyrtec. These medications can be given as needed for allergy symptoms. If you think your child has seasonal allergies and he or she is not responding to medication OR if you are not sure, please make an appointment in our office.
Many children do not require allergy testing if they respond to treatment with medication as needed.
See also: Eye - Allergy
Colds and Upper Respiratory Infections
Colds, upper respiratory infections, and URIs are common terms we use to describe viral illnesses that cause nasal congestion, runny nose, sneezing, sore throat, fever, and cough. The fever usually lasts for 2-3 days, and the cough with congestion and runny nose may last for 5-10 days. The typical preschool-age child may experience 6-10 colds per year. Most colds resolve on their own with rest and fluids, but some may lead to ear infection, sinus infection, asthma attack, or other complications. If you are concerned about the possibility of one of these complications, please have your child seen in our office for an evaluation.
See also: Colds | Sinus Pain or Congestion
We are currently seeing cases of croup, a viral respiratory illness that most often is caused by the parainfluenza virus. The cough and breathing that are associated with croup make it distinctly different from other viral colds or respiratory illnesses. This is because the parainfluenza virus infects and irritates the voice box, the vocal cords, and the windpipe. The cough is worse at night, and it has a distinct bark that sounds much like a seal's bark. Associated with the barky cough, your child may have difficulty when inhaling air, making a labored and whistling sound when breathing in -- called stridor. Humidified air and fluids often are the most helpful treatments.Please call the office to have your child evaluated by the doctor if he/she has symptoms of croup.
See also: Cough | Cough | Croup | Wheezing (Other Than Asthma)
Enterovirus D68 (EV-D68)Enteroviruses frequently cause mild illness in the summer and fall. This year, Enterovirus D68 (EV-D68), is a unique virus that shares features with the common cold viruses. Most infections are mild and self-limited and will last 5 to 7 days. A small group of children and adolescents, expecially those with asthma, are experiencing more severe respiratory symptoms with wheezing and shortness of breath. Note: for most cases, a test for EV-68 is not required because it will not affect the course of the illness.
No vaccines are available for EV-68 and there are not any antiviral medications that treat this virus.
If your child has a history of asthma:
Call 911 if your child has severe symptoms:
Continue with your child's current asthma treatments
Make sure your son/daughter has his/her inhaler and other asthma medications at all times
If your child usually uses a controller medication (e.g an inhaled steroid) during the winter season or with colds, consider the possibility of starting the controller medication now.
Make sure your child's teacher or caregiver knows of your child's asthma
Make an appointment or call us if:
Having serious trouble breathing (e.g. chest retracts or lips and/or fingers turn blue)
is unresponsive or difficult to arouse
Has slurred speech, paralysis, or severe headache
Your child's cold seems severe and/or he/she is uncomfortable with their breathing
Your child can't sleep due to the respiratory symptoms
Your child has ear pain or other significant pain that is not relieved with pain medication
Frequent fluids, rest and fever management.
Frequent hand washing...cover your mouth when coughing
Avoid kissing, hugging and sharing drinks with people who are sick.
Disinfect surfaces in your house such as countertops and toys.
Vomiting and Diarrhea
We are currently seeing viral illnesses that cause vomiting and diarrhea. Usually called viral gastroenteritis, the virus causes inflammation and irritation of the stomach and the intestines, leading to vomiting and diarrhea. This illness, often called the "stomach flu" typically lasts 1-2 days, with diarrhea lasting a few days longer.
It is important to make sure that your child does not get dehydrated with this condition. Offer Gatorade, Pedialyte, or warm soda pop in small amounts every 20 minutes until your child can keep liquids down. If they are unable to keep liquids down, back off for 2 hours. the try the small amounts again. If your child has few wet diapers and does not make tears, or appears limp or lethargic, they may be dehydrated and we will need to see them in our office.
See also: Diarrhea | Vomiting Without Diarrhea