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Common
Illnesses

Acne - For
Teenagers Anemia Boils Bronchiolitis Colds Colds - For Teenagers Cow's Milk Allergy Ear Infection Eye Infection:
Bacterial Hand, Foot, and
Mouth Disease Hay
Fever Hives Middle Ear Fluid Scrapes Swimmer's Ear (Otitis
External) Swollen
Lymph Nodes Urinary Tract Infection Urinary Tract Infection - For
Teenagers
Acne
For Teenagers
What is acne? Acne is a skin
condition that occurs when the oil glands in your skin are clogged and become
inflamed or infected. More than 90% of teenagers have some acne. With acne you
will probably have:
- whiteheads, which are closed plugged oil glands
- blackheads, which are open plugged oil glands (the oil
turns black when it is exposed to air)
- red bumps, which are inflamed oil glands (the larger red
bumps are quite painful).
Acne usually appears on your face, neck, and shoulders.
What causes acne? Acne is due to an overactivity and
plugging of the oil glands. The main cause of acne is an increased levels of
hormones during adolescence.
Acne is not caused by diet. A person who
has acne does not have to avoid eating fried foods, chocolate, or any other
food.
Acne is not caused by sexual activity. It is not caused by dirt
or by not washing your face often enough.
How long does it last?
Acne usually lasts until age 20 or even 25. Do not worry about
scarring. It is rare for acne to leave scars.
How is it treated?
There is no medicine at this time that will cure acne. However, good
skin care can keep acne under control and at a mild level.
Basic
treatment for all acne
- Wash your skin twice a day and after exercise. The most
important time to wash is bedtime. Use a mild soap such as Dove.
- Shampoo your hair daily. Long hair can make acne worse by
rubbing against your skin.
- Avoid picking and squeezing. Picking stops acne from
healing. Squeezing causes bleeding into the skin and blotches that can last a
month.
- Avoid scrubbing your skin or using abrasive soaps. Hard
scrubbing of the skin is harmful because it irritates the openings of the oil
glands and can cause them to be more tightly closed.
- Avoid putting any oily or greasy substances on your face.
Oily and greasy substances make acne worse by blocking oil glands. If you use
cosmetics, use water-based cosmetics and wash them off at bedtime.
- Avoid hair tonics or hair creams (especially greasy
ones). When you sweat, these substances will spread to your face and aggravate
the acne.
- If you are using acne medicine, don't stop using the
medicine too soon. It takes 8 weeks to see a good response.
Treatment for whiteheads Whiteheads should be
treated with the following:
- Benzoyl peroxide 5% lotion or gel
This
lotion helps to open pimples and unplug blackheads. It also kills bacteria. It
is available without a prescription. Ask your pharmacist to recommend a brand.
Apply the lotion once a day at bedtime. Redheads and blonds should
apply it every other day for the first 2 weeks.
An amount of lotion the
size of a pea should be enough to cover most of your face. If your skin becomes
red or peels, you are using too much of the medicine or applying it too often.
Try using less of it or applying it less often. You may need to use this lotion
for several years.
Caution: Benzoyl peroxide bleaches clothing,
carpets, etc. Apply it only at bedtime and put it on sparingly.
- Pimple opening
In general, it is better
not to "pop" pimples, but most teenagers do it anyway. Therefore, do it safely.
Never open a pimple before it has come to a head. Wash your face and hands
first. Use a sterile needle (sterilized by alcohol or a flame). Nick the
surface of the yellow pimple with the tip of the needle. The pus should run out
without squeezing. Wipe away the pus and wash the area with soap and water.
Scarring will not result from opening small pimples, but it can result
from squeezing boils or other large, red, tender bumps.
Treatment for blackheads Blackheads should be
treated with the following:
- Benzoyl peroxide 5% lotion or gel
This
lotion is also excellent for removing thickened skin that blocks the openings
to oil glands. Use the lotion as described above for whiteheads.
- Blackhead extractor
Blackheads that are a
cosmetic problem can sometimes be removed with a blackhead extractor. This
instrument costs about a dollar and is available at any drugstore. By placing
the hole in the end of the small metal spoon directly over the blackhead, you
can apply uniform pressure that does not hurt normal skin. This method is much
more efficient than anything you can do with your fingers. Soak your face with
a warm washcloth before you try to remove blackheads. If the blackhead does not
come out the first time, leave it alone.
Treatment for red bumps Large red bumps mean
the infection has spread beyond the oil gland. If you have several red bumps,
you probably also need an antibiotic. Antibiotics come as solutions for the
skin or as pills.
When should I call my health care provider? Call
during office hours if:
- The acne has not improved after you have treated it with
benzoyl peroxide for 2 months.
- It looks infected (large, red, tender bumps).
- You have other concerns or questions.
Written by B.D. Schmitt, M.D., author
of "Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
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Anemia
What is anemia? Anemia means that the number of red
blood cells in your child's body is below normal. Iron is needed for your
child's body to produce red blood cells. Your child needs to eat more foods
high in iron.
How can I take care of my child? It is
important for your child to take iron medicine every day.
- Make sure your child has something to eat before taking
the medicine. This will help prevent upset stomach. Do not give iron with milk
or formula. The iron won't work as well.
- Then give the iron medicine with orange juice. The juice
helps to digest the iron and keeps your child's teeth from getting stained. (If
teeth do become stained, brush with baking soda.)
- Iron can change the color of bowel movements. They may be
greenish-black. This is harmless.
- Too much iron medicine can be dangerous. Keep it out of
your child's reach.
What are the best foods for iron? Make sure
your child eats plenty of foods rich in iron. Meats, fish, and poultry have the
most iron. Other foods high in iron are:
- Raisins
- Sweet potatoes
- Lima beans
- Kidney beans
- Pinto beans
- Green peas
- Peanut butter
- Enriched cereals and breads
- Cream of wheat
When should my child see the doctor again? Your
child needs a repeat blood test in 2 months to make sure your child is getting
better.
Written by B.D. Schmitt, M.D., author of "Your
Child's Health," Bantam Books.
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Boils
What is a boil? A boil
is a tender, red lump in the skin. It can be painful even when it is not being
touched. Most of the time it is 1/2 to 1 inch wide. A boil is a hair root or
skin pore that has been infected by bacteria called Staphylococcus (or staph).
How can I take care of my child?
- Give your child antibiotics. It can really help to
give your child pills prescribed by your doctor. The boil will heal faster. It
will also be less likely to return.
- Keep your child clean. It is easy to get a boil
again. Make sure your child showers and washes his hair every day with an
antibacterial soap. This will help wash away staph bacteria on the skin.
- Do not let other people use your child's towels or
washcloths. The boils are easy to spread.
- Do not squeeze a boil. You may spread boils to
other parts of the body.
Call your child's doctor during office hours if:
- The boil is not better within 48 hours after starting the
antibiotic.
- The boil has come to a head.
- You have other concerns or questions.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
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Bronchiolitis
What is bronchiolitis? Bronchiolitis is a lung infection
caused by a virus. The average age of children who get bronchiolitis is 6
months. They are never older than 2 years.
The symptoms of
bronchiolitis include:
- wheezing (making a high-pitched whistling sound when
breathing out)
- breathing rapidly at a rate of over 40 breaths per minute
- tight breathing (having to push the air out)
- coughing (may cough up very sticky mucus)
- a fever and a runny nose that precede the breathing
problems and cough.
The symptoms are similar to asthma.
What is the
cause? The wheezing is caused by the narrowing of the smallest airways
in the lung (bronchioles). This narrowing results from inflammation (swelling)
caused by a virus, usually the respiratory syncytial virus (RSV). RSV occurs in
epidemics every winter. While infants with RSV develop bronchiolitis, children
over age 2 years and adults usually just develop cold symptoms.
The
virus is in nasal secretions of infected people. It is spread by an infected
person who sneezes or coughs less than 6 feet away from someone else or by
contact with his or her hands after touching the nose or eyes.
People
do not develop permanent immunity to RSV, which means that they can be infected
by it many times.
How long will it last? Wheezing and tight
breathing (trouble breathing out) become worse for 2 or 3 days and then begin
to improve. Overall, the wheezing lasts approximately 7 days and the cough
about 14 days.
The most common complication of bronchiolitis is an ear
infection, which occurs in about 20% of infants. Bacterial pneumonia is an
uncommon complication. Only 1% or 2% of children with bronchiolitis are
hospitalized.
How can I take care of my child?
- Medicines
About 1/3 of children with
bronchiolitis are helped by asthma medicines. Your health care provider may
prescribe medicine for your child.
In addition, you can give your child
acetaminophen every 4 to 6 hours or ibuprofen every 6 to 8 hours if the fever
is over 102 degrees.
- Warm fluids for coughing spasms
Coughing
spasms are often caused by sticky secretions in the back of the throat. Warm
liquids usually relax the airway and loosen the secretions. Offer warm lemonade
or apple juice if your child is over 4 months old.
In addition,
breathing warm, moist air helps to loosen the sticky mucus that may be choking
your child. You can provide warm mist by placing a warm, wet washcloth loosely
over your child's nose and mouth. Or you can fill a humidifier with warm water
and have your child breathe in the warm mist it produces. Avoid steam
vaporizers because they can cause burns.
- Humidity
Dry air tends to make coughs worse.
Use a humidifier in your child's bedroom.
- Suction of a blocked nose
If the nose is
blocked up, your child will not be able to drink from a bottle or to
breast-feed. Most stuffy noses are blocked by dry or sticky mucus. Suction
alone cannot remove dry secretions. Warm tap-water or saline nose drops are
better than any medicine you can buy for loosening up mucus. Place three drops
of warm water or saline in each nostril. After about one minute, use a soft
rubber suction bulb to suck out the mucus. You can repeat this procedure
several times until your child's breathing through the nose becomes quiet and
easy.
- Feedings
Encourage your child to drink enough
fluids.
Eating is often tiring, so offer your child breast milk,
formula, or regular milk (if he is over 1 year old) in smaller amounts at more
frequent intervals. If your child vomits during a coughing spasm, feed him or
her again.
- No smoking
Tobacco smoke aggravates coughing.
Children who have an RSV infection are much more likely to wheeze if they are
exposed to tobacco smoke. Don't let anyone smoke around your child. In fact,
try not to let anybody smoke inside your home.
When should I call my child's health care provider?
Call IMMEDIATELY if:
- Breathing becomes labored or difficult.
- The wheezing becomes severe (tight).
- Breathing becomes faster than 60 breaths per minute (when
your child is not crying).
Call within 24 hours if:
- Any fever lasts more than 3 days.
- Your child is drinking much less or having fewer wet
diapers.
- The cough lasts more than 3 weeks.
- You have other questions or concerns.
Written by B.D. Schmitt, M.D., and Robert
Brayden, M.D. Published by McKesson Provider Technologies.
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Colds
What is a cold? When your child has a cold, he often
has a runny or stuffy nose. He may also have a fever, sore throat, cough, or
hoarseness.
Viruses cause most colds. You can expect a healthy child to
get about 6 colds a year.
How can I take care of my child?
- Runny nose. Gently blowing the nose for older
children is all that is needed. For babies, use a soft rubber suction bulb to
take out the mucus.
- Stuffy nose. Most stuffy noses are blocked by dry
mucus. Try nosedrops of warm tap water or saline. They are better than any
medicine you can buy.
- Mix 1/4 teaspoon of table salt in 8 ounces of water.
- Put 3 drops in each nostril. (For children less than 1
year old, use 1 drop.)
- Wait 1 minute.
- Then have the child blow or you can use suction bulb.
Use a wet cotton swab to remove mucus that's very sticky.
- Aches and fever. Give your child acetaminophen
(Tylenol) or ibuprofen (Advil) for fever over 102?F (39?C). Do not give
aspirin.
- Cough or sore throat. Use cough drops for children
over 4 years old.
How long does it last? Usually the fever lasts
less than 3 days, and all nose and throat symptoms are gone in a week. A cough
may last 2 to 3 weeks. Watch for signs of bacterial infections such as an
earache, sinus pain, yellow drainage from the eyes, or breathing trouble.
Call your child's doctor right away if:
- Your child has a hard time breathing AND is no better
after you clear the nose.
- Your child starts acting very sick.
Call your child's doctor during office hours if:
- The fever lasts more than 3 days.
- The runny nose lasts more than 10 days.
- The eyes get yellow discharge.
- You think your child may have an earache or sinus
pain.
- You have other questions or concerns.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
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Colds For
Teenagers
What is a cold? A cold or upper respiratory
infection is an infection of the nose and throat caused by a virus.
Symptoms of a cold include:
- runny or stuffy nose
- usually a fever and sore throat
- sometimes a cough, hoarseness, red eyes, and swollen
lymph nodes in the neck.
Many people have a profusely runny nose in the wintertime
when they are breathing cold air. This is called vasomotor rhinitis. The nose
usually stops running within 15 minutes after you come indoors. It does not
need treatment and has nothing to do with cold or an infection.
Chemical rhinitis is a dry stuffy nose that results from using
decongestant nosedrops or spray too often and too long (longer than 1 week). It
will be better a day or two after you stop using the nosedrops or spray.
What is the cause? The cold viruses are spread from one
person to another by hand contact, coughing, and sneezing. Colds are not caused
by cold air or drafts. Many different viruses cause colds. Most healthy
teenagers get at least 3 colds a year.
How long will it last?
Usually the fever lasts 2 or 3 days. The sore throat may last 5 days.
Nasal discharge and congestion may last up to 2 weeks. A cough may last 3
weeks.
Colds are not serious. Between 5% and 10% of colds develop into
some kind of bacterial infection. Watch for signs of bacterial infections such
as earaches, yellow drainage from the eyes, sinus pressure or pain (often
indicating a sinus infection), or rapid breathing (often a sign of pneumonia).
Yellow or green nasal secretions are a normal part of the body's reaction to a
cold. As an isolated symptom, they do not mean you have a sinus infection. You
might have a sinus infection if you have pressure, pain or swelling over a
sinus and it doesn't improve with nasal washes.
How can I take care
of myself? Not much can be done to affect how long a cold lasts.
However, we can relieve many of the symptoms. Keep in mind that the treatment
for a runny nose is quite different from the treatment for a stuffy nose.
- Treatment for a runny nose with a lot of
discharge
Nasal discharge is the nose's way of getting rid of viruses.
Medicine is not helpful unless you have a nasal allergy.
- Treatment for a dry or stuffy nose with only a little
discharge or dried, yellow-green mucus
Most stuffy noses are blocked by
dry mucus. Blowing the nose alone cannot remove most dry secretions.
Nose drops of warm tap water or saline are better than any medicine you
can buy for loosening up mucus. Use a clean dropper to put drops into the nose.
Water can be splashed in or dripped in using a wet cotton ball.
The
main mistakes people make when they use warm-water nose drops are using only 1
drop of water or saline, not waiting long enough for secretions to loosen up
before blowing their nose, and not repeating the procedure until their
breathing is easy. The front of the nose can look open while the back of the
nose is all gummed up with dried mucus.
Use the nasal washes at least 4
times a day or whenever you can't breathe through your nose.
- Treatment for other symptoms of colds
Fever:
Use acetaminophen or ibuprofen for aches or mild fever (over 102 degrees F, or
38.9 degrees C).
Sore throat: Use hard candies and warm chicken broth.
Cough: Use cough drops and a humidifier in your bedroom.
Red
eyes: Rinse frequently with wet cotton balls.
- Prevention of colds
A cold is caused by direct
contact with someone who already has a cold. Over the years we are all exposed
to many colds and develop some immunity to them.
A humidifier prevents
dry mucous membranes, which may be more susceptible to infections.
Vitamin C, unfortunately, has not been shown to prevent or shorten
colds. Large doses of vitamin C (for example, 2 grams) cause diarrhea.
- Common mistakes in treating colds
Most
nonprescription cold remedies or tablets are worthless. Especially avoid drugs
that have several ingredients because there is a greater chance of side effects
from these drugs. Antihistamines do not help cold symptoms. Nothing can make a
cold last a shorter time. If your nose is really congested, consider using an
oral decongestant (pseudoephedrine) for a day or so. Avoid oral decongestants
if they make you jittery or keep you from sleeping at night. Use acetaminophen
or ibuprofen for a cold only if you also have a fever, sore throat, or muscle
aches.
Do not take leftover antibiotics for uncomplicated colds because
they have no effect on viruses and may be harmful.
When should I call my health care provider?
Call IMMEDIATELY if:
- Breathing becomes difficult AND no better after you clear
your nose.
Call during office hours if:
- The fever lasts more than 3 days.
- The nasal discharge lasts more than 10 days.
- Your eyes develop a yellow discharge.
- You have an earache or sinus pain.
- Your sore throat lasts more than 5 days.
- You have other questions or concerns.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
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page
Cow's Milk
Allergy
What is a milk allergy? A milk allergy is a
reaction by your child's immune system to the protein in milk. Our immune
systems normally respond to bacteria or viruses that attack the body. With a
food allergy, the body's immune system attacks harmless things, such as the
proteins found in cow's milk. Casein is the main protein found in milk. It is
found in the solid part of milk (curd) when milk goes sour. Whey, the liquid
that remains once the curd is removed, contains the rest of the proteins. Your
child can be allergic to the proteins in curd, whey, or both.
In very
young children, cow's milk is the leading cause of allergic reactions. Milk is
one of the 8 foods that are responsible for most food allergies in children.
The other foods include eggs, soy, peanuts, tree nuts (such as walnuts and
cashews), wheat, fish, and shellfish. Most kids outgrow milk allergy by 2 or 3
years of age.
If you think your child is allergic to milk, dairy
products or any other food, it is important to get a diagnosis from your health
care provider or allergist.
What are the symptoms of an allergic
reaction to milk? Milk allergies are typically discovered very early in
formula and breast-fed infants. If a mother drinks cow's milk, the milk protein
also comes out in her breast milk. The symptoms seen in milk allergy depend on
whether the child has a slow-onset or a rapid-onset reaction to milk. The
slower reaction is more common and symptoms develop over time.
Symptoms
that occur rapidly (within seconds to hours) may include:
- Wheezing
- Vomiting
- Skin reaction (hives).
Symptoms that occur slowly (several hours and sometimes
days):
- Loose stools (sometimes containing streaks of blood
and/or mucus)
- Diarrhea, abdominal cramping
- Intermittent cough, wheezing, runny nose, or sinus
infection
- Skin rash
- Slowed gain in weight and/or height (failure to thrive).
A milk allergy is not the same as lactose intolerance.
Lactose intolerance affects only the digestive tract. It causes symptoms such
as bloating, gas and diarrhea.
Although rare, it is possible to have an
allergic reaction called anaphylactic shock. This is a serious reaction that is
sudden, severe, and can involve the whole body. It can cause swelling of the
mouth and throat, dangerously lower blood pressure, and trouble breathing. This
type of reaction is a medical emergency. It is treated with epinephrine (a
medicine that is given by injection). Usually parents or caregivers of children
who have severe allergic reactions carry their own shot kits, just in case of
emergency.
What formulas are best for my baby? Pediatricians
typically recommend soy-based formulas. These formulas contain soybean
proteins, and most are supplemented with vitamins and minerals making them
nutritionally equal to milk-based formulas. The switch to soy formula helps for
about half of babies allergic to milk. If the switch to soy doesn't help with
your child's symptoms, the next step is to give your child a "hypoallergenic"
formula. There are two types of hypoallergenic formulas:
- Extensively hydrolyzed formulas: The proteins in
these formulas have been broken down so that they are more easily digested and
less likely to cause a reaction. Brands include Nutramigen, Pregestimil, and
Alimentum. Partially hydrolyzed formulas are not a good substitute.
- Elemental formulas: The proteins in these
formulas are in the simplest form and are used when hydrolyzed formula
continues to cause symptoms. Elemental formulas include Neocate and Elecare.
Can I still breast-feed? Breast-feeding a baby
with a milk allergy is sometimes recommended. As a mother, avoiding milk
products in your diet may have a protective effect against allergy. If you
decide to avoid cow's milk, you should take calcium plus vitamin D supplements.
Talk with your health care provider about whether or not you should
breast-feed.
How will this affect my older child's diet? The
only treatment for a child with a milk allergy is to completely avoid milk and
foods that contain milk products. Many processed foods and restaurant foods
contain milk or milk products. You will need to change the way you shop and
prepare foods. The first step is to learn to read labels and become familiar
with ingredients that contain milk or dairy products. Always ask about
ingredients if you are not sure. Study the lists below to learn more about
foods and ingredients to watch out for.
Foods and ingredients that
contain milk:
- Milk (including milk from other animals such as goat)
- Yogurt
- Cheese
- Cottage cheese
- Half & half
- Cream
- Sour cream and solids
- Casein
- Whey products
- Butter, butterfat, butter oil, natural butter flavor,
butter solids
- Artificial butter flavor
- Ingredients that begin with "lact" such as lactose,
lactate, lactalbumin, and lactic acid
- Chocolate
- Custard
- Ghee
- Nougat
- Caramel
- Fat replacers such as Simplesse
- Hydrolyzed milk
- High protein powders and flours often contain milk
proteins
- Artificial and natural flavorings such as for meat,
poultry, canned fish, and potato chips.
Foods labeled "nondairy" or "milk-free" may still contain
milk proteins. You must read through the entire label. If you have any doubt
about the product, it is best to call the manufacturer to be sure.
Milk
products are a primary source of calcium, riboflavin, and vitamin D. It is
important to either take supplements or substitute foods high in these
nutrients. It is a good idea to have a registered dietitian evaluate your
child's diet to make sure your child is getting adequate nutrition.
How do I avoid cross contamination? Cross contamination
occurs when a dairy food or something that has been used to process a dairy
food comes in contact with your child's food. This can happen when eating out
or at home.
To avoid this problem when dining out or buying food:
- Order simple dishes with only a few recipe ingredients.
- Avoid battered or fried foods. The oil is often used for
many different items, some of which may contain milk.
- Tell the waiter or waitress about the allergy.
- Make sure the meat slicer at the deli counter is not also
used to cut cheese.
- Be careful to separate cooking utensils, cutting boards,
and dishes used to prepare dairy products from those used to prepare foods for
your child.
How can I provide my child with a healthy diet that
tastes good? Your child can still have a nutritionally complete diet as
well as continue to enjoy some kid favorites. The primary nutrients found in
milk are protein, calcium, vitamin D, and riboflavin. There is a lot of protein
in meat, poultry, pork, fish, beans, soy foods, legumes, nuts and seeds. Ask
your provider about calcium and vitamin D supplements. Good sources of
riboflavin are meat and eggs, whole-grain or enriched breads and cereals, and
dark green leafy vegetables. Many foods (such as orange juice) are now
supplemented with calcium and vitamin D.
How do I substitute milk
and modify recipes? There are several brands of soy and rice milks that
are enriched with calcium. These can be used for drinking and to pour on
cereal. If milk is part of a recipe just to provide liquid, you can substitute
water. Soy and rice milk, as well as fruit juice work well as substitutes when
baking. Oils, milk-free margarines or soy butter can take the place of butter.
Vegan products, available in the health food section of grocery stores, are
another option. These products do not contain eggs or milk.
It is also
helpful to get cookbooks for people with food allergies, such as The Food
Allergy and Anaphylaxis Network Cookbook. Visit the Web site at
http://foodallergy.org or call 800-929-4040 to order
this cookbook and others. There are also Web sites where you can buy specialty
foods online (such as http://www.allergygrocer.com).
How can I
keep my child safe at school?
- Teach your child not to eat foods unless they are safe.
Even young children can grasp this concept, especially once they have gotten
sick after eating a particular food.
- Prepare your child's lunch at home.
- Talk with teachers and the school administrator regarding
your child's needs. Ask teachers to keep an eye out and explain the situation
to other children if needed.
- Have the teacher call you if there is a special event or
party planned so that you can bring a few modified treats that your child
enjoys and can share with other kids.
- Make a card that lists foods and ingredients that should
be avoided and give one to the teacher. The card can also be helpful to older
children in making decisions when out with friends.
Written by Terri Murphy, RD, CDE for
McKesson Provider Technologies. Published by McKesson Provider Technologies.
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Ear
Infection
What is an ear infection? Your child's ear
may hurt when the space behind the eardrum is infected. Your child may also:
- Be cranky.
- Not be able to sleep well.
- Have trouble hearing.
- Be dizzy.
Most children will have at least one ear infection. Some
will have them again and again. It is important to get the care your child
needs. Good care helps prevent hearing problems and holes in the eardrum.
How can I take care of my child?
Here are some things
you should know:
- Antibiotics. For mild ear infections, your child
may not need an antibiotic. If the doctor prescribes an antibiotic, your child
will start to feel better in a few days. But keep giving the medicine until it
is all gone. This medicine will kill the bacteria that cause ear infections.
- Fever and pain. Use acetaminophen (Tylenol) or
ibuprofen (Advil) to help with the earache or fever over 102 degrees. No
aspirin.
- Going outside. Your child can go outside. Your
child does not need to cover the ears.
- Swimming. Swimming is OK as long as there is no
tear in the eardrum or drainage from the ear.
- Air travel. If your child has an ear infection, he
can travel by airplane safely if he is taking antibiotics. Have your child
drink something, suck on a pacifier, or chew gum when the plane starts coming
down or when traveling back down from the mountains by car.
Call your child's doctor right away if:
- Your child gets a stiff neck.
- Your child acts very sick.
Call your child's doctor during office hours if:
- Your child still has pain or fever after taking the
antibiotic for 48 hours.
- You have other questions or concerns.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
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page
Eye Infection:
Bacterial
What is an eye infection? When your child
has an eye infection, you may see:
- Yellow discharge (pus) in the eye.
- Eyelids stuck together with pus.
- Redness or pinkness of the white part of the eyes.
- Puffy eyelids.
Bacteria cause eye infections with pus. Pink eyes with no
pus are caused by a virus.
How can I take care of my child?
Clean the eye.
- Take away all pus with warm water and wet cotton balls.
- Do this before you put in any medicine. This will give
the medicine a chance to work.
Put in eyedrops or ointment. This kind of
infection must be treated with an antibiotic eye medicine. Your child's doctor
must prescribe it. Call the office for a prescription.
- If your child is under 2 years of age, he may need an
appointment to rule out other associated infections.
How can I prevent my child from spreading the
infection?
- Give your child his own washcloth and towel.
- Wash your child's hands often.
Call your child's doctor right away if:
- The outer eyelids get very red or swollen.
- The eye is painful.
- Your child's vision is blurred.
- Your child starts to act very sick.
Call your child's doctor within 24 hours if:
- The infection hasn't cleared up after you've treated it
for 3 days.
- Your child gets an earache.
- You have other concerns or questions.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books.
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Hand, Foot, and Mouth Disease
What is
hand, foot and mouth disease? Your child may have hand, foot, and mouth
disease, if your child has:
- Small, painful sores in his mouth.
- Small water blisters or red spots on the palms of his
hands and soles of the feet. You may also see these on the webs between the
fingers and toes.
- Five or fewer blisters on each hand or foot
- Low-grade fever between 100?F and 102?F
This happens most often in children 6 months to 4 years
old.
A virus causes this disease. The fever goes away by the 3rd or 4th
day. The mouth sores go away in 7 days. The rash on the hands and feet can last
10 days.
How can I take care of my child?
Helping the
pain.
- If your child is very young, put 1/2 teaspoon antacid
solution in the front of the mouth four times a day after meals.
- Children over age 4 can use 1 teaspoon of an antacid
solution as a mouthwash after meals.
- Give acetaminophen (Tylenol) or ibuprofen (Advil) if your
child's mouth really hurts, or for fever over 102? F. No aspirin.
Feeding your child.
- Give soft foods, like yogurt, cottage cheese, and Jell-O.
- Use a cup instead of a bottle.
- Cold drinks, milkshakes, Popsicles, and sherbet can feel
good.
- Stay away from citrus, salty, or spicy foods.
Spreading hand, foot, and mouth disease.
- Your child's playmates may get the disease in 3 to 6
days.
- Your child may go back to school when the fever goes
away.
Call your child's doctor right away if:
- Your child has not urinated for more than 8-12
hours.
- Your child acts very sick.
Call your child's doctor during office hours if:
- The fever lasts more than 3 days.
- You have other concerns or questions.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
top of
page
Hay Fever
What is hay fever? Hay fever is an allergy to something your
child breathes in. Plant pollens most often cause it. Your child probably has
hay fever if:
- There is a clear discharge from your child's nose,
- AND your child's nose itches,
- AND your child sneezes and sniffs or ear and sinus
congestion.
- Your child's eyes may also itch and water.
- Tickling sensation in the back of the throat
Here are the months of the year you may expect problems
with hay fever:
- In April and May, the most common pollen is from trees.
- From May to July, most of the time it is from grass.
- From late August through the fall, ragweed pollen is the
big problem.
Animal fur and other things could cause your child's hay
fever.
How can I take care of my child?
Give your
child an antihistamine. Call the office for a suggestion.
- This medicine works best for hay fever.
- If your child has hay fever every day, it's a good idea
to give him the antihistamine all during the pollen season.
Shower your child and wash his hair every night before
bed.
- This will clean away the pollen. Your child should have
fewer symptoms at night.
Help your child stay away from pollen and other things
that may cause hay fever.
- Make sure your child stays away when someone cuts grass.
- Your child should stay indoors when it is windy or if
there is a lot of pollen in the air.
- Make sure your child stays away from anything that causes
his hay fever. Watch out for feather pillows, pets, farms, stables, and tobacco
smoke.
Wash your child's itchy or watery eyes.
- Wash your child's face and eyelids with water. That will
clean away any pollen.
- Put a cold wet cloth on your child's eyelids for 10
minutes.
Call your child's doctor during office hours if:
- The hay fever does not get better after your child takes
medicine for 2 days.
- Your child gets sinus pain or pressure.
- You have other questions or concerns.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
top of
page
Hives
What are hives? Your
child has hives when:
- Your child has itchy, raised pink spots with pale
centers. They often look like mosquito bites. They may be different sizes and
shapes.
- The spots change size and shape. They may move from one
area on the body to another.
Your child may be allergic to a food, medicine, insect
bites, or other things. This causes the hives. Hives do not spread to other
people. They come and go for a few days and then go away.
How can I
take care of my child?
- Give your child antihistamine medicine. This
medicine won't cure the hives, but it will help the itching and reduce the
number of hives.
You may give your child Benadryl Elixir. Give 1 tsp.
per 20 lbs. every 6 hours.
Be sure to keep giving the medicine until
you are sure the hives are completely gone for 24 hours. Other wise your child
may get itchy again.
- Make sure your child stays away from anything you
think may have caused the hives.
- Have your child take a shower, if the hives were
caused by pollen or animals.
Call your child's doctor right away if:
- It gets hard for your child to breathe or swallow.
- Your child starts to act very sick.
Call your child's doctor during office hours if:
- Your child develops a fever.
- Most of the itch is not better after your child has taken
the medicine for 24 hours.
- The hives last more than 1 week.
- You have other concerns or questions.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books.
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Middle Ear Fluid
What is ear
fluid? Fluid is normally produced in the middle ear (the space behind
the eardrum) in small amounts. Usually the fluid drains out of the ear though
the eustachian tube into the back of the nose. Ear fluid can cause a problem
when it builds up in the middle ear. This condition is called otitis media with
effusion, or secretory otitis media.
What causes ear fluid to build
up in the middle ear? After an ear infection, the eustachian tube may
be temporarily blocked and fluid will build up in the middle ear space instead
of draining out normally. After taking antibiotics for the ear infection, your
child may still have fluid left in the middle ear, but it is no longer infected
fluid.
If there is fluid in the middle ear, your child will probably
have:
- a full, congested sensation in the ear
- mildly reduced hearing (temporary).
There is no earache or fever.
How long will it
last? Because the middle ear fluid clears up by itself in 90% of
children, no treatment is needed for most children. The fluid will slowly go
away.
- By 1 month, 50% of children will still have fluid.
- By 2 months, 20% of children will still have fluid.
- By 3 months, only 10% of children will still have fluid.
If there is still fluid in the ear after 3 to 4 months,
your child will probably need ventilation tubes or special medicines because
the fluid will most likely not clear up by itself.
What is the
treatment?
1. Help your child with temporary hearing loss
Most children with middle ear fluid have a mild hearing loss (20 to 30
dB). If your child temporarily loses hearing before age 2, it can interfere
with normal speech development. Although the fluid will probably clear in 1 to
2 months, help your child deal with limited hearing. Keep in mind that most
children's speech will catch up following a brief period of incomplete hearing.
When you talk with your child:
- Get close to your child, get eye contact, and get his
full attention. Occasionally check that he understands what you have said.
- Speak in a louder voice than you normally use. A common
mistake is to assume your child is ignoring you when actually he doesn't hear
you.
- Reduce any background noise from radio or television
while talking with your child.
If your child goes to school, be sure he
sits in front near the teacher. Middle ear fluid interferes with the ability to
hear in a crowd or classroom.
2. Restrictions Your child
doesn't have any restrictions because of ear fluid. Your child can go outside
and does not need to cover the ears. Swimming is permitted unless there is a
perforation (tear) in the eardrum, ear tubes, or drainage from the ear. Air
travel or a trip to the mountains is safe; just have your child swallow fluids,
suck on a pacifier, or chew gum during descent.
3. Medicines
Your child doesn't need any medicines unless he has allergies or an ear
infection.
4. Ear recheck Your child needs to be checked
again to be sure the ear fluid doesn't last longer than 3 months and that it
doesn't affect speech development.
How can I help prevent ear
infections? As long as there is fluid in the middle ear, your child is
at risk for having another ear infection. The following list includes ways to
help prevent getting ear infections.
- Avoid tobacco smoke. Protect your child from secondhand
tobacco smoke. Passive smoking increases the frequency and severity of
infections. Be sure no one smokes in your home or at day care.
- Avoid excessive colds. Reduce your child's exposure to
children with colds during the first year of life. Most ear infections start
with a cold. Try to delay the use of large day care centers during the first
year by using a sitter in your home or a small home-based day care.
- Breast-feed. Breast-feed your baby during the first 6 to
12 months of life. Antibodies in breast milk reduce the rate of ear infections.
If you are breast-feeding, continue. If you are not, consider it with your next
child.
- Avoid bottle propping. If you bottle-feed, hold your baby
at a 45-degree angle. Feeding in the horizontal position can cause formula and
other fluids to flow back into the eustachian tube. Allowing an infant to hold
his own bottle also can cause milk to drain into the middle ear. Weaning your
baby from a bottle between 9 and 12 months of age will help stop this problem.
- Control allergies. If your infant has a continuously
runny nose, consider allergy as a contributing factor to the ear infections. If
your child has other allergies such as eczema, your health care provider will
check for a milk protein or soy protein allergy.
- Adenoids. If your toddler constantly snores or breathes
through his mouth, he may have large adenoids. Large adenoids can contribute to
ear infections. Talk to your health care provider about this.
Call your child's health care provider during office
hours if:
- Your child develops an earache.
- Your child's speech development is delayed.
- You have other questions or concerns.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
top of
page
Scrapes
Your child may have scrapes on the skin from falls. A scrape is red, raw, and
may bleed a little. Sometimes scrapes can get dirt in them.
How can
I take care of my child?
- Clean the scrape.
Wash your hands. Wash the
wound with warm, soapy water for 5 minutes. If there is dirt, scrub the wound
with a wet gauze or cloth. You may have to take out big pieces of dirt with
tweezers.
If there is tar in the wound, rub it with petroleum jelly,
(such as Vaseline). This helps get rid of the tar. Then wash the scrape again
with soap and water.
Clean a pair of small, sharp scissors with rubbing
alcohol. Cut off any loose pieces of skin with the scissors. Rinse the wound
well.
- Protect the scrape.
Put an antibiotic
ointment, such as Neosporin, on the scrape. Cover it with a Band-Aid or gauze.
This is very important when a scrape is over a joint (such as elbow, knee, or
hand). When you use ointment, it keeps the scrape from cracking and coming back
open.
Clean your child's scrape once a day with warm water. Then put on
fresh antibiotic ointment and a clean Band-Aid. Do this until the scrape heals.
- Give pain relief.
Give your child pain
medicine if it hurts a lot. You can give acetaminophen (Tylenol) or ibuprofen
(Advil).
When should I call my child's health care provider?
Call right away if:
- Your child's wound has dirt in it that you can't get
out.
- A large area of your child's skin is scraped off.
- The scrape gets red streaks, or drains pus.
- Your child has a fever.
Call during office hours if:
- Your child hasn't had a tetanus shot in over 5
years.
- The scrape doesn't heal in 10 days.
- You have other questions or concerns.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
top of
page
Swimmer's Ear
(Otitis External)
What is swimmer's ear? Swimmer's
ear is an infection of the skin lining the ear canal. Ear canals need to be
dry. When water gets trapped in the ear canal the lining becomes damp and
swollen and tends to become infected.
Your child probably has swimmers
ear if:
- Your child has itchy and painful ear canals.
- Your child has been swimming recently.
- Your child feels pain when the earlobe is moved up and
down.
- Your child feels pain when the tab of the outer ear
overlying the ear canal is pushed in.
- The ear feels plugged up.
- There is a slight amount of clear discharge at first.
Without treatment, the discharge becomes yellowish.
How can I take care of my child?
- For mild swimmer's ear, use white vinegar mixed with
equal parts of water. Fill the ear canal with the vinegar mixture. After 5
minutes, remove it by turning the head to the side. Do this twice a day.
- Do not use if child has ear tubes or drainage.
- For severe swimmer's ear, use antibiotic-steroid
eardrops. (These require a prescription.) Run the eardrops down the side of the
ear opening so that air isn't trapped under the drops. Then move the ear lobe
back and forth to help the eardrops go down into the ear. Continue using the
eardrops until 48 hours after all the symptoms have cleared up, or as directed
by physicians.
- Use acetaminophen (Tylenol) or ibuprofen (Advil) for pain
relief.
How can I prevent swimmer's ear? After showers
hair washing and swimming, help the water run out by turning head. Avoid cotton
swabs .
Call your child's doctor right away if:
- The ear pain becomes severe.
- Your child starts acting very sick.
Call your child's doctor during office hours if:
- The ear becomes severely painful.
- The ear symptoms are not cleared up in 3 days.
- You have other concerns or questions.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
top of
page
Swollen Lymph
Nodes
What are swollen lymph nodes? Lymph nodes are
found just under your child's skin in the neck or groin area. They help protect
your child from infection and viruses. When your child gets a cut, virus, or
illness, the lymph nodes can swell. That means they are helping to fight off
infection.
Lymph nodes can double in size when your child is sick.
- They slowly return to normal size when your child is
better.
- It may take 2 to 4 weeks for your child's lymph nodes to
shrink back down.
How can I take care of my child?
- Make sure the illness that made the lymph nodes swell
gets treated.
- Give acetaminophen (Tylenol) or ibuprofen (Advil) for
pain or fever over 102? F (39? C). No aspirin.
Call your child's doctor right away if:
- One of your child's lymph nodes swells to 2 or more
inches across.
- The skin over the lymph node gets red.
- Your child starts to act very sick.
Call your child's doctor within 24 hours if:
- One of your child's lymph nodes swells to 1 to 2 inches
across.
- Your child also gets a sore throat.
- Your child has a fever for more than 3 days.
- You have other questions or concerns.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
top of
page
Urinary Tract
Infection
What is a urinary tract infection? Your
child can get an infection in the bladder or the tube that carries the urine
out of the body. The infection is caused by bacteria and needs to be treated.
Here are signs you should watch for:
- Your child has pain when she urinates (pees).
- Your child has to pee right away and can't hold it.
- Your child has to pee a lot.
- Even when your child is awake, he wets his pants.
- Your child wets at night.
- Your child's urine smells bad.
- Your child has a fever or a stomachache.
How can I help my child?
- Give antibiotics. Your child needs to take the medicine
prescribed by your doctor to get better.
- Give lots of water and fluids. Drinking lots of water and
fluids helps clear up the infection.
- Give pain and fever medicine. Give your child
acetaminophen (Tylenol) or ibuprofen (Advil) for the pain or for fever over
102?F (39?C). No aspirin.
- Call your doctor. Two days after your child starts the
medicine, call your child's doctor about your child's symptoms. You need to
make sure your child is getting better.
- Get a recheck. Your child will need another urine test 2
weeks after the first visit.
Call your child's doctor right away if:
- Your child has back pain.
- Your child starts to act very sick
Call your child's doctor during office hours if:
- Your child has a fever more than 2 days after taking the
medicine.
- It still hurts your child to pee 3 days after taking the
medicine.
- You have other concerns or questions.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
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page
Urinary Tract
Infection For Teenagers
What is a urinary tract infection?
A urinary tract infection (UTI) is an infection of the bladder and
sometimes the kidneys. If the bladder is infected, it is called cystitis. If
the kidneys are infected, it is called pyelonephritis. It is important to treat
UTIs so that the kidneys are not damaged.
Various symptoms are
possible:
- painful urination
- an urgent need to urinate
- frequent urination
- daytime and nighttime wetting
- dribbling
- foul-smelling urine
- fever
- stomachaches (especially lower abdomen)
- vomiting.
What is the cause? Urinary tract infections are
caused by bacteria. The bacteria enter the bladder by traveling up the urethra.
In general, the urethra is protected, but if the opening of the urethra (or the
vulva in girls) becomes irritated, bacteria can grow there. Common irritants
are bubble bath and shampoos. Sexual intercourse or careless wiping after a
bowel movement might also cause irritation. A rare cause of UTIs (1% of girls
and 5% of boys) is obstruction of the urinary tract, which results in
incomplete emptying of the bladder.
How long will it last?
With treatment, your fever should be gone and symptoms should be better
by 48 hours after starting the antibiotic. The chances of getting another UTI
are about 50%. Read the advice on preventing UTIs to decrease your risk.
How can I take care of myself?
- Antibiotics
Be sure to take the antibiotic
your doctor prescribed.
Try not to forget any of the doses. Take the
medicine until all the pills are gone. Even though you will feel better in a
few days, take the antibiotic for the full 10 days to keep the UTI from flaring
up again.
- Extra fluids
Drink extra fluids to help clear
the infection.
- Fever and pain relief
Take acetaminophen
(Tylenol) or ibuprofen (Advil) for the painful urination or for fever over
102?F (39?C).
- Medical follow-up
Two days after you begin
antibiotics, it is important to contact your health care provider to find out
the results of the urine culture and make sure that your infection is
responding to the antibiotic.
About 2 weeks after your initial visit
your provider will want to see you for another urine culture. Because the
chances are high that you will develop a second infection (50% of cases), your
provider will probably also want to check your urine 1, 4, and 12 months after
the first infection has cleared up.
- Instructions for collecting a midstream, clean-catch
urine specimen at home
If you are asked to bring a urine sample to your
physician's office, try to collect the urine when you first urinate in the
morning. Use a jar and lid that have been sterilized by boiling for 10 minutes
or come in for container.
For Girls: Wash the genital area several
times with a clean washcloth and warm water. Sit on the toilet seat with your
legs spread widely so that the labia (skin folds of the vagina) don't touch.
Start to urinate into the toilet and then place the clean container directly in
line with the stream of urine. Remove it after you have collected a few ounces
but before you stop urinating. (The first or last drops that come out of the
bladder may be contaminated with bacteria.)
Keep the urine in the
refrigerator until you take it to your provider's office. Try to keep it
chilled when you bring it to the office (that is, put the jar in a plastic bag
with some ice).
How can I prevent a urinary tract infection?
- Urinate at least every 3 to 4 hours during the day and
don't "hold back."
- Urinate after baths.
- Sexually active young women should urinate after
intercourse.
- Wipe correctly from front to back, especially after a
bowel movement.
- Don't put bubble bath, shampoo, or other soaps into the
bath water. Don't let a bar of soap float around the tub.
- Don't become constipated. Try to have a BM every day.
- Drink enough fluids each day to keep the urine
light-colored.
When should I call my health care provider?
Call IMMEDIATELY if:
- You start having back pain.
- You start feeling very sick.
Call during office hours if:
- Fever or painful urination lasts more than 48 hours after
you start taking an antibiotic.
- You have other concerns or questions.
Written by B.D. Schmitt, M.D., author of
"Your Child's Health," Bantam Books. Published by McKesson Provider
Technologies.
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page
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