Monday, October 24, 2011

Keeping Kids Healthy

Now that school is well underway, viral infections are making the rounds of the classrooms.  Additionally, infants pick up the viruses, whether from older siblings or at day care, so parents need strategies to keep infections at bay. Preventing the common cold, and possible complications, such as middle ear and sinus infections, requires common sense and some effort, but keeping your family healthy is possible!

First and foremost, boost your family’s immune system by providing plenty of fruits and vegetables, which are rich in antioxidants and vitamins that help little bodies  resist infection. Get ideas from these websites: www.letsmove.gov/eat-healthy and www.choosemyplate.gov. Make sure everyone is getting the recommended amount of sleep.  Finally, children aged 6 months and older should be protected yearly by the influenza vaccine.

The common cold

Children typically have three to six colds per year, but the younger the child, the more severe and worrisome are the symptoms. Prevention techniques that should be used, and  taught to children include:
1)      Frequent hand washing.  Up to 80% of infectious diseases are transmitted by touch; keep those babies and children safe by washing hands.  The simple friction of rubbing hands together while washing with soap or hand sanitizer effectively eliminates most germs.  Washing hands after using the bathroom and before snacks and meals, should be part of the household routine. 
2)      Teach children to sneeze and cough into their elbow
3)      Keep hands away from eyes, nose and mouth
4)      Teach children not to share water bottles or any other drinking or eating utensils.

Preventing complications

Middle ear infections can be a common aftermath of a cold for infants and young children.  Because babies have narrow, horizontal Eustachian tubes, fluid and congestion easily makes its way to the middle ear and gets trapped there, breeding infection.  How to prevent this?
·      Work hard to prevent the common cold, as above. If possible, limit the time your child spends in group child care.  A child care setting with fewer children may help.
·      Avoid second-hand smoke.
·      Breast-feed your baby, for at least 6 months if possible.  Antibodies in breast milk can offer protection from ear infections.
·      If you bottle-feed, hold your baby in an upright position.  Never prop a bottle in your baby’s mouth while he or she is lying down.
·      Make sure your baby receives immunizations, as recommended by the CDC.  Haemophilis Influenzae type b (Hib) and pneumococcal conjugate (PCV)  vaccines may help prevent ear infections by protecting your baby against common bacteria.


Sinus infections
Sinusitis is triggered when sinus drainage is blocked by inflammation from a common cold  or allergies.  The resulting pool of backed-up mucus provides a medium for bacteria to grow out of control. This causes swelling, more mucus build-up, and an influx of white blood cells to fight the bacteria.  Mucus is thickened, and may be tinted yellow or green. Other symptoms may include cough, headache and fever. The risk of developing sinusitis can be reduced by promoting drainage and keeping nasal passages clear.  Here are some helpful tips:

·        First line of defense: Nasal irrigation. One of the simplest, cheapest, and most effective ways to prevent and treat sinus problems is nasal irrigation. Using nothing more than tap water and table salt, you can often relieve sinusitis symptoms, reduce reliance on nasal sprays and antibiotics, and improve your quality of life. At least twice a day, follow these steps:
1.      Stir 1 teaspoon of salt into 2 cups of lukewarm water.
2.      Fill a small bulb syringe with the saltwater solution. (If you prefer, you can use a small pitcher called a neti pot to stream the solution through your child’s nose. Or you can purchase an inexpensive nasal irrigation kit with a squeeze bottle, such as Little Noses Sinus Rinse, at most drugstores.)
3.      Have your child lean over the sink, insert the tip of the syringe just inside one nostril, and gently squeeze the bulb. The water will run back out the nostril (or possibly the opposite nostril) and into the sink. Use at least one full bulb of solution.
4.      Repeat the procedure in the other nostril. (If the salt solution stings, use less salt.)
·        Drink lots of water.  Good hydration helps keep the mucus thin and loose.
·        Inhale steam.  Have your child stand in a hot shower.
·        Avoid dry environments.  Keep a humidifier in your child’s bedroom, making sure it is kept clean and free from mold.
·        Avoid antihistamines unless prescribed.  Antihistamines make mucus thick and hard to drain.
·        Keep your child’s allergies under control, seeking medical advice when necessary.
Being proactive with preventative health care measures can keep children healthy and in school.  By teaching them these good habits, everyone in the family wins!
Sources and further information:
National Institute of Allergy and Infectious Disease: http://www.niaid.nih.gov/topics/sinusitis/Pages/Index.aspx
Healthy Children 
http://www.healthychildren.org/English/health-issues/conditions/ear-nose-throat/Pages/The-Difference-Between-Sinusitis-and-a-Cold.aspx
 http://www.healthychildren.org/English/tips-tools/Symptom-Checker/Pages/Ear-Infection-Questions.aspx


Thursday, July 14, 2011

Summer Fun - and Safety

I love Chicago in the summer months.  We have world-class beaches, festivals, and outdoor restaurants, many of which can be enjoyed with kids in tow.  But keeping children safe and happy in summer requires some extra planning!  In early summer we get questions and see children in the office about many of the following issues:

 Sun Protection:  As much as we all love to finally feel that warm sun, it is brutal on children’s sensitive skin. EVERYONE needs to use sunscreen, including people of color. Sun exposure is the most preventable risk factor for skin cancer, including melanoma. It is still possible to have fun in the sun, if parents are smart:

For babies less than 6 months old, keeping the infant in the shade, covered with light-weight clothing and a broad-brimmed hat, is the best solution. If shade is not available, a minimal amount of sunscreen (SPF 15 to 30) on exposed areas of skin is OK.

For older babies and children, according to Annette Wagner MD, pediatric dermatologist,   Children’s Memorial Hospital,  waterproof sunscreen  with SPF 30 is fine – it protects against 97% of UVB rays- as long as an adequate amount is applied (about one ounce or one shot-glass-full per child).  Be vigilant about reapplying every 2 hours and after swimming. If this is unrealistic for your active children, a higher SPF can provide incrementally more protection. No sunscreen blocks 100% of UV rays: some UV rays get through and create free radicals, which lead to sun damage.  Look for antioxidants in the sunscreen, which help neutralize the free radicals before they cause damage. A white, thick lotion such as Walgreen’s brand, works best and should be thoroughly  applied to dry skin, before going outside.  Those handy sunscreen sprays are not effective, according to Dr. Wagner. Any sunscreen with zinc oxide is good for the nose and face.   Finally, make sure the sunscreen is broad-spectrum, effective against both UVA (aging rays) and UVB (burning rays). See the end of this article for Dr. Wagner’s sunscreen  recommendations.
If a child does get burned, cool washcloths to the area are soothing, and Ibuprofen (for children over 6 months) works as an anti-inflammatory and relieves the pain. For severe burns with blistering, please call us!

Bug Sprays: We are all too aware of the wet spring, the resulting bumper crop of mosquitoes out there, and the special misery of kids with mosquito bites. What can be done? Common sense approaches include avoiding peak bug times (dusk to dawn), and wearing long sleeves and long pants if outdoors during those times. Insect repellants containing DEET are still the best option for protecting children against mosquitoes carrying the West Nile virus, and the CDC recommends their use. The concentrations of DEET listed on product labels refer to the duration of action, not the effectiveness.  For instance, DEET 10% will last approximately 2 hours, while DEET 30% will last 5 – 6 hours.  These products are safe for use in infants over the age of 2 months but should be applied only once daily.  DEET is waterproof, so swimming does not mean you need to reapply as you do with sunscreens. (Don’t use combination bug/sun products – the sunscreen should be reapplied, the bug spray should not.)
How to provide relief for those itchy bites?  Cool compresses, Benedryl cream, or Hydrocortisone cream 1% (both over the counter) can help.  Scratched and bleeding insect bites can become infected, so should be kept clean with soap and water.

Pool Safety: The July 2011 issue of Pediatrics contains research documenting the danger of small inflatable wading pools; fatal accidents can occur in a few inches of water when toddlers are unsupervised. Swimming lessons for toddlers are not enough to keep them safe and there is no substitute for keeping a close and constant eye on them! For older kids, remind them of the pool rules: no swimming for an hour after eating, no swimming without a partner and no running around the pool.

A few common sense precautions will ensure that you – and your little ones -  have a great summer!


 Recommended sunscreens:

Blue lizard for Sensitive skin SPF 30+
Neutrogena Sensitive skin SPF 30
Neutrogena Pure and Free SPF 60
Presun Sunblock, Sensitive SPF 28
Vanicream Sunscreen for Sensitive skin SPF 60
Walgreens Zinc oxide paste SPF 45+

Sites for sun protective clothing:


Source: The American Academy of Dermatology,  http://www.aad.org/media-resources/stats-and-facts/prevention-and-care/sunscreens