Thursday, October 17, 2019

Fighting Off the Flu

Preventing the flu infographicFlu is the short term for influenza. It is an illness caused by a respiratory virus. When someone with the flu coughs or sneezes, the influenza virus gets into the air, and others nearby, including children, can inhale it through the nose or mouth. The virus can also be spread by touching a contaminated hard surface, such as a door handle, and then touching your nose, mouth, or eyes.

When is flu season?

Flu season usually runs from fall into the spring. The illness can spread rapidly through the schools in a community. Because children are contagious in the first few days of the illness, parents and caregivers are easily exposed and infected with the flu.

Flu symptoms include:
• A sudden fever (usually above 101°F or 38.3°C)
• Chills and body shakes
• Headache, body aches, and being a lot more tired than usual
• Sore throat
• Dry, hacking cough
• Stuffy, runny nose
• Some children may throw up (vomit) and have loose stools (diarrhea).
• The flu can last a week or longer.

Difference Between a Cold and The Flu

Because colds and flu share many symptoms, it can be difficult (or even impossible) to tell the difference between them based on symptoms alone. A flu test can indicate if a person has the flu, but it usually must be done within the first few days of illness. Cold symptoms are usually milder than the symptoms of flu. People with colds are more likely to have a runny or stuffy nose.

Flu treatment

Children may benefit from extra rest and drinking lots of fluids when they get the flu. If your child is uncomfortable because of a fever, our office can recommend doses of acetaminophen or ibuprofen appropriate for their age and weight to help. Ibuprofen is approved for use in children six months of age and older; however, it should not be given to children who are dehydrated or who are vomiting continuously.

It is extremely important never to give aspirin to a child who has the flu or is suspected of having the flu. Aspirin during bouts of influenza is associated with an increased risk of developing Reye syndrome.

Antiviral medications are available by prescription to treat an influenza infection. Dr. Leung can help you decide whether or not to treat the flu with an antiviral medicine. Antiviral medications work best if started within the first 1 to 2 days of showing signs of the flu. However, in some children with increased risk for influenza complications, treatment could be started later. Call our office within 24 hours of the first flu symptom to ask about antiviral medications if your child:
• Has an underlying health problem like asthma or other chronic lung disease, a heart condition, diabetes, sickle cell disease, a weakened immune system, a neuromuscular condition such as cerebral palsy, or other.
• Is younger than 6 months old.
• Is younger than 5 years old, especially if less than 2 years old.

The Flu Vaccine

The American Academy of Pediatrics recommends that an influenza vaccine be given annually to all children starting at six months of age. Children 6 months through 8 years old may need two doses of the vaccine given at least four weeks apart. Children 9 years of age and older only need one dose.

Flu vaccines are especially important for children at high risk for complications from the flu such as those with a chronic lung disease such as asthma, heart disease, a decreased immune system function due to a primary condition or from medications such as steroids, renal disease, or diabetes mellitus.

All adults should also receive the flu vaccine yearly; this is especially important for adults who live in the same household as someone who has a high risk for flu complications or who care for children under the age of five.

Side effects from the flu vaccine:

The flu vaccine has few side effects. The most common side effects are fever and redness, soreness, or swelling at the injection site for the flu shot, or runny nose, congestion and sore throat for the nasal spray vaccine.

Although most flu vaccines are produced using eggs, influenza vaccines have been shown to have minimal egg protein so that all children with presumed or confirmed egg allergy may still safely receive the flu vaccine unless they have had a severe allergic reaction specifically to the flu vaccine in the past. Talk with Dr. Leung if you have any questions.

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Tuesday, July 16, 2019

Seven Super Snack Options for Summer

happy kids lying in grassThe kids are out of school for summer and eating you out of house and home. You’d like them to not binge on junk food constantly, but the fruit in the fridge is going bad and the granola in the pantry will turn to dust long before they are willing to reach for it. There are a million and one lists of healthy foods on the internet, and most of them include options that would send my kid screaming into the hills (possibly followed by me and my husband.) The following is a list of possible snacks that most kids are willing to eat. (I say most because if you were lucky enough to have birthed the child willing to eat cottage cheese, peanut butter on celery sticks, and the like – you don’t need this list. Live long and prosper.)

Yogurtyogurt with raspberries

Ah, yogurt. The snack item we try to sell to our kids as an ice cream alternative. They are not fooled, but depending on their texture tolerance, they may be willing to partake. A good source of protein and calcium, yogurt is a solid option for kids and provides calcium for their developing bones. Yogurts containing probiotics are especially good because of their benefit to digestion. (Klein K., 2008) Avoid the yogurt options with candy added and be sure to check the sugar content: some brands have multiple types of added sugar, even though marketed to children.

Popcorn

This whole grain is a healthy and filling snack option. Steer clear of the microwave versions (avoid the dreaded burned popcorn smell in your house) and buy an inexpensive air popper at the local grocery store. Not only is it cheaper in the long run, you get to skip all of the chemicals and preservatives. You can add a little butter or olive oil, sea salt, or parmesan cheese for flavor options. Popcorn can be a choking hazard to young children, so you may prefer to make it available when you know you’ll be close by.

Trail mix

If your child has a nut allergy, this one is not an option, but if your child is free from that danger, then trail mix can be a good snack choice. Many commercial trail mixes include candy, so a homemade version is healthier. A mix of nuts, pretzels, dried fruit, and whole grain cereal pieces can be a filling, low-sugar snack.

Frozen fruit popsicles

fruit popsicleIn the summertime, who doesn’t love a nice, cold popsicle? Frozen fruit popsicles are one of the healthiest snack options around and kids can have a little fun making them. Skip the store-bought versions, which can be full of artificial colors and flavors, as well as various types of sugar. Put frozen fruit or berries and a small amount of fruit juice in a blender. After reaching the desired consistency, you can pour the mixture into a popsicle mold. (If your child will eat chunks of fruit, you can add some pieces to the puree before pouring it into the mold.) You can also make your own using paper cups and wooden popsicle sticks. Cover with plastic wrap and insert a popsicle stick into the liquid through the wrap. Freeze for several hours or overnight.

Cheese

Everyone loves string cheese: it’s portable, easy, and tasty. Why is it a good option? Cheese is mostly made up of protein and fat, which help kids feel full in between meals. Full-fat dairy foods contribute to a child’s nutritional requirements for calcium, magnesium, and vitamins A and D. Another bonus: some studies suggest that children who eat cheese get fewer cavities! (Herod EL, 1991)

Raisin snack packs

Raisins are a convenient and healthy snack option. Raisins are dried grapes that retain almost all of the nutrients found in fresh grapes. They also contain a fair amount of iron, which is needed to transport oxygen throughout your body. Oleanolic acid is also found in grapes, which may protect teeth from cavities by preventing bacteria from adhering to them. (Wong A, 2013)

Healthier Chocolate Chip Muffinschocolate muffins

Muffins get a bad rap for being high in calories, fat, and sugar. However, they can be a healthier snack than cookies and cakes while still providing that fresh-from-the-oven enjoyment. Reduce the sugar, use whole grain wheat flour, and substitute apple sauce to replace the fat in your recipe for a tasty, but less junk food-ish treat.

Works Cited

Herod EL. (1991, April). The effect of cheese on dental caries: a review of the literature. Retrieved from PubMed.gov: https://www.ncbi.nlm.nih.gov/pubmed/1877906
Klein K., S. R. (2008). The clinical use of probiotics for young children. Retrieved from PubMed.gov: https://www.ncbi.nlm.nih.gov/pubmed/18512639
Wong A, Y. D. (2013, June). Raisins and Oral Health. Retrieved from PubMed.gov: https://www.ncbi.nlm.nih.gov/pubmed/23789933

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Friday, April 12, 2019

Managing Springtime Allergies

Ah, spring…time to stop and smell the roses. Or perhaps not! When winter ends, most people want to be outdoors as much as possible if the weather is conducive. However, you may be so affected by seasonal allergies that you want to avoid spring flowers, not enjoy them! Each spring, pollen spreads through the air and fertilizes plants. When people with allergies breathe in this pollen, their body identifies it as a threat, which can trigger an allergic reaction.

Allergy Symptoms

Pollen allergy causes a person to experience any or all of the following symptoms:

  • itchy or watery eyes
  • itchy throat
  • rhinitis (runny or stuffy nose)
  • sneezing
  • a stuffy nose
  • wheezing
  • fatigue

Symptom Management

The cause of a patient’s symptoms should be confirmed through in-office skin testing. Once a patient’s allergens have been identified, a physician can provide the appropriate treatment recommendation. Knowing which pollen types a person is allergic to can guide them in determining when to start taking medications and the best times to avoid the outdoors, because in general, the first level of treatment is avoidance. However, if avoidance is not practical, there are a number of medications now available over the counter which were previously available only by prescription. Appropriate treatments to manage seasonal allergies can include:

  • Antihistamines such as cetirizine (Zyrtec) or loratadine (Claritin). A person should start taking these medications two to three weeks before allergy season begins.
  • Nasal sprays to temporarily relieve the itching and congestion. These include decongestants, which are only a short-term solution for swelling. (Note: nasal decongestants should be not be used for more than three days due to the risk of rebound or worsening nasal congestion.) Nasal saline rinses are helpful in relieving the irritation to the nasal tissue and flushing out mucous and trapped allergens.
  • Immunotherapy tablets or shots to desensitize the body to pollen.
  • Nasal corticosteroid sprays are effective in reducing inflammation, sneezing, watery eyes, post-nasal drip, and other related symptoms.

Most treatments only help manage allergy symptoms, but cannot cure them. Immunotherapy may be helpful for long-term allergy management but can take several years to complete.

If you are dealing with seasonal allergies this spring, there are ways you can manage them so that you can enjoy this time of year more.

  • Know your triggers. The American College of Allergy, Asthma, and Immunology reports that more than two-thirds of spring allergy sufferers actually have year-round symptoms, but their symptoms just aren’t as noticeable during other times of year. Know what triggers your allergic reactions and make plans to help manage your symptoms.
  • Check weather reports. Pollen.com provides a daily/weekly pollen and mold count. Checking this report can help you know what to expect when you need to be outdoors, as well as if there are certain days or times during which avoidance may be your best defense against an allergy attack.
  • Take precautions. Take the medications prescribed by your doctor or the OTC versions recommended by them. If you know you are going to be outside for an extended period of time performing tasks such as mowing the lawn or cleaning a pool, consider wearing a mask to help reduce the amount of allergens you inhale.
  • Shower often. Taking a shower, washing your hair, and changing clothes after being outdoors can help minimize your exposure to allergens.

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Thursday, March 21, 2019

March is National Reading Month

Why are we talking about reading in a pediatric blog, you might ask?  This isn’t a medical topic…it should be featured in a school or library blog!  Because reading is such an important component of childhood development, we’d like to talk about it!

Reading contributes greatly to those growing brains we care so much about, and it all starts as early as infancy.  Neural connections are constantly being formed in the developing mind, so starting early with reading, talking, and singing to babies and toddlers help establish and reinforce those connections. Reading at all stages of childhood help with bonding between the parent and child. As the child matures, it helps enhance language, emotional, and social skills.

How reading is performed varies with the child’s age.  With babies, it’s more about the experience – even if the baby is more interested in putting the book in his/her mouth, it’s ok. Your voice, the time you spend with your child, helps with emotional development and sets the building blocks for language.

During the toddler years, you can turn it into a more interactive activity.  Ask them more direct questions when they are younger – “Can you point to the balloon?” “What sound does a dog make?” “What color is this?”  For older kids, ask more open-ended questions: “What do you like to eat for breakfast?” “Where is your favorite place to be?” Use books and stories to teach lessons or concepts.

These concepts continue to develop and mature as your child becomes school-age and can help them academically, socially, and emotionally. If it’s not yet part of your daily routine with your child, start today!  Pick up a few fun books from the bookstore or check them out at your local library!

For more information:

https://www.healthychildren.org/English/ages-stages/baby/Pages/Healthy-Children-Radio-Reading-Aloud-to-Infants-Audio.aspx

https://www.healthychildren.org/English/healthy-living/nutrition/the-very-hungry-caterpillar/Pages/A-Guide-to-Reading-With-Your-Child.aspx

https://www.healthychildren.org/English/healthy-living/emotional-wellness/Building-Resilience/Pages/Books-to-Build-Character-Teach-Important-Values.aspx

 

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