11/25/2019
Great information!
'Tis the season for fever, cough, congestion, runny nose, and sore throat. π· Stay calm, you are likely dealing with the COMMON COLD.
Here are my TOP TEN tips:
1. Colds are caused by viruses. Antibiotics will NOT help. π In fact, using antibiotics for a cold can harm the recovery process and lead to bacterial resistance. Most colds can be safely handled from home.
2. FEVERS are natural and safe in babies 3 months and up. π₯ Babies less than 3 months need to be evaluated by a doctor for fever (defined as 100.4F and above). Beyond this age, a fever is the body's way of ramping up the immune system to fight off infection. You only need to treat a fever if itβs making your child uncomfortable. Do not use aspirin. It's wise to get checked out at the doctor's office for a true fever lasting longer than 4 days.
3. Otherwise, fever is not the enemy β dehydration and respiratory distress are the enemies! You know your child is staying hydrated if they are urinating at least every 8 hours. π Signs of respiratory distress include sucking in with each breath, panting, head-bobbing, grunting, turning blue, or flaring of the nostrils to breathe β all of these things would warrant medical attention ASAP.
4. Loss of appetite is common. Itβs actually OK if your child refuses to eat SOLID food for several days, but they need to stay hydrated. πΌ Give them whatever they are willing to drink as long as it is age-appropriate. Using sports drinks or Pedialyte for electrolyte replacement is a great idea. Again, the goal is to urinate at LEAST every 8 hours.
5. For nasal congestion in babies and toddlers, use nasal saline drops and suction: Place a few drops into each nostril followed by gentle suction with a bulb syringe or device such as NoseFrida β this is especially helpful before sleep and feeds. π΄ For nasal congestion in older children, have them gently blow their nose and stay hydrated. A bit of Vaseline along the nostrils may prevent the skin from getting chapped/sore.
6. At any age, a cool-mist humidifier or vaporizer can be used to moisten the air. This may help to decrease cough and congestion. β Do not worry about the color or consistency of your childβs mucus β the idea that green mucus is bad is a myth.
7. A sore throat paired with the cough and runny nose is likely viral and does NOT warrant testing for strep throat! β Offer plenty of fluids, rest, and Tylenol/Motrin as needed for discomfort. For older kids, try gargling salt water.
8. Coughing protects the lungs from mucus build-up. π Cough and cold medicines are NOT recommended in children under 6 years of age. Try half a teaspoon of honey for children ages 2-5 years or 1 teaspoon for kids ages 6 and above. Do not give honey to children less than 1 year old. Cough drops/lozenges are okay starting at 4 years and up.
9. Cough and congestion can last up to TWO weeks. HANG IN THERE. β³ Prevent the spread of germs by washing your hands (or using alcohol-based hand sanitizer) a LOT. Cover your nose and mouth with a tissue or sleeve whenever you cough or sneeze (not your bare hand). Disinfect hard surfaces. Avoid touching your eyes, nose, and mouth. Make sure your child is fever-free for 24 hours before returning to daycare or school.
10. Seek rapid medical care for any of the following π© RED FLAG signs: Bulging soft spot, inconsolable crying, confusion, disorientation, stiff neck, new seizures, difficult or rapid breathing, blue lips or nails, refusal to move an arm or leg, severe abdominal pain/swelling, dehydration, or simply looking very ill. If your intuition is overall telling you that your child is really sick, please bring them in!
I love keeping you home from the doctor's office/ER whenever safely possible, so please feel free to share! πβ€