What’s Going Around?


seasonal worker allergies, or hayfever, are very common at this time of year. distinctive symptoms include watery, antsy, crimson eyes ; a clear fluid 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 long time of 2 without a prescription for discussion of seasonal worker 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 worker allergies and he or she is not responding to medication OR if you are not certain, please make an appointment in our office .
many children do not require allergy testing if they respond to treatment with medication as needed.

For more information : see besides Eye – allergy

Bronchiolitis (and RSV)

We are presently seeing cases of bronchiolitis, a viral illness ( sometimes caused by RSV — “ respiratory syncytial virus ” ) that occurs most often in children under age 2. This virus typically occurs in epidemics during the winter and the early spring. “ Bronchioles ” are the smallest airways in our lungs, and “ itis ” means these airways are inflamed, or irritated, by the virus. When these airways get inflamed in young children, they frequently will start to “ wheeze, ” meaning air out and the oxygen in it have trouble getting through these narrowed, swell airways .
With a casing of bronchiolitis, your baby ‘s symptoms may begin with a fluid scent, a fever, and a harsh, rigorous cough. If it progresses to wheezing, your child may start to breathe quickly and “ pull ” with his/her abdomen and rib muscles with each hint. Please call us for an appointment if your child ‘s breathe becomes labored or unmanageable .
If your baby was born previous ( under 32 weeks ) or has cardiac or lung conditions, your child is at a greater risk of complications from RSV bronchiolitis. A merchandise containing a specific antibody to RSV has been approved for monthly government to help prevent RSV infection in these bad children. This shape of antibody against RSV has the advantage of being able to be administered once a calendar month by intramuscular injection. In boastfully, manipulate studies, this product has been shown to decrease hospitalization insurance from RSV infections in these bad infants .
For more information : see besides Wheezing ( other Than Asthma )


We are presently seeing cases of chickenpox, a viral illness that is caused by a very catching virus, chickenpox herpes zoster. To compress chickenpox, a child normally is exposed to another child with it. then, in approximately 2 weeks, the child develops a mild fever and an antsy, bumpy crimson rash. The loss blow change state into very small blisters. The blisters finally crust over and scab, and then heal back to normal skin. There is a very effective vaccine to prevent your child from getting chickenpox, and most children who have not had chickenpox should receive the vaccine at any time after their first gear birthday .
For more data : experience besides Chickenpox, Does n’t look like chickenpox, see Rash or Redness – Localized

Colds and Upper Respiratory Infections

Colds, upper berth respiratory infections, and URIs are common terms we use to describe viral illnesses that cause nasal congestion, fluid scent, sneezing, afflictive throat, fever, and cough. The fever normally lasts for 2-3 days, and the cough with congestion and runny nuzzle may last for 5-10 days. The distinctive 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 contagion, 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 .
For more information : see besides Colds, See besides Sinus Pain or congestion


We are presently seeing children and adolescents with cough, typically one of the most big and annoying symptoms of viral respiratory infections at this time of year. Coughing is an important and beneficial automatic that our bodies need to clear secretions and to keep open our major airways during the course of a viral cold or upper berth respiratory infection. however, austere or persistent cough can be associated with asthma, pneumonia, fistula infections, and bronchiolitis, and should be evaluated by your health concern provider .
For more information : previous diagnosis of asthma, see Asthma Attack, If you are coughing because of an Asthma Attack, see Asthma Attack, Any Chest Pain, If you have a Common Cold, see Colds, See besides Colds, See besides Cough, Barky cough and gruffness, see Croup, If Earache is your chief refer, see Earache, Wheezing but no previous diagnosis of asthma, see Wheezing ( other Than Asthma )


We are presently seeing cases of croup, a viral respiratory illness that most frequently is caused by the parainfluenza virus. The cough and breathe 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 trachea. 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 heavy and whistling phone when breathe 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 hindquarters .
For more information : watch besides Cough, It does n’t sound like croup, see Cough, See besides Croup, Tight purring sound when breathing out, see Wheezing ( other Than Asthma )


We are presently seeing children and adolescents with infections caused by the enteroviruses, a group of viruses that often cause illness during the summer and the early fall months. The normally use term “ enterovirus ” includes the coxsackie viruses, the echoviruses, and the enteroviruses. These viruses much cause a fever, and besides may cause a foolhardy, respiratory or cold symptoms, and vomiting with diarrhea. Hand-foot-mouth disease, a foolhardy that involves those areas of the body, is a coarse enteroviral infection that occurs in children. More good illnesses that are caused by these viruses include meningitis, kernel infections, and eye infections. For mild illnesses caused by the enteroviruses, the best discussion is adequate perch, enough of fluids, and fever control .
NOTE: Enterovirus D68: This fall season, an enterovirus that causes chiefly respiratory symptoms has been seen in respective regions of the country. Please mention to the Enterovirus D68 article in this What ‘s Going about ? section .

Enterovirus D68 (EV-D68)

Enteroviruses frequently cause balmy illness in the summer and descend. This class, Enterovirus D68 ( EV-D68 ), is a unique virus that shares features with the common cold viruses. Most infections are balmy and self-limited and will last 5 to 7 days.Asmallgroup of children and adolescents, expecially those with asthma, are experiencing more hard respiratory symptoms with wheeze and shortness of breath. note : for most cases, a trial 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:

  • 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

Call 911 ifyour child has severe symptoms:

  • 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

Make an appointment or call us if:

  • 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

Home Treatment

  • 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.

Flu Season

Among the many viruses we see causing respiratory illness right now, the influenza virus ( normally called “ the influenza ” ) can be particularly severe. infection with the influenza virus causes a sudden onset of fever, chills, dry cough, and muscle aches. other symptoms include concern, fatigue duty, afflictive throat, and adenoidal congestion .
Some children are at increase risk of more dangerous illness from influenza, because of conditions such as diabetes, asthma, exemption problems, or being treated with immune-suppressing medications. They are specially vulnerable to complications and should get vaccinated arsenic soon as possible .
Please get a vaccination if you and your child have not so far had it this year !

Learn more about the flu and see the most up to date information here.
For more information : influenza, See besides Influenza – seasonal, See besides Influenza Exposure

Hand-Foot-Mouth Disease

Hand-foot-mouth disease is a common viral illness caused by the Coxsackie A-16 virus ( a member of the enterovirus family ). Its list describes the localization of the rash during the illness.
typically children feel fever and small blisters in the mouth in the beginning few days followed by small blisters on the hands and then feet. sometimes the rash is seen in the diaper area arsenic well. The mouth blisters can be afflictive. Ibuprofen or acetaminophen can be given as needed for pain relief. It is authoritative to make certain your child receives enough of fluids. Cold liquids may provide pain relief equally well .
Call our office for an appointment if you think your child may be showing symptoms of dehydration during this illness ( urinating less than every 8 hours, dry mouth, or lethargy ) ; if the fever persists after the first 3-4 days ; or if you can not keep the pain under control .
For more information : meet besides Mouth Ulcers, See besides Rash or Redness – far-flung

Mouth Blisters (Herpangina)

Herpangina is an illness caused by a virus, with small blister-like bumps or ulcers in the back of throat or the ceiling of the mouth. The child may have a gamey fever with the illness .
Herpangina is a common disease in children and is normally seen in children between the ages of 1 and 4, most frequently in the summer and fall. good handwash is necessary to help prevent the spread of the disease .
treatment for herpangina is to help decrease the asperity of the symptoms. Since it is a viral infection, antibiotics are ineffective. treatment may include increase fluid consumption, and acetaminophen for fever and pain .
If the child is not taking fluids well and there is concern about hydration, you should bring the child in to the office.

Pink Eye

We are presently seeing children and adolescents with “ pink center. ” besides known as conjunctivitis, this condition can be caused by either a viral or bacterial infection. viral pink eye typically appears as red and watery eyes, and is accompanied by coarse viral cold or upper respiratory symptoms. This type of pinko eye should resolve itself as the viral cold improves. bacterial pinko center normally appears as red eyes with yellow or green discharge. Upon awakening, the eyes often are matted close with dry discharge. This type of pink center besides may be associated with a viral coldness, but the bacterial eye infection itself requires antibiotic eye drops to cure. good handwash is very important because both viral and bacterial pink eye infections are very contagious .
For more information : see besides Eye – plutonium or discharge

Strep Throat

We are presently seeing quite a bit of streptococcal throat. If your child has a fever, huffy throat, headache, or stomachache without any early viral symptoms like congestion or cough, it may be streptococcus throat. Bacteria, called Group A streptococcal, cause this type of sensitive throat. To diagnose streptococcus throat, your doctor will require a dab of your child ‘s throat, and antibiotics will be needed if the streptococcus test is positive .
For more information : see besides Sore Throat, See besides Strep Throat exposure

Upper Respiratory Infection

We are presently seeing children and adolescents with viral amphetamine respiratory infections : severe rhinal congestion and secretions, afflictive throat, casual vomit and fever for 2-3 days. These symptoms are followed by a dry, haunting cough that may last for 5-10 days .
For more information : visualize besides Sinus Pain or congestion

Vomiting and Diarrhea

We are presently seeing viral illnesses that cause vomiting and diarrhea. normally called viral gastroenteritis, the virus causes excitement and irritation of the stomach and the intestines, leading to vomiting and diarrhea. This illness, often called the “ stomach influenza ” typically lasts 1-2 days, with diarrhea lasting a few days long .
It is important to make surely that your child does not get dehydrated with this condition. offer Gatorade, Pedialyte, or warm sodium carbonate 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, then 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 agency .
For more data : see besides Diarrhea, See besides Vomiting Without Diarrhea

Whooping Cough (Pertussis)

We are presently seeing an increase in cases of whooping cough in our community. whooping cough, or whoop cough, is a respiratory illness that begins with mild cold symptoms and progresses to a severe cough. The cough comes in spasms and is sometimes characterized by a high-pitched hack heavy followed by vomiting. classical whooping cough lasts respective weeks with some cases lasting 10 weeks or longer. whooping cough is most austere when it occurs in the first 6 months of life, particularly in those who are unimmunized or who are born prematurely. Older siblings and adults with mild symptoms are an significant reservoir of infection for young children and infants. whooping cough is diagnosed clinically and confirmed with lab tests.


While antibiotics have minimal consequence on the course of the illness once the classic whoop cough has begun, they are recommended to limit the gap of the illness. confirmation of the illness by a aesculapian provider helps guard against the overexploitation of antibiotics in the adjust of a viral illness and subsequent development of organisms that are immune to antibiotics. Control measures : All family contacts of young infants should receive a whooping cough vaccine booster. Others who are unimmunized or under-immunized should complete the commend schedule of immunizations ( see our web site for the recommend inoculation schedule ). Household contacts and other airless contacts of those who have been diagnosed with whooping cough should receive preventive antibiotic treatment to prevent transmittance of the disease. Students and school staff with a confirm diagnosis of whooping cough should be excused from educate until they have completed a five day course of antibiotic therapy .
For more information : see besides Cough

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