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Jan 31, 2023

What is Nebulizer Treatment And How Does It Work?

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Understanding the symptoms of your child’s illness or injury is extremely important but knowing the different forms of medication and remedies they need to heal their wounds is crucial to their overall health. Most parents know the typical over-the-counter drugs to use for at-home care, however, new drugs come out every year, making it that much more important to stay informed on how to best treat your child in today’s world—in this case nebulizer treatment.

What is Nebulizer Treatment?

A nebulizer is a device that sprays a fine, liquid mist of medicine. It is often used in younger children who can’t use inhalers. The device has an air compressor, a cup for medicine, and tubing connected to a mouthpiece or mask. Your child breathes in the medicine through the mouthpiece or mask. Each treatment takes about 15 to 20 minutes to complete. There are several different types of nebulizers used for asthma medicine: jet nebulizers, ultrasonic nebulizers, and mesh nebulizers. It’s important to know that the instructions can be slightly different for each. So, make sure you know how to use your child’s nebulizer.

Nebulizer treatment

Nebulizer treatment can be tricky at times which makes the following steps important to know when giving treatment to your child. Still, you should speak to your child’s healthcare provider for specific instructions, but usage will vary depending on the child’s symptoms.

First things first, wash your hands and gather the recommended supplies which are medicine to be nebulized and additional nebulizing solution such as sterile saline. Then, grab your nebulizer set. This is the nebulizer cup, mouthpiece or mask, and tubing to connect to the nebulizer machine. Find a quiet activity for your child to do while he or she sits up for the treatment such as reading a book, drawing, or playing a quiet game.

After this, place the nebulizer on a flat surface, the best place would be on a table or the floor. Then, plug the unit into a wall outlet and connect the tubing to the nebulizer machine, and finally put the medicine into the nebulizer cup and screw the cap on securely. Some medicine may be premixed. Other medicine may need to be measured. Connect the other end of the air tubing to the nebulizer cup, connect the mouthpiece or face mask to the nebulizer cup, and now turn the machine on. It’s important to check to make sure a fine mist of medicine is coming through the face mask or mouthpiece. Most nebulizer cups need to be held upright to work correctly.

Mouthpiece

Place the mouthpiece in your child’s mouth with their lips sealed around the mouthpiece and make sure to encourage your child to take slow deep breaths in and out of their mouth. The mist should disappear with each breath.

Face mask

Place the mask over your child’s mouth and nose. The adjustable elastic band may be used to hold the mask in place and make sure your child takes deep breaths in and out for the entire treatment. Instruct your child to continue slow, deep breaths until all the medicine in the nebulizer cup is gone. You may need to tap the sides of the nebulizer cup to make sure all medicine is given. Once you have done this, turn the nebulizer machine off and check your child’s peak flow and make sure to measure it before and after the treatment.

What You Should Know

It’s important to stay with your child during their nebulizer treatment and if your child vomits or has a severe coughing spell, stop the treatment. Make sure your child rests for a few minutes, then resume the treatment. Check the filter on the nebulizer machine once a week to ensure it is clean and sanitary. When it becomes discolored, replace it with a new filter. Always keep spare nebulizer supplies at home. Before you run out, call your medical supply company.

How Can I Help My Child Use a Nebulizer?

Sometimes babies and little kids have trouble getting asthma treatments with a nebulizer. Kids need to sit still for anywhere between 15 to 20 minutes while they breathe in the medicine. Every parent with a toddler knows just how hard that can be.

Using a nebulizer should become a daily routine. Use the nebulizer at the same time each day, so your child knows to expect it. Some parents give treatment time a fun name, to make it exciting. You can do things like read stories, watch movies or play with toys during nebulizer time to make your child feel more comfortable

If your child is afraid of the mask, you can turn it into a game, saying it’s a superhero mask and will give them special powers. Maybe throw on Spider-Man or an Avengers movie so they can really engage with your story. There are also masks you can buy that are shaped like animals and cool creatures!

If your child is old enough, have them help you put the mask on, hold the tubing, and turn the machine on and make sure to congratulate your child for a job well done!

Afterthought

Not every child will handle nebulizer treatment the same which is why listening to your son or daughter is so important. Some children can sit still for long periods of time while others fuss around and will become agitated. Treatment such as this one requires patience and concentration, making you that much more important to the healing process. The good news is if you do find yourselves struggling to use a nebulizer, the experts at Chai Care will happily guide you through all the steps and your child will be healthy in no time!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Measles: Contagious But Preventable

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After the rise of COVID-19, it is hard to not be frightened of contagious viruses and infections. Our world can be an unforgiving place and when it comes to protecting our youth, things can be that much more intimidating. The truth of the matter is that at some point your child is going to get sick and when that happens you should be informed as much as humanly possible. With that being said, measles should be at the top of your list.

What Is Measles?

Measles is an extremely contagious respiratory infection. It causes a total-body skin rash and flu-like symptoms. Measles is rare in the United States thanks to widespread immunization, but millions of cases happen worldwide every year.

Measles (also called rubeola) is caused by a virus, so there is no specific medical treatment for it—the virus has to run its course. A child who is sick with measles should drink plenty of liquids, get lots of rest, and stay home from school or daycare to prevent the spreading of the infection.

What Are the Signs & Symptoms of Measles?

The first symptoms of a measles infection are usually a hacking cough, runny nose, high fever, and red eyes. Kids also may have small red spots with blue-white centers inside the mouth before the rash starts.

The rash breaks out 3–5 days after symptoms start, sometimes along with a high fever of up to 104°F (40°C). The red or reddish-brown rash usually begins as flat red spots on the forehead. It spreads to the rest of the face, then down the neck and torso to the arms, legs, and feet. The fever and rash slowly go away after a few days.

Is Measles Contagious?

Measles is very contagious. Believe it or not, 9 out of 10 people who aren’t vaccinated for measles will get it if they are near an infected person.

How Do People Get Measles?

Measles spreads when people breathe in or have direct contact with the virus-infected fluid. It can pass through droplets sprayed into the air when someone with measles sneezes or coughs. Someone exposed to the virus usually shows symptoms 7–14 days later.

Children with measles can spread the disease from 4 days before the rash starts until about 4 days after that. They’re most contagious when they have a fever, runny nose, and cough. Those with weak immune systems due to other conditions (like HIV and AIDS) can spread the measles virus until they recover.

How Is Measles Treated?

Even though there is no specific medical treatment for measles, you can help your child by encouraging extra rest and giving them a non-aspirin fever medicine, such as acetaminophen or ibuprofen. Also, children with measles should be kept away from others for 4 days after their rash appears. For those with a weak immune system, this should continue until they make a full recovery, and all symptoms are gone.

How Long Does Measles Last?

A measles infection can last for several weeks. Symptoms usually start 7–14 days after someone is exposed to the virus.

Can Measles Be Prevented?

The best way to protect your kids is to make sure they’re immunized against measles. For most children, measles protection is part of the measles-mumps-rubella vaccine (MMR) or measles-mumps-rubella-varicella vaccine (MMRV) given when they’re 12 to 15 months old and again when they’re 4 to 6 years old. The vaccine can be given to babies as young as 6 months old if they will be traveling internationally. It’s important to speak to your healthcare provider to see when the vaccine is needed.

Why Is Vaccination Important?

Widespread immunization has made measles rare in the U.S., but outbreaks still happen. With that being said, measles outbreaks have been increasing worldwide, mostly due to people not being vaccinated. It’s important for all kids who can get the vaccine to get it on time. At-risk people (such as those with weak immune systems) can’t get the vaccine. But when a lot of other people are immunized against a disease, it protects them, prevents the disease from spreading, and helps prevent outbreaks.

Afterthought

Even though we are fortunate enough to live in a country that is mostly protected from measles, it is important to be aware of the signs and symptoms because it’s still possible to contract it. The truth is, we would rather live our lives in peace and not worry about such things, which is why the experts at Chai Care have your back. If you ever believe your child or loved one to be infected with measles or struggling with a different everyday medical emergency, our dedicated staff will always be here to offer a helping hand!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

It’s Red, It’s Itchy, It’s Chickenpox!

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Probably the most notorious and most well-known illness a childhood illness catches is chickenpox. This infection is virtually unavoidable and when a child does contract it, you’ll be the first to know due to its obvious symptoms and your child complaining of severe discomfort. It’s one of those nasty viruses that almost every person suffers from when they are a youngster but even though it is treatable, it is important to know the signs and symptoms to not spread it to any other children.

What Is Chickenpox?

So, what exactly is Chickenpox? Essentially, it is a viral infection that causes your child to have a fever and an itchy rash with spots all over their body. Once upon a time, chickenpox was a common childhood illness in the United States, especially in kids under age 12, but thankfully it is much rarer now, thanks to the varicella vaccine.

What Causes Chickenpox?

Chickenpox is caused by the varicella-zoster virus (VZV). This virus also can cause a painful skin rash called shingles (herpes zoster) later in life. After someone has had chickenpox, the virus stays dormant in the nervous system for the rest of a person’s life. It’s worth mentioning that the virus can reactivate later in life as shingles, however, kids who are vaccinated against chickenpox are much less likely to develop shingles when they get older.

What Are the Signs & Symptoms of Chickenpox?

Typically, chickenpox starts without the classic rash, with a fever, headache, sore throat, or stomachache. These symptoms may last for a few days, with the fever in the 101°–102°F range. After this, the red, itchy skin rash usually starts on the belly or back and face. After this, it spreads to almost everywhere else on the body, including the scalp, mouth, arms, legs, and genitals.

The rash begins with many small red bumps that look like pimples or insect bites. They appear in waves over 2 to 4 days, then develop into thin-walled blisters filled with fluid. The blister walls break, leaving open sores, which finally crust over to become dry, brown scabs. All three stages of the chickenpox rash (red bumps, blisters, and scabs) appear on the body at the same time. Sometimes the rash may spread wider or be more severe in kids who have weak immune systems or skin disorders like eczema.

Thankfully, symptoms are usually mild among children but may be life-threatening to children, adults, and people with impaired immune systems or healthy infants. Symptoms to look out for are fatigue, irritability, an itchy, red rash that progresses to tiny, fluid-filled blisters, fever, decreased appetite, muscle and/or joint pain, and a cough or runny nose.

The symptoms of chickenpox may resemble other skin problems or medical conditions. Making it important to consult your child’s healthcare provider for a legitimate diagnosis.

Is Chickenpox Contagious?

Chickenpox is very contagious. Most kids with a sibling who’s infected will most likely contract it and will show symptoms about 2 weeks after the first child does. If you do have multiple children, make sure the child with chickenpox covers their nose and mouth when sneezing or coughing. Because chickenpox is so contagious, a child who has it should stay home and rest until the rash is completely gone and all the blisters have dried. This takes about 1 week, but if you are unsure about whether your child is ready to return to school, ask your healthcare provider.

How Is Chickenpox Diagnosed?

Medical professionals can usually diagnose chickenpox just by looking at the obvious rash. From there, they can guide you in watching for complications and in choosing different medicine to ease your child’s itching. It’s important that if you take your child to their healthcare provider to let the staff know ahead of time that your child might have chickenpox to not expose other kids in the office — for some children, a chickenpox infection could cause serious complications.

How Is Chickenpox Treated?

Since a virus causes chickenpox, antibiotics cannot treat it. But antibiotics are needed if bacteria infect the sores. This usually happens when kids scratch and pick at the blisters. An antiviral medicine might be prescribed for people with chickenpox who are at risk for complications, but this will depend on the child’s age, health, the extent of the infection, and the timing of treatment.

Can Chickenpox Be Prevented?

The great news is that chickenpox can be prevented! Most children who get the chickenpox vaccine will not get chickenpox. And if they do get chickenpox, their symptoms will be much milder. Healthcare providers highly recommend that kids receive the vaccine when they’re 12–15 months old and a booster shot when they’re 4–6 years old. Children 6 years of age and older who have never had chickenpox and aren’t vaccinated can and should get two doses of the vaccine and kids who have had chickenpox do not need the vaccine — they usually have lifelong protection against the illness.

How Can I Help My Child Feel Better?

The best to way to help the itchiness and discomfort of chickenpox is by using a cool wet compresses or giving your child a bath in lukewarm water every 3–4 hours for the first few days. It’s worth mentioning that oatmeal bath products can help to relieve itching. Other methods of pain relief would be patting (not rubbing) the body and putting calamine lotion on itchy areas.

To prevent scratching, it’s best to use mittens or gloves on your child’s hands to avoid scratching during sleep and trim their fingernails to keep them clean.

If your child has blisters in the mouth, give cold, soft, bland foods because chickenpox in the mouth can make it hard to drink or eat. Avoid anything acidic or salty, like orange juice or pretzels.

When to Call a Healthcare Provider

Most chickenpox infections don’t need special medical treatment but, in some cases, unexpected problems can happen. You should call your healthcare provider if your child has a fever that lasts for more than 4 days, has a severe cough or trouble breathing, has an area of rash that leaks pus, has a severe headache, or lastly, has a stiff neck.

Afterthought

In most cases, chickenpox is not something to lose sleep over. Nearly every child gets it and even though watching your child in agony is unpleasant, this virus goes away quickly and will soon become a thing of the past. Even though there are many ways you can treat your child at home, it is still best to take your kid to their healthcare provider and the experts at Chai Care will always be here to offer their top-notch service as they supply your little one with exceptional care!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Jan 30, 2023

Chemical Cautery: Stopping Your Child’s Nosebleed

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It’s fair to say we all have had a nosebleed at some point in our lives. They are extremely common and can happen for many reasons, but when you see a child with one, they are that much more frightening, especially if you’re the parent of the child. A million questions race through your mind, concerned and panicked that it is due to a broken nose or a head injury. Fortunately, we live in a world with plenty of methods to treat a nosebleed, one of them being nasal cauterization—a simple procedure that can drastically improve your child’s quality of life.

What is nasal cautery?

Nasal cautery, or nasal cauterization, is a procedure used to treat nosebleeds, also known as epistaxis. This procedure is when a chemical or electrical device is applied to the mucous membranes in the nose to stop the bleeding. This is performed with topical anesthetics, usually in an operating room under general anesthesia. Sometimes this procedure is performed in conjunction with other procedures to improve nasal breathing such as sinus surgery, nasal endoscopy, or septoplasty.

Why would my child need nasal cautery?

Typically, children benefit from nasal cautery when they have recurrent nosebleeds. These episodes can occur from a prominent blood vessel in the nose that bleeds from trauma (nose picking, rubbing the nose, or bumping the nose), and from drying of the mucous membranes lining the nose. Certain underlying medical conditions can make children more prone to nosebleeds, including individual or familial bleeding disorders, platelet disorders, cancers, or medications used to treat other conditions.

If an underlying medical condition or medication is the cause of the nosebleeds, first attempts are aimed to treat or to remove these sources of the tendency for bleeding. In addition, nasal creams, ointments, gels, nasal saline spray, and increased environmental humidification can help improve nosebleeds by decreasing the dryness in the nose. This makes the nose less prone to bleeding and for young children, it’s best to avoid nose-picking. If nosebleeds continue despite these attempts, nasal cautery may be recommended.

What should I expect on the day of the procedure?

The procedure is typically performed either in the pediatric ENT clinic procedure room or in an operating room. The procedure only takes 5-10 minutes but may take longer depending on the severity and any additional combined procedures planned. The surgeon will provide an idea of how much time is expected, but this may change during the procedure.

What should I expect after my child has nasal cautery?

After the procedure, your child may be asked to stay in the hospital, but in most cases, this won’t happen. When home, Tylenol or Ibuprofen is typically appropriate for pain control. Sometimes stronger narcotic pain medications may be prescribed for additional pain control. Also, the use of topical moisturizing and/or antibiotic ointment in the nose is recommended after the procedure. This will help with healing and decreases crusting.  If the child develops any concerning symptoms after the procedure, including pauses in breathing, color change of the skin (particularly if the lips, face, or hands are turning blue), appearing lethargic or tired, severe bleeding, or any other sudden change from his/ her normal behavior, please seek immediate medical attention.

Your Child’s Recovery

As we know, nose cautery can help prevent nosebleeds. The healthcare provider uses a chemical swab or an electric current to cauterize the inside of the nose. This seals the blood vessels and builds scar tissue to help prevent more bleeding. For this procedure, the provider will numb the inside of your child’s nose and once the procedure is finished, your child may feel itching and pain in the nose for 3 to 5 days but not to worry, over-the-counter pain medicines can help with the pain! Keep in mind, your child may want to touch, scratch, or pick at the inside of the nose. Make sure to watch your child carefully so you can stop them before any touching or picking because this will cause more nosebleeds.

When should I call My Healthcare Provider?

It’s important to keep a lookout for any signs of distress in your child and to know when you should contact your provider. If your child has pain that does not get better after your child takes pain medicine, they get another nosebleed and the nose is still bleeding after you have pinched the nose shut 3 times for 10 minutes each time, they have a fever or if your child does not get better as expected, then it may be time to bring your child back in for a check-up.

Afterthought

If you feel that your child may need nasal cauterization, it’s best not to wait, hoping they will get better on their own. We live in a country that has more than enough reliable healthcare providers, Chai Care being one of them! Our trained experts will always be here to help in a time of need and will make sure your youngster is back to normal in no time!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Cellulitis: Breaking The Habit and Good Hygiene

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As bad as breaking a bone or burning yourself can be, most consider infections to be worse due to their ability to spread and potentially come back again. Children are some of the most vulnerable people to contracting a virus because they typically have worse hygiene habits and are less knowledgeable of the signs and symptoms. Cellulitis is definitely one of those bacterial infections to watch out for because if left untreated it can lead to more serious issues.

What is cellulitis?

Cellulitis is a deep bacterial infection of the skin that usually occurs after some type of trauma causes an opening in your child’s skin. Typically, the infection involves your child’s face, arms, and legs. In most cases, human or animal bites or injuries that occur in water can also cause infection and immediate treatment can help prevent the spread of cellulitis. In some cases, cellulitis is considered an emergency and your child’s healthcare provider may treat your child in the hospital depending on the severity of their condition.

Symptoms & Causes of Cellulitis

Cellulitis is a tricky infection because many of the symptoms may appear as something less significant. If your child has swollen or warm skin, bruising, chills, a fever, or a red streak from the original site of pain, there is a good chance they have cellulitis. In some cases, cellulitis is considered an emergency and you should consult your child’s healthcare provider if the area affected is causing your child to complain of numbness, tingling, or other changes in a hand, arm, leg, or foot, if the skin appears black, or if the area that is red and swollen is around your child’s eyes or behind the ears.

Diagnosis & Treatment of Cellulitis

The diagnosis of cellulitis is usually based on the medical history and physical examination of your child. Blood and skin samples may also be taken to confirm the diagnosis and the type of bacteria present.

How to Treat Cellulitis?

Specific treatment for cellulitis will be determined by your child’s healthcare provider based on your child’s age, overall health, and medical history. However, treatment may include oral or intravenous antibiotics, warm, wet dressings on the infection site, surgical intervention, and rest.

If your child’s arm or leg is affected, their provider may also have you elevate the extremity and decrease the amount of activity. Also, based on the physical examination, your child’s physician may treat your child in the hospital depending on the severity of the cellulitis. In the hospital, your child may receive antibiotics and fluids through an intravenous catheter.

Complications and Prevention of Cellulitis

Complications can be reduced with prompt and accurate treatment by your child’s provider. The most common complications include meningitis, septic arthritis, and an infection of a joint caused by glomerulonephritis.

To prevent cellulitis, protect the skin from cuts, bruises, and scrapes. This isn’t easy, especially for active kids or those who play sports. It’s best if your child uses elbow and knee pads, wears a bike helmet when riding, shin guards, long pants, long-sleeved shirts while hiking in the woods, and sandals on the beach.

If your child does get a cut or scrape, wash it well with soap and water followed by applying an antibiotic ointment, then cover the wound with an adhesive bandage or gauze and lastly, check the wounds often for the first few days to see if any signs of cellulitis begin.

When Should I Call My Healthcare Provider?

You should contact your provider if any area of your child’s skin becomes red, warm, and painful — with or without fever and chills. This is even more important if the area is on the hands, feet, or face, or if your child has an illness or condition that suppresses the immune system. Also, if your child gets a large cut or a deep puncture wound but most importantly if an animal bites your child, especially if the puncture wound is deep, contact your provider immediately. Cellulitis can happen quickly after an animal bite. Even human bites can cause skin infections too, so call the doctor if this happens.

Afterthought

To recap, cellulitis is a bacterial infection of the skin that often happens in areas where the skin is broken. Because of this, it’s important that your child always washes their hands before and after touching the infected area to make sure it doesn’t get any worse. With that being said, there are only so many at-home options at your disposal which is why Chai Care will always be here to offer top-notch aid!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Itchy, Red, And Dry… Everything To Know About Eczema

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Out of all the different rashes and skin conditions that exist, Eczema is one of the most common that a child can have. As irritating as eczema may be, there are plenty of ways to avoid it and if your child does have it, there are plenty of ways of remedying the pain. So, look no further because Chai Care has you covered in all the ways to help your kid with their eczema!

What is Eczema?

Eczema is a skin problem called atopic dermatitis. Atopic dermatitis often begins in infancy, affecting about 15 to 20% of children. It usually improves as the child grows older and may resolve by school age or puberty, however, some children with atopic dermatitis may have more chronic diseases.

What Causes Eczema?

Children with eczema have a form of sensitive skin that may be more easily irritated by sweating, heat, rough clothing, some detergents, soaps, and cleansers. Children with atopic dermatitis may also have allergies to foods, animals, dust mites, tree pollens, and grasses, although it is not clear that these allergies cause eczema in most children. In many cases, identifying these allergies does not help eczema. In rare cases, some children with atopic dermatitis may develop allergies to chemicals in their moisturizers, skin care products, clothing, or topical medications.

What Are the Symptoms of Eczema?

Children with eczema develop red, dry, itchy patches on the skin that result from inflammation. Itching can be severe and constant, causing them much discomfort. With frequent scratching, the skin may develop blisters, oozing, crusting, or sores from the infection. Sometimes, if the child scratches for many weeks to months, the skin may start to become very rough, leathery, and darker in color. In infants, eczema commonly affects the face, scalp, arms, and legs and in older children, eczema may involve only the insides of the elbows and backs of the knees. It’s worth mentioning that some children with severe eczema may have it spread across their entire bodies.

Treatments

Unfortunately, there is no cure for eczema, although it can usually be fixed with a good skincare routine. Frequent follow-ups with your healthcare provider are important so they can see whether the prescribed medicines are working. Your provider may need to adjust treatment during different seasons of the year, during flares, or as your child gets older. Outside of what your healthcare provider may recommend, there are plenty of at-home care options you can use to help your child without having to step foot inside a clinic.

Bathing

For some children, limiting bathing to one to three times a week is helpful. Bathing more often can dry out the skin and actually make the itching worse. For children with environmental allergies such as pollens and animal dander, bathing more often, especially after contact with known allergens, may be helpful. When bathing, use warm water and a gentle, non-soap cleanser or Cetaphil cleanser. This should range from 5 to 10 minutes and when finished, pat the skin dry with a towel and lastly, apply topical medicines or moisturizers as instructed, right after bathing while the skin is still damp.

Topical Skin Medicines

Your healthcare provider may prescribe topical steroids or other creams or ointments to treat your child’s eczema. When using this, apply a small amount of medicine to the affected areas up to two times a day as needed to keep eczema under control. It’s important to always apply the topical medication at least 30 minutes before applying moisturizer.

If your child’s eczema flares, you may need to use a stronger topical steroid for a short time. Use these steroids twice a day or as instructed by your healthcare provider on areas that have flared in place of your everyday steroids. Contact your provider if the areas are not any better after a week’s time. As your child’s eczema improves, you should be able to use the topical medication less often, ideally two to three times a week to keep your child’s skin clear. Make sure to not overuse or abuse the topical steroids because this may harm your child’s skin, causing stretch marks and spider veins.

Moisturizers

When using a recommended moisturizer, apply a thick layer of cream 30 minutes after you use any topical medicines. This allows time for the medicine to be absorbed into the skin and the moisturizer will then seal in the medicine. Make sure to not use a cream that comes in a pump bottle, as these are usually lotions and won’t be effective.

It’s worth mentioning a few good moisturizers, but your healthcare provider may suggest something else. Creams that parents seem to champion are Cetaphil, Aquaphor, Vaseline, and Aveeno, just to name a couple.

 Antihistamines

Antihistamines are a type of allergy medicine that is used to decrease itching. They are most helpful when given before bedtime due to them making children sleepy. If you’re wondering what Antihistamines are, they are medicines such as Atarax and Benadryl. Some children with environmental allergies may also need to take a daily, non-sedating antihistamine such as Zyrtec, Claritin, or Allegra in the morning to control their allergy symptoms.

Wet wraps

Wet dressings can be placed on the child after applying topical steroid medication. This makes the medication more effective by helping it penetrate deeper into the skin. You may also use an ace wrap or wet cotton pajamas, and after the nighttime dose of topical steroid application is applied, the child can then wear them to bed for an increased duration of treatment. They can also be worn after the application of moisturizing cream to lock moisture into the skin.

Follow-up Visits

Follow-up visits are very important when it comes to eczema. Your healthcare provider will examine your child’s skin and monitor for side effects of steroid medication use and infections and may change the medications being used. It is important to follow their instructions and keep follow-up appointments to ensure maximum healing.

You should call your healthcare provider if your child develops open, oozing areas of skin that are painful or associated with a fever or if your child’s eczema worsens or does not improve with the use of prescribed medications.

Most infants and children with mild to moderate eczema can be managed by their primary healthcare provider as long as the treatment plan is followed and follow-up visits are made. Referral to an allergist or dermatologist is appropriate if certain foods or allergies are suspected, skin infections are frequent, or if your child is not responding to the treatment plan prescribed by the primary care provider after several follow-up visits and adjustments to the treatment plan have been made.

Afterthought

Truth be told, Eczema is not something to lose sleep over. Even though it may cause your child discomfort and in rare cases lead to a more serious skin condition, 9 out of 10 times it is nothing more than a seasonal rash that is easily treatable. Still, no parent enjoys watching their child suffer which is why the dedicated staff at Chai Care will always be here to supply your child with sensitive care!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Dislocations & Fractures: What’s The Difference?

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It is every parent’s worst nightmare to see their child with an injury, especially when it is something as serious as a fracture or dislocation. These are extremely common childhood injuries because young children have bones that are growing and are not yet fully developed, making them more fragile than adult bones. Because of this, it is paramount to understand the best ways how to keep your youngster safe, as we all know how adventurous and energetic kids can be.  However, there are some important differences between a fracture and a dislocation that are crucial to know so as not to confuse the two.

What is a Fracture?

Simply put, a fracture is a term used for a broken bone. They can occur in any bone of the body, but the most common fractures in children are in the wrists, arms, and elbows, which usually occur after a fall in most cases, the injury will heal well and cause no long-term complications.

Older children will usually be able to tell you where they are in pain and can explain what exactly happened to better understand the situation. This can make it easier to identify if the injury is in fact a fracture or potentially something more significant. It can be more difficult to identify a fracture in infants or toddlers due to their lack of communication skills. They may cry and not use the affected area, rather than articulate what they are feeling.

What is a Dislocation?

A dislocation is a joint injury. It occurs when the ends of 2 connected bones come apart. Fortunately, it is not common in younger children! This is because their growth plates are weaker than the muscles or tendons. Growth plates are the areas at the end of long bones where the bones grow, making them more common in teens and adults.

A dislocation happens when extreme force is put on a joint. It can occur if your child falls or takes a hit to the body, such as while playing a contact sport. It’s important to note that when a dislocation occurs, ligaments can be torn—these being flexible bands of fibrous tissue, joining various bones and cartilage. They also bind the bones in a joint together. The hip and shoulder joints, for example, are called ball and socket joints. Lots of force on the ligaments in these joints can cause the head of the bone (ball) to come out of the socket partly or fully. The most dislocated joint is the shoulder.

Treatment

Now that we know what both a fracture and a dislocation are, it’s time to discuss how we go about treating them.

In most cases, if your child has a fracture, they will need to restrict movement of the injury site to allow the bone time to heal. Some fractures may require a splint or a partial cast, held in place with bandages. A splint or partial cast helps to support the injured area, allowing the bone to rest and heal while also providing your child pain relief. A splint or partial cast generally does not have to be worn for as long as a full cast. Casts are required for three weeks to three months depending on the type and location of the injury – your healthcare provider will estimate how long it will be required.

If the injury has caused the bones to move out of place, your healthcare provider will need to move the bones back into the correct position which is known as a “reduction.” These procedures are usually done under sedation or anesthesia in the emergency department or operating room. Fractures that require a reduction will need a full plaster cast (one that wraps around the limb) to allow the injury to heal. Full plaster casts stay on your child for up to three months, depending on the injury.

Treatment for a dislocation will depend on your child’s symptoms, age, and general health. It will also depend on how severe the injury is; however, all dislocations need medical care right away to prevent additional injury because untreated dislocations can lead to serious problems. One of the most common forms of treatment is R.I.C.E. which stands for rest, ice, compression, and elevation of the dislocated area. Other forms of treatment would be casting, splinting, repositioning, and in serious cases, surgery.

Post Treatment

Whether it be a fracture or a dislocation if your child was wearing a cast and once it has been removed, your child’s skin may be dry and itchy. Bathe the skin with warm soapy water, and apply a plain, non-perfumed moisturizer.

After a fracture, children normally regain strength by engaging in gentle activity and play. Physiotherapy is usually not needed. Your healthcare provider will give your child specific advice about when and how they can return to sport, in most cases four to six weeks later. If your child had surgery, full-contact sports should be avoided for two to three months, but you should discuss this with your child’s healthcare provider.

Afterthought

It is highly probable that at some point your child is going to face one or possibly both injuries. Rather than looking at it as a negative thing, it’s better to see it as a sign that your child is a typical kid who is active and enjoys playing with their friends. When that day does arrive, you can be your child’s hero by understanding the signs, symptoms, and methods on how to take care of them, but even with your newfound knowledge, the experts at Chai Care will always be here to help!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Sports Injuries: Playing It Safe

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Believe it or not, sports injuries are the second leading cause of emergency room visits for children and adolescents, and the second leading cause of injuries in school. Millions of children are seen in hospital emergency rooms for sports-related injuries, and even more, are seen by their primary care physician or a sports medicine clinic for injuries. This is attributable to the fact that young athletes often begin their competitive sports careers as early as age seven, with some youth participating in organized sports activities as early as age four.

A child can endure many different injuries when playing a sport and understanding how to prevent them is crucial to your child’s longevity. Our country’s obsession with sports—football, basketball, and baseball being the most popular, plays a major role in why kids start playing them so young. Even though sports teach many great life lessons such as accountability, being a team player, and hard work, there are still a plethora of injuries your child may face, which is why it’s so important to be as informed as you can.

How Do Sports Injuries Happen?

The first step toward preventing sports-related injuries is understanding how they happen. There are plenty of reasons why they occur, but the most popular reasons are due to poor equipment and technique, overuse, lack of instruction, or simply bad luck! Of course, you can’t anticipate every injury, and some are simply unavoidable, however, your child can reduce their risk of hurting themselves by practicing safe methods of playing.

Which Young Athletes Are Most At-Risk?

Injuries can happen anywhere there are bodies in motion. However, some youth sports involve a higher degree of impact than others, including football, rugby, and hockey. Basketball, and soccer. These sports require athletes to run fast, tackle, and sometimes even collide straight into one another. From the outside looking in, this is a recipe for disaster, but sports require great strength and at times violence which makes it all the more important to be as safe as possible.

The truth is no sport or activity is 100% safe. And beyond the ice, injuries can also happen at the playground as well as on the surfboard or skatepark. However, with the right equipment, coaching and technique, your kids can still have fun while playing safe!

9 Most Common Sports Injuries in Children

According to the American Academy of Pediatrics, children have more than 3.5 million sports injuries each year. All sports carry a risk of injury and while there are steps you can take to prevent sports injuries; these common injuries may still occur.

Sports injuries in children can often be treated with Rest, Ice, Compression, and Elevation (RICE). However, sometimes you should see an orthopedic specialist. If your child experiences one of the following injuries and has symptoms that don’t resolve with home treatment, see your healthcare provider.

  1. Ankle Sprains

One of the most common sports injuries in children is ankle sprains. Ankle sprains occur when the ligaments that support the ankle stretch and tear. This can happen in sports like basketball, tennis, soccer, and football that require cutting or twisting actions. Ankle sprains cause pain, tenderness, swelling, bruising, and instability of the ankle. Most sprains are minor injuries that heal with the RICE protocol, but sometimes they require treatment by an orthopedic specialist.

  1. ACL Tears

The anterior cruciate ligament (ACL) is one of the major ligaments that stabilize the knee joint. It connects the femur to the tibia. An ACL tear can occur due to a blow to the outside of the knee or without impact after a jump or twist.  ACL tears are most common in kids that play basketball, volleyball, tennis, and soccer. An ACL tear causes pain, swelling, and limited movement in the knee.

  1. Osgood-Schlatter

Osgood-Schlatter is another type of knee pain that is different from an ACL tear. It is a traction injury (also known as a stretch injury) to a growth plate at the top of the shin bone called an apophysis. The injury is caused by tightness in the muscles coupled with high activity levels. The injury may present with pain and swelling or a bump at the bottom of the knee.

  1. Little League Elbow

Little league elbow is caused by repetitive stress to the growth place located on the inside of a child’s elbow, resulting in pain and tenderness. It is common among baseball and softball players in positions such as pitcher, catcher, infielder, and outfielder. It may occur in other sports where repetitive throwing is required.

  1. Little League Shoulder

Like little league elbow, only it affects the shoulder and is caused by repetitive stress or micro trauma to the shoulder growth plate. This condition most commonly occurs among children between 11 and 14. As the name suggests, it is common in softball and baseball pitchers, but it can also occur in swimmers and tennis players.

  1. Shin Splints

Shin splints are common sports injuries in children that participate in sports that require repeated running on a hard surface. They can also be caused by overtraining at the beginning of the season without proper conditioning. Shin splints cause pain and discomfort in the front of the lower legs (the shins).

  1. Spondylolysis

Spondylolysis is a stress fracture to the lumbar spine. A stress fracture occurs when a bone breaks after experiencing repeated stress from tension or compression. This injury usually occurs in the low back. It is most commonly seen in young athletes that participate in sports like gymnastics, tennis, rowing, weightlifter, and track and field.

  1. Turf Toe

Turf toe is the hyperextension of the big toe. It occurs when a young athlete pushes off the ground forcefully with the big toe being forced upward. The main symptom of these sports injuries in children is pain, but swelling may also be present.

  1. Concussion

Unfortunately, concussions are not uncommon sports injuries in children. They can occur in many sports as the result of a direct blow to the head. After such a direct hit, the child should be monitored for symptoms like headaches, blurred vision, dizziness, or confusion. While the treatment for most concussions is rest, all concussions should still be evaluated by a medical professional so they can recommend the proper treatment.

Helping Young Athletes Avoid Injuries

So, your child loves sports, all sports, and you are terrified that they are going to injure themselves. Rest assured, there are plenty of preventative measures you can take to ensure your child will be safe!

Safe Habits

As your child learns about safe play, reinforce the good habits they’re discovering such as wearing proper safety equipment, following the rules, and getting adequate rest for their growing bodies. Talk to them about why those habits are important. Encourage them to make healthy habits a part of their daily life. The more support your child receives from their loved ones, the more they’ll feel motivated to do the right thing for their own health and wellness.

Talk To Your Child’s Coach

By communicating with your son or daughter’s coach, you can get a better idea of what your child is learning when it comes to technique and training methods. When you know what’s being taught in practice and on the field, you can help support healthy directions and be aware of common misconceptions that might be dangerous and lead to injury.

Warm-up & Cool Down

For both parents and coaches, mimicking good habits start with you. Whenever you participate in physical activities with your child, that being a pick-up game of basketball or a sprint around the neighborhood, teach your child the importance of warming up, cooling down, and proper stretching to avoid injury.

Overuse

When the competitive drive takes hold, your child might start going all-out on exercising and practicing. It’s important to keep tabs to make sure that your kid’s workouts stay safe and reasonable. Healthcare professionals recommend at least one rest day per week and three months off from a sport each year. Talk to your child about the advantages of balance and control that can lead to physical and mental health setbacks.

Pay Attention to Mental Health

Physical activity can greatly improve your child’s mental health, as long as it’s done in a safe and balanced approach. But watch out for issues like stress. The anxiety of an intensely competitive environment can negatively impact your child both on and off the court. You as the parent should provide healthy support and encouragement as well as understanding and guidance when times are rough.

What Should Be Done?

Early recognition and treatment of injuries are key in returning athletes to their sport safely and promptly. Any injury that involves swelling, deformity, and/or loss of normal function should be seen by a physician immediately while all other injuries that appear to be minor should resolve themselves within a few days. With that being said, if the injury does not heal on its own, and your child is not back to full participation without pain, it is best to have him/her evaluated by a medical professional. Lingering injuries that go untreated can turn into chronic problems that require a much longer time away from the sport to allow the injury to heal properly.

Afterthought

Even though there are many injuries your child can sustain while playing their favorite sport, the risk-reward factor is worth it. Your child will build life-long relationships and skills that will teach them the ever-important value of teamwork and competition. Sports are an amazing way for kids to mature and prepare themselves for the real world, but if they do find themselves with a sports-related injury, Chai Care will always have your back!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Childhood Vaccinations: Don’t Wait Until It’s Too Late

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We are blessed to live in a world that has dozens of options for us to heal and rejuvenate ourselves—vaccines being the most important. Thanks to all the doctors and scientists of the world, we now don’t have to be frightened of getting sick, however, when talking about children, vaccinations are that much more important because of their ability to prevent certain illnesses before they ever happen. There are cases where babies are born with protection against some diseases because their mothers pass antibodies (proteins made by the body to fight disease) to them before birth, but getting your child vaccinated is still crucial to their overall health.

Immunization

Immunization (vaccination) is a way to create immunity to some diseases. Sometimes this is done by using small amounts of a killed or weakened germ that causes the disease. Other times the vaccine is simply a small piece of the germ, such as a protein or a piece of its genetic material.

Germs can be viruses (such as the measles virus) or bacteria (such as pneumococcus). Vaccines stimulate the immune system to react as if there were a real infection. It fends off the “infection” and remembers the germ. Then, it can fight the germ if it enters the body later.

Why Childhood Immunizations Are Important

For good reason, childhood vaccines can seem overwhelming when you are a new parent. Vaccine schedules recommended by agencies and organizations, such as the CDC, the American Academy of Pediatrics, and the American Academy of Family Physicians cover just about 14 different diseases. These vaccinations not only protect your child from deadly diseases, such as polio, tetanus, and diphtheria, but they also keep children safe by significantly decreasing harmful diseases that used to spread from child to child.

It’s important to know that vaccines are dead, weakened versions, or part of the germ that causes the disease in question. When children are exposed to a disease in vaccine form, their immune system, which is the body’s germ-fighting machine, can build antibodies that protect them from contracting the disease when they are exposed to the actual disease. However, over the years, vaccines have generated some controversy over safety, but no convincing evidence of harm has been found. And although children can react to any vaccine, the important thing to know is that the benefits of vaccinations far outweigh the possible side effects.

Tracking Immunizations

In most cases, a child gets vaccinated between birth and 6 years. Typically, vaccines are given more than once, at different ages, and in combinations. This means that you should keep a careful record of your child’s shots. Although your healthcare provider will also keep track, people change physicians, records get lost, and the person ultimately responsible for keeping track of your child’s immunizations is you!

Ask your child’s healthcare provider for an immunization record form. This form is incredibly important and every parent should keep it with their other essential documents. Also, you can download an easy-to-read immunization schedule and record form at the CDC website.

Even though most parents and providers do a great job of keeping up with immunizations, studies show that about one-fourth of preschool children are missing at least one routine vaccination, which is important to know because most states will not let your child begin school without a complete immunization record. Sometimes a vaccination is missed when a child is sick, but no matter what the reason, it’s important to make up missed immunizations.

If your child has missed a vaccination shot, you don’t have to go back and start over as the previous immunizations are still good. Your doctor will just resume the immunization schedule, and if for any reason, your child receives additional doses of a vaccine, you shouldn’t sweat it as your child will still need any future doses according to the recommended schedule.

How Many Shots Do Children Need?

Although vaccines are combined to reduce the number of shots needed, the list is still long. So, to give an easy breakdown here is a typical immunization schedule recommended by age 2.

One vaccination for measles, mumps, and rubella (MMR).

Four vaccinations for influenza, a common upper respiratory infection that can also cause meningitis.

Three to four polio vaccinations (IPV).

Four vaccinations for diphtheria, tetanus, and pertussis (DPT).

Three vaccinations for hepatitis B.

One vaccination for varicella (chickenpox) no earlier than age 12 months and only if your child does not develop chickenpox on his or her own (must be verified by a health care provider).

Three vaccinations for rotavirus, a type of infection that causes severe diarrhea.

Four vaccinations for pneumococcal disease, a common cause of ear infections and pneumonia.

From age 4 to 6, your child will need booster shots for DPT, IPV, MMR, and chickenpox. Children should also start receiving a yearly flu shot after the age of 6 months. A vaccination for hepatitis A is recommended for all children. This is a lot to keep track of and why you need an immunization records form.

Vaccine Concerns

There are some parents who may hesitate to have their kids vaccinated. The concern is that their child might have a serious reaction or get the illness the vaccine prevents, but the components of vaccines are weakened or killed and in some cases, only parts of the germ are used. Thus, making them unlikely to cause any serious illness. Some vaccines indeed cause mild reactions, such as soreness where the shot was given or a fever however, serious reactions are rare. The truth is that the risks of vaccinations are small compared with the health risks of the diseases they’re intended to prevent.

Afterthought

At the end of the day, immunizations are one of the best ways to protect your family from contagious diseases. Vaccinations have allowed us to live more freely and be less frightened of all the illnesses our unforgiving world has to offer, and luckily, the friendly staff at Chai Care will always be here to give your child the medicine they need to live a beautiful life.

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.

Ear Infections: Protecting Your Child & Keeping Them Safe

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Among the most common injuries a young child can face, ear infections are smack in the middle. They cause extreme discomfort for anyone who has had the misfortune of enduring them and even an adult will tell you how truly irritating they are. Sadly, kids get them regularly for several reasons, but as a person gets older, ear infections tend to happen less frequently. Besides knowing the signs and symptoms of this nasty infection, it’s important to know exactly how they start and why they occur, so you can greatly reduce the odds of your child ever having one!

What is an ear infection?

Chances are you will hear the commonly used term “ear infection”. In the medical world, it is referred to as acute otitis media or a sudden infection in the middle ear (the space behind the eardrum). The truth is anyone can get an ear infection, however, they are one of the most common reasons young children visit healthcare providers.

In many cases, ear infections clear up on their own. Your healthcare provider may recommend a medication to relieve pain and if it has worsened or not improved, your healthcare provider may prescribe an antibiotic. In children younger than the age of two years, an antibiotic is usually needed for ear infections.

It’s important to see your healthcare provider to make sure the ear infection has healed or if your child has ongoing pain or discomfort. Hearing problems and other serious effects can occur with ongoing ear infections, frequent infections, and when fluid builds up behind the eardrum.

What causes an ear infection?

Essentially, ear infections are caused by bacteria and viruses. Many times, they begin after a cold or other respiratory infection. The bacteria or virus will travel into the middle ear through the eustachian tube, and the bacteria will plant its nasty self and take control. This tube connects the middle ear to the back of the throat. The bacteria or virus can also cause the eustachian tube to swell, thus making the tube so swollen that it will become blocked. This will cause the normally produced fluids to build up in the middle ear instead of being able to be drained away.

Another issue is that the eustachian tube is shorter and has less of a slope in children than in adults. This physical difference makes these tubes easier to become clogged and more difficult to drain. The trapped fluid can become infected by a virus or bacteria, causing pain, which is why children are more susceptible to ear infections.

Where is the Middle Ear?

We have been using the term “middle ear” quite a bit and if you’re wondering why it is because it’s rather important to know. The middle ear is behind the eardrum and is also home to the delicate bones that aid in hearing. These bones are the hammer, anvil, and stirrup. This is also where the infection will take hold and live during its duration of time. In addition to the middle, there are also the outer and inner parts of the ear. The outer ear is the outside external ear flap and the ear canal, and the inner ear contains the snail-shaped labyrinth that converts sound vibrations received from the middle ear to electrical signals. The auditory nerve carries these signals to the brain.

Even though the infection will reside in the middle part of the ear, understanding the body part in its entirety can help your child when they tell you where they feel the pain and exactly what they’re going through. Some children will become so vexed by the irritation that they will struggle with articulating exactly how they feel so it’s best to be aware as much as you can.

What Are the Symptoms of An Ear Infection?

There are plenty of symptoms to look out for and your child will tell you all about them. The most obvious is ear pain. This symptom is obvious in older children and adults, but in infants and children too young to speak, look for signs of pain like rubbing or tugging ears, crying more than usual, trouble sleeping, and acting fussy/irritable. Other signs to watch out for would be loss of appetite, irritability, poor sleep, fever, drainage from the ear, and trouble hearing.

Who is Most Likely to Get an Ear Infection?

Ear infections are the most common childhood illness other than a cold. They occur most often in children who are between ages 3 months and 3 years and are common until age 8. Some 25% of all children will have repeated ear infections. Adults can get ear infections too, but they don’t happen nearly as often as they do in children.

It is also important to note that people with certain allergies, chronic illnesses, and even your ethnicity can affect how often your child gets an ear infection. It’s important to know your family’s medical history so you can provide your child’s healthcare provider with the proper information that can prevent any potential threats.

How is an Ear Infection Diagnosed?

Ear exam

Your healthcare provider will look at your or your child’s ear using an instrument called an otoscope. A healthy eardrum will be pinkish-gray in color and translucent. If an infection is present, the eardrum may be inflamed, swollen, or red.

Your physician may also check the fluid in the middle ear using a pneumatic otoscope, which blows a small amount of air at the eardrum. This should cause the eardrum to move back and forth. The eardrum will not move as easily if there is fluid inside the ear.

Another test they may perform is called tympanometry. This uses air pressure to check for fluid in the middle ear. This test doesn’t test hearing. If needed, your healthcare provider will order a hearing test, performed by an audiologist, to determine possible hearing loss if you or your child has had long-lasting or frequent ear infections or fluid in the middle ears that are not draining.

Other checks

Your healthcare provider will also check your throat and nasal passage and listen to your breathing with a stethoscope for signs of upper respiratory infections.

How is an Ear Infection Treated?

Treatment of ear infections depends on age, the severity of the infection, the nature of the infection, and if fluid remains in the middle ear for a long period. Your healthcare provider will recommend certain medications to relieve your child’s pain and fever. If the ear infection is mild, depending on the age of the child, your healthcare provider may choose to wait a few days to see if the infection goes away on its own before prescribing an antibiotic.

Antibiotics may be prescribed if bacteria are thought to be the cause of your child’s ear infection. Then, your provider may want to wait up to three days before prescribing antibiotics to see if a mild infection clears up on its own when the child is older. If your or your child’s ear infection is severe, antibiotics might be started right away.

Afterthought

Even though the chances of your child experiencing an ear infection are extremely high, this shouldn’t be of much concern if you act quickly and are knowledgeable of your family’s health history. Chances are the infection won’t last very long and as your youngster ages, it will soon become a bad memory. Even though there are many over-the-counter drugs and at-home remedies you can use to help heal your child, the healthcare experts at Chai Care will happily take a look as they supply their expert knowledge and quality care!

* Legal disclaimer: The content of this article and the entire Chai Care blog is for educational purposes only; it does NOT constitute medical advice and must not be considered as such. Please consult a medical professional regarding any symptoms or health concerns you or your loved ones.