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Jan 30, 2023

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.

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.

Jan 03, 2023

Pink Eye In Kids: Don’t Look The Other Way!

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Anyone unfortunate enough to have pink eye understands how painful and frustrating it is. Your eyes burn and the desire to itch the pain away becomes so unbearable that you’ll want to pluck your eyeballs right out. Worst still if the pink eye happens to your kid. This nasty infection is highly contagious and is the most common illness among children due to their lack of hygiene and not knowing who is infected. Your child will inevitably contract pink eye at some point, but there are plenty of ways to prevent and treat this obnoxious virus.

What is Pink Eye?

Pink eye is an infection that affects the covering of the eyeball and the inside of the eyelid. While it is usually caused by a virus, it can also be caused by bacteria. Infectious conjunctivitis — the kind that spreads from one person to another — is caused by bacteria, germs, and viruses. Often, the eye becomes infected when your child touches an infected surface and then rubs one of their eyes.

The infection causes the tiny blood vessels in the eye to dilate, resulting in the characteristic pink color. Because pink eye is so contagious, it can rapidly spread through a classroom or group of friends. Most cases of pink eye aren’t serious, but they still need to be treated by an eye doctor to help your child feel better and prevent the infection from getting worse.

Pink Eye Symptoms

Pink eye symptoms are rather easy to spot and trust me when I say, your child will be very verbal about it. The most common symptoms are having pink, red, swollen eyes, or discharge from the eyes, leaking from the eyes, crusty eyelids, lots of tears, and a scratchy, painful feeling in the eyes.

How does Pink Eye spread?

There are a few different ways your child may contract pink eye. Typically, it will be through direct contact. This is when a child with pinkeye touches the discharge from their eye and then touches another child. There is also indirect contact which is when an object that is contaminated with the virus, such as a tissue, is touched or touches another person’s eyes. Lastly, through droplets, this is caused by a common cold, droplets from a sneeze or cough can also spread it.

Conjunctivitis vs Pink Eye

Most people believe that pink eye and conjunctivitis are one and the same. Yes, they are extremely similar to one another, however, conjunctivitis is slightly different.

Conjunctivitis can happen in one or both eyes. In addition to the pink appearance of your child’s eye, conjunctivitis can cause other symptoms that can help you and your eye doctor determine if conjunctivitis is the culprit. These include itching or burning, grittiness in the eye, discharge from the eye, crust along the eyelashes, and excess tearing. Even though the gritty feeling can be uncomfortable, conjunctivitis typically isn’t painful, nor does it cause blurry vision. If your child has these symptoms, they might have another eye issue, including a different type of infection.

Pink Eye Treatment

Treatment of pink eye may involve antibiotic eye drops or ointment and will depend on the type of pinkeye. Purulent pinkeye, with a pink or red eyeball, white or yellow discharge, sticky or red eyelids, and eye discomfort, is usually caused by bacteria. It is treated with antibiotics, eye drops, or ointment, which stops the illness from spreading to others.

Non-purulent pinkeye, where the eyeball is pink or red, but the discharge is clear or watery, have range from only mild to no discomfort. It is usually caused by a virus or other irritant such as an allergy or exposure to a chemical like chlorine in a pool. An antibiotic drop will not work for this type of pinkeye.

Treatments for pink eye vary depending on the type. It could be caused by a viral or bacterial infection. Pink eye can also be caused by allergies, but the allergy-related pink eye isn’t contagious. Getting a proper diagnosis will help you get the best treatment for your child, while at-home treatments can help relieve uncomfortable symptoms.

Pink Eye Treatment at Home

Cold compresses are among the most effective at-home treatments for pink eye symptom relief. Use a separate compress for each eye and use a clean washcloth with each application. You can also clean your child’s eyes by wiping a tissue or similar material from the inner edge of the eye to the outer edge. Use clean material for each wipe so that nothing is rubbed back into the eye. Over-the-counter pink eye medicine like eye drops can help with itchiness and pain, and some are made with antihistamines for allergy-related pink eye.

Conjunctivitis Treatment

Once conjunctivitis is diagnosed, treatment depends on what’s causing the infection. Applying warm or cool compresses to your child’s eyes can help relieve some of the itching or burning sensations. You can also help by gently cleaning the rims of your child’s eyelids, especially if your child has discharge from the eye. Lubricating eye drops may also be helpful.

Most cases clear up within a week. During that time, be sure your child washes their hands frequently with soap and warm water and remind them not to touch or rub their eyes. If your child wears contact lenses, have them wear glasses during the infection, and get rid of the lenses they were wearing when the infection began.

Pink Eye Prevention

Fortunately, there are many ways your child can prevent themselves from contracting pink eye. To list a couple, wipe tears or discharge from your child’s eye from the inside out and in one direction only. Use a clean part of the cloth each time. Make sure they wash their hands and don’t share towels or washcloths because they could spread the illness. Lastly, if your child has viral pinkeye, they can return to childcare once they have seen a doctor. If your child has bacterial pinkeye and is taking antibiotics, they should stay home from childcare or school until they’ve had the antibiotics for 24 hours.

There is no need to panic at the sight of pink eye. However, if your baby has purulent eye discharge and is less than 3 months old, your child seems unwell and has a fever, rash, or eye pain, or if the pinkeye seems to keep coming back, then it is time to see your healthcare provider.

Final Thought on Pink Eye

Although pink eye is incredibly painful, fortunately, it goes away quickly compared to other illnesses and rarely leads to something more serious. There are plenty of self-care options, but your best bet would be to take your child to Chai Care so one of our skilled experts can make a proper examination that will be quick and painless!

* 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.