Category: Children’s Health

  • Self-Care Medicines & Supplies For Children

    Children’s Health

    Here is a list of medicines and other things you should keep at home.

    *  Store items in a handy, dry place, but out of children’s reach.

    *  Check the expiration dates often. Throw away and replace outdated items.

    *  Find out what kind and how much of each medicine you can give your child. Ask your child’s doctor. Ask the pharmacist. Read and understand the medicine’s label. Brand names are often listed. Store brands are just as good.

    Over-the-Counter Medicines

    *  Acetaminophen. An example is Children’s Tylenol®. Or have ibuprofen. Examples are Children’s Advil® and Children’s Motrin®. Stock the right kind for your child’s weight.

    *  Antihistamine tablets or syrup. An example is Benadryl®.

    *  Cough medicine. Ask your child’s doctor which one(s) you should stock.

    *  Decongestant tablets or liquid. Do not give to children under 2 years old. An example is Dimetapp®.

    Basic Supplies

    *  Antibiotic ointment.

    *  Antiseptic ointment or wipes.

    *  Bandages of different sizes.

    *  Eye dropper.

    *  Medicine spoon & dropper.

    *  Cold pack.

    *  Cotton-tipped swabs.

    *  Elastic wrap and closures.

    *  Flashlight.

    *  Roll of adhesive tape.

    *  Rubbing alcohol.

    *  Sterile gauze pads and a roll of gauze.

    *  Sunscreen with an SPF of 15 or higher.

    *  Thermometer (digital or ear).

    *  Tongue depressor.

    *  Toothache medicine. An example is Anbesol®.

    *  Tweezers.

    *  Vaporizer (cool mist).

    Children's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Colic

    Children’s Health

    Babies cry when they are hungry, sick, too hot, etc. In general, babies start to have colic when they are about three weeks old. The colic worsens at around six weeks of age and stops by 3 months of age. Colic does not harm babies, but is very hard on parents and caretakers.

    Signs & Symptoms

    *  Fussy crying occurs for no known reason. The baby is not hungry, sick, in pain, etc. The crying lasts for minutes to hours at a time.

    *  The baby may pull his or her knees up to the stomach.

    *  Colic episodes often occur in the evening.

    Causes

    The exact cause is not known. Babies with colic are very, very sensitive to stimulation. Noises in the house bother them. Also, they may need to be cuddled more than babies without colic.

    Bottle feeding too fast (less than 20 minutes) or giving too much formula can trigger colic episodes. So can foods the breast-feeding mother eats (e.g., caffeine, dairy products, and nuts).

    Treatment

    After other medical problems are ruled out, colic is treated by finding out and getting rid of colic triggers and giving comfort to the baby.

    Questions to Ask

    Self-Care / Prevention

    *  Be sure the baby has enough to eat. Check with the baby’s doctor about trying a new formula.

    *  Try different bottle nipples. Make the hole bigger if it is too small. Cut across the hole that is already there. (You will make an X- shaped hole.) Here’s how to find out if the hole is too small:

    –  Put cold formula in the bottle.

    –  Turn the bottle upside down.

    –  Count the drops of formula that fall out. If the drops come out slower than 1 drop per second, the hole is too small.

    *  Don’t allow smoking in your home.

    *  Do not give fruit juice (e.g., apple juice, pear juice) to infants younger than 6 months old.

    *  Hold the baby up for feeding. Keep holding the baby up for awhile after feeding.

    *  Burp the baby after each ounce of formula or every few minutes when breast-feeding.

    *  Use a pacifier, but never put a pacifier on a string around the baby’s neck.

    *  Give the baby a warm bath and a massage.

    *  Wrap or swaddle the baby snugly in a soft blanket. Rock him or her or use a baby swing.

    *  Try the “colic carry.” Lay the baby on his or her stomach across your arm. Put the baby’s face in your hand and let the legs straddle your inner elbow. Hold the baby’s back with your other hand so he or she won’t fall. Walk around like this for awhile.

    *  Carry the baby while you vacuum. Use a baby carrier that you wear on your back or chest.

    *  Play soft, gentle music.

    *  Take your baby for a stroller or car ride.

    *  Run the dryer or dishwasher. Buckle your baby in a baby seat. Lean the seat against the side of the dryer or on the counter near the dishwasher. The sounds from these machines may help the baby fall asleep. Stay with your baby. Make sure the heat or steam won’t hurt the baby.

    *  Don’t give the baby antacids like Maalox or simethicone drops unless a doctor tells you to.

    *  Let your baby cry himself or herself to sleep if nothing else helps and your baby has been fed within 2-1/2 hours. Do call the doctor if the baby cries for more than 2 hours without stopping.

    *  Get someone else to take care of your baby if you get too stressed. Get some rest.

    Resources

    American Academy of Pediatrics

    www.aap.org

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Sore Throat & Tonsillitis

    Children’s Health

    Tonsillitis is when the tonsils are swollen mostly due to infection. This can be viral or bacterial. Take your child to the doctor if he or she has a bad sore throat. Some sore throats that aren’t treated can lead to other problems like abscesses, kidney problems, or rheumatic heart disease. The doctor may take a throat culture to find out what is wrong. The doctor may give your child antibiotics if the sore throat is from strep or some other bacteria.

    Signs, Symptoms & Causes

    There are 2 kinds of sore throats:

    *  Bacterial sore throats usually cause a high fever, headaches, or swollen neck glands. But sometimes children with bacterial sore throats have no other problems. Strep throat is one kind of bacterial sore throat. Antibiotics can help cure a bacterial sore throat.

    *  Viral sore throats are more common. They may or may not cause the same problems as a bacterial sore throat. You can’t cure a viral sore throat with antibiotics.

    Questions to Ask

    Self-Care

    Try these tips for your child’s sore throat pain:

    *  Have your child gargle with 1/4 teaspoon of salt in 1/2 cup of warm water. Do this every few hours. Only do this with children over 6 years old.

    *  Give your child warm drinks like tea and soup. The tea can be plain or with honey. (Don’t give honey to a baby under 1 year old.)

    *  For strep throat, give cold foods and liquids, like popsicles and frozen yogurt.

    *  Keep your child away from secondhand smoke.

    *  Use a cool-mist vaporizer in the room where your child spends most of the time. Clean it every day. Use distilled (not tap) water.

    *  Feed your child foods that are soft and/or cold. The food should be easy to swallow. Don’t give your child spicy foods.

    *  Have your child suck on a piece of hard candy or a cough drop if he or she is 5 or more years old. You can give corn syrup to a younger child.

    *  For pain and fever give your child acetaminophen or ibuprofen. Make sure to give the right kind and dose for his or her weight. (Note: Do not give aspirin. Aspirin and other medicines that have salicylates have been linked to Reye’s Syndrome.)

    *  Don’t use throat sprays. Some throat sprays have benzocaine. Benzocaine bothers some children.

    Children's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Constipation In Children

    Children’s Health

    Signs, Symptoms & Causes

    Constipation is when you can’t pass solid waste, or stool. (Passing stool is also called “having a bowel movement.”) Constipation is not usually serious. Here are some reasons for constipation:

    *  Your child has the flu or some other sickness.

    *  Your child isn’t getting enough water.

    *  Your child is holding in the bowel movement because he or she:

    – Has a bad diaper rash.

    – Has a tear in the rectum (the opening where stool comes out).

    – Is being toilet trained.

    Sometimes a child won’t have a bowel movement for many days. They may start getting stains in their underpants. This is called “soiling.” It is a sign of a bigger problem.

    You can do things to help your child’s stool be softer. This makes it easier to pass. (See the Self-Care Tips in this section.) Don’t give your child a laxative or an enema unless the doctor tells you to. (Laxatives and enemas are medicines for constipation.) Your child doesn’t have to pass stool every day.

    Questions to Ask

    Self-Care

    *  Give your child lots of water and other things to drink. (This is very important when the weather is hot.)

    *  Give your child prune juice.

    *  To help your baby pass stool, lie the baby on his or her back. Move the baby’s legs like he or she is riding a bicycle. Or bend your baby’s legs at the knees and hold them up to your baby’s chest.

    *  Don’t give honey to an infant.

    *  Feed your child foods with fiber:

    – Babies 6 months old and older can have whole wheat baby cereal.

    – Older children can eat fruit, and whole-wheat breads and cereals, and vegetables.

    *  Try giving your baby light Karo® syrup. (You can get it at the grocery store.) Here’s how to give it to your baby:

    – Put 1/4 to 1/2 teaspoon of syrup in 4 ounces of water.

    OR

    – Put 1/4 to 1/2 teaspoon of syrup in 4 ounces of formula.

    Note: You may have to give your child an over-the-counter medicine. Be sure to check with the doctor first. Some medicines are:

    *  Mineral oil. (Don’t give mineral oil to a child under 3 years old.)

    *  Glycerin suppositories.

    *  Laxatives like Colace® or Metamucil®.

    Children's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Swollen Glands In Children

    Children’s Health

    Signs, Symptoms & Causes

    There are many lymph glands in the body. They protect the body from infection. They make a white blood cell that kills germs in the body. Lymph glands also trap viruses, bacteria, and cancer cells.

    You can feel your child’s lymph glands when they swell up. When a lymph gland swells up from an infection, it usually hurts when you touch it. Sometimes the glands stay swollen for a long time after the infection is gone. They usually don’t hurt and are not dangerous.

    Watch out for swollen glands that are:

    *  Hard.

    *  “Rubbery.”

    *  Without pain.

    *  Getting bigger.

    These glands can be signs of lymphoma (cancer of the lymph glands), leukemia, or some other cancer.

    The salivary glands are another kind of gland. They are under the tongue, on the bottom of the mouth, and just below the ear. They are not lymph glands. They make saliva, or “spit.” The salivary glands in front of the ears swell up when your child has mumps.

    What Causes Swollen Glands?

    *  A throat or ear infection is a  common cause of swollen glands in the neck.

    *  An infection in the feet, legs, or groin can make the lymph glands in the groin swell.

    *  Mononucleosis can make neck glands swell. (High school and college students call this “mono” or “the kissing disease.”)

    *  Mumps.

    *  Cat scratch fever. A cat’s claws carry this sickness.

    *  Medicines, like Dilantin®. (This medicine is for epilepsy.)

    *  Dental work.

    *  Lymphoma, a cancer of the lymph glands, or leukemia.

    *  Tuberculosis (TB).

    How to Keep Your Child from Getting Swollen Glands

    *  Make sure your children’s measles, mumps, and rubella (MMR) shots are up-to-date.

    *  Keep your child away from people who have sicknesses they can catch.

    Questions to Ask

    Self-Care

    There isn’t much you can do for swollen glands. You have to treat the problem that made them swell. Watch to see if the glands get bigger. Watch to see if any other glands swell up. Call the doctor if the glands keep getting bigger, or if they last 3 or 4 weeks.

    Try these tips to make your child feel better:

    *  Tell your child to rest when they feel tired. Tell them not to “overdo it.”

    *  Give your child plenty to drink.

    *  Put warm, wet washcloths and antiseptic creams on scratches and other wounds.

    Children's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Coughs In Children

    Children’s Health

    Signs, Symptoms & Causes

    Coughing can be a sign of many problems. Your child’s body uses coughing to clear the lungs and airways. Coughing itself is not the problem. What causes the cough is the problem. Children usually get coughs from an infection in the nose and throat.

    Here are some other reasons for your child to cough:

    *  Asthma.

    *  Bronchitis. This is a respiratory tract infection.

    *  A cold or the flu.

    *  Croup.

    *  Measles.

    *  Smoking or secondhand smoke.

    *  Swollen adenoids. (This can lead to an infection.)

    *  Whooping cough. A vaccine for this is part of the DTaP shot.

    How to treat a cough depends on what kind it is, what caused it, and the other symptoms. Treat the cause and make the pain better.

    Questions to Ask

    Self-Care

    *  Give your child plenty of liquids, like water and clear soup. These help loosen mucus and soothe a sore throat. Fruit juices are good, too.

    *  Use a cool-mist vaporizer, especially in the bedroom. Use distilled (not tap) water. Put a humidifier on the furnace. Keep them very clean. Remember to change the filter on the humidifier.

    *  Sit with your child in the bathroom with the shower running. The steam can help thin the mucus. (If your child has asthma, do not follow this tip.)

    *  Raise your child’s head when resting if he or she has a cold or respiratory infection.

    *  Put your child’s head lower than his or her chest if the infection is in the lungs.

    *  Ask your child’s doctor or pharmacist what kind of cough medicine is O.K. to give your child.

    *  Make your own cough medicine. Mix 1 part lemon juice and 2 parts honey. (Don’t give this to children under 1 year old.)

    *  Have your child suck on cough drops, hard candies, or suckers. Give suckers that have safety loops instead of hard sticks. (Don’t give these to a child under 5 years old.)

    *  If your baby coughs after eating:

    – Have your baby sit up when he or she eats.

    – If your baby drinks from a bottle, burp your baby after each ounce of formula. Burp the baby every few minutes when breast-feeding.

    – Don’t lie the baby down after feeding.

    *  Don’t smoke. Keep your child away from secondhand smoke. Tell your child not to smoke.

    *  Keep your child away from chemical gases that can hurt their lungs.

    *  When your child is better, promote exercise on a regular basis. Your child’s breathing muscles will get stronger. Your child will fight infection better, too.

    *  Keep your child’s shots up-to-date.

    *  For fever and aches, give your child acetaminophen or ibuprofen. Make sure you give the right kind and dose for your child’s weight.

    *  If your child gets bronchitis easily, keep him or her away from air pollution as much as you can. Use  air conditioning and air filters. Have your child wear a filter mask over his or her nose and mouth if needed. Keep your child inside when air pollution is heavy.

    *  Call the doctor if your child doesn’t get better in 24 hours.

    (Note: Do not give aspirin. Aspirin and other medicines that have salicylates have been linked to Reye’s Syndrome.)

    To Help Prevent a Cough and Choking from Something Caught in the Throat or Windpipe

    *  Keep coins, paper clips, balloons, and small toy parts out of the reach of babies and small children. Anything that is small enough to fit through the center of a paper towel roll is a choking hazard for babies and small children.

    *  Watch your child when he or she eats. For a child less than 4 years old, give foods that are soft and cut up. Don’t give foods in the list below to a child less than 4 years old.

    – Peanuts and other nuts.

    – Popcorn.

    – Hot dogs (even when cut in round pieces).

    – Raisins and other dried fruit.

    – Raw carrots.

    – Chewing gum.

    – Peanut butter from a spoon.

    – Hard candy, sunflower or pumpkin seeds. (Wait until a child is age 5 years old to give these.)

    Children's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Vomiting & Nausea In Children

    Children’s Health

    Signs, Symptoms & Causes

    Vomiting is when you throw up what is in your stomach. Nausea is when you feel like you’re going to throw up.

    Here are some common causes of nausea and vomiting:

    *  Viruses in the intestines. (Your child can get diarrhea, too.)

    *  Getting upset.

    *  Morning sickness in pregnant teens.

    *  Motion sickness (getting “car sick” or “seasick” from travelling).

    *  Some medicines.

    *  Spoiled food.

    *  Eating or drinking too much.

    Some serious problems cause vomiting, too. Here are some of them:

    *  Appendicitis. This is when your child’s appendix is infected.

    *  Stomach ulcers.

    *  Meningitis.

    *  Brain tumors.

    Watch your child very closely if he or she is vomiting. Babies and small children can get dehydrated very fast. Dehydration is when your body doesn’t have enough water.

    Your older child or teen may make themselves throw up. This could be a sign of anorexia nervosa or bulimia.

    Questions to Ask

    Self-Care

    *  Be calm and loving. Throwing up can scare a child.

    *  Keep a bowl or basin near your child. Hold your hand against your child’s forehead when he or she vomits.

    *  Give your child water to rinse his or her mouth out after throwing up. Sponge your child’s face.

    *  Take away dirty clothes or bedding. Change to clean ones.

    *  Don’t smoke near your child.

    *  Don’t feed your child solid food. Don’t give your child milk.

    *  Wait 1 hour after your child throws up. Then give your child clear fluids (not too cold or too hot). Here are some examples:

    – Pedialyte®, Revital Ice®-rehydrating freezer pops, or other over-the-counter mixtures.

    – Lemon-lime soda or ginger ale for  older children. Stir the soda until the fizz is gone.

    – Gelatin (any color but red).

    *  Start with 1 teaspoon to 1 tablespoon of liquid every 10 minutes for babies. Start with 1 to 2 ounces every 15 minutes for children. Give twice as much each hour after the vomiting stops. If your child is still vomiting, stop fluids for 1 hour. Then start to give small amounts of fluid again.

    *  Slowly give your child more and more clear fluids. Don’t make your child drink when he or she doesn’t want anything.

    *  If you are breast-feeding:

    – If the baby throws up 3 or more times, give your baby Pedialyte® or other over-the-counter mixture.

    – Go back to nursing when your baby has gone 2 to 4 hours without vomiting. But feed less. Do only one side, and only for about 10 minutes.

    – Go back to nursing on both sides after 8 hours of no vomiting. But feed your baby less than usual for about 8 hours.

    *  For bottle-fed babies: After 12 hours of no vomiting, give formula. But mix 1/2 formula with 1/2 water.

    *  After your child stops throwing up, keep giving him or her clear fluids, like broth and gelatin (any color but red). Do this for 8 hours. Then give foods easy to digest, like crackers and rice. Then go back to the usual foods your child eats. But wait 12 to 24 hours after the last time your child vomited to give milk.

    *  Don’t give your child over-the-counter medicine unless the doctor tells you to.

    Call the doctor if your child doesn’t get better or if the vomiting comes back.

    Children's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Croup

    Children’s Health

    Croup causes swelling around vocal cords and airways. Children usually get croup between 3 months and 5 years of age. It is a scary, but not usually dangerous condition. Croup often occurs several days after a child has mild symptoms of a cold.

    Signs & Symptoms

    *  A cough that sounds like a seal’s bark.

    *  Hoarseness.

    *  A harsh, crowing noise with breathing in.

    Symptoms of croup can also be like symptoms of more serious problems. These include:

    *  Something can be stuck in your child’s windpipe.

    *  Epiglottitis. This is a bacterial infection that can cause the back of the throat to swell up. If the throat is blocked, breathing in is very difficult. Severe respiratory distress can result. Signs of epiglottitis are:

    – Drooling.

    – Hanging the head down.

    – Sticking out the jaw to breathe.

    – Fever.

    Causes

    Croup is usually caused by a certain virus. Other viruses, allergies, bacteria, and inhaled foreign objects, can mimic croup.

    Treatment

    Self-care measures can treat symptoms. Croup usually goes away in 3 to 7 days. It is usually worse at night. Emergency care is needed for severe problems breathing.

    Questions to Ask

    Self-Care / Prevention

    *  Don’t panic. You can help your child stay calm if you stay calm. Hold your child to comfort him or her. The windpipe may open up a little if your child relaxes. Call your child’s doctor or get immediate care if you are not sure what to do.

    *  Go into the bathroom with your child and close the door.

    –  Turn on the hot water in the sink and shower. Let the steam fill the room.

    –  Don’t put your child in the shower. Sit with your child. (Don’t sit on the floor.) Read a book or play a game with your child. This will help pass the time.

    –  Open the window to let cool air in. This helps make more steam.

    –  Stay in the bathroom about 10 to 15 minutes.

    *  If it is cold outside, instead of using the bathroom to make steam, put a coat, etc. on your child and take him or her outside to breathe the cold night air.

    *  Use a humidifier in your child’s room. Use warm, distilled water, not tap water. Clean the humidifier every day. Put a humidifier on your furnace. Change the filter often.

    *  Give your child a clear liquid. Warm it first. Warm liquids may help loosen the mucus. Give babies under 6 months old water or electrolyte water, such as Pedialyte, if okay with your child’s doctor. Give water, apple juice, etc. to a child who is 6 months old or older.

    *  Try to keep your child calm. Croup symptoms tend to get worse if your child is crying and upset.

    To Help Prevent Croup and Other Infections

    *  See that your child’s immunizations for diphtheria (DTaP), measles (MMR), and H. influenzae type b (Hib) are up-to-date.

    *  Follow prevention measures inColds & Flu.

    Resources

    The American Academy of Pediatrics

    www.aap.org

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Diarrhea In Children

    Children’s Health

    Signs, Symptoms & Causes

    Diarrhea is when you pass stool many times a day, and it is watery and loose. (Passing stool is called having a “bowel movement.”)

    Diarrhea is one way your child’s body fights infection. Diarrhea can also clean out your child’s intestines when he or she eats something bad. Children get diarrhea often, especially mild diarrhea.

    Breast-fed babies have many soft bowel movements in a day. They may pass stool every time they eat. Twelve or more bowel movements a day is O.K. This is not diarrhea. Bottle-fed babies don’t have as many bowel movements. Even so, 1 or 2 loose stools is not diarrhea. In a baby, diarrhea is many very runny bowel movements.

    Watch out for dehydration. Dehydration is when your body doesn’t have enough water. This is very important if your child is throwing up, too. Dehydration can happen very fast in babies and young children.

    Many things can cause diarrhea:

    *  Infection by viruses, bacteria, or parasites (A virus is the most common cause. Your child may also throw up, have a fever, have a runny nose, and/or feel very tired. Children can catch these viruses at school or daycare.)

    *  Eating too much of foods they are not used to.

    *  Food poisoning.

    *  Allergies. (Example: milk allergy).

    *  Taking too many laxatives. (Example: Teens trying to lose weight sometimes take laxatives.)

    *  Taking some medicines. (Example: Antibiotics.)

    *  Getting upset.

    *  Drinking bad water or food while traveling.

    *  Catching an infection from someone else who has been travelling.

    Questions to Ask

    Self-Care

    Do the tips that follow if your child shows these signs of dehydration

    – Is thirsty.

    – Has a dry mouth and dry skin.

    – Has a dry diaper or passed little or no urine.

    – Is confused or dizzy.

    – Is weak or has a weak cry.

    *  Get medical care fast.

    *  Stop solid foods. Give clear liquids. Give the liquids the doctor tells you to give.

    *  Don’t give your child very cold or hot liquids or boiled milk.

    *  Don’t give your child liquids with lots of sugar, like soft drinks, gelatins, grape juice, and apple juice. These can make the diarrhea worse.

    *  Don’t give just clear liquids for more than 24 hours. Start normal meals within 12 hours.

    * For bottle-fed babies and children under 2, give over-the-counter mixtures like Pedialyte®. They have liquid and minerals.

    – For breast-fed babies, nurse the baby. But give only as much breast milk as the baby wants. Feed every 2 hours. Ask the baby’s doctor about giving water and over-the-counter mixtures.

    – For children over age 2, give up to 6 cups of liquid per day. Good choices are: Over-the-counter mixtures, like Pedialyte®; Kool-Aid®; Sports drinks, like Gatorade®. Water, but don’t give just water. Give other clear liquids, too.

    Do the tips that follow if there are no signs of dehydration

    *  Feed your child normal meals. Your child may want to eat smaller amounts than normal.

    *  Don’t give fatty or fried foods.

    *  Don’t give your child foods that upset his or her stomach.

    *  Don’t feed your child just a B.R.A.T. diet. This was an old way to treat diarrhea. B.R.A.T. stands for ripe Bananas, Rice, Applesauce, and dry Toast. It is O.K. to give your child these foods with other ones, though.

    *  Don’t let your child exercise too hard until the diarrhea is all gone.

    *  Don’t give your child Kaopectate® or other over-the-counter medicines to stop diarrhea unless your child’s doctor says it’s O.K. And, don’t give your child Pepto-Bismol®. Like aspirin, Pepto-Bismol® has salicylates which have been linked to Reye’s Syndrome, a condition that can kill.

    *  To keep diarrhea germs from spreading, follow these tips:

    – Make sure your child washes his or her hands after using the toilet.

    – Give your child paper towels to dry his or her hands.

    – Have everyone at home wash their hands often, so the infection doesn’t spread.

    – Be sure to wash your hands after changing diapers or washing your child.

    Follow these steps to avoid food poisoning

    *  Wash your hands with warm soapy water for 20 seconds (count to 30) before you handle food or items used to prepare foods.

    *  Use clean tools and clean surfaces when you prepare foods.

    *  Keep raw meat, poultry, eggs, and fish away from other foods, utensils, and serving plates.

    *  Wash your hands after you touch or prepare raw meat, poultry, fish, shellfish, or eggs. Wash the items used to prepare these foods, too. Use hot soapy water or put them in the dishwasher.

    *  Don’t mix raw foods with cooked and ready-to-eat foods when you shop, prepare, and store foods.

    *  Store foods that can spoil in the refrigerator. Read food labels. Use leftovers stored in the refrigerator within 3 to 4 days.

    *  Don’t eat raw eggs or eggs that aren’t cooked enough. Don’t eat foods with raw eggs like cookie batter.

    *  Cook foods to a safe temperature. Check and follow the label or recipe.

    *  Keep hot foods hot (higher than 140ºF) and cold foods cold (40ºF or lower).

    Children's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Earaches In Children

    Children’s Health

    Signs, Symptoms & Causes

    An earache is when the ear hurts. Children get earaches a lot. They get them most often between 6 months and 2 years old. But earaches can be a problem up to age 10. The pain can be minor or very bad.

    Earaches are a sign that something is wrong. The most common cause of an earache is plugged Eustachian tubes. These tubes go from the back of the throat to the middle ear. Most earaches in children come from infections in the middle ear. They happen a lot after a cold or other infection in the head or throat.

    Here are some other things that can cause earaches:

    *  Changes in air pressure on a plane.

    *  Something stuck in the ear.

    *  Tooth problems. Ear injuries.

    *  Allergies.

    Your child’s doctor should treat very bad ear pain. He or she may tell you to give your child acetaminophen or ibuprofen. Make sure you give the right kind and dose for your child’s weight. The doctor may also have you give your child medicines to dry up or clear a blocked ear. Let the doctor decide if an antibiotic is needed.

    You can use self-care on your child if the pain isn’t bad, and if there are no other symptoms. One example is a mild case of “swimmer’s ear.”

    To Prevent Earaches

    *  Don’t put things in your child’s ears like cotton swabs, bobby pins, or your fingers. You can hurt the eardrums.

    *  Don’t smoke. Don’t let your child smoke. Keep your child away from secondhand smoke.

    Questions to Ask

    Self-Care

    To help with pain

    *  Put a warm washcloth next to the sore ear. Or put an ice bag or ice in a wet washcloth over the ear for 20 minutes.

    *  Give your child acetaminophen or ibuprofen. Make sure you give the right kind and dose for your child’s weight. (Note: Do not give aspirin. Aspirin and other medicines that have salicylates have been linked to Reye’s Syndrome.)

    For “swimmer’s ear”

    Swimmer’s ear is when you get water stuck in your ears after swimming. This can lead to an infection. To treat this:

    *  Have your child shake his or her head.

    *  Dry the ear canal with a tissue. Twist each corner of the tissue into a tip. Stick each tip into the ear canal for 10 seconds. Use a clean tissue on the other ear.

    *  Use a product like Swim-Ear®. Drop it into the ears to fight the infection.

    To get a bug out of your child’s ear

    *  Put the child in a dark room. Shine a light near the ear for a few minutes. (The bug may fly out.)

    *  Pour a little warm olive oil, baby oil, or mineral oil in the ear to make the bug float out. Pull the earlobe gently back and up as you pour. If this doesn’t work, call your child’s doctor.

    To open up and drain the Eustachian tubes

    Have your child do these things:

    *  Sit up.

    *  Sleep with his or her head raised.

    *  Yawn. Yawning moves the muscles that open the tubes.

    *  Hold his or her nose closed and have your child blow gently through the nose until he or she hears a pop. This can be done many times a day. It can also be done on a plane when it starts to land.

    *  Stay awake during airplane take-offs and landings. (If your child is an infant, nurse or bottle-feed him or her as the plane takes off, gets ready to land, and when it lands.)

    *  Chew gum or suck hard candy. This helps a lot on an airplane, too. It can also help when your child wakes up at night with ear pain. But only let your child do this if he or she is more than 5 years old.

    And try these tips

    *  Don’t let your child swim in dirty water. Have your child wear a bathing cap when he or she swims.

    *  Use a cool-mist vaporizer, especially at night. Clean it every day.

    *  Give your child lots of liquids to drink.

    *  Hold a baby upright when you bottle-feed.

    Children's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine