Ask the Patch Pros: About Avoiding Kid Illnesses, Ailments
The start of school brings the first round of illnesses spread from student to student. Ask our experts what to watch for and how to prevent illness and injury.
With a few weeks of school under our belts, the first signs of cold epidemics are sweeping through local elementary schools.
And the germs spread to parents and workplaces.
Each school year seems to kick off rounds of illnesses -- from colds to pink eye. Then there are other problems that seem tied to the end of summer break -- head lice spreading or playground injuries.
Unsure how to head off some of these maladies? Want to know what signs to look for to contain health and hygiene problems?
To address these questions and more, we've recruited some pros. In the comments, ask them your questions about illnesses likely to spread, and how to prevent them..
Participating pros are:
• Brian Coppess, associate principal, Urbandale High School.
• Karrie Vander Sluis, DC, chiropractor, of Vander Sluis Chiropractic, Urbandale.
• Barb Allen, RN, retired school nurse, Johnston.
• Jason Bradley, Doctor, naturopathic physician, Washington Street Wellness Center, Iowa City.
• Dr. Brianne Day, physician, Mercy Waukee Clinic
Deb Belt
9:09 am on Wednesday, September 12, 2012
Curious what the panel thinks of products like Zicam billed as thwarting the cold virus. And what can schools do to help contain the spread of illnesses among students?
Barb Allen
9:33 am on Wednesday, September 12, 2012
Deb,
I am Barb Allen, RN, BSN and recently retired school nurse in Johnston.
Zicam and other products advertised as cold remedies cannot actually cure the common cold since it is caused by a virus. Those products have been proven in some studies to relieve the symptoms and possibly shorten the live of the virus. I would always caution the administration of any over the counter products to children without checking with your health care provider first. I personally believe that a healthy diet, getting plenty of rest, hand washing and using mild symptom relieving products is the best way to prevent and/or shorten the life of a cold.
Since the last flu pandemic scare, schools in Polk County with the help of their school nurses have employed and encouraged preventative practices in the classrooms and other common areas. These include opportunities for hand washing or use of hand sanitizers; cleaning desks and other surfaces with antiseptic solutions and monitoring illnesses in students through the school health office so ill students are not in the classroom exposing others. If your school is not using these simple preventative measures, I would encourage you to inquire.
I hope I have answered your question.
Barb
Karrie Vander Sluis, DC
9:42 am on Wednesday, September 12, 2012
Hi Deb. That's a good question. Not much has changed over the years in how to prevent illnesses among students. Probably the toughest thing for schools these days is how to keep the kids who are "sick" away from the ones who aren't. Obviously, a child with a contagious illness should be kept home from school, but we all know that isn't usually the case :) Teaching children to cover their mouth and nose when sneezing and coughing, and to do it correctly (into the crook of their arm...NOT their hands!) is a great first step. I have even heard of schools that make this into a game, where students are rewarded for doing this! Also most germs are spread if someone touches something that is contaminated and then touches their eyes, nose or mouth. PROPER handwashing techniques AND frequency are important! Teach your child to wash his or her hands before, during and after food is prepared, before and after they eat, after using the restroom, after playing outside, and after handling animals. And it is important that they know that if they come in contact with someone who is "sick", hand-washing should be done more frequently. Finally, and most importantly, practicing other good health habits can stop the spread of illnesses. Make sure your children get plenty of sleep, drink plenty of water, are physically active, and eat nutritious foods...and they will be well on their way to their own body fighting off any illness that may come their way!
Jody Gifford
9:48 am on Wednesday, September 12, 2012
How can you tell the difference between a cold and allergies?
Karrie Vander Sluis, DC
10:09 am on Wednesday, September 12, 2012
Jody,
Karrie Vander Sluis, DC here...I am the owner and chiropractor at Vander Sluis Chiropractic in Urbandale.
Yes, it is often difficult to tell the difference between a cold and allergies, even for a licensed medical professional. The biggest difference in symptoms is that colds don't last for more than 2 weeks. If you or your child are experiencing "cold-like" symptoms for longer than that, it is important to see your family physician (maybe there is an allergy present that you are aware of).
Other differences between the two: Colds can cause achiness in the body, whereas allergies do not. Rarely, but sometimes, a fever can be present with a cold...but a fever will never be present with allergies. Watering eyes that also ITCH are normally a sign of allergies, not a cold. Finally, while both can result in a mucous producing cough, the mucous usually looks different in the two: Yellow=cold and Clear=allergies.
I hope this answered your question. Again, if you are unsure, or have a "cold" that lasts for more than 14 days, visit your primary care provider.
Brianne Day
12:22 pm on Wednesday, September 12, 2012
The two can cause a lot of similar symptoms (runny nose, sore throat, cough, fatigue). One of the easy differences is itching, caused by the chemical histamine. Usually this results in itchy eyes (often red or watery), itchy nose (with sneezing), scratchy throat, cough that feels like a tickle. Sometimes people report itchy ears or itchy roof of the mouth.
There are a couple of differences that your medical provider can detect when he/she examines your mouth, nose, and ears as well. And like Karrie said, colds dont' typically last over 10-14 days. If you're unsure, see your doctor.
Brianne Day
10:05 am on Wednesday, September 12, 2012
Hi, I am Dr Brianne Day, family physician at Mercy Waukee Clinic. I agree with Barb's prevention strategies. It's always better to try to prevent illness, than to treat it. Hand washing is key, and building up a healthy immune system with healthy diet, plenty of fluids, and lots of rest is equally important.
In regards to Zicam, the FDA has actually recommended NOT using this, as it can lead to permanent loss of smell. There are several nasal zinc preparations, and all of them have a risk of alterations in sense of smell. There is some evidence that zinc, when taken within 24hrs of symptom onset, can shorten a cold, however the risks of this medicine are high.
Treating the symtpoms early on, with decongestants, cough syrups, anti-inflammatories, etc, can help keep you comfortable, while your body fights off the cold. >95% of colds & sinus infections are viral, meaning antibiotics won't help. Treating a viral illness with antibiotics only increases your chances of resistance later on. What does this mean? If you actually do develop a bacterial infection, you will need more potent drug to treat it (which usually means more side effects). If your cold lasts over 7 days, it's recommended to see your healthcare provider.
B.A. Morelli
10:44 am on Wednesday, September 12, 2012
Whooping cough is going around the Iowa City schools. How can you tell the difference between that and a normal cold?
Brianne Day
12:18 pm on Wednesday, September 12, 2012
In adults it can be very difficult to tell the difference between the two, since the symptoms tend to be milder in adults. In kids, it starts off with typical cold symptoms (cough, runny nose, red eyes), then progresses into harsh coughing fits. Young children will get the characteristic "whoop" after a coughing fit, as they try to suck in air. Older kids and adults typically don't whoop.
I wrote a great blog about whooping cough earlier this year, with more in depth info:
http://waukee.patch.com/blog_posts/whooping-cough-are-your-kids-at-risk
Maria Houser Conzemius
1:40 pm on Wednesday, September 12, 2012
Our senior at the University of Iowa developed whooping cough and thought it was a cold until she developed a persistent cough that kept her awake at night. She went in for night-time cold medicine so she could sleep. Her doctor tested her and found she had whooping cough. Public health took over and advised her and all of us who'd been exposed to get a booster pertussis shot and she took an antibiotic.
Barb Allen
3:53 pm on Thursday, September 13, 2012
B.A.,You can go on the CDC website ( www.cdc.gov/pertussis) to hear what a whooping cough sounds like. It is very distinct and recognizable. Children are not the only ones who can contract Pertussis. It is very prevalent among middle school age kids.
I recommend all adolescents and adults receive a booster as a preventative measure.
Maria Houser Conzemius
1:42 pm on Wednesday, September 12, 2012
P.S. I think those of us in her immediate family who'd been exposed also took an antibiotic. I did the antibiotic and then waited until after RAGBRAI to get the pertussis booster shot because someone told me the shot makes you feel like you got punched very hard in the arm. It does indeed hurt for several days in a punch-to-the-upper-arm sort of way.
Stephen Schmidt
1:56 pm on Wednesday, September 12, 2012
I have a question that could apply to work environments as well. What are some good general rules to follow to know when you should stay home from work/school so you don't pass the illness on to others? I've heard it is often tied into a fever, but I'm not sure what stage of the fever it is, plus not all illnesses have fevers, obviously.
Barb Allen
2:44 pm on Wednesday, September 12, 2012
The school policy has always been to consider remaining at home if a fever is 100 degrees or above. You are correct, however that all illnesses do not present with fevers. A good rule to follow is, first and foremost, how do you feel? or is your child acting as though he/she does not feel well? Any illness that produces coughing, unexplained skin rash, nausea and/or vomiting or pain that is not relieved with a simple analgesic (tylenol, ibuprofen) should be indicators that staying away from others and focusing on taking care of yourself is the best decision.
Brianne Day
3:05 pm on Wednesday, September 12, 2012
In medicine, we technically define a fever as 100.4 or higher. You should stay home from work/school until you are 24hrs fever-free WITHOUT the use of tylenol or ibuprofen. Certain illnesses or rashes would require you to be out longer. If you have a bacterial infection, typically you can return to work a full 24hrs after the first dose of antibiotics (again depending on the type of infection).
Most people feel bad about calling in to work, because their co-workers get stuck with extra work. But i bet they'd rather have more work than the cold that you have!! Just stay home until you're on the mend.
Jody Gifford
2:50 pm on Wednesday, September 12, 2012
Is it, "Starve a cold, feed a fever" or "Feed a cold, starve a fever" and does that reasoning even really apply?
Brianne Day
3:09 pm on Wednesday, September 12, 2012
It's really an old wive's tale about "feed a fever, starve the flu." And if you think about it, the influenza causes a fever! Basically, you go with your gut (no pun intended). If you don;t feel hungry, don't force it. If you feel like eating, but just in smaller portions, that's fine too. If you are having a illness with vomiting or diarrhea, then usually you don't feel like eating anyway. The most important thing is to stay hydrated. Drink plenty of water, or replacement fluids like pedialyte or gatorade. Your appetite will return when the illness starts resolving.
B.A. Morelli
2:54 pm on Wednesday, September 12, 2012
I see those antibacterial hand sanitizers all over. Which is better, traditional hand washing or the hand sanitizers?
Maria Houser Conzemius
4:33 pm on Wednesday, September 12, 2012
Brian Morelli, I remember a young high school student who proved that things like meningitis germs actually proliferate in anti-bacterial soap. Her science study of anti-bacterial soap won a science award and she went on to study at Harvard.
I am allergic to anti-bacterial soap and so is my daughter. I use it if I have to and nothing else is available in a public bathroom, but I make sure I rinse every bit of it off or I will get hives.
Maria Houser Conzemius
4:38 pm on Wednesday, September 12, 2012
Whoa! Anti-bacterial is potentially harmful to everyone, not just me. Triclosan, an ingredient in anti-bacterial soap, actually impairs muscle function, including the muscle function of the heart:
http://gizmodo.com/5934895/your-antibacterial-soap-could-be-harming-you
Brianne Day
11:12 am on Thursday, September 13, 2012
This article takes the study way out of context. To look at the effect of muscle function in mice, they actually injected the triclosan directly into the mouse's abdomen, at very high doses. This is in no way the same as the very small concentrations that are found in antibacterial hand gel, that are only used on the skin. If you injected detergents from regular soap directly into your body, you'd probably notice some problems too!
The best defense against illness is handwashing. Whether that;s old-fashioned soap and water, or the more convenient hand sanitizers, just make sure your hands are clean, especially before and after eating, sneezing/coughing, etc.
Jessica Crouch
10:25 am on Thursday, September 13, 2012
Wow - lots of great discussion and ideas so I feel no need to repeat :). Working in natural health and wellness, I second all the natural, non-toxic suggestions for prevention and shortening/lessening colds, allergies, flu, etc. If you would like to go the green, natural, non-toxic route, please reply for more details or explore www.ChooseToImprove.com. Here's to a healthy school year!