Tis’ the Season – When is a Cold Not a Cold?

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By Dr. Patty Avila, Pediatrician

It is that time of year again!  The busy time of year when everyone is preparing for the holidays is also when children are getting more colds and other respiratory illnesses.  These are the most common type of illness that children will see their doctor for, and it is important to recognize when to worry or not.  Most of these will be simple colds and resolve on their own, but there are some that can be serious.

The Common Cold; also called an Upper Respiratory Infection.

The common cold is caused by several different viruses and is the most common of all the respiratory illnesses. In the 1st 2 years most children will have about 3 to 5 colds per year. Older school age children and children in daycare can get sick even more often, because they are exposed to others.  Fortunately, most of these are just colds and will go away on their own and not lead to anything worse. 

Symptoms of the Common Cold:

  • Low fevers (101-102 degrees F).
  • Runny nose, nasal congestion comma and sneezing.
  • Sore throat.
  • Cough.
  • Not eating well.
  • Fussiness.

Most children will be better after 7 to 10 days of illness, but some may take up to 10 to 14 days to get better.

When to worry with the common cold:

Most children will not need to see their doctor with a common cold or upper respiratory infection. Infants younger than 3 months should see their pediatrician because they are at higher risk of getting very sick. 

See your doctor immediately if your child or infant is having:

  • Trouble breathing or fast breathing – using their muscles in between their ribs to breathe or the openings of the nose get larger with every breath.
  • Nails or lips turn blue.
  • The symptoms are lasting longer than 10 to 14 days.
  • Dehydration or not drinking well and not urinating well.
  • Child/infant is too sleepy or very fussy and not consolable.
  • Ear pain or any other concerns for child/infant not improving or getting worse.

Antibiotics do not treat the common cold since it is caused by a virus. 

Supportive care includes:

  • Increased fluids.
  • Use of pain/fever medication such as acetaminophen or ibuprofen.
  • Nasal saline with suctioning for congestion.
  • Honey for cough in a child OLDER than 1 year (NEVER given an infant <1 year of age honey).
  • Use of a humidifier may provide relief. 

The Flu; sometimes called Influenza.

The flu is also caused by respiratory viruses called influenza and can present very similar to the common cold.  Children with the flu feel much worse and are sicker than with the common cold.  The flu can have very serious complications including need for hospitalization and sometimes death.   

Symptoms of the Flu:

  • Rapid onset of high Fevers (above 101 degrees F), chills.
  • Headaches, body aches.
  • Runny nose, nasal congestion.
  • Chest pain and cough.
  • Sore throat.
  • Poor appetite.
  • Feeling tired and weak.

Most children will get better after 2 weeks. Fevers from the flu can last up to 5 to 7 days. 

See your doctor immediately if your child or infant is having:

  • Trouble breathing or fast breathing – using their muscles in between their ribs to breathe or the openings of the nose get larger with every breath.
  • Nails or lips turn blue. 
  • Dehydration or not drinking well and not urinating well.
  • Child/infant is too sleepy or very fussy and not consolable.
  • Ear pain or any other concerns for child/infant not improving or getting worse.

Young children and infants as well as children with high-risk medical conditions should see their pediatrician as soon as possible. These high-risk medical conditions include:

  • Heart defects.
  • Chronic lung issues.
  • Asthma.
  • Low immune system.
  • Diabetes.
  • Cancers. 

Supportive care includes:

  • Increased fluids.
  • Use of pain/fever medication such as acetaminophen or ibuprofen.
  • Nasal saline with suctioning for congestion.
  • Honey for cough in a child OLDER than 1 year (NEVER given an infant <1 year of age honey).
  • Use of humidifier may provide relief. 

Outside of supportive care, there is an antiviral medication called Tamiflu which may be indicated and started if the flu is diagnosed within the first one to 2 days.

Bronchiolitis.

Bronchiolitis is another respiratory illness that can be commonly seen during the winter months.  There are several viruses that can cause this illness but RSV, also known as Respiratory Syncytial Virus, is the most common.  RSV is an infection that will affect almost all children at least once before they turn 2 years old.  It usually starts as a cold and is followed by lower respiratory symptoms around 3 to 5 days of the illness.  For some children the illness can be severe, especially younger infants, preemies, and those with heart or lung defects.   

Symptoms of Bronchiolitis:

  • Cold symptoms with fevers, runny nose, nasal congestion, and cough.
  • Fussiness.
  • Poor Feeding.
  • Wheezing.
  • Difficulty breathing.

See your doctor immediately if your child or infant is having:

  • Trouble breathing or fast breathing – using their muscles in between their ribs to breathe or the openings of the nose get larger with every breath.
  • Nails or lips turn blue. 
  • Dehydration or not drinking well and not urinating well.
  • Child/infant is too sleepy or very fussy and not consolable.
  • Ear pain or any other concerns for child/infant not improving or getting worse.

Supportive care includes:

  • Increase fluids.
  • Use of pain/fever medication such as acetaminophen or ibuprofen.
  • Nasal saline with suctioning for congestion.
  • Honey for cough in a child OLDER than 1 year (NEVER given an infant <1 year of age honey).
  • Use of humidifier may provide relief. 

For infants who are high risk there is an injection that is given monthly during the winter months called Synagis that can decrease the risk of severe RSV infection. 

Croup.

Croup is a common respiratory illness during the Fall and Winter months and is usually seen in infants and young children – children younger than 5 year of age.  It is caused by several different viruses including the flu virus and some cold viruses.  The illness is characterized by swelling of the upper airways including the voice box (larynx) and the windpipe (trachea). Symptoms from Croup are usually worse at the beginning of the illness. 

Symptoms of Croup:

  • Fevers which can be low grade or high.
  • Cold symptoms with runny nose and nasal congestion.
  • Hoarseness of voice.
  • Barky or “seal like” cough.
  • Noisy breathing when breathing in – stridor.

The swelling of the airway can sometimes be severe and need immediate medical attention.

See your doctor immediately if your child or infant is having:

  • Trouble breathing – struggles to catch their breath.
  • Noisy breathing that is getting louder and child/infant appears to struggle to breathe.
  • Cannot talk because of difficulty breathing.
  • Lips/mouth or nails turn blue.
  • Drooling and not able to swallow saliva.
  • Dehydration or not drinking well and not urinating well.
  • Child/infant is too sleepy or very fussy and not consolable.

Steroids can decrease the swelling and can be given by mouth, injection, or in a breathing treatment.  If given early can help decrease the need for hospitalization and improve breathing.  There are breathing treatments with epinephrine that can be given as well in severe cases, but these will require careful observation in the Emergency Department or Hospital setting.

Use of cold moist air can help improve mild symptoms as well and can be used at home with a cool mist humidifier.

PREVENTION TIPS

  • For all respiratory infections, the best form of prevention is to avoid exposing infants/young children to people who are sick or crowded situations. 
  • Breastfeeding infants as long as possible (at least 6-12 months) is also an important way to help prevent and fight infections because breastmilk provides antibodies. 
  • Practicing and teaching children good hand hygiene is key.
  • Use soap and water and scrub for at least 20 seconds (singing the ABCs).  Another option is the use of an alcohol-based hand rub if hands are not visibly soiled. 
  • Teach children to cover their coughs and sneezes properly by using a tissue or coughing in their arm rather their hands. 
  • Keep children home from daycare or school when they are sick to avoid spreading the illness. 
  • Eating a healthy balanced diet high in fruits and vegetables can help boost the immune system and help decrease the chances of getting sick.   

At NOAH, we’re here for you. If you have any questions for your child’s pediatrician, give us a call at 480-882-4545. You can also send a message to your pediatrician via your child’s MyChart account.

Tips to Treat Nosebleeds in Children by Dr. Debbie Bauer, Pediatrician

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“Nosebleeds are very common in children, especially during these winter months,” says Debbie Bauer, Pediatrician. The dry air from outside combined with the dry air from heaters inside can make the skin inside the nose more fragile and sensitive. This is one of the most common reasons children get nosebleeds. Some children also get nosebleeds from picking their nose, from sniffling too much from allergies/colds, or of course from being hit in the nose.

Learn what to do if your child has a nosebleed and when to get help from a doctor below. Also, check out our tips on how to prevent nosebleeds from coming back!

What should you do if your child has a nosebleed?

– First, don’t panic! Nosebleeds are rarely serious. Your child will have an easier time following your instructions if you remain calm.

– Have your child sit down and put their head slightly forward, NEVER have them tilt their head backwards.

– Put firm pressure on either side of their nose with your fingers and hold it there for 10 minutes.

– After 10 minutes, check to see if the bleeding stopped. If it hasn’t, hold firm pressure again for 10 more minutes.

– When bleeding has stopped, gently clean blood off their face with water but do not put anything in their nose or have them forcefully blow their nose.

When should you get help from a doctor?

– If your child has a nosebleed for more than 20 minutes without stopping.

– If your child looks very pale, weak or sweaty.

– If you see blood in your child’s urine or stool.

– If your child has strange, unexplained bruises.

– If frequent nosebleeds are concerning you.

How can you prevent nosebleeds?

– You can use a saline nasal spray to keep their nose from getting dry.

– You can use a humidifier in their room.

– You can apply a small amount of Vaseline inside their nose carefully with a Q-tip.

– If your child picks their nose, keep their fingernails trimmed short.

At NOAH, we’re here for you. If you have any questions for your child’s pediatrician, give us a call at 480-882-4545. You can also send a message to your pediatrician via your child’s MyChart account.

Healthy Holiday Hosting Tips

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The holiday season is a time for joy, celebration, and gathering with loved ones. As you prepare to host friends and family, it’s essential to prioritize health and safety. By following some key tips on food hygiene, kitchen cleanliness, and overall sanitation, you can create a safe and enjoyable environment for everyone. Here are some healthy hosting tips to ensure a worry-free holiday celebration.

Preparing Your Kitchen

Ensure a clean and sanitized kitchen by using hot water and soap to clean various surfaces and utensils such as the sink, counters, cutting boards, pans, knives, and thermometers. For an extra layer of cleanliness, consider sanitizing countertops and cutting boards using a diluted bleach solution. If instructions are not available, leave the diluted bleach solution on the surface for at least 1 minute before removing or wiping.

Keep an ample supply of clean cloth towels or paper towels within reach for both meal preparation and clean-up. If you opt for cloth towels, wash them frequently using the hot cycle of your washing machine.

Food Hygiene

Maintain food hygiene by practicing proper separation of raw and cooked foods to prevent cross-contamination. When preparing various items, such as a roast and raw veggies for a dip platter, keep raw meat from coming into contact with ready-to-eat foods. Additionally, avoid consuming raw dough or batter containing flour or eggs, and cook foods thoroughly to reach safe minimum internal temperatures. Check out this food temperature chart for guidelines on how to properly cook raw meat, poultry, and other foods.

Place Hand Sanitizer at Key Locations

Encourage good hand hygiene by strategically placing hand sanitizer at key locations throughout your home. Consider positioning hand sanitizer stations near the entrance, in the kitchen, and near the dining area. This simple step can significantly reduce the risk of germs spreading.

Clean and Restock the Restroom

Maintaining a well-kept restroom is crucial for guest comfort and hygiene. Follow these steps to ensure a clean and welcoming restroom environment:

  • Regularly clean and disinfect all bathroom surfaces, including sinks, countertops, and doorknobs
  • Provide ample soap, disposable hand towels, or paper towels, for proper hand hygiene
  • Check and restock essential supplies before guests arrive

The Two-Hour Rule

Follow the two-hour rule for food safety. Chill leftovers within two hours of cooking, and toss out any items that have been on the table for longer than two hours. Avoid leaving perishable foods, such as meat, poultry, eggs, and casseroles, in the Danger Zone (between 40 and 140 °F) for over two hours, as this is where bacteria multiply rapidly. Ready-to-eat items like cookies, crackers, bread, and whole fruit are exceptions to the danger zone.

Post-Party Cleanup

Don’t feel pressured to complete all party cleanup in one night. Instead, gather and centralize items in one place for easier management. Perform spot checks on carpets and furniture for immediate stain attention. Once organized, allow yourself to rest and approach the remaining cleanup with a fresh perspective the next day.

Following these guidelines will not only ensure the well-being of your guests, but also add to a joyous and worry-free gathering. Make sure to schedule an appointment with your NOAH provider for COVID and flu vaccinations to safeguard your well-being during the holiday season.

Diabetic Travel Tips

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National Family Caregivers Month – Take Time for You

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November is a time to support and honor our nation’s caregivers as part of National Family Caregivers Month. These special individuals devote their lives to providing empathetic care for their family members or friends who are elderly, ill, or disabled. The demands of caregiving can be challenging, overwhelming, and tiresome. It can also be rewarding and fulfilling. Caregivers often give so much of themselves to those they care for, that they are often too tired to care for themselves.

Common family caregiver experiences may include:

  • Tiredness – Most individuals caring for a loved one also work outside of the home in addition to their caregiving responsibilities.
  • Depression – The demands of jugging multiple responsibilities or seeing your loved one age or change due to illness or disability can be upsetting. There is no shame in feeling upset or overwhelmed.
  • Diminished relationships – Caregiving is not a 9-5 job. A loved one may need care around the clock. The emotional, physical, and time demands of care giving may interfere with other relationships.
  • Lack of self care – Caregivers often neglect their own self-care in order to provide for their loved one. This can include not attending medical appointments and not participating in leisure activities.

Caregivers care for their loved ones due to a sense of responsibility, a cultural norm, self-fulfillment, and love. We honor those who provide and recognize the increased difficulty of caregiving, especially since the Covid pandemic.

If you are a family caregiver, here are some useful tips:

  • Seek support from other caregivers: If you have others that are willing to help try to be open to splitting responsibilities. You do not have to do this alone. Also be sure to check out Family Caregiver Support Groups.
  • Increase your own self-care: Make your own mental and physical health a priority and reach out to your physician or mental health counselor if needed.
  • Take a break when you can: Whether it’s a quick nap, sleeping in, or doing something that is relaxing, be sure to take time for yourself.
  • Give yourself credit: You are doing one of the toughest jobs out there. Don’t forget to acknowledge something that went well for you each day and look to that when you need a pick-me-up.

Join us in acknowledging families who are often caregiving for loved ones all day, every day. That means around-the-clock dedication, organization, responsibility, scheduling, and hands-on care. Family caregivers do tremendous work for their family member, neighbor or friend and they deserve support and appreciation. Our team of mental health providers can offer some helpful tools to help. Call 480-882-4545 to schedule an appointment with a NOAH provider.

Sources

  1. National Alliance for Caregiving and AARP. Caregiving in the US 2020. Found on the internet at https://www.caregiving.org/research/caregiving-in-the-us/caregiving-in-the-us-2020/
  2. AARP. Valuing the Invaluable 2019 Update: Charting a Path Forward. AARP Public Policy Institute. Nov. 14, 2019. Found on the internet at https://www.aarp.org/ppi/info-2015/valuing-the-invaluable-2015-update.html

Changing the Face of Men’s Health This Movember

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Every November, a global phenomenon known as “Movember” takes place, transforming the faces of men around the world. While it might look like a fun excuse for men to grow facial hair, it carries a much more significant message. Movember is a movement that aims to raise awareness and funds for men’s health issues, particularly prostate cancer, testicular cancer, and mental health. 

Origins of Movember

The concept of Movember began in Melbourne, Australia, in 2003 when a group of friends decided to grow mustaches for a good cause. The idea was simple: men would start clean-shaven on the first day of November and grow a mustache for the entire month, using their facial hair as a conversation starter to raise awareness about men’s health issues.

Over the years, the Movember movement expanded worldwide. What initially started as a small initiative, soon gained international recognition, attracting millions of participants, or “Mo Bros,” and “Mo Sistas” who support the cause.

Raising Awareness for Men’s Health

Movember serves as a tool to spark conversations about men’s health issues. It encourages open dialogue about subjects that are often overlooked or stigmatized. By growing a mustache, men become walking billboards for these important conversations. 

Prostate cancer and testicular cancer are two of the most common types of cancer in men. Movember aims to raise awareness about the importance of early detection and regular check-ups. In addition to raising awareness about physical health issues, Movember is a time to promote mental health. Men often face unique challenges when it comes to mental well-being, including societal pressures to “be tough” and a lack of open conversations about their emotional struggles. Movember serves as a reminder for men to reach out and seek help when needed, reminding them that it’s okay not to be okay.

Participation and Support

Participating in Movember is easy and fun. Men can start the month clean-shaven and document their mustache-growing journey on social media. 

Movember is not just about growing facial hair; it’s a symbol of solidarity and a call to action for men’s health. So, this November, grow that mustache and join the global movement to change the face of men’s health. For additional men’s health and wellness tips, schedule an appointment with your NOAH provider.

Prebiotics and Probiotics: Uncovering Your Digestive Health

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By Jason Pawloski, RDN | Registered Dietitian

Let’s talk more about gut health! By gut health, I mean the gastrointestinal tract and primarily speaking of the small and large intestines. 

Probiotics 

You might have heard about probiotics before. These are special kinds of bacteria that are good for the human body. There are many different types of these helpful bacteria living in our intestines, and we call them the “gut microbiome.”

Not only do these friendly strains of bacteria directly protect the gut barrier with a layer of mucus and help to crowd out problematic “pathogenic” bacteria, but this protective physical layer also helps maintain the integrity of the gut lining. In other words, this additional layer of a physical gut barrier further helps preserve the “tight junctions” that keep our intestinal cells and immune system functioning well.

There’s still a lot we don’t know about probiotics, like which types are best for each person. But some types, like Lactobacilli and Bifidobacteria, seem to be good for our health.

Did you know that certain strains of bacteria (i.e. probiotics) help to produce and regulate:

  • Short-chain fatty acids – helps regulate metabolism of blood glucose (sugar) and fats
  • B vitamins and vitamin K
  • Neurotransmitters (serotonin, dopamine, GABA, and glutamate)
  • Hormones 

Prebiotics

On the other hand, are certain fibers found in various foods, that have been shown to serve as a direct source of energy for the protective probiotics. In other words, humans do not digest fibers or prebiotics, however, the critically important probiotics do need fiber (provided regularly in the foods we eat daily) and do digest these fibers. In turn, these prebiotic fibers directly help to fuel the probiotics and help with all the roles listed above in bullet points.

So, perhaps instead of commonly asking “are you eating healthful and balanced?”, we should be asking “are you fueling your gut well?”.  Schedule an appointment with a NOAH Registered Dietitian for more education on how to manage a healthy gut.

HalloweenTeethTips

👻 5 Halloween Tooth-Friendly Tips 🎃

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These mouth-friendly reminders will be helpful for everyone to follow on Halloween or anytime there are plenty of yummy sweet treats around.

Tips:

1 – Consume treats in moderation, especially while out on the candy hunt.

2 – Drink plenty of water to help flush those sugar buggies out of your teeth.

3 – Allow you child to eat a few healthy choices after trick-or-treating and donate the rest.

4 – Brush your child’s teeth after eating their treats and before going to bed.

5 – Non-candy options like stickers, pencils, necklaces, and straws are great alternatives!

If you haven’t had a recent dental hygiene cleaning appointment, please call 480-882-4545 and schedule with one of our amazing Dentists. For more information about our dental services, go to https://noahhelps.org/services/dental/. 🦷 🪥

It’s Time For Your Flu Shot

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Flu season typically runs from October through February every year. One of the best ways to stay healthy is with the vaccine anytime during the flu season.

Flu symptoms include:

  • fever
  • fatigue
  • sore throat
  • body aches

5 common questions about the flu vaccine

  1. Can I get the flu shot? Everyone over the age of 6 months is eligible for the flu vaccine. This includes special populations such as pregnant women, adults with chronic health conditions, and those over 65 years old. Exceptions to the flu vaccine are very limited, and include children less than 6 months old and those who had severe allergic reactions to the flu vaccine. You may have heard that those with egg allergies cannot get the flu shot, but the CDC recommends that these individuals still get the vaccine, but they may need to be monitored briefly afterward in a healthcare setting for allergic symptoms. There are also egg-free vaccines available.
  2. Why do I have to get the flu shot every year? The influenza virus changes year to year, so the flu vaccine you got last year likely will not protect you from the specific strain that is widespread this year. Researchers develop vaccines that will fight this year’s particular strain of the virus to maximize your protection. In addition, your immunity decreases over time so getting the vaccine annually helps build up your immunity again.
  3. When should I get the vaccine? The influenza virus is seasonal, typically starting in mid-October and peaking in winter. Your body will produce sufficient antibodies within two weeks after getting the vaccine. This is why the CDC recommends getting your flu shot sometime between September and late October. However, it’s never too late to get one, even past October. Flu shots will continue to be available well into winter and can protect you from the remainder of the flu season.
  4. Why do I feel like I have the flu after getting the shot? The flu vaccine contains an inactivated strain of the virus, meaning it cannot cause the flu but it does trigger your body’s immune response. This can result in body aches or a low-grade fever, but these symptoms are significantly less severe than those caused by the actual flu virus and resolve in 1-2 days, if present at all.
  5. How will the flu season be affected by COVID? Getting the flu shot is important every year, but especially with COVID still present in the community. With the risk of COVID, the flu and RSV, it is even more important to protect yourself by being vaccinated against the flu and reducing the risk of hospitalization this winter. The flu shot will not make you more or less susceptible to COVID since the viruses are completely separate.

Getting vaccinated not only helps protect you but also helps protect your community and ease the burden on hospitals and the healthcare industry. Flu shots are currently available at NOAH clinics, so schedule an appointment today.

Watch Out! Tips to Stay Safe from Ticks and Mosquitoes

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Autumn has arrived, signaling the arrival of cooler temperatures, pumpkin patches, haunted houses, and a plethora of outdoor activities that us Arizonans eagerly anticipate. However, it’s important to remember that during the wet and warm months spanning from late spring through fall, mosquitoes and ticks become more active. So, before embarking on your autumn adventures, it’s wise to consider these tips to ensure your family’s well-being while enjoying the great outdoors this season.

Protect yourself from ticks

Tickers are carriers of diseases like Lyme disease and are usually found in high grass or wooded areas. Before you go outdoors:

  • Wear long-sleeved shirts and tuck your pants into your socks to prevent ticks from biting
  • Wear light-colored clothes to spot ticks easily
  • Use insect repellent

After you come indoors

  • Check your clothing for ticks
  • Examine gear and pets
  • Shower soon after being outdoors

If you find a tick attached to your skin, simply remove the tick as soon as possible. There are several tick removal devices on the market, but a plain set of fine-tipped tweezers works very well. If you develop a rash or fever within several weeks of removing a tick, see your NOAH healthcare provider.

 Protect yourself from mosquito bites

West Nile virus (WNV) is spread to people through the bite of an infected mosquito. Because it is a virus, there is no cure for this infection. Before you go outdoors:

  • Wear loose-fitting, long-sleeved shirts and pants
  • Use 0.5% permethrin to treat clothing and gear or buy permethrin-treated clothing and gear

While outdoors

  • Sleep under a mosquito net if outside or when screened rooms are not available
  • Avoid standing water such as puddles, bird baths, and pools
  • Cover strollers and baby carriers with mosquito netting

Eight out of ten people infected with West Nile virus do not develop any symptoms. If you think you or a family member might have West Nile virus disease, talk with your NOAH health care provider.

By following these simple precautions, you can ensure your family’s well-being and make the most of the great outdoors this fall. For more outdoor safety tips to keep you and your family healthy, schedule an appointment with your NOAH provider today.