Archive for the ‘Cough and Cold’ Category

Health Canada is warning parents not to give cough and cold medication to children under six-years-old. Dr. Marc Berthiaume of Health Canada told CTV News “Based on (our) review, we have come to the conclusion that these products should not be used in children under the age of six”.

Very few studies have proved that cough and cold medications work on children; meanwhile, over a 13-year period, Canadian officials have received reports of 164 negative reactions from children. Those reactions included heart problems, hallucinations and convulsions. Worse yet, 5 deaths have been linked to cough and cold OTC (over the counter) medication.

These concerns are very real, but for parents with young children what does this mean? Many parents are finding themselves at a loss. Western culture has become so dependent on popping pills for all minor ailments that we are left helpless without them.

There are many more effective alternative remedies for coughs and colds in children. These home remedies are safer for your children.  Many of the products you will already have at home so they are convenient and inexpensive.

 Rest and stay warm: Make sure your child rests when he first comes down with the cold. This allows his body to direct all of its energy towards the immune “war”. This battle is hard on the body so help it out by making your child stay warm under a blanket. It will also make him feel more comfortable.

Blow the nose often:  Gently blow your child’s nose frequently rather than allowing him to sniffle the mucus. If your child blows his nose hard this can cause an earache.  Sniffling mucus causes the accumulation of secretions in the back of your child’s throat which promotes bacteria to thrive and can lead to secondary infections.

Drink plenty of hot fluids: Fluids keep the mucus thin and they can soothe the uncomfortable inflamed membranes that line your child’s nose and throat. Colds can dehydrate your child so have him drink at least eight ounces of fluid every two hours. A great home remedy is to make a tea with lemon juice (squeeze real lemons), lots of honey and some ginger.

Bring out the chicken soup: One of the best hot liquids your child can consume when he has a cold is chicken soup. Doctors aren’t sure why chicken soup helps to clear nasal passages but in the tests performed it always works well. Press a clove or two of fresh garlic into his bowl of soup - garlic has antibacterial and antiviral properties (helps kill those pesky viruses!)

Hit the spice rack for Thyme: For a cough that won’t clear up then place a tablespoonful of thyme in a bowl, add boiling water and breathe in the steam. Thyme is a potent anti-spasmodic herb which suppresses the cough. It also has anti-viral and anti-bacterial properties.

Use a saltwater wash: The inflammation and swelling in the nose is caused by molecules called cytokines. If you wash out the cytokines it reduces the swelling and fluid production.  Fill a clean nasal-spray bottle with diluted salt water (one teaspoon salt water to one quart water) and spray each nostril three to four times. Repeat four to five times daily.

Vaporize it: The steam from a vaporizer will loosen mucus, especially if it is thick, and this will help make your child feel more comfortable.

If your child develops a fever, which is considered to be a temperature over 36.4C (97.7F), it is a sign that his body is fighting an infection caused by bacteria, a virus or other foreign organism. The following steps will help reduce a fever and help your child feel more comfortable:

  • Dress your child in light cotton clothing;
  • Keep the room temperature at a comfortable level;
  • Make sure your child is drinking plenty of fluids;
  • Gently wipe your child’s face with a damp lukewarm cloth of sponge.  Baths are not recommended because they can cause discomfort and shivering;
  • Never use an alcohol rub since the alcohol can be absorbed through the child’s skin.

Never use ASA (Aspirin) to treat your child’s fever. This medication has been linked to a rare but serious disease called Reyes Syndrome when it is given to a child with a fever.

Fever treatment in children with a low grade fever (under 101F or 38.5C) includes acetaminophen (Tylenol, Tempra) or Ibuprofen (Advil, Motrin).  These should be used only if the child is in pain or great discomfort. The fact is that a fever can do the body some good since it helps the body defend itself against invading organisms. A slightly elevated body temperature gets the immune system revved up!!  Also, the bacteria or virus will not function as well in higher temperatures, so your child will heal quicker if he has not been medicated.

Please be aware there are times when you definitely should seek medical help for a fever.                                        

In the first three months of life call for help immediately or go to a hospital emergency if your baby has a fever over 39C (102.2F) for more than half an hour.  A baby under two months old with a fever should be seen by a doctor. Also, call if a fever lasts more than six hours in a baby under six months old.

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We never want to watch our babies suffer.  As a new parent you may feel helpless while your baby suffers through a cold. We are all familiar with the unwanted symptoms of a cold that cause us to start sneezing, get stuffed up, run a fever and suffer with a sore aching body.  When a cold attacks young babies they feel just as miserable. Your baby may have difficulty breathing because of the swelling and increased mucus inside his narrow passages, so sleeping may become difficult. Your little bundle of joy may be snuffling, irritable and may seem less energetic than usual or may even have lost his appetite. He may have a fever and his eyes may be red, teary and dull. Here are a few tips to comfort your baby and help put your mind at ease while he has a cold. 

Give your baby extra fluids which really helps. For young breastfed babies try feeding them more often. Older breastfed babies can be given clear fluids that are already part of their diet.  This may include liquids like diluted apple juice. Formula-fed babies should also be given clear fluids.

If your baby has a plugged nose he may have a difficult time trying to breastfeed. Try to keep him upright while he nurses. Also, try to instill saline nose drops into each nostril fifteen minutes before feeding and before bedtime. Then use a suction bulb to clear the nose of salt water and mucus. This may help him breathe more easily which may help him with feeding and sleeping.

He may also sleep better if you place a cool-mist humidifier in his room. Or try taking him into the bathroom with you where you can turn on the hot water in the shower then sit in the steamy room for fifteen minutes. Change your baby’s clothes after coming out of the steamy room.

Colds are quite common and do not need medical attention although you should go see your physician if the baby is experiencing any of the following:

            - Your baby’s breathing is very rapid, noisy or wheezing;

            - Your baby develops a barking cough called croup;

            - Your baby is struggling to breathe and his chest sucks in when he draws a breath;

            - Your baby’s color is pale and you notice the lips and area around the lips are blue;

            - Your baby is weak, lethargic and refuses to drink;

            - Your baby’s temperature rises above 102 degrees F/39 degrees C;

            - If the baby is under three months old or is exhibiting signs of pain.  

Do not use over the counter cold medication in babies under a year old. Using these medications in very young children can have serious or possibly life-threatening side effects.

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It is upon us.  Here on the West Coast the drizzly, grey flu-ridden fall is in full force.  If you haven’t gotten the yearly bug yet, you’ve probably thought a lot about it.  Every time we turn on the news or pass by newspapers we see how concerned the media is about the annual flu, H1N1 and how the supply of the vaccines is falling short of the demand.  But is it all worth the hype? Is avoiding the flu really that hard?

I’ve had a number of calls from worried parents over the last couple weeks.  Little one has a cough or a fever or both - a likely H1N1 diagnosis.  Should they get a prescription for anti-virals?  Should they vaccinate their other children or themselves?  Before they know it, they’re worked up into a tizzy, questioning their jobs as parents and expecting the worst.  Part of me understands their concern.  Both the seasonal influenza and the H1N1 variety can be serious and can kill people.  But lets look at the facts:

In an information bulletin from the Ministries of Health Services and Healthy Living and Sport in British Columbia, Canada, dated November 10, 2009, we learn that in the past week there have been 202 new, severe cases of H1N1, leading to 8 deaths for a total of 601 confirmed severe cases and 23 deaths since April 2009.  Twenty-two of those deaths occurred in people who had underlying medical conditions such as heart or kidney disease, diabetes, asthma and chronic lung disease, suppressed immune systems, neurological disorders, liver disease, blood disorders and severe obesity.To put the H1N1 outbreak in perspective, 400 to 800 people die in British Columbia from the seasonal flu or pneumonia each year.”

Should we be really worried about avoiding the flu or the swine flu?

“The majority of lab-confirmed cases in B.C. have been mild or moderate in severity, with the patients either having already recovered or currently recovering.”

Most people who are exposed to either virus and/or catch it are completely fine.  Read that again.  Just to be sure.

That being said - it is important to stay healthy and a solid baseline is a good start.  So, what can you do to protect you and your family?  The following information is what we are telling our patients at Nanaimo Naturopathic Doctor:

PREVENTION - Avoiding the Flu:

1.  Proper hygiene is important and simple.

Wash your hands:

  • frequently with soap and warm water for at least 20 seconds;
  • before or after you eat or after using the washroom;
  • before touching your mouth, eyes or face;
  • after you blow your nose, sneeze or cough

Cough or sneeze into your sleeve at your elbow (not your hands)
Toss used tissues into the garbage immediately
Don’t make close contact with people that are sick

2.  Important lifestyle factors to help in avoiding the flu:

Get 7-8 hours of sleep (a night not over two nights or even worse, three!)
Move your body every day.
Practice Stress Reduction Techniques.  A lowered immune system is one of The Symptoms of Stress.
Choose to eat nutritious, whole foods especially colourful vegetables
Drink ample water for your body weight (1/2 your weight in pounds is the number of ounces you should drink per day)

3.  Other things you can do to improve your chances of avoiding the flu:

Talk to your local Naturopathic Doctor about your individual immune and vaccine needs.

Consider taking an appropriate dose of Vitamin D and a high quality echinacea or mushroom supplement.

IF YOU GET SICK OR START TO SHOW SYMPTOMS:

Stay home, until you are feeling better.  Get plenty of rest.  It’s drizzly and grey and dull outside… cozy up with your favorite slippers and a good book.  You and your co-workers will be thankful.

Drink lots of fluids, like home made chicken soup (momma knew what she was doing) especially if suffering from vomiting or diarrhea.

Don’t fear the fever!  Fevers are the body’s way of fighting off the bugs and are vital to a complete recovery.  Suppressing the fever with drugs is taking away the body’s fighting chance.  Fevers of 38.9 degrees Celsius or 102 F) are optimal.  Typically, I tell my worried moms to only worry about fevers if they get to 40 C or 104 F (after which central nervous system damage and seizures might occur so it is advisable to get to an emergency room or clinic - pronto - especially if dehydration is a concern).  We can work WITH the fever to improve our chances of a healthy recovery. Check out Home Hydrotherapy - Get Stimulated for ways to help optimize a fever.

There is a plethora of information out there about avoiding the flu.  The best thing you can do is get informed and make the best choices for you.  If you need professional help with that choice try a visit with a Naturopathic Doctor.   Naturopathic medicineis a safe, effective and natural approach to you and your family’s health.  Naturopathic doctors can and will empower you to live a healthy lifestyle while treating and preventing disease.  Find more information on the services I offer at Arbour Wellness Centre at Nanaimo Naturopathic Doctor.

For more information on disease surveillance in British Columbia:

www.gov.bc.ca/h1n1

www.healthlinkbc.ca

www.fightflu.ca

www.phac-aspc.gc.ca

www.bccdc.ca

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