Written by Jennifer Gruen MD
The fall cold and cough season seems to be in full swing. The ragweed pollen and mold in the air is also causing a lot of congestion and cough symptoms. Below are a few hints on how to make your child feel better, and when you need to bring them in for a visit:
What constitutes a common cold?
- Runny nose, mild cough, sore throat, decreased appetite, occasionally low grade fever (<101.)
- Children can have 7-10 colds in one season, particularly the first year they are in any sort of a daycare or school setting.
- Colds are most contagious in the first two days – usually accompanied by a clear runny nose.
- The change in color of the mucous to yellow or green after 5-7 days (in the absence of fever or headache) usually signifies the end of the cold and will be gone in 2-3 days. Green noses don’t automatically need antibiotics!
Is it an allergy or a cold?
Visit this link to read more on the diagnosis and treatment of allergy symptoms.
What will help?
For children under one use nasal saline, bulb syringe, elevating mattress (put rolled up towels underneath the head of the mattress) or allowing to sleep in car seat if they can breathe more easily this way. Use nasal saline drops, with suctioning only if there is a lot of loose mucous, before feeding and sleeping. A warm bath will help bring break up the mucous.
For children 1-3, nasal saline washes may help (try Simply Saline or the NeilMed sinus rinse for children). A trial of Benadryl may be necessary to relieve congestion. (click here for dosage information.) It is especially helpful at night if cough is interrupting sleep.
For older children (>4) with congeston try mint tea with 1 teaspoon of sugar or honey to soothe sore throats and help break up congestion. For difficulty breathing through nose at night try Breathe Right strips for children. (Dr. Nikki loves them!) For persistent nighttime cough try humidifier, elevation and possibly Benadryl. Other cough syrups that we have found help include Delsym and long acting single ingredient dextromethorphan preparations.
“Just a spoonful of sugar….”- sucking on a lollipop or a teaspoon of honey has been shown to decrease sore throat as much as cough medicines. Tylenol or motrin is appropriate for fever or sore throat, but doesn’t work for cough.
When to worry?
- Any fever >100.4 in infants less than 6 months old – call for an appointment
- Fever for greater than 3 days in any age child
- Fussiness, not eating well, pulling on ears, breathing quickly or pulling in at ribs when breathing.
- Green, yellow nasal discharge that is accompanied by fever, headache, sinus pressure or that persists more than 5-7 days.
- Drainage out of ear canals.
- A cold that persists longer than 2 weeks, or that after several days is suddenly accompanied by a fever.
- Back to School Illnesses…Please Don’t Spread the Lovebugs (survivorpediatrics.wordpress.com)