Middle ear infections (otitis media) occur when a virus or bacteria inflames the area, usually following a cold.
Symptoms Pulling on the ear, hearing loss, dizziness or loss of balance, difficulty sleeping, fever, irritability and loss of appetite.
Concern If your child is prone to ear infections, your doctor may discuss preventive antibiotics or drainage tubes in the eardrum.
Treatment According to the Mayo Clinic, for most otherwise healthy children over six months of age, watchful waiting is the best choice, as up to 80 percent of ear infections clear up without antibiotics. To ease your child’s discomfort, the doctor may recommend ibuprofen or acetaminophen, and reassess in two or three days. If your child has recurrent ear infections or is younger than six months, antibiotics are usually recommended.
Self-care Bottle-fed babies are more prone to ear infections than breastfed babies because breastmilk passes along immunity from the mother. If you’re bottle-feeding, be sure to hold your baby upright.
Also known as conjunctivitis, this inflammation of the thin, transparent membrane covering the eyeball is caused by infections, allergies, chemicals or irritants. Viral and bacterial forms of conjunctivitis can be spread, usually through contact with an infected child.
Symptoms Itchy, red, sore eyes with a discharge that can be watery or thick and pus-like. Kids often wake up with eyelids stuck together.
Concern Both viral and bacterial pink eye are common among children and are very contagious for seven to 14 days after symptoms first appear.
Treatment Bacterial infections are treated with antibiotic eye drops or ointments, while viral causes get better on their own after one to two weeks.
Self-care Soothe the eyes by applying warm-water compresses.
This noisy respiratory condition is caused by inflammation in your child’s windpipe or trachea. Blame it on the parainfluenza virus, which spreads from contact with infected saliva or nasal mucus.
Symptoms A sharp, dry, brassy-sounding cough (like a seal’s bark) that begins suddenly at night. Gasping noises while inhaling, a sign of more severe croup, occur when the windpipe has become swollen and narrow.
Concern Watch for fever in a baby younger than six months old, or one that lasts for more than 72 hours in an older child. Other red flags include rapid or difficult breathing, severely sore throat, increased amounts of drooling or refusing to swallow. Take your child to the ER at the onset of indrawing (pulling in at neck, shoulders or ribs while breathing).
Treatment Generally, children will get better by themselves.
Self-care Taking your child into cold outside air has proven helpful.
Respiratory Syncytial Virus (RSV)
More than 80 percent of kids will get RSV — one of several viruses that cause bronchiolitis — by the time they’re two. RSV is transmitted through the air or by unwashed hands carrying nasal secretions.
Symptoms Similar to the common cold. A runny nose, cough and low-grade fever will appear about two to eight days after exposure. As the infection spreads to the lower respiratory tract and lungs, breathing rate increases. Flaring nostrils, grunting noise with every breath, restlessness, lethargy, low-grade fever and decreased feeding are warning signs.
Concern If you notice your child is having difficulty breathing, see your doctor. Watch out for dehydration and lethargy.
Treatment Antibiotics do not help treat RSV. Most children get better without any special treatment within one to two weeks (as with a bad cold).
Self-care Use a cool-mist vaporizer to keep the air moist. A nasal aspirator can help clear little noses.
While you can’t prevent every viral invader from getting an infectious toehold in your home, you can lessen the likelihood with some simple, tried-and-true tricks.
• Wash your child’s hands with warm water and soap, and rub for at least 20 seconds beneath fingernails and in the creases of hands — about as long as it takes to sing the “Happy Birthday” song twice.
• Teach your child to wash her hands after wiping her nose or using the toilet, and before handling food.
• Use hand sanitizers with at least 60 percent alcohol when soap and water are not available.
• Have separate personal items around your home. Avoid sharing cutlery, glasses and plates.
• Change sheets and towels weekly.
• Keep your child’s immunizations up to date.
Is it asthma?
If your child is getting more than his share of respiratory infections, should you suspect asthma? Many factors can make children more likely to develop asthma, including common respiratory viruses, a tendency toward allergies (eczema and hay fever), a family history and exposure to environmental agents such as cigarette smoke.
About half of all children will wheeze — the sound created when breathing is restricted — at least once before age six. For most, that will be their only brush with asthma, but for about 10 percent of children, it’s just the beginning. Here’s what’s going on:
What is it? During an asthma episode, the airways become constricted and inflamed. This leads to rapid breathing, shortness of breath and wheezing. Exercise and the chilly winter air can worsen your child’s symptoms.
How is it treated? Bronchodilators (like salbutamol) and anti-inflammatory medications (steroids taken by pill, liquid or inhaled) open the airways by relaxing the tight muscles. Leukotriene antagonists do not contain steroids and can be taken in pill form.
What can I do?
• Keep your child away from cigarette smoke.
• Keep dust at bay by washing bedding weekly.
• If you have the choice, choose hardwood floors over carpets.
• Bid Fido and Fluffy farewell if your child has animal allergies.
• Keep your home’s humidity at 40 to 45 percent to help prevent mould from developing.
• Stay close to home during pollen season.