Common Colds

Colds are caused by viruses, and antibiotics do not cure viruses. Transmission is by hand-to-hand contact, sneezing or coughing. The virus is shed from the nasal discharge.  Some newborns sound stuffy on and off, but there is no nasal discharge. They are having dried mucous developing in the nasal passage which can be cleared with salt water drops and bulb syring. Infants under about 4 months must breathe through their nose and feeding can become difficult with a cold. They may be at risk of becoming dehydrated if they are not feeding well.

Most children get about six to ten colds per year. The frequency is higher if the child is in daycare, has siblings in school or is around a lot of other children. If a child is chronically congested (more than two or three weeks), allergies or sinusitis may be present. A foreign body placed in the nose may cause a one-sided foul smelling thick runny nose. Discuss these possibilities with your doctor if the runny nose is more than 10 to 14 days or if you suspect a foreign body in the nostril.

Patient needs to be seen by doctor right away if

1, Breathing is difficult and does not improve with suctioning of the nose, especially when a young infant under 4 months is becoming dehydrated because of inability to feed or is vomiting feedings.

2, Nasal discharge lasting more than 10 to 14 days, especially, if the child appears to be getting worse.

3, Earache or very sore throat, fever more than three days, or having difficulty eating because of stuffiness in infant under 4 months.

4, Suspicion of a foreign body in the nose.

5, Young infant who is under 2 month age should come in office to be examed carefully and given detailed instructions for family on how to monitor their young infant.

Home treatment tip for runny nose or stuffy nose


1, Runny nose with lots of discharge. For young infants, use a bulb syringe to clear the secretions. It is especially helpful before a baby feeds. Use a humidifier at night. Cool mist humidifiers are safer than steam vaporizers because of the risk of a curious toddler burning himself with the steam. Elevate the head of the crib or bed. This is best done in cribs or bassinets by placing a pillow or phone book  underneath the mattress. Never place infants on pillows.

2, Stuffy nose with little discharge. Warm nose drops with a solution of salt water (use 1 teaspoon of salt in a cup of warm water) or purchased saline drops can be placed in each nostril. This will often help to break up the mucous and the child can then be suctioned with the bulb syringe.  In an older child they can be told to blow the nose after the drops have been in for a minute.  Use the humidifier at night.

How to Prevent Flu/Colds...

• Get plenty of rest and exercise.
• Eat a well-balanceddietand drink plenty of water.
• Wash your hands regularly.
• Avoid close contact with anyone who looks unwell.
• Avoid sharing utensils, towels or bedding).
• Get the Flu Vaccine (consult with your doctor).
  

When You Are Unwell...
        Cover your mouth when you sneeze or cough.
        Stay and rest at home until bad symptoms pass.