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  • Itches and sneezes: Understanding allergies in children

    As I prepare to write about allergies, my poor daughter is sitting next to me sniffling away, red-eyed, stuffy-nosed, and miserable. If you don’t live with allergies yourself, it can be hard to understand how bad this common medical problem can make people feel. But allergy sufferers know that as their season draws near, they can count on disrupted sleep, trouble smelling and tasting food, itching out of their skin, and blowing through boxes of tissues.

    Types of allergies

    Allergies can be perennial, meaning all year long, or they can be seasonal. Perennial allergies are to things like: pet dander, dust mites, molds, and, believe it or not, cockroaches. Here in Florida, where humidity reigns, most of these allergens are everywhere. Seasonal allergies are pollen allergies, and involve trees, shrubs, grasses and weeds. In Florida, where things bloom and pollenate year-round, some unfortunate allergy sufferers can react to multiple pollens during multiple seasons, with little relief between seasons.

    Symptoms to look for

    Symptoms of allergies are many, and are sometimes hard to tell from viral or other illnesses. A common cold follows a rather predictable course: sore throat with or without fever at first, followed by runny nose, followed in another few days by cough. Things get worse over the first week, and then improve over the second week. The flu is marked by high fever and body aches. The hallmark of allergy is the lack of fever, itching of eyes, nose, throat, and/or skin, and the ups and downs of symptoms. Some people have classic allergic rhinitis, with itchy, sneezy, runny nose. Some have allergic conjunctivitis, with red, runny, itchy eyes. Some patients have maddening itching in the back of the throat.  Cough is common in allergy sufferers, and can be from post-nasal drip or from bronchospasm (allergy-induced-asthma is wheezing caused by allergic inflammation). Some allergy sufferers also have itchy dry skin, or eczema.  Complications of allergies can include infections of the ears, sinuses, lungs, and skin.

    How are allergies treated?

    Treatment of allergies may involve determining triggers and eliminating or preventing whatever you can. Sometimes, identifying triggers is easy; for example, if every time your child visits grandma and curls up with the cat she starts to tear and sneeze, your child is allergic to cat dander. You don’t need a test to prove that. On the other hand, allergy tests, which can be blood tests and/or skin tests, can be very helpful in patients with severe symptoms. For example, if your child is often congested and has recurrent sinus or ear infections and turns out to be allergic to dust mites, you can remove carpeting and curtains from his bedroom, encase his mattress and pillow in allergy-control casings, limit plush animals in his bed to one or two, and even run a dehumidifier to kill dust mites. Prevention is considered to be preferable to treatment with multiple medications.

  • Get Outside and Play — Just Be Careful

    Your kids likely have spent much of this past year camped in front of computer screens for virtual school, video chats and games — and not enough time running around in the great outdoors. But now that Florida’s weather has turned more pleasant, you may have more opportunities to prod them off the couch and back outside where exercise, sports and friends await. But has all that time inside left them vulnerable to injury? Even if your kids haven’t been doing the virtual school thing — and have remained active in recess, gym and sports — there are things you can do or encourage to reduce their risk of pulled muscles, twisted ankles and broken bones. 

  • Webinar on "Living with CHD: Ensuring your child meets his or her full potential" with Dr. desJardins

    This week, we hosted a webinar on "Living with Congenital Heart Disease: Ensuring your child meets his or her full potential" with Dr. desJardins, pediatric cardiologist at The Heart Center.

  • Childhood Depression: What Parents Need To Know

    Children today are under so much stress — from academics and sports to how they look — and all of it is magnified by social media. So it’s no surprise that about 20 percent of all teens experience depression. But only fewer than a third of depressed kids are treated for their symptoms. And many parents may not realize their children are suffering.

  • How to Talk to Children When a Loved One Is Seriously Ill

    If your family is dealing with the death or serious illness of a loved one, take some time to consider how your children are handling it — and what you can do to help them navigate this confusing, and possibly frightening, time. Children can absorb a great deal, and often imagine the situation to be worse than it is, with studies showing that even preschoolers can be significantly affected. Although discussing a loss with your child won’t make it less painful, you can certainly offer significant support and teach healthy coping skills they will need as they process things. 

  • Exploring the link between autism and illness in pregnant mothers

    Could autism in a child be related to fever or infection in the pregnant mother?

  • Button batteries: a hidden hazard in your home

    Over the past two decades there has been a dramatic increase in the number of children’s emergency room visits due to battery-related injuries. A recent study tracked battery-related ER visits in 100 hospitals across the U.S. and found that over a period of 20 years, the number of these visits had almost doubled. They also found that 84% of these visits were related to button batteries.

  • Powdered caffeine is risky business: Why parents should be concerned.

    Most of us look for a boost of energy in our morning (or afternoon) cup of coffee or tea. But what if I told you to just skip the regular cup of Joe and sprinkle some caffeine powder on your morning oatmeal or stir it in a fruit smoothie?

  • What we can learn from Leelah Alcorn’s suicide

    *this photo was posted on Leelah Alcorn's tumblr site

  • Is It Grief or Depression? How to Tell the Difference

    Grief is a common, expected experience as a child or teenager processes difficult life circumstances. Depression, however, is a mood disorder that can be prolonged and serious. Because depression left untreated can be harmful and lead to suicidal or other risky behaviors, recognizing the difference between the two is vital.