Colds and your child
35 Ways to Keep Your Kids Cold-Free
Chicken soup really works, antibiotics aren't the answer, and other key info you need to survive the coughing and sneezing season.
Why Kids Are Such Cold Magnets?
On average, kids under age 3 catch six to eight colds a year. "We think that since most children are encountering viruses for the first time, their immune systems aren't able to kill them as quickly as when they encounter them again," says Carol J. Baker, M.D., a professor of pediatrics at Baylor College of Medicine, in Houston. What's more, because kids aren't overly concerned about having a runny nose, the virus tends to end up on their hands, clothing, and toys—where it can live for 30 minutes. When another child touches an infected toy and then rubs her nose or eyes, she can catch the cold.
However, having lots of sniffles early in life may protect kids later on. Researchers have found that children who develop frequent colds in preschool catch fewer colds during their school years—presumably because their immune systems have learned to recognize and fight off the bugs. And a German study has found that babies who have more than one cold before their first birthday are less likely to develop asthma by age 7.
Colds typically last 6 to 14 days—longer than many parents think they're supposed to. "They're most contagious during the first three days of symptoms, but you can still catch a cold from someone who's had it for two weeks," says David Jaffe, M.D., director of emergency medicine at St. Louis Children's Hospital.
Symptom: Sore Throat
How Long: Often the first sign of a cold, it lasts about 5 to 9 days.
Symptom: Runny Nose
How Long: Begins on day 2 or 3. Lasts for 10 days in 30 percent of kids, 14 days in 20 percent.
How Long: Starts about midway through a cold and lingers for up to three weeks.
How Long: Half of kids have a temperature of 101? to 103?F for the first two or three days. Call your pediatrician if the fever lasts longer.
Washing Your Hands
Theory Behind It The easiest way to catch a cold is by getting the virus on your hands and then touching your nose or eyes.
Does It Work? Yes, but only if you wash with soap and water for at least 30 seconds. "An alcohol-based hand sanitizer is equally effective," says Donald Goldmann, M.D., medical director of infection control and quality improvement at Children's Hospital, in Boston. In fact, researchers at the University of Pennsylvania found that kids who regularly use a hand sanitizer have 50 percent fewer absences from school than those who don't.
Covering Your Mouth When You Sneeze
Theory Behind It Millions of cold germs are expelled into the air with every sneeze.
Does It Work? Surprisingly, cold viruses don't spread easily through the air--unless someone sneezes right into your face, explains Dr. Jaffe. In fact, you're unlikely to catch a cold in the doctor's waiting room or on an airplane. Even so, it's somewhat protective--and certainly more polite--to contain a sneeze behind a hand or a tissue.
Bundling Up in Winter Weather
Theory Behind It You can catch a cold from getting chilled.
Does It Work? It makes sense to dress your child warmly when the temperature is low, but a jacket won't keep him from getting sick. Researchers have actually made people wet and cold and then infected them with viruses to see if they were more likely to get sick than people who stayed warm. Though the cold people were more uncomfortable, they got sick at the same rate.
Skipping Good-Night Kisses When You're Sick
Theory Behind It Cold germs from your mouth can infect another person.
Does It Work? "Studies have shown that kissing is not an efficient way to transmit cold viruses—probably because you need to get them in your eyes or nose in order to get sick," says Dr. Goldmann. "However, some germs can be spread effectively by a kiss, such as the bacteria that cause strep throat."
Over-the-counter cough and cold medications aren't completely safe, even though you can buy them without a prescription. In an article published last year, doctors at the Johns Hopkins School of Medicine, in Baltimore, reported three cases of children who had significant reactions to such products. "These drugs can cause agitation, irritability, and hallucinations," Dr. Jaffe says. Both pseudoephedrine (a decongestant) and dextromethorphan (a cough suppressant) can cause heart-rhythm disturbances and agitation. In addition, some studies have found that these products don't even relieve symptoms in kids under the age of 5. The best advice: Avoid them for children under 1 year old. Check with your doctor for older kids.
Feel Better Fast
Acetaminophen and ibuprofen are the best ways to relieve the aches, pains, and fever caused by viral infections, Dr. Goldmann says. If your child has a fever, don't hesitate to call your doctor.
Grandma was right: Chicken soup contains anti-inflammatory substances that may ease cold symptoms, according to researchers from the University of Nebraska Medical Center, in Omaha. "While there's no magic recipe, soup is easy to digest, helps prevent children from becoming dehydrated, feels soothing on a sore throat, and is liked by most kids," Dr. Baker says.
To unstuff your baby's or toddler's nose before bed, put a drop of saline nosedrops in each nostril, then suction with a bulb syringe.
You might place a cool-mist humidifier near your child's bed to keep her nasal secretions more liquid. Clean and dry the humidifier daily to prevent bacterial or mold contamination.
Five Myths About Colds
Cold Hard Facts?
These five stubborn myths about colds just aren't true.
Myth: Antibiotics will help your child get over a cold. Since colds are caused by viruses, they aren't treatable with antibiotics, which kill only bacteria.
Myth: Green snot means your child has a sinus infection. Colds typically go through a phase when the nasal secretions are yellowish or greenish.
Myth: Starve a cold. It's important for your child to eat to keep her body strong and help her fight the infection. Don't worry, though, if she doesn't have much of an appetite for a day or two. Just make sure she keeps drinking. "If she has a fever and a runny nose, it's easy for her to get dehydrated," Dr. Baker says.
Myth: Don't let him cough. Coughing is actually a protective mechanism that clears mucus from your child's respiratory tract. Avoid giving him a cough suppressant unless it's specifically recommended by your doctor.
Myth: Herbs, vitamins, and minerals stave off sickness. Researchers have rigorously tested vitamin C, echinacea, and zinc--with disappointing results. In fact, one recent study found that some kids who take zinc have unpleasant side effects, such as nausea, diarrhea, and throat irritation.
4 Reasons To Dial The Doctor
A fever of 102?F for more than 3 days, nasal secretions for more than 10 days, and facial pain.
What it Could Mean: A sinus infection, which occurs when the air pockets in the bones around the nose and cheeks become filled with bacteria- or virus-infected fluid.
What to Expect: If the doctor believes it's a bacterial infection, he'll prescribe an antibiotic.
Your child says his ear hurts (or is pulling his ear), is very fussy, or has a fever for 4 or more days.
What it Could Mean: An ear infection, a common complication in babies and toddlers, whose small eustachian tubes can swell and trap fluid.
What to Expect: If there's fluid or pus in his ear, he may have an infection that will respond to antibiotics. Since most ear infections go away on their own, your doctor may wait a few days to see if your child gets better.
Wheezing (a raspy sound when your child breathes), or a dry cough that gets worse with exertion.
What it Could Mean: Asthma. Although colds don't cause asthma, having a cold will trigger wheezing in about two thirds of asthmatic kids.
What to Expect: Your doctor can tell the difference between regular congestion and wheezing by listening to the lungs with a stethoscope. If your child is wheezing, your doctor may prescribe an inhalable asthma drug.
Painful blisters on the mouth.
What it Could Mean: Cold sores, which typically last 7 days. Although they may crop up along with a cold, they are actually caused by herpes simplex virus type 1.
What to Expect: They aren't serious—more than 90 percent of adults carry the virus--but they can be transmitted through skin (or saliva) contact. The prescription drug acyclovir can shorten the course of the infection.