All children deserve high-quality medical care. As a parent, it's important to be aware of most up-to-date treatment guidelines so you can be sure your child is getting the best care possible. The following information from the American Academy of Pediatrics (AAP) lists some of the most common childhood illnesses and their approved treatments based on scientific evidence and best practices. However, there may be reasons why your pediatrician has different recommendations for your child, especially if your child has an ongoing medical condition or allergy.
1. SORE THROAT
*Sore throats are common in children and can be painful; However, a sore throat that is caused by a virus does not need antibiotics. In those case no specific medicine is required, and your child should get better in seven to ten days. In other cases, a sore throat could be caused by an infection called streptococcal (strep throat).
*Strep cannot be accurate diagnosed by simple looking at the throat; A lab test or in- office rapid strep test, which includes a quick swab of the throat, is necessary to confirm the diagnosis of strep.If positive for strep, your pediatrician will prescribe an antibiotic. It's very important your child take the antibiotics for the full course, as prescribed even if the symptoms get better or go away. Steroid medicines (such as prednisone) are not an appropriate treatment for most cases of sore throat.
*Babies and toddlers rarely get it strep throat; but they are more likely to become infected by streptococcus bacterial if they in child care or if an older siblings has the illness. Although streps spread mainly through coughs and sneezes, your child can also get it by touching a toy that an infected child has played with
*Ear pain is common in children and can have many causes;- including ear infections (otitis media),:swimmers ear (infection of the skin in the ear canal), pressure from a cold or sinus infection, teeth pain radiating up the jaw to the ear, and others. Your pediatrician will need to examine your child's ear. In fact an in- office exam is still the best way for your pediatrician to make an accurate diagnosis. If your child's ear pain is accompanied by a high fever, involves both ears, or if your child has other signs of illness, your pediatrician may decide that an antibiotic is the best treatment.
*Amoxicillin is the preferred antibiotic for middle ear infections;- except when there is an allergy to penicillin or chronic or recurrent infections.
*Many true ear infections are caused by viruses and do not require antibiotics;- if your pediatrician suspects your child's ear infection may be from a virus, he or she will talk with you about the best ways to help relieve your child's ear pain until the virus runs it's course
3. Urinary Tract Infection
*Bladder infections, also called urinary tract infections or UTIs, occur when bacteria build up in the urinary tract. ;- A UTI can be found in children from infancy through the teen years and into adulthood. Symptoms of UTI include pain or burning during urination, the need to urinate frequently or urgently, bedwetting or accidents by a child who knows to use the toilet, abdominal pain, or side or back pain.
*Your child's doctor will need a urine sample to test for UTI before determining treatment;- Your doctor may adjust the treatment depending which bacterial is found in your child's urine.
4. Skin Infection
* In most children with skin infections, a skin test (culture or swab) may be needed to determine the most-appropriate treatment.;- Tell your doctor if your child has a history of MRSA , staph infection, or other resistant bacterial or if he or she has been exposed to other family members or contact with resistant bacterial.
*Chronic bronchitis is an infection of the larger, more central airways in the lungs and is more often seen in adults;- Often the word "bronchitis" is used to describe a chest virus and does not require antibiotics
6.Bronchiolitis;- Bronchiolitis is common in infants and young children during the cold and flu season. Your doctors may hear "wheezing" when your child breathes.
*Bronchiolitis is most often caused by a virus, which doesn't require antibiotics;- instead, most treatments recommendations are geared toward making your child comfortable with close monitoring for any difficulty in breathing, eating or signs of dehydration.
7. Pain ;- The best medication for pain relief for children are acetaminophen or ibuprofen. Talk to your pediatrician about how much to give your child, as it should be based on your child's weight.
*Narcotic pain medications are not appropriate for children with common injuries or complaints such as sprained ankle, ear pain or sore throat.
* Colds are caused by viruses in the upper respiratory tract;- many young children- especially those in child care- can get 6 to 8 colds per year. Symptoms of cold include,(runny nose, congestion, and cough) may last for up to 10 days.
*Green mucus in the nose does not automatically mean that antibiotics are needed, common colds never need antibiotics.
9. Bacterial Sinusitis;
*Bacterial sinusitis is caused by bacteria trapped in the sinuses. Sinusitis is suspected when cold-like symptoms such as nasal discharge, daytime cough or both last over ten days without improvement.
*Antibiotics may be needed, if this conditions is accompanied by thick yellow nasal discharge and a fever for at least 3 or 4 days in a row.
10. Cough; * coughs are caused by viruses and do not often requires antibiotics.
*Cough medicine is not recommended for children 4years of age and younger, or for children 4 to 6 years of age unless advised by your doctor.
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