We sneeze, cough, and sniffle through an average of two to four colds a
year, according to the National Institute of Allergy and Infectious
Diseases
in Bethesda, Maryland. Our kids fare worse; they catch 6 to 12 colds a
year
because of poorer hygiene, immune systems that haven't built up resistance
to a lot of viruses, and close contact with other children in day-care
centers and schools.
Most of these colds occur in fall and winter because we spend more time
indoors, swapping germs in closer quarters. You know how it goes: Your
child
catches a cold from a friend at preschool, you get sick while caring for
her, and-boom!-soon the virus spreads to the entire family.
Short of isolating your family, there is no foolproof way to avoid a cold.
"The cold is caused by 200-plus viruses, and developing a vaccine that
would
vanquish all of them would be extraordinarily difficult," explains Michael
Macknin, M.D., a cold researcher and chair of the Department of General
Pediatrics at the Cleveland Clinic in Ohio.
Instead of a vaccine, researchers are working on treatments that will
combat
rhinoviruses, which cause nearly half of all colds. One promising
treatment
is a nasal spray that will prevent rhinoviruses from "docking" on cells
lining the nose and throat. But for the spray to work, you would need to
know that you had been exposed to a rhinovirus, so it's not entirely
practical, notes Dr. Macknin.
Fortunately, there are other ways to reduce your chances of getting sick;
you don't have to wait until this cold-stopping spray makes it to the
drugstore. But first, you have to understand how a cold is spread.
Picture this: Someone with a cold coughs or sneezes virus-laden secretions
into his hand, then touches your hand or contaminates a doorknob that you
subsequently handle. Then, with germ-laden fingers, you innocently touch
your nose or eyes-areas lined with mucous membranes through which viruses
infect the body and cause a cold.
The most effective way to beat the bug-avoiding close
contact with people who have colds-is easier said than done, especially if
your child or a coworker is sick. However, a few precautions may minimize
the risk of infection, such as canceling a playdate when your child's
friend
has the sniffles (the virus is most contagious in the first three days
after
symptoms appear) or sleeping on the sofa so you're not within sneezing
distance of a sick spouse.
The best defense against colds is to wash your
hands, says Don Shifrin, M.D., clinical professor of pediatrics at the
University of Washington School of Medicine in Seattle. A study published
in
the May 1999 issue of Epidemiology showed that a hygiene program that
included frequent hand washing and toy cleaning reduced the rate of colds
by
25 percent in 24 Canadian day-care centers, compared with the rate at
centers that didn't adopt these methods.
Experts recommend washing your hands at least five times a day (before
meals
and snacks and always after wiping your nose or your child's). Water
temperature doesn't matter and antibacterial soaps aren't necessary-it's
the
action of rubbing your hands together and the lathering effect of the soap
that washes germs down the drain, says Dr. Shifrin. What is important:
scrubbing for at least ten seconds.
"To get young children to wash their hands thoroughly, have them
sing 'Twinkle, Twinkle, Little Star' or their ABCs while they lather up,"
suggests Dr. Shifrin.
Teach kids not to share cups, utensils,
toothbrushes, and towels-otherwise, they will be sharing germs, says Dr.
Shifrin.
Also, get everyone in the habit of tossing used tissues in the garbage
right
away and then washing up.
"If they're at school and there are no tissues in sight, tell
kids
to sneeze into the crook of their elbow," suggests Dr. Shifrin. This keeps
cold bugs off their hands and classmates.
Having a wide circle of friends may also help save
you
from the sniffles, according to a 1997 study reported in the Journal of
the
American Medical Association. Researchers found that people with a wide
variety of social ties-personal, family, social, community, religious,
work
related-were least likely to develop colds, even though a larger social
network may expose you to more cold viruses. "People with a diverse social
network have more motivation to take better care of themselves and
experience less stress and depression, which have been shown to lower
immunity," speculates Sheldon Cohen, Ph.D., professor of psychology at
Carnegie-Mellon University in Pittsburgh.
A recent study found that women who took a daily
40-minute walk reported taking half the number of sick days because of
cold
symptoms as did couch potatoes. Exercise temporarily stimulates the immune
system to produce natural killer cells, which battle infections, says
David
Nieman, Dr.Ph., director of the Human Performance Lab at Appalachian State
University in Boone, North Carolina. "Over time, these favorable changes
in
immunity may have a cumulative effect," he adds.
Depending on the symptoms, here are the OTC medicines that may spell
relief.
Never exceed recommended dosages, and make an appointment with your (or
your
child's) doctor if a cold seems to get worse (see "When to See the Doctor"
below).
If a stuffed-up nose makes breathing difficult, a
decongestant can open airways by shrinking swollen nasal passages. But the
drug should not be used for more than three to four days. (By that time,
chemicals in the product can irritate the nose, causing even more
congestion.)
"There's no proof that decongestants work in kids under 5," says
Dr. Macknin. And because decongestants make some children hyper, don't
give
them to older kids unless the benefit outweighs this risk, he cautions.
If a runny nose and sneezing are causing misery, an
antihistamine can dry nasal secretions. But check the label: While some
antihistamines can cause drowsiness-a plus if a cold has been keeping you
up
at night-the newer, nonsedating formulas may not dry mucus as well.
Like decongestants, antihistamines haven't been proven effective
in
preschoolers, says Dr. Macknin. And while they may be helpful for older
kids, you run the risk of side effects. He adds, "Antihistamines may make
kids tired or, paradoxically, hyper."
Coughing helps to clear mucus that clogs the airways, so
suppressants are best reserved for those who have a dry, hacking cough or
a
cough that keeps them up at night.
Either acetaminophen or ibuprofen can ease a headache or
muscle
pain and bring down a fever. Ibuprofen, though, may cause stomach upset.
Doctors recommend acetaminophen for children. Never give them
aspirin, which has been linked to Reye's syndrome, a serious and
potentially
deadly liver disorder.
Pamper a stuffed nose. Rub petroleum jelly around nostrils chapped by
repeated blowing. To help soothe dry, irritated nasal passages if the air
in
your home is very dry, run a humidifier (but make sure to clean it
regularly).
Use a cool-mist humidifier to prevent steam from burning kids'
delicate skin. For babies who are too young to blow their nose, you can
use
saline nose drops to loosen congestion (but not for more than four days)
and
a bulb syringe to suction out mucus immediately after using the drops.
Heads up to ease congestion. Sleeping propped up on pillows can help keep
mucus from clogging nasal passages, notes Dr. Shifrin.
Never place a pillow under a baby, however: It could be a
suffocation hazard. Instead, if congestion is bad, try putting her to
sleep
in her car seat.
Fill up on fluids. A cold can sometimes lead to dehydration. Dr. Macknin
suggests that adults aim for about five to six 8-ounce glasses of fluid a
day; children need four to five.
To get fluids into sick kids and cheer them up as well, give them
ice pops made of frozen juice.
There's no surefire way to beat a cold bug-yet. But as we age and develop
immunity to various viruses, we get sick less often. In fact, after age 6,
kids catch fewer colds, and teens have the sniffles about as often as
adults
do. And that's nothing to sneeze at.
a.. Symptoms that last longer than a week or so.
b.. A persistent cough or a hacking cough that disrupts sleep.
c.. Consistently greenish or dark yellow phlegm.
d.. Ear pain (pulling on the ear by a small child) or a discharge.
e.. A fever that causes your child discomfort (if you're unsure, check with your child's doctor).
f.. Vomiting or diarrhea.
g.. Any change in symptoms (such as a fever that goes away, then comes back) or symptoms that are sudden and unexpected.
*Submitted by Sherry
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