Posts for tag: Child Care

By Lockman & Lubell Pediatric Associates
November 22, 2018
Category: Pediatric Care
Tags: Child Care   Cold   Flu  

Cold Vs. Flu

Is it a cold or the flu? When it comes to your child's health, your pediatrician provides great information and guidance on the most common illnesses plaguing families. If you are wondering about the exact nature of your child's illness and how to treat it, learn the differences between a cold and the flu and how to treat and prevent them.

What is a cold?

A cold is an upper respiratory viral infection lasting 5 to 7 days in both adults and children alike. Generally milder in intensity and shorter in duration than influenza, a cold causes:

  • Coughing
  • Sneezing
  • Watery eyes
  • A runny nose
  • Tiredness
  • Low-grade fever
The Centers for Disease Control states that most healthy children experience 8 to 10 colds by the age of two years.
What is the flu?
The flu is a much more serious viral infection. Of sudden and intense onset, the flu usually comes with:
  • High fever
  • Body aches
  • Cough
  • Extreme tiredness
  • Severe headache
  • Chills
Also, the flu lasts longer and debilitates sufferers. It carries dangerous complications, particularly with young children, the elderly, asthmatics, diabetics and those with weak immune systems.
Treating colds and the flu
Treating a cold involves rest, fluids and decongestants as needed. The onset of a cold is gradual, and so is recovery. Typically, your child will not need to visit the pediatrician if he or she has a simple cold. Simple symptom relief works well. However, high and persistent fever merits a call to your child's doctor.
Regarding the flu, your pediatrician may do an in-office Rapid Influenza Diagnostic Test (a throat or nasal swab) to confirm the diagnosis. They may prescribe antiviral medication and instruct on how to monitor a young child's symptoms. Keep your youngster well-hydrated, and administer acetaminophen or ibuprofen as directed.
If flu symptoms escalate (labored respirations, severe headache, rapid heart rate or anything that seems unusual to you), take your child to the nearest hospital ER for evaluation. Pneumonia is a frequent and life-threatening complication of influenza.
Prevention is the best medicine
Protect all members of the family with these simple measures:
  1. Eat a healthy diet.
  2. Stay well-hydrated.
  3. Avoid crowds during peak cold and flu season.
  4. Keep your child home from daycare and school if he or she is sick.
  5. Teach your child to cover his or her mouth when coughing or sneezing.
  6. Don't share food or utensils, even with family members.
  7. Vaccinate against the flu. Ask your pediatrician for your child's "shot."
Trust your pediatrician
They work hard to prevent acute illnesses such as colds and the flu. The doctor and professional team are great resources for prevention, healing and overall well-being for your children.
By Lockman & Lubell Pediatric Associates
January 19, 2015
Tags: Child Care   Fever  


Although fevers, particularly in infants, are often very frightening for parents, we pediatricians know that most of the time a fever is not a sign of a serious problem nor is it going to injure or damage the child.  Fevers are usually triggered by an infection caused by a viral  or bacterial germ. In fact a fever is the body’s normal  response to infection and in many cases is considered a good sign that the child’s body is trying to heal itself. Furthermore, contrary to popular opinion, the height of the fever does not correlate with the seriousness of the infection. 

All children react differently to fevers, but there are some common patterns seen during a febrile ( fever causing)  illness. For example, typically when a fever is rising the child is pale, feels cold, and has shaking chills, and when a fever is breaking the child will then  appear to be flushed, warm, and sweaty. It is also interesting to note that for each degree of temperature elevation (Fahrenheit) that  your child's metabolism will speed up about 7 %-which means that their heart rate and breathing rate too also speed up by about 7 %. 

When to Visit Your Pediatrician

Fevers are one of the most common reasons parents seek medical care for their child.  

So it seems fair to address the question: When does a child’s fever warrant a pediatric healthcare provider's attention?

At Lockman & Lubell Pediatric Associates we would like you to call us immediately- day or night-if your child has a fever and:

  • Is younger than 3 months and has a temperature of 100.4°F or higher rectally. 
  • Has a fever which persists for more than 24 hours if your child is younger than 2 years or more than 3 days if your  child is 2 years of age and older
  • Has a fever which repeatedly rises above 104°F for a child of any age
  • Is lethargic, unresponsive or unusually fussy
  • Has a seizure
  • Has a severe headache, ear pain, sore throat, difficulty breathing or frequent bouts of vomiting or diarrhea, or an unexplained rash,
  • Still feels or looks particularly ill after fever goes away

If your child appears uncomfortable, you can help them feel better by using a fever-reducing medication like acetaminohen or ibuprofen until the fever subsides. Please consult the dosing chart included in our website or ask your pediatrician if you have questions about recommended dosages.  Your child should also rest and drink plenty of fluids to stay hydrated. Remember , their metabolic needs are increased during fever. Most children do well if they consume a minimum of 16-24 ounces per day. Popsicles are a great option for maintaining a normal state of hydration which most kids enjoy!  Pedialyte is another wonderful option for younger children because it is a balanced solution of water, salt and sugar in all the right proportions. It is availabel in several forms and flavors. These are just two of the 'tried and true' fluids we often recommend, but there are many others that also work well to keep your child hydrated. Remember, "any port in a storm" when it comes to hydration.

Giving medicine and plenty of fluids, combined with a little TLC and a watchful eye, your child should be feeling normal and fever-free in no time.

Whenever you have a question or concern about your child’s health and well being, please contact your team at Lockman & Lubell Pediatric Assocites. for further instruction.