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Managing your fall allergies and symptoms

Although it’s hard to avoid everything that triggers fall allergies, there are many things that can be done to limit or treat the side effects so everyone can enjoy the season.

What allergies present in the fall?

Dirt-based molds are the main trigger of fall outdoor allergies. Mold is in decaying that plant material in yards and parks, as well as in pumpkin patches, hay and barns. Because we tend to close up our homes as the weather gets worse, inside allergens may get worse. Indoor mold, dust mites and our pets can trigger symptoms.

How do I know I have fall allergies?

Symptoms are the same as you might experience in the spring. Congestion, sneezing, post-nasal drip and itchy, watery eyes are the most common signs of fall allergies.

How can I limit allergens and reduce allergy symptoms?

Tips for kids with Inflammatory Bowel Disease (IBD)

Working as a CMA (certified medical assistant) in Swedish Pediatric Gastroenterology, I have the responsibility and honor of taking care of children diagnosed with a variety of gastrointestinal problems, one of the most serious being Inflammatory Bowel Disease (IBD).  IBD is an autoimmune disease that causes chronic intestinal inflammation.  Crohn’s disease and Ulcerative Colitis are the two main types of IBD, depending on the location and depth of inflammation in the gut. 

As I work with the families of children diagnosed with IBD, I am constantly amazed at what a complicated job they have, balancing life between a chronic illness and the challenges of “normal childhood”. 

As the school year gets off to a start, seeing how hectic life can become for most kids, I wanted to write down a few ways children with IBD might better empower themselves to gain control over their chronic disease:

Signs of Hearing Loss for Babies and Children

Early identification and intervention of childhood hearing loss is linked to improved outcomes in communication and learning. Most newborns receive a hearing screening before being discharged from the hospital. However, some children may experience hearing loss sometime after that initial screening. Childhood hearing loss can be caused by a number of factors including family history, health problems at birth, syndromes, persistent middle ear fluid, chronic ear infections, and exposure to loud noise or head trauma. Children with normal hearing typically demonstrate similar listening and vocalization behaviors. If your child does not display these behaviors, it may be a sign of possible hearing loss or other problems.

Does your baby…

 

Birth – 3 months

  • Wake or startle in response to a sudden noise?
  • Seem to be soothed by your voice?

4-6 months

  • Move ...

Food allergies and emergency epinephrine in Washington State schools

Food allergies have been on the rise in recent years.  Studies suggest that up to 1 in 13 children are affected by a food allergy.  Egg and cow’s milk are the most common food allergies for infants and toddlers.  Fortunately, most children will lose a milk or egg allergy by the time they enter school.  Peanut and tree nut allergies are also becoming more common.  Unfortunately, only 10-20% of children will ever outgrow a nut allergy.

Currently there is no cure for food allergies.  Instead, doctors rely on an accurate diagnosis, avoiding food triggers, and being prepared in the event of a severe reaction.  Making the situation more challenging, nearly half of children with a food allergy may be at risk for a potentially life-threatening reaction called anaphylaxis. 

Symptoms of anaphylaxis may include:

  • hives or itchy welts
  • swelling
  • vomiting or diarrhea
  • difficulty breathing (cough, wheeze or shortness of breath)
  • dizziness or passing out

During a severe food allergy reaction, epinephrine (“adrenaline”) can be a life-saving medication. Epinephrine is typically injected into a thigh muscle with an “auto-injector” device like EpiPen® or Auvi-Q™.  Oral antihistamines like Benadryl, Allegra, or Zyrtec can help with some anaphylaxis symptoms, but are not considered life-saving treatment.

Emergency Epinephrine in Schools

Until recently, only certain students in Washington State could receive a life-saving epinephrine injection while at school.  They needed to be diagnosed with a food allergy and already have an epinephrine injector in the health room.  However, some students may not have an injector at school, or they have their first serious allergic reaction while at school.  In that case, the school could only call 911 and hope they arrived in time to save a life.

In January 2013...

Kids with kidney disease and cold and flu season

With the summer winding down, the dreaded cold and flu season is just around the corner.  Parents with children who have a history of kidney disease need to keep in mind a few things during this season of stuffy noses and coughs.

  • Avoid NSAIDs (non-steroidal anti-inflammatory drugs) like ibuprofen, Motrin, Advil, naproxen, and Aleve.
    • NSAIDs are known to decrease blood flow to the kidneys and can cause more damage.
  • Avoid Pseudoephedrine or any medications that may contain similar ingredients.
    • Pseudoephedrine is usually an ingredient for decongestants like Sudafed and is known to increase blood pressure.
  • Say YES to the flu shot early.
    • Children with kidney disease ....

Surgical treatment options for GERD

Gastroesophageal reflux disease (GERD) is the most common disorder of the upper gastrointestinal track.  It's estimated that up to 40% of Americans take some form of anti-acid medication at least once a month, making it one of the most commonly used types of medication in the world. 

Heartburn is simply a burning sensation behind the breast bone, and is not necessarily from GERD.  It can be caused by a variety of other disorders, including heart disease, musculoskeletal disorders, and disorders of other parts of the gastrointestinal track, including the stomach, pancreas, gall bladder, liver, or intestine A simple way to differentiate GERD from heartburn is to take antacids or over the counter acid suppressants.  There are two classes of acid suppressants: H2 blockers like ranitidine/zantac; and proton pump inhibitors (PPIs) like prilosec/omeprazole.  If the symptom partially or completely responds, it is likely caused by stomach acid, particularly GERD.

How is GERD managed?

GERD is rarely life-threatening and can generally be managed symptomatically.  Some may ...

Wheezing in children

Wheezing is one of the most common symptoms in children and adults. Wheezing refers to the high pitched, "musical" sounds generated from the respiratory tract. It may originate in multiple areas, from the nose, to the throat, to the lungs. When physicians use the term "wheezing", they are usually indicating the sounds produced by tightness in the lower airways ("bronchial tubes").

Wheezing is especially important in pediatrics because children have frequent respiratory infections. These infections are generally caused by viral infections which cause much irritation in the airways. In addition, the airways of children are small and more "sensitive," predisposing them to wheezing. The location of the irritation may be in the upper or lower respiratory tract. This means that wheezing can occur with just a cold as well as bronchitis or pneumonia.

Wheezing in most children will respond to treatment with ...

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