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Here - Health Promotion Agency

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Illness and accidents<br />

ANTIBIOTICS<br />

Many doctors are now<br />

reluctant to prescribe<br />

antibiotics for common<br />

illnesses such as colds, or<br />

may adopt a ‘wait-and-see’<br />

policy to make sure an<br />

infection is caused by<br />

bacteria. Not only are<br />

antibiotics ineffective against<br />

viruses, but inappropriate<br />

use of these can result in the<br />

child developing a resistant<br />

infection in the future.<br />

If your child is prescribed<br />

antibiotics, always make<br />

sure the course is finished,<br />

even if your child seems<br />

better.<br />

●<br />

●<br />

Fever and pain can be treated<br />

with the correct dose of paracetamol<br />

for your child’s age or with junior<br />

ibuprofen if your child is over the<br />

age of one and weighs 7 kg (15 lbs)<br />

or over.<br />

Encourage all the family to wash<br />

their hands to prevent the spread<br />

of colds from infected secretions.<br />

COUGHS<br />

●<br />

●<br />

Children may also cough when<br />

they have a cold because of<br />

mucus trickling down the back<br />

of the throat. If your child is<br />

feeding, eating and breathing<br />

normally and there is no<br />

wheezing, a cough is not usually<br />

anything to worry about. But if<br />

your child has a bad cough that<br />

won’t go away, see your GP.<br />

If your child has a temperature<br />

and cough and/or is breathless,<br />

this may indicate an infection<br />

on the chest. If the cause is<br />

bacteria and not a virus, your<br />

GP will prescribe antibiotics<br />

to treat this – although it won’t<br />

soothe or stop the cough straight<br />

away.<br />

If a cough continues for a long<br />

time, especially if it is more<br />

troublesome at night or is<br />

brought on by your child<br />

running about, it might be a<br />

sign of asthma. Some children<br />

with asthma also have a wheeze<br />

or some breathlessness. If your<br />

child has any of these symptoms,<br />

he or she should be seen by your<br />

GP. If your child seems to be<br />

having trouble breathing, contact<br />

your GP, even in the middle<br />

of the night.<br />

●<br />

Although it is distressing to hear<br />

your child cough, in fact coughing<br />

serves a purpose. When there is<br />

phlegm on the chest, or mucus<br />

from the nose runs down the back<br />

of the throat, coughing clears it<br />

away. Most doctors believe cough<br />

mixtures do not work and are a<br />

waste of money. To ease your<br />

child’s cough, give him or her<br />

plenty of warm, clear fluids to<br />

drink. If your child is over the age<br />

of one, try a warm drink of lemon<br />

and honey. There is no need to<br />

try to stop the cough completely.<br />

CROUP<br />

Croup is a result of inflammation<br />

of the larynx (voicebox). Your<br />

child will have a hoarse, barking<br />

cough and noisy breathing. Contact<br />

your GP if you think your child has<br />

croup. Sometimes, though not often,<br />

croup can be life-threatening.<br />

Therefore, it is important to watch<br />

out for danger signals like:<br />

●<br />

●<br />

●<br />

●<br />

indrawing between the ribs or<br />

below the ribs with breathing;<br />

restlessness and lots of saliva;<br />

irritability;<br />

blueness of the lips or face.<br />

If you notice any of these signs, call<br />

your GP or, if a doctor is not<br />

available, take your child straight to<br />

the nearest hospital with an Accident<br />

and Emergency department.<br />

●<br />

If your child has croup a steamy<br />

atmosphere may help to relieve<br />

a ‘croupy’ cough and ease<br />

breathing. If your child has an<br />

attack of croup sit with him or her<br />

in the bathroom with the hot tap<br />

running or in the kitchen with<br />

water boiling. But be careful: very<br />

hot water, even if it isn’t boiling,<br />

can scald. Keep the door and<br />

windows closed.<br />

92

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