What’s Going Around: Fevers, sunburns, poison ivy
UPMC Express Cares is seeing an increase in sunburn. Getting sunburned every two years triples the chance of developing skin cancer. Even on cloudy days, 80 percent of UV rays can get through the skin and damage it.
Sunscreens that protect against UVA and UVB rays at SPF 30 or higher should be used daily outdoors. Reapply every two hours or after swimming or sweating. Avoid direct sunlight between 10 a.m. and 4 p.m. Use hats, sunglasses, and an umbrella whenever possible. Even infants under six months of age should use sunscreen on exposed areas of their skin when they are exposed to direct sunlight, especially near sand and water.
Penn Medicine Lancaster General Health Physicians Roseville Pediatrics saw increases in fever, often with no other symptoms.
As the weather got warmer, they saw an increase in poison ivy, tick bites, and sunburns. Pollen counts have caused many allergy symptoms and itchy eyes. You’ve also seen a variety of rashes, including mollusks, plantar warts, impetigo, and roseola.
Dr. Joan Thode gave the following advice about fever:
“In our day and age, it’s easy to forget that fever is a normal part of childhood. We are particularly concerned about fever in many of our patients’ parents.
If your child has a fever, remember to look, listen, ask, and hydrate.
LOOK: Does your child have difficulty breathing? All children breathe a little faster than usual with a high fever, but you want to see how much effort they put into breathing. Comfortable, slightly faster breathing is seen at home, although very rapid breathing, over 50 breaths per minute, which is sustained, or prolonged expansion of the chest or abdomen in an exaggerated manner for a minute or two is important. It’s about how stressed your child looks when breathing.
HEARING: Does your child make steady noises or gasps when they inhale or exhale? Is her scream nice and strong or weaker and hoarse? Breathing loudly or changing how you scream are important in connection with increased breathing effort. Persistent shortness of breath is a reason to call your doctor.
QUESTIONS: Ask older children a question. If they can answer it appropriately, they are vigilant. For younger, pre-verbal children, try keeping them busy with a toy or book that they enjoy. When they respond appropriately, they are vigilant. They may appear tired and low on energy, but they are only at a worrying level of true lethargy when they have difficulty waking up and cannot maintain a coherent conversation or response because they immediately fall back to sleep. True lethargy is one reason to call your doctor right away.
HYDRATE: Giving your child water is the most important way to help them with a febrile illness. Your child will feel better overall when they are well hydrated. Babies younger than 6 months should only be hydrated with formula or breast milk, never with plain water. Inability to maintain hydration and a decrease in urine output are reasons to contact your doctor for evaluation.
You will find treating fever isn’t on the list. A fever does not need treatment. We often treat fevers not to protect the body from the heat, but to make the child feel a little better and thereby be more willing to drink water and stay hydrated. The goal during a fever is hydration and comfort for your child.
Any fevers that last five consecutive days should be evaluated by a doctor’s office and will likely require additional testing. “
Geisinger Holy Spirit Primary Care in Cumberland County reports insect bites, tick bites, poison ivy, rashes, sunburns, cuts, cuts, falls, and other injuries.
The CVS MinuteClinic Lancaster location reports that wax removal remains a popular service. Increased use of headphones and earphones can cause the wax to bounce off by pushing it further into the canal.
CVS MinuteClinic in York sees sore throats.