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ALLERGIES

Hay Fever (Allergic Rhinitis)
Hay fever is a common allergy affecting the nose and sinuses, occurring in approximately ten percent of older children and adults. Most hay fever is caused by allergies to pollen, grasses, trees, and weeds. Symptoms include clear nasal discharge with sneezing, sniffing, nasal itching, and watery eyes.

Treatment
- The best treatment is avoiding the offending pollen, but this is almost impossible to accomplish. Antihistamines such as Benadryl, Chlor-Trimeton, Claritin, Zyrtec and Dimetapp are helpful.
- If symptoms are not improved with these non prescription drugs, stronger prescription drugs are available.
- If symptoms of infection develop (such as fever, frequent cough, discolored nasal drainage for more than five days, headache, earache) call the office for an appointment.


Hives
Hives is a skin rash causing itchy red swollen blotches on any part of the body. Often the rash will move around, staying in one area a few minutes to hours then appearing somewhere else. Causes include medications--especially antibiotics, some foods, and some infections.

Treatment
- If your child has hives, watch closely for any sign of breathing difficulty. If this occurs, seek medical attention immediately.
- If a child who is taking antibiotics develops hives, stop the drug immediately and call the office for treatment advice.
- You may use Benadryl, Claritin or Zyrtec for itching.
- If your child is taking no medication, an attempt should be made to determine what is causing the allergic reaction.

Contrary to almost everyone's belief, hives are almost never due to anything new in the diet. They are almost always due to something that your child has had before, although he may not have had it in some time. It may be something that he eats every day. You have to have been exposed to something previously to become allergic to it. We recommend that a list be made of everything that has gone into your child's mouth for twenty-four hours prior to the time he broke out. This includes food, drink, gum, candy, snack – anything. Again, they should be listed whether he has had these before or whether it is something new. The child may have several episodes of hives before it can be determined what is causing the rash. If lists are available of what he has had, it will be easier to determine what substance was present before each episode.

ANTIBIOTICS

We do not prescribe antibiotics without first examining your child. We feel that prescribing antibiotics by telephone is potentially dangerous and poor medical practice.

ARMS AND LEGS

If your child refuses to use an arm or leg completely, he should be evaluated by the doctor. If he is limping without much pain, it is appropriate to observe him for a couple of days before seeking medical advice. If the limp is not gone in 24 to 48 hours, he should be examined by the doctor.

If your child suddenly begins falling a lot when he hasn't in the past, he should be examined by the doctor. Any swelling, redness or pain in the joints is reason for an appointment for evaluation.

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