Spring Allergy Tips
by Elisa Moller, RN
We may be in the middle of a “Nor'Easter” this week,  watching snowflakes and making snowmen! There may not be a bloomed tree or flower in sight……


We soon say our goodbyes to flu and respiratory viral season and hello to a different menace: respiratory/ environmental or seasonal allergies.

While the blooming flowers may look lovely, many cringe at the thought as looming Spring often can lead to: watering, itching eyes and running nose, hives, sneezing, and coughing. In some cases can even lead to eczema flares and asthma attacks.

Start now by taking basic measures to help prevent this allergy season from becoming worse.

Simple steps include:
- Avoid allergens as much as possible, Windy days mean blowing pollen.
-Rain washes pollen away but that may resurge quickly after drying and the ground is covered.
- Record pollen counts which are listed just about everywhere in the spring.  Keep a diary as to what your childs threshold may be by recording daily numbers and any reactions.
- Bathing and washing your clothes, body and hair after being outside so as not to encounter allergens all night long on your pillow and bed linens.
-Leave shoes at the door and have kids remove clothes once in for the day. Then right into the shower.
- Keep windows closed to keep pollen out!
- Use a hepa filter in your home
- Have allergy medicine at the ready.  Many of these medicines work by stopping histamine from attaching on to receptors.  Ask your doctor which one is right for you as some will make you drowsy and others won't.  For example; Claratin is non-drowsy, Benedryl may make you fall asleep soon after taking it. Avoid Benadryl before school. Most medicines are available over the counter such as Zyrtec, Allegra, Singular etc and indicate childrens doses.
-Immunotherapy at the Allergist could help but your child may not tolerate and it can take a long time.

For the more natural approach you can try supplements that contain nettle and NAC, such as D-Hist from Ortho Molecular. D-Hist comes in capsules and chewables for children old enough to take a chewable without being a choking risk.

Other supplements such as quercitin, vitamin C, and your multi vitamin may help.

Naet therapy and chiropractor may also help find relief.

Neti pots will help flush allergens from your nose and may help sinus drain.

When mucous builds up and becomes stagnant in your nasal and sinus caveties, that’s when it can become infected by bacteria that get trapped and find a cozy home there.

Its important if the discharge is no longer clear to see the doctor as you may need treatment for sinus infection or even a respiratory infection.

In cases of hives you can try Benedryl cream, Aveeno (avoid if oat allergy ) or calomine lotion to find relief. Scratching hives could potentiate the histamine reaction and produce more hives.

In the worst case scenario, you find your child having an asthma attack.  This is urgent and needs attention right away.  The whistling sound with breathing means the airway is closing and they need their inhaler immediately. Get medical attention ASAP.  Wearing a light scarf around your face in the spring wind can help asthmatics from breathing in so much in terms of allergen triggers.

We wish you all a happy and healthy Spring and hope you get the chance to enjoy some time outdoors.


Flu Information and Prevention
by Lateesa Posey, NP

There is a lot of fear and alarm about this flu season, and we probably have several weeks of flu activity left. Flu occurring nationwide at this same time, which is unusual, has complicated this flu season. 
Most children and adults who get the flu will recover at home without complications.
There are two strains of the flu (A and B) and substrains under that. We have heard a lot about complications following Flu A H3N2, but all types of the flu can potentially lead to complications. The virus causing most of the illness has been around for decades.
Viral infections, like the flu, make children more vulnerable to secondary bacterial infections including bacterial pneumonias.

What can you do?

-You can reduce your child’s risk of getting the flu through everyday measures like handwashing, covering your mouth when you sneeze and cough, and keeping your child home if they are sick to prevent spreading the virus to others.
-Elderberry has been demonstrated to aid in preventing the flu as well as shortening the duration of the flu. 
-You can also ask your provider about antiviral medication.

If your child has the flu, worrisome signs for secondary infection are :
-Persistent fever
-Difficulty breathing or shortness of breath
-Rapid heart beat or shallow or rapid breathing
-Significant tiredness. 
-Getting better and suddenly getting worse can also indicate secondary bacterial infection.
Please contact your provider or come into the office if you have any worrisome signs after being diagnosed with the flu.
(Schuat, CDC 2018)
A View on Sleep Issues in Pediatrics by Dr. Perrone

We as parents have all encountered trying times when it comes to trying to get our children to fall asleep during their infancy.  We have received advice from family members which may follow 2 different schools of thought: either let them cry it out so they can learn to self-soothe or let them co-sleep with you as long as they want for maternal-infant bonding.  What to do?  I myself as a Pediatrician for 17 years found it challenging when I tried putting my son to sleep.  I tried to let him cry it out until he fell asleep.  It was not as easy as I thought.  He cried and cried for what seemed to be an eternity.  I made sure there was nothing physically harming him (such as hair wrapped around his toes!), he didn't need to be changed, he wasn't hot or cold, he wasn't hungry or gassy.  He still cried.  I tried putting on music (having grown up in the 70's - 80's, I downloaded 70's - 80's lullabies!).  I played them for him and they worked like a charm.  This lasted for several months, then did not have the same effect anymore.  I tried giving a little chamomile tea in the bottle, this also helped on and off - but not consistently.  Ultimately he learned to self soothe and it was not an issue anymore.

Basically my advice to all parents of small infants is to listen to your child, try to figure out what his/her needs are and know that these needs are always changing.  Every child is different.  Music may work for one baby but not have any effect on another.  Try to have patience and show your child that you are there for him/her.  Remember that our parents went through this with us, not having all the technological advances we do, and we turned out O.K.!  

For further tips on sleep issues check out  Carolina Romanyuk,
 New York’s leading sleep consultant and international children’s book author.   Please visit her website at

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