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fever and cough UPDATE

Posted by on Feb. 4, 2013 at 8:23 PM
  • 11 Replies

Mason is 2 yrs old and has been running a mild low grade fever on and off since last night. He has a cough that started about 3 weeks ago, started to taper off and now seems worse again. I have not done anything but nurse him. Do you think he could be getting an infection or could it be just viral? He also had diahrrea once on saturday. The oldet two kids ate coughing, no othet symptoma except my.oldest also had one day of diahrrea as well.

 

UPDATE: Fever is gone, everyone is still cougjhing, I just hope Mason's goes away soon, its been like 4 weeks now :(

juliakf333. Get yours at bighugelabs.com
by on Feb. 4, 2013 at 8:23 PM
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Replies (1-10):
Sarah725
by Group Mod - Sarah on Feb. 4, 2013 at 10:01 PM
Hopefully its just viral and be gone soon!
Precious333
by Gold Member on Feb. 4, 2013 at 10:16 PM
Me too! Should i take him in? How long are you comfortable waitng to take them into the doctors?


Quoting Sarah725:

Hopefully its just viral and be gone soon!

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hapababies
by Silver Member on Feb. 4, 2013 at 10:50 PM
If you feel that the cough is disrupting his sleep and functioning during the day, you might want to bring him in. I think 3 weeks, is a good amount of time to wait it out if it isn't getting better.
I wonder what the diarrhea is all about. Do you think the cough and diarrhea are related?


Quoting Precious333:

Me too! Should i take him in? How long are you comfortable waitng to take them into the doctors?




Quoting Sarah725:

Hopefully its just viral and be gone soon!


Posted on CafeMom Mobile
Precious333
by Gold Member on Feb. 5, 2013 at 12:44 AM
I wonder if that had ti do with somethimg ww ate since it didnt stay and we all had it within a day or if eachother. Not sure.


Quoting hapababies:

If you feel that the cough is disrupting his sleep and functioning during the day, you might want to bring him in. I think 3 weeks, is a good amount of time to wait it out if it isn't getting better.

I wonder what the diarrhea is all about. Do you think the cough and diarrhea are related?




Quoting Precious333:

Me too! Should i take him in? How long are you comfortable waitng to take them into the doctors?






Quoting Sarah725:

Hopefully its just viral and be gone soon!



Posted on the NEW CafeMom Mobile
melindabelcher
by mel on Feb. 5, 2013 at 8:19 AM
Hope hes feeling better soon :(
Follow your instincts. Does the cough really bother him, congested, difficulty breathing? if you feel the drs appropiate you should really bring him in.
Fever itself for me is never really a reason to go to the dr.
Keep us updated
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larissalarie
by Gold Member on Feb. 5, 2013 at 8:53 AM
Cough lasts 18 days, no matter what you do, study finds

By JoNel Aleccia, Staff Writer, NBC News

If you’re a victim of this year’s terrible flu, or any of the other nasty bugs causing general respiratory distress, Dr. Mark Ebell sends his sympathies.

But if you’re tempted to head to the doctor to demand drugs for the hacking cough that came with your illness, he’s got another message: Wait a little longer.

A new study shows that although most people think a cough ought to last no more than a week or so, the duration of the most annoying symptom of winter illness is about 18 days --and could be more than three weeks.

Taking antibiotics in the interim is not only ineffective, it could also prompt dangerous side effects -- and contribute to the country’s growing problem with bugs becoming resistant to the drugs used to treat them.

That’s according to a new study by Ebell, an associate professor at the University of Georgia College of Public Health, which sought to define the gulf between public perception and reality when it comes to coughing.

“A lot of times patients will come to me and they’ve been coughing for four or five days and they’re not getting any better, so they ask for an antibiotic,” he said. “After eight or nine days, they’re still not feeling better, so they ask for an even stronger antibiotic. Then they’ll say, ‘The only thing that really works for me is this really strong antibiotic.’”

The trouble is, antibiotics aren’t actually the solution for most of the 3 million outpatient cases in the U.S. each year in which cough is the chief complaint, or for the more than 4.5 million outpatient cases diagnosed as acute bronchitis or bronchiolitis. More than 90 percent of such cases are viral, not bacterial, which means they won’t respond to the drugs most folks request, according to the Centers for Disease Control and Prevention.

Ebell decided to pursue the study, published Monday in the journal Annals of Family Medicine, after noticing the disconnect between how long people thought coughs should last and how long they actually lingered.

When he surveyed nearly 500 Georgia residents by phone, he found that they predicted that a cough would last between five days and nine days, but generally about a week, depending on the scenario.

A review of 19 published medical studies, however, revealed that the mean duration of any cough was 17.8 days, with a range of 15.3 to 28.6 days.

If a person demanded -- and received -- an antibiotic after he or she had been sick for a week, the condition might improve several days later -- but not because of the drug, Ebell said.

“Although this outcome may reinforce the mistaken idea that the antibiotic worked, it is merely a reflection of the natural history of acute cough,” he said.

Convincing people of that fact is tough. In Ebell’s study, a quarter of participants thought that antibiotics were "always helpful" and about 44 percent said they were "always or usually" helpful.

That ignores the reality that antibiotics won't affect viral infections, and also that they can cause harmful side effects, including allergic reactions and the life-threatening gut condition called C. difficile, Ebell said. Plus, overuse of antibiotics is contributing to conditions such as drug-resistant pneumonia and other infections.

Crystal Thompson, a 34-year-old kindergarten teacher in Fort Worth, Texas, says that she’d start to become concerned if a cough lasted more than a few days.

“I would think no longer than a week,” said Thompson, whose family is just now getting over this year’s severe flu. “If it lasted longer than a week, I’d be in to the doctor.”

But

Thompson said she also understands the difference between a viral infection and a bacterial one and that she’d follow her doctor’s advice about antibiotics.

In general, Ebell said he tells patients that they likely don’t need an antibiotic unless symptoms turn serious, with shortness of breath, high fever or bloody or rusty phlegm.

It’s important to get the message out about the actual duration of a normal cough, said Dr. Gustavo Ferrer, director of the new cough clinic at the Cleveland Clinic’s Weston, Fla., site. Ferrer, who was not involved with Ebell’s study, praised it as “beautiful” way to remind the public that there’s not a drug solution for every symptom.

“We have come to the conclusion as a population that we don’t want to be sick for one hour,” he said. "In reality, people want those symptoms to go away right away."

Still, cough docs know that patients come for some relief. Ferrer said that antihistamines such as Benadryl can help dry up airways, reduce coughing and help people sleep. Cough drops – especially those with honey and herbs – can help during the day, he added.

Ebell said he and other docs have come up with a range of ways to discourage demand for antibiotics. They’ll call the infection a “chest cold” instead of acute bronchitis. They’ll agree to write an antibiotic prescription -- but then tell patients to wait.

“If you feel that you’re really not going to get them out of the office without a prescription, give them one and say ‘Don’t fill it for a few days,’” he said. “About half never fill it at all.”
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Precious333
by Gold Member on Feb. 5, 2013 at 11:33 AM
Great info, i agree. However, Mason is going in 4 weeks of thia cough, it had seemed to be going away and now has gotteb worse. Fever is a new thing thatv started sunday night, is mild though. My main concerb us thar ge dies have an infection, just not sure if you would get a lowgrade fever with an infection. I talked to dh and he isbt sure, but says for hinself he always waits things out.....so im thinking maybe thats what i need to do. However im suppose to teach tomorrow and im not sure if he woukd be considered contageous.


Quoting larissalarie:

Cough lasts 18 days, no matter what you do, study finds



By JoNel Aleccia, Staff Writer, NBC News



If you’re a victim of this year’s terrible flu, or any of the other nasty bugs causing general respiratory distress, Dr. Mark Ebell sends his sympathies.



But if you’re tempted to head to the doctor to demand drugs for the hacking cough that came with your illness, he’s got another message: Wait a little longer.



A new study shows that although most people think a cough ought to last no more than a week or so, the duration of the most annoying symptom of winter illness is about 18 days --and could be more than three weeks.



Taking antibiotics in the interim is not only ineffective, it could also prompt dangerous side effects -- and contribute to the country’s growing problem with bugs becoming resistant to the drugs used to treat them.



That’s according to a new study by Ebell, an associate professor at the University of Georgia College of Public Health, which sought to define the gulf between public perception and reality when it comes to coughing.



“A lot of times patients will come to me and they’ve been coughing for four or five days and they’re not getting any better, so they ask for an antibiotic,” he said. “After eight or nine days, they’re still not feeling better, so they ask for an even stronger antibiotic. Then they’ll say, ‘The only thing that really works for me is this really strong antibiotic.’”



The trouble is, antibiotics aren’t actually the solution for most of the 3 million outpatient cases in the U.S. each year in which cough is the chief complaint, or for the more than 4.5 million outpatient cases diagnosed as acute bronchitis or bronchiolitis. More than 90 percent of such cases are viral, not bacterial, which means they won’t respond to the drugs most folks request, according to the Centers for Disease Control and Prevention.



Ebell decided to pursue the study, published Monday in the journal Annals of Family Medicine, after noticing the disconnect between how long people thought coughs should last and how long they actually lingered.



When he surveyed nearly 500 Georgia residents by phone, he found that they predicted that a cough would last between five days and nine days, but generally about a week, depending on the scenario.



A review of 19 published medical studies, however, revealed that the mean duration of any cough was 17.8 days, with a range of 15.3 to 28.6 days.



If a person demanded -- and received -- an antibiotic after he or she had been sick for a week, the condition might improve several days later -- but not because of the drug, Ebell said.



“Although this outcome may reinforce the mistaken idea that the antibiotic worked, it is merely a reflection of the natural history of acute cough,” he said.



Convincing people of that fact is tough. In Ebell’s study, a quarter of participants thought that antibiotics were "always helpful" and about 44 percent said they were "always or usually" helpful.



That ignores the reality that antibiotics won't affect viral infections, and also that they can cause harmful side effects, including allergic reactions and the life-threatening gut condition called C. difficile, Ebell said. Plus, overuse of antibiotics is contributing to conditions such as drug-resistant pneumonia and other infections.



Crystal Thompson, a 34-year-old kindergarten teacher in Fort Worth, Texas, says that she’d start to become concerned if a cough lasted more than a few days.



“I would think no longer than a week,” said Thompson, whose family is just now getting over this year’s severe flu. “If it lasted longer than a week, I’d be in to the doctor.”



But



Thompson said she also understands the difference between a viral infection and a bacterial one and that she’d follow her doctor’s advice about antibiotics.



In general, Ebell said he tells patients that they likely don’t need an antibiotic unless symptoms turn serious, with shortness of breath, high fever or bloody or rusty phlegm.



It’s important to get the message out about the actual duration of a normal cough, said Dr. Gustavo Ferrer, director of the new cough clinic at the Cleveland Clinic’s Weston, Fla., site. Ferrer, who was not involved with Ebell’s study, praised it as “beautiful” way to remind the public that there’s not a drug solution for every symptom.



“We have come to the conclusion as a population that we don’t want to be sick for one hour,” he said. "In reality, people want those symptoms to go away right away."



Still, cough docs know that patients come for some relief. Ferrer said that antihistamines such as Benadryl can help dry up airways, reduce coughing and help people sleep. Cough drops – especially those with honey and herbs – can help during the day, he added.



Ebell said he and other docs have come up with a range of ways to discourage demand for antibiotics. They’ll call the infection a “chest cold” instead of acute bronchitis. They’ll agree to write an antibiotic prescription -- but then tell patients to wait.



“If you feel that you’re really not going to get them out of the office without a prescription, give them one and say ‘Don’t fill it for a few days,’” he said. “About half never fill it at all.”

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catholicmamamia
by on Feb. 5, 2013 at 11:36 PM

Trust your instincts on this.. 


                
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catholicmamamia
by on Feb. 5, 2013 at 11:37 PM

Hope he gets well soon.. :o) 


                
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HollySmith24
by New Member on Feb. 6, 2013 at 9:34 AM

At that point I take my kids in, Sometimes after several weeks of trying to fight something off, they don't and it turns into a secondary infection. I don't like antibiotics but for certain things I will use them.

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