Health
COVID, RSV, influenza, streptococci
(WHTM) — This week, donors at UPMC Children’s Community Pediatrics in York and Spring Grove continue to see cases of RSV, influenza, and COVID-19.
Pediatricians at Penn State Health continue to see many viral illnesses. They’re seeing many cases of flu, COVID, and RSV. They also look for upper respiratory viruses, stomach bugs, strep throat, and the common cold.
CVS MinuteClinic in York this week sees COVID, strep throat, and viral upper respiratory tract infections.
Penn Medicine Lancaster General Health Physicians Roseville Pediatrics treats RSV, bronchiolitis, and influenza. Colds with cough and fever are also common.
They report a little more pneumonia than before, but say it’s not at alarming levels.
They have seen large numbers of strep throat in older children and continue to diagnose COVID cases.
Dr. Joan Thode provided the following advice on when to take your child to the pediatrician.
“At this time of year, demand for appointments increases, along with the usual illnesses, so it’s important to know what to expect in a typical viral course and when to worry.
“A prolonged cough that does not cause breathing difficulties is normal for a week or so after a typical cold, especially in young children. However, a prolonged fever for more than 5 days is not normal.
“The cough that seems to last forever is associated with the post-nasal discharge of mucus produced in the nose and sinuses during the illness itself. It will be actively produced for 4-5 days until your system beats the virus, after which your body will start sending it down your throat to clear it. The fever is gone, appetite and energy are back, but the cough may get worse for a day or two, the body clears it all.
“Thus, it is not the number of days of coughing or the amount of coughing noise that is important, but the effort of breathing. The cough associated with postnasal drip is due to mucus from the nose, not from the lungs. Therefore, children should , rapid breathing, increased use of the abdominal and pectoral muscles for breathing, and should not show signs of hypoxia., and forced expiration.Any of these signs of increased respiratory effort may cause the child to lose oxygen. Immediate prompting for evaluation by a physician is necessary as the condition should be checked.
“Most colds improve slowly, but still have a wet cough that lasts a total of two to three weeks. becomes less.
“However, there is another provision for fever, which is stricter and more rapid. Any fever that lasts for five consecutive days should be evaluated by an office physician and possibly undergo further testing.”
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