WHEN IS A COLD "NOT A COLD"

The average child gets between 5 and 7 viral upper respiratory infections yearly. The majority occur during the cold weather seasons. A viral "cold" is not treated with antibiotics, but must run its own course. Typically, the time course of an upper respiratory virus syndrome is about 5-7 days. The symptoms can be quite severe, with runny nose, sore throat, cough, and fevers variably present. Our general approach to a child with a viral illness is supportive. TLC, acetamenophen (tylenol) for fevers, saline nasal washes, humidification, and time are usually sufficient "treatment" in otherwise healthy children. If the symptoms are severe enough (e.g. high fevers, shortness of breath, listlessness, prolonged poor oral intake) a good medical evaluation is in order. A sinus infection is usually caused by a bacteria and typically requires antibiotic treatment. In my practice, the most reliable indicator is the duration of symptoms. If cold-like symptoms persist for more than the typical 5-7 days, bacterial sinusitis has to be considered. The color of the discharge is very non-specific and can be discolored in both virus and bacterial nasal infections.  As you can probably see, it is not always easy to differentiate a cold from a sinus infection.  When in doubt, ask you healthcare provider.

Why Am I Blogging

Its been my observation that there is a huge void when it comes to scientific, fact-based natural treatments for ear nose and throat problems. I have seen my own patients stumble through a wide variety of online resources that are not vetted or well studied. This blog represents an attempt to create a dialogue between providers and patients to better allow us all to make good decisions regarding our ear nose and throat health. I will make every attempt to be informative and maybe even entertaining. Please understand that this can never be a substitute for a good evaluation by your own healthcare providers. If there are specific topics or products you want to discuss or inform us all about, please feel free to contribute.

Sinusitis and Allergy Q&A

This thread is open for discussion and questions regarding sinus issues in adults and children.  I will do my best to offer a physicians perspective when possible.  Always keep in mind that I cannot give medical advice in this setting.  This can never be a substitue for the advice and care of your own healthcare providers.