Tag Archives: Allergy

Dishwashers Harmful to Kids? (Article)

It turns out there is truth in the statement “The old way is the better way,” according to a recent study that has found an association between dishwashers and the growing prevalence of allergy among children. In this study, Swedish researchers found childhood allergies to be less prevalent in families who hand washed dishes versus those who used modern dishwashing machines. It was just a few generations ago when parents and children alike, hand washed the dishes after dinner. In modern America today, this activity seems to be a only a distant memory. The majority of American families now have the convenience of an electric dishwasher to help with kitchen cleanup. Continue reading

Allergy shots without the Shot! (Article)

Allergy Shots without the Shot!   Allergists are beginning to retire those time honored allergy SHOTS, and instead, use under the tongue allergy DROPS to accomplish the same thing; to reduce the amount of asthma, food allergy, runny nose, and eczema a child might suffer. It’s called (sublingual immunotherapy) or SLIT.  SLIT is a new type of allergy therapy and is under intensive study by experts.  Not only does it not involve those nasty needles like (subcutaneous immunotherapy) SCIT, but also it seems to possibly be safer and equally effective for younger children. Traditional allergy shots are usually not given to children under age 5 years, but not SLIT.   SLIT may turn out to be a great alternative for children under 5.   Sublingual immunotherapy is still in the research phase and not ready for prime time just quite yet.  Like all medical therapies, it has some side effects like a taste that some children find unpleasant and some oral itching and gastrointestinal symptoms.  Fortunately, life -threatening reactions have not been seen to date. It also requires a long treatment course of years to show effectiveness.   Currently, a pediatric allergist with North Carolina connections, Dr. Wesley Burkes, is making history learning how to make peanut allergic children and adults tolerant of peanuts using SLIT.  This is important because currently, reactions to peanuts are the most common allergic reaction to food that kills children in the US. To date, he has had quite a bit of success in helping patients build tolerance.  His pioneering work may make it possible sometime soon for children with peanut allergy not to fear restaurants, birthday parties, cafeterias, and maybe even enjoy a candy bar with some peanuts once in a while. Let’s hope. Your comments are welcome at www.docsmo.com.  Share your knowledge. Until next time.

Smo Notes:

1. http://news.unchealthcare.org/news/2013/january/sublingual-immunotherapy-shows-promise-as-treatment-for-peanut-allergy

Written collaboratively by Catherine Wu and Paul Smolen MD

Eczema: A Parent’s Guide (Pedcast)


Transcript:

Welcome to this edition of DocSmo.com. Hope you are having a great day. Thanks for joining me today. I am your host, Dr Paul Smolen, a general pediatrician with 30 years of experience caring for both sick and well children. I’ve learned a few things during that time and I want to share that knowledge with you.  As I like to say, from the crib to the country club, from the bassinette to the board room and everything in between… that’s what we talk about on DocSmo.com. Today’s cast very important because we are going to learn about a common skin condition, in fact, the most common skin condition in children-eczema. In today’s pedcast, I hope to give you a fundamental understanding of what is going on in the skin of a child with eczema. We have all heard that word, eczema, but do you understand what exactly it is?  I hope after listening today, that you will.  Before we get started today, let me remind my listeners, that I am probably not your child’s doctor and what you hear on this podcast is intended to supplement your child’s regular healthcare.  For specific advise about your child’s health, visit the wonderful person you call your pediatrician.

 

 

You remember from biology class that your skin is made of two layers, the deep part called dermis and surface called epidermis. You may recall that the surface epidermal layer is made mostly of dead cells, which serve to protect the deeper part of our skin, the dermis.   The dermis is where we find the working part of our skin, the sweat and oil glands, the hair follicles, as well as the nerves in our skin.  Babies have two layers as well but their epidermis is thinner and more fragile when they are young. That’s probably why their skin is soooo soft! Soft is great but your babies skin is supposed to be a barrier to the outside world and when it is broken, there are bound to be problems. Thin epidermis can mean easily damaged and cracked.  Bad. Think of your child’s epidermal skin as the shingles on your roof.  If the shingles are cracked or loose, the roof is going to leak. The same is true with your child’s skin; if the epidermal barrier isn’t intact it is not going to work well.  Without an intact barrier (shingles so to speak) your child’s skin will let in irritants that it was not meant to touch and the deeper parts of your child’s skin doesn’t like touching the outside world and will react by turning red and angry…. Itchy red angry skin means the dermis isn’t happy.  In  a  nutshell,  that  is  what  we  call  eczema.

 

 

 

Now that you know what is happening in the skin in a child with eczema, let’s talk about the essential dos and don’ts in skin care for a child with this condition. First the don’ts

Try not to remove oil from their skin by:

Don’t over bathe: Limit bathing.  I suggest twice weekly for young babies.

Don’t use hot water: Try not using hot water when bathing as this may remove oils your baby’s skin really needs.

Don’t use much soap-Try using very little soap for the same reason.  When you do use soap, don’t put the soap in the bath water. Just use a little on the washcloth and only use it on the areas that need it.

If your child is infection prone, many dermatologists recommend using “Clorox” in the bath to kill some of the nasty skin bacteria that can infect the broken skin of eczema. Many experts recommend ½ cup per full bathtub no more than twice weekly. Check out the references in the Smo notes if you don’t believe me or ask your child’s pediatrician but…. take care to follow the directions carefully.

 

I also want you to limit your child’s exposure to irritants:

Limit Laundry products- I do not recommend you use dryer sheets or softeners. Now, I don’t do much laundry but I hear that baking soda in the wash cycle is a good softener.

Make sure the detergent you choose is perfume and dye free.

Avoid irritating fabrics like wool from touching your child’s skin.

Remember that if you wear perfume or wool clothing, your baby is probably going to get a good dose of it when you carry them around so be careful to keep a cloth on your shoulder when this is going on.

Avoid vigorous rubbing during bathing.  Only use a soft cloth.

Avoid alloy metals- snaps, earrings, jewelry

Avoid skin products with chemicals, especially perfumes

Avoid touching grass or other things that  you find trigger trouble

If you find a food that starts the whole inflamed skin process, avoid it!

 

 

If you do have a child with sensitive skin, here are some of the things that you want to do to help keep their skin in good condition. Hydrate the skin. Moisturize quickly after bath as well as at other times.  Use the thickest moisturizer you can that has no perfumes.  Petroleum jelly may work for your child.

Try reminding yourself to moisturize by associating the moisturizing with other activities such as diapering and bathing.  The more the better.  We are talking at least 4 times a day.  Remember, those shingles are cracked and need repair. Suppress eczema that is inflamed. Watch for signs of infection

Pustules, blisters, oozing mean it’s time to seek help from your child’s doctor.

 

6.

-Let me sum up today’s podcast with one of those DocSmo pearls that I love: “Modern children’s skin probably needs less exposure to modern life.”  Let me repeat that;  “Modern children’s skin probably needs less exposure to modern life.”

Less bathing!

Less soap!

Less hot water bathing!

Less exposure to chemicals and perfumes of all sorts!

7.

 

That wraps up another edition of DocSmo.com

I told you were going to be smarter after this podcast.

If you enjoyed today’s talk, go ahead and check out the extensive DocSmo library of pediatric topics

Share any thoughts you have with us by sending a comment to our blog at www.DocSmo.com.  We would love to hear from you.

This is your resident pediatrician, Dr. Paul Smolen, broadcasting from studio 1E in Charlotte, NC hoping you have all the facts about your child’s skin cracks

 

Until next time

 

Smo Notes:

 

  1. Doc Smo podcast with Dr Primmer on Eczema: https://www.docsmo.com/wp-admin/post.php?post=1018&action=edit

 

  1. Clorox formula for bathing :

 

http://aapgrandrounds.aappublications.org/content/21/1/3.full.pdf

http://www.mayoclinic.com/health/eczema-bleach-bath/AN02003

 

 

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Food Allergy in Children (Pedcast)

Allergy to food is much more common than in years past.  In this Pedcast, Dr Smolen reviews some of the new information and recommendations about the introduction of allergenic foods to children.  After listening to this Pedcast, you should have a better understanding and recognition of food allergy.  Dr Smolen also makes practical suggestions should you have a child that suffers from food allergy.  Kick back, listen, and learn.

SmoNotes:

 

Subscribe on iTunes!

Subscribe on iTunes!

 

1. Food Allergy: What You Need to Know: The High and Increasing Prevalence of Food Allergy

2. Food Allergy: The Definitive Guide to Clinical Practice: What Do the Guidelines Mean to Practitioners and Patients?

3. Food Allergy: What You Need to Know: Final Perspective and Clinical Recommendations
*By listening to this pedcast, you are agreeing to Doc Smo’s terms and conditions.

 

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