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Most Sore Throats & Runny Noses Do Not Need Antibiotics

A tip I share with most of my clients is if your child has more than one symptom - cough, runny nose, sore throat - then it is almost always viral. A single symptom is indicative of a local infection is more often bacterial. When little ones have discomfort though, parents often expect testing and antibiotics, but when they have a virus, these are not only not helpful, but can be harmful.



Antibiotics do Not Fight Viruses


Most childhood infections are caused by #viruses which can make your child feel very sick. If your child has a virus, antibiotics will not help them feel better or even keep others from getting sick. The common cold and flu, RSV, and COVID-19 are all viruses. Most sore throats of course, are caused by viruses, especially when there is also a runny nose or cough.


Chest colds, even those with thick, sticky phlegm or mucus that last a while, are more often caused by viruses. Cigarette smoke and pollution can increase a child's risk of getting one of these viruses, but bacteria is typically not the cause.


Most sinus infections, or #sinusitis, are caused by viruses. Congestion, post-nasal drip, and pressure in the face are common with sinusitis. This typically resolves on their own without antibiotics. Mucus that is yellow or green does not necessarily mean your little one has a bacterial infection. Ear infections even are more often caused by viruses, and do not need antibiotics.


Antibiotics have Risks


Side effects from antibiotics are significant and a common reason that children go to the emergency room. Diarrhea, vomiting, abdominal pain, various rashes, allergic reactions, and antibiotic resistance are common. Some allergic reactions can be serious and life-threatening. When antibiotics aren't prescribed properly or when given too often, they can cause bacteria to become super narley and then tougher and tougher antibiotics are needed.


Consider Other Options


Antibiotics kill bacteria but they do not treat symptoms of an illness, such as ear pain, #fever, cough, or congestion. Fever is treated with an "anti-pyretic" such as ibuprofen or acetaminophen. Pain can also be treated with ibuprofen or acetaminophen (associated with increased incidence of asthma). Congestion is helped with use of a humidifier and a spoonful of dark honey can help with a cough. Our botanical medicine program can help you corporate additional, more natural remedies into your medicine cabinet.


When Are Antibiotics Helpful?


Certainly antibiotics have their role, such as for strep throat (for prevention of Rheumatic fever) based on a rapid strep test or test culture. If your child's breathing started to get better and then worse again with new fever or new symptoms, this may be a bacterial form of pneumonia or sinusitis. Pertussis is yet another reason (coughs that make you almost vomit).

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