Teething and Ear Infections in Toddlers: Managing Symptoms and Boosting Immunity

Teething

Hello Dr.
Zhao:
1.
Regarding a 1-year-old child who is teething and has a fever reaching 39 degrees Celsius for several days, along with drooling, is this a common occurrence?
2.
For a child with upper respiratory infections leading to otitis media, who has been on antibiotics from January to May, taking them for about half of each month, what are the potential effects on their body? What methods can be employed to enhance their immunity? Would administering immunoglobulin be effective?

Ru, 30~39 year old female. Ask Date: 2001/05/25

Dr. Zhao Yongkang reply Pediatrics

1.
When children are teething, they may experience some discomfort, but it should not lead to a high fever.
If this occurs, it is essential to have them examined by a pediatrician.

2.
Antibiotics for otitis media typically need to be used for 2-3 weeks.
If there is no improvement, a second course of treatment may be necessary.
If there is still no improvement, the child should be evaluated by a physician to check for any allergic conditions or fluid accumulation in the ears.
Antibiotics should be used only when necessary.

Reply Date: 2001/05/25

More Info

Teething in toddlers can indeed be a challenging experience for both the child and the parents. It is common for infants and toddlers to experience discomfort during the teething process, which can sometimes lead to symptoms such as fever, drooling, and irritability. In your case, a 1-year-old child experiencing a fever of up to 39 degrees Celsius (102.2 degrees Fahrenheit) for several days while teething is concerning. While teething can cause mild discomfort and sometimes a slight increase in temperature, a high fever lasting several days may indicate an underlying infection or other health issue that should be evaluated by a pediatrician.

When it comes to ear infections, they are quite common in young children, particularly following upper respiratory infections. The Eustachian tube, which connects the middle ear to the back of the throat, is shorter and more horizontal in infants and toddlers, making it easier for infections to spread from the throat to the ear. If your child has been on antibiotics for a prolonged period due to recurrent ear infections, it is essential to monitor for any potential side effects or complications associated with antibiotic use. Prolonged use of antibiotics can lead to antibiotic resistance, gastrointestinal disturbances, and may affect the child's natural gut flora.

To boost your child's immunity, consider the following strategies:
1. Nutrition: Ensure your child has a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Foods high in vitamins A, C, D, and zinc can help support the immune system.

2. Hydration: Keep your child well-hydrated, as fluids are essential for overall health and can help thin mucus, making it easier for the body to fight off infections.

3. Sleep: Adequate sleep is crucial for a child's immune function. Establishing a consistent bedtime routine can help ensure your child gets enough rest.

4. Physical Activity: Encourage age-appropriate physical activity, which can help improve overall health and immune function.

5. Hand Hygiene: Teach your child the importance of handwashing to reduce the risk of infections.

6. Vaccinations: Ensure your child is up to date on vaccinations, as these are crucial for preventing various infections.

Regarding the use of immunoglobulin therapy, it is typically reserved for children with specific immune deficiencies and is not commonly used for general immunity enhancement in otherwise healthy children. If you have concerns about your child's immune system or recurrent infections, it is best to discuss these with your pediatrician, who may refer you to a specialist if necessary.

In summary, while teething can cause discomfort and mild symptoms, a high fever lasting several days warrants medical attention. Additionally, managing ear infections and boosting your child's immunity involves a combination of proper nutrition, hydration, sleep, and hygiene practices. Always consult with your pediatrician for personalized advice and treatment options tailored to your child's specific health needs.

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