Showing posts with label immune health. Show all posts
Showing posts with label immune health. Show all posts

Monday, December 26, 2016

How To Stay Well This Winter - 5 Naturopathic Tips

The kids are back in school.  Temperatures have dropped.  Germs are flying.  And you don't want to spend another winter nursing everyone in the family back to health.  So what can you do differently this winter to keep everyone well?

Perhaps most importantly, take heart in the fact that kids who are in day care and get sick over and over again actually are less likely to get the most common form of childhood cancer.  There is a bright side to the constant snotty nose!

Also know that it's typical for a family to have one or two illness plagued winters.  It's usually the first time your first child enters school or day care.  He or she starts bringing home all the goodies from all the other kids, and the whole family gets slammed.  Over and over, each time with a different illness (it's not the same illness circulating through the family).   These illnesses are usually viral upper respiratory infections, which are commonly referred to as colds.  So most of the time, there's nothing wrong with anyone's immune system.  And usually after one or two seasons like that, the illnesses will be interspersed with longer periods of wellness.  Of course, if you're wondering about the integrity of your child's immune system, it's always best to go in for a check-up. 


Photo cred: Sonny Abesamis, Flickr

Back to what you can do.  Here's a review of the basics we've all heard time and time again, but forget to do:
  1. Wash Hands!  We're constantly reminded, but few people actually do it frequently enough, or effectively. It may be the best defense against illness.
  • You (and your child) need to wash
    • after using the bathroom
    • after blowing the nose
    • after coughing or sneezing (although we should sneeze and cough into the elbow)
    • before eating
    • at many other times that are not related to this article - find a comprehensive list here
  •  Are they doing it right?
    • get hands wet
    • then apply soap
    • scrub hands - backs, fronts, under the nails, and in between fingers
    • rub for at least 20 seconds
    • rinse well
    • dry with a clean towel
    • don't touch anything in the bathroom after washing
  • My favorite hand washing song is sung to the tune of Frere Jacques and takes about 20-30 seconds to sing:
Back of hands, back of hands
In between, in between,
Rub them all together, rub them all together,
Now they're clean, now they're clean!
Photo cred: gea79on; no amendments
  1. Get enough sleep!  So important, and so under-rated.  Most of us don't get enough, and that can lead to a sub-par immune response.  The Mayo Clinic provides an excellent summary of sleep and the immune system here, and you can read more here and here.  If you have trouble falling or staying asleep, or have other sleep problems, talk to your doctor.  Many people are fighting through fatigue due to undiagnosed sleep disorders.
  1. Consider the flu vaccine.  No, I didn't say get the vaccine.  I said consider the vaccine.  If you're shocked that I would mention this and appalled at the idea, fine.  But make sure you have envisioned the whole family sick with the flu before you make the decision to avoid the vaccine.  Yes, vaccines have risks.  Yes, getting the flu has its own set of risks.  No, the flu vaccine is never 100% effective, but getting it does decrease the odds of getting the flu. And it's a myth that getting the flu vaccine can give you the flu. **Make sure you make an active decision to get the vaccine or avoid it, rather than putting it on the back burner until it's too late.**
  1. Exercise?  Science isn't sure about this one yet.  Since moderate exercise keeps us generally healthier in many ways, it's not a far leap to assume that it would also boost the immune system.  Unfortunately, we don't have any great science backing up that assumption.  I think we will before long.  Meanwhile, here are two interesting articles:  one from Harvard (scroll down to "Exercise: Good or bad for immunity"; and one from Medline.
Here are 5 less basic, naturopathic tricks to try this time:
  1. Eat seasonally.  Butternut squash soup, mashed yams, pumpkin pie:  they are all orange, which means they are all high in beta carotene, the precursor to vitamin A.  Your body turns beta carotene into vitamin A, which is one of the immune systems most needed nutrients.  For some great recipe ideas, check out The Hands On Home (which also provides natural house cleaning tips and ideas for preserving), The CSA Cookbook, and True Food.
  2. Eat soup.  Chicken soup has been consumed by cold sufferers across the world for years.  Now we actually have some science showing that this practice may actually work!  We definitely know that chicken soup helps decrease and clear mucus, but it may also work on other levels to decrease your cold symptoms.  Bone broth, recently very highly touted as a miraculous cure-all may not be all that, but I think science will catch up to this tradition too.  It makes sense to me that simmering bones, where most immune cells are stored, for 24 hours or longer, probably results in an immune boosting cocktail.  Here's an article from NPR on what we do know about bone broth.
  3. Take vitamin D.  It's true that a few of us get enough sun or eat enough fish and liver (and fortified milk) that we don't need to take vitamin D.  The rest of us need to supplement.  The RDA for vitamin D is 600 iu daily for children and adults.  However, a lot of doctors recommend a higher dose, so check in with yours (you can take too much vitamin D).  The jury is still out as to whether vitamin D supplementation definitively reduces colds and flus, however, this small study is very promising.   For information on the many health benefits of vitamin D, read this article.  For more detailed information on the topic of vitamin D and acute illness, read this Medscape article or this study abstract.  Here are two vitamin D products I like on Amazon:  Carlson and Seeking Health.
  4. Decrease / avoid sugar.  Easier said than done during the holiday season!  We have one study that shows us that sugar impairs the immune system response.  Not exactly the most robust evidence.  However, with all the bad we know sugar does in other ways, and knowing that the sugar you're eating displaces immune boosting nutrients, it's worth steering clear of it.
Happy winter!

Thursday, September 25, 2014

Enterovirus D68

NOTE:  This post has been updated twice to follow new developments (see below).

The virus every parent is talking about.  Here are the facts:

According to the CDC, it has now been confirmed in 32 states, including Washington.  From mid-August to now, there have been 220 cases of confirmed Enterovirus D68.

Fear
I think whenever we as parents hear about a new threat to our children, we become at least a little more alert, if not downright afraid.  This virus is especially scary because it's spreading quickly, and it's landing kids in the hospital.  Find comfort in the fact that as of September 22, no deaths have been associated with Enterovirus D68 (Medscape).  Also, remember that every year the flu sends kids to the hospital too.  Finally, remember that not every child who goes to the hospital for respiratory distress tests positive for Enterovirus D68.  I say these things not to minimize the concern and the need for caution surrounding this virus, but to put those concerns in perspective for those of you who may be overcome with fear.

What You Can Do
A lot of what I'll suggest here echoes what I suggest every year as we go into cold and flu season.  Kids are starting school, the weather is changing, and with that come the inevitable runny noses, coughs, GI bugs and asthma attacks.  Basic precautions and a little kitchen table medicine go a long way toward keeping them well.
  • Wash hands.  I know you hear this one over and over and over, but it's for good reason. Researchers recently found that a virus placed on a single doorknob spread to over 50% of hands in that building within 4 hours.  Remember that kids are constantly touching their mouths, noses, and eyes, thereby giving germs direct access.

  • Manage asthma.  Most (but not all) of the kids ending up in the hospital have asthma.  Be sure you have recently visited your doctor, and that you have an up to date asthma action plan.  Also, be sure you are using all your preventive medicines:  discuss a steroid inhaler with your doctor, as well as herbs and supplements that can decrease attacks and their severity.  Finally, be sure your child always has access to her rescue medication.
  • Know the signs.  Respiratory distress can actually be missed quite easily.  The untrained eye might not notice anything wrong.  Review the signs with your doctor; any child can go into respiratory distress, not just those with asthma.  For more information on respiratory distress, see the "Unrecognized Respiratory Distress" section of my previous blog post.  If you do notice any difficulty breathing, call 911, go to the ER, or call your child's provider.
  • Support the immune system.  Your Naturopathic Doctor can recommend his or her favorites to you, but here are some of my most basic and easy tricks for getting through the winter:  (NOTE:  you should ALWAYS discuss any supplements, herbs, or medications with your doctor before taking them.)


    • Vitamin D: Your doctor can personalize your dose, but the American Academy of Pediatrics and the Institute of Medicine both recommend 600 iu daily for children over 1 year of age. 
    • Fish oil:  Unless you and your kids eat fish high in omega 3s several times a week, taking a supplement is indicated (although there are some people who need to be cautious with omega 3 supplements, or must avoid them completely).  There is no set dosage; discuss with your child's provider.  Be sure to get a good quality product that tests for impurities.
    • Probiotics:  Not just for the gut, these little guys are great at supporting the immune system.  As with fish oil, discuss dosing with your doctor as there is no set dosage, and be sure you get a good quality product so you know it will work.
    • Bone broth:  extremely rich in nutrients, including those that kick start the immune system.  If you are new to bone broth, Nourished Kitchen has a great introduction and good recipes.
    • Elderberry syrup:  Anti-viral, immune supportive, and great tasting, this is one I give myself and my kid every morning during the cold months.  Again, dosing varies widely, so discuss with your child's provider.
    • Get enough rest: The immune system works best when we are well rested.  Be sure your child is getting plenty of sleep.
    • Decrease sugar: this includes juice.  Studies have shown that sugar, including juice, dampens the immune response for hours after exposure.


  • Stay home.  As always, taking your sick child out not only spreads the illness to other people, but it makes recovery for him more difficult.  When we are sick, we should be home resting, not running errands, going to school or play dates.
A note on immune compromised children:  be especially sure that you have had a recent visit with your child's provider.  There may be extra steps you can take to protect your child, including certain vaccines not recommended for the general public.

While these tips may not keep your child from ever getting sick, they should lessen the frequency and the severity of illness.  As Benjamin Franklin said, "an ounce of prevention is worth a pound of cure."

Resources:
CDC 
WebMD
Your local Health Department 

I have no affiliations to disclose.  Please note that this blog does not constitute medical advice; even specific supplement recommendations should be cleared by your child's provider.  Always be sure that you address any questions or concerns directly to your child's provider.

UPDATE OCTOBER 3:
Unfortunately, Enterovirus D68 has taken a turn for the uglier.  It has been associated with paralysis in rare cases.  We do not yet know whether this paralysis is temporary or permanent.   We also are not certain that it is Enterovirus D68 causing the paralysis; it is possible that the people with Enterovirus D68 and paralysis have a co-infection with some other paralysis causing virus.

Furthermore, the CDC is currently investigating four deaths potentially associated with Enterovirus D68.  One of the deaths was not caused by Enterovirus D68, but rather by sepsis caused by the bacteria Staphylococcus aureus.  The girl did test positive for Enterovirus D68, but it is not entirely clear what role the virus played in her death.  The other three deaths occurred in patients who tested positive for the virus, but it is not clear yet what role the virus played in their deaths.

More resources:
Medscape "Paralysis in Children with Enterovirus D68"
Medscape "CDC Investigating Four Deaths Linked to Enterovirus D68"
CNN

UPDATE OCTOBER 6:
Sadly, there has now been one confirmed death attributed to Enterovirus D68.  A four year old in New Jersey stayed home from school with pink eye, went to bed with no other symptoms, and did not wake up the next day.  Officials have confirmed the cause of death to be Enterovirus D68.  As you all know, I am the parent of a toddler; obviously I find this news terrifying.  However, what we have to do at this point is two things:  remember our immune support protocol, and remember that viruses like the flu actually claim many more lives every year.  I don't mean to make us all terrified of the flu, but just to put Enterovirus D68 into perspective.  So let's take our supplements, wash hands, and go out and enjoy each day as it comes.

More resources: 
CNN 
CBS