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Chickenpox usually appears 14 to 16 days after a child
was exposed to another person with the disease. It is
often accompanied by fever and can cause sores in the
mouth, eyelids, and genital area. Once the fever disappears
and the new bumps stop emerging, a child will begin
to feel better.
Unless sores become badly infected with impetigo or
a child repeatedly picks off the scabs, it is unlikely
that chickenpox will leave permanent scars. However
temporary marks can remain for up to 6 to 12 months.
Pediatricians at Boys Town Pediatrics suggests several
home remedies that can provide relief to your child:
- Cool bath - Soak in the bathtub every 3 to
4 hours during the first few days. Adding baking soda
(4 tablespoons) to the water will help to minimize
discomfort. Gently pat calamine lotion on spots after
bathing.
- Ice - Massage itchy areas with ice for 10
minutes.
- Benadryl - Give nonprescription Benadryl if itching
interferes with sleep or becomes severe.
- Acetaminophen - If fever develops, give acetaminophen.
Do not give ibuprofen. It is linked with Strep throat.
And, do not give aspirin. It is linked to Reyes Syndrome.
- Acyclovir - If started within 24 hours of
the appearance of sores, an anti-viral drug called
Acyclovir can be used to treat chickenpox. This drug
can reduce the number of sores by 20% and the days
of illness by one.
In years past, there was no way to prevent a child
from getting chickenpox if exposed to someone else with
the disease. Today, children one year and older can
receive a vaccine, which is 70-90% effective in preventing
chickenpox. A child who receives the vaccine still has
a chance of getting chickenpox, however it will be much
milder than if no vaccine was administered.
Although it is recommended that the vaccine be given
between 12 and 18 months of age, older children who
have not yet had the disease can still be vaccinated.
Those children over age 13 should receive two doses
of the vaccine at least 4 weeks apart.
A child will be contagious until all the sores have
crusted over, usually about 6 to 7 days after the rash
begins. During that time, if a scab looks infected,
fever lasts more than 4 days, the itching is severe
and doesn't respond to treatment, or you have other
concerns, contact your child's physician within 24 hours.
However, if chickenpox sores look infected with yellow
pus, spreading redness or red streaks, your child develops
a speckled, red rash, or starts acting very sick, contact
a physician immediately.
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