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Chickenpox

WHAT YOU SHOULD KNOW

Chickenpox, also known as varicella, is a common childhood infection. In the United States, most children between 3 to 9 years old get chickenpox. A shot (vaccination) to prevent the disease is now available.

Causes

Chickenpox is caused by the varicella virus. The disease is spread by close contact with an infected person. It may be 14 to 16 days after exposure before the child gets sick.

Signs/Symptoms

Fever, headache, and tiredness are the first signs. Many small, red bumps then appear and turn into water blisters. These itchy blisters break and crust over. New blisters keep forming for 3 or 4 days. Your child can give the disease to others until all the sores are crusted over. This can take about 1 week. It takes about 2 weeks for all the scabs to fall off.

Care

There is no cure for chickenpox. Antibiotics do not help. The child needs plenty of rest and liquids. Lukewarm baths and calamine lotion may help the itching.

WHAT YOU SHOULD DO

  • For fever: DO NOT GIVE ASPIRIN to a child with chickenpox who is under 18 years of age. This could lead to brain and liver damage (Reye's syndrome). Instead, give the child acetaminophen. Carefully check for aspirin on the label of any over-the-counter medicines.
  • For itching:
    • Your doctor can prescribe medicine for itching. You also may use an over-the-counter antihistamine product.
    • You may use calamine lotion on the sores. Follow the directions on the label. Do not use on sores in the mouth.
    • Give the child baths in lukewarm water for the first few days. Add 1/2 cup of baking soda to the water. Let your child bathe for about 30 minutes. Do this several times a day. You also may use an oatmeal bath product that you can buy at a drug store.
  • Try to keep your child from scratching the rash or picking off the scabs. Keep the child's fingernails cut short. Put socks on the child's hands at night. Use a soap that kills germs for handwashing.
  • If your child has painful sores in the mouth, make tea twice as strong as usual, add a little sugar, and use for a mouthwash or gargle.
  • Keep the child quiet and cool. Sweating and becoming warm makes itching worse. Keep the child out of the sun.
  • Give plenty of fluids. Good choices are cool liquids such as water, milk, and apple juice. Avoid salty foods and orange juice.
  • Keep your child home from school or daycare for about 1 week. The child should stay away from babies and pregnant women.

Call Your Doctor If...

  • The child has sores in the eyes.
  • The sores get bigger or have pus in them.

Seek Care Immediately If...

  • The child starts vomiting, acts confused or too sleepy, or has seizures.
  • The child has trouble breathing or is breathing very fast.



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