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Common Illnesses

Pink Eye (Conjunctivitis)

Pink eye is inflammation of white part of eye. Types: Viral (most common, accompanies cold), bacterial (thick yellow/green discharge), allergic (itchy, watery).

Symptoms: red/pink eye whites, discharge (clear, white, yellow, or green), crusting (especially after sleep), tearing, itching.

Viral and bacterial pink eye are highly contagious. Allergic is not contagious.

What to Do

  • Call doctor for evaluation - they'll determine if viral, bacterial, or allergic
  • Clean eyes gently with warm water on soft cloth (wipe from inner to outer corner)
  • Use separate cloth for each eye to prevent spreading infection
  • If doctor prescribes antibiotic eye drops: Give full course even if eyes look better
  • Wash hands before and after touching baby's eyes
  • Change pillowcases daily
  • Don't share towels or washcloths
  • For bacterial pink eye: Baby can return to daycare 24 hours after starting antibiotics
  • For viral pink eye: Keep home until discharge is gone (usually 3-7 days)
  • DO NOT use leftover eye drops from previous infection
  • Prevent spread: Wash hands frequently, don't touch eyes, wash toys

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Blocked Tear Duct (Dacryostenosis)

Blocked tear duct affects 5-20% of newborns. Tear duct (connects inner eye corner to nose) doesn't open fully at birth, causing tears and discharge. Symptoms: watery eyes (tearing without crying), yellow/white discharge in eye corner, crusting on eyelashes (especially after sleep), mildly red or pink eye white. Usually affects one eye but can be both. Most blocked tear ducts open on their own by 12 months. Different from pink eye - discharge is white/yellow (not green), eye white is not very red, and baby seems comfortable.

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Colds & Congestion

Babies get 6-10 colds in first year as immune system develops. Symptoms: runny/stuffy nose, sneezing, mild cough, low fever (<102°F), fussiness, trouble sleeping. Colds are viral - antibiotics won't help. Most resolve in 7-10 days. NO cold medications for babies under 2 years (dangerous side effects). Congestion makes feeding difficult since babies can't breathe through mouth while nursing.

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Croup (Barking Cough)

Croup is viral infection causing swelling around voice box and windpipe. Symptoms: Distinctive barking cough (sounds like seal), hoarse voice, stridor (high-pitched squeaking when breathing in), trouble breathing (worse at night). Most common in fall/winter. Typically lasts 3-7 days. Starts with cold symptoms, then barking cough develops on day 2-3. Worse at night. Scary but usually mild. Caused by parainfluenza virus. Most common in babies 6 months to 3 years.

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