Hand, Foot, and Mouth Disease Anyone?!

You MAY have heard of it and it’s making its rounds right about now. Hand, Foot, and Mouth Disease is caused most commonly by the Coxsackie A Virus type 16.  It tends to rear its ugly head in the fall. It causes painful ulcers in the mouth (especially in the back near your tonsils) and similar lesions on the palms of your hands, soles of your feet, and on occasion the buttocks or groin area.  This infection typically impacts small children and kids less than 10 years old but infrequently, depending on which strain of the virus it is, adults can suffer, too. Most cases are short lived but because its comes from the same family of viruses as polio, then on rare occasion weakness and muscle soreness can occur with some of the less common Coxsackie Virus strains.

The illness has an incubation period of about a week (which means you’ve been hosting this unwelcomed guest for about a week before you feel any symptoms).  It typically involves a low grade fever for 1 – 2 days, painful ulcers in the mouth for 3 – 5 days,  and a distinctive rash for up to 7-10 days. The rash does NOT itch. This can help you distinguish it from chicken pox. You can shed the virus in your stool for WEEKS after the illness resolves so once again say it with me… WASH. YOUR. HANDS! You share the joy through the fecal-oral route so good hand washing after going to the bathroom or changing a diaper is paramount. You can also pass the infection on by contact with the skin lesions or oral secretions.

Hand, Foot and Mouth Disease Coxsackie A Virus type 16.

In general it tends to look a lot worse than it is.  However, in small children with the painful ulcers in their mouths, refusal to eat and drink can cause a risk of dehydration which is particularly dangerous in the very young and old.  For this reason staying hydrated is important.  Stay clear of spicy or salty foods as that may exacerbate the pain.  Also, stick with soft and/or cool foods (mashed potatoes, popsicles, etc) for the same reason.  If need be, use fever and pain reducers to keep younger kiddos more comfortable until this passes.  Epsom Salt baths can help reduce the discomfort of general aches and pains and can help the little ones relax and get some sleep at night and bring down their temperature a bit. The good news is this too, shall pass.  Time and TLC will take care of it.

When in doubt, contact your Pediatrician’s advice line for guidance on what to do and when and if you should bring your child in for an evaluation.  In the meantime give comfort care, probiotics to gird up the immune system, and rest, wash those hands, and wipe down those toys and surfaces to try to keep the infection form spreading!

Happy Healthy Living!

Until next time…

Take Home Tidbits

  • Hand Foot and Mouth Disease is common in the spring and fall seasons.
  • Stay away from spicy, salt or hard foods as the mouth sores are quite painful
  • It is contagious via stool, oral secretions, and skin lesions
  • The rash doesn’t itch which can help you distinguish it from chicken pox

Questions or Comments? Post them below!

The Doctor is in!

Busy Bodies and “A”mazing Kids

Struggling with ADD, ADHD, Dyslexia or Dyspraxia?! These are all nuerodevelopmental disorders that can be dramatically improved and corrected with the proper BIOMEDICAL intervention and therapy – NOT pills.
One struggle that I had in private practice was explaining to parents, patients, AND professionals that medication is NOT the treatment for these disorders. After a PROPER evaluation, if indicated, then a medication can be used to give you a window of opportunity to grasp your attention while utilizing other modalities that actually treat the PROBLEM – not just the symptoms. Especially now with data showing that there may be an increased risk of drug abuse in the future if you take these medications, it would behoove you to find a better way.
As a parent I’ve learned a lot more about even more modalities to treat these issues. Let’s Dive in…..
Firstly, you ARE what you eat! If your gut is inflamed and leaky due to poor dietary choices or food sensitivities (that you may not even realize that you have), it WILL affect your brain’s ability to function. Hippocrates said “All disease begins in the gut” THOUSANDS of years ago. There is plenty of evidence now proving that – all the way down to specific probiotics that affect certain brain functions like speech for instance. Also, for all of the naysayers – hold on to your hats – The Vagus nerve is a HUGE nerve that comes right off of the brain stem and controls automatic functions of the upper 2/3 of your intestinal tract. If what you eat and probiotics don’t matter, riddle me this… why then is 75% of the vagus nerve made up of Afferent nerves meaning that 75% of the vagus nerve takes information FROM the gut BACK up to the brain?! Think about that for a minute… I’ll wait…..

ADD, ADHD, Dyslexia help
There are also plenty of studies proving the additives and coloring of foods have an excitatory effect on your nervous system.

Eating clean, organic food that isn’t processed along with taking good quality probiotics is a great start. Removing some of the common offenders like gluten (wheat protein) and processed dairy and getting a PROPER food SENSITIVITY panel test (NOT simply a celiac disease test – big difference) can help immensely. Working closely with a highly trained developmental or biomed physician can help you wade through specific evaluations and nutritional supplements tailored to your needs would be very helpful support for this process.

In medical school we are taught about primitive or newborn reflexes. You know, make a loud noise around a new baby and their arms flail out to the sides as a startle reaction briefly then they calm down and that’s it, right?! Wrong! We are simply taught that you are born with a set of immature neurological reflexes that should extinguish by about 6 months of age and are only relevant again if there is a brain injury to determine the extent of the damage. You may have seen it in a movie or TV show – the Doctor swipes up the bottom of the comatose patient’s foot and if the big toe goes up? Uh oh!  Well, there is SO much more to it than that!!! If that startle or Moro reflex doesn’t extinguish or integrate properly, then your visual tracts won’t mature correctly and being able to track letters as you read across a page or switching back from reading the board at school and then back down to your paper to write will be VERY difficult to say the least.

Another key one is the spinal or galant reflex. If you turn a new baby face down on your palm and gently stroke down the side of their spine, their back/behind will curl over to that side and vice versa. If that doesn’t extinguish properly, then you expect a child to sit in a hard back chair all day at school, guess what?! That chair is constantly hitting their backs and causes a REFLEXIVE movement in their back – meaning they CAN’T control that wiggling!!  A pill WON’T fix that. Proper integration of the reflex will.

It’s just like when a Doctor taps your knee with a reflex hammer and your lower leg kicks out – you can’t control that either- its a reflex! There are a myriad of learning or developmental difficulties that can be attributed to poorly integrated reflexes – poor handwriting? emotional outbursts? social awkwardness? motion sickness? clumsy? bump into and/or drop things a lot? difficulty focusing and paying attention? poor/ slow speech development or pronunciation? reflux? the list goes on and on…

Your best bet is to find a qualified practitioner (likely a specially trained Occupational Therapist or perhaps a Pediatric Chiropractor) in your area that can specifically evaluate and treat retained primitive reflexes.  You have to specifically ask if reflex integration is what they do. One thing that I’ve learned is that all therapy isn’t equal. Some therapists go the extra mile and receive additional training in specific areas and techniques after they finish the standard education and training. ALL therapists aren’t even aware of this phenomenon, let alone know how to treat it. I’ve been fortunate enough to discover wonderful professionals that “get it” right in my own backyard! They are few and far between but they are out there!

These reflexes can be gently integrated by doing simple exercises daily under the guidance of a highly trained professional that specializes in this process and follows you closely and adjusts the exercises as needed.  I’ve listed a few books below that explain this more in-depth below to get you started. Feel free to comment or ask questions below…

Happy Healthy Living!

Until next time….

Questions? Comments? Let me know below. The Doctor is in!

Take Home Tidbits

  • Medication is NOT the TREATMENT for ADHD.
  • Medication can give you a window of opportunity to institute the correct therapies .
  • Primitive/Newborn Reflexes that do not integrate properly can cause a myriad of learning and behavioral difficulties.

Helpful Resources

The Symphony of Reflexes: Interventions for Human Development, Autism, ADHD, CP, and Other Neurological Disorders

Reflexes, Learning and Behavior: A Window Into A Child’s Mind: A Non-Invasive Approach To Solving Learning and Behavior Problems

Gut and Psychology Syndrome : Natural Treatment for Autism, Dyspraxia, ADD, Dyslexia, ADHD, Depression, and Schizophrenia