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Keep an eye on your child's eye health

Sunday, 19 November, 2017
child's eye health

Your child’s eye health is just as important as every other part of him. Some eye conditions are treatable while young, but irreversible once a child reaches his teen years.

Only 2 percent of parents would wait for symptoms before taking their child to the pediatrician or dentist for the first time. Yet 24% of parents expect their child to have symptoms before visiting an eye doctor.1

One in four children has an eye problem that can interfere with learning and behavior. Sixty percent of students identified as “problem learners” have undetected vision problems. That’s why it’s important to get regular eye exams for your children even if they don’t complain about things looking fuzzy. If your child plays sports, you have even more reason to get regular checkups.

August is Children’s Eye Health and Safety Month. Let’s take a look at all things eyes.

The First Eye Examchild eye health
Your child’s first eye exam will take place at the pediatrician’s office, unless your doctor refers your child to an ophthalmologist. The first exam will take place as an infant, with a recheck sometime between six months and 1 year old. Your pediatrician will again check your child’s eyes around age 3, examining vision and eye alignment.

Later Exams
Once your child is old enough to read an eye chart, he should be tested to make sure he can focus at far, middle and near distances. Most of the time, children are slightly farsighted, but will not require glasses. Once a child starts school, he should be screened every two years by a pediatrician, school nurse, or ophthalmologist. A screening is a basic check, and many schools perform these tests each year. If your child shows any eye trouble, he will be referred to an ophthalmologist for a full vision exam. If your child requires vision correction, he will need an annual eye exam.

Signs Your Child Has Vision Problems
Watch your child’s eyes as she focuses to make sure they align normally. If they turn inward or if your child appears to have a lazy eye (amblyopia), make an appointment with an eye doctor. Such problems are more easily corrected if they are addressed early.

Some children don’t realize they are having eye trouble. Watch for squinting, headaches, or complaints. Some less obvious signs include:

  • A short attention span for activities
  • Losing his/her place while reading
  • Avoiding reading, drawing, or other activities that require up close sight
  • Turning his/her head to the side to see better. (In cases of astigmatism, this makes it easier for them to focus.)

If you wear glasses or contacts, your child has a greater chance of requiring vision correction.

Common Childhood Eye Conditions and Diseases
While vision is an important part of how a child learns, the eyes have other problems that may appear during childhood. Here are some of the more common conditions that require an ophthalmologist exam:

  • Amblyopia - As mentioned above, this is more commonly known as “lazy eye.” This refers to an eye that has not developed normal sight and affects two or three out of every 100 people in the U.S. In cases of amblyopia, the eye may always appear misaligned, or may just drift off sometimes. In this cases, the brain shuts down signals to that eye, so the child only uses the better-seeing eye.
  • Ptosis - If you notice a drooping upper eyelid that covers the eye, your child might have ptosis. This can block her vision.
  • "Cloudy" eyes - Children can get cataracts, too, as well as other conditions that may cause an eye to appear cloudy.

There are also diseases that may affect the eye. If you notice any of these, contact your pediatrician first and he or she will decide whether further eye care is needed.

  • Conjunctivitis (pink eye) - You’ve probably experience this at some point. Pink eye is caused by a viral or bacterial infection, but either way, it’s quite contagious. Allergies might also cause pink eye, and that is not contagious. Watch for the red or pink color, extra discharge or tears, and itchy or uncomfortable eyes. In cases of a viral infection, you may see other symptoms such as fever, runny nose, or sore throat. (Help stop the spread of conjunctivitis.)
  • Chalazion - This occurs when a gland in the eyelid becomes clogged. It looks like a small lump on the eyelid. While not caused by infection, seek a doctor’s care to correct it.
  • Stye - Infected eyelash follicles cause red, sore bumps near the edge of the eye known as styes.
  • Cellulitis - This is an infection that requires urgent medical care. Sometimes it’s local to the eyelid, but cellulitis might also be caused by an upper respiratory infection or a general infection related to trauma. In cases of cellulitis, the eye appears red and painfully swollen; it may even swell shut. The eye may appear to be pushed forward or have trouble seeing. Your child may also have a fever.
  • Blocked Tear Duct - If the eye cannot drain tears normally, the blockage may cause an infection. Symptoms include watery eyes or tears running out of the eyes. Some babies are born with this, but the cases usually resolve themselves. Your doctor might also recommend a massage technique to help.

Sports Protection
Different sports require different types of eye protection. The American Society for Testing and Materials (ASTM) has set standards for each of these, and the equipment you need will be labeled ASTM followed by a combination of numbers and letters such as F803. Here is the list, according to the American Academy of Ophthalmology:

  • ASTM F803: Eye protectors for selected sports (racket sports, women's lacrosse [see the U.S. Lacrosse website for more details], field hockey, baseball, basketball);
  • ASTM F513: Eye and face protective equipment for hockey players;
  • ASTM F1776: Eye protectors for use by players of paintball sports;
  • ASTM F1587: Head and face protective equipment for ice hockey goaltenders;
  • ASTM F910: Face guards for youth baseball; and
  • ASTM F659: High-impact resistant eye protective devices for Alpine skiing.

Other Eye Notes
You can prevent many other eye problems and injuries. Here are a few final tips for keeping your child’s eyes safe.

  • Have your child wear sunglasses while outside. The sunglasses should be labeled 100% UV protection to cover both UVA and UVB rays.
  • Be sure your child gets some outdoor play regularly while young, which helps develop his/her eyes.
  • Keep all fireworks away from your children. Bottle rockets, especially, which have been banned in many states, have caused a lot of eye injuries.
  • Teach your children to protect their eyes by wearing safety glasses or goggles for activities such as lawn mowing and household repairs.
  • Only use age-appropriate toys and avoid projectile toys, BB guns, and pellet rifles.

If you have questions about your child’s eyes or vision, contact your Generations Family Practice pediatrician today.

New Generations Office Announcement

Sunday, 19 November, 2017
new office

We are thrilled to announce plans for a new Generations office! On July 12, 2017, the Generations Family Practice providers converged to sign one of the steel beams to be used in the construction of our new building! The 'Preston Walk Medical Office Building,' in Cary NC, is set to open early 2018. The new space, less than a mile from our current office, will include the following:

  • Three times the space
  • Imaging (X-Ray) on-site       
  • Space specifically designed to maximize patient/provider interaction and maximize personal, individualized care
  • New Skin Centre
  • Increased staff
  • Easier check-in
  • More comfortable waiting spaces
  • New medical devices to improve care and seamlessly integrate with electronic medical record system and other resource in the healthcare continuum

Keep an eye out for continued coverage of construction and updates on both our website and Facebook page as we grow!

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Know about Group B Strep to Protect Your Infant

Sunday, 19 November, 2017
Group Strep B

You’ve heard of strep throat and have probably had it at least once. But have you heard of Group B Strep? Did you know that it can threaten the lives of unborn or just born babies?

July is International Group B Strep Throat Awareness Month. Whether you’re pregnant or know someone who is, here is what you need to know.

What is Group B Strep?

Group B Strep (GBS) “is a type of bacteria that is naturally found in the digestive and lower reproductive tracts of both men and women,” according to Group B Strep International. About 1 in 4 pregnant women carry this bacteria. It is not related to strep throat.

Not every baby born to a mother with GBS will become ill; the rates are 1 in 200. However, the bacteria can infect your baby during pregnancy, during birth, or set in later. GBS can cause miscarriages, stillbirths, preterm labor, or cause your water to break prematurely. Some babies get meningitis, pneumonia, or sepsis, all of which can be fatal. Some babies survive but end up blind, deaf, have mental challenges, or cerebral palsy. GBS affects about 1 in every 2,000 babies in the United States.

What You Can DoGroup B Strep

Most women do not experience any symptoms, but some show signs similar to a yeast infection. Women are now tested for Group B Strep during each pregnancy. If you test positive, your doctor may prescribe antibiotics.

Visit your doctor if you have any symptoms of a bladder or urinary tract infection or vaginitis/yeast infection. Call your doctor if you experience less movement in your 20th week or have an unexplained fever.

Know that you have GBS and remind all your medical team members, especially during labor. You will be put on IV antibiotics, which often include penicillin, so alert your doctor about any allergies. 

Watch for GBS symptoms in your baby, including:

  • High-pitched, shrill crying, moaning, whimpering, or grunting as if constipated
  • Feeding poorly, refusing to eat, not waking for feedings
  • Irritability, vomiting, listless, stiff, uncontrollable jerking
  • Blue, gray, or pale skin, blotchy or red skin
  • Fever or low temperature

Although GSB is scary and can have terrible results, knowing what to do can make all the difference in your baby’s life. You can learn more from the American Pregnancy Association and March of Dimes.
 

Scoliosis and Your Child

Sunday, 19 November, 2017
Scoliosis, a condition you don’t often hear about. is the reason behind your child's pediatrician checking their back. 

Scoliosis and What You Need to Know

  • Scoliosis is a spinal deformity, a sideways curvature that can occur in both males and females. The curve may be an S curve or a C curve.
  • This curvature may be mild, but in severe cases can be disabling and can reduce the amount of space in the chest, making it difficult to breathe.
  • It typically begins to appear between ages 10 and 15, during the growth spurt just before puberty. However, it can appear in people younger and older.
  • In most cases, there is no known cause.
  • Some schools perform tests, but many do not, which is why your pediatrician should examine your child’s back during regular visits.
  • What to watch for: uneven shoulders, one shoulder blade that appears more prominent than the other, an uneven waist, or one hip higher than the other.
  • Treatments include braces or surgery, but depend on the severity and type. Treatments are more effective the sooner they begin.
scoliosis
 
If you believe your child may have this curvature, contact us right away for a checkup.

GFP Talks to Congress about Inflammatory Bowel Disease

Sunday, 19 November, 2017
Inflammatory Bowel Disease Visits Capital Hill

GFP team member Carinne McKeever Woodworth, PA-C, went before Congress in May to advocate for people with Inflammatory Bowel Disease (IBD). Carinne, who previously shared her story of Crohn’s Disease on our blog, traveled with her husband to speak during “IBD Day On The Hill” organized by the Crohn’s and Colitis Foundation.

“Our goal was to be a voice for the 5 million suffering from Crohn’s and Colitis,” she said.

Advocating for Inflammatory Bowel Disease Patients

Carinne and other North Carolina residents spoke in person with Sen. Thom Tillis (R-NC) and with Sen. Richard Burr’s (R-NC) legislative assistants. Their goal: to encourage legislators to include 'inflammatory bowel diseases' in the Department of Defense Peer-Reviewed Medical Research Program. To obtain the funding, IBD must be listed by Congress under this program.

“This money does not only help find a cure, but to also fund research of other treatment options,” Carinne said. “There are many Crohn’s and Colitis patients like myself who have ‘failed’ all medications currently on the market. Luckily, we learned there are now two drugs in Phase Three of clinical trials. These drugs will be available to the public in 1.5 years. Without funding for research these drugs would have never came into fruition and many would continue to suffer without a viable treatment option.”

Carinne also spoke with legislative staffers for North Carolina House of Representatives, including the teams from the offices of Rep. Alma S. Adams (D-12), Rep. David Price (D-4), and Rep. G.K. Butterfield (D-1). There, she lobbied against step therapy.

“Step therapy is when your provider prescribes a certain medication but your insurance companies makes you try older, cheaper medications before paying for the drug that was originally prescribed,” Carinne explained. “This process could take months before the insurance companies approve the medication. For an Inflammatory Bowel Disease, patient this may be the difference between saving your colon and having it surgically removed. Currently Step Therapy gives all the power to insurance companies -- we lobbied to put the decision back into the provider-patient hands.”

Finally, Carinne also argued against a potential law that would discriminate against people with pre-existing conditions, which would affect not just those with Crohn’s, but people with diabetes, cancer, and other health problems. According to an analysis by the Department of Health and Human Services, 50 to 129 million (19 to 50 percent of) non-elderly Americans have some type of pre-existing health condition.

Carinne said she doesn’t know for sure if her efforts made a difference, but she is glad she went.

“At the end of the day I always hope that I have made this world a better place,” Carinne said. “Most days I am not sure if I did any good, but on May 18 I was able to go to bed knowing that I was an advocate for the 5 million suffering from this incurable disease. The experiences I had and the people I met with will always have a special place in my heart.”
 

7 Ways to Improve Men’s Health This Month

Sunday, 19 November, 2017
Improve Mens Health

What should you know about men's health? Men live sicker and die younger than women. Yet that doesn’t have to be true. June is National Men’s Health Month. It’s time for men to step up and take care of their health. Consider this:

  • Men die at higher rates than women from the top 10 causes of death.
  • In 1920, women lived, on average, one year longer than men. Now, men, on average, die almost five years earlier than women.

One reason for these statistics is that men engage in more dangerous occupations, such as coal mining. Also, a higher percentage of men have no health insurance. Research shows men’s attitudes about health plays a role as well. According to the Centers for Disease Control, women are 100 percent more likely visit the doctor for annual examinations and preventive services than men.

Seven Steps for Improving Men's Health:

  1. Make an appointment for a checkup and physical. Regular visits to the doctor each year can save your life. During those visits, your physician will run tests and look for signs of serious diseases. A regular checkup ensures a better chance of addressing health concerns before it’s too late.
  2. men's healthKeep track of extra tests needed and get them done. Beginning at age 50, men should receive a prostate exam every one to two years. Men often feel uncomfortable about this exam, but it is critical to catching prostate cancer early. At age 50 men should also get a colonoscopy every 10 years. While this exam is also uncomfortable, these two tests can save your life.
  3. Make healthy lifestyle choices. Society, as a norm, discourages healthy behaviors in men and boys. Start a trend by choosing to exercise, eat well, quit smoking, drink less alcohol, and more.
  4. Have conversations with male friends. While society may make your healthy choices seem less appealing, you can help this change by mentioning your doctor checkups to other men. Men are often less comfortable sharing such details, and we’re not suggesting you give the moment-by-moment account of your prostate exam. However, mentioning your appointment is a good reminder to others to schedule theirs.
  5. Educate yourself about heart disease. Heart disease is the leading cause of death for men in the United States. In 2013, 321,000 men died from it — that’s one in four. You know some of the main contributors: high blood pressure and/or cholesterol, obesity, lack of exercise, poor diet, and excessive alcohol use. Learn more about heart disease and take steps to prevent it.
  6. Take charge of your health. Men are more reluctant to go to the doctor when they experience symptoms. “Oh it’s probably nothing” is something you might have thought. While that might be true, it might not. Take charge of your health by investigating odd symptoms.
  7. Take part in Men’s Health Month activities. Wear blue on June 16 and share your photos on social media with the hashtags #ShowUsYourBlue and #MensHealthMonth. Doing this will help spread word.

Do you have questions about men's health? Contact us to set up your annual physical or to come in and chat with a doctor about any concerns.
 

Anti-Pollution Skincare: Prevent Pollution from Aging Your Skin

Sunday, 19 November, 2017
anti-pollution skincare
Why is anti-pollution skincare important? Emerging scientific studies are showing that air pollution can prematurely age our skin. Studies show that residents of cities, especially large cities, have more wrinkles and age spots at younger ages. They are also more prone to hives and eczema. City dwellers tend to have drier skin, too.
 
Most of the urban pollution comes from traffic, and tiny particles, called PMs, seem to cause the most problems. Combine that with smoke, soot, acid, and all the other junk out there, and none of it is good for your skin. Plus, pollution doesn’t just sit on top of your skin; the particles are often so small they can penetrate the outer layer.

Anti-Pollution Recommendations for Protecting Your Skin:

  • Hydrate. Skin that is properly moisturized stands a better chance of protecting itself. Moisturizer should always be part of your daily routine.
  • Cleanse gently. Use a mild cleanser in the morning to prepare your skin and again at night to remove particles, makeup, oil, and pollution.
  • Avoid harsh scrubs. Facial scrubs can irritate the skin and ruin its efforts to protect against pollutants and repair damage. If you must use a scrub, do so sparingly.
  • Look for products that talk about pollution. Cosmetic companies are aware of the problem and are working to find solutions. You should start to see this mentioned on labels soon. 
  • Stay healthy. One cosmetic company study shows Vitamin B3 (niacin) to be helpful and is increasing the amount in its products. But the overall health of your body affects everything, including your skin. Be sure to eat a healthy mix of nutrients each day.
  • Glycolic acid can affect the skin’s protective barrier. Unfortunately, so can retinoids, which are often used in anti-wrinkle products. Research on this is still new, but it’s best to avoid these if possible.
  • Don’t forget the sunscreen. While protecting your skin from pollution is the next focus of many skincare products, we cannot forget the sun’s UV rays. Keep up with the sunscreen.

Not surewhat to do with your skin care routine? Contact us for guidance on the best approach for your skin type and specific problems.Anti-Pollution Skincare

Graduate Checklist: Vaccines for College and More

Sunday, 19 November, 2017
medical checklist for graduates

If your child is graduating from high school this month, you may be thinking about vaccines for college students and how to keep your rising scholar healthy. If she is heading off to college this fall, there are a few medical things on her to-do list. Be sure your child prepares this summer by taking care of the following:

Vaccines for College Students

If your child has been with Generations Family Practice for several years, she is probably up to date on vaccinations, but may need a few more. When it comes to vaccines for college students, many colleges recommend students get a meningitis vaccine before enrolling, along with Hepatitis B. Check with your doctor about whether a TDAP is needed. Your teen should probably get the HPV vaccine if she hasn’t already. You’ll also want to make sure your child starts getting an annual flu shot and starts doing this on her own each fall.

vaccines for collegeMedical Form

In our newsletter this month, we talk about the importance of legal forms that give you access to your child’s medical records and the ability to make decisions for him if he cannot do so. Be sure your 18-year-old signs a health care proxy and a durable power of attorney. Without these documents, you will have get court approval to act on your child’s behalf or even get information about them if hospitalized. Get more information in our May newsletter (Make sure to sign up for our newsletter by going to our website and entering your email address in the request box).

Sex

Your teen is now an adult and will make his own decisions about sex. Although health classes may have given him some basic education, make sure he is ready to take responsibility. Speak to your children about birth control, safer sex practices by using condoms, and getting tested for sexually transmitted infections each year. Colleges have on-campus physicians; be sure your student knows where they are located and makes an annual appointment for a checkup.

Drugs and Alcohol

You’ve no doubt raised a child who can make good decisions, but once out on their own, kids may find it tempting to experiment or to overindulge. While your teen may roll her eyes at you, studies show parents have an influence. Talk to your child about the pressures of drinking or drugs. Make sure you talk to your son or daughter about drugs and what to do if they are present at a party or if someone offers them.

A 2013 national survey showed that most high school seniors have tried alcohol, but the pressure and the appeal become more intense in a free environment. Be sure she is vigilant about not driving and not getting into a vehicle with a driver who has been drinking. Make sure your child has taxi service phone numbers saved in her cell phone, along with numbers for campus police.

Emotional Well Being

Going off to college or moving out on your own is an adventure most kids can’t wait to experience. But for many, the challenge of living on your own or with roommates and making all of your own decisions leads to emotional struggles. The change can feel drastic to some. You may have prepared your kids for adulthood by teaching them about money, but what about relationships? Speak to your kids about what to do if they feel down. Remind them you are available, but don’t be willing to rush in and fix everything. Talk to our team if you’re not sure your young adult is emotionally ready or have questions about this. 

Questions about your graduate? Contact us for a wellness visit.
 

Concussion 101 for Child and Teen Athletes

Sunday, 19 November, 2017
Sports injuries are usually something you can see right away, whether it’s a cut on your finger, a scrape on your elbow, or even a broken bone. On the other hand, concussions are invisible. But this type of injury can cause a lot of damage, especially in teens and children.
 
April is National Facial Protection Month; it’s an opportune time to consider how we can protect our children from head, face, and teeth injuries during sports and other activities.

What is a Concussion?

According to the Centers for Disease Control, “a concussion is a type of brain injury that changes the way the brain normally works.” During a concussion, the brain moves rapidly back and forth inside the skull. A concussion can be caused by a bump or jolt to the head. Even mild bumps to the head can be serious and have a greater impact on young, developing brains. If left undetected, a concussion can result in long-term brain damage or even death.
 
Concussions are becoming more common. The American Academy of Pediatrics has reported that emergency room visits for concussions in kids ages 8 to 13 years old has doubled, and concussions have risen 200 percent among teens ages 14 to 19 in the last decade.

concussion symptoms and prevention

Signs of a Concussion

Signs that a concussion has occurred may show up immediately after the injury, but sometimes appear hours or even days later. Watch your child to see how he or she is feeling. Many people assume a concussion will cause someone to faint, but people with concussions do not always lose consciousness. If your child or teen has two or more of the following symptoms, get him or her checked by a doctor.

Symptoms You Observe

  • Appears dazed or stunned
  • Is confused about events
  • Answers questions slowly
  • Repeats questions
  • Can’t recall events before the hit, bump, or fall 
  • Can’t recall events after the hit, bump, or fall
  • Loses consciousness (even briefly)
  • Shows behavior or personality changes
  • Forgets class schedule or assignments

Symptoms Reported by Your Child/Teen:

  • Difficulty thinking clearly
  • Difficulty concentrating or remembering
  • Feeling more slowed down
  • Feeling sluggish, hazy, foggy, or groggy
  • Headache or “pressure” in head
  • Nausea or vomiting
  • Balance problems or dizziness
  • Fatigue or feeling tired
  • Blurry or double vision
  • Sensitivity to light or noise
  • Numbness or tingling
  • Does not “feel right”
  • Irritable
  • Sad
  • More emotional than usual
  • Nervous
  • Drowsy
  • Sleeps less than usual
  • Sleeps more than usual
  • Has trouble falling asleep

Warning Signs

If you witness or your child experiences the following symptoms, immediately take him/her to the emergency department or call 911.
  • One pupil (the black part in the middle of the eye) larger than the other
  • Drowsiness or cannot be awakened
  • A headache that gets worse and does not go away
  • Weakness, numbness, or decreased coordination
  • Repeated vomiting or nausea
  • Slurred speech
  • Convulsions or seizures
  • Difficulty recognizing people or places
  • Increasing confusion, restlessness, or agitation
  • Unusual behavior
  • Loss of consciousness (even a brief loss of consciousness should be taken seriously)

What to Do in the Event of a Concussion

If your child or teen has a concussion, he/she needs to stop all activity immediately. Returning to normal physical activities, such as sports, and mental activities, such as focus and concentration in school, can cause damage. Encourage rest and allow breaks. Your child’s doctor may request you to keep him/her home from school for a day or two. He/she will instruct you when it’s OK to return to normal activities.

Prevention is the Best Cure

Physical activity and sports are healthy pursuits that promote teamwork and fitness. However, concussions can be dangerous, and child and teen athletes are also exposed to numerous other potential injuries. To prevent injury as much as possible, rely on the following measures:
  • Wear a helmet. No helmet is concussion proof, but it will go a long way to protecting your child. Be sure the helmet is the correct one for the sport in which he/she participates, whether that’s bicycle riding or lacrosse. Check out this fact sheet for helmet types.
  • Wear other protective gear as needed. These might include pads — neck, shoulder, elbow, chest, knee, shin — protective cups, mouthguards, other face guards, or goggles/other eyewear.
  • Create a safe sports culture. Be sure your child’s team is one in which rules are followed, and he/she feels comfortable reporting injuries or problems to the coach. 
  • Take breaks. Rest periods during play and practice can help, especially during hot times of the year.
  • Have a rest day. Your athlete should have at least one full day of rest and recovery each week, plus one month off per year.
  • Drink plenty of fluids during play and practice, even more so when temperatures climb.
  • Stretch before and after play.
  • Teach your child not to play through the pain. Pain is one of the body’s warning signs that something is wrong.
If you are concerned about your child’s well-being during sports or other activities, contact us today and talk to his/her doctor at Generations Family Practice. We’re happy to help your child enjoy sports and physical activity. 

5 Signs It's Time to Seek Treatment for Skin Rashes

Sunday, 19 November, 2017
skin rashes

Skin rashes are fairly common and most are harmless. Red bumpy skin can be inflamed, itchy, or uncomfortable (or all three.) While some rashes are simply irritated skin, some are very serious and may be a sign to call your doctor.

Some common rashes are caused by eczema, poison ivy, athlete’s foot, and diaper rash. Some people get rashes from laundry detergents or cleaning products. If you’re prone to that type of rash, simply changing those products should prevent irritated skin. Many over-the-counter products can help with athlete's foot, eczema, poison ivy, and diaper rash. You can talk to a pharmacist about which products may help. See a doctor if things do not improve with treatment.

However, some rashes are a sign of something more serious. 

skin rashes treatment

Call a doctor if you have skin rashes:

  1. accompanied by a fever. In this case, call the Generations' office immediately. Rashes with a fever may indicate scarlet fever, measles, mononucleosis, or shingles.
  2. accompanied by other general illness, which may indicate more serious illnesses or infections. 
  3. all over your body. This may be a more serious allergic reaction or sign of infection.
  4. including blisters. Blisters and open sores in your rash may indicate an internal cause or a reaction to a medication.
  5. that are painful or infected. Signs of infection are a yellow or green fluid, swelling, crusting, pain and warmth in the area of the rash, or a red streak coming from the rash.

Even if your rash does not fall into those categories, and you are concerned about it, do not hesitate to make an appointment with our doctors at Generations Family Practice.

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