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Back to School, Back to Germs (And That's Okay!)

  • Lyssa Logue, DO, MPH, FAAP
  • Aug 17
  • 3 min read


Every fall, we see the same pattern: kids head back into classrooms, and a few weeks later, so do the sniffles, coughs, and low-grade fevers. If your child is new to a school or daycare setting, it's normal to see about one new illness a month, each lasting roughly 2–3 weeks. It can feel relentless, but it's actually a sign your child's immune system is doing exactly what it's supposed to do — learning to recognize and fight off new germs. Most kids' immune systems "catch up" after that first year or two, and the illnesses become less frequent.

Here's your guide to riding out the season with a little more confidence (and a little less worry).


Fevers: Not the Enemy

Fever itself isn't dangerous or harmful — it's actually a helpful part of the immune response. The one exception: infants under 3 months old with a fever should always be seen by a doctor.

For children older than 3 months:

  • Treat the child, not the number. A high fever with a comfortable, playful kid is very different from a low fever with a miserable one.

  • Tylenol (acetaminophen) or Ibuprofen (if over 6 months old) can help bring the temperature down and keep your child comfortable.

  • Fluids, rest, and extra snuggles go a long way.

  • No need to bundle them up to "sweat it out" or strip them down to cool off — let them wear what's comfortable so they can rest.


The Common Cold: What Actually Helps

For garden-variety colds, the tried-and-true remedies are still the best ones:

  • Nasal saline spray to loosen congestion

  • Cool mist humidifier in their room

  • Steamy showers to help them breathe easier

  • Honey for cough — but only for children over 1 year old (due to botulism risk in infants)


The color of mucus doesn’t matter! All colors can be viral :)


A note on decongestants: products like Sudafed aren't recommended for children under 6 and generally aren't very effective for kids anyway. Supportive care wins here.


When the Cough Just Won't Quit

Coughs are often the last symptom to go and can feel like they last forever. To help:

  • Nasal saline spray

  • Honey (for kids over 1 year)

  • Natural cough remedies like Wellements or Zarbee's


The Bottom Line

Most viral illnesses can be safely managed at home with supportive, comfort-focused care. Time and rest are often the best medicine.


When to Text Us

While most illnesses run their course at home, please reach out if you notice:

  • Fever that lasts longer than 3-5 days

  • A fever that starts several days into an illness or returns after being gone > 48hours

  • Your child isn't urinating at least once every 8 hours — a sign of dehydration

  • No Improvement In symptoms after 7- 10 days

  • Severe pain (ear, throat, etc)

  • Wheezing or barky cough


When to Visit the ER

  • Fever of 100.4 (rectal) In a baby under 3 months of age - we don’t trust newborns!

  • Change in mental status — you can't wake your child up, or they're confused, unusually drowsy, or talking gibberish

  • Difficulty breathing — fast breathing, labored breathing, working hard to catch their breath or bluish lips


We're always here if something doesn't feel right — trust your gut, and don't hesitate to reach out.

Wishing your family a healthy school year!

 
 
 

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