• Influenza -- Flu Symptoms
• Pediatric Dentists
• Recommendations for Infants and Children Traveling Internationally

Influenza -- Flu Symptoms

Flu symptoms include fever, headache, sore throat, fatigue, cough, nasal congestion and body aches. The flu is caused by a virus thus antibiotics will not help the flu. Treatment includes drinking plenty of fluids, rest, and over-the-counter medicines to help relieve the symptoms (for example, Tylenol, ibuprofen, decongestants, cough suppressants or expectorants). Do not give aspirin to children as it may cause a rare but serious illness called Reye Syndrome.

It is common for sick children to not want to eat solid food. Eating food during an illness is not as important as drinking fluids. Symptoms of dehydration include: few or no tears with crying, dry mouth with thick sticky saliva, sleepy or irritable, more than 6-8 hours between urination in children or more than 4-6 hours between wet diapers in infants.

Flu can cause elevated temperatures up to 106° F. Fevers do not cause brain damage unless greater than 107°F or if associated with certain diseases that affected the brain, like meningitis. If your infant is under 2 months old and has a rectal temperature greater than 100.4 ° F, contact your doctor immediately. For advice on how to treat a fever, please see: Treating Fever

Your child needs to be seen by a doctor if:

Pediatric Dentists

Camino Medical Group does not provide dental services. The following dentists are not affiliated with Camino Medical Group but are recommended by CMG pediatricians.

Dental services are not covered under your medical insurance. If your child is covered under your dental insurance, please check with your carrier regarding benefits and providers covered under your plan.

Most pediatricians recommend the first dental visit at age three years old or sooner
if any dental problems.

Cupertino
Mahnaz Gorgani
10393 Torre Avenue Suite L, Cupertino
408-446-4353

Natalie A. Vander Kam
10393 Torre Avenue, Suite L
Cupertino, CA 95014

Los Altos
James Kelly, Victor Herwick, Nick Gorgani
731 Altos Oaks Drive,
Los Altos
650-948-6884

Mountain View
Maria Aganon-Fu
515 South Drive, Building 10, Mountain View
650-969-8452

Cheryl Lee
1174 Castro Street #150,
Mountain View
650-965-8688

Palo Alto
Vernon Adams,
750 Welch Road #102,
Palo Alto
650-321-6448

San Jose
Randy Ligh,
189 N. Bascom Ave Suite 200,
San Jose
408-286-6308

Santa Clara
George Mednick,
2790 Newhall Street,
Santa Clara
408-249-5121

Sunnyvale
Mark Dal Porto,
510 W. Remington Drive #2, Sunnyvale
408-736-4366

Michael Leong,
877 W. Fremont Ave C2,
Sunnyvale
408-245-1802

Robert Timpe,
516 Remington Drive #2,
Sunnyvale
408-736-3311

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Recommendations for Infants and Children Traveling Internationally

Camino Medical Group (CMG) offers a specialized International Travel Clinic located at 325 North Mathilda Avenue, Sunnyvale, CA 94085 (408 733-4380). Many pediatricians also provide services to children prior to international travel. In either case, the patient should recognize this is a specialized service and is not a part of a routine office visit. The Travel Clinic sees patients on a walk-in basis while an appointment is needed to see a pediatrician. Please schedule such an appointment as early as possible before departure, preferably 6 weeks. The CMG Web site for travel information is www.wellontheroad.com.

Very few insurance plans provide coverage for the professional consultation, vaccines and medications for travel abroad. Unless you have absolute assurance that this is a “covered” service/benefit, you will be responsible for all charges and asked to pay for the above services.

Immunizations

• All "routine" immunizations should be current, including hepatitis A and B vaccine.
  
• Infants aged 6-11 months of age should be given 1 dose of monovalent measles vaccine, if available.
  
  • This is not a "countable" dose and the child still needs MMR at 1 year of age.
    
  • MMR may also be used in this age group.
  
  
• Immune globulin and hepatitis A vaccine
  
  • IG is appropriate for infants and children younger than 2 years, but check the timing and compatibility with MMR and varicella vaccine.
    
  • Hepatitis A vaccine is appropriate for children 1 year of age or older.
  
  
• Typhoid
  
  • Typhoid vaccine is appropriate for children age 2 years or older.
    
  • Age 2 years to 6 years (or older) - give Typhim Vi. Booster every 2 years.
    
  • Age 6 years or older - give either Typhim Vi or oral typhoid capsules. Booster oral typhoid every 5 years.
  
  
• Meningococcal
  
  • No longer recommended by CDC for any part of India.
  
  
• Rabies
  
  • CDC recommends consideration of rabies vaccine for anyone traveling to India, Thailand, and many other countries for more than 30 days.

• WHO advises against taking infants and young children on holiday to malarious areas where there is transmission of chloroquine-resistant malaria. This includes India.
  
• Overdose of antimalarial drugs can be fatal. Medication should be stored in childproof containers out of the reach of infants and children.
  
• Mefloquine (Lariam®) is an appropriate drug to prevent malaria in children.
  
  • Per CDC, approved for infants of any weight or age.
  
  
• The Sunnyvale Clinic pharmacy will make up capsules for any mgm size. Take weekly starting one week prior to departure, weekly during the journey, and continue weekly for four weeks after return.
  
• Mefloquine is extremely bitter and must be mixed with foods with strong flavors.

• Take the drug at the same time each day with food or a milky drink.
  
• Start the drug 1 day before exposure to malaria, once daily while exposed to malaria, and once daily for 1 week after leaving the malaria area.
  
• Approved for children weighing more than 22 lbs.
  
• The pediatric dose is based on the child's weight.

• Early administration of ORS (oral rehydration solution) is the preferred treatment for acute diarrhea.
  
  • ORS packets are common in stores or pharmacies in almost all developing countries.
    
  • Ceralyte, a rice-based oral electrolyte packet, is available at the Sunnyvale Clinic pharmacy.
  
  
• The most crucial aspect of managing acute diarrhea is the need to replace fluid losses and to maintain adequate nutrition. Regardless of the fluid used, an age-appropriate diet should also be given.
  
  • No medications are recommended for prevention.
• Discourage use of Imodium A-D, Donnagal MB and Kaopectate.
  
• Parents must be aware that immediate attention is required for the infant with diarrhea who has signs of dehydration, bloody stools, fever, or persistent vomiting. While medical attention is being obtained, the infant should be offered ORS.