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Measles!

30 replies

Dkerry · 25/01/2024 10:51

So took my son to the doctors as he had "the signs and rash" just to get the all clear so that he could go to school to get the bombshell that he has in fact got the measles. Had the whole health England contact/orders and following all guidance (even doing P.E with Joe and full home schooling), touch wood so far it seems quite mild compared to the horrors I am reasdng, however the rash is not fading any tips to make him more comfortable, warm baths slightly helping along with rest and cuddles, but does anything ease the rash? Any tips from anyone going through it or out the other side. Fully immunised 5 year old boy who likes to defeat the statistics ( had covid 6 times)

OP posts:
notjustthe · 25/01/2024 10:53

what did the doc suggest?

do you have other children?

do you work? partner?

notjustthe · 25/01/2024 10:54

when did you get the diagnosis? presumably the school immediately notified?

Moier · 25/01/2024 10:57

Oatmeal in luke warm bath to help itching.
Make sure plenty of fluids.
Don't give aspirin..
But can have other meds like ibuprofen and paracetamol.
Measles can affect your eyes.. so if using any devices lower the brightness.
I hope your child feels better soon.

Leafbuds · 25/01/2024 10:57

I remember having measles and it being very itchy, though everything I read now seems to say that it shouldn't be (so I hope they didn't get it wrong when I had them - they hadn't seen a case recently so weren't immediately sure). So anything that helped with the itching, in the same way as for chicken pox, was good - I think I tried oatmeal baths, and calamine lotion or just any lotion really, and paracetamol for any fever. I mostly remember being very miserable and I was a teenager by then so at least understood why, so I feel sympathy for your DS.

(I'd be vaccinated too, though not with MMR)

MrsSkylerWhite · 25/01/2024 10:58

That’s really unfortunate, poor lad. As he’s immunised, he ought to make an uncomplicated recovery. Is calamine lotion still a thing? Would that help. If it’s itchy? Eucyrin (I think) cream to stop itching may help if it’s safe on little ones.
In the meantime, lots of ice cream and cuddles.

Dkerry · 25/01/2024 11:02

Doctor was more scared than me, said there was nothing he could prescribe, locked us in an isolation room, did swabs tests etc, that's how we know and packed us off, telling us do not pass go, do not go to hospital and instructions on what to say if we need an ambulance. So not overly reassuring. Public health slightly better as we are assessed low risk.. 1 child family all fully immunised ( me and hubby too) so low level spreaders, we are still isolating as both me and hubby both work out and about and have good employers. Just had people tell us different things will ease the rash but didn't want to send my brother on a wild goose chase and don't want to keep experimenting so wondering if anyone had any tips as to what works. I tried to ring our pharmacy twice but having no joy.

OP posts:
notjustthe · 25/01/2024 11:07

what was the diagnosis test?

Dkerry · 25/01/2024 11:13

Saliva swabs .. strangely enough just had the pack through from UK health as they need further swabs of his saliva, to donwith statistics but very similar to the covid kits

Measles!
OP posts:
notjustthe · 25/01/2024 11:18

wow and the result at the surgery is immediate?

RancidOldHag · 25/01/2024 11:24

I thought cases weren't officially confirmed until the lab test is back.

But you have to follow the isolation requirements on the basis of GP diagnosis

Basically, you just have to nurse in accordance with the symptoms. Oatmeal baths and calamine are good to calm rashes. Or conversely, try a simple emollient (depends on what sort of way the rash is troubling him)

The disappearance of the rash was the signal, in the olden days, that the patient was no longer infectious and could resume normal activities

Dkerry · 25/01/2024 11:29

This reply has been withdrawn

This message has been withdrawn at the poster's request

notjustthe · 25/01/2024 11:35

i’m impressed because i very much thought no confirmed diagnosis until swabs back

MrsSkylerWhite · 25/01/2024 11:37

It’s reassuring that the system seems to have kicked in so quickly. Cases are very much on the rise and an awful lot of people still don’t understand how serious measles can be.

notjustthe · 25/01/2024 11:37

back to school 4 days after onset of rash

notjustthe · 25/01/2024 12:11

yes to thirteen lives - it was great

The missing looks like one we would both enjoy!

ChateauMargaux · 25/01/2024 12:23

Bicarbonate of soda, oats, camomile tea in the bath to ease the rash.

The WHO recommend high dose vitamin A - https://www.biocare.co.uk/vitasorbr-a-liquid-vitamin-a-15ml. you can probably phone them and ask about dosage in the case of measles. Cod liver oil also has vitamin D. (should be retinol not beta carotene)
If he still has a fever, keep food intake to liquids.

The eyes can be sensitive for some time so keep him in a dimly light room with some fresh air, stories and music / audiobooks not screens and bright lights.

Nutrisorb® Vitamin A 15ml

Liquid vitamin A in simple olive oil base to help support immunity, healthy skin and vision.

https://www.biocare.co.uk/vitasorbr-a-liquid-vitamin-a-15ml

triballeader · 25/01/2024 15:54

The GPs will be on alert for the symptoms and have to alert health protection teams for all suspected clinical cases. the swab test is to check the rash is defiantly Measles rather than a virus mimicking the symptoms.

DD, the rash is not itchy but the raised fever that goes with it will make a child fretful. Follow GPs advice to keep fever down. TBH that really is the best way to ease the discomfort as measles fever spikes are nasty. If the fever spikes at 40c and will not drop after paracetamol or stays up at 40c or more for a prolonged period or your child starts being so sick they cannot keep fluids down follow the health protections advice to get URGENT extra medical advice and help.

Small kids mostly cope but a few can become very unwell. That is why you have been given the worst case scenarios. It’s just in case your child is the 1 in 1000 who develops more concerning complications from the virus.

My DD could not stand thanks to the fever so I simply used lukewarm water to sponge her down with. Baths, possibly due to movement and reflected light on the water, made her throw up so we stopped trying to do them and stuck to sponging her down. I worked on the theory I could let her have a good long soak when she was a bit better and could cope.

A fan can also help lower a child’s high temperature but if the skin and esp the eyes have become sensitive avoid the fan being direct on your son.

Let them wear pjs inside out if seams are irritating. The rash can be sensitive to seams and that can hurt. DD described it as an itchy burn that was horrible.

I do advise washing all towels, bed linen and clothes your child is in contact with on a hotter wash. This helps reduce the viral load in the houses . Whilst this IS increadible rare Be aware that for some if the viral load is high (like my DD kicked out unknown to me at the time) then it’s possible for an adult who has some immunity to develop a mild case of measles.

Make arrangements for supplies to be dropped off without doing face to face just like in covid. Use FaceTime and so on to stay sane and in contact with others. Measles is even nastier than the first wave of covid and spreads further, faster and will infect eight out of nine people who do not have immunity to it- hence the health protection you walked into this morning.

Keep an eye on your son’s eyes. Most kids with measles will get pink eyes. My DD started pink had to stay out of direct daylight and bright light for ten days after she started to get measles in her eyes. (Image below shared with her permission at the pink stage as she would rather parents knew what to look out for) They started pink then became red and very light sensitive. At that point all light hurt. The GP ordered her to stay in a darkened room to protect her sight. That included carefully ensuring she minimised TV and avoided any brightly lit programs. She took to listening to old radio plays, kids books and comedies instead. Try bbc sounds online for child friendly programs.

The whole send them back four days after the rash appears……ONLY if in all other respects they are well and the school is happy to have them back. DD was off school for four weeks as all she did was sleep anywhere once she started to get better. Her eyes needed that time to readjust and she went back with light reducing glasses, again to protect her sight. She also went back p/t as it wiped the floor with her.

Hoping all goes well for all of you, that your son is merely under the weather rather than very ill and he is back to being himself very soon.

Measles!
ChateauMargaux · 25/01/2024 17:04

Suggested Recommendation
∙ Vitamin A should be prescribed for pediatric patients in the US with a confirmed measles diagnosis.
∙ At time of diagnosis, vitamin A should be given by mouth once daily for two days at the following age-based doses:
∙ 200,000 IU for children 12 months or older (60,000 mcg RAE)
∙ 100,000 IU for infants 6 through 11 months of age (30,000 mcg RAE)
∙ 50,000 IU for infants younger than 6 months (15,000 mcg RAE)
∙ An additional dose should be given in two to four weeks for children known to be previously vitamin A deficient or those who have eye complications caused by measles
∙ Measles infection is associated with inducing a decrease of vitamin A, which is necessary for immune function and epithelial cell integrity.

https://www.nfid.org/wp-content/uploads/2023/04/Call-to-Action-Vitamin-A-for-the-Management-of-Measles-in-the-US-FINAL.pdf.

https://www.nfid.org/wp-content/uploads/2023/04/Call-to-Action-Vitamin-A-for-the-Management-of-Measles-in-the-US-FINAL.pdf

Leafbuds · 25/01/2024 18:02

It's funny how it's not supposed to be itchy, and yet my strongest memory is lying awake at night, itching!!

I don't remember being swabbed, but it was many years ago, but I do hope they got it right. They had to report it to the public health of the place I lived at the time and I was off school for over a week I think.

Dkerry · 25/01/2024 18:18

ChateauMargaux thankyou for the info.. yep he has 2 pink eyes.. I'm off work all week, and yup treating it like the old covid isolation, spoke to school and keeping him off for at least 2 weeks with work sent home so lucky that we can be flexible as with no formal lockdown some will be pressured by work commitments. I've left a message for the doctor to call me back in the morning about the vitamin A, and failing that will be sending my brother on an errand to the pharmacy.

OP posts:
notjustthe · 26/01/2024 05:31

Dkerry · 25/01/2024 18:18

ChateauMargaux thankyou for the info.. yep he has 2 pink eyes.. I'm off work all week, and yup treating it like the old covid isolation, spoke to school and keeping him off for at least 2 weeks with work sent home so lucky that we can be flexible as with no formal lockdown some will be pressured by work commitments. I've left a message for the doctor to call me back in the morning about the vitamin A, and failing that will be sending my brother on an errand to the pharmacy.

nhs says 4 days off post onset of rash

notjustthe · 26/01/2024 05:36

https://www.nhs.uk/conditions/measles/
4 days

and DFES

The DfE guidance states that schools should follow the UKHSA measles guidance, and exclude the infected pupil from the school until four days after the rash first appeared

your school has rather arbitrarily selected 2 weeks. whereas government national guidelines and Dfes is 4 days post onset of rash (presuming actually feel well enough at that point)

nhs.uk

Measles

Find out about measles, a highly infectious viral illness that can be very unpleasant and sometimes lead to serious complications.

https://www.nhs.uk/conditions/measles/

CreateHope · 26/01/2024 05:42

Ah your poor DS 😢. I was off school for 3 weeks with measles and was so poorly but this was 30 years ago and I hadn’t been able to have the vaccine so guess would have been worse? I hope he recovers quickly and you cope with isolation ok x

triballeader · 26/01/2024 08:53

Let’s be absolutely clear on the DFES. It’s at LEAST four days off from the start of the rash. Measles is a pretty vigorous and proficient virus that can and does make people unwell.

The school feeling two weeks is wiser fits in with most who catch measles. My DD said the same although she ended up needing four week off plus four weeks part time. For many it is six to ten days of feeling truly awful followed by a lot of sleep to recover. For a few with some resilience to the virus this may be quicker and for those with less or who become very ill it may take far .

Having seen what measles did to my own DD and DH I doubt it can be classed as an illness that is very quick to throw off for most.

notjustthe · 26/01/2024 08:55

“at least”

if the child feels well 4 days after onset of rash, NHS and Dfes advise back to school

if the child does not feel well, then just like with any illness, not back to school

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