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Home Care for Children with Sickle Cell Disease

Sickle cell disease is an inherited disorder in which red blood cells become C-shaped. This causes impaired blood flow, pain, and other health problems. Symptoms may show up by about 5 months of age.

A child who has sickle cell disease should be under a healthcare provider's care. But parents can do many things at home to reduce symptoms and maintain the child's health.

Take steps to prevent infections

Infections like the flu can be dangerous for children with sickle cell disease. Children and their caregivers and family members should wash their hands several times a day with soap and water. This is to reduce the spread of the flu virus and other germs.

Children with sickle cell disease are at more risk of illness from salmonella. Salmonella is a type of bacterium. To prevent salmonella infection, your child should not eat raw or undercooked meats or eggs.

Make sure your child's vaccines are up to date. Make sure your healthcare provider is aware your child has sickle cell disease as the vaccines given may be slightly different for children with sickle cell disease.

Take fevers seriously

If your child has a fever of 101°F (38.3°C), contact your child's healthcare provider for advice. Don't simply treat your child at home with fever-reducing medicines. The fever could be a sign of a more serious problem. If your child has no fever but does not look well to you, trust your instinct. Call your healthcare provider right away or bring your child to the emergency room. 

Be aware of your child's surroundings

Extremely hot or cold temperatures may trigger a sickle cell crisis. Sickle cell pain crisis is a sudden episode of pain throughout the body. To keep your child's body temperature at the best level, always make sure he or she wears a coat during cold weather and spends as much time as possible in air-conditioned areas on very hot days. Staying well-hydrated in hot weather may reduce the risk of a sickle cell crisis. 

Learn how to manage pain

Children with sickle cell disease will sometimes have pain episodes. Talk with your child's healthcare provider about the best ways to handle these episodes at home. It may be appropriate to give your child pain-relieving medicines like ibuprofen for mild episodes or stronger pain relievers for more severe flare-ups. Heating pads, warm baths, and massage may also be soothing.

Maintain healthy habits

Make sure to introduce healthy practices into your child's daily life. Drinking plenty of fluids to help prevent dehydration and eating a balanced diet are important. Children with sickle cell disease should also participate in physical activity and stay active. Rest breaks are advised. This is so your child doesn’t work too hard or get overly tired or dehydrated. 

Reach out to support groups

Children with sickle cell disease, especially teenagers, may have a hard time coping with their condition because it can cause delayed puberty. They may also feel anxious about having sudden pain episodes. Support groups for children with sickle cell disease can be helpful in learning ways to cope with these situations. Also, these support groups can be helpful for simply sharing their worries with peers who have similar concerns and feelings. Ask your child's healthcare provider or your local hospital for advice on finding a group in your area. 

Online Medical Reviewer: Adam Levy MD
Online Medical Reviewer: Lu Cunningham
Online Medical Reviewer: Pat F Bass MD MPH
Date Last Reviewed: 4/1/2019
© 2000-2019 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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