“You
have a bump on your eye?” Dr. Kathleen Nelson asks nine-year-old
Juan. “And when did that start?” Two weeks ago, Juan
got an eye infection- a stye. It went away for a few days, but
then it came back.
“And when I touch his eye it feels a little warm,” Dr.
Nelson says examining his eye. Juan flinches in pain. “I’m
sorry honey, I know it hurts you,” she apologizes.
“What this is-is an infection of the hair follicle in his
eyelid. And it’s due to a bacteria germ,” Dr. Nelson
explains. A bacteria known as staphylococcus-often spread when
kids forget to wash their hands, and then rub their eyes.
“And what I’m feeling here, is he has a little lymph-node
right here in front of his ear that’s inflamed. Does it hurt
here when I touch that?” Dr. Nelson asks Juan. It does. “There
was also evidence of local swelling of his lymph gland in front
of his right ear, which is really where the eyelid drains, and
it’s the body’s way of protecting from further spread
of that infection,” the doctor explains.
Juan is in pain, but he is lucky. The cure is pretty easy. As
the doctor explains, “the treatment is a warm compress to
try to bring it to a head and allow it to drain…close your
eyes,” she tells Juan, “and you can just hold it there
for about 10 minutes-two or three times a day, until it will come
to a head and then it may drain. And because he has a swollen gland
here and because it looks so red, we’re also gonna give him
some antibiotic to take by mouth.”
Antibiotics, a warm compress, Tylenol or Motrin for pain, and a reminder
to kids-to always wash their hands. “It looks pretty bad today,
but my guess is within the next two or three days it will look a
whole lot better,” says Dr. Nelson. |