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Quick reference medical handouts used by Pediatric offices


Take Steps to Prevent Car Sickness


Many American families will travel by car this summer, logging over 1.4 trillion miles. During these trips, an estimated one out of five children will experience some form of car sickness. This uncomfortable condition has a definitie pattern of symptoms. First, the child becomes pale, followed by yawning, restlessness, lightheadedness, a cold sweat and an upset stomach. Unless the cycle is interrupted, the condition then proceeds to vomiting. Many times the symptoms do not always run their full course. Most older children and adults will instinctively lie down with their eyes closed, which often stabilizes the condition. If the parents experienced motion sickness when they were young, then their children are more susceptible. The condition generally lessens as the child grows older.

Motion sickness occurs when the brain is unable to process the conflicting messages it receives about the body's position and movement through space. The inner ear, which regulates balance, contains several complex structures that tell the brain which direction the body is moving. The brain also receives signals from the eyes, body hair and sensors in the muscles. When a susceptible child is sitting in the back seat of a moving car, the inner ear senses motion while the eyes, seeing only the inside of the car, detect none. The brain does not know what to make of the confusing messages and the symptoms of motion sickness result.

What can parents do for motion sickness? The following advice that applies to children is also valid for adults (the one exception is that adults who are prone to car sickness should travel in the front seat of the car, which is not safe for children at any time).

1. Elevate your child with an approved car seat so they can look out the window and see the direction they are traveling. This allows the child's eyes to see the motion that the inner ear is feeling. Motion sickness can be reduced by traveling at night when visual stimulation is reduced.

2. Do not allow the child to read or play games while traveling. Instead, have them focus on things outside the car - traffic, billboards, signs, etc.

3. Avoid strong odors, such as smoking, in the car.

4.The youngster should not be given spicy or greasy foods immediately before and during travel.

5.Give your child one of the many motion sickness medicines before travel begins, as recommended by your physician. Since it is easier to prevent motion sickness than it is to stop it, medication should be given 30 to 60 minutes before travel and continued during the trip. Some of these medications can be purchased without prescription and are generally safe for children two years and older. Examples include Marezine®, Dramamine®, Benadryl®, and Bonine®. Check labels carefully for dosages, precautions and age restrictions. Adolescents over the age of twelve may take a prescription drug such as scopolamine (Transderm-Scop®) if the over-the-counter medications are not effective.-

6. Good ventilation and loose comfortable clothing can also help. Keep fresh air flowing.

7. Stop frequently while traveling so the child can get out and walk around. Know the early warning signs of motion sickenss and stop the car at the first sign of a problem.

8. If the child does become sick while traveling, have the youngster lie down. If they have vomited, offer cool water and a light snack, such as crackers, pretzels, or a popsicle. An attack of motion sickness in the back seat during a vacation can be extremely unpleasant for everyone. Remember, it is not the child's fault and the youngster cannot help it. Getting upset or angry only makes matters worse.

 

As a reminder, this information should not be relied on as medical advice and is not intended to replace the advice of your child’s pediatrician. Please read our full disclaimer.

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