OSF HealthCare Newsroom

Busting hygiene myths, part one

Mon, 10 Aug 2026 10:30:00 -0500

This is part one of a two part story on hygiene myths. Click here for part two.

From health care providers to websites to advice passed down through generations, there are a lot of ways to get health care information, especially tips for minor ailments you can treat at home.

Awad Alyami, MD, a pediatrician at OSF HealthCare, breaks down some common myths.

Myth: There’s a one-size-fits-all pill for common illnesses.

Fact: It depends on whether it’s a viral infection (like influenza, the common cold or coronavirus) or a bacterial infection (like pneumonia, strep throat or food-borne illnesses like salmonella).

“For the most part, with bacterial infections you need to see a health care provider. You’re probably going to need an antibiotic,” Dr. Alyami says. “Most viral infections just run their course, and you focus on the symptoms. If you have a fever, you take fever medication. If you have pain, you take pain medication. If kids are six years or older and have a cough, they can use over-the-counter cough medication.”

Dr. Alyami points out that you can take those medications to help with bacterial infection symptoms, too. But you need an antibiotic, too, to get better.

Myth: Feed a cold and starve a fever.

Fact: You should modify your diet when sick to avoid trigger foods, like spicy or greasy foods. But reducing the amount you eat and drink won’t make you better sooner. In fact, Dr. Alyami says hydration is critical.

“When kids have infections and a fever, one of the most common reasons they end up in the hospital is dehydration,” Dr. Alyami says. “When kids are sick, they lose fluids from their body and need hydration.”

So, drink plenty of water and eat nutritious foods as your body can tolerate.

Myth: I can go back to work or school as soon as I start to feel better.

Fact: Dr. Alyami says you should be fever-free (body temperature less than 100.4 degrees) for 24 hours with improving symptoms.

When you go back out, practice good habits like thorough handwashing and avoiding coughing or sneezing into the open air.

Myth: If I don’t look or feel dirty, I don’t need to shower or bathe.

Fact: Dr. Alyami says there’s no “catch all” advice for how often to wash off. Some people will shower or bathe daily. Others will do so every other day or less frequently. Dr. Alyami advises you to shower or bathe when you feel you need to or after you’ve been in a dirty or sweaty environment, like after playing sports or a hike in the woods. People with skin conditions should also clean themselves with care.

“For people with eczema or atopic dermatitis, I recommend daily showers,” Dr. Alyami says. “But they need to be quick because the more exposure to water we have, the more we dehydrate the skin. So, showers should not exceed 15 minutes, and you should apply moisturizer right away afterward.”

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Sneaky signs you may be dehydrated

Mon, 09 Mar 2026 10:30:00 -0500

We all get thirsty from time to time. But it’s not just that feeling that can mean you’re dehydrated – when your body doesn’t have enough fluids. There are lesser known signs you should know to avoid a possibly life-threatening situation, says Awad Alyami, MD, an OSF HealthCare pediatrician.

“You get less perfusion to tissues and organs,” when you’re dehydrated, Dr. Alyami says. “That can cause organ damage.

“Perfusion refers to fluid, nutrients and energy your organs need to function,” he adds.

Unfamiliar signs

Take note of these things to keep an eye on for possible dehydration, especially if you are at high risk. For example, if you work an outdoor job in warm weather or if you look after someone who can’t fully care for themselves.

You’ve suffered burns. This means there is less skin tissue doing its job of keeping you healthy.
Peeing isn’t normal, such as expelling less urine.

“When you’re hydrated, your urine should look yellow, pale yellow or sometimes almost transparent like water,” Dr. Alyami explains. “When you become dehydrated, your urine will become less in volume, and the color will be darker. It goes into an orange color. It can have a smell, also.”

Crying without tears
Skin changes, such as eyes appearing sunken in
Fast heart rate
Deep, heavy breaths

“When you’re dehydrated, your blood can be more acidic. You’ll try to get rid of some of that acid in your breaths,” Dr. Alyami says.

Bad breath
Headaches
Muscle cramps
Food cravings
Sudden weight loss. Dr. Alyami says one kilogram (or around 2.2 pounds) of weight loss means one liter of fluid loss. So if someone has lost two to four pounds quickly and unintentionally (for example, not because of a diet and exercise program), it’s cause for concern.

What to do

Dr. Alyami says while dehydration can be serious, recovering doesn’t have to be. Rest and drink fluids. Water or Pedialyte are go-tos.

“If the dehydration is because of decreased oral intake, the person might just need pain medicine so it’s less painful to swallow while eating and drinking. If they are losing fluids from vomiting, we can give them medicine to stop vomiting,” Dr. Alyami says.

If those steps don’t work, Dr. Alyami says the person would likely get intravenous (IV) fluids in a hospital emergency department.

“You’re probably going to be there for at least a couple hours. [Health care providers] want to make sure you can take fluids and keep them down before you go home,” Dr. Alyami says. “Sometimes the dehydration is severe enough that we need to replace those fluids over one to two days.”

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Roll with the (diaper) changes

Wed, 17 Dec 2025 08:00:00 -0600

Diaper changes.

They’re something new parents can have a love-hate relationship with. Your baby’s health is a top priority, but the late-night interactions with urine and feces might tempt you to put off the task.

That’s not the approach to take, says Awad Alyami, MD, an OSF HealthCare pediatrician. He says having an ample supply of diapers and knowing how to use them are critical to your child’s well-being.

“Diapers take care of the skin. The skin is the body’s first line of defense against germs, bacteria and pathogens,” Dr. Alyami says.

Best practices

Know the right way to change a diaper.

Dr. Alyami says frequent diaper checks are key, as some babies won’t cry or wake up to tell you they have soiled themselves. When changing the diaper, wipe excess urine or feces with a wet wipe, then allow the area to air out for a few minutes before putting the new diaper on.

“And hope the baby doesn’t pee or poop all over while you’re airing things out,” Dr. Alyami says with a smirk.

The adult should wash their hands after the diaper change. The last thing you want is to touch feces, then touch another person or object and spread germs.

Dispose of the diaper away from your living area so it won’t stink things up or be a temptation for a child or pet to get into.
Watch for warning signs, and know how to treat.

Dr. Alyami says the first symptom of a diaper rash will be red, irritated skin. You might also see small, red dots away from the rash. You can start by treating the problem at home with zinc oxide cream or petroleum jelly. Apply this to the baby’s skin after each diaper change, not just when something is wrong. Dr. Alyami doesn’t recommend powders for this, as they’re a risk for the baby to inhale.

If the rash doesn’t get better in five to seven days, see a pediatrician. The baby could be treated with a steroid (like hydrocortisone) or an antifungal (like Nystatin). Dr. Alyami says if things don’t improve after that in-office treatment, come back. He says in rare cases, a doctor might need to take a skin biopsy to see if there’s a more serious problem. Or, the child might be referred to a dermatologist.

Dr. Alyami warns that if rashes aren’t treated quickly, they can progress to a yeast or bacterial infection.

“Those can get complicated with abscesses. They can go to the bloodstream and cause systemic infections,” he says.
Know when to “level up.”

It’s pretty easy to know when to get a bigger diaper for your child, Dr. Alyami says. He says most diapers have age recommendations on the label. Aside from that, look for imprints on the baby’s skin when changing the diaper. Those are a sign the diaper is too tight, and you need to level up.

Getting help

Some families might not have an ample supply of diapers due to financial or other issues. To get help, Dr. Alyami recommends starting with your pediatrician. They’ll likely know community resources that host diaper drives, such as hospitals, churches, health departments and social service groups.

Learn more

Read more about keeping your child healthy on the OSF HealthCare website. Pediatric care at OSF includes OSF Children’s Hospital of Illinois in Peoria.

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Another “bronch” to know

Tue, 28 Oct 2025 08:00:00 -0500

You’ve likely heard of bronchitis, an illness that impacts the larger lung airways and leaves you feeling short of breath and just generally yucky.

This fall and winter, here’s another respiratory illness with “bronch” in the name to be aware of, especially if you have young kids: bronchiolitis. It’s an ailment that Awad Alyami, MD, an OSF HealthCare pediatrician, sees often this time of year.

The basics

Dr. Alyami says bronchiolitis is an infection of the bronchioles, or the small airways that branch out in the lungs.

“When they become infected, there is a lot of mucus. It makes it harder to breathe,” Dr. Alyami explains.

Other symptoms include fever, runny nose, cough and dehydration. Bronchiolitis is “easily spread,” Dr. Alyami says, through respiratory droplets, like when you cough. The illness is most common in children, especially kids under two. Other high-risk groups include babies born prematurely, with chronic lung disease, with heart disease present at birth and with immune system deficiencies.

“There are also environmental risk factors, like babies who are exposed to smoke and babies who attend day care,” Dr. Alyami adds. Attending day care, he explains, will expose a child to illnesses, no matter how clean the place is.

Cause, diagnosis and treatment

Dr. Alyami says other viruses like influenza and COVID-19 can cause bronchiolitis, but respiratory syncytial virus (RSV) is the most common cause.

“You need to see a doctor if your baby has trouble breathing at any time,” Dr. Alyami advises. “Or if your baby is younger than three months and they have a fever. Or if they are older than three months and they have a fever for more than three days. Or if the child has signs of dehydration, like if they are making fewer wet diapers than normal.”

Unlike the flu and COVID-19, there is no test for bronchiolitis. But, a health care provider may swab your nose anyway to see if you have another virus. Other tests like a chest x-ray may be done. And the provider will also examine you and ask about your health history to come up with a diagnosis.

Treatment involves making you feel comfortable until symptoms resolve.

“One of the most important things is nose suction as needed,” Dr. Alyami says. “When we suction the nose and keep it clean, it’s easier to breathe.”

A bulb suction is the most common device to do this. When you’re really stuffed up, you can use nasal spray or drops to make the secretion thinner. Then, use the suction. You can also use a humidifier if your home’s air is dry. Dr. Alyami says these devices and medicines are widely available in retail stores.

You can treat the fever with over-the-counter medication. Drink fluids to stay hydrated.

“Typically, day three to day five are the peak of symptoms,” Dr. Alyami says. “After five days, they start to improve. Symptoms can last seven to 14 days. And typically, the cough lingers for a little longer.”

In serious cases, your child may have low oxygen and need to be admitted to the hospital. There, doctors will use an oxygen tube inserted into the nostrils to help breathing. In rare cases, a doctor will put a breathing tube down the child’s throat.

Prevention

Want your child to avoid all this? Preach healthy habits, especially in fall and winter when respiratory illnesses peak. Wash your hands thoroughly. Cough and sneeze into your elbow or a tissue. If you’re sick, stay away from others.

Dr. Alyami adds that since RSV is the main cause of bronchiolitis, you should look into the RSV vaccine. This cold weather season, the vaccine is available for certain groups, like older adults, infants and pregnant women. Talk to your primary care provider if you have questions.

Interview clips

Solving sore throats

Tue, 21 Oct 2025 08:00:00 -0500

With temperatures cooling, Awad Alyami, MD, an OSF HealthCare pediatrician, says we’re approaching the peak season for sore throats. Many cases have time-tested treatments, but some can have serious complications.

Dr. Alyami says a sore throat is an infection that causes inflammation in your throat. They’re annoying and painful, bringing symptoms like difficulty swallowing or talking and swelling of glands and tonsils. Causes can include tonsil stones, heartburn and allergies. But most commonly, causes break down into two groups: viral and bacterial.

Viral infections

Dr. Alyami says many viruses can cause sore throats – the common cold, influenza, coronavirus and others. Dr. Alyami says if your sore throat comes with coughing or a runny nose, that’s a sign it’s a viral infection. You can start treatment at home with over-the-counter medicine like Tylenol and ibuprofen. You can also gargle salt water and, generally, stay hydrated. Water is good for all ages, and Pedialyte can help hydrate kids.

If your symptoms include fever and neck swelling, it’s a more serious situation. You should see a health care provider.

Bacterial infections

The main bacterial infection that causes sore throats is group A streptococcus (commonly known as strep or strep throat). Strep throat may bring the hallmark sore throat symptoms, but you should also watch for fever and white patches toward the back of your mouth.

“This is a bacterial infection that’s common in kids,” Dr. Alyami says of strep throat. “About 30% of sore throats are strep, and about 70% are viral. It’s a big deal. We need to treat to prevent complications.”

The most common complication is dehydration, Dr. Alyami says.

“The sore throat is so bad, the child doesn’t want to eat or drink,” he explains.

Other times, untreated strep throat can lead to abscesses, or pus pockets.

“If that abscess gets big enough, it can go toward other structures in the body that are very important. That infection can spread and progress very quickly,” Dr. Alyami says. Life-threatening conditions like difficulty breathing can result.

Dr. Alyami says providers can diagnose strep throat with a throat swab. They treat strep throat with 10 days of antibiotic medication, either injected or taken orally. He says most kids will take the medicine orally unless that’s troublesome. For example, some kids have a tough time swallowing pills due to throat pain.

Prevention

It’s advice you’ve heard before, but it’s worth repeating. Dr. Alyami says good hand hygiene goes a long way to preventing sore throats. Wash your hands thoroughly, and keep them away from your face.

Early detection is also key.

“If the child is sick, especially with symptoms that could be strep, it’s better to get them to a health care professional early,” Dr. Alyami implores. “They can get checked and isolated for 12 to 24 hours before they start antibiotics.

“If you’re sure about what they have, it’s better to just bring them in and get them checked,” he adds. Or, a virtual visit is an option.

Interview clips

Busting hygiene myths, part two

Tue, 01 Oct 2024 08:00:00 -0500

This is part two of a two part story on hygiene myths. Click here for part one.

From health care providers to websites to advice passed down through generations, there are a lot of ways to get health care information, especially tips for minor ailments you can treat at home.

Awad Alyami, MD, a pediatrician at OSF HealthCare, breaks down some common myths.

Myth: When I shower, bathe or wash my hands, really hot water is best to kill germs.

Fact: Really hot showers can feel good, but they may burn your skin. Dr. Alyami recommends setting your home’s water heater at 120 degrees or less. Then, when you use the shower or sink, warm, but not hot water is best.

Dr. Alyami adds that a cold shower after a sweaty summer activity is OK because it can reduce the chance of heat rash. But frequent cold showers can irritate your skin.

Myth: Q-tips are meant for cleaning your ear.

Fact: “The ear is a self-cleaning oven. Most everything inside the ear will come out on its own,” Dr. Alyami says. “When we put anything inside the ear, we are pushing everything from the outside to the inside, especially earwax. It makes it harder for the ear to clean itself.”

Using Q-tips and similar devices can lead to injuries to the ear canal or eardrum, Dr. Alyami adds. Instead, during your shower or bath, gently clean and dry the outside of your ears. If your ears look or feel off (pain or itchiness, for example), see a provider.

“We can clean you safely in the office,” Dr. Alyami says.

Myth: For cuts and scrapes, apply antibiotic ointment like Neosporin until it heals.

Fact: You can apply the ointment once after cleaning the wound and then again after the wound is healed. But doing so often can lead to contact dermatitis, a bad skin reaction.

Myth: The “five second rule” is OK for eating food that’s fallen on the floor.

Fact: Dr. Alyami puts this one to rest once and for all: Don’t do it. Always eat off a sanitary surface.

He even says that research has shown that bacteria from the floor can attach to food in as little as less than one second. Eating dirty food can lead to vomiting and stomach illnesses.