Scarlet Fever (Scarlatina): Therapy

General measures

  • Commercially available mild throat lozenges or lozenges (preferably sugar-free) can help relieve sore throats
  • Observance of general hygiene measures!
  • In the occurrence of fever:
    • Bed rest and physical rest (even if fever is only mild; if limb pain and lassitude occur without fever, bed rest and physical rest is also required, because myocarditis/heart muscle inflammation could occur as a result of the infection).
    • Fever below 38.5 °C does not necessarily need to be treated! (Exceptions: Children prone to febrile convulsions; elderly, debilitated people; patients with a weakened immune system).
    • In case of fever from 39 ° C calf compresses can help to reduce the temperature, which often leads to an improvement in the condition.
    • After the fever still a fever-free day of rest, if necessary longer (mainly bed rest and stay indoors).
  • Nicotine restriction (refrain from tobacco use).
  • Alcohol restriction (abstaining from alcohol)

Nutritional medicine

  • Adherence to the following specific nutritional recommendations during illness:
    • Do not eat hard foods, but rather soft foods such as soups and tea, such as chamomile tea.
    • Sufficient fluid intake! Since it comes in the course of a febrile illness to strong fluid losses, the fluid intake should be according to the following rule of thumb: for each degree of body temperature above 37 ° C additional 0.5-1 liters per °C. Teas are best suited.
    • In case of vomiting: as long as the vomiting continues, the consumption of any food should be avoided. However, the loss of fluids should be compensated absolutely. To do this, it is recommended to add liquids such as herbal teas (fennel, ginger, chamomile, peppermint and cumin tea) or water initially in small quantities, possibly by the spoonful. When vomiting has stopped, carbohydrate foods such as rusks, toast, and pretzel sticks are well tolerated at first. Meals should be small and eaten throughout the day. Stimulants should be avoided during vomiting and for a week afterwards.
    • After the acute gastric illness, a light full diet is recommended. Within the framework of this diet, the following foods and preparation methods should be avoided, as experience has shown that they often cause discomfort:
      • Voluminous and fatty meals
      • Legumes and vegetables such as white cabbage, kale, peppers, sauerkraut, leeks, onions, savoy cabbage, mushrooms.
      • Raw stone and pome fruit
      • Fresh bread, wholemeal bread
      • Hard boiled eggs
      • Carbonated drinks
      • Fried, breaded, smoked, very spicy or very sweet foods.
      • Too cold or too hot food
    • Diet rich in:
      • Vitamins (vitamin C) – Due to the fever may be deficient in vitamin C. In addition, vitamin C is important for the immune system. Foods rich in vitamin C are vegetables such as spinach and fruits (oranges, strawberries, kiwis, currants), which are also well tolerated during an infection.
      • Trace elements (zinc)
      • Omega-3 fatty acids – alpha-linolenic acid (vegetable oils, green leafy vegetables), eicosapentaenoic acid and docosahexaenoic acid (once or twice a week fresh sea fish, ie fatty marine fish such as salmon, herring, mackerel).
      • Probiotic foods (if necessary, dietary supplements with probiotic cultures).
  • After recovery, if necessary, nutritional counseling based on nutritional analysis.
    • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.