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By M.D., Lynn M. Taussig, M.D. James C. Cunningham

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Vaccinations (immunizations or “shots”) are vital for prevention. Everyone should get the recommended vaccinations. Many illnesses can affect the lungs, causing serious problems for people with CF. Prevention through immunizations is important. Recommended vaccinations for all children include: • Diphtheria, tetanus, pertussis (DPT) • Haemophilus B (Hib) • Hepatitis B • Influenza (Flu) • Measles, mumps, rubella (MMR) • Pneumococcal • Polio • Varicella (Chickenpox) All children should avoid unnecessary contact with people who have a contagious illness, like a cold.

No one should have too much sun or heat. Use common sense. Make sure your child eats more salty foods and drinks more when sweating. Remember Everyone with CF loses more salt in their sweat than normal. When sweating more (in hot weather, during exercise or with a fever), your child should drink more and take more salt. Learn the symptoms of salt loss in this chapter. If you see these symptoms, call the doctor. A few people with CF have to watch their salt intake. The doctor will tell you if your child is one of them.

It often can be treated with medicines, enemas and diet. Sometimes surgery is needed to fix the obstruction. Rectal Prolapse Rectal prolapse is when the rectum sticks out through the anus. It is usually caused by hard-to-pass, abnormal stools, plus increased coughing and poor weight gain. It usually improves when food absorption and lung health improve. Surgery is rarely needed. Other GI Problems Cirrhosis of the Liver The liver has ducts (or tubes) that drain bile secretions. These are called bile ducts.

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An Introduction to Cystic Fibrosis for Patients and Families by M.D., Lynn M. Taussig, M.D. James C. Cunningham

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