Sickle Cell Disease: Preventing Problems and Staying Healthy
Home treatment for sickle cell disease includes steps you can take not only to control pain symptoms but also to prevent some of the complications caused by the disease. These complications include painful sickle cell crises.
Have a pain management plan
If you and your doctor have developed a pain management plan for home treatment of symptoms, be sure to follow your plan.
For more information, see Sickle Cell Disease: Pain Management.
Prevent severe childhood infection
Give your child with sickle cell disease regular doses of a prescribed antibiotic until age 5.
Prevent adult infection
Check your immunization schedule and keep your immunizations up to date.
Prevent vision problems
Get routine eye examinations as a child and as an adult. Early detection can help prevent vision problems.
For more information, see Sickle Cell Disease: Vision Problems.
Drink water and other fluids. Drink enough so that your urine is light yellow or clear like water. Drink extra fluids before, during, and after exertion and when in the heat. Drink plenty of fluid if you have a fever or infection. Children should keep a water bottle with them during school, play, and outings.
Limit alcohol. Alcohol use can lead to dehydration.
Exercise with care
If you exercise strenuously, rest when you feel tired and drink plenty of fluids to prevent dehydration. Dehydration and reduced oxygen levels in a person's blood resulting from strenuous exercise may cause red blood cells to sickle.
Children with sickle cell disease can usually exercise and play normally if they:
- Drink plenty of fluids before, during, and after exercise. Dehydration can cause cells to sickle.
- Get regular rest breaks during vigorous exercise.
- Stay warm. Exposure to cold air, wind, and water can trigger a sickle cell crisis. Dress children in warm layers of clothing for cold-weather activities. Avoid swimming and playing in cold water.
Prevent problems at high altitude or during air travel
High altitudes. The air at high altitudes, such as in an unpressurized airplane or in the mountains at altitudes greater than 1500 m (5000 ft), has less oxygen than at sea level. The lack of oxygen can cause cells to sickle. If you spend time at high altitudes, drink plenty of water and fluids to prevent dehydration.
Air travel. Large passenger airplanes are pressurized. But a person with sickle cell disease may have a sickling problem even when flying in a pressurized airplane. Most people won't have problems if they are flying only for a short time (less than 4 to 6 hours) and drink plenty of fluids during the flight.
Don't smoke, and avoid second-hand smoke
Smoking and second-hand smoke reduce the amount of oxygen in your bloodstream.
Manage and reduce stress
Stress may cause a sickle cell crisis.
For tips on reducing stress, see the topic Stress Management.
Get plenty of rest and sleep
To prevent fatigue, rest when you feel tired.
Stay warm in cold weather
Exposure to cold air, wind, and water may cause a painful event by triggering red blood cell sickling in exposed areas of the body.
Dress warmly in cold weather. Dress in layers to avoid sudden temperature change. When possible, avoid situations where you might become cold.
Learn to recognize serious symptoms. Partner with your doctor, using your experience with the disease and your doctor's expertise. Make a plan for how to treat pain at home and when to seek medical care for severe pain and symptoms. Know when to call your doctor or when you need emergency help.
Learn about proper diet and dietary supplements
A balanced diet helps keep the body's immune system strong. Your doctor or a nutritionist may be a good source of information about proper diet.
Folic acid supplements may be prescribed to aid the bone marrow's production of red blood cells.
Getting the right nutrition on a daily basis will help children who have sickle cell disease reach their full growth potential.
Other Works Consulted
- Meremikwu MM, Okomo U (2011). Sickle cell disease, search date March 2010. BMJ Clinical Evidence. Available online: http://www.clinicalevidence.com.
- National Heart, Lung, and Blood Institute, National Institutes of Health (2002). The Management of Sickle Cell Disease (NIH Publication No. 02-2117). Available online: http://www.nhlbi.nih.gov/health/prof/blood/sickle/.
Primary Medical Reviewer E. Gregory Thompson, MD - Internal Medicine
Donald Sproule, MDCM, CCFP - Family Medicine
Adam Husney, MD - Family Medicine
Martin J. Gabica, MD - Family Medicine
Specialist Medical Reviewer Martin H. Steinberg, MD - Hematology
Current as ofOctober 9, 2017
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