Orvi without temperature

ORVI without temperature in adults: good or bad, how to treat ARI

Most adults associate infectious diseases with high fever.

Typically, a temperature greater than 37 degrees often occurs, as a consequence of the body's struggle with bacterial infection and viruses in ARI.

Doctors advise not to take the pill from the temperature, if it does not exceed 38 degrees. However, often there are SARS and ARI without signs of temperature, it is important to understand why this happens.

Causes

As you know, the normal temperature is 3 degrees. Sometimes in adults people can fluctuate up to 37 degrees.

Infection without temperature in most cases suggests the following:

• weakening of the immune system,
• depletion of body reserves,
• infection is introduced because of a decrease in resistance.

Often low indices show that a person does not have a moral or physical rest, and there are also problems with the protective function of the body, which will then be indicated by symptoms.

When the immunity function starts to work badly - this is due to the developing infectious disease. For example, if a virus or other microbial infection alternates between adults, then the body does not have time to recover, because it is weakened by the previous pathology.

The sharp outbursts of a new disease (even ARI) often become an excessive burden on the immune system, even for adults, which affects the inadequate reaction of the body's thermoregulatory apparatus.

In some cases, the virus infection is without temperature, if there is dysfunction of the hypothalamus, which is often a case of strong intoxication of the body.

One of several functions of the hypothalamus in adults is the control of thermoregulation in the body. As is known, the hypothalamus is very sensitive to the effects of toxic substances. This department of the brain is responsible for the stability of the internal environment of the body.

During poisoning, which is considered an integral part of ARVI, in adults a temporary malfunction in the functioning of the hypothalamus may occur, which will affect the work of the thermoregulatory system.

Symptoms

Symptoms without a temperature are not specific, so to determine a person's normal temperature is difficult enough without a thermometer.

You can talk about ARVI in adults if there are the following symptoms even without the temperature:

1. rhinitis, shortness of breath with nose, mucous discharge,
2. soreness of the throat, swelling of the nasopharynx,
3. sneezing,
4. a dry cough that turns into a damp,
5. Muscular pain, sensation of aches all over the body.

The majority of acute respiratory infections begin with sore throats, mucous secretions from the nasal cavity and general weakening. Since the temperature is at the usual level or is understated, the person observes:

• apathy,
• drowsiness,
• irritability.

If in ARD the normal temperature becomes lower (hypothermia), you should consult a doctor.

Cough with SARS without fever

First you need to understand why there is a cough with ARVI. Cough is a protective reaction of the human body. With the help of a cough reflex, the airways want to get rid of sputum and reduce the irritation of the respiratory organs due to the products of the vital activity of bacteria and viruses.

If cough is present in ARI and ARVI, but there is no temperature, then patients often do not carry out treatment and continue to lead a familiar life.

This situation is dangerous because a person is the source of infection, and the disease itself can flow into a bacterial pathology.

When coughing with influenza increases, it can be a consequence of the spread of inflammation in the lower parts of the respiratory system, which must be urgently treated.

If the temperature does not go up in the future, then this indicates serious problems with the immune system. It can be argued that the body does not struggle with the problem, but the human condition worsens.

It is necessary to consult a doctor to begin treatment immediately, as in adults this condition can be complicated by bronchitis and pneumonia. In addition, the acute process can become chronic, which provokes pharyngolaringitis or protracted bronchitis.

If a person coughs best to consult a doctor regardless of the presence or absence of temperature. It is easier to prevent dangerous complications than to treat them.

Diagnostic measures

Diagnosing ARI without temperature is more difficult than ARI. Elevated temperatures are part of the symptoms of classic viral disease.

If there is no temperature, then these signs of ARVI should be checked:

• when and how the infection manifests symptoms,
• what kind of cough,
• how sputum and mucous fluid are secreted.

It should also be assessed whether there is a negative epidemiological situation in the region, in places of study or work.

To accurately identify the type of pathogen will require laboratory tests that detect viral antigens. In this case, use of the immunofluorescence reaction or the detection of antibodies to viruses.

To clarify the diagnosis and treat the disease, removing the symptoms, it is sometimes necessary to conduct a serological reaction in paired sera, they are withdrawn at the beginning of the disease and in the process of eliminating the disease.

Treatment of acute respiratory infections without temperature

As mentioned earlier, the absence of temperature in ARVI very often indicates insufficiently strong immune defense.

That is why it is necessary first of all to support immunity, for example, to provide a person with rest, to protect from psychoemotional stresses and additional stress.

Treatment also involves a full diet and recovery of sleep.

If there are severe symptoms of acute respiratory viral infection and general weakness of the body, the treatment involves warming procedures:

• drink a warm drink,
• take hot foot baths,
• wrapped in a warm blanket,
• warm your feet with a warmer and wear warm socks.

Such treatment can be used alone or combined together. You should warmly dress, avoid drafts and regularly ventilate the room so that the infection has less chance of getting into the body.

To maintain and strengthen immunity, it is worth taking adaptogenic drugs, for example, tinctures:

1. ginseng,
2. echinacea,
3. Schizandra,
4. Eleutherococcus.

You can take these drugs for a month or two.

For the immune system to function fully, it is important to adequately supply the body with all microelements and vitamins. For normal life of the body it is necessary:

• balanced eating,
• take multivitamin funds.

Symptomatic treatment for ARVI and ARI with normal temperature is characterized by the use of medicines. It is necessary to begin treatment with antiviral drugs no later than on the second day after the onset of a malaise:

1. drugs-inhibitors of neuraminidase: Relenza, Tamiflu,
2. adamantane series: Remantadine,
3. interferon inducers: Cycloferon.

To treat a runny nose follows vasoconstrictive nasal sprays or drops: NOC spray, Naphthysine. When coughing, it is good to take expectorant (mucolytic) remedies: solvine, mucaltin and others.

In addition, if there are alarming symptoms, then you can drink multivitamin funds or ascorbic acid, after consulting with a doctor.

The video in this article with Dr. Komarovsky answers the question about ARVI and the absence of temperature.

stopgripp.ru

Symptoms of ARI and ARVI in children and adults. Treatment

Every year in the cold season, millions of people around the world suffer from diseases caused by viruses. The first symptoms of ARI - headache, weakness, nausea, fever, - cause discomfort and interfere fully with life. How correctly to treat acute respiratory infections? How to reduce the incidence of diseases in children? Our article will help you make up an optimal algorithm for fighting viruses.

What is ARVI and ARI?

Almost 90% of infectious diseases are ARVI - a group of diseases caused by acute respiratory viral infections. For example, it can be reovirus, respiratory syncytial, adenovirus, rhinovirus, parainfluenza virus, influenza. They differ from each other in their nature, specificity of organ damage.

ARI is an acute respiratory disease that is caused by a virus or bacterium. Symptoms of ARI in adults are expressed in the form of a cough, runny nose, high fever, lack of appetite. This is the outer shell of the organism's struggle with the disease, because we can not see the internal processes, nor can we analyze their dynamics.

The main difference between ARI and ARVI is its nature, essence. Such diseases occur due to harmful bacteria, hypothermia, whereas SARS have a purely viral origin. In addition, this term combines and exacerbation of chronic infections, colds, complications after them.

Why does an acute respiratory infection occur?

Now science knows more than 300 viruses that cause ARVI. The air-drop method of transmission promotes the rapid and easy spread of the disease. Infection through common things, dirty hand skin happens less often.

Symptoms of acute respiratory infections directly depend on the location of the inflammatory process. Depending on which part of the airway the virus has infected, doctors diagnose:

- pharyngitis (inflammation of the mucous membrane of the pharynx);

- Rhinitis (damage to the nasal mucosa);

- laryngitis (inflamed larynx);

- tonsillitis (tonsils suffer);

- bronchitis, bronchiolitis (inflammation of the bronchi, bronchioles).

Symptoms of SARS and ARI in children and adults

Symptoms of acute respiratory infections and ARVI in children and adults are the same: fever, runny nose, cough. If you just chilled on the eve and felt unwell, then you, most likely, have an ORZ. After all, ARVI occurs only on the basis of infection by a certain virus from another person. On the mucous membranes of the person's airways there are many bacteria (do not confuse with viruses). After hypothermia, a long stay in a draft, heavy physical exertion, cold drink an additional burden is created on the body, which provides favorable conditions for bacteria. Symptoms of ARVI and ARI can appear in a few hours or days, it all depends on the type of virus.

Algorithm of actions with increasing temperature

The rise in body temperature arises from the active development of immunity of special substances that will fight the virus (interferon, antibodies). This is not the root of the problem, but the indicator of its availability. To bring down the temperature, you need to help the body lose heat, that is:

1. Drink plenty, which will ensure normal sweating. Especially useful are compotes of berries, dried fruits, tea with raspberries.
2. Ensure the optimal temperature in the room (not above 18 degrees). When inhaled, cool air will also require heat recuperation, which will help bring down the temperature.

Remember! Symptoms of ARI in children can not be alleviated by methods such as cold bath, wet sheets, ice-warmers. When the body feels cold, there is a spasm of blood vessels in the skin. As a result, the blood flow and heat release slow down. The skin, of course, will become cold, but the internal organs will suffer from an even greater temperature. The only exception to this rule is the simultaneous intake of antipyretics. But as self-sufficient methods of lowering the temperature, they are not that inefficient, but even dangerous.

The methods described above should suffice to provide favorable conditions for the body to fight the disease. But if the fever provokes convulsions, does not fall, the indicator of 39 degrees lasts more than an hour, then taking medications is simply necessary. Remember that their effectiveness directly depends on your compliance with two basic recommendations: abundant drinking and the presence of cool air in the room.

OCR: symptoms and treatment

The most safe and proven antipyretic drugs most doctors consider:

- "Paracetamol" (analogues: Panadol, Eferalgan, Tylenol).

- "Ibuprofen" ("Brufen "Nurofen").

It is worth remembering that although these medicines have been tested by time and experience, they will not be effective against powerful viruses. Therefore, when the temperature rises, it makes sense to take them, but at the same time to track the dynamics of the patient's condition. If the symptoms of acute respiratory disease do not last a long time, then it is no accident. Therefore, immediately consult a doctor for a full diagnosis.

ORZ without fever: symptoms

As a rule, acute respiratory diseases that occur without temperature are caused by rhinovirus. The reason is that the area of ​​the nasopharynx is most open to him. We inhale cold air, over time there is a spasm of blood vessels, protecting the mucous mucus is produced less intensively, which creates favorable conditions for the introduction of viruses.

There is also an opinion that such a state is an indicator of good performance of the immune system. After all, the infection is suppressed without the involvement of the hypothalamus, which is responsible for the thermoregulation of the body (also during the acute respiratory infections without temperature). Symptoms to look out for:

- runny nose;

- cough;

- weakness in the muscles.

The insidiousness of acute respiratory infections without temperature is that the disease can not be given due importance and is simply not cured. And this leads to various complications, including bacterial (otitis, sinusitis, laryngitis, tracheitis).

How to overcome a runny nose?

The appearance of liquid discharge from the nose is the first sign of a virus attack. As in the case of fever, the common cold is not a problem, but an indicator of its presence in the body. Thus, our body tries to localize the source of harm in the nasal passages and not allow it to penetrate the respiratory tract. In addition, such hated snot contain special substances that kill the virus.

In order not to lower their effectiveness, never let the mucus dry. To do this, drink a lot and breathe cool, necessarily not dry air (the +22 criterion). If the nasal passages become completely dry, the person begins to breathe only the mouth, which leads to the disappearance of mucus in the lungs and obstruction of the bronchi (one of the common causes of pneumonia).

Treatment of acute respiratory infections of rhinovirus nature

Symptoms of ARI (including the common cold) can be alleviated if:

- cool air;

- plentiful drink;

- moistening the nasal passages with drops, which will not allow the mucus to dry out (with saline solution, nasal drops, etc.).

In case of a cold in the viral nature, do not drip into the nose:

1. Antibiotic solutions.
2. Vasodilating drops ("Nazol "Naftizin "Sanorin"). The fact is that they provoke the disappearance of mucus. At first glance, it becomes easier for a person. But the absence of discharge from the nose provokes swelling of the mucous membrane. Accordingly, again it is necessary to drip drops to feel relief, but it will not come, and the symptoms of the rhinitis will not fully diminish the symptoms.

Remember that the symptoms of ARI in adults (including the common cold) is a protective reaction of the body to the appearance of viruses and bacteria. It does not need to be purposefully treated. Immunity will cope with the problem itself. Just need to be able to properly and in time to relieve the symptoms of the common cold.

Cough: how to treat

Coughing is a natural reaction of the body to a stimulus (in the case of acute respiratory infections, a viral nature). It cleans the lungs of mucus and helps restore normal breathing.

Although phlegm cough and pushes out as an unsafe environment for viruses and bacteria multiplication, but this does not mean that it is necessary to achieve its complete drying. Such an action, as in the case with the common cold, will lead only to the disappearance of special enzymes with antiviral effect and bronchial blockage. Therefore, the previous recommendations: cool air and abundant drinking are also relevant in the fight against the symptoms of coughing.

What is dangerous self-treatment?

Never prescribe yourself a cough medicine yourself. Symptoms of acute respiratory infections may be of different nature. Not knowing the true cause of its occurrence, you can not feel the benefits of the drug and, it is likely, only aggravate the situation. The fact that the cough is intended to help the body in the fight against the virus, it is not the root of the problem, but rather, vice versa. Therefore, what medicine to choose: oppressing it or provoking increased expectoration, you should only tell the doctor!

After all, in case you need to get rid of excess phlegm in the respiratory tract, you can, on the advice of acquaintances, buy a remedy, oppressing cough, resulting in the following: sputum does not expectorate, bronchi are clogged, bronchitis begins or pneumonia. And instead of the cured throat, we get a serious illness requiring a long course of antibiotic therapy.

Cough should not be removed at any cost, but to ease its symptoms, stop the infection in the throat and not let it sink lower. In anticipation of a doctor, you can take "Bromgexin potassium iodide, "Lazolvan". But a full-fledged treatment should be prescribed by a qualified physician after the examination.

Features of the course and treatment of ARVI in children

If for adults ARVI is not so terrible, then the situation is different with children. Immunity is not yet formed, often weakened, and there are quite a few negative factors of the external environment. The respiratory infections themselves are not as dangerous as the risk of their complications. Almost every third sick child is susceptible to them: from the central nervous system, respiratory, cardiovascular. The fewer years the child, the more dangerous the complications.

In most cases, the baby starts to get very sick during the initial period of visiting the kindergarten. This is facilitated by the sad tendency of instability of immunity. To restore it, watch for a complete diet, give vitamins and make vaccinations on time. These simple truths help you reduce the incidence of the disease.

Another nuance of the course of ARVI in children is the occurrence of secondary immunodeficiency (or immune imbalance). He appears, when against the backdrop of almost retreated illness weakened immunity does not have time As a result, the body becomes very vulnerable to bacteria and viruses that successfully it is attacked.

Prevention of SARS will help you less often to get sick and improve immunity. Try to avoid meeting with infected people, very crowded places. In winter, drink vitamins, eat well. And you will definitely feel the effect.

Symptoms of acute respiratory disease in a person is important immediately to notice and start treatment on time to avoid complications. With a sharp and high temperature rise, always consult a doctor, do not waste precious time. If the cold does not pass 5-7 days, you need to conduct a deeper analysis of the symptoms and adjust the treatment.

syl.ru

SARS in children

Acute respiratory viral infections of ARVI in children occur in about 75% of all childhood diseases. Infections of the upper respiratory tract (acute respiratory infection (ARI), acute respiratory diseases (ARI), ARVI) - group acute infectious and inflammatory diseases of the upper respiratory tract of different localization, etiology and symptoms.

ARVI - the most common infection on the globe. It is impossible to take full account of the true morbidity. Almost every person several times (from 4-8 to 15 times or more) in the year transfers ARVI mainly in the form of light and subclinical forms. Especially often ARVI are observed in young children. Children of the first months of life are seldom ill, because they are in relative isolation and many of them retain passive immunity received from the mother transplacentally in the form of IgG for 6-10 months. However, children of the first months of life can also be sick with ARI, especially if they are in close contact with patients. The reasons for this may be unstrained transplacental immunity or its complete absence, prematurity, primary forms of immunodeficiency, etc.

ICD-10 code J00-J06 Acute respiratory infections of the upper respiratory tract

Epidemiology of ARVI

According to statistics, a child can get sick from 1 to 8 times a year. This is due to the fact that the immunity produced in a child's body against a single virus is powerless before another infection. And the viruses that cause ARVI, hundreds. These are influenza viruses, parainfluenza, adenoviruses, enteroviruses and other microorganisms. And since parents often have to deal with ARVI, they should know as much as possible about this disease, about the mechanisms of its development and methods of combating viral infection in childhood.

The greatest incidence falls on children from 2 to 5 years of life, which is usually due to their visit to children's institutions, a significant increase in the number of contacts. A child who visits a kindergarten during the first year can get sick with ARI up to 10-15 times, in the second year 5-7 times, in subsequent years 3-5 times a year. The decrease in the incidence is due to the acquisition of specific immunity as a result of the acute respiratory viral infection.

Such a high incidence of SARS in childhood makes this problem one of the most urgent in pediatrics. Repeated diseases significantly affect the development of the child. They lead to a weakening of the body's defenses, contribute to the formation of chronic foci of infection, cause allergization, prevent preventive vaccinations, burden premorbid background and delay physical and psychomotor development children. In many cases, frequent ARVI are pathogenetically associated with asthmatic bronchitis, bronchial asthma, chronic pyelonephritis, polyarthritis, chronic diseases of the nasopharynx and many others diseases.

Causes of ARVI in children

Factors contributing to the emergence of SARS, pursue the child everywhere. To such reasons it is possible to carry:

• hypothermia, drafts, wet shoes;
• communication with other children, patients with ARI;
• a sharp change of weather, off-season (autumn-winter, winter-spring);
• lowering of the body's defenses;
• hypovitaminosis, anemia, weakened organism;
• reduced physical activity of the child, inactivity;
• improper hardening of the body.

All these factors are factors that weaken the body and contribute to the unhindered spread of the virus.

The causes of frequent ARVI in children - is the high sensitivity of the child's organism at any age, including the newborn baby. At the child frequent ORVI begin from the moment of receipt in a day nursery, a kindergarten or school. Diseases can be repeated by turns. This happens because the immune defense after a viral infection is produced from one type of virus. Penetration into the body of a new virus provokes a new disease, even if a short amount of time has passed after the previous one.

How long does it last for a child?

How long can a baby be infectious and how long does it last for a child?

As a rule, the more time passed from the moment of appearance of the first symptoms, the less likely that the child is infectious. That time interval when the diseased is capable to infect others, usually begins from occurrence of the first symptoms of disease or simultaneously with them. In some cases, the baby may still look "healthy but the disease process can already be started. It depends on many factors, including the resistance of children's immunity.

The initial moment of the incubation period (when the virus has already entered the children's body, but the disease has not yet manifested itself "in all its glory") is the moment of communication with an already infectious patient. Such a moment can be contact with a sick child in a kindergarten, or accidentally caught "sneeze" in a trolleybus. The final stage of the incubation period is completed with the appearance of the first signs of the disease (when complaints appear).

Laboratory tests can already indicate the presence of the virus in the body already during the incubation period.

The incubation period of ARVI in children can last from several hours to 2 weeks. This applies to pathogens such as rhinovirus, influenza virus, parainfluenza, paracoloss, adenovirus, reovirus, as well as a respiratory syncytial virus.

The period during which the child is contagious can begin 1-2 days before the first signs of the disease appear.

How long does it last for a child? If counted from the moment of appearance of the first symptoms, the period of the disease can last up to 10 days (on average - a week). In this case, depending on the type of virus, the child can continue to be contagious for another 3 weeks after recovery (disappearance of symptoms).

Symptoms of ARVI in children

Whichever type of virus is caused by ARVI, with the classical form of the disease, there are some common symptoms:

• "General infectious" syndrome (the child is shivering, can disturb the pain in the muscles, in the head, there is weakness, the temperature rises, the submandibular lymph nodes increase);
• defeat of the respiratory system (nasal congestion, runny nose, sore throat, cough dry or with sputum);
• damage to the mucous membranes (rubbing and redness in the eye area, lacrimation, conjunctivitis).

The first signs of acute respiratory viral infection in a child are often characterized by a sudden onset with a clearly marked "general infection" syndrome. With parainfluenza or adenovirus, the first signs are the defeat of the respiratory system (throat, nasopharynx), as well as the reddening and itching of the conjunctiva of the eye.

Of course, it would be easier for both parents and doctors if the ARVI period in children has always been classic. However, the children's organism is a very complex system, and its response to the penetration of a particular virus can not be predicted by one hundred percent. Each organism is individual, so the course of ARVI can be erased, asymptomatic, atypical or even extremely severe.

Since it is unlikely that the parents will be able to guess and predict the course of the disease, it is necessary to know about the conditions under which one will have to consult a doctor in the most urgent way.

Symptoms of acute respiratory viral infection in children requiring urgent medical attention:

• Temperature indicators have exceeded 38 ° C and little or no response to antipyretic drugs.
• The child is disturbed by consciousness, he is confused, indifferent, can faint.
• The child complains of a severe headache, as well as the inability to turn the neck or make an inclination anteriorly.
• On the skin appear vascular sprouts, rashes.
• There is pain in the chest, the child starts to choke, it is hard for him to breathe.
• There is a multicolored sputum (green, brown or pink).
• Appear edema on the body.
• Cramps appear.

Do not self-medicate, especially if it's about your child. Pay attention also to other organs and systems of the baby, so as not to miss the beginning inflammation.

Temperature in children with ARVI

Children are sensitive enough to an increase in body temperature: an excessively high temperature contributes to the occurrence of seizures in the child. Because of this, do not allow a temperature increase of more than 38-3 ° C.

The temperature should not be brought down to 38 ° C, as it is not necessary to interfere with the body to perform its work - to fight the penetration of the virus. This can provoke the appearance of complications. What you need to do:

• do not panic;
• monitor the state of the child - usually after 3-4 days the temperature should stabilize.

Prolonged ARI in a child with a non-decreasing temperature may indicate the attachment of a bacterial infection. It also happens that when the temperature after the virus infection dropped, the kid seemed to be on the mend, but after a few days he got worse again, and a fever appeared. In such a situation, do not hesitate to call a doctor.

In the classical course of acute respiratory viral infection, the temperature can not last more than 2-3 days, maximum - five days. During this time, the body must overcome the virus, having developed its own antibodies to it. It is important: do not specifically knock down the temperature to normal, you can only lower it, so that the body continues to fight with the infection.

Cough with ARVI in children

Cough for ARVI in children is a fairly common symptom. Usually it is present against a background of fever, a cold and other signs of the disease. With the onset of the disease, a dry cough (without sputum) is observed. Such a cough doctors call unproductive: it is hard to tolerate by the child, can disturb the calm of his sleep, negatively affect the appetite.

In the classical course of acute respiratory viral infection, after 3-4 days the cough passes into the productive stage - sputum appears. But it should be borne in mind that not all babies can cough it out. For this reason, the child needs help: regular chest massage, light gymnastics, and when a coughing fit the baby should be given a vertical position.

Typically, cough with viral infections lasts up to 15-20 days, but if it lasts more than three weeks, you can suspect a chronic cough. In such cases, it is necessary to have a competent consultation of a children's pulmonologist and an allergist, as well as the appointment of a complex therapy.

Vomiting in a child with ARVI

Vomiting in a child with ARVI can occur simultaneously with the appearance of high fever and cough. With difficulty, the departing sputum, dense and viscous, irritates the respiratory system and provokes a fits of painful coughing in the child. The gag reflex works as a result of the transition of the excitatory signal from the cough centers to the vomiting centers. In some cases, vomiting can occur due to the accumulation of a large number of mucous secretions in the nasopharyngeal cavity, but in this case, vomiting appears without coughing. Most often, vomiting on the background of a cough is not abundant, the child does not seem to be relieved.

It is important to distinguish when vomiting is associated with the simultaneous excitation of cough and vomiting reflex, and when vomiting can be a sign of poisoning or a disease of the gastrointestinal tract. Therefore, it is necessary to show the child to the doctor, otherwise it can provoke the appearance of unwanted and sometimes severe complications.

Rashes in children with ARVI

If there was a rash in the ARVI in a child - this is a direct reason to call a doctor. It is possible to list several variants of the causes of the appearance of rashes during the illness:

• intolerance to any of the medications taken by the baby;
• an allergic reaction to food that parents usually give the sick child (raspberries, oranges, lemons, garlic, ginger, etc.);
• high temperature, which contributes to increased vascular permeability - in such cases, the rash resembles a different hemorrhage on the skin.

There are also more serious causes of the rash. For example, this is the joining of meningococcal infection: such a rash is usually accompanied by hyperthermia and vomiting. In any of the options, if a rash is found on the child's body, all measures should be taken to deliver the baby to the infectious department as soon as possible. You can simply call an "ambulance" and describe the symptoms of the disease. To delay in this case it is impossible.

The abdomen is sick at an ORVI at the child

Quite often, parents are faced with a situation when the abdomen is sick during ARVI in a child. The pains are most often coelike and localized in the zone of the projection of the large intestine. Doctors can explain this symptom by the combined reaction of the lymphatic system of the intestine and appendix. For the same reason, ARVI can be complicated by an attack of acute appendicitis. In this situation, the most competent act of parents can be a doctor's call to the house, and if the pain in the abdominal area increases, then it will be necessary to call for an emergency.

A large amount of acute respiratory viral infection, accompanied by abdominal pain, can also be accompanied by diarrhea. Diarrhea in ARVI in a child is caused by cramping spasms in the intestine - the reaction of the child's body to the disease. However, most often diarrhea and abdominal pain provoke drugs that the child is forced to take. For example, if a baby is prescribed antibiotics or antiviral drugs, then it can gradually lead to a violation intestinal microflora, or manifest as a reaction of the hypersensitivity of the digestive system to certain types medicines. In any case, a doctor's consultation is mandatory.

Conjunctivitis in children with ARVI

Unfortunately, conjunctivitis in ARVI in a child occurs in almost all cases of the disease, especially when attacking adenovirus infection. Signs of conjunctivitis become noticeable immediately. Initially, a viral infection that provoked ARVI affects one eye, but after one or two days another eye is affected. Both eyes of the child blush, itch, there is a feeling of "sand" in the eyes. The kid squints, rubs his eyelids, constantly cries. Eyes can be covered with crusts, and in the corners can collect light discharge.

Such conjunctivitis gradually passes and independently, as the child recovers from ARVI. However, to alleviate the condition of the baby and eliminate itching and discharge from the eyes faster can help special children's medicines - an antiviral ophthalmic ointment or drops that can be easily purchased in pharmacies.

However, in some cases, conjunctivitis can be the result of an allergic reaction in the child. In this state, the baby not only has lachrymation and reddening of the eyes, but swollen lower eyelids. It is characteristic that allergies affect both eyes simultaneously. If this happens, urgent medical consultation is needed, identification and elimination of contact with a potential allergen, prescription of antihistamine eye drops and medications.

Features of ARVI in children

Children at different ages may respond differently to the appearance of signs of ARVI.

• SARS in an infant may manifest symptoms such as a child's anxiety, poor sleep, loss of appetite; frustration of defecation, excessive tearfulness and capriciousness. Such changes in the behavior of the infant should cause suspicion in the mother, since the baby can not explain his state of health with words.
• SARS in a month-old baby can flow with difficulty nasal breathing, as the baby can not breathe with his mouth. How to suspect that the child has a stuffy nose? The baby becomes restless when sucking, often refuses to eat and repels the breast or bottle. In such cases, it is necessary to clear the nasal passages.
• SARS in a 2-month-old baby can characteristically manifest as shortness of breath with a prolonged wheezing - this symptom is often called an asthmatic syndrome. At the same time, symptoms of intoxication are expressed: grayness or cyanosis of the skin, lethargy, apathy, fever.
• ARVI in a 3 month old child often occurs with a defeat of the respiratory system, which can be complicated by unskilled help with bronchitis or pneumonia. Therefore, it is very important to pay attention to the difficulty of swallowing and nasal breathing of the child, to regularly measure the temperature. Breastfeeding during this period is extremely undesirable, as the mother's milk in this case will be the best medicine for the baby.
• SARS in a 4 month old child is accompanied by a lesion of the mucous membrane of the nasopharynx and bronchi, which manifests itself as a runny nose and cough. You can see an increase in submandibular or parotid lymph nodes, spleen. Often develops conjunctivitis, keratoconjunctivitis, which is expressed in the redness of the eyes and continuous lachrymation.
• ARVI in children up to a year can be complicated by croup - a condition when the larynx becomes inflamed and swollen, namely, the zone that is directly under the vocal cords. This condition is explained by the fact that in small children this zone contains a large amount of loose fiber, which easily swells. At the same time, the guttural lumen is not large enough. Croup often develops at night, so parents should pay attention to suddenly beginning "barking" cough, heavy breathing, attacks of suffocation, anxiety, cyanosis of lips child. If such signs are observed, it is necessary to urgently call an ambulance.
• ORVI at the child 6 month - the period when the kid has already entered or introduces the prikorm. Often at a six-year-old age, a viral infection is accompanied, in addition to the defeat of the respiratory system, by the involvement of the digestive system in the process. This can manifest as signs of acute gastritis or enteritis: there are pains in the abdomen, upset of the stool.
• SARS in a child 1 year can be repeated from 1 to 8 times a year, depending on the immunity. Starting from this age, it is very important to start hardening procedures and strengthen the immune system of the baby so that his body can withstand numerous viruses and bacteria. It is especially important to protect the baby in the autumn-winter and winter-spring period.
• SARS in a child 2 years is more often accompanied by laryngitis (inflammation of the larynx), tracheitis (inflammation of the trachea - respiratory tube), or a combination of these diseases. Signs of such defeat - a hoarse voice, dry compulsive cough. Of course, a 2-year-old kid can not yet communicate his complaints coherently. Therefore, parents should closely monitor the condition of the child. If there is difficulty breathing, the intercostal spaces are blurred, the wings of the nose inflated, an "ambulance" should be urgently called.
• SARS in a child of 3 years usually begins in a rise in temperature towards evening. There is a pain in the head, the baby feels apathetic, tired, listless. Most often the disease appears in the season of epidemics, so the diagnosis is easy. The severity of the condition determines the child's well-being.

If you notice any uncharacteristic or suspicious symptoms in the child - be sure to call an "ambulance". Do not be afraid once again to disturb the doctor: the main thing is the health of your baby.

Repeated ARVI in a child

Repeated ARVI in a child is not uncommon, since children are usually very susceptible to a viral infection. Babies are prone to infection with the virus from the first weeks of life, but in the first three months they are not ill as often as in older age. The tendency to the disease is especially pronounced at the age of six months to 3 years, then the susceptibility decreases somewhat, although this may depend on the individual immunity of the organism.

Why there are repeated ARVI? The fact is that immunity has specificity in relation to certain types and even types of viral infection. Such immunity does not differ in resistance and duration. And in combination with a large number of varieties of the virus creates a large percentage of the probability of repeated diseases.

ARVI in a child can occur as a single case, or as a result of a mass epidemic, which often happens in a children's team. That is why the child's morbidity rises, as a rule, with the beginning of visiting a kindergarten or other pre-school or school institutions.

Where does it hurt?

Chest pain

What's bothering you?

Cough Shortness of breath

Complications of ARVI in children

According to statistics, at least 15% of all diseases of ARVI in childhood leave behind complications for other organs and systems of the body. For this reason, do not forget that in children, acute respiratory infections can occur with an elevated temperature of not more than five days. A longer rise in temperature above 38 ° C may indicate the occurrence of complications or the addition of another disease. Sometimes the temperature seems to go down, but after 1-3 days it rises again: there are symptoms of intoxication, such as tearfulness, pallor, lethargy, increased sweating. The child refuses to eat and drink, becomes indifferent to what is happening. What can be complications of ARVI in children?

• Cough after ARI in a child in some cases can mean the transition of the disease to bronchitis or even pneumonia - the viral infection progresses gradually down the respiratory tract. First, there may be a clinical picture of laryngitis (dry cough, hoarse voice), then tracheitis (painful cough, vocal functions are restored), and subsequently bronchitis. The main sign of bronchitis is cough. At first it is dry and coarse, phlegm gradually begins to form and cough. The difficulty of breathing is added, the temperature rises again, sweating, fatigue. If the child has frequent and heavy breathing (sometimes the baby seems to "grumble"), then bronchiolitis or pneumonia can be suspected. Consultation of a doctor is mandatory.
• The rash in a child after ARVI can be a consequence of several reasons. For example, it can be the attachment of diseases such as rubella, measles, herpes (baby roseola), enterovirus infection, scarlet fever, etc. Or maybe an allergic reaction to drugs, for example, antibiotics. The exact cause of the rash should be determined by the doctor.
• Arthritis after SARS in children can appear after a long illness. Such arthritis is called "reactive". Symptoms of reactive arthritis may appear several days or even weeks after recovery. Usually there is pain in the joint (usually in the morning). It can be a hip joint, knee, ankle, etc. The child hardly gets out of bed, when walking limps, complains of severe pain. Diagnosis of the disease and begin treatment can child rheumatologist, based on the examination and the results of some tests.

Also complications of SARS can be sinusitis (inflammation in the paranasal sinuses) or otitis media. To suspect such diseases it is possible on a constant stuffiness of a nose against a background of a headache, or on shooting pain in an ear along with depression of hearing and feeling zalozhennosti.

Diagnosis of acute respiratory viral infections in children

The main task of the tests conducted for the diagnosis of acute respiratory viral infection in children is the determination of the type of pathogen. Depending on this, a further treatment regimen will be prescribed.

The most common tests for children with ARVI are a general blood test, a general urine test, and immunological tests to detect antibodies to a viral infection.

What indicators usually indicate ARVI?

General blood analysis:

• erythrocytes - the norm or increase due to a deficiency of fluid in the body;
• hematocrit - the norm or increase (with fever);
• leukocytes - the lower limit of normal or lower, indicating a viral etiology of the disease;
• the leukocyte formula is the prevalence of lymphocytes, a slight increase in monocytes;
• eosinophils - a decrease in the number or complete disappearance;
• neutrophils - decrease in quantity;
• ESR in children with acute respiratory viral infection is increased, but for viral infection this indicator is not specific.

General urine analysis:

• changes are not specific, sometimes - a small amount of protein in the urine, which passes after recovery;
• possible, but not at all necessary - a small microhematuria.

In rare cases, ketone bodies can be found in the blood or urine - acetone and acetoacetic acid - chemical complexes, which are formed in the liver when digested in the digestive tract food. Acetone in ARVI in children can appear in different concentrations, and since this substance is initially toxic, its presence in large quantities can cause symptoms of poisoning in the child (in particular, vomiting, as well as the smell of acetone from the mouth or from urinary excretions). Definition and treatment of acetone in blood or urine should be handled exclusively by a medical specialist.

Immunology is an analysis of immunoglobulins M (already released at the initial stages of the disease). This analysis is taken twice - with the first symptoms of acute respiratory viral infection and a week later. Such a study allows you to accurately identify the pathogen. Nevertheless, the immunological method is not always used, but only with a severe and protracted course of the disease.

What it is necessary to survey?

Bronchi Trachea Larynx

How to inspect?

X-ray of lungs Examination of respiratory (lung) organs Bronchoscopy

What tests are needed?

Sputum examination

Who to contact?

Infectionist Pediatrician

Treatment of ARVI in children

Children with a mild and moderate form of SARS can be treated at home. Hospitalized only in the following cases:

• with a severe form of the disease, or in the presence of complications (inflammation of the lungs, croup, etc.);
• at the age of a child under 1 year, or from 1 to 3 years;
• at unsatisfactory epidemiological and material conditions.

The standard of ARVI treatment in children provides, first of all, the removal of intoxication of the body. To do this, use a lot of warm drinking, complex multivitamins, and in more severe cases - in / in the introduction of glucose and blood substitutes. At high temperature, antipyretic drugs may be used in the form of tablets or rectal suppositories, and in severe cases, as intramuscular injections.

During the period of fever the child is shown bed rest. In the absence of complications, antibiotics and sulfonamide preparations are usually not used, but in In some cases, they are still prescribed to young children, since the recognition of a complication in an infant very difficult.

The protocol for the treatment of acute respiratory viral infections in children with complications includes the appointment of bronchodilators (for pneumonia or bronchitis). Antibiotics are used with caution, taking into account the allergic inclinations of the child. When stenosis of the larynx they use sedative drugs, antispasmodics, in severe cases, inject hydrocortisone.

Modern treatment of ARVI in children implies the appointment of drugs aimed at eliminating the main symptoms of the disease. What are these drugs:

• antitussives in the form of syrups, chewing or ordinary tablets;
• Warming creams or balms based on natural ingredients, which are rubbed into the skin of the chest;
• other warming procedures (mustard or compresses) according to indications;
• vitamin preparations to strengthen the immune forces.

More details about the drugs in ARVI, we'll talk below.

Drugs for the treatment of acute respiratory infections in children

All anti-virus products are divided into 4 categories:

• homeopathic antiviral agents;
• especially antiviral medications;
• interferons and interferon stimulants;
• means, stimulating immunity.

Let's consider separately all these categories.

1. Homeopathy in ARVI in children. Most often, Viburkol suppositories, Ocilococcinum and Aflubin are prescribed from this category of medicines, EDAS-103 (903) or Gripp-Heel funds are slightly less common. Homeopathic specialists say that the listed homeopathic remedies stimulate the protective function and this is often true, although the pharmacodynamics of these drugs studied. As a rule, homeopathic remedies have an effect already at the first methods of the preparation.
2. Specific antiviral agents. In pediatrics, antiviral drugs like Arbidol, Rimantadine, Ribavirin and Tamiflu are more often used (in some cases also Acyclovir, according to the indications). These drugs inhibit the entry of the virus into cellular structures, block the reproduction of the virus, but they have a different spectrum of activity and are not intended for all children's age groups.
3. Interferon drugs and their stimulants are probably the most popular group of antiviral drugs. For example, Viferon in ARVI in children suppresses the development of the virus and destroys it in 1-3 days. Interferons are able to rid the body of a viral infection, both during the incubation period, and from any period of the disease. In addition to injection of interferons, the most interesting are suppositories of Viferon, suppositories of Kipferon and nasal droplets of Grippferon. Perhaps the only contraindication to the use of these agents may be an allergic tendency organism of the baby to the ingredients of medicines, especially to the components of candles - cocoa butter or confectionery fat. By the way, medications that activate the production of interferons (Amiksin, Neovir, Cycloferon) It is recommended to use only for prophylaxis, but not for ARVI treatment, because of the slow action of such preparations.
4. Immunostimulating drugs - Isoprenosin, Riboxin, Immunal, Imudon, Metuluracil, Bronchomunal, IRS-19, Ribomunil and others. One of the most popular listed medications, isoprinosine in ARVI in children is used more as a prophylaxis, however, like other immunostimulants. The reason is that the effectiveness of the action of immunostimulants is observed only after 14-20 days from the beginning of immunostimulating treatment. Also, these drugs can be used to restore the body after recovery.

As you know, antibiotics for ARVI in children with a classical course of the disease are not prescribed, since they have nothing to do with a viral infection. Antibiotic therapy is used only in case of complications, or if they are suspected: most often prescribe drugs-derivatives of ampicillin.

Nutrition for children with ARVI

Nutrition for ARVI in children is about the same as with a common cold. The main condition - the baby should be offered food only if there is an appetite. Do not feed the child by force.

You can not also give your child harmful products: chips, soda. It shows an abundant warm drink and easily digestible food, rich in vitamins, for example, vegetables, fruits, berry purees and jellies.

Young children are advised to offer apple compote without sugar, decoctions of dried fruits. In the absence of allergies to berries, you can prepare morsels or berry jelly, or simply give warm mineral water without gas.

As a drink for children from 3-4 years to make compotes, you can use apricots, cherry plum, pears (if there is no allergy). You can offer a weak green tea - it contains antioxidants, which help remove toxins from the body.

It is desirable to avoid broths and infusions from strawberries, currants - such berries are more allergens. Replace them with bananas, grapes or kiwi.

Diet for ARVI in children should contain easily digestible and healthy food:

• products for cooking dishes should preferably be mashed and mashed, the food should be light and soft;
• in the period of illness, try to avoid buying baby food, it is better to cook yourself from fresh porridge products, puree, mashed soups;
• at the stage of recovery it is important to enrich the diet with proteins, so use white meat, minced meat or boiled egg white as food additives;
• children from 3-4 years can be offered lean fish, such as pike perch, cod, etc .;
• do not forget about sour-milk products - they will support the balance of microflora in the intestines. Suitable fresh yogurt, natural yogurt, low-fat cottage cheese, acidophilic mixture. To such products, you can add a spoonful of honey (in the absence of allergies);
• As the child recovers, return to normal nutrition, but do it gradually so as not to burden the body.

Be reasonable in choosing food for your child in ARVI: food should be nutritious, vitaminized, varied, but you should not overeat and use harmful foods.

In addition to treatment

Antibiotics for ARVI Than to treat? Ibunorm baby Pakseladin

Prevention of ARVI in children

Prevention of acute respiratory infections in children is mainly aimed at increasing the resistance and strengthening the immunity of the child's body. What measures have a preventive focus:

• tempering (outdoor games, reception of air baths, cool showers, walking on grass without shoes, night rest in a cool room, swimming in pools and open water);
• stabilization of digestive processes (consumption of vegetables and fruits, adherence to diet and drinking, support of intestinal microflora);
• regulation of stool, normalization of nutrition;
• ensuring a full sleep (rest not on a filled stomach, ventilated air in the room, enough sleep).

Preventive measures should be carried out systematically, without forcing the child, and explaining to him the need for a procedure for maintaining health.

If necessary and a poor state of immunity, you sometimes have to resort to the use of drugs that stimulate immune defense.

Preparations for the prevention of acute respiratory infections in children

Immunomodulating, anti-inflammatory and adaptogenic ability has a special multivitamin complex Vetoron. It is prescribed internally from the age of 5 to 3-4 drops, and from 7 years - 5-7 drops per day, or in capsules from 6 years of age from 5 to 80 mg once a day.

It is recommended to take ascorbic acid, retinol and B vitamins in a dose according to age. The best proportion of the abovementioned vitamins is presented in the preparations "Undevit "Complevit "Hexavit". Dragee take from 2 to 3 times a day for a month. In the autumn-winter period it is useful to give the baby a rose hip syrup in an amount of 1 h. l. per day.

Recently, drugs-adaptogenes, which stimulate the body to resist infection, are very popular. We bring to your attention the schemes of taking the most popular drugs of this category:

• Immunal - intake inside 1 to 3 years - 5-10 cap., From 7 years - 10-15 cap. three times a day;
• Drops of Dr. Tays - inside with a one-year age of 10-20 cap. three times a day;
• Drops Hexal - inside by 6 drops from 12 years of age twice a day;
• Tincture of aralia - from 1 to 2 cap. / Year of life, once a day for half an hour before meals, for 14-20 days.

As emergency preventive measures, it is possible to take medicines based on medicinal plants (color chamomile, sage, calendula, colanchoe, garlic or onion), or local immunocorrective agents (Immu- don, IRS-19).

ARVI in children are prone to relapse, so you need to find your prescription for prevention, which will allow you to forget about the disease for many years.

ilive.com.ua

If the child has a fever without a cough and a cold

Many young parents of young children experience very badly when the child has a fever without a cough and runny nose, and also without other obvious symptoms of a certain illness. Basically, the waves are groundless, but there are cases when such a state indicates that the baby is ill with something serious.

Most often, the temperature without any symptoms rises in infants and children to three years, because the thermoregulation in the body is not quite settled, which simply leads to "overheating".

What should I do if the temperature rises?

First of all, mom and dad should take a good look at the general condition of the child to find out if he has any manifestations of any disease. It is clear that if there are problems with a stool with a fever, nausea, sore throat, this is a sign of ARD or a disorder of the gastrointestinal tract. In such circumstances, it is worth immediately visiting a pediatrician to consult and clarify the diagnosis. But often parents come to doctors, whose kids, in addition to high body temperature, have no more symptoms.

Diseases in which there is a high fever without a runny nose or cough:

1. Children's infections: scarlet fever, measles, chickenpox. The heat is accompanied by rashes on the skin.
2. Inflammation of the larynx with diphtheria, angina.
3. Enlarged lymph nodes.
4. Diseases of the nervous system, for example, meningitis or encephalitis.

To the doctor it is necessary to address, if the temperature lasts more than 5 days, and also if antipyretic agents do not help.

First aid is simply necessary if the child is very unwell.If you can do without a doctor, you need to take antipyretic drugs that can improve the overall condition of the child, which makes it possible for him to have a good night's rest. This is a necessary condition to restore the strength of the body and direct them to fight the disease. Therefore, it is recommended to reduce heat, which is not accompanied by a cough and runny nose. It is advisable to do this before going to bed and before eating. Antipyretic for a child should be based on paracetamol or else you can use Ibuprofen.

What are the reasons for the baby to fever?

The first cause of fever can be congenital heart disease (vice). In this case, the increase or decrease in temperature is affected by changes in climatic conditions or stressful situations. If a child has problems with the cardiovascular system, then it is worth it from infancy to temper and adapt to the environment in order to avoid many health problems. For this reason, the temperature immediately jumps upward. And then it drops to 37 degrees and remains so for a very long time. Parents should urgently contact the doctor to know how to act.

Most often, the temperature in young children is increased due to overheating in the sun. Children are very strongly dressed to avoid a cold, and they are very hot in these clothes. A lack of fluid in the body leads to a violation of metabolism and increased body temperature. Therefore, parents should know that in hot weather a child should receive a sufficient amount of water, not be warmly dressed and not be in the open sun. And if there was an overheating, the baby should be taken to a cool place and given a drink of water.

The cause of fever can be the inflammatory process in the body. For example, when the wound is affected on the skin or on internal organs. In these affected areas, pyrogen is released, which can cause heat.

Children with an unstable nervous system can respond to increased voice, other irritants and unpleasant factors feverish condition. In this case, parents should create a certain mode of life for their child, which will not overburden the psyche.

Another common cause of fever without symptoms is an allergic reaction to anything. To eliminate this problem, it is enough to find out the allergen and remove it from the child.

A natural reaction of the baby's body to some vaccines, as well as to poor-quality medicines is a fever. This condition lasts for 3 days.

Mom should always well and carefully study the instructions for the use of drugs and monitor their shelf life, so as not to poison the baby and not cause allergies.

Heat may occur after prolonged physical activity of the baby. After all, he constantly runs, jumps, sweats and does not sit still for a minute. This is the reason that the body temperature can jump no higher than 3 degrees. But he should rest, as this state passes. So this is not cause for concern.

In infants, fever can be the result of teething. Parents immediately notice that the gums are red and swollen, and the baby behaves capriciously. Do not worry, just need patience and wait for the teeth to appear.

Very often, a rise in temperature is a consequence of an experienced cold. The immunity of the child after the illness is greatly weakened, and the temperature can stay at a high mark for a long time. To help the body cope with the effects of ARVI, it is necessary to support it with a vitamin complex, which has a restorative effect on the body.

The cause of heat may be kidney disease.

The overall picture looks like this: very long the thermometer shows 37 degrees and no more, but then the temperature rises sharply to the level of 39. In this case, it is better to pass an ultrasound examination.

Is it worth it to bring down the temperature?

All doctors are categorically opposed to knocking down the temperature of the child's body, which does not exceed 3 degrees (and in adults, too). Such a fever is considered a normal reaction of the child's organism to the disease, when the immune system comes into conflict with the microbes and bacteria that cause the disease. Parents should simply create comfortable and proper conditions for the speedy recovery of the baby: give a lot of warm drinks, ventilate the room, regularly do a wet cleaning, create the optimal humidity in the rooms, give only an easy and useful food. But some pediatricians advise still to bring down the heat, which is below the mark of 3, degrees, in the case of poor health of the child.

Many parents still use old grandmother's recipes against fever. This is, as a rule, rubbing the body with water and vinegar. Medicine does not confirm, but does not disprove the efficacy of this method of treatment. It is only necessary to remember that if the temperature does not pass more than three days, then this is a sign of the disease and it is necessary to start the course of taking antibiotics.

In no case must not apply mustard, compresses with alcohol, soar your legs and carry out inhalations. This will only raise the temperature. You can not heavily dress and shelter your baby so as not to interfere with the natural process of sweating, which helps lower body temperature.

It must be remembered that the temperature in children without symptoms of cold is a fairly frequent phenomenon, which should not cause panic reactions in the parents. You can not go to the doctors, but keep a watch at home. The hospital should be sent only in rare cases, when an increase in body temperature in a child can be dangerous to health and life.

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But no one will condemn caring parents who, when the temperature rises without a cough and runny nose, go to the doctor to take tests and make sure that their child is not seriously ill.

respiratoria.ru

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