Temperature after bronchitis in a child

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How often does the temperature of bronchitis stay with children?

Many parents are interested in the question of how much the temperature keeps in children with bronchitis. The inflammatory process of the upper part of the lungs (bronchi) is called bronchitis. Any person, including children, can get sick. Moreover, infants are more likely to experience this disease.

The problem of bronchitis

Inflammation of the upper part of the lung can be determined by the presence of fever and cough. If the disease in an adult can occur both with a rise in temperature, and without an increase, then in children, such a sign in the disease is mandatory. If the bronchitis of the child runs without temperature, we need to look for another cause of the inflammatory process.

Sometimes, it rises slightly, but it is still a sign of bronchitis. If you have a cough with a suspected bronchitis in a child, the temperature is normal, you need to contact the pediatrician and do a thorough examination. These may be the first signs of the appearance of other serious diseases. Symptoms may indicate some pathological processes. These include asthma bronchial, pathology of the respiratory system and others.

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Temperature rise: why it happens

The problem of temperature with bronchitis

Temperature is an indicator of the normal reaction of the body's defenses to the onset of the disease.Such a symptom itself is not treated. This is not a disease, but its accompanying sign. This is a good job of the immune system to protect against diseases. Its presence in children indicates the fact that the body resists the inflammatory process. This means that the healing is normal, the defenses are working. The immune system functions correctly. The answer to the question of why this happens is quite simple: the body adapts to the smallest losses during illness. Viruses and bacteria can not fully and quickly multiply in a hot environment, eventually they die in it. Therefore, the body gradually destroys them, not allowing for further distribution.

How long can the high temperature persist, depends on the treatment: how well and it is carefully conducted, from a correctly diagnosed diagnosis and timely qualified recommendations. The second factor on which the duration of maintaining an increased temperature in children depends on the nature of the disease itself.

Forms and nature of bronchitis:

  • chronic;
  • bacterial;
  • obstructive.
Scheme of bronchitisIf bronchitis, when unfair treatment or other causes succeed in passing into a chronic form, then a significant increase in temperature is observed only during the period of exacerbation.

With other forms, it does not necessarily hold at a high mark. This is usually the case with viral bronchitis. If the nature of the onset of an inflammatory disease is bacterial, the temperature rises slightly and rests at around 37-38 degrees.

Sometimes it can rise on the 2nd or 3rd day after the onset of the disease. This pattern is observed with obstructive bronchitis. With this form of the disease, bronchospasm is narrowed and spasms are present.

Parents of children often ask questions about whether it is necessary to bring down the temperature with bronchitis and when it is necessary to do so. Recommendations of doctors are as follows: temperature to 3, degrees is safe. It can not be brought down.

Signs of bronchitisHowever, do not forget that each specific case requires a special approach. Everything depends on the condition of the patient.

If the child tolerates the temperature normally, no antipyretic drugs should be taken. But if it is bad for him, he experiences terrible discomfort, increased irritability, convulsions start, then immediately give a febrifuge, even if the temperature does not rise so high. Temperature above 39 degrees is mandatory. This is the line beyond which harm to the body, internal organs, especially the liver, begins to be inflicted.

If the child is very small, doctors do not advise waiting for a rise in heat. Call the doctor at the house.

Only a doctor will be able to suggest the right decision and choose an effective treatment.

Many antipyretic drugs children can not use. Some antipyretic drugs can be used, but with a certain degree of responsibility. These can be either small doses or doses calculated per kilogram of the child's weight. All the features will be told by the doctor, by examining the patient.

Bronchitis passed, and the symptoms remained

Mucous bronchus in norm and with bronchitisWhat should I do if my child has a fever after bronchitis? Usually it is insignificant, but still causes concern among parents. Doctors believe that this is completely safe, you should not be afraid and you do not need to shoot down. Temperature does not pose a danger and will not bring harm. In this case, the body must itself cope with such a minor problem. Usually the immune system is able to defeat the effects of bronchitis in the form of a small temperature for 7 to 10 days. However, it will not be superfluous to see a doctor. Only the doctor will be able to appoint additional examinations, give the necessary consultation.

It happens that after the bronchitis the temperature, on the contrary, falls below the normal mark. This may be due to such factors:

  • drug overdose during treatment;
  • failure in the immune system;
  • because of too long emotional stress accompanying the inflammatory process;
  • with a sharp decrease in hemoglobin in the blood of the child.

Exhaustion can give a single drop in temperature. This should not alarm the parents. But if she keeps for several days, the doctor's call is mandatory.

Acute obstructive bronchitis

Doctor's consultation with bronchitisDiseases of the child cause anxiety and anxiety in the parents. They always want to if not "take the disease on themselves," then help the kid quickly get rid of the scourge. There are such diseases, which for a long time have a residual character in the form of coughing, frequent colds. Such diseases include obstructive bronchitis. The disease is serious, characterized by shortness of breath. It occurs frequently - approximately in every fourth case of diseases. Most often, this disease affects young children. The causative agents of the disease are viruses. But not always only they are responsible for the occurrence of acute bronchitis. To develop this disease can also after getting into the upper respiratory tract chemical or toxic substances. The cause may be physical factors, injuries.

Symptoms. First of all, the temperature rises. How much time it will hold high, it is impossible to say for sure - it all depends on the virus that triggered the onset of the disease. If the disease is triggered by infection in the area of ​​adenoids, you can prepare for a 10-day temperature. The main sign of obstructive bronchitis is cough. At first it is dry, irritating, then softer and moist, then it turns into wet and expectorant.

Why is bronchitis called obstructive? Obstruction in the translation into Russian means "obstruction, hindrance". Obstructive bronchitis is the obstruction of the respiratory tract (respiratory tract). When the disease in children, there is swelling of the mucosa, narrowing of the respiratory tract and small bronchi, an increase in sputum discharge. How many days the temperature with such bronchitis kept, the patient is prescribed bed rest for the time of illness. To reduce temperature and improve overall well-being, it is necessary to drink a lot. You can drink water, juices, cranberry fruit and other non-carbonated drinks.

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Bronchitis in children and fever

So, the answer to the question of how much the temperature can keep with bronchitis in children is quite ambiguous. At children she can keep 2 - 3 days at competent treatment. With obstructive bronchitis, it can only rise a few days after the onset of the illness and stay for a long time.

Slightly elevated it may remain for some time after the illness. Everything depends on the clinical picture of the course of the disease, the type of disease and the individual protective forces of the child's body.

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In any case, a slight increase in temperature in children with bronchitis is good. This is an indication that the immune system is working. The organism fights with the causative agent of bronchitis.

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At the child 1 year temperature 37 after a bronchitis.

Answers:

A_elita

Remember hard if the child has a good appetite, activity is normal, he does not look sick and does not behave like a sick person, it means one thing - HE HEALTH. And there is no need to treat it and there is no reason to worry. Up to 5 years the temperature is up to 37, 3 - for the child the limits of the norm. You, too, the temperature during the day jumps, this is normal.
Another question that you need to restore immunity after an antibiotic, feed more vegetables and fruits, pour the dog rose, compotes and herbal teas by age. Walk more and ventilate the apartment more often. There is nothing to end here, due to the lack of a problem. When there is a real need to measure the temperature, you will not be mistaken.

natalya savkin

Is everything OK. The subfibril tail is called-the departments of a small child's brain can not yet correctly regulate body temperature. Stop to measure the temperature, be guided by the general state of the child.)))

Maria Kuznetsova

nor what you do not-this is such a protective reaction, how long it will last or who does not know, they all have different

Neurochka

At us after a bronchitis the whole month the temperature kept 3, -3,.

How many days is the temperature with bronchitis?

How much does the temperature with bronchitis hold, and what is this disease? Bronchitis - an ailment caused by acute inflammation of the bronchial tree. It is provoked by viruses of influenza, pertussis, adenoviruses, as well as bacteria (streptococci, pneumococci and staphylococci). The risk of this disease increases smoking, alcohol abuse, hypothermia, nasopharyngeal infections, deformity of the chest. Irritant can get into the bronchi with air, with blood and lymph flow.

The problem of bronchitis

Inflammatory processes in the bronchi can disrupt their patency. Characteristic for them edema and reddening of the mucous membranes, the presence of purulent and mucous secretions on the walls of the bronchi, the destruction of the ciliary epithelium. In severe forms of bronchitis, the inflammatory process can pass into the deep bronchial tissues.

The main symptoms of acute bronchitis

Infectious bronchitis usually develops against the background of laryngitis and rhinitis. At the first stages of the disease, the patient feels chest pain, dry cough, general weakness and fatigue. When breathing, wheezing appears. The temperature of the body can remain within the normal range. The composition of the blood remains the same. Similar symptoms are observed with inflammation of the trachea and mucous membranes of large bronchi. With bronchitis of moderate severity, there is a strong cough, shortness of breath, pain in the chest and abdomen. Cough with time becomes wet, purulent or mucous sputum is separated.

Staphylococcus is the cause of bronchitisWhen listening to the lungs, wet and dry rales are detected. There are no pronounced deviations in the composition of the blood. In severe cases, bronchioles are affected. Acute symptoms with proper treatment weaken on day 4 and disappear completely after a week. If there is a violation of patency of the bronchi, the disease can go into a chronic form.

Severe bronchitis occurs when poisoning with toxic chemicals. There is a debilitating cough with separation of bloody sputum, bronchospasm is increasing. At exhalation, whistling sounds are heard. Because of dyspnea, oxygen deficiency develops rapidly. On the X-ray, signs of emphysema are clearly visible. The parameters of hematocrit change. Heavy forms can take dust bronchitis. Along with the cough, pronounced dyspnea, a discoloration of the mucous membranes, dry wheezing and hard breathing occur. The image reflects the expansion of the roots of the lung and the transparency of the pulmonary fields.

Temperature with bronchitis

In acute obstructive bronchitis, the temperature rises to 38 ° C and remains at this level for about 5 days. It begins to fall even before the patient recovers. This can confuse the patient, forcing him to refuse taking medication.

High fever with bronchitisIf the disease is caused by an infection, the temperature rises sharply, holds for 2-3 days and gradually decreases. If the bronchitis is a consequence of the flu, the temperature can stay at 3, ° C for a week. It can be very difficult to reduce. With adenovirus infection, the temperature rises above 38 ° C and lasts from 7 to 10 days.

The situation is more complicated with bronchitis caused by a bacterial infection. It happens that subfebrile temperature can appear after the complete course of treatment. Such a temperature tail can persist for several months.In this case, one should not postpone the visit to the doctor: such a symptom may indicate the course of the inflammatory process in the body.

Chronic bronchitis is characterized by fever, a strong paroxysmal cough. Because of the latter at night, the patient is disturbed by sleep. He can not go out in the cold season: the frosty air provokes new attacks. A large amount of sputum is produced, general weakness and fatigue appear. Over time, the symptoms of the disease go away, then suddenly arise again. Cough may appear after inhaling cold air or drinking cold drinks. Also, suddenly, the temperature may rise and dizziness may start.

In the absence of treatment, chronic bronchitis can go to pneumosclerosis - a narrowing of the lumen of the bronchi, which reduces the activity of the lungs. In the bronchi may appear expansions, with time the work of not only the respiratory, but also the cardiovascular system worsens. Heart palpitations increase and blood pressure rises.

Treatment of bronchitis with temperature

Signs of bronchitisIn the treatment of this disease, an abundant warm drink, the intake of antipyretics and vitamins is recommended. During therapy, bed rest should be observed. Then, when the temperature drops, you can apply additional funds: mustard, special ointments. Inhalations help to get rid of an excruciating cough. Effective means are the baths with mustard, in which the feet are immersed.

In severe forms of the disease, antibiotics may be prescribed. When wet coughing is recommended to take mucolytics. When bronchitis in children antitussive drugs should appoint a doctor, self-treatment is not recommended.

For example, children should not be given codeine-based funds.

By suppressing cough, these drugs make it difficult to remove sputum from the bronchi. In addition, codeine can cause hallucinations, especially in children. To expectorants include herbal preparations based on plantain, elecampane, althaea, thermopsis. They contain substances that enhance the peristalsis of the bronchi. If a child has diseases of the nervous system, they should be abandoned. Cough and vomitive reflex intensifies, which can lead to suffocation.

Treatment of bronchitis with fever folk remedies

Folk remedies for bronchitisHere we will talk about the most safe and effective methods of treating this disease in adults. However, it is not worth using them without the doctor's permission. These drugs help to remove inflammation and improve the condition of the patient's body. Breast collection is one of the most effective folk remedies used in the treatment of bronchitis. Medicinal plants that make up it, dilute sputum and promote its excretion. Together with it, they remove from the lungs and pathogenic bacteria.

Breast collection can be purchased at any pharmacy or cooked by yourself. To do this you will need the following components: licorice root, mint leaves, lime blossom, mother-and-stepmother, thyme and plantain. 40 g of dried plants are placed in a jar and mixed. Pour, l boiling water, cover and insist for 3 hours. The drug is filtered and taken 150 ml 3 times a day. Breast collection is a safe natural remedy, especially useful for people who are allergic to the chemical components of medicines. The course of treatment with this drug is 2 to 3 weeks.

Sometimes a painful cough interferes with talking and breathing normally. Get rid of it with the help of decoction of plantain. 4 tbsp. l. dried herbs pour 500 ml of boiling water. Cover the can with a lid and warm it with a towel. The broth is insisted for 2 hours and filtered through a sieve. Take it an hour before meals 3 times a day. This remedy helps to withdraw phlegm from the lungs and bring the body back to normal after bronchitis.

Onion with honey is another time-proven remedy for the treatment of influenza and bronchitis. To make it, you need a small onion and 50 g of honey. Onions are peeled and grated. The resulting gruel is mixed with honey. Since the onion is able to influence the work of the digestive tract, the remedy should be taken in small amounts after eating.

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The medicine is useful because honey helps to purify the body and strengthen immunity, and onions kill viruses and bacteria. The medicine must be taken until the symptoms disappear completely. They also use it to strengthen immunity in the autumn-winter season. Giving it to small children is not recommended.

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If a child has bronchitis, what to treat?

The child has bronchitis, what to treat - this issue becomes relevant with the onset of cold weather, when the child begins to visit places with a large number of people. These factors, as a rule, are provoking for the spread of colds - ARI, ARVI. Bronchitis can occur both as a complication and as an independent disease. Indirect reasons for its development may be hypothermia and sudden temperature changes, which is characteristic of the beginning of autumn. The appearance of a child's cough requires that certain measures be taken by the parents to treat it.

Bronchitis in a child

Bronchitis is an inflammation of the mucosa of the upper bronchi accompanied by coughing and spitting.Against this background, quite often a high body temperature appears, which, in some cases, can rise above 38 ° C.

Depending on the pathogen, bronchitis is divided into: viral, bacterial and allergic or asthmatic, obstructive. In the first case, bronchitis can become a consequence of influenza and ARVI. The causative agent of bacterial bronchitis is streptococcus, staphylococcus, morocell, hemophilic rod, as well as mycoplasma and chlamydia. The last form of bronchitis is associated with exposure to irritating chemical or physical factors. Relapses of the disease are observed most often in the cold season.

Acute bronchitisAccording to the duration of the course, several forms of bronchitis are distinguished:
  1. Acute bronchitis occurs 10-21 days.
  2. Obstructive - bronchitis, accompanied by obstructive syndrome associated with bronchial obstruction. Factors affecting its development: narrow lumen of the bronchi, massive mucosal edema and poorly departing sputum, bronchospasm - an additional narrowing of the lumen of the bronchi. In this case, bronchitis is accompanied by wheezing, difficulty breathing. In the case of repeated cases of this form of bronchitis, it is recommended that they additionally refer to a pulmonologist or an allergist to exclude bronchial asthma.
  3. Recurrent - the child is ill from 3 times a year and more often.
  4. Chronic - prolonged bronchitis, lasting several months with repeated exacerbations at least once a year for 2 years

The main danger accompanying bronchitis and causing particular concern for doctors and parents is the development of complications in the form of pneumonia, which is often the case in children. The reasons for this can be both active development of a viral infection, and incorrect treatment.

Symptoms of the disease

Increased body temperature with bronchitisCommon symptoms of bronchitis include a protracted cough with sputum on the background of an increase in the body's overall temperature. Bronchitis is characterized by general malaise, drowsiness, lack of appetite, shallow and shallow breathing. Against the background of worsening airway patency and deterioration of lung ventilation, the body of the child suffers during this period from lack of oxygen.

It is worth noting that different forms of bronchitis can occur in different ways. With bacteriological bronchitis the patient's condition is more severe, cases of loss of consciousness are frequent, general intoxication of the body, accompanied by nausea, vomiting, headaches, the absence of a cold on the background of extremely difficult respiration. However, bacterial bronchitis is a fairly rare form. Treatment of bacterial bronchitis, as a rule, is stationary.

Diagnosis of the disease

Diagnosis for suspected bronchitis includes the following set of measures:

  • Check with a pediatrician. The doctor needs to listen to the baby's lungs with a stethoscope. Further, the doctor prescribes the necessary procedures to determine the nature of the child's cough;
  • Delivery of blood for a general analysis - to identify a viral or bacterial infection;
  • Chest X-ray - helps distinguish pneumonia from bronchitis;
  • Sputum analysis and culture - with chronic and relapsing bronchitis is used to identify the pathogen and exclude its allergic etymology.

How to treat bronchitis?

A doctor's examination with bronchitisTreatment of bronchitis is not just about taking a medicine prescribed by a doctor. First of all, parents should take care of the conditions in which the sick child is. Namely - make sure that the air in the room is sufficiently moistened and ventilated. You can use the folk method in the form of wet sheets hung in the room, or use an automatic air humidifier.

It is also necessary to provide the child with an abundant drink. It should be given to the child to drink every 30-40 minutes. It can be warm tea, mors, a decoction of chamomile, linden, breastfeed, or just water. The use of liquid in sufficient quantity will facilitate and facilitate the excretion of phlegm.

Do not close the child in four walls. If you feel well, and if the acute phase is behind, then walks are not only possible, but also necessary. Fresh air will promote ventilation of the lungs, and provide the body with oxygen. It will be easier to treat bronchitis and remove its effects.

As a medicine, antibiotics are often prescribed. However, the need to receive them is extremely doubtful.

It should be remembered that in most cases, the cause of the occurrence of bronchitis becomes a viral infection, respectively, treatment with antibiotics in this case is useless.

In order to be convinced of the justification of taking antibiotics, it is necessary to make sure of the presence of bacteriological bronchitis.

Treatment with antibiotics for bronchitisDrugs for bronchitis may include both antibiotics and mucolytic agents. However, their appointment as a doctor is not always necessary, since the process of recovery with a favorable course in children proceeds independently. Children under one year of age are not in a hurry to prescribe them, and generally do not recommend the use of mucolytics, as this may prevent the sputum from escaping and provoke its congestion in the bronchi and lungs. A one-year-old has a poorly developed pectoral muscle and can not clear his throat. Therefore, it is necessary to intervene with caution.

Indications for the use of drugs are available in the following cases:

  • obstructive bronchitis - it is necessary to use drugs that dilate the lumen of the bronchi and relieve spasm;
  • presence of serious pulmonary pathologies;
  • severe course of the disease.

Medicines, namely mucolytics for children are prescribed, usually in the form of a syrup. This form will facilitate the use of the drug. The syrup is taken for a short time, since the mucolytics are given a short course.

When bronchitis should not be inhaled - because of the immaturity of the respiratory muscles, the child is difficult to cope with the sputum. Inhalations increase her withdrawal, which can worsen a child's condition if he does not clear his throat.

Bathing in the bathroom during the period of illness is not recommended, since hot water also creates an inhalation effect. If there is a temperature, do not use rubbing and warming ointments.

Prevention of bronchitis in children

Tempering of children for the prevention of bronchitisTo avoid the development of bronchitis, as well as reduce the number of relapses, one should remember about preventive measures.

These include, first of all, tempering the child. Fresh air, regular airing of the premises where the child is, clothes for the weather - these are the factors that are beneficial for the baby's health.

In addition, the child should be protected from the harm of secondhand smoke. Avoid places where people smoke, try, and refuse from this habit at least within the walls of the house.

It will not be superfluous to receive timely vaccinations in accordance with the national vaccination calendar. Especially important are vaccinations from such pneumococcus and hemophilic rod.

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Parents need to be vigilant and watch their child after the course of treatment. If the child has a fever after bronchitis, if a cough appeared, and dyspnoea joined him, it became noticeable that the skin was inhaled by inhaling in intercostal spaces, these signs may indicate the appearance of severe complications, for example, bronchiolitis or pneumonia, because of untreated bronchitis. In this case, you can not hesitate, do not wait for the arrival of the district doctor, it is important to urgently call an ambulance and take the child to the hospital.

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Bronchitis in children: acute, obstructive bronchitis, symptoms, treatment


Bronchitis in children most often occurs in the form of complications against the background of acute respiratory viral infection, influenza or a severe cold, hypothermia. The provoking factors of bronchitis are seasonal sharp temperature changes, especially periods of rain with high humidity, so this disease usually occurs in the fall or spring.

In form, all bronchitis in children are divided into: Acute, Prolonged and Recurrent.

For reasons of occurrence, depends on the pathogen of inflammation and is divided into:

  • Viral - influenza, adenoviruses, parainfluenza
  • Bacterial - can be acute and obstructive (the causative agent is streptococcus, staphylococcus, moraxelly, hemophilic rod, as well as mycoplasma and chlamydia)
  • Allergic, obstructive, asthmatic - arises from irritating chemical or physical factors, such as household chemicals, house dust (read about the symptoms of allergy to dust), animal hair, plant pollen and others.

Bronchitis in a child up to a year - symptoms and treatment

Children who are breastfed and who do not have contact with sick children and adults should not have any respiratory illnesses. However, if the child was born prematurely, has congenital malformations of the respiratory organs and other diseases, as well as in the family there are preschool children attending kindergartens and often ill - the development of bronchitis in a child up to a year is possible by the following reasons:

  • narrower than the adult, bronchi, a more dry and vulnerable mucosa of the respiratory tract
  • existing congenital malformations
  • after a viral or bacterial infection
  • the presence of individual sensitivity to chemical and physical stimuli - an allergy to anything.
Acute bronchitis in children symptoms treatment

The most basic symptoms of developing bronchitis are a severe dry cough, paroxysmal, accompanied by difficulty breathing, shortness of breath. Gradually, the cough becomes moist, but mucus, sputum during bronchitis in a child up to a year of significant hinders breathing, normal lung function is disrupted, since the airway in infancy narrow. Bronchitis in children up to a year and even up to 3-4 years is most often the following:

  • Acute bronchitis simple
  • Obstructive bronchitis
  • Bronchiolitis

On acute and obstructive bronchitis, we will dwell in more detail below. And now consider the most common in children under one year oldbronchiolitis.

Bronchitis in children under one year of age - bronchiolitis

This bronchitis affects both small bronchi and bronchioles, develops more often against the background of acute respiratory viral infections, influenza viruses with the subsequent reproduction of pneumococci (and so on. streptococci). In case of inhalation of icy air or sharp concentrations of various gases, bronchiolitis can develop as an independent disease. The danger of such bronchitis is a pronounced bronchoobstructive syndrome with the development of sometimes even acute respiratory failure:

  • Characterized by dry cough attacks, pronounced dyspnea mixed or expiratory form with syndromes of swelling of the wings nose, with the involvement of ancillary muscles, the entrainment of the intercostal spaces of the chest, the pallor of the skin, cyanosis.
  • The child has dry mouth, no tears when crying.
  • The child eats less and drinks than usual, respectively, and his urination is more rare.
  • Increased body temperature, but unlike pneumonia, it is less pronounced (see. whether it is necessary to bring down the temperature).
  • Shortness of breath to 60-80 breaths per minute, while breathing is grunting, superficial.
  • On both sides are heard diffuse wet ringing finely bubbling and crepitating rales.
  • Symptoms of intoxication in bronchiolitis in children are not expressed.
  • X-ray is determined by the sharp transparency of the lung tissue, the variegation of the pattern, the horizontal standing of the ribs, the absence of infiltrative changes in the lungs.
  • If at first there was a simple bronchitis, then the attachment of bronchiolitis after a while is manifested by a sharp deterioration of the general condition of the child, cough becomes more painful and intense, with scanty phlegm.
  • Children are usually very restless, moody, excited.
  • The blood test can be slightly changed, a slight leukocytosis and an increase in ESR are possible.
  • Usually, bronchiolitis in children up to one year has a prolonged course until 1-, months.
  • The causes of acute bronchiolitis in children are similar to the causes of development of obstructive bronchitis in children older than 2-4 years. The local immune system of the respiratory tract in children under 2 years is weak, protection against viruses is not enough, so they easily penetrate deep into bronchioles and small bronchi.

Treatment of bronchiolitis in children

At home, you can not cure bronchiolitis. When a bronchiolitis occurs, the infant is usually shown hospitalization, so that the child is under the supervision of doctors. In the hospital pediatricians, pulmonologists will establish an accurate diagnosis and prescribe appropriate treatment. What should my mom do before the ambulance arrives?

You can only alleviate the symptoms of colds - create optimally comfortable air in the room, turn on the humidifier, air purifier.

If there is no high temperature in the child, you can ease breathing with warming creams and ointments, spread them legs, calves. Only with this you need to be cautious if the child has not had any allergic manifestations before, then it helps a lot if a child allergic, warming ointments should be excluded.

To cough softer, you can do steam inhalation-above a boiling pot with a weak saline solution, hold the baby in her arms. Or sit him down at the table and cover with a towel over a cup of hot medical solution.

Try to force the baby to drink more to avoid dehydration, if the child refuses the breast or mixture, give the child just pure water.

In the hospital to relieve the signs of respiratory failure, the baby is given inhalations with bronchodilators and allowed to breathe oxygen. Also at the doctor's discretion, an antibiotic is selected - Sumamed, Macroben, Augmentin, Amoxiclav. It is possible to use various drugs with interferon. Necessarily prescribe antihistamines for the removal of edema at the site of inflammation and a possible allergic reaction to treatment. If symptoms of dehydration are observed, then the necessary rehydration therapy is performed.

Acute bronchitis in children - symptoms

Bronchitis in children is the most common form of respiratory tract disease. Acute bronchitis is an acute inflammation of the bronchial mucosa without symptoms of inflammation of the lung tissue. Simple bronchitis in children in 20% of a self-contained bacterial disease, 80% - either in a program of viruses (Coxsackie virus, adenovirus, influenza, parainfluenza) or as a bacterial complication after these viral infections.

Clinical symptoms of bronchitis in children are as follows:

First, the child has general weakness, malaise, headache, lack of appetite, then there is a dry cough or cough with sputum, the intensity of which is rapidly increasing, while listening to determine the dry diffuse or variously moist wheezing. Sometimes there may be a barking cough in a child whose treatment is slightly different.

In the first 2 days, the temperature rises to 38 ° C, but with a mild form, the temperature can be 37-3,.

After 6-7 days, the dry cough becomes wet, the sputum discharge facilitates the child's condition and is a good sign that the body is coping with the infection and the virus.

On average, the duration of acute bronchitis in children is 7-21 days, but the nature of the disease, the severity of the inflammatory process depend on the child's age, the strength of his immune system, the presence of concomitant chronic and systemic diseases. In case of inadequate or untimely treatment, acute bronchitis can lead to addition - bronchiolitis, pneumonia.

Sometimes after the flu, for some time, the child's condition improves, and then a sharp deterioration, a rise in temperature, a rise in the cough - this is due to the weakening of the immune system in the fight against the virus and the attachment of a bacterial infection, in this case it is shown antibiotic.

With mycoplasmal or adenoviral acute bronchitis in children, the symptoms of intoxication, such as high fever, headaches, chills, lack of appetite, can be about a week. Usually acute bronchitis is bilateral, however, with mycoplasma bronchitis it is most often one-sided, sometimes combined with conjunctivitis.


Acute bronchitis in children - treatment

Most often, the duration of acute bronchitis in children, whose treatment is correct and carried out on time, should not be more than 14 days, however, in infants, cough can persist for up to a month, as well as in older children with atypical-mycoplasmic bronchitis. If suddenly the bronchitis in the child is delayed, it is necessary to exclude a number of diseases:

  • aspiration of food
  • pneumonia
  • cystic fibrosis
  • foreign body in bronchi
  • tuberculosis infection

A pediatrician prescribes a full treatment package. In addition to implementing all the recommendations of the doctor, you should provide the child with special nutrition and quality care. It is desirable to create in the room the optimum humidity and purity, for this purpose it is convenient to use a humidifier and air purifier, often ventilate the room and conduct daily wet cleaning in the room in which child. And:

  • Abundant drink

Ensure abundant reception of fluids in a warm form. To soften the cough, warm milk with butter or Borjomi mineral water helps, can be replaced with honey.

  • Heat

With fever, the temperature just above 38C should take antipyretics - paracetamol in syrup.

  • Antibiotics

Antibiotics for bronchitis in children, if recommended by a doctor, should be given strictly by the hour. If taking antibacterial drugs is necessary 3 times a day, this does not mean that you must drink from breakfast, lunch and dinner, and this means that their reception should be 24/3 = 8, every 8 hours, if 1 time per day, then give it only at the same time, for example at 9 o'clock morning. 11 rules - how to take antibiotics correctly.

  • Cough medicine

With a dry cough, the child can be given antitussive medicines as prescribed by the doctor, and when it becomes wet to go on expectorants. With a dry cough, the means can be combined (Sinekod). If the cough is wet, then expectorants are shown - Mucaltin, Bromhexin, Gedelix, Alpine syrup, Thermopsis herb infusion or its dry extract, Bronchicum, Evcabal, Prospan, breastfeeds.

  • Inhalation

Inhalation in bronchitis in children, the symptoms of which are very pronounced, are well assisted by inhalation with conventional baking soda, called over hot pots, inhalation of sodium bicarbonate using a nebulizer, inhaler.

  • For babies

For small and infants who do not know how to clear themselves, doctors advise turning the child more often from one side to the other. In this case, sputum is shifted downward, irritating the bronchial wall, this leads to reflex cough.

  • Distractions

For older children, cans, mustards, hot foot baths, they still help, and if the child has strong immunity, such procedures will help to avoid taking antibiotics. You can soar your baby's legs after 1 year, and also rub them with warming agents - turpentine ointments, Barsukor, Pulmax baby, etc., but only in the case when there is no high temperature, after rubbing, you should warm your feet and wrap child. However, in case of an allergic bronchitis in a child, neither the mustard nor the warming ointments can be used, since the composition of ointments and mustard can worsen the child's condition.

  • Compresses

With bronchitis in children, the treatment is helped by compresses made from warm oil. Warm sunflower oil to 40 ° C and moisten them with gauze folded several times. This compress should be imposed only on the right side and back of the baby, from above put a plastic bag and a layer of cotton wool, bandage the child around several times. Dress warm clothes, do this procedure for the night, if there is no temperature in the child.

  • Folk remedies

Old folk way - radish juice with honey, cabbage juice, turnip juice - any of these juices should be given 1 teaspoon 4 times a day. You can give and cranberry juice, mixing it with honey in a ratio of 3/1, a tablespoon 3 times a day.

  • Massage

The first week is well helped by chest massage, older children would be good at performing breathing exercises.

Physiotherapy with bronchitis

In children, these procedures are prescribed and conducted only at the physician's discretion, these are physiotherapy methods that contribute to faster recovery, because they have an anti-inflammatory effect, however, they can not be performed more often 2 once a year:

  • Ultraviolet irradiation of the chest
  • Mud, paraffin applications on the chest and between the shoulder blades
  • Inductometry on the same areas
  • Electrophoresis with calcium
  • SOLLUX ON THE BREAST
  • Aeronisation by the hydroionizer of the respiratory tract with solutions of chamomile, antibiotics.
Obstructive bronchitis in children symptoms treatment
Prevention of acute bronchitis in children:

Do not allow a prolonged runny nose in a child, timely treatment of any cold and infectious diseases will be the best preventative against penetration of the infection into the lower respiratory tract. ways.

Walking in the fresh air in the park, playing at the cottage, physical exercise in nature, tempering, daily intake of natural vitamins in fruits and vegetables, and not in tablets - the way to the health of your child.

Obstructive bronchitis in children - symptoms

In young children, usually up to 3-4 years of acute bronchitis may be accompanied by an obstructive syndrome - this is an acute obstructive bronchitis. In children, the symptoms of such bronchitis begin more often after viral infections or allergic manifestations on the stimulus.

The main symptoms of obstructive bronchitis:

  • Harsh, audible long breath with whistling
  • Coughing with attacks, before vomiting, debilitating
  • During inhalation, the intercostal spaces are drawn in and chest is swollen with breathing

In obstructive allergic bronchitis, children do not have a temperature, it starts because of an allergic reaction to the strongest irritant for the child, and parents can often remember that they recently bought something for the child - a down pillow or a blanket made of camel or sheep wool, at home breathed in color from repair or went to visit, where there is cat.

In obstructive bronchitis in children, symptoms can begin on the 3rd-4th day of the flu or ARVI, and may also be caused by other bacteria, which is manifested in the appearance of expiratory dyspnea - an increase in the respiratory rate to 60 per minute, it is also noted difficulties when inhaled.

The child begins wheezing, noisy breathing, especially a prolonged wheezing exhale, which is heard by persons near the baby. The thorax is as if swollen, that is, the ribs are horizontally arranged. Cough is dry, obtrusive, bouts, arises suddenly, it does not bring relief and intensifies at night.

If this disease develops not after ARI, then the temperature in the early days is not increased.
Headache, weakness and nausea, are very rare.

When listening there are dry wheezing in the lungs.

X-ray revealed increased transparency, increased pulmonary pattern, in the absence of infiltrative changes in the lungs.

The analysis of blood as a viral infection - lymphocytosis, leukopenia. accelerated ESR, if allergic bronchitis in a child, then eosinophilia.

Almost always obstructive bronchitis is associated with a virus or mycoplasmal infection, relapses of obstructive bronchitis in children most often spontaneously stop by 4 years.
If the bronchioles and small bronchi are affected, then this is an acute bronchiolitis.

Obstructive bronchitis in children differs from asthma attacks, in that obstruction develops slowly, and with asthma the child abruptly begins to suffocate. Although the first attacks of bronchial asthma in children also begin during ARVI. If the obstruction occurs several times a year, it is a signal that the child is at risk for developing bronchial asthma in the future.

Obstructive bronchitis in a child can be due to passive smoking, it can be distinguished by a strong cough with a whistle in the morning, while the child's condition is quite satisfactory. Obstruction with allergies occurs when contact with an allergen and recently it becomes very frequent manifestation in children prone to allergies, such bronchitis are recurrent and threatened with development bronchial asthma.

Allergic and obstructive bronchitis in children - treatment

Hospitalization

In obstructive bronchitis in children up to a year or 2 years, treatment should be performed in a hospital under the supervision of a pediatrician, in other cases at the discretion of the doctor and parents. Treatment is best done in a hospital if:

  • In addition to obstruction in the child, the symptoms of intoxication are decreased appetite, fever, nausea, general weakness.
  • Signs of respiratory failure. This is shortness of breath, when the frequency of breathing increases by 10% of the age norm, counting is better done at night, and not during games or crying. In children under 6 months, the respiration rate should not exceed 60 per minute, 6-12 months - 50 breaths, 1-5 years, 40 breaths. Acrocyanosis is a sign of respiratory failure, manifested by cyanotic nasolabial triangle, nails, that is, the body experiences oxygen deficiency.
  • It is not uncommon for obstructive bronchitis in children to mask pneumonia, so if the doctor suspects pneumonia from hospitalization can not be denied.

Bronchodilators

Bronchiolithics extend the bronchi, so they are designed to relieve obstruction. To date, they are presented in various forms in the pharma industry:

  • In the form of syrups (Salmeterol, Clenbuterol, Ascoril), which are convenient for young children, their disadvantage is the development of tremors and palpitations.
  • In the form of solutions for inhalation (see. Berodual for inhalation) - this is the most convenient way for young children, breeding a medicinal solution with a physical solution, inhalation 2-3 times a day, after improvement, it is possible to use only at night. The multiplicity and dosage, as well as the course of treatment is determined only by the pediatrician.
  • Inhalers-aerosols can be used only for older children (Berodual, Salbutamol).
  • Such tableted forms of bronchodilators, like theophylline (Teopec, Euphyllin), are not indicated for the therapy of children with obstructive bronchitis, they have more pronounced side effects, are more toxic than local inhalation forms.

Spasmolytics

Can be used to reduce bronchial spasms. This is papaverine or Drotaverin, No-shpa. Their reception can be carried out with the help of an inhaler, orally in the form of tablets or intravenously in a hospital.

Means for coughing

To sputum better departed, various mucoregulatory drugs are used, they help dilute sputum and accelerate its excretion:

  • These are preparations with active substance ambroksol (Lazolvan, Ambrobene). These drugs can not be taken for more than 10 days, it is most convenient to use them in the form of inhalations, as well as carbocisteine ​​preparations (Fluiditek, Bronhobos, Mukosol).
  • After the cough became wet, the seizures became less intense, the sputum liquefied, but it departs badly, the ambroxol should be changed to expectorants for cough for children, which should be given no more than 5-10 days, they include Gedelix, Bronchicum, Prospan, Bronhosan, Herbion (cf. Herbion from a dry and wet cough), Tussin, Bronchipret, breastfeeding, .
  • Codeine-containing drugs for children should not be taken if the child has a seizure-like obsessive cough, the appointment of a doctor can be used Sinekod, Stopusin Fito, Libexin (with caution in childhood), Bronhicum, Broncholitin.
  • Erespal - promotes both removal of obstruction, and reduction of sputum production, and also it possesses anti-inflammatory activity, is applied from the first days of the disease, reduces the risks of complications, contraindicated in children under 2 years.

Draining massage

To facilitate the departure of sputum, parents can themselves do their child massage the collar zone, chest, back. Especially strong massage should be done for the muscles of the back along the spine. Useful for obstructive bronchitis in children postural massage - that is, efflorescence of the baby's back in the morning, should to hang the child from the bed upside down (padding the pillow under his tummy) and tapping the palms folded in the boat 10-15 minutes. For older children, with a massage, ask the child to take a deep breath, and on an exhalation, tap. Useful and additional exercises such as inflating balloons, blowing out candles.

Antihistamines

Antihistamines are prescribed to children in the presence of allergic reactions. Such medicines for allergies like Eryus in syrup can be taken to children from 1 year, with the half a year it is possible to use Claritin and Zirtek, from 2 years in syrups and drops Cetrin, Zodak, Parlazin (cf. list of medicines for allergies). Such antihistamines of the 1st generation as Suprastin and Tavegil are used less often, only for drying with abundant liquid sputum.

Allergy or virus

If the obstruction is caused by an allergy or a virus - antibiotics can not be used, and even dangerous (see. antibiotics for colds and orgs). The appointment of antibiotics is possible only with the proven infectious origin of bronchitis in children.

When antibiotics are indicated

Treatment of bronchial obstruction with antibiotics is not indicated, only if the child has a fever over 4 days, or there was a second temperature jump to 39C after 4-5 days after the onset of the disease, accompanied by severe intoxication, severe coughing if with adequate treatment, the child suddenly becomes apathetic, sluggish, refuses to eat, has weakness, nausea, headaches and even vomiting. In such cases, the use of antibiotics is justified. They are prescribed only by a pediatrician on the basis of a clinical picture, the presence of purulent sputum (indicating bacterial bronchitis), inflammatory changes in the analysis of blood, as well as other signs of bacterial bronchitis or pneumonia (wheezing, x-ray signs).

Antiviral drugs

Most doctors recommend that for ARVI and flu, take antiviral drugs, for babies candles Genferon, Viferon, and also in the form of drops Gripferon, Interferon, take Orvire syrups (remantadine), and after three years of age tableted forms such as Kagocel and Arbidol, Cytovir 3. But it is worth remembering that if in a family history (close relatives) there are any autoimmune diseases (Sjogren's syndrome, rheumatoid arthritis, systemic red lupus, diffuse toxic goiter, vitiligo, multiple sclerosis, pernicious anemia, insulin-dependent diabetes mellitus, myasthenia gravis, uveitis, Addison's disease, primary biliary cirrhosis, autoimmune hepatitis, scleroderma) it is impossible to take immunostimulants (Kagocel, Cytovir, Amiksin), it can cause a debut of an autoimmune disease in a child, possibly not now, and later (see. more antiviral drugs for orvi).

Hormonal therapy

Hormonal drugs, such as Pulcicort, are indicated only in severe or moderate leaks obstructive bronchitis (usually with the help of a nebulizer) they quickly stop obstruction and inflammation, their appoint only a doctor.

What not to do

In obstructive bronchitis in children - treatment by rubbing and spreading the body of the child with various heating oils (Dr. Mohm ointment, ointments with medicinal plants, essential oils), the use of mustard plasters is unacceptable, since they cause an even more allergic reaction and bronchospasm, especially in toddlers up to 3 years. Also categorically it is impossible to carry out inhalations with bronchitis with various medicinal herbs and essential oils. It is only possible to use such folk remedies for warming up - heat compresses with potatoes, salt, buckwheat.

Physiotherapy

Physiotherapeutic procedures in the acute period are contraindicated, when the obstruction is already stopped, it is possible to perform UHF, electrophoresis or laser.

Hypoallergenic diet and plentiful drink

Any natural drinks - mineral water with milk, tea, broth of a dogrose, it is necessary to drink to the child as often as possible. The diet should be hypoallergenic, but at the same time maximally vitaminized, high in protein and fat content. Exclude from the diet of the child anything that can cause an allergic reaction:

  • citrus, red and orange fruit
  • purchased spices, sweets, milk cheeses, yoghurts, carbonated drinks, sausages and sausages - everything that contains dyes, flavors, preservatives and flavor enhancers
  • honey and other beekeeping products
  • fish, grown on fish farms, broiler chickens, as they are stuffed with hormones and antibiotics, which causes allergies.

When caring for a child, you should daily aerate, moisten the room where the child is. It's hot in the apartment should not be, it's better to have a cool, fresh, clean air. After the recovery of the child should be put on a dispensary record with an allergist.

zdravotvet.ru

What is the risk of residual cough after bronchitis?

Often, people who have had illnesses of the respiratory system, there is residual cough after bronchitis. As a rule, such a cough manifests itself briefly and disappears after a certain time since the onset of the disease.

The problem of cough after bronchitisThere are cases when a residual cough means the development of a complication or the onset of a new disease.In connection with this, it is necessary to undergo a medical examination and to reveal the true cause of coughing.

Mechanism of bronchitis

Mechanism of development of chronic bronchitisIn the development of any type of bronchitis, the main role is played by harmful substances contained in the air in huge quantities. These substances irritate the bronchial mucosa and lead, as a rule, to diseases of the respiratory tract. A huge role is played by the climate. A greater risk of developing bronchitis occurs in the spring and autumn.

Bronchitis is a disease of the respiratory tract, which causes damage to the bronchi and a violation of the natural normal activity of the lungs. The reason for its occurrence is the penetration into the human body of various kinds of infections, as well as bacteria and viruses.

In the case of a significant accumulation of mucus in the bronchi of a man begins to suffer a dry cough, and sometimes with the discharge of sputum.

The inflammatory process, which develops in the bronchi, causes a cough, which is a protective reaction of the human body.

As a result, all the accumulated microbes, as well as toxins and dead cells leave the bronchi.

After a bronchitis cough remains even in the event that all signs of a serious illness accompanying him before have completely disappeared. The presence of cough is observed in 50% of people who previously had bronchitis. To eliminate it, it is necessary to determine at what stage the disease is located and to identify the main cause of cough development. An additional reason for the appearance of cough is the abuse of tobacco and alcohol products.

Types and causes of residual cough

Types of sputumIn medical practice, the following types of cough are distinguished:
  • dry;
  • wet.

With the help of a wet cough, harmful microbes are eliminated much more quickly from the human body, thereby the healing process takes place.

Cough after bronchitis, as a rule, is observed no more than 2 weeks. It all depends on the immune system of the child or adult, and also on the characteristics of the organism itself. Once in the body, the virus settles on the mucous membranes of the respiratory tract, as a result of which its reproduction begins at a high rate. Therefore, for a complete normalization of the functioning of the bronchi and the trachea, a certain amount of time is necessary.

With weak immunity, systematic contact with irritants, poor climate, passive inhalation tobacco, frequent cases of acute viral infections and bronchitis, all residual phenomena manifest themselves fairly long time.

Among the characteristics of residual cough can be identified:

  • in the absence of symptoms of the disease, expressed by an increase in body temperature or intoxication, cough remains;
  • can manifest at regular intervals, with a slight cough and no separation of sputum;
  • the duration of the cough is approximately 3 weeks, it all depends on the human immunity and the degree of the disease;
  • after the passage of time, the cough weakens, acquires a less pronounced character even without the use of medicinal preparations.

A constant agonizing cough can, on the contrary, intensify with time. In this case, the person is difficult breathing, the body temperature rises, purulent sputum is released. These are symptoms of complicated bronchitis. Even in the absence of other signs and with constant cough, a child and an adult need an urgent examination and the implementation of all the doctor's recommendations.

What to do if there was a cough after ailment

The doctor's consultationIf, after the appropriate treatment of bronchitis has been more than 2 weeks, and the cough has not passed, then you should begin to worry. Most likely, an inflammatory process develops in the human body. It is necessary to undergo additional examination and do the right treatment. There are several ways to treat residual cough. First of all, actions are needed to strengthen immunity, healing herbs, breathing exercises and health-improving massage.

The implementation of simple gymnastic exercises allows you to withdraw the accumulated sputum much more quickly, thereby bringing about a speedy recovery stage. In a set of performed physical exercises include squats and slopes. Massage procedures are performed by patting movements.

In the event that there is a suspicion that the bronchitis becomes chronic, the patient should be treated by an experienced doctor in pulmonology. At the admission specialist will appoint a patient to undergo a full medical examination, in addition, will carry out a check for the presence of tuberculosis.

In some cases, in the presence of cough after bronchitis, X-rays of the lung are done. Then both children and adults need to make a Mantoux test at the end of the illness.

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For fast recovery the patient is recommended full-fledged nutrition, which contains a complex of useful vitamins and minerals. Benefits will also come from systematic sports, respiratory gymnastics, sanatorium therapy, and fresh air walks. The use of any medications is possible only after agreement with the attending physician and the delivery of the necessary tests.

An excellent result of treatment can be achieved through the use of phytotherapy. On the basis of Ledum and licorice, decoctions are produced, which relieve the residual cough.

How to get rid of cough after bronchitis

Sinecode after cough after bronchitisWhen a patient has a wet cough, a gradual cough will occur. In this case, the doctor prescribes any expectorant for bronchitis. Of course, these are any mucolytic drugs that contain carbocisteine. Due to their safety and effectiveness, they are able to eliminate residual effects of bronchitis even in a child.

Those mucolytic agents that contain Ambroxol, can cause excessive sputum liquefaction in people of any age. Carbocysteine ​​can not lead to this situation, since it has a mucoregulatory effect. When taking drugs containing carbocysteine, sputum is liquefied, and after a while passes. These drugs are effective even when the patient takes them from the very beginning of the disease. Among them are: Fljuditik, Libeksin and Mukolitik syrup.

If there is a cough after bronchitis, the doctor prescribes drugs to adults, including Bromhexine, Acetylcysteine ​​and Ambroxol. When a person has a dry cough, it must first be transferred to a productive cough, and then to use medicines that have an expectorant effect. It is allowed to use combined means, with which you can quickly get a double effect. To such means carry:

Herbion after cough after bronchitis
  1. Sinecod.
  2. Herbion.
  3. Bronchicum.
  4. Kodelak Fito.
  5. Libexin.
  6. Stoptussin.

In addition, inhalation can be recognized as an effective tool to help get rid of the remaining manifestations of bronchitis.

To reduce the severity of cough left after bronchitis, the use of antihistamines is recommended, with with which the edema of the mucous membranes is reduced, spasms in the bronchi are eliminated and the elasticity of the muscular tissue. Treatment methods should be aimed at clearing the lungs of mucus and sputum accumulated during the entire illness. But if the residual cough was caused by tuberculosis, blood may appear during expectoration. Therefore, it is not recommended to take an excessive amount of expectorants.

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In order to prevent the appearance of chronic bronchitis and its relapse, it is recommended to take preventive measures. Initially, you need to direct all your efforts to strengthen the immune system, moreover, it will not be unnecessary to regularly temper the body. All the timely taken measures will help to avoid the appearance of the disease and its relapse.

respiratoria.ru

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