Tracheitis in children: symptoms, treatment, causes
Respiratory diseases in children rarely occur in isolation. Usually they combine the damage of several anatomical zones. The inflammation of the trachea is a tracheitis. Most often it accompanies laryngitis, can occur in conjunction with rhinitis, pharyngitis or bronchitis.
Tracheitis in children is quite common, because coughing is one of the most frequent complaints with which parents turn to a pediatrician.
The disease occurs more often in October-April, in the season of respiratory infections. Infectious tracheitis is susceptible to children of all ages. Especially from 6 months to 3 years. The reason for this is weak local immunity and the absence of previous contacts with pathogens.
The causes of tracheitis
Children become ill with tracheitis for several reasons:
In 90% of cases, the trachea becomes inflamed due to a virus attack. Here are the most common pathogens that are capable of adhesion (adhesion) to the mucosa of the trachea:
- respiratory syncytial virus;
- haemophilus influenzae;
Also, the symptomatology of tracheitis can occur with the initial manifestations of such diseases as whooping cough, paracottis, ornithosis.
Various non-infectious stimuli
which are in the air, affect the mucous membrane, causing it to swell and reflex cough.
- inhalation of cigarette smoke (passive smoking);
- living near industrial areas that pollute the air;
- a large concentration of exhaust fumes, accommodation near major highways;
- cool and dry air.
The incidence of tracheitis may increase with reduced local immunity, the presence of chronic lung diseases, allergic diseases.
Symptoms of tracheitis in children
Most often, the inflammation of the trachea in children occurs in an acute form. Chronic for them a rarity.
The acute form occurs after a short period of malaise, the appearance of a cold, and soreness when swallowed. Probably raising the temperature of the body. The clinical manifestations of tracheitis are more dependent on the causative agent of the disease. So when influenza tracheitis signs come to the fore. Disturbs the grimy dry cough, severe intoxication, high fever, aches in the body.
With trachitis caused by parainfluenza, it does not dispense with the symptoms of laryngitis:
- hoarseness of voice,
- barking cough.
Bacterial tracheitis tend to be delayed, may be a consequence of untreated ARVI.
- Initially, cough with tracheitis is dry, unproductive. Sputum is either small, or it is poorly separated. Viral sputum is always light, transparent. Bacterial sputum purulent, yellow or yellow-green. With the flu, it can appear blood veins.
- Children can cough up with attacks, especially if they inhale cold air, laugh, cry, get scared. Coughing lasts at night when the baby lies. In the morning, the accumulated sputum gives him a wet character.
- Older children may complain of a sore throat, a feeling of sadness behind the sternum.
- The temperature at children can keep on a low-grade level (no more than 38 ° С), and to rise to high figures. The children of an early age react sharper and brighter to infection.
Features of tracheitis in children of different ages
- Newborns and children up to 5-6 months are distinguished by the incompleteness of the cough reflex due to the immaturity of some brain structures. Therefore, they have symptoms of coughing absent or can be combined with regurgitation or vomiting. At the same time such crumbs can give high temperature, be listless and whimsical due to intoxication.
- Preschool children cough unproductively. Their musculature is not yet developed enough to fully cough up phlegm. Therefore, they get sick with frequent attacks of dry cough, especially at night.
- In schoolchildren, on the contrary, hypersecretion predominates, so the cough quickly becomes wet, with more sputum.
- Older children - the temperature may not be high, most often subfebrile.
How will the tracheitis be determined?
The diagnosis is made after the clarification of complaints and examination. When listening to the respiratory system, the doctor notes a hard breathing, the appearance of dry wheezes. After a cough they can disappear or change their localization. Changes in blood tests (leukocytosis, increased ESR, shift of formula to the left, predominance of lymphocytes or neutrophils) will tell you about the presence of inflammation, as well as about the viral or bacterial nature disease. X-ray examination is usually not required.
Distinctive features of tracheitis
The fact that the disease is localized in the trachea, will help determine some features of this disease. Since the main sign is cough, differentiate the inflammation of the trachea with laryngitis, pharyngitis, bronchitis, pneumonia.
Difference from laryngitis
The voice with tracheitis is normal, does not vanish, does not wheeze. Cough is dry, but not barking. Gradually turns into a damp one. Laryngitis does not change in auscultation. Maximum hard breathing. But laryngitis can turn into laryngotracheitis.
Difference from pharyngitis
When the throat is inflamed, the child suffers from a sore throat and dry cough. Cough does not turn to wet, if there is no concomitant rhinitis. There is no sputum. Cough can be softened by gargling or lozenges.
Difference from bronchitis
Bronchitis is more severe, with intoxication, dry and wet rales. Cough agonizing, with expectoration. In small children it can be complicated by bronchospasm, which does not happen with tracheitis. At a bronchitis changes on a roentgenogram are observed.
Difference from pneumonia
The classic course of pneumonia is easily distinguishable by a doctor from tracheitis. But there is an asymptomatic pneumonia, with a low temperature, for example, mycoplasmal pneumonia, when it should be differentiated from a protracted cough with tracheitis.
Another acute nonspecific tracheitis, it should be differentiated from:
Cough for a long time does not pass. Coughing attacks are accompanied by a whistling inhalation (reprises) and separation of vitreous sputum in the end. Severe intoxication.
Prolonged dry cough, coughing. The child is pale, losing weight. For a long time, the subfebrile temperature worries.
Cough arises abruptly, after playing with small details. The child is restless, there is a cyanosis of the lips, breathing is difficult, especially inhalation. Possible asphyxiation.
Treatment of tracheitis in children
Treatment of acute viral tracheitis, not complicated by attachment of infection and proceeding classically can be fully cured themselves, referring to the doctor only so that he listened to the child, appointed tests and checked if there was a threat complications.
Urgent to see a doctor is necessary in the following cases:
- The child has heavy breathing, with shortness of breath. He prefers to sit, not lie, so it's easier for him to breathe. This is respiratory failure.
- The high temperature, knocked down by the antipyretic, rises more quickly than after 3 hours. After several such episodes of hyperthermia, a pediatrician is needed.
- During the cough, the child "whistles". This is a sign that the infection has fallen to the level of bronchi, which responded spasm.
- If the child is weak, weak, very unwell.
- If you unsuccessfully treat a tracheitis within 2-3 weeks.
What will the doctor appoint?
Mucolytics, if on the 3-4 day after the onset of the disease cough did not become productive. The child is difficult to cough up phlegm because of its increased viscosity. Assign Fluimitsil, Mukobene, ACTS, Fljuditik, Ambroxol and Bromhexine. Due to the fact that the muscles of the chest in the child are still undeveloped and the baby can not cough up phlegm, and the drugs make it liquid, mucolytics are not recommended for children under 2 years.
are rarely prescribed, only in the first days of the disease, when the cough is severe, debilitating. Children are treated with non-narcotic means Sinekod, Glavent, Libeksin, Bronholitin, Tussin Plus (see Fig. antitussives).
- Covering agents
reduce the reflex challenge of coughing. They create a protective layer on the oropharynx, they are often used in small amounts. These are lollipops and syrups, collections containing extracts of eucalyptus, licorice, wild cherry, white acacia.
mainly vegetable, are used for the fastest evacuation of sputum. Assign them in cases when the cough is rare, unproductive and low-intensive. These are syrups, drops and tablets from coughs with extracts of althaea, anise, elecampane, ipecacuanas, plantain, licorice, thyme. They are sold under the trade names of Gerbion, Linkas, Mukaltin, Dr Mom, Pertussin, Gedelix, Bronchipret (cf. expectorants). However, they are cautiously prescribed to young children due to possible sputum increase, vomiting and potential asphyxia. This refers to the preparations of ipecacuanas. Anise, oregano and licorice have a weak laxative effect. It is better to choose means based on the root of the althaea, anise drops.
Antipyretics for children are shown at a temperature above 38, 5 ° C, children under 3 months, as well as with lung and heart pathology.
To reduce the swelling of the mucous membrane, inflammation, the severity of cough, Erespal, Sirep is prescribed. It is prescribed for prolonged cough in syrup, and after 14 years in tablets.
Some doctors like to prescribe drugs that stimulate interferon production, which affect the immune system. This is Viferon, Cycloferon, Influcid, Oksilokoktsinum. From the point of view of evidence-based medicine, only antiviral drugs against influenza, Tamiflu, Oseltamivir are effective. If the cause of tracheitis is influenza, then they will help. Otherwise, it is a waste of money and risks of developing autoimmune processes in the body.
Antibiotics for tracheitis are prescribed only in the case of its bacterial etiology. When a virus disease, they are not needed. If the child has purulent sputum, you can send it to the planting and find out the sensitivity to antibiotics. Sometimes they are prescribed empirically, based on the clinic of the disease. Prescribe protected amoxicillin (Augmentin, Amoxiclav), cephalosporins (Zinnat, Cefotakim, Ceftriaacon). With chlamydial or mycoplasmal tracheitis macrolides are effective (Macropen, Fromilid, Sumamed).
How to treat a tracheitis in a child at home?
- Provide moist air, plenty of drink. If there is no heat, let calmly play. Care for the baby also includes feeding light foods rich in vitamins. Dairy products are useful.
- Children who are difficult to clear their throat, can be helped by the method of postural massage. The child lies on a pillow or on his knees with an adult stomach. After stroking, the palm in the form of a boat makes tapping from the bottom up, without touching the area of the spine. After the children it becomes easier to cough up phlegm. You can drink an expectorant before the procedure (for 30 minutes).
- In the absence of temperature, you can get your feet in the water (no higher than 45 ° C) or put the mustard on your back.
- You can make a baby inhalation. But this should not be scalding steam, so you can provoke a burn or laryngospasm. Apply herbal pickings with licorice, sage, breast picks. The main thing is to moisten the mucous and withdraw the phlegm.
How long does the tracheitis last for a child?
From the moment of the onset of malaise to the appearance of classical symptoms, 2-3 days pass. On average, the acute course of the disease lasts at least 2 weeks. Another week can last a residual cough.
The child in the clinic is often diagnosed with tracheitis. What could be its causes?
To begin with, we determine that frequent cases of acute respiratory viral infections are more than 6 episodes per year in children under 3 years old, and more than 5 times a year in children after 3 years. Frequent tracheitis may occur due to an increased number of contacts with potential carriers of infection, with a decrease in the immune response due to its immaturity. Also, often sick children should exclude immunodeficiency, anomalies in the development of ENT organs and bronchopulmonary system, cystic fibrosis.
How to treat a tracheitis? Tracheitis in children - treatment. Acute tracheitis - drugs, treatment
Very many people are faced with such a problem as a debilitating dry cough. One of the most common causes of this ailment is tracheitis. It occurs in both children and adults, can be a complication of colds, develops due to the penetration of a bacterial or viral infection into the nasopharynx. This disease is not considered to be complex and dangerous, many patients carry it on their feet. But without treatment, tracheitis can cause serious complications right up to pneumonia. Often the disease turns into a chronic form, as a result, for a long time it torments a person with a debilitating cough. Therefore, it is very important to know how to treat a tracheitis, in addition to using medicines prescribed by a doctor, to apply folk methods of treatment. This will help prevent complications.
Causes of tracheitis
- The most common factors causing the disease are contaminated air; inhalation of smoke, dust, toxic substances, as well as smoking cause inflammation of the trachea and dry cough;
- often the disease develops in people prone to allergies, by inhalation of air polluted by plant pollen, chemicals or dust;
- non-infectious form of tracheitis may occur after a person has breathed very long with very cold or very hot and dry air;
- often the disease appears in people with low immunity after contact with bacteria or viruses;
- Tracheitis may occur as a complication after a flu, adenovirus infection or cold; it can cause pneumococci and staphylococci;
- chronic tracheitis sometimes develops on the basis of emphysema of the lungs, heart disease and kidneys. It can also be caused by chronic diseases of the nasal cavity. Very often the disease appears in people who abuse alcohol and smoking. But in this form most often develops tracheitis in adults. Treatment in this case is very long.
Features of the disease
To understand why there is a cough with tracheitis, you need to know what a trachea is. It is a hollow tube protected by a cartilaginous tissue. It connects the larynx and bronchi - the two main bronchi go from it to the lungs. From the inside, the trachea is lined with a sensitive epithelium. When it receives various stimuli - dust, chemicals or bacteria, inflammation occurs. It can quickly spread to the tissue of the bronchi and lungs. In acute tracheitis, swelling and hyperemia of the mucous membrane is observed, in even more severe cases, even its thinning can develop. The accumulation of mucus in the area of the connection of the trachea with the bronchi and causes a painful cough.
How to recognize the disease
Of course, the diagnosis should be made by a specialist. Only then is it possible to start the correct treatment of the disease in time. But you need to know its signs, in time to go to the doctor. The main symptom of tracheitis is a painful, debilitating cough, especially worse at night and in the morning. A coughing attack can also occur if inhaled cold air, with laughter or even a deep breath. The remaining signs of tracheitis can be confused with the symptoms of other respiratory diseases. This is pain and burning in the chest with a cough, hoarseness of the voice, wheezing. There is also a worsening of the general condition: headache, fever and weakness. Cough with this disease is often dry, but after a few days sputum usually begins to go away.
Varieties of tracheitis
In itself, the disease occurs mainly in adults. There are two of its forms: acute tracheitis and chronic.
In addition, it can be accompanied by inflammation of the larynx, then they talk about laryngotracheitis. If you do not treat the disease, the infection gets into the bronchi. Tracheobronchitis develops, especially it is dangerous for children and the elderly, because inflammation can quickly go to the lungs. Usually, if you start treating acute tracheitis in a timely manner, then it passes within a week. The chronic form of the disease can last for several months, manifested by attacks of cough and poor health. Therefore, it is so important to know how to treat a tracheitis. Especially seriously it is necessary to treat a cough in children, pregnant women and elderly people, as well as those who have much weakened immunity.
What are the rules for tracheitis?
1. To put the correct diagnosis and appoint suitable medicines can only a doctor, so you can not engage in self-medication.
2. It is very important to drink a lot during illness. Particularly useful are warm herbal decoctions, vitamin drinks and compotes, mineral water without gas. The liquid will help a better sputum and quickly cleanse the body of toxins, bacteria and viruses.
3. Both adults and children who are diagnosed with acute tracheitis receive treatment at home. But it is desirable to comply with bed rest. In the room where the patient is lying, you should regularly do a wet cleaning. The room must be ventilated and the air moistened to facilitate breathing and sputum discharge.
4. Most often, people are concerned about acute tracheitis. Treatment of it basically should be directed on elimination of the main symptom of disease - a dry cough. For this, anti-tussive and mucolytic agents are used, expectorants and drugs that dilute sputum. What treatment to choose, can only determine the doctor.
5. Tracheitis in children is especially dangerous. Treatment should be started immediately, as soon as you notice the appearance of dry cough to prevent complications. Even if the child does not have a temperature, you need to show it to the doctor.
The main stages of effective treatment
To get rid of tracheitis, you need to apply a lot of different drugs and methods. Treatment of this disease is always a complex of measures. What do you need to pay attention to for faster recovery?
- Treatment of a cough is to stop attacks at night by prescribing antitussive drugs, and during the day, expectorants and mucolytics are used to cough from dry to wet.
- Antibacterial or antiviral therapy is mandatory if the disease was caused by an infection.
- Prevention of allergic reactions with antihistamines.
- Treatment of tracheitis necessarily includes procedures that restore the mucosa and relieve its inflammation. Most often it is inhalation, but you can do and warm up, compresses and physiotherapy.
- To improve the body's defenses, immunomodulators are treated.
- As an additional means of massage, therapeutic breathing exercises and various folk methods of treatment are used.
Tracheitis in children
Treatment should be started immediately if the child has a dry cough, especially worse at night. In children, inflammation can very quickly penetrate the lungs, pneumonia will develop. The younger the child, the more often the cause of tracheitis is a bacterial or viral infection. Therefore, the disease in children occurs mainly in an acute form and is complicated by a common cold, laryngitis or pharyngitis. But when all the recommendations of the doctor are fulfilled, recovery comes in 1-2 weeks. What features are there in the treatment of tracheitis in a child?
- antitussive drugs children should be given in the form of syrups. Now in this form is produced a lot of drugs;
- it is desirable from the very beginning of the disease to carry out antiviral therapy with such drugs as "Interferon "Viferon" or "Arbidol
- very rarely, but still prescribe antibiotics for tracheitis; for children it is best to use the drug "Sumamed which is available in the form of a suspension;
- it is necessary to stop inflammation in the larynx and trachea; for this purpose inhalations or irrigation are used with special aerosols, for example, "Bioparox
- To improve the child's well-being, one should give him plenty to drink; best of all - warm broths of herbs or fruit drinks from berries;
- in those cases when there is no temperature, the treatment should be supplemented by warming up the trachea and upper parts of the bronchi, rubbing with warming ointments and compresses;
- it is very important to strengthen the immunity of the child, so that the body can better cope with the disease. For this purpose, in addition to immunomodulating drugs, vitamins and phytotherapy are used.
Only if the infant becomes ill, treatment should be carried out under the supervision of a doctor. But most often the parents cope and, following the recommendations of the pediatrician, quickly cure tracheitis in children.
Treatment of chronic disease
In case of late application to the doctor or failure to comply with his recommendations, tracheitis may become chronic. In this case, the treatment is delayed for several months and continues even during periods of remission. Chronic tracheitis is of two kinds, which you need to treat in different ways. If sputum is secreted with pus, then the use of antibacterial drugs is mandatory. Most often antibiotics are appointed from the group of macrolides. The most common drug from tracheitis is the drug Sumamed. It is taken once a day and effectively removes inflammation. Also used are preparations of the cephalosporin group: "Cephalexin" or "Cefazolin". In more mild cases, antibiotics are prescribed from the penicillin series: "Flemoxin "Ampicillin "Amoxicilin" and others. Antibacterial drugs in the form of aerosols are also effective: Bioparox or Chlorilipid.
Inhalations in tracheitis in chronic form should also have a disinfecting effect. For example, you can mix the onion juice and garlic with a 5% solution of novocaine. And expectorants are taken continuously until they are fully recovered. Another feature of chronic tracheitis is the more active use of folk methods of treatment. To prevent complications and to strengthen immunity, some drugs are few.
Drug treatment of tracheitis
1. Preparations for getting rid of a painful cough: Codeine, Libexin, Glaucin, Sinekod or Stoptusin.
2. Expectorants: Gedelix, Lazolvan, Ambrobene, ATSTS, licorice root syrup, althea, thermopsis herbs.
3. Preparations for inhalation and irrigation of the nasopharyngeal cavity: Bioparox, Berodual, Yoks, Ingalipt or Chlorilipid.
3. Antiviral drugs: Remantadine, Interferon, Arbidol or Tamiflu.
4. Antibiotics are prescribed for infectious disease. Most often these are "Sumamed "Ampicilin" or "Cephalexin".
5. To maintain immunity, you need to take multivitamins, in addition vitamins C and A, preparations of echinacea and ginseng.
Phytotherapy with tracheitis
A few decades ago many women knew how to treat this disease with herbs.
Used for this plant with expectorant, anti-inflammatory and restorative properties. The most common phytopreparations, which have been recognized by the official medicine for the treatment of tracheitis are licorice, marshmallow, thermopsis, thyme and plantain. An expectorant and anti-inflammatory effect is possessed by mother-and-stepmother, pine buds, elder flowers, horsetail, peppermint, linseed, chamomile, sage, oregano, nettle and marigold. Effective for getting rid of cough juices of black radish, cranberries, viburnum and carrots. Different herbs are used both in the form of independent broths, and in gatherings.
How to do inhalations
The main method of treatment for any form of tracheitis is inhalation for many years. In recent decades, they have become more diverse: special devices and new drugs have appeared for the procedure. But still only the inhalation of warm medical formulations can effectively fight with inflammation in tracheitis.
Inhalations help to get rid of cough and improve the general condition of the patient. They need to be done for 5-10 minutes several times a day. To those who have been diagnosed with acute tracheitis, inhalation treatment will help to recover faster. This procedure has no special side effects and contraindications. It is not recommended to do it at a temperature. People prone to allergies should choose non-allergenic compounds.
How to treat tracheitis with inhalation?
- The easiest way, known to our grandmothers, is the inhalation of steam over a saucepan with hot herbs of broth, boiled potatoes or other medicinal compounds. To make the procedure more effective, you need to cover your head with a large towel. The distance from the pan should be 20-30 centimeters.
- You can make inhalation more directional. To do this, fold a cone out of a large sheet of cardboard, cover the dish with a hot medication, cover it in a mouth and inhale steam.
- It is easiest to do the procedure with the help of industrial inhalers. Use them simply - fill the composition for inhalation and inhale it from a special tube. In this case, even cold medicines can be used, because inhalers are electronic or ultrasonic. One of the modern varieties of such a device is called a nebulizer. It effectively removes inflammation in the respiratory tract and coughs.
- For the youngest children, you can inhale this way: heat the pan in a saucepan to a boil, add healing essential oils to it. In the room, close the windows and doors tightly and breathe with the baby fumes from the pan.
- Patients with tracheitis also benefit from mini-inhalations when they breathe the aromas of medicinal essential oils. To do this, you can use the aroma lamp or drop the product onto a wet cloth and hang it on the battery.
What formulations are used for inhalation
- Most often, medicinal plants with anti-inflammatory and antibacterial properties are used for this: eucalyptus, juniper, fir, pine, sage and chamomile.
- Good cures inflammation and cough propolis. It is necessary to mix it in half with beeswax and put 100 grams of the mixture into an aluminum container. If you put it in a pot of boiling water and inhale propolis fumes, it quickly alleviates the condition of the patient.
- In chronic tracheitis with purulent sputum, inhalations with onion and garlic juice are good. The juice should be mixed with novocaine or saline in a proportion of 1 to 3 and pour into the inhaler.
- There are also special medicines for inhalers, for example, "Berodual" or "Lazolvan".
- For steam inhalations with the help of essential oils of fir, anise, eucalyptus or pine, a spoonful of soda and a few drops of iodine are added to the water.
- Effective inhalation with a 2% solution of sodium hydrogen carbonate.
- With a dry cough alkaline inhalation is well helped: dilute in hot water a teaspoon of soda and salt. This formulation can be used for industrial inhalers or inhaled steam over a pan.
- In the treatment of tracheitis in children, it is very good to use inhalations with a solution of lime honey and calcium chloride.
- Well, the most common means for inhalation is boiled potatoes.
Traditional methods of tracheitis treatment
In addition to herbal and inhalation broths, folk medicine offers many more effective treatments.
1. Gorchichniki on the area of the chest and trachea, in addition to warming, also have a distracting effect. Mustard can also be poured into socks or make a foot bath with it.
2. Traditional medicine knows how to cure a tracheitis if it has passed into a chronic form. It is very important in this case to drink a lot to remove toxins. It is recommended for this tea with raspberries and honey, mors from the viburnum or cowberry, carrot juice or warm milk.
3. Compresses are one way to cure acute tracheitis. They must be used when there is no temperature. For heating, use oily formulations, a mixture of camphor alcohol and honey or hot boiled potatoes.
There are many ways of how to treat a tracheitis. But it is best not to admit the disease. To do this, you need to strengthen immunity, eat right and harden your body. Try to avoid contact with viruses, inhalation of dust or chemicals, do not smoke and humidify the air indoors in winter.
Tracheitis in a child
Inflammation of the mucous membrane, one of the important parts of the airway - the trachea, is called tracheitis.
The inflammatory process can provoke a banal hypothermia, but most often the tracheitis in a child develops against a background of a viral infection (influenza), measles or whooping cough, as the child organism is extremely vulnerable and susceptible to all kinds of viruses and infections.ICD-10 code J04.1 Acute tracheitis
Causes of tracheitis in a child
Acute tracheitis in children develops as a result of the aggressive action of the virus or bacterial infection on the epithelium of the tracheal mucosa. Most often in pediatric clinical practice, there is an inflammation of the trachea caused by the influenza virus or pneumococci, less often staphylococci. Acute tracheitis in children can also trigger the following reasons:
- Insufficient humidity in the room where the child is constantly.
- The air is too cold for the child to breathe for a long time.
- Severe hypothermia.
- Allergic reaction.
- Some types of cardiac pathologies.
- The general unfavorable surroundings of the child are smoking parents, poor ecology and so on.
Chronic tracheitis in children often develops on the background of undiagnosed and untreated respiratory infection, or when acute tracheitis is combined with an inflammatory process in the bronchi (tracheobronchitis). Also, chronic tracheitis in children can be triggered by the following factors:
- Patient teeth in which a bacterial infection develops;
- a chronic focus of bacterial infection in the nasopharynx;
- chronic tonsillitis;
- constant stay of the child in a room with smoking adults (passive smoking).
Allergic tracheitis can be triggered by an allergic reaction. Most often, the factor that activates the allergic tracheitis in children is the aggressive response of the immune system to household antigens, pet hair. Much less often the cause of allergic tracheitis may be food allergens or drug allergy.
Inflammation of the trachea in an infant may be associated with many factors, but the main cause is the vulnerability of unformed mucosal epithelium and a viral infection. Much less often tracheitis in an infant is associated with dry air in a room, that is, with insufficient humidity.
Just like tracheitis, laryngitis is an inflammatory process, only one that flows in the larynx. The causes that provoke tracheitis and laryngitis are almost identical:
- Dry or smoky air in the room where the child is constantly.
- Acute respiratory infection.
- Physiological irritation of the ligaments, and then the mucous membrane of the larynx and trachea due to overexertion of the voice. In adults, these are typical diseases of teachers, actors or lecturers. In children, the cause can be a long cry, crying.
Inflammation extends to the epithelial mucosa of the epiglottis, then the larynx, the oral cavity and ligaments become inflamed. Also, tracheitis and laryngitis in children can develop against a background of a chronic infectious process in the nasopharynx or in the oral cavity. Inflammation of the tonsils, adenoids, chronic sinusitis and even bad teeth are a potential source of constant infection of the mucous membranes of the larynx and trachea.
Symptoms of tracheitis in a child
Signs of tracheitis in children are manifested by pronounced manifestations, which can not be overlooked. First of all, it is a dry, debilitating cough. Cough attacks are most active at night, when the child takes a horizontal position and relaxes. Cough thrusts can be so frequent that sometimes cause vomiting. The child does not get enough sleep, becomes listless, irritable. During the day, cough is a little less frequent, it is more like a cough. Unlike adults, children respond to tracheitis with fever. Hyperthermia can reach high levels, up to 39 degrees, which in combination with a constant cough presents a real threat to babies, especially infants. Signs of tracheitis in children, as a rule, immediately alert guarded parents and encourage them to see a doctor. If you do not start timely treatment, tracheitis can develop into tracheobronchitis and even bronchopneumonia.
The main specific symptom of tracheitis is a persistent dry and frequent cough. Cough is most often manifested at night, less often in the daytime. Other tracheitis symptoms in children may be:
- Subfebrile body temperature in the chronic form of tracheitis.
- High body temperature (up to 38-39 degrees) with an acute form of the disease.
- General weakness of the body until exhaustion.
- Rapid breathing, respiratory failure.
- Stridor - noises when breathing.
- With coughing attacks, typical intercostal retractions are observed - tightening of the ribs.
- The soundness of the voice until its loss (dysphonia).
- Decrease the voice of the voice.
- Reflex desire to vomit.
- Decreased appetite.
- Complaints about burning sensations in the vaginal space.
Symptoms of tracheitis in children, as well as adults, are quite specific, they are difficult to confuse with the signs of another disease. In addition, when listening to a doctor, he never discovers noises or other changes in the lungs, with the exception of tracheobronchitis, when dry rales can be heard in the bronchi.
Cough in tracheitis in a child
Cough is a reflex protective mechanism of the body, which starts with the slightest irritation of the receptors of the larynx or trachea. Cough with tracheitis in a child is a peculiar way to remove phlegm from the tracheal branches. Characteristic features of coughing with tracheitis are frequency (sometimes up to 20 cough thrusts in a row), dryness - without sputum excretion, pain in the vaginal space. Quite often, the inflammatory process in the trachea extends to the bronchi, the throat also becomes inflamed, so the cough with tracheitis in the child can be strong enough, stubborn. A typical cough, characteristic of tracheitis, is night attacks, sometimes so long that in a literal sense, neither the child nor the parents are allowed to sleep. Since sputum production is difficult, dry cough can cause a vomitive reflex. To provoke a cough with tracheitis in a child can a simple sigh, a throwing over of the head, laughter or even crying.
Acute tracheitis in children is manifested by a strong edema of the mucous epithelium of the trachea, which leads to increase in temperature, secretion of viscous secretory fluid and almost immediately - to a characteristic dry cough. Cough with tracheitis is a leading clinical sign, most often it is activated at night or early in the morning.
The acute form of tracheitis is often combined with catarrhal laryngitis - inflammation of the larynx, as well as with rhinitis.
Symptoms of chronic tracheitis are less intense than in the acute form of the disease, but a typical symptom is a dry cough. Coughing of the child looks like a constant cough, which becomes more intense with time, the voice can change (low timbre, hoarseness). If treatment does not begin, cough develops into night attacks, into obsessive cough series, which most often manifest at night. Chronic tracheitis in children is almost always accompanied by severe symptoms, so it is impossible to notice it. Attentive parents at the first alarming signs, similar to the manifestations of tracheitis, you need to immediately show the child to the doctor.
Allergic tracheitis in children is manifested by pronounced edema and hyperemia of the mucous epithelium of the trachea, sensation of itching, and perspiration in the throat. Just like with other types of tracheitis, the main symptom is a characteristic dry, persistent cough. Coughing a child can provoke a simple sigh, a sob at crying, laughter. In contrast to other species, allergic tracheitis in children manifests itself in both night and daytime chronic cough. The child's condition gradually worsens, subfebrile temperature, general weakness appears, since breathing has a superficial, frequent character: with tracheitis, the child does up to 25 respiratory movements per minute at a rate of 14-17. Constantly accumulating sputum is not allocated, but only provokes another bout of coughing.
A feature of tracheitis in an infant is the fact that the baby is not able to complain about his own bad condition, the main a criterion in the success of the treatment of neonatal tracheitis is the attentive attitude of parents and the timely diagnosis disease. Any attacks of a night cough in a baby should alert the mother. Tracheitis in a nursing baby manifests itself in the form of rapid breathing, except for coughing, the sign of the disease can be the husky voice of a baby when he cries. If the mucus accumulates in the tracheal branches, the child tries to "cough up" it, but due to the undeveloped cough reflex, sputum may return again to the baby's body. To trachyte can also join the inflammatory process in the bronchi, which only complicates the child's condition. The main danger of tracheitis in newborns is the risk of inadequate breathing until asphyxia.
Symptoms of tracheitis in young children under one year are almost identical to those of adults. There is only one difference - tracheitis in children up to a year is, as a rule, much heavier and more often in acute form. In addition, a small child is not yet able to complain and specify his condition, he becomes irritable, capricious. The main symptom of tracheitis in toddlers is a characteristic night cough, which manifests itself in seizures accompanied by a delay in breathing. Cough is frequent, shallow, prolonged, sputum, usually not. Cough-like attacks can be so long that they cause vomiting. Quite often, tracheitis in children up to a year is provoked by a viral infection, so the inflammation of the trachea is combined with a common cold and laryngitis. The baby's throat becomes inflamed, maybe a fairly high temperature.
Tracheitis and laryngitis in children in combination with each other are often accompanied by a fairly high body temperature, sometimes reaching 39 degrees. The child loses his appetite, weakens, his breathing becomes superficial and rapid. Respiratory failure manifests itself in the pallor of the skin, bluish tinge of the lips. Sometimes such a pathological "union" of laryngitis and tracheitis is considered the basis for hospitalization of the baby.
Where does it hurt?Pain in the chest in children Pain in the chest in children
What's bothering you?Cough
Types of tracheitis may be:
- Acute - with severe symptoms in the form of a characteristic cough, most often acute tracheitis is accompanied by laryngitis, rhinitis and pharyngitis. Quite often an acute form of the disease is combined with an inflammatory process in the bronchi (tracheobronchitis).
- Chronic - develops from an acute form, rarely is a primary disease. Chronic tracheitis in a child also has subspecies:
- Hypertrophic form - dilated vessels of the tracheal branch.
- Atrophic form - thinning of the mucosa of the upper respiratory tract.
What it is necessary to survey?Trachea
How to inspect?Examination of bronchi and trachea Examination of respiratory (lung) organs X-ray
What tests are needed?Sputum examination
Who to contact?Pulmonologist Pediatrician Family doctor General practitioner
Treatment of tracheitis in a child
Treatment of tracheitis in children is usually performed without the use of antibiotics, if the disease is not associated with a bacterial infection. Since tracheitis significantly depletes many of the body's functions, treatment should be as comprehensive as possible, and at the same time be sparing. Timely diagnosed acute tracheitis is treated much faster than chronic, which is more difficult to treat.
Treatment of tracheitis in a child goes through the following stages:
- Eliminates the factor, the cause provoking the inflammatory process in the mucous tracheal membrane - respiratory disease, a virus, a bacterial infection, an allergy and so on.
- Symptomatic symptoms are suppressed: antipyretic agents are used at high temperature, expectorants are used to activate sputum production. Warm wraps, grindings, mustard plasters (in the absence of temperature) are shown.
- Effective inhalation, physiotherapy procedures.
- Measures are being taken to strengthen immunity.
Treatment of tracheitis in a child can be quite lengthy, in which case the doctor makes a plan for therapeutic interventions that parents must rigorously perform. This is especially true for tracheitis in newborn babies.
In the room where the sick child is, a certain humidity of the air must be observed, daily cleaning is carried out. It is also necessary to exclude all irritating factors - smoke, including cigarette, the use of all sorts of chemicals and flavors. The sick child needs to be paid much more attention in the sense that any voice tension - crying, talking can aggravate the irritation of the mucous trachea, so the baby should be constantly distracted, calm down.
Treatment of tracheitis in a child presupposes the use of phyto-drugs, which can successfully replace medical therapy. Decoctions of herb-coltsfoot, chamomile, linden, licorice root are extremely effective, if from cooked according to the recommended recipe.
What can be done at home?
- If the child is more than two years old, it is possible to put mustard plasters on the area between the shoulder blades or the sternum. A yellow card must not be used, if the baby has a fever, the procedure should also be warming, and not burning, so mustard plasters are applied to cotton or linen cloth, and not head body.
- You can apply warming wraps, compresses with hot boiled potatoes or grinding. Rubbing is especially effective for infants. The procedure is best carried out half an hour before bedtime.
- A child should drink a lot. Better, if it will be broths of herbs, for example, chamomile or marigold. Cranberry juice or broth of wild rose will strengthen immunity and help to bring out intoxication quickly from the child's body.
Drugs for tracheitis for children
Drugs from tracheitis for children are, as a rule, all kinds of syrups and herbal tea. Antibiotics and antiviral drugs pediatricians try to appoint extremely cautiously, especially when it comes to very young infants.
Also effective are tableted forms of expectorants, it can be Ambrohexal or Lazolvan, which is prescribed as mucolytics even to newborn children. All sorts of breast elixirs, herbal expectorants and teas are also a wonderful medicine for tracheitis for children. In addition, antipyretic agents based on paracetamol may be prescribed as symptomatic therapy. If the tracheitis is viral, antiviral drugs are prescribed. Immunal, Anaferon help not only with the flu, but also as a cure for tracheitis in children. As mucolytic syrups prescribed drugs - "Doctor Mom Flavamed, Gedelix, children over three years of age facilitates cough Bromhexin, ACTS.
Antibiotics for tracheitis for children
Antibiotics for tracheitis for children, as a rule, are not appointed. An exception can be with a combination of tracheitis with bronchitis or in case the disease has a bacterial cause. If the tracheitis is caused by a bacterial infection, a topical antibiotic can be prescribed - Bioparox, which is administered by inhalation through the mouth, less often through the nose. Bioparox can not be administered to children under three years of age, in addition, the drug has some other contraindications. Also, antibiotics for tracheitis in children can be prescribed in case of a protracted nature of the disease, when chronic tonsillitis worsens, or the disease is accompanied by otitis, sinusitis. The drug of choice can be the latest generation antibiotic Azithromycin, which can be used even for infants in the form of a suspension. Like many other macrolides, Azithromycin has a broad spectrum of action and is applied once a day.
Inhalation in tracheitis in children
The most effective way to relieve the cough symptom is by inhalation. Inhalations in tracheitis in children should be applied no earlier than the second, and preferably the third day after the stratum of the disease. For inhalation, decoctions or syrups of licorice root, breastmilk drugstores are suitable. It is best to use inhalation with a phyto-product containing essential volatile oils, including eucalyptus, sage, mint and all conifers. Of course, many children actively resist this procedure, so inhalation with tracheitis in children can be carried out in such ways:
- An infant can be bathed in water with a decoction of ether-containing herbs. In warm water the healing esters start to evaporate and involuntarily your baby will inhale these vapors. You can also put a container of decoction on the fire, close the windows and doors in the room and stay with the baby next to the gradually evaporating liquid. Another option is to put a saucepan with hot broth near the baby's crib, so that the air is saturated with healing couples.
- An older child can prepare a hot broth from these herbs in a small container and ask to breathe over the steam for a few minutes.
- Children over the age of three are quite capable of breathing over a conventional steam or ultrasonic inhaler.
Inhalations in tracheitis in children should not exceed 5-10 minutes, nor do they replace other methods of treatment prescribed by the attending physician.
How to cure a tracheitis in a child?
How to cure a tracheitis in a child, if the symptoms do not disappear and the disease acquires a protracted, chronic form? The fact is that many parents, taking a great interest in self-medication, give the baby uncontrolled expectorants bought at the pharmacy, sometimes completely ineffective in treating tracheitis. The first thing that needs to be done, if signs of the disease are seen, is to turn to the pediatrician to exclude other, more serious diseases - bronchitis, pneumonia or whooping cough.
In addition to the question of how to cure a tracheitis in a child, only the attending physician can really respond, who will write out the antitussive syrup or other medicine appropriate to the symptomatology.
In addition to treatmentTreatment of tracheitis Antibiotics for tracheitis: when they can not be dispensed with and when they are not needed? Than to treat? Thyme grass
The child is 2.5 years old. Cough as a tube, but expectorant. Prompt than to treat?
Milk with butter and honey
"In the tube" is already bronchitis. On reception and to treat up to the extremity or end.
to cook figs on milk. And give it a drink. I did my own way. helps
Badger fat, honey-and-butter compresses 1/1
Go to the doctor, it is probably time to drink antibiotics.
Brew for the night milk with sage (sold at the pharmacy). For 1 glass of milk, one tablespoon of sage grass. Boil, drain. Strain the filtered milk once more. Cool slightly and give a child a drink before bedtime.
There is a good cough medicine - Ascoril. My sister is a doctor and my son is as old as yours.
Certainly to descend or go to the doctor. and plus folk methods. You can make a hot cake (well warmed up): boil and crush potatoes in a uniform, add 1 spoonful. honey, 1 bottle of vodka and dried mustard. Mix, put on cloth and on the baby's chest. You can also lay a cabbage leaf with honey. Leave the sheet a little in boiling water., Grease with honey and lay down. Better for the night. You can use a diaper.
Simple cough syrup (dry in bags) Pine buds brew and give on a tablespoon 3 times a day
jar of pertucine 1 lemon 3 leaves of aloe 2 h. l. honey. with a lemon cut off one zhopk boil 10 minutes and squeeze juice + pertusin + honey + aloe on a teaspoon 3 times. you can give more worse will not be a day it is not harmful cheaply and efficiently. You can give more worse will not
Cough with tracheitis
Acute and chronic tracheitisTracheitis is an infectious inflammation of the trachea. The disease is accompanied by bouts of dry or wet cough, as well as painful sensations behind the sternum before and after. By the nature of the flow, the tracheitis is acute and chronic. The acute form appears suddenly and lasts up to two weeks. At the stage of transition to the chronic form, you can observe periods of exacerbation, alternating with remission. The result of chronic tracheitis is a morphological change in the mucous membrane of the trachea, which can be of an atrophic or hypertrophic nature.
Cough is a symptom of tracheitis
The main symptom of the disease is a dry and nasal cough. At the initial stage, it is dry. Then mucous sputum begins to be released. Gradually its consistency becomes more liquid. If the disease is bacterial or viral, sputum becomes purulent. A patient with chronic tracheitis has a persistent cough that intensifies at night or in the morning.
Coughing attacks with tracheitis
The attack can appear after laughter, crying, inhaling or screaming. Also provoking factors are smoking, cold or hot air, taking drinks that irritate the mucous membrane. Painful sensations behind the sternum and in the area between the shoulder blades result in the release of a small amount of sputum. Gradually its consistency becomes more liquid.
Dry cough with tracheitis
More often with tracheitis, there is a dry cough. Excruciating attacks cause a person to do as little as possible to take deep breaths. In addition, they further irritate the mucous membrane and the airways, and this can lead to rapid coughing and even rupture of the mucosa. Until the mucus is formed and cough does not pass into the moist, sick person, discomfort and pain sensation is excruciating. As a rule, after three or four days the cough becomes wet and sputum begins to pass away. If the tracheitis is accompanied by an inflammatory process of the bronchi region, then the disease and the condition of dry coughing is prolonged.
Tracheitis: wet cough
Dry cough is replaced by a wet cough in the first stage of the tracheitis. By this time, separation of the viscous secretion begins, and your condition is somewhat improved. Along with phlegm, the organism is also abandoned by pathogenic viruses and bacteria. If the body can not independently evacuate the contents, then expectorant medications are prescribed.
Treatment of cough with tracheitis
Methods and methods of treatment of tracheitis are aimed, first of all, at eliminating the causes of the disease. Used as medication, as well as recipes for traditional medicine.
Folk remedy for coughing with tracheitis
One of the best treatments is mustard. They are put on the chest and held for about twenty minutes. Watch for possible allergic reactions and avoid burns. Foot baths with mustard are also very effective. After the procedure, put on warm socks and go to bed. Use compresses. Take mustard, honey, flour, olive oil in equal proportions and add one hundred milliliters of water and a half tablespoons of vodka. Mix the ingredients and wrap them in a cloth. Apply to the site of inflammation, polyethylene on top and heat cover. You can leave the compress for a couple of hours or all night.
Cough for tracheitis than to treat?
When treating a cough during a tracheitis, you need to remember two basic rules. It is necessary to drink as much as possible and regularly ventilate the room. In combination with proper treatment, the patient's condition in this case will soon improve.
Cough syrup with tracheitis
In the treatment of tracheitis, doctors most often prescribe the use of syrups, which will contribute to the sputum discharge. These drugs include Gedelix, Doctor Mom, Sinekod. These drugs not only eliminate cough, but also affect inflammation. A sinecode can be taken even with diabetes, because it does not contain sugar. Often appoint syrups, which include codeine. For example, Kodelak. It also contains the root of thermopsis and licorice. The therapist may prescribe treatment with a combination drug, such as Ascoril. It exerts an expectorant, mucolytic and bronchodilator effect.
Tablets for coughing with tracheitis
With a strong cough in the form of tablets, Liebesin, Codeine, is prescribed. If the tracheitis is caused by a viral infection, then take the Remantadine scheme. Its greatest effect is in the first days of the disease. In bacterial nature, antibiotics can be prescribed. For example, Amoxiclav.
Cough in tracheitis in children
The cause of tracheitis in children can be childhood infectious diseases - measles, whooping cough or viral or bacterial infections. Also, the disease can be caused by unfavorable climatic conditions or various forms of allergy. The child has a dry cough with a small amount of sputum. You hear a low-tone cough, as if the baby is coughing into the tube. At first it can be a slight cough. After a while, attacks become frequent and more intrusive.
It is necessary to treat a child after consulting a doctor. At home, give him more warm drink. It can be herbal infusions, tea with lemon, fruit drinks, juices. It is good for inhalation. You can use five to ten drops of iodine per liter of water or anise or menthol oil for half a teaspoon to the same volume. Use antitussives: Libexin, Pertussin, Stoptussin, licorice syrup. You are treated with mustard plasters, hot wrapping or rubbing with lard, as well as compresses with vinegar or camphor alcohol. Chronic tracheitis during the exacerbation is treated with physiotherapeutic procedures: electrophoresis, ultrasonic inhalations, inductothermia. An important condition is strengthening the immune system of the child's body. The correct regime of the day is needed, balanced nutrition, physical activity, and tempering measures.
Residual cough after tracheitis
Residual cough after tracheitis can remain even after the disappearance of other symptoms of the disease: weakness, fatigue, temperature. This is observed in every second patient. The cause may be weakened immunity or individual characteristics of your body. When a virus hits, it actively begins to multiply on the mucous membranes of the trachea and bronchi. Special treatment for residual cough does not require, but it takes some time to recover.
At the child of 6 months a dry cough, as from a pipe, than it or he can be treated?
Do not self-medicate such a small child. Address to the local pediatrician.
meromystin can. but rather let the doctor decide
most likely laryngitis, drank lazolvan, bromgeksin, erespal (nepomagalo)
then doctors at the clinic prescribed drugs for a fabulous amount, and we went to the pharmacy and bought a pertussin and licorice root (syrups) helped us. were ill in 2.4 g.
in any case, consult a doctor
first of all you need to call a doctor!
in the second you need to soften the cough - it's a plentiful drink and moist air!!! humidity is sooo important!
Linkas. but it is better to call a doctor at home. suddenly there is not just a cough
Call the doctor not to experiment
First you need to find out what kind of disease this cough is. because with different infections, different medications are used. Like and tussis identical-and diagnoses can be different.
so do not engage in self-medication. especially such a crumb. let the doctor diagnose.
At us here too tussis was, I did not cause the doctor, we drink a radish with honey, like any more does not cough! we are 9 months old!
With a doctor consult, let him listen well. we dry cough medicine helped - the doctor prescribed. Get well!