Increased temperature in ARVI
Why does the temperature increase for ARVI? This question is of interest to many patients. To understand how to normalize body temperature and treat ARI, it is necessary to understand what is ARVI.ARVI is an acute respiratory viral infection, which most often affects people in the cold season.The occurrence of this disease is associated with cold air, which adversely affects the respiratory tract. You can cure a person if you turn to doctors in time. Most often acute respiratory diseases are observed in people who work in the cold air or walk very often, while not closing the airway with a scarf or other things.
ARVI - viral diseases with the same symptoms and causes (cough and runny nose). The diseases of the ARVI group have many symptoms.
Symptoms of diseases from the group of ARVI
Runny nose occurs as a result of inflammation of the mucous membrane. Any kind of cold is necessary to be treated on time, as this can lead to more complex situations. Runny nose with a running form becomes stronger. If in the beginning the unpleasant mucous fluid simply flows, then thick mucous lumps are formed.
Another side effect of mucosal inflammation is throat disease. It is accompanied by a cough and painful sensations when swallowing both liquid and solid food. Cough is of two kinds: dry and wet. The first strongly irritates the throat, and the second because of the clots of the mucus inhibits inhalation. You can not assume that you are cured of the disease, until these first symptoms disappear. There is a feeling of slight weakness and fatigue, cold, nausea, head dizzy.
The temperature in ARVI is one of the main symptoms, and it depends on the type of illness.
If you get a cold, the temperature will last only a few days. If it is angina and similar diseases, the temperature lasts about two weeks, sometimes more. Still, how much this state will hold depends on the degree of severity and neglect of the disease. Accordingly, the more the disease is launched, the harder it will be to tolerate and the temperature will last longer. Sometimes with the disease there is no temperature, there is a lowered temperature, a weakness.Sometimes, when the disease is neglected, the temperature at 40 ° C can hold for about two weeks with periodic changes in the positive direction. A person survives only because the body has adapted to such a temperature. If it ranges from 38 to 39 ° C, the patient can even feel normal. Despite such adaptation, after recovery, side effects may occur due to prolonged period of high temperature, namely, sulfur plugs, stuffy nose, which even the strong ones do not help medicines.
When a person falls ill with any form of ARVI, the immune system is under strong tension, accordingly, it must be maintained with vitamins, sometimes with antibiotics. Otherwise, you can run a viral infection. Lymph nodes may be inflamed, most often on the neck, but this can happen if, standing in the cold air, chill your neck. With this inflammation, other symptoms do not always manifest, unless the temperature can rise to 3 ° C.
SARS can affect both the child and the adult, it is impossible to insure against this, even if you regularly exercise, temper, take vitamins.The incubation period for all diseases of the ORVI group lasts up to 7 days, and the minimum period is 1-2 days. There are 3 groups of patients. Each has characteristic signs of transferring the diseases of this group. In addition to these groups, there are others, but identified the following, because they have their own specificity:
- Young children. They have a particularly serious illness, because any cold can turn into a serious illness accompanied by high fever. Cough and runny nose are also hard to tolerate. When a wet cough begins, the children are the hardest: they start to fear. In most cases, even children who know how to speak begin to fear all symptoms.
- Pregnant women. All diseases of the mother are transmitted to the fetus, and this is very dangerous, since the disease affects the fetus. Antibiotics, too, can not be taken, because they bring no less harm. In this case it's easier to watch yourself, at the first signs of illness take a double dose of vitamin C, you can not start a disease, it can seriously hurt the child. A child can be born sick or even die.
- Elderly people (people with disabilities and people with poor health). In this group of people very weak immunity, so you need to carefully monitor yourself, strengthen your health. It is better to take a course of different vitamins and minerals, move more than constantly lie and hope to heal anesthetics.
Possible complications of ARVI
These include the following phenomena:- Reinforced form of colds. In particular, this is due to the neglect of the disease. Ordinary diseases can develop into bronchitis, pneumonia. These complications lead to the need for urgent hospitalization of a person for one or more weeks.
- The cold gets worse. If you do not cleanse the nose periodically, it can lead to inflammation of the brain. Also, this leads to walking without a hat in winter.
- Complication of the disease with other infections. In this case, prescribe a course of antibiotics, and then - restoring funds after antibiotics.
- Chronic diseases can worsen: asthma, polyarthritis and others.
Prevention of diseases of the ARVI group
Follow the recommendations:
- it is necessary to do periodic wet cleaning;
- do not overcool;
- Do not sit in a draft;
- wearing a headpiece;
- in the cold season, do not forget about the scarf.
From all of the above, we can conclude: it is better to prevent the disease than to treat it later.
respiratoria.ru
Can there be 39 temperature in ARVI? This is not the flu?? And then the doctor says about ARVI ...
Answers:
ZmeiuKa
Onset of the disease:
ARVI (in prosthetics - simple) - more often smooth
FLU is always acute
Body temperature:
ARVI - above 38 ° С rises rarely,
FLU - 39 ° C and above reaches 2-3 hours, holds 3-4 days
Intoxication of the body:
SARS - weak, general condition is satisfactory
FLU - chills, sweat, severe headache (in temples and eyes), fear of light, dizziness, aches. All this manifests itself sharply and grows rapidly.
Cough, chest discomfort:
ARVI - dry, jerky, moderately pronounced, appears immediately
FLU - painful, with pain, appears on the 2nd day
Runny nose and nasal congestion:
ARVI - often the main symptom
FLU - appear not immediately, not as pronounced
Throat (redness and pain):
ARVI - one of the main symptoms
INFLUENZA - in the first days of illness is not always manifested
Eye redness:
ARVI - if a bacterial infection joins
FLU is a common symptom
Secret
of course, can
the virus
Uncle Misha
doctors not to spoil the statistics is prohibited in the period of epidemics diagnoses influenza
Anna Mikhailova
can. now the epidemic is
Allegoriya
Influenza is a viral infection.
ARVI is an acute respiratory viral infection.
What exactly - will show only the tests. What do you see the discrepancy?
Ksenia Goba
without a doubt, we always have such an experience
Lyuda Kochetkova
The doctor may be mistaken. Most likely, it is a virus, a flu. And to bring down the temperature, you need to rub the body with alcohol, take paracetamol ...
Mom)
Well, if the doctor says ...
Sweet girl
influenza is part of the group of acute respiratory-viral diseases, so in essence it is one and the same. All these diseases are characterized by a sharp increase in body temperature to 38-40 degrees
Elena Machulina
Maybe even sore throat, look at the neck, tongue. GET WELL!!!
Churikov
The diagnosis of the flu is made after the analysis of swabs from the nasopharynx and a blood test, if they did not find the flu virus, it means ARVI.
Anastasia and Andrey Vasiliev
Of course it can.
Anna Smirnova
not the temperature of the Orvi or the flu, but the tests. but in cases of influenza and influenza, bed rest is very important, because a heavy workload on the heart goes.
Ksenia Alexandrova
Of course, if there is such a temperature, everyone has an individual characteristic of the organism. At me usually day 38 keeps, then couple of days 37 and all... almost healthy. And the husband can get sick on his feet, how much I abuse, that it is necessary to lie back, but to no avail. Already an article showed him http://www.kp.ru/daily/26590/3605679/ and according to the doctor's advice antigrippin from naturproduct to him I buy, so that the heart load is reduced, it helps, but all the same every time I worry about him.
SARS in children
Acute respiratory viral infections of ARVI in children occur in about 75% of all childhood diseases. Infections of the upper respiratory tract (acute respiratory infection (ARI), acute respiratory diseases (ARI), ARVI) - group acute infectious and inflammatory diseases of the upper respiratory tract of different localization, etiology and symptoms.
ARVI - the most common infection on the globe. It is impossible to take full account of the true morbidity. Almost every person several times (from 4-8 to 15 times or more) in the year transfers ARVI mainly in the form of light and subclinical forms. Especially often ARVI are observed in young children. Children of the first months of life are seldom ill, because they are in relative isolation and many of them retain passive immunity received from the mother transplacentally in the form of IgG for 6-10 months. However, children of the first months of life can also be sick with ARI, especially if they are in close contact with patients. The reasons for this may be unstrained transplacental immunity or its complete absence, prematurity, primary forms of immunodeficiency, etc.
ICD-10 code J00-J06 Acute respiratory infections of the upper respiratory tractEpidemiology of ARVI
According to statistics, a child can get sick from 1 to 8 times a year. This is due to the fact that the immunity produced in a child's body against a single virus is powerless before another infection. And the viruses that cause ARVI, hundreds. These are influenza viruses, parainfluenza, adenoviruses, enteroviruses and other microorganisms. And since parents often have to deal with ARVI, they should know as much as possible about this disease, about the mechanisms of its development and methods of combating viral infection in childhood.
The greatest incidence falls on children from 2 to 5 years of life, which is usually due to their visit to children's institutions, a significant increase in the number of contacts. A child who visits a kindergarten during the first year can get sick with ARI up to 10-15 times, in the second year 5-7 times, in subsequent years 3-5 times a year. The decrease in the incidence is due to the acquisition of specific immunity as a result of the acute respiratory viral infection.
Such a high incidence of SARS in childhood makes this problem one of the most urgent in pediatrics. Repeated diseases significantly affect the development of the child. They lead to a weakening of the body's defenses, contribute to the formation of chronic foci of infection, cause allergization, prevent preventive vaccinations, burden premorbid background and delay physical and psychomotor development children. In many cases, frequent ARVI are pathogenetically associated with asthmatic bronchitis, bronchial asthma, chronic pyelonephritis, polyarthritis, chronic diseases of the nasopharynx and many others diseases.
Causes of ARVI in children
Factors contributing to the emergence of SARS, pursue the child everywhere. To such reasons it is possible to carry:
- hypothermia, drafts, wet shoes;
- communication with other children, patients with ARI;
- a sharp change of weather, off-season (autumn-winter, winter-spring);
- lowering of the body's defenses;
- hypovitaminosis, anemia, weakened organism;
- reduced physical activity of the child, inactivity;
- improper hardening of the body.
All these factors are factors that weaken the body and contribute to the unhindered spread of the virus.
The causes of frequent ARVI in children - is the high sensitivity of the child's organism at any age, including the newborn baby. At the child frequent ORVI begin from the moment of receipt in a day nursery, a kindergarten or school. Diseases can be repeated by turns. This happens because the immune defense after a viral infection is produced from one type of virus. Penetration into the body of a new virus provokes a new disease, even if a short amount of time has passed after the previous one.
How long does it last for a child?
How long can a baby be infectious and how long does it last for a child?
As a rule, the more time passed from the moment of appearance of the first symptoms, the less likely that the child is infectious. That time interval when the diseased is capable to infect others, usually begins from occurrence of the first symptoms of disease or simultaneously with them. In some cases, the baby may still look "healthy but the disease process can already be started. It depends on many factors, including the resistance of children's immunity.
The initial moment of the incubation period (when the virus has already entered the children's body, but the disease has not yet manifested itself "in all its glory") is the moment of communication with an already infectious patient. Such a moment can be contact with a sick child in a kindergarten, or accidentally caught "sneeze" in a trolleybus. The final stage of the incubation period is completed with the appearance of the first signs of the disease (when complaints appear).
Laboratory tests can already indicate the presence of the virus in the body already during the incubation period.
The incubation period of ARVI in children can last from several hours to 2 weeks. This applies to pathogens such as rhinovirus, influenza virus, parainfluenza, paracoloss, adenovirus, reovirus, as well as a respiratory syncytial virus.
The period during which the child is contagious can begin 1-2 days before the first signs of the disease appear.
How long does it last for a child? If counted from the moment of appearance of the first symptoms, the period of the disease can last up to 10 days (on average - a week). In this case, depending on the type of virus, the child can continue to be contagious for another 3 weeks after recovery (disappearance of symptoms).
Symptoms of ARVI in children
Whichever type of virus is caused by ARVI, with the classical form of the disease, there are some common symptoms:
- "General infectious" syndrome (the child is shivering, can disturb the pain in the muscles, in the head, there is weakness, the temperature rises, the submandibular lymph nodes increase);
- defeat of the respiratory system (nasal congestion, runny nose, sore throat, cough dry or with sputum);
- damage to the mucous membranes (rubbing and redness in the eye area, lacrimation, conjunctivitis).
The first signs of acute respiratory viral infection in a child are often characterized by a sudden onset with a clearly marked "general infection" syndrome. With parainfluenza or adenovirus, the first signs are the defeat of the respiratory system (throat, nasopharynx), as well as the reddening and itching of the conjunctiva of the eye.
Of course, it would be easier for both parents and doctors if the ARVI period in children has always been classic. However, the children's organism is a very complex system, and its response to the penetration of a particular virus can not be predicted by one hundred percent. Each organism is individual, so the course of ARVI can be erased, asymptomatic, atypical or even extremely severe.
Since it is unlikely that the parents will be able to guess and predict the course of the disease, it is necessary to know about the conditions under which one will have to consult a doctor in the most urgent way.
Symptoms of acute respiratory viral infection in children requiring urgent medical attention:
- Temperature indicators have exceeded 38 ° C and little or no response to antipyretic drugs.
- The child is disturbed by consciousness, he is confused, indifferent, can faint.
- The child complains of a severe headache, as well as the inability to turn the neck or make an inclination anteriorly.
- On the skin appear vascular sprouts, rashes.
- There is pain in the chest, the child starts to choke, it is hard for him to breathe.
- There is a multicolored sputum (green, brown or pink).
- Appear edema on the body.
- Cramps appear.
Do not self-medicate, especially if it's about your child. Pay attention also to other organs and systems of the baby, so as not to miss the beginning inflammation.
Temperature in children with ARVI
Children are sensitive enough to an increase in body temperature: an excessively high temperature contributes to the occurrence of seizures in the child. Because of this, do not allow a temperature increase of more than 38-3 ° C.
The temperature should not be brought down to 38 ° C, as it is not necessary to interfere with the body to perform its work - to fight the penetration of the virus. This can provoke the appearance of complications. What you need to do:
- do not panic;
- monitor the state of the child - usually after 3-4 days the temperature should stabilize.
Prolonged ARI in a child with a non-decreasing temperature may indicate the attachment of a bacterial infection. It also happens that when the temperature after the virus infection dropped, the kid seemed to be on the mend, but after a few days he got worse again, and a fever appeared. In such a situation, do not hesitate to call a doctor.
In the classical course of acute respiratory viral infection, the temperature can not last more than 2-3 days, maximum - five days. During this time, the body must overcome the virus, having developed its own antibodies to it. It is important: do not specifically knock down the temperature to normal, you can only lower it, so that the body continues to fight with the infection.
Cough with ARVI in children
Cough for ARVI in children is a fairly common symptom. Usually it is present against a background of fever, a cold and other signs of the disease. With the onset of the disease, a dry cough (without sputum) is observed. Such a cough doctors call unproductive: it is hard to tolerate by the child, can disturb the calm of his sleep, negatively affect the appetite.
In the classical course of acute respiratory viral infection, after 3-4 days the cough passes into the productive stage - sputum appears. But it should be borne in mind that not all babies can cough it out. For this reason, the child needs help: regular chest massage, light gymnastics, and when a coughing fit the baby should be given a vertical position.
Typically, cough with viral infections lasts up to 15-20 days, but if it lasts more than three weeks, you can suspect a chronic cough. In such cases, it is necessary to have a competent consultation of a children's pulmonologist and an allergist, as well as the appointment of a complex therapy.
Vomiting in a child with ARVI
Vomiting in a child with ARVI can occur simultaneously with the appearance of high fever and cough. With difficulty, the departing sputum, dense and viscous, irritates the respiratory system and provokes a fits of painful coughing in the child. The gag reflex works as a result of the transition of the excitatory signal from the cough centers to the vomiting centers. In some cases, vomiting can occur due to the accumulation of a large number of mucous secretions in the nasopharyngeal cavity, but in this case, vomiting appears without coughing. Most often, vomiting on the background of a cough is not abundant, the child does not seem to be relieved.
It is important to distinguish when vomiting is associated with the simultaneous excitation of cough and vomiting reflex, and when vomiting can be a sign of poisoning or a disease of the gastrointestinal tract. Therefore, it is necessary to show the child to the doctor, otherwise it can provoke the appearance of unwanted and sometimes severe complications.
Rashes in children with ARVI
If there was a rash in the ARVI in a child - this is a direct reason to call a doctor. It is possible to list several variants of the causes of the appearance of rashes during the illness:
- intolerance to any of the medications taken by the baby;
- an allergic reaction to food that parents usually give the sick child (raspberries, oranges, lemons, garlic, ginger, etc.);
- high temperature, which contributes to increased vascular permeability - in such cases, the rash resembles a different hemorrhage on the skin.
There are also more serious causes of the rash. For example, this is the joining of meningococcal infection: such a rash is usually accompanied by hyperthermia and vomiting. In any of the options, if a rash is found on the child's body, all measures should be taken to deliver the baby to the infectious department as soon as possible. You can simply call an "ambulance" and describe the symptoms of the disease. To delay in this case it is impossible.
The abdomen is sick at an ORVI at the child
Quite often, parents are faced with a situation when the abdomen is sick during ARVI in a child. The pains are most often coelike and localized in the zone of the projection of the large intestine. Doctors can explain this symptom by the combined reaction of the lymphatic system of the intestine and appendix. For the same reason, ARVI can be complicated by an attack of acute appendicitis. In this situation, the most competent act of parents can be a doctor's call to the house, and if the pain in the abdominal area increases, then it will be necessary to call for an emergency.
A large amount of acute respiratory viral infection, accompanied by abdominal pain, can also be accompanied by diarrhea. Diarrhea in ARVI in a child is caused by cramping spasms in the intestine - the reaction of the child's body to the disease. However, most often diarrhea and abdominal pain provoke drugs that the child is forced to take. For example, if a baby is prescribed antibiotics or antiviral drugs, then it can gradually lead to a violation intestinal microflora, or manifest as a reaction of the hypersensitivity of the digestive system to certain types medicines. In any case, a doctor's consultation is mandatory.
Conjunctivitis in children with ARVI
Unfortunately, conjunctivitis in ARVI in a child occurs in almost all cases of the disease, especially when attacking adenovirus infection. Signs of conjunctivitis become noticeable immediately. Initially, a viral infection that provoked ARVI affects one eye, but after one or two days another eye is affected. Both eyes of the child blush, itch, there is a feeling of "sand" in the eyes. The kid squints, rubs his eyelids, constantly cries. Eyes can be covered with crusts, and in the corners can collect light discharge.
Such conjunctivitis gradually passes and independently, as the child recovers from ARVI. However, to alleviate the condition of the baby and eliminate itching and discharge from the eyes faster can help special children's medicines - an antiviral ophthalmic ointment or drops that can be easily purchased in pharmacies.
However, in some cases, conjunctivitis can be the result of an allergic reaction in the child. In this state, the baby not only has lachrymation and reddening of the eyes, but swollen lower eyelids. It is characteristic that allergies affect both eyes simultaneously. If this happens, urgent medical consultation is needed, identification and elimination of contact with a potential allergen, prescription of antihistamine eye drops and medications.
Features of ARVI in children
Children at different ages may respond differently to the appearance of signs of ARVI.
- SARS in an infant may manifest symptoms such as a child's anxiety, poor sleep, loss of appetite; frustration of defecation, excessive tearfulness and capriciousness. Such changes in the behavior of the infant should cause suspicion in the mother, since the baby can not explain his state of health with words.
- SARS in a month-old baby can flow with difficulty nasal breathing, as the baby can not breathe with his mouth. How to suspect that the child has a stuffy nose? The baby becomes restless when sucking, often refuses to eat and repels the breast or bottle. In such cases, it is necessary to clear the nasal passages.
- SARS in a 2-month-old baby can characteristically manifest as shortness of breath with a prolonged wheezing - this symptom is often called an asthmatic syndrome. At the same time, symptoms of intoxication are expressed: grayness or cyanosis of the skin, lethargy, apathy, fever.
- ARVI in a 3 month old child often occurs with a defeat of the respiratory system, which can be complicated by unskilled help with bronchitis or pneumonia. Therefore, it is very important to pay attention to the difficulty of swallowing and nasal breathing of the child, to regularly measure the temperature. Breastfeeding during this period is extremely undesirable, as the mother's milk in this case will be the best medicine for the baby.
- SARS in a 4 month old child is accompanied by a lesion of the mucous membrane of the nasopharynx and bronchi, which manifests itself as a runny nose and cough. You can see an increase in submandibular or parotid lymph nodes, spleen. Often develops conjunctivitis, keratoconjunctivitis, which is expressed in the redness of the eyes and continuous lachrymation.
- ARVI in children up to a year can be complicated by croup - a condition when the larynx becomes inflamed and swollen, namely, the zone that is directly under the vocal cords. This condition is explained by the fact that in small children this zone contains a large amount of loose fiber, which easily swells. At the same time, the guttural lumen is not large enough. Croup often develops at night, so parents should pay attention to suddenly beginning "barking" cough, heavy breathing, attacks of suffocation, anxiety, cyanosis of lips child. If such signs are observed, it is necessary to urgently call an ambulance.
- ORVI at the child 6 month - the period when the kid has already entered or introduces the prikorm. Often at a six-year-old age, a viral infection is accompanied, in addition to the defeat of the respiratory system, by the involvement of the digestive system in the process. This can manifest as signs of acute gastritis or enteritis: there are pains in the abdomen, upset of the stool.
- SARS in a child 1 year can be repeated from 1 to 8 times a year, depending on the immunity. Starting from this age, it is very important to start hardening procedures and strengthen the immune system of the baby so that his body can withstand numerous viruses and bacteria. It is especially important to protect the baby in the autumn-winter and winter-spring period.
- SARS in a child 2 years is more often accompanied by laryngitis (inflammation of the larynx), tracheitis (inflammation of the trachea - respiratory tube), or a combination of these diseases. Signs of such defeat - a hoarse voice, dry compulsive cough. Of course, a 2-year-old kid can not yet communicate his complaints coherently. Therefore, parents should closely monitor the condition of the child. If there is difficulty breathing, the intercostal spaces are blurred, the wings of the nose inflated, an "ambulance" should be urgently called.
- SARS in a child of 3 years usually begins in a rise in temperature towards evening. There is a pain in the head, the baby feels apathetic, tired, listless. Most often the disease appears in the season of epidemics, so the diagnosis is easy. The severity of the condition determines the child's well-being.
If you notice any uncharacteristic or suspicious symptoms in the child - be sure to call an "ambulance". Do not be afraid once again to disturb the doctor: the main thing is the health of your baby.
Repeated ARVI in a child
Repeated ARVI in a child is not uncommon, since children are usually very susceptible to a viral infection. Babies are prone to infection with the virus from the first weeks of life, but in the first three months they are not ill as often as in older age. The tendency to the disease is especially pronounced at the age of six months to 3 years, then the susceptibility decreases somewhat, although this may depend on the individual immunity of the organism.
Why there are repeated ARVI? The fact is that immunity has specificity in relation to certain types and even types of viral infection. Such immunity does not differ in resistance and duration. And in combination with a large number of varieties of the virus creates a large percentage of the probability of repeated diseases.
ARVI in a child can occur as a single case, or as a result of a mass epidemic, which often happens in a children's team. That is why the child's morbidity rises, as a rule, with the beginning of visiting a kindergarten or other pre-school or school institutions.
Where does it hurt?
Chest painWhat's bothering you?
Cough Shortness of breathComplications of ARVI in children
According to statistics, at least 15% of all diseases of ARVI in childhood leave behind complications for other organs and systems of the body. For this reason, do not forget that in children, acute respiratory infections can occur with an elevated temperature of not more than five days. A longer rise in temperature above 38 ° C may indicate the occurrence of complications or the addition of another disease. Sometimes the temperature seems to go down, but after 1-3 days it rises again: there are symptoms of intoxication, such as tearfulness, pallor, lethargy, increased sweating. The child refuses to eat and drink, becomes indifferent to what is happening. What can be complications of ARVI in children?
- Cough after ARI in a child in some cases can mean the transition of the disease to bronchitis or even pneumonia - the viral infection progresses gradually down the respiratory tract. First, there may be a clinical picture of laryngitis (dry cough, hoarse voice), then tracheitis (painful cough, vocal functions are restored), and subsequently bronchitis. The main sign of bronchitis is cough. At first it is dry and coarse, phlegm gradually begins to form and cough. The difficulty of breathing is added, the temperature rises again, sweating, fatigue. If the child has frequent and heavy breathing (sometimes the baby seems to "grumble"), then bronchiolitis or pneumonia can be suspected. Consultation of a doctor is mandatory.
- The rash in a child after ARVI can be a consequence of several reasons. For example, it can be the attachment of diseases such as rubella, measles, herpes (baby roseola), enterovirus infection, scarlet fever, etc. Or maybe an allergic reaction to drugs, for example, antibiotics. The exact cause of the rash should be determined by the doctor.
- Arthritis after SARS in children can appear after a long illness. Such arthritis is called "reactive". Symptoms of reactive arthritis may appear several days or even weeks after recovery. Usually there is pain in the joint (usually in the morning). It can be a hip joint, knee, ankle, etc. The child hardly gets out of bed, when walking limps, complains of severe pain. Diagnosis of the disease and begin treatment can child rheumatologist, based on the examination and the results of some tests.
Also complications of SARS can be sinusitis (inflammation in the paranasal sinuses) or otitis media. To suspect such diseases it is possible on a constant stuffiness of a nose against a background of a headache, or on shooting pain in an ear along with depression of hearing and feeling zalozhennosti.
Diagnosis of acute respiratory viral infections in children
The main task of the tests conducted for the diagnosis of acute respiratory viral infection in children is the determination of the type of pathogen. Depending on this, a further treatment regimen will be prescribed.
The most common tests for children with ARVI are a general blood test, a general urine test, and immunological tests to detect antibodies to a viral infection.
What indicators usually indicate ARVI?
General blood analysis:
- erythrocytes - the norm or increase due to a deficiency of fluid in the body;
- hematocrit - the norm or increase (with fever);
- leukocytes - the lower limit of normal or lower, indicating a viral etiology of the disease;
- the leukocyte formula is the prevalence of lymphocytes, a slight increase in monocytes;
- eosinophils - a decrease in the number or complete disappearance;
- neutrophils - decrease in quantity;
- ESR in children with acute respiratory viral infection is increased, but for viral infection this indicator is not specific.
General urine analysis:
- changes are not specific, sometimes - a small amount of protein in the urine, which passes after recovery;
- possible, but not at all necessary - a small microhematuria.
In rare cases, ketone bodies can be found in the blood or urine - acetone and acetoacetic acid - chemical complexes, which are formed in the liver when digested in the digestive tract food. Acetone in ARVI in children can appear in different concentrations, and since this substance is initially toxic, its presence in large quantities can cause symptoms of poisoning in the child (in particular, vomiting, as well as the smell of acetone from the mouth or from urinary excretions). Definition and treatment of acetone in blood or urine should be handled exclusively by a medical specialist.
Immunology is an analysis of immunoglobulins M (already released at the initial stages of the disease). This analysis is taken twice - with the first symptoms of acute respiratory viral infection and a week later. Such a study allows you to accurately identify the pathogen. Nevertheless, the immunological method is not always used, but only with a severe and protracted course of the disease.
What it is necessary to survey?
Bronchi Trachea LarynxHow to inspect?
X-ray of lungs Examination of respiratory (lung) organs BronchoscopyWhat tests are needed?
Sputum examinationWho to contact?
Infectionist PediatricianTreatment of ARVI in children
Children with a mild and moderate form of SARS can be treated at home. Hospitalized only in the following cases:
- with a severe form of the disease, or in the presence of complications (inflammation of the lungs, croup, etc.);
- at the age of a child under 1 year, or from 1 to 3 years;
- at unsatisfactory epidemiological and material conditions.
The standard of ARVI treatment in children provides, first of all, the removal of intoxication of the body. To do this, use a lot of warm drinking, complex multivitamins, and in more severe cases - in / in the introduction of glucose and blood substitutes. At high temperature, antipyretic drugs may be used in the form of tablets or rectal suppositories, and in severe cases, as intramuscular injections.
During the period of fever the child is shown bed rest. In the absence of complications, antibiotics and sulfonamide preparations are usually not used, but in In some cases, they are still prescribed to young children, since the recognition of a complication in an infant very difficult.
The protocol for the treatment of acute respiratory viral infections in children with complications includes the appointment of bronchodilators (for pneumonia or bronchitis). Antibiotics are used with caution, taking into account the allergic inclinations of the child. When stenosis of the larynx they use sedative drugs, antispasmodics, in severe cases, inject hydrocortisone.
Modern treatment of ARVI in children implies the appointment of drugs aimed at eliminating the main symptoms of the disease. What are these drugs:
- antitussives in the form of syrups, chewing or ordinary tablets;
- Warming creams or balms based on natural ingredients, which are rubbed into the skin of the chest;
- other warming procedures (mustard or compresses) according to indications;
- vitamin preparations to strengthen the immune forces.
More details about the drugs in ARVI, we'll talk below.
Drugs for the treatment of acute respiratory infections in children
All anti-virus products are divided into 4 categories:
- homeopathic antiviral agents;
- especially antiviral medications;
- interferons and interferon stimulants;
- means, stimulating immunity.
Let's consider separately all these categories.
- Homeopathy in ARVI in children. Most often, Viburkol suppositories, Ocilococcinum and Aflubin are prescribed from this category of medicines, EDAS-103 (903) or Gripp-Heel funds are slightly less common. Homeopathic specialists say that the listed homeopathic remedies stimulate the protective function and this is often true, although the pharmacodynamics of these drugs studied. As a rule, homeopathic remedies have an effect already at the first methods of the preparation.
- Specific antiviral agents. In pediatrics, antiviral drugs like Arbidol, Rimantadine, Ribavirin and Tamiflu are more often used (in some cases also Acyclovir, according to the indications). These drugs inhibit the entry of the virus into cellular structures, block the reproduction of the virus, but they have a different spectrum of activity and are not intended for all children's age groups.
- Interferon drugs and their stimulants are probably the most popular group of antiviral drugs. For example, Viferon in ARVI in children suppresses the development of the virus and destroys it in 1-3 days. Interferons are able to rid the body of a viral infection, both during the incubation period, and from any period of the disease. In addition to injection of interferons, the most interesting are suppositories of Viferon, suppositories of Kipferon and nasal droplets of Grippferon. Perhaps the only contraindication to the use of these agents may be an allergic tendency organism of the baby to the ingredients of medicines, especially to the components of candles - cocoa butter or confectionery fat. By the way, medications that activate the production of interferons (Amiksin, Neovir, Cycloferon) It is recommended to use only for prophylaxis, but not for ARVI treatment, because of the slow action of such preparations.
- Immunostimulating drugs - Isoprenosin, Riboxin, Immunal, Imudon, Metuluracil, Bronchomunal, IRS-19, Ribomunil and others. One of the most popular listed medications, isoprinosine in ARVI in children is used more as a prophylaxis, however, like other immunostimulants. The reason is that the effectiveness of the action of immunostimulants is observed only after 14-20 days from the beginning of immunostimulating treatment. Also, these drugs can be used to restore the body after recovery.
As you know, antibiotics for ARVI in children with a classical course of the disease are not prescribed, since they have nothing to do with a viral infection. Antibiotic therapy is used only in case of complications, or if they are suspected: most often prescribe drugs-derivatives of ampicillin.
Nutrition for children with ARVI
Nutrition for ARVI in children is about the same as with a common cold. The main condition - the baby should be offered food only if there is an appetite. Do not feed the child by force.
You can not also give your child harmful products: chips, soda. It shows an abundant warm drink and easily digestible food, rich in vitamins, for example, vegetables, fruits, berry purees and jellies.
Young children are advised to offer apple compote without sugar, decoctions of dried fruits. In the absence of allergies to berries, you can prepare morsels or berry jelly, or simply give warm mineral water without gas.
As a drink for children from 3-4 years to make compotes, you can use apricots, cherry plum, pears (if there is no allergy). You can offer a weak green tea - it contains antioxidants, which help remove toxins from the body.
It is desirable to avoid broths and infusions from strawberries, currants - such berries are more allergens. Replace them with bananas, grapes or kiwi.
Diet for ARVI in children should contain easily digestible and healthy food:
- products for cooking dishes should preferably be mashed and mashed, the food should be light and soft;
- in the period of illness, try to avoid buying baby food, it is better to cook yourself from fresh porridge products, puree, mashed soups;
- at the stage of recovery it is important to enrich the diet with proteins, so use white meat, minced meat or boiled egg white as food additives;
- children from 3-4 years can be offered lean fish, such as pike perch, cod, etc .;
- do not forget about sour-milk products - they will support the balance of microflora in the intestines. Suitable fresh yogurt, natural yogurt, low-fat cottage cheese, acidophilic mixture. To such products, you can add a spoonful of honey (in the absence of allergies);
- As the child recovers, return to normal nutrition, but do it gradually so as not to burden the body.
Be reasonable in choosing food for your child in ARVI: food should be nutritious, vitaminized, varied, but you should not overeat and use harmful foods.
In addition to treatment
Antibiotics for ARVI Than to treat? Ibunorm baby PakseladinPrevention of ARVI in children
Prevention of acute respiratory infections in children is mainly aimed at increasing the resistance and strengthening the immunity of the child's body. What measures have a preventive focus:
- tempering (outdoor games, reception of air baths, cool showers, walking on grass without shoes, night rest in a cool room, swimming in pools and open water);
- stabilization of digestive processes (consumption of vegetables and fruits, adherence to diet and drinking, support of intestinal microflora);
- regulation of stool, normalization of nutrition;
- ensuring a full sleep (rest not on a filled stomach, ventilated air in the room, enough sleep).
Preventive measures should be carried out systematically, without forcing the child, and explaining to him the need for a procedure for maintaining health.
If necessary and a poor state of immunity, you sometimes have to resort to the use of drugs that stimulate immune defense.
Preparations for the prevention of acute respiratory infections in children
Immunomodulating, anti-inflammatory and adaptogenic ability has a special multivitamin complex Vetoron. It is prescribed internally from the age of 5 to 3-4 drops, and from 7 years - 5-7 drops per day, or in capsules from 6 years of age from 5 to 80 mg once a day.
It is recommended to take ascorbic acid, retinol and B vitamins in a dose according to age. The best proportion of the abovementioned vitamins is presented in the preparations "Undevit "Complevit "Hexavit". Dragee take from 2 to 3 times a day for a month. In the autumn-winter period it is useful to give the baby a rose hip syrup in an amount of 1 h. l. per day.
Recently, drugs-adaptogenes, which stimulate the body to resist infection, are very popular. We bring to your attention the schemes of taking the most popular drugs of this category:
- Immunal - intake inside 1 to 3 years - 5-10 cap., From 7 years - 10-15 cap. three times a day;
- Drops of Dr. Tays - inside with a one-year age of 10-20 cap. three times a day;
- Drops Hexal - inside by 6 drops from 12 years of age twice a day;
- Tincture of aralia - from 1 to 2 cap. / Year of life, once a day for half an hour before meals, for 14-20 days.
As an emergency preventive measures, it is possible to take medicines based on medicinal plants (color chamomile, sage, calendula, colanchoe, garlic or onion), or local immunocorrective agents (Immu- don, IRS-19).
ARVI in children are prone to relapse, so you need to find your prescription for prevention, which will allow you to forget about the disease for many years.
ilive.com.ua
How much does the temperature of ARVI stay with the child?
All diseases that have a viral etiology are accompanied by a rise in temperature. And this is quite natural, because in this way the body tries to overcome the penetrated foreign agents. Other question, how much the temperature at ORVI at the child keeps? This is important to know, so as not to confuse the typical defensive reaction of the body with the symptoms of a more serious disease that began due to the attachment of a bacterial infection.How many days does the temperature last for children?
Coryza, red sore throat, cough and temperature - a characteristic clinical picture in ARVI. As a rule, the fight against viruses in a child's body takes from 2 to a maximum of 5 days. But, it is possible only with a competent approach and adequate treatment. Very often moms try to bring down the temperature just barely exceeded the norm, thereby rendering the baby "a disservice". In fact, such a policy is fundamentally wrong, because a rise in temperature is a natural protective reaction of the body. At high temperature leukocytes become active and they begin to attack pathogenic viruses. Of course, the temperature, which has exceeded the 38-39 degree mark, while continuing to rise rapidly, it is necessary to shoot down. Wait for high rates do not stand in children prone to the appearance of seizures, as well as at night.
With a favorable outcome for 3-4 days, the temperature will begin to decrease independently and the baby will recover.
That's why, when answering the question how many days the temperature lasts during ARVI in children, doctors recommend waiting at least 3 days before proceeding to more serious therapy. By the way, during this period it is important to support the crumb with antiviral drugs, and also provide him with an abundant drink.
Can the temperature during ARVI stay at the child 5-7 days?
The insidiousness of this disease is that in ARVI it is easy to miss the moment when a virus infection is joined by a bacterial infection, and the disease becomes more complex. Bacterial bronchitis and even pneumonia are possible complications of a viral disease. As a rule, if the accession of the infection still took place, the temperature lasts much longer, and the patient's condition deteriorates sharply. In such cases, you need to help the body cope with the disease through more serious therapy, which should appoint a pediatrician. Most often, these diseases are treated with antibiotics and other concomitant medications.WomanAdvice.ru
SARS without temperature
Most of us are used to associate infectious diseases with fever. Indeed, high temperatures (above 37 ° C) indicate that the body is fighting viruses and bacterial infection. Medical experts even advise not to take the pill from the temperature, if the indices do not exceed 38 ° C. However, why sometimes there are cases of acute respiratory infections without temperature? Is this normal, or is something wrong with the body?
Causes
We all know that the normal temperature should be 3, ° C. Sometimes fluctuations from 36 to 37 ° C are allowed, in view of the particular organism.
The flow of acute respiratory viral infection without temperature in most cases indicates a weakening of the immune system, the depletion of the body's internal reserves and a strong decrease in resistance to infection. Often, low rates indicate problems with the protective system, about moral or physical overload.
The lowering of the functions of immunity is often associated with a current infectious disease. For example, if a viral or other microbial infection alternates one after another, then the organism does not have time to recover, being weakened by the previous pathology. A sharp surge of a new disease can become an unbearable strain on the immune system, which affects the weak response from the thermoregulation apparatus.
In a smaller number of cases, normal temperatures for a viral infection can be triggered by hypothalamic dysfunction, which is often observed with severe intoxication of the body. The bottom line is that one of the functions of the hypothalamus is the control over the processes of thermoregulation in the body. And, as you know, the hypothalamus (the department of the intermediate brain, responsible for the constancy of the internal environment of the body) is very sensitive to the effects of toxic substances. During intoxication (an integral part of SARS), a temporary malfunction may occur in the hypothalamus, which affects the improper operation of the thermoregulatory system.
Symptoms
Symptoms of acute respiratory viral infection without temperature are not specific, therefore it is very difficult to determine the patient's normal parameters without using a thermometer.
With the standard course, the signs of the disease are unchanged, except for a rise in temperature:
- soreness in the throat, swelling of the nasopharynx;
- rhinitis, obstructed nasal breathing, mucous discharge from the nose;
- sneezing;
- dry cough, gradually turning into wet;
- pain in the muscles, a feeling of aches all over the body.
Most acute respiratory viral infections begin with sore throat, mucous discharge from the nose, a feeling of malaise. Since the temperature values are unchanged, or even underestimated, there may be strong weakness, apathy, the patient is constantly tending to sleep, irritability may appear.
If the normal temperature gradually turns into hypothermia (lowering t °), then it is necessary to consult a doctor.
Cough with SARS without fever
First, we will understand why there is a cough in ARVI - they serve as a protective reaction of our body. With the help of a cough reflex, the airways try to get rid of the discharge (sputum), and also reduce the irritation of the respiratory organs from the products of the vital activity of viruses and bacteria.
If coughing with ARVI occurs without a temperature, then most patients continue in this state to go to work or to study. This situation is unacceptable, because the sick person is the source of a viral infection, and the disease itself can be complicated, for example, by bacterial pathology.
In the case when cough not only does not pass, but also intensifies, this may be a sign of the spread of the inflammatory process to the lower parts of the respiratory system. If the temperature in this case does not increase further, then this indicates serious problems with immunity. The body does not fight, and the patient's condition worsens - of course, this is not good. It is necessary to consult a specialist, because the disease can be complicated by bronchitis, pneumonia. In addition, the acute process can develop into chronic, chronic pharyngolaringitis or bronchitis.
Therefore, if the patient coughs, then you should consult a doctor, regardless of whether he has a fever, or not. It is much easier to prevent complications than to try to cure them later.
SARS in a child without fever
In early childhood (up to 3 years), an acute respiratory viral infection in a child without fever can often occur. Experts cause this situation not fully formed thermoregulatory apparatus, as well as not fully developed neural mechanisms (connections). But, even if the temperature values are normal, and the baby has other symptoms of ARVI, then it is still necessary to take the child to the doctor.
Among other things, the child can develop cough against the background of ARVI, which is explained by the high vulnerability of the mucous tissues of the children's respiratory system. If the rest of the child feels well, and in the process of breathing does not cause any wheezing, then there is no special cause for concern. However, the doctor's prescriptions still need to be followed.
A kid with signs of ARVI, but without a fever, should be at home, do not attend pre-school and school facilities, if only because there is a potential danger of the transition of the infectious-inflammatory process from the acute form to chronic. At an early age, all inflammatory diseases tend to spread throughout the body. For this reason, the baby, even without temperature, should be shown to the pediatrician.
What can lead to an acute respiratory viral infection with normal temperature for a child is hard to say, since it directly depends on the state of its immune system.
SARS without fever during pregnancy
In pregnancy, women's immunity is weakened and depressed. This happens not only because of hormonal adjustment. Another reason for the weakness of the immune defense is that special conditions are created in the body, so that the synthesized antibodies are not so strong as to attack the unborn child as a foreign body. This is a very delicate and thoughtful course of nature. The body of a pregnant woman should be set up only for the maintenance of pregnancy, despite the fact that during this period it is weakened to the effects of viral and other infections.
Undoubtedly, ARVI during pregnancy is not uncommon, as well as colds, runny nose, etc. And in such situations the future mother should be especially attentive to her body.
If an infectious disease occurs without a rise in temperature, then this is no reason to ignore the symptoms from the point of view of "nothing terrible, it will pass by itself". Absence of temperature does not mean that there is no inflammatory process in the body. Moreover, often inadequate response of the thermoregulation system to the penetration of a viral infection can to say that the immune system of a woman is so weak that she simply can not "turn on" the rise temperature. And if the future mother continues during the illness to do ordinary things, go to work and travel to public transport, the risk of secondary infection and the development of complications increases in times.
Do not allow negative consequences: contact the doctor, he will write out the treatment and will necessarily issue a certificate of temporary incapacity for work.
Who to contact?
Pulmonologist General practitioner Family doctorDiagnostics
Of course, diagnosing an acute respiratory viral infection without a temperature is a bit more complicated than with a classic course of the disease. After all, elevated temperature values are one of the symptoms of a viral disease. In this case, other signs of ARVI come to the rescue:
- Assessment of the epidemiological situation in the community, in the family, at work or school;
- the order of occurrence of symptoms of a viral infection;
- characteristics of cough, sputum and mucous discharge from the nose.
With an accurate determination of the type of pathogen it is possible only with the help of laboratory tests that detect viral antigens. In this case, an immunofluorescence reaction or detection of antibodies to viruses is used.
To clarify the diagnosis in rare cases, serological reactions are used in paired sera, which are withdrawn at the initial stage of the disease and in the process of recovery.
Treatment of acute respiratory infections without temperature
As we said earlier, the lack of temperature in ARVI often tells us about weak immune defense. For this reason, the first thing to do is to take care of the support of immunity, that is, to provide the body with rest, to protect from stress and additional stress, to provide full sleep and nutrition.
With weakness of the body and other symptoms of SARS, it is recommended to conduct warming procedures. Suitable warm drink, hot foot baths, a warm blanket, woolen socks, a warmer to the feet. These treatments can be used alone, or combined together. Dress warmly enough, avoid drafts, but do not forget to ventilate the room.
In order to maintain and strengthen immunity, it is recommended to take adaptogenic drugs: tinctures of ginseng, echinacea, eleutherococcus, magnolia vine, etc. The use of such drugs can be carried out for one to two months in a row.
Also, for a full-fledged work of immune protection, it is important to supply the body with all vitamins and microelements. A balanced nutritional diet, an additional intake of multivitamin funds will be able to fill the lack of all the substances necessary for normal life of the organism.
Medicines for acute respiratory virus infections with normal temperature are prescribed as symptomatic treatment. Not later than on the second day after the onset of the disease, antiviral drugs are taken:
- adamantane series (remantadine);
- drugs-inhibitors of neuraminidase (tamiflu, relenza);
- interferon inducers (cycloferon).
With a cold, vasoconstrictive nasal drops or sprays (naphthyzine, NOC spray) are used.
When coughing - mucolytic (expectorant) drugs (mukaltin, solvine, etc.).
In addition, the prescription of the doctor can take ascorbic acid and multivitamin funds.
How to get a sick leave?
Many people are interested in the question, is it possible to get a sick list in ARVI without a temperature? Indeed, a few years ago, the certificate issued, focusing mainly on temperature performance. However, this is fundamentally wrong, since many infectious diseases, including ARVI, often occur with normal temperature values.
Unambiguously, in case of viral infections the hospital should give out in all cases a referral to the doctor, since the patient may pose a threat to the health of others. Currently, the leaf is given, despite the absence of temperature, of course, if the remaining symptoms of the disease are present. And the more pronounced the remaining signs of the disease, the greater the likelihood that the hospital will be issued.
Pregnant women with viral diseases have a sick leave sheet in any case.
So feel free to contact your doctor, despite the fact that you have an acute respiratory viral infection without fever. Normal indicators - not a reason to endure the disease "on the feet."
ilive.com.ua