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How to distinguish angina from SARS and colds: throat with infections, photo

How to distinguish angina from ARVI? The question is quite relevant, given that these diseases are very common and very similar.

The pain in the throat is familiar to all people, this can be said with certainty. However, the reasons for this state are quite numerous.

And the symptoms of diseases in which such a condition is observed are so similar to each other that it is sometimes very difficult for a doctor to make a correct diagnosis.

Meanwhile, angina most often has a bacterial origin, and acute respiratory-viral infections refer to viral diseases.

To understand the causes of inflammatory processes in the throat, you need to have an idea of how the human pharynx is arranged. This is best shown by the photo.

The throat is formed from muscle tissue. In this area there is a crossing of the respiratory and digestive systems.

How the throat is arranged

The walls of the larynx are covered with lymphadenoid tissue. Large formations are represented by tonsils (see photo). These organs are part of a single lymphadenoid ring, which protects the human immune system from penetration of pathogenic microflora.

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Palatine tonsils are located in the oropharynx on its side walls and are also an important link in the lymphadenoid ring. There are palatine tonsils from 20 depressions, called "lacunae" (see photo). Lacunas are necessary for purification of tonsils, which also take an active part in the proper functioning of the human immune system.

In the throat there are many nerve endings associated with vital organs and systems:

heart;
kidneys;
liver;
respiratory tract.

Therefore, a malfunction in the work of the tonsils can lead to the development of all sorts of complications of other important organs.

Characteristics of angina and ARVI

Symptoms of angina are as follows:

increase in body temperature to 38 ° C and above;
general weakness and fatigue;
many patients have pain in the lumbar region;
soreness of joints and muscles;
headache;
dry mouth;
pain when swallowing;
enlarged lymph nodes in the submaxillary region.

Pain from the throat can spread to the ears and even the neck.

If the doctor during the examination finds that the palatine arches and tonsils are much red, swollen and covered with a mucous layer, then the patient has a catarrhal angina.
If the tonsils clearly visible large enough whitish-yellow dots (see photo) - it is a question of follicular angina. That is, in the follicles there is a suppuration and accumulation of lymphoid tissue under the mucous membrane.
If on tonsils there are some filmy raids with a yellowish shade, spreading either over the entire surface or by locus locality, the doctor diagnoses the patient lacunar angina.

It is characteristic that with lacunar angina the resulting raids do not leave the palatine tonsils. Therefore, they can easily be removed with special cotton buds or tampons.

After removing the plaque, the surface of the palatine tonsils acquires a pink color and a smooth surface (see photo).

Bleeding is not completely absent. It is for this reason that lacunar angina can be distinguished from the disease that occurs with diphtheria.

Why there is a sore throat?

The throat can hurt for various reasons. That's why you can not treat until the doctor diagnoses and determines these reasons. ARVI occurs when the virus has penetrated the body, and angina most often develops against a background of bacterial infection. But for an angina, education on the tonsils of pus is typical, which is not observed in ARVI.

Visually diagnose and determine the type of infection the doctor can not. To determine the nature of the cold or sore throat, the doctor should take a swab from the throat of the patient for further laboratory testing.

Angina differs from acute respiratory viral infection in that its temperature is rather stubborn, but the pain in ARVI is not very intense.
With angina, the soreness is so strong that the patient absolutely can not eat or drink.
With a respiratory viral infection, the temperature does not last long. Often, it is enough just competently similar antibiotic, as in a day or two the temperature completely drops.
Pain in the throat with sore throat is scratching and sulking. Often the patient has a burning sensation and excessive dryness.
With a sore throat can hurt only on one side. If a patient has acute respiratory disease, inflammation and pain spreads to the entire area of the larynx, as in the photo.

How to distinguish infectious angina from colds

First you need to examine the patient's throat. You can do it even at home. All that is needed for inspection is a good source of light and a tea spoon. The patient should turn to face light (for this purpose you can use a flashlight) and open your mouth.

Meanwhile, the second person with the help of a teaspoon clamps the middle of the tongue, almost near the root. Particular attention during examination should be given to the tonsils. With angina, the tonsils will be red and you can see purulent sores on them.

Usually these small sores (approximately with buckwheat grain) and are presented in the form of white and yellow dots, as in the photo. The purulent formations on the tonsils grow quite quickly, after which they are just as quickly opened, so this moment can easily be missed.

With respiratory viral infection, such abscesses on the tonsils are not present, however the throat, or rather its posterior wall, is red. Redness can be seen on almond archs, on them you can observe a mesh pattern.

So, the cold sore throat can be distinguished by the state of the throat. Meanwhile, this difference is not the only one, but the main one, which can be noticed visually.

Localization of the focus of inflammation in angina occurs in the tonsils, and there are a lot of reasons for this disease.

The most banal of them is the usual hypothermia.
However, the disease can be of a viral nature.
Often a provoking factor is poor immunity.

The causative agents of angina are the following pathogens:

Staphylococci.
Spindle-shaped rod (see photo).
Viral infections, classical viral angina is possible.
Anaerobic microbes.
Candidiasis.
Pneumococci.

Angina is sometimes called acute tonsillitis or pharyngitis. In the modern world, there are many factors, as a result of which the probability of getting a sore throat increases several times. These include:

The atmosphere is highly charged.
Regular exposure to drafts or in a damp room.
Low immunity.
Dental problems, for example, caries.
Mechanical injuries of the tonsils.
High air temperature.

It turns out that both angina and cold have the same reasons. But if on the tonsils you can observe the presence of pustules, it means that it is a question of angina, the temperature at which sometimes reaches 40. The disease is not often accompanied by a sensation of aches in bones and joints.

Meanwhile, with a respiratory-viral infection, muscles and joints can also get sick. But, as it was said above, the temperature does not last for a long time, after which the patient has symptoms of acute rhinitis and cough.

So how do you distinguish angina from a cold or a viral infection? Even the therapist often makes an erroneous diagnosis and, taking a sore throat for ARVI, prescribes treatment corresponding to a respiratory infection, which in this case can not be effective.

Difficulties in treating angina

With angina, the intake of antibacterial drugs should be combined with an hourly rinse of the throat. High temperature can be difficult to knock down even with the help of strong antipyretic medications.

The complexity of the situation is also in the fact that the pustules on the tonsils are eventually opened, which causes the patient a sharp unbearable pain. At the same time the disease goes into a purulent stage.

With this development of events, antibiotic therapy and rinses are indispensable. Angina in contrast to acute respiratory-viral infection is dangerous for its severe complications. In addition, the disease can go to a chronic stage. The only way to avoid all these consequences is the course of antibiotic therapy.

The analysis of blood and urine will make it possible to distinguish angina from respiratory infection. Acute tonsillitis and pharyngitis are characterized by the fact that when they occur, the leukocyte formula changes. The concentration of white blood cells and ESR in angina is dramatically increasing.

The reader will benefit from additional information on the treatment of angina in the video in this article.

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Basic principles of ARVI treatment

ARVI (acute respiratory viral infections) occur very often, especially in autumn and winter. According to statistical data, almost every person carries the disease, which affects the upper respiratory tract once a year. Unfortunately, many people who do not have medical education are firmly convinced that they know how to treat ARVI.

Therefore, when the first symptoms of the disease appear, they begin to take various medications independently, which often leads only to an aggravation of the condition and the development of complications. While properly selected by the doctor therapy can only put the patient on his feet in a few days.

What to do with increased body temperature?

One of the main symptoms of ARVI is a rise in temperature, which, for example, can be very significant in case of influenza. Thus it is necessary to provide such conditions, that the patient could lose heat, sweating or warming the inhaled air.

For this, the patient needs a rich vitaminized drink, for example, cranberry juice, and also a little cool air in the room (for this, it must be regularly ventilated and held in it damp cleaning).

It should be noted that when the skin is exposed to cold (for example, with ice), there is a spasm vessels of the skin, so its temperature decreases, but the temperature of the internal organs continues grow. This state is considered extremely dangerous, so do not use physical methods of cooling (wet sheets, ice bubbles) without the advice of a doctor. Before applying such techniques, the patient is prescribed special drugs that eliminate vasospasm.

Some patients with acute respiratory viral infections do not tolerate high temperature. For example, in people suffering from pathologies of the nervous system, hyperthermia can lead to seizures. Therefore, doctors for treatment at home prescribe antipyretic drugs, which can be taken when the temperature rises above 3 degrees. The most popular is paracetamol (Panadol) and acetylsalicylic acid (aspirin). Paracetamol is considered one of the safest medicines for fever, but it is effective only for non-serious infections.

What to do with a cold?

As in children, and in adults very often there is a strong cold, which can significantly worsen the state of health. The fact is that the mucosa of the nasal passages secrete a large amount of mucus containing special substances that neutralize the viruses.

The main task in this period is to prevent the drying of mucus and the formation of crusts, otherwise the patient will have to breathe through the mouth. Therefore, the nose should be cleaned regularly, and also to ensure that the air in the room is clean and slightly moist.

Rhinitis in ARVI can not be treated with vasoconstrictive drops (nasol, sanorin, naphthyzine), because they only for a while facilitate the patient's condition, removing the swelling and stuffiness of the nose. If you use such drugs for a long time, the patient will develop chronic rhinitis. Such drugs can be prescribed only for the prevention of sinusitis, but the course should not last more than a week.

To get rid of the cold, antihistamines are sometimes used, for example, suprastin and diazolin. Also, sometimes doctors prescribe homeopathic medicines, which practically do not have side effects, for example, Edas-131.

What to do with sore throat and cough?

For many varieties of ARVI, for example, for influenza, a strong pain in the throat is characteristic. The most effective treatment in this case will be rinsing with various solutions, for example, furatsilinom or infusion of chamomile. Gargle should be rinsed as often as possible, at least every half hour. According to the doctor's prescription, you can use various lollipops, lozenges and sprays, for example, septothete, bioparox or hexoral.

In order to cure a cough, the patient should drink more, and the drinks should be warm. This will allow the phlegm to dilute and remove it from the body as soon as possible. You can also use medicines, for example, Mucaltin, broncholitin, ATSTS.

In order to accelerate recovery, antiviral drugs (interferon, kagocel) are used that reduce the sensitivity of human cells to viruses. Faster cough and other unpleasant symptoms will be helped by multivitamin complexes, which include ascorbic acid, B vitamins and rutin.

Do I need to take antibiotics for ARVI?

Many people do not realize that ARVI has a viral origin, therefore antibacterial drugs against it are not effective. In the treatment of antibiotics, the patient develops a dysbacteriosis, which is manifested by diarrhea, constipation, bloating and thrush.

And also with the uncontrolled intake of these drugs, the resistance of bacteria to antibiotics is formed, which is why if necessary (for example, in the case of pneumonia), the effective drug will be selected extremely complicated. And the fascination with antibiotics often leads to the development of allergies, especially in children.

Therefore, uncomplicated ARVI antibiotics can be treated only in exceptional cases:

in the presence of signs of immunodeficiency (HIV, cancer and autoimmune pathologies, birth defects of the immune system, fungal diseases, etc.);
in children, whose age is less than 6 months, if they have unfavorable background pathologies (rickets, severe lack of weight, malformations, etc.);
if there is a history of recurrent otitis media.

With the help of antibiotics, ARVI treatment is performed in the following cases:

with the development of angina (anaerobic or streptococcal);
with the development of acute otitis media;
in the presence of various purulent complications (descending laryngotracheitis, paratonsillar abscess, purulent lymphadenitis, purulent sinusitis);
with the development of pneumonia;
in the presence of sinusitis (inflammation of the paranasal sinuses).

If the patient's condition is not too severe and ARVI treatment is carried out at home, antibiotics are prescribed for oral administration. Usually only one drug is used, the criterion of effectiveness of which will be a decrease in temperature below 38 degrees in the first 36-48 hours after the initiation of therapy. If this does not happen, the doctor picks up another antibiotic.

Features of pregnancy treatment

Begin the treatment of a woman should only after consulting a doctor, because many drugs and even folk remedies can harm the fetus. From the cold will help instill in the nasal passages of salt water, which you can prepare yourself or buy at a pharmacy. It will also help the inhalation of essential oils of orange, eucalyptus or sage. You can dig in the nose drops, made from natural ingredients (Aqua Maris, Pinosol).

With sore throat, you can rinse it with saline solution, infusion of chamomile and sage. It is recommended to drink warm milk with a small amount of honey, but you can not soar your legs. And coughing will help inhalation with essential oils. When the temperature rises above 38 degrees, you can take a medicine based on paracetamol, prescribed by your doctor. If there is no edema, then you can drink more, for example, green tea with honey.

Features of treatment in the elderly

For elderly people, acute respiratory viral infections are especially dangerous, so it is worth treating them carefully. First of all, you need to ensure that the patient has enough sleep and a balanced diet. If a person has a dysbiosis of intestinal flora, then he is prescribed eubiotics (lactobacterin, bifidobacterin). It is necessary to take microelements and vitamins, because during illness the body needs them especially acutely.

Elderly, drugs for the treatment of acute respiratory infections can be selected only by a doctor, taking into account the severity of their condition and the presence of accompanying pathologies. Most often used drugs of plant origin, which have the least side effects. Older people taking drugs for the treatment of chronic pathologies are usually not prescribed antibiotics and potent agents because of the high risk of unwanted side-effects effects.

Treatment and prevention of ARVI includes the use of drugs that stimulate the formation of interferon. For moderate and mild forms of influenza, for example, arbidol is used. Correctly selected therapy can prevent the development of severe complications and lead to an early recovery of the patient.

Features of treatment in children

Children often suffer from ARVI, so pediatricians have certain standards for the treatment of these diseases, which they try to adhere to. Trying to cope independently with the infection is not worth it, because inadequate therapy, most likely, will lead to the development of complications.

In addition to the medicines prescribed by the doctor, proper care is very important. The child needs to be put in bed, to provide him with a balanced diet and fresh clean air. At elevated temperature, you can not only use medicines, but also apply physical methods of cooling. For example, you can wipe the baby's skin with a napkin, which is moistened with a solution prepared from water, vinegar and vodka, which were mixed in equal proportions. In this case, the child should be covered with a warm blanket.

With fever, a warm vitaminized drink, for example cranberry or cranberry juice, will also help. If the temperature does not go down and the drugs are not effective, you should call an ambulance.

Folk methods

Treatment with various folk remedies is only used as an auxiliary method and only after consulting a specialist. The fact is that such drugs are not always effective and often lead to the occurrence of side effects, for example, to allergies.

Many people with ORVI help tea made of lime color. If the disease is accompanied by high fever, it is necessary to include red currant berries or fresh juice made from them in the diet. And with sore throat it is recommended to add a couple of tablespoons of natural honey to a glass of hot milk and drink this solution in small sips during the day.

If the patient is troubled by a runny nose, tom it is possible to drink a decoction prepared from raspberries or wild strawberries. It is recommended to take one glass 3 times a day after meals.

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SARS is... Acute respiratory viral infection: prevention, treatment

Acute respiratory viral infection (ARVI) is a disease that affects the human respiratory system. The main cause of the disease is contact with viruses. The path of transmission of viruses is airborne.

Prevalence of ARVI

Disease of ARVI is widespread everywhere, especially in kindergartens and schools, work collectives. Increased risk of infection have young children, the elderly and people with a weakened immune system.

The source of infection is an infected person. The high susceptibility of people to viruses leads to a rapid spread of the disease, the SARS epidemic is quite a frequent phenomenon all over the world. Untimely treatment of the disease can lead to various complications.

Outbreaks of respiratory-viral infections occur all year round, but the ARVI epidemic is more often observed in autumn and winter, especially in the absence of quality prevention and quarantine measures to identify cases infection.

Causes of ARVI

The cause of the development of the disease is respiratory viruses, which differ in a short incubation period and rapid spread. The source of the infection is a sick person.

The virus of ARVI is afraid of disinfectants, ultraviolet rays.

The mechanism of development

Getting into the body through the mucosa of the upper respiratory tract or the conjunctiva of the eyes, the viruses, penetrating into the epithelial cells, begin to multiply and destroy them. In places where viruses are introduced, inflammation occurs.

Through damaged blood vessels, getting into the bloodstream, viruses are carried throughout the body. In this case, the body secretes protective substances, the manifestation of which are signs of intoxication. If immunity is weakened, it is possible to attach a bacterial infection.

Symptomatology

All respiratory-viral diseases have similar symptoms. At the beginning of the disease a person has a runny nose, sneezing, pershit in the throat, body aches, the temperature rises, appetite disappears, a liquid stool appears.

Symptoms of SARS in a child can develop rapidly. Quickly increases intoxication, the baby is shivering, vomiting, pronounced hyperthermia. Treatment should be started immediately to avoid possible complications.

Signs of individual viral infections

Determine parainfluenza can be on mucous discharge from the nose, the appearance of a dry "barking" cough, hoarseness of the voice. The temperature does not exceed 38 ° C.

Adenovirus infection is accompanied by conjunctivitis. In addition, the patient may experience rhinitis, laryngitis, tracheitis.

With rhinovirus infection, the symptoms of intoxication are pronounced, the temperature may not rise. The disease is accompanied by abundant mucous discharge from the nose.

For respiratory syncytial viral infection, not pronounced catarrhal symptoms or bronchitis, strong intoxication are characteristic. Body temperature remains normal.

What is the difference between the flu and ARVI?

ARVI begins gradually, the development of the flu is rapid, a person can even indicate the time when he felt ill.

In acute respiratory viral infections, body temperature rises slightly, no higher than 3, C⁰. The flu is characterized by a sharp increase in temperature to 39-40 C⁰. The temperature in this case is maintained for three to four days.

In acute respiratory infections, the symptoms of intoxication are practically non-existent, the person does not shiver and does not throw in sweat, there is no severe headache, eye pain, photophobia, dizziness, body aches, persists operability.

With flu, a strong runny nose and nasal congestion are absent, this is the main symptom of ARVI. The disease is accompanied by reddening of the throat, with a flu such a symptom is not always observed.

In ARVI cough, discomfort in the chest occur at the very beginning of the disease, may be mild or moderately pronounced. The flu is characterized by a painful cough and chest pain that appear on the second day of the disease.

Sneezing is typical for the common cold, there is no such symptom in the flu, but there is redness in the eyes.

After a flu, a person can feel a weakness, a headache, and fast fatigue for another two to three weeks, after such an infection, such symptoms are not preserved.

Knowledge of how the flu differs from ARVI will help a person to assess their condition and take the necessary measures in time to help quickly get rid of the disease and avoid complications.

What are the symptoms of ARVI should alert

Immediately you need to see a doctor when the temperature rises to 40 ° C or more, which does not get knocked off by antipyretic drugs, in cases of mental disorders, intense headache and the inability to bend the neck, the appearance of rashes on the body, shortness of breath, cough with colored sputum (especially with a trace of blood), prolonged fever, edema.

An appeal to a doctor is also necessary if the symptoms of acute respiratory infections do not disappear after 7-10 days. Symptoms of acute respiratory infections in the child require special attention. If any suspicious symptoms occur, you should immediately seek medical help.

Diagnostics

The diagnosis is made by the attending physician after examining the nasopharynx and examining the symptoms. In some cases, complications may require additional research, for example, chest X-ray. This helps to eliminate pneumonia.

Complications

A frequent complication of acute respiratory viral infection is the attachment of a bacterial infection, which provokes the development of inflammatory processes: bronchitis, otitis, sinusitis, pneumonia. The disease can be complicated by the attachment of a urinary tract infection, pancreatitis, cholangitis.

If the disease occurs with pronounced intoxication, the result may be the development of convulsive or meningeal syndromes, myocarditis. Possible neurological problems, such as meningitis, neuritis, meningoencephalitis. After the transfer of acute respiratory viral infections, complications can manifest themselves exacerbation of chronic diseases.

In children, a frequent complication is a false cereal.

To minimize the risk of complications, treatment should begin on time, performing all the doctor's prescriptions.

How to treat

The treatment mostly takes place at home. The patient should adhere to the semi-post regimen, observe the milky-vegetable fortified diet, use a lot of fluids to dilute sputum, stimulate sweating, reduce levels toxins.

But in a furious modern pace, few people follow this rule, preferring to tolerate a cold "on their feet and relieve unpleasant symptoms with symptomatic means. The danger of this approach to treatment is that often symptomatic preparations for cold contain phenylephrine - a substance that increases blood pressure and causes the heart to work for wear. In order to avoid complications of colds, you need to choose medicines without components of this kind. For example, "Antigrippin" (better from "Natur-product") is a preparation for cold without phenylephrine, which eliminates unpleasant symptoms of ARVI, without provoking an increase in pressure and without harming the cardiac muscle.

In the treatment of antiviral drugs, drugs to increase immunity, antipyretic, antihistamines, drugs that help to sputum, vitamins. Locally used vasoconstrictor, which prevents the reproduction of the virus on the mucosa of the nasopharynx. Such treatment is important to carry out at the initial stage of the disease.

Preparations for ARVI treatment

In the fight against the causative agent of the disease, antiviral drugs are effective: Remantadin Amizon Arbidol Amiksin.

Use of non-steroidal anti-inflammatory drugs is necessary to reduce body temperature and reduce pain. These drugs include "Paracetamol" Ibuprofen "Panadol". It must be remembered that the temperature below 38 ° C does not get off, because at this temperature the body activates its protective forces.

Antihistamines are needed to reduce signs of inflammation: congestion of the nose, edema of the mucous. It is recommended to take "Loratidin" Fenistila "Zirteka". Unlike first-generation drugs, they do not cause drowsiness.

Nasal drops are necessary to reduce swelling, eliminate nasal congestion. It is worth remembering that it is not possible to use such drops for a long time, since this can provoke the development of chronic rhinitis. Drops are used no more than 7 days, 2-3 times a day. For long-term treatment it is possible to use preparations based on essential oils.

Remedies for sore throat. It is best in this case to help rinse the throat with the use of disinfectant solutions. For these purposes, you can use sage, chamomile. Rinse often, every two hours. Effective use of disinfectant sprays - "Geksoraal" Bioparox etc.

Cough medicines are needed to dilute sputum. This is helped by the use of the "ACC" Mukaltina "Bronholitin" and others. It is important at the same time to drink a lot of fluid, which also contributes to the dilution of phlegm. The remedies that suppress coughing can not be used without prescribing a doctor.

Antibiotics are not used in the treatment of acute respiratory viral infections, it is necessary only when the bacterial infection is attached.

In addition to medicines, the effective use of physiotherapy, inhalation, massage techniques, foot baths.

Folk remedies

Folk remedies are very effective in treating ARVI. This can be a supplement to the basic treatment and helps to cope faster with the disease. You can use the following recipes.

Not bad helps infusion of fruits of viburnum and linden flowers, which must be crushed and mixed. Two tablespoons of the collection should be poured in 500 ml of boiling water, insist for an hour. The obtained infusion is consumed before going to sleep.

The onion and garlic can be cope well with the disease, which you can simply eat. Both in prophylaxis and in treatment it is useful such a remedy: several cloves of garlic and half a teaspoon of juice are consumed after a meal. You can arrange in the room cut onions and garlic and inhale their vapors.

Very effective remedy for honey and lemon juice. To make it, bee honey (100 g) is mixed with the juice of one lemon and diluted with boiled water (800 ml). The product must be drunk throughout the day.

Prevention

What is the prevention of ARVI in adults and children? To strengthen the defenses of the body you need to temper, lead an active lifestyle, walk in the fresh air, do not disregard rest, avoid stress, and also observe hygiene (wash hands, vegetables, regularly do wet cleaning in room).

Prevention of Orvi in adults requires adherence to the correct diet. The menu should be dominated by natural products. To maintain the intestinal microflora and strengthen the immune system, dairy products are useful. In addition, the diet should be present fiber.

For prophylaxis, you can take antiviral drugs or get vaccinated. Although it is impossible to completely protect yourself with vaccination, as the viruses constantly mutate. Vaccination is recommended for children who attend kindergartens and schools, employees of medical institutions.

In the period of epidemics, it is recommended to limit visits to public places, to strengthen the immunity to take natural remedies or antiviral drugs at the recommended dosage.

If preventive measures have not helped you avoid infection, take care of your recovery, as well as the people around you. Since ARVI is contagious, do not forget to cover your mouth and nose, coughing and sneezing, airing the room, if necessary, wear a gauze bandage. If you follow these measures, the disease will quickly leave your home.

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SARS in children

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

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

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

Epidemiology of ARVI

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

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

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

Causes of ARVI in children

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

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

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

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

How long does it last for a child?

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

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

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

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

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

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

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

Symptoms of ARVI in children

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

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

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

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

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

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

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

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

Temperature in children with ARVI

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

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

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

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

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

Cough with ARVI in children

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

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

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

Vomiting in a child with ARVI

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

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

Rashes in children with ARVI

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

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

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

The abdomen is sick at an ORVI at the child

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

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

Conjunctivitis in children with ARVI

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

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

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

Features of ARVI in children

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

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

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

Repeated ARVI in a child

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

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

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

Where does it hurt?

Chest pain

What's bothering you?

Cough Shortness of breath

Complications of ARVI in children

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

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

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

Diagnosis of acute respiratory viral infections in children

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

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

What indicators usually indicate ARVI?

General blood analysis:

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

General urine analysis:

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

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

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

What it is necessary to survey?

Bronchi Trachea Larynx

How to inspect?

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

What tests are needed?

Sputum examination

Who to contact?

Infectionist Pediatrician

Treatment of ARVI in children

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

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

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

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

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

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

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

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

Drugs for the treatment of acute respiratory infections in children

All anti-virus products are divided into 4 categories:

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

Let's consider separately all these categories.

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 Pakseladin

Prevention of ARVI in children

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

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

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

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

Preparations for the prevention of acute respiratory infections in children

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

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

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

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

As 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.

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