Signs of bronchitis in children without fever

Is there bronchitis without fever

Who among us did not suffer from bronchitis? It is unlikely that there will be such a person. Bronchitis is the temperature, cough, general malaise. But bronchitis also does sometimes without temperature. As far as this phenomenon is dangerous, why this happens - the questions to which we will try to answer.

First, let's figure out what is bronchitis. It is an inflammatory disease of the bronchi - the tubes that connect the lungs with the trachea. The nature of this disease can be different, both viral and bacterial. As a rule, at first a person falls ill with ARVI or influenza, and this is known to be viral diseases. Then a bacterial infection joins - and here it is, bronchitis. Although sometimes there is bronchitis, which was caused by atypical pathogens: chlamydia, mycoplasma. The cause of the disease can serve and potent substances that have fallen into the human respiratory tract.

Bronchitis without temperature - it's bad or good

The increase in body temperature for colds is the response of the human immune system to a threat in the form of viruses and bacteria. Therefore, it is generally accepted that a high fever is good. Say, the body fights, immunity works. In the case of bronchitis, much will depend on what kind of bronchitis it is, because it can be of several kinds. So, let's deal with it.

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Acute bronchitis. Most often acts as a complication of viral infections or influenza. This form of bronchitis, as a rule, is accompanied by a high fever and a general severe condition of the patient (especially the child).
Obstructive bronchitis. This type of disease is accompanied by pulmonary edema, the patient develops not only cough, but severe dyspnea. This form of the disease can also proceed without hyperthermia (temperature increase). This will depend on the characteristics of the organism of each individual person.
Chronical bronchitis. It occurs if there was no adequate treatment for acute bronchitis. With this disease, the patient suffers from coughing, shortness of breath, general weakness. And this is almost always against the background of a normal or slightly elevated temperature.
Bronchitis relapsing. Most often they suffer from children, several times over a short period of time. Since the body gets used to this disease, it can also proceed without temperature.

As can be seen, there will be bronchitis with or without fever, depending on the type and characteristics of the body.

How to treat bronchitis

Regardless of whether, with or without fever, bronchitis occurs, only the doctor should treat this disease.

After all, under his symptoms can be hidden such a dangerous disease, as pneumonia. And with this ailment, jokes are bad. Therefore, without an experienced doctor, armed with a phonendoscope, you can not do. However, it is possible and necessary to use general recommendations that will lead to a speedy recovery:

Drink plenty of fluids (water without gas, tea, juice) - this will help dilute sputum and facilitate coughing;
moisten the air in the room where the patient is;
take herbal remedies that will help the fastest sputum discharge;
do inhalation with soda or herbs;
Ensure constant access of fresh air to the room;
Do not smoke and do not breathe tobacco smoke - this will only aggravate the cough;
take medications to improve immunity;
enrich your diet with vitamin products;
you can resort to various compresses and warming bandages.

To prevent bronchitis

It can be argued that bronchitis without fever is a clear sign of a malfunction in the immune system. Quite often, this phenomenon occurs in children, because their immune system has not yet been fully formed. If the body does not react to the disease, then you need to help him:

In the spring and autumn, drink the course of vitamins with microelements;
in the period of colds take drugs that increase immunity;
be sure to do preventive vaccinations against influenza (especially for children, the elderly and pregnant women);
rationally eat, fully rest, exercise - in general, lead a healthy lifestyle;
try to heal catarrhal diseases in time, and avoid them if possible.

Secrets of Traditional Medicine

The main thing in the treatment of bronchitis is not so much to fight with the cough itself, how much to make it more productive. This will help the early release of bronchi from sputum, and with it and from pathogens.

With any form of bronchitis can not do without potent medicines. However, to ease the symptoms of the disease, you can use simple recipes of traditional medicine, which have been tested for many decades.

Make infusion of sage, linden and elderberry flowers in the ratio 1. Drink a day for 3-4 cups. This diaphoretic will help to cope faster with the disease.
A compress is very effective with gum. To make it, take 100 grams of gum, 50 g of beeswax. These ingredients need to melt over low heat. After we add 1 spoonful of honey. We let the composition cool down a bit, and then we put a few spoons of the mixture into the area of the bronchi, after putting a piece of gauze. Do the procedure at night. The effect comes, as a rule, after 2 days of using the medicine.
Hot milk with the addition of loy (goat fat) - an excellent remedy for bronchitis, especially chronic. Take 300 g of milk, add 1 tbsp. spoonful of loy and 1 tbsp. spoon of honey. Drink in the warm form in the morning and in the evening - and you will forget what bronchitis is.

Treatment of bronchitis, which is not accompanied by an increase in body temperature, almost does not differ from the treatment of conventional bronchitis. The main thing is that the absence of temperature does not lead you astray. After all, the main task - to cure the disease to the end and prevent its overflow into a chronic form.

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Symptoms and treatment of bronchitis in an adult without fever

Now more and more common are common diseases that occur with symptoms that are not characteristic of them. Colds began to leak without temperature. Bronchitis is no exception. But why does this disease occur without a characteristic symptom, and how to treat it?

The usual bronchitis is formed as a result of the penetration of bacteria or viruses. These viruses usually cause a rise in body temperature. But there are other cases. If there is no temperature with bronchitis, then this is alarming. Can there be bronchitis without temperature? Bronchitis can also proceed in a lighter form, that is, without raising the temperature. Here you can learn more about the symptoms of bronchitis without fever.

Forms

Acute.This form of bronchitis without temperature is very rare.The body gets viral infections, and the likelihood of getting sick with a violation of the function of cleaning the bronchi is very high.Cough worries not only during the day, but also often torment at night. The more the disease develops, the more sputum begins to increase. First the sputum is yellow, and then green. There is a common cold, general malaise, weakness. This form of the disease lasts from 10 to 20 days.
Bronchitis obstructive. First it starts to develop as a normal form. But after a couple of days there is a cough, and soon there is shortness of breath, with breathing it's very difficult to exhale. Horns can be heard from afar. This form can appear in both adults and children. Accompany as a temperature, so proceed without it. It describes the symptoms and treatment of obstructive bronchitis.
Recurrent form. Most often, this disease affects children before school. And the virus enters the body 3 or 4 times a year. In this regard, the body gets used to the disease, so there may not be temperature.
In the picture - symptoms of bronchitis
Plastic form. If such a form of bronchitis occurs, then a mold can be formed in the bronchi. He clogs the lumen in the organ, which causes shortness of breath, coughing, pain in the sides. Interestingly, these symptoms are accompanied by normal body temperature, or vice versa, a decrease occurs.
Chronical bronchitis.In this form goes, when the cough torments for several months. Doctors speak about this form when coughing torments at least 3 months a year. In autumn and winter there is an exacerbation of the disease. Cough can be very similar to asthma attacks. Chronic bronchitis affects the deeper layers of the bronchi, there is scarring. As a result, lung tissue can also be affected. It is better not to allow such a protracted shape. Here you will find recipes for the treatment of chronic bronchitis. Preparations for the treatment of chronic bronchitis are described here.

Having studied these forms of the disease, it is possible to understand the reasons for the temperature:

form and complexity of the course of the disease;
individual features of the body.

If the disease is started, complications may appear. With improper or untimely treatment, the disease is aggravated. The most important thing is that a chronic form may appear. Complications can be such as:

bronchopneumonia;
emphysema of the lungs;
pneumonia;
acute respiratory failure;
inflammation of other organs, where bacteria and infection could get to.

On the video - the symptoms of bronchitis in an adult without a temperature:

Symptoms

Sore throat.
A persistent cough that tortures a fairly long time.
Plaque in the throat on the tonsils, with the throat does not blush.
Appetite disappears, the skin of the skin pales.
At times, the patient becomes better, but the symptoms can occur again.

When bronchitis is dangerous:

treatment started late;
recommendations appointed by the doctor are not respected;
immunity of the patient is weakened;
smoking and bad habits.

To avoid complications, you need to turn to a specialist in time. It is best to take tests, then the cause of the disease will be clear. If it turned out that bronchitis is obstructive, then it is necessary to drink a course of antibiotics. Read what antibiotic is better for bronchitis adult. If the cause is a virus, then antiviral drugs will help.

The video tells about the signs of bronchitis in an adult without temperature:

Treatment

Treatment of bronchitis without temperature will be almost the same as with the temperature. The only thing that should be excluded from treatment is the use of antipyretic drugs.

Antibacterial and antiviral drugs. The medication is prescribed depending on which is the causative agent of the disease.
It is necessary to eliminate an important symptom - cough. If it is dry, then you need to start taking medications that will increase the amount of sputum and its withdrawal. Do not forget about the abundant drink.Inhalations are used in the event that the cough very much presses.
Use of anti-inflammatory drugs.
Stimulant treatment is prescribed if bronchitis is recurrent or chronic.
It is necessary to adhere to a diet. It is better to exclude products that will cause irritation of the throat, as well as salty, sharp foods. A plentiful drink in the form of water, fruit drinks, tea, compotes is simply necessary.
Physiotherapy: UHF, paraffin. Inhalations are also very important for those with bronchitis.

Learn how to treat allergic rhinitis with folk remedies.

Here it is described why it constantly lays a nose without a cold.

Approximate prices for cough syrup Dr. Mom: http://prolor.ru/g/lechenie/doktor-mom-sirop-ot-kashlya.html.

Use of expectorants

If these drugs are not used, then the treatment of the disease can be delayed. These drugs will help to eliminate the focus of inflammation. Taking expectorants, there is accumulation of water, which improves the spitting of the sputum without the costs of the body.The most important is to choose the right medicine. They can be divided into 2 types:

Drugs that have a reflex action.
Medicinal products of direct influence.

The first group includes those substances that have an effect on the whole organism as a whole. As a result, sputum is diluted and exits the body. To such medicines it is possible to carry vegetative preparations. The composition should include the root of the licorice, the herb of thyme, the root of the althaea.

The second group of drugs acts on the glands of the bronchi themselves, and act on the physico-chemical properties of sputum. Usually such means are used for inhalation. If you suffer from a dry cough, then you need to take reflex preparations. With a moist cough, it is necessary to use drugs that directly affect the sputum.

Inhalation

It is good to use for a solution such herbs as sage, chamomile, mint, fennel. And plants such as mother-and-stepmother, leaves of birch, juniper, fir, have an anti-inflammatory agent. Essential oils of coriander and basil are highly effective together. And such a remedy as a potato peel, has a quick effect, and, perhaps, this is the simplest means.

Now in pharmacies you can find such an inhaler as a nebulizer.It greatly simplifies the process of the procedure, allows you to use a wide variety of herbs. This device helps to spray a pair of herbs into the lungs and bronchi. But you need to know that when using a nebulizer, some antibiotics and anti-inflammatory drugs can not be used. This is due to the fact that ultrasonic waves can destroy some drugs.

Compresses

Compresses help to relieve coughing spasms, as a result, sputum evacuation improves, they stimulate the body and improve the immune system.Compresses in the absence of temperature are very effective.

To make a compress, you need to take:

parchment paper;
tissue paper;
a warm blanket.

What can be used as an active substance? The melted honey with the addition of essential oils, black radish juice is quite effective. Boiled potatoes are also very often used, too. The compress can be used if there is no damage on the chest. Otherwise, after applying the compress, dermatitis may develop. After applying a compress, it is better to wrap yourself in a warm blanket at once. In this case, the action will be effective.

The mustard

This tool is similar to compresses, but it is considered more effective. You can do them at home. It is necessary to take 1 tbsp. l. honey, 1 tbsp. l. mustard powder and 1 tbsp. l. flour. In the mixture can add 1 tbsp. l. vegetable oil, put the mustard mixture in the oven at a temperature of 50 degrees and preheat. Get a mixture that looks like a dough. It should be divided into 2 parts and applied, then on the chest, then on the back.

Decoctions, infusions, medicines

Treatment of bronchitis in adults with folk remedies:

Aloe and honey.This tool is very old and well-tested. Aloe leaves need to be crushed, you can use a blender. Kashitsy should be about 500 ml. Melted lard too, you need to take in the amount of 500 ml. Mix all this with 1 kg of honey. A pound of grated chocolate is added to the mixture. All the ingredients are piled in a saucepan and put on a small fire. The mixture is brought to a temperature of 45 degrees, the consistency will become uniform. The agent must be constantly interfered. Take this medication before eating. Minimum number of receptions 3 times. Chocolate and honey kill the bitter taste of aloe, so the remedy seems delicious enough.
Pine resin.You need to take 200 grams of resin, 200 g of vegetable oil, 200 g of honey, 200 g of beeswax. All ingredients are piled in a pan, put on fire. You can not allow boiling. The result is a homogeneous suspension. How to take this remedy? For 1 hour. l. Before eating, be sure to wash down with warm milk.
Breast gathering.Such a collection can be done both independently and purchased at a pharmacy. The composition includes mother-and-stepmother, plantain, mint, pine buds, calendula, oregano. Herbs need to brew and drink every day for 150 ml. The course of treatment is until the disease completely disappears. No side effects of breastfeeding were observed.
Onion preserves. One kilogram of onions should be ground using a meat grinder or a blender. Put 400 g of sugar, 1 liter of water and onions in a saucepan. The pan should be put on a slow fire, cook the jam for 3 hours. After the time has elapsed, cool the jam and add 100 g of honey, mix well. 6 times a day to eat 1 tbsp. l. Onion preserves are stored in the refrigerator. But you need to use a remedy only in a warm form, that is, the jam should be at room temperature.

The most important thing is to take timely measures to treat bronchitis and eliminate symptoms. If it runs without temperature, then this does not mean that the disease is cured easier.

ProLor.ru

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

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

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

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

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

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

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

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

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

Acute bronchitis simple
Obstructive bronchitis
Bronchiolitis

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

Bronchitis in children under one year of age - bronchiolitis

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

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

Treatment of bronchiolitis in children

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

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

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

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

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

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

Acute bronchitis in children - symptoms

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

Clinical symptoms of bronchitis in children are as follows:

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

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

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

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

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

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

Acute bronchitis in children - treatment

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

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

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

Abundant drink

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

Heat

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

Antibiotics

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

Cough medicine

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

Inhalation

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

For babies

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

Distractions

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

Compresses

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

Folk remedies

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

Massage

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

Physiotherapy with bronchitis

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

Ultraviolet irradiation of the chest
Mud, paraffin applications on the chest and between the shoulder blades
Inductometry on the same areas
Electrophoresis with calcium
SOLLUX ON THE BREAST
Aeronisation by the hydroionizer of the respiratory tract with solutions of chamomile, antibiotics.

Prevention of acute bronchitis in children:

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

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

Obstructive bronchitis in children - symptoms

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

The main symptoms of obstructive bronchitis:

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

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

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

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

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

When listening there are dry wheezing in the lungs.

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

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

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

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

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

Allergic and obstructive bronchitis in children - treatment

Hospitalization

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

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

Bronchodilators

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

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

Spasmolytics

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

Means for coughing

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

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

Draining massage

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

Antihistamines

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

Allergy or virus

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

When antibiotics are indicated

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

Antiviral drugs

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

Hormonal therapy

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

What not to do

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

Physiotherapy

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

Hypoallergenic diet and plentiful drink

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

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

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

zdravotvet.ru

All symptoms of bronchitis in children and signs of complications

The division of bronchitis into acute and chronic is based primarily on the duration of the disease. Symptoms of acute bronchitis in children usually last less than a month. Chronic bronchitis has a tendency to protracted flow with frequent exacerbations. In the period without exacerbations, the easily expressed symptoms of bronchitis in children are often preserved, and changes in the data of the instrumental examination also appear.

Acute bronchitis begins suddenly, a few hours or days after talking to a sick person. Increases the likelihood of its development of hypothermia, malnutrition and insolation (exposure to sunlight), immunodeficiency. The clinical picture consists of symptoms of intoxication and upper and lower respiratory tract damage.

The main symptoms of bronchitis

The main symptoms of acute bronchitis in children - cough and separation of sputum.

Cough - a protective reaction of the body, aimed at removing from the respiratory tract of foreign substances. At the beginning of the disease, coughing is usually dry. In some conditions (whooping cough), cough is unproductive, that is, it is not accompanied by the formation of sputum. Sometimes it becomes vexatious, painful, can lead to vomiting. Cough is often worse at night. It is accompanied by a feeling of sadness, perspiration, and stuffiness in the chest.

Quite quickly (in 1-3 days), light sputum appears in a small amount. It is viscous, rather viscous, coughing with difficulty. Sometimes in the sputum there are small lumps of mucus formed in the lumen of the bronchi in the form of stoppers. Mucous sputum is characteristic for viral bronchitis. As a result of the attachment of the bacterial flora, sputum becomes yellow or greenish, an unpleasant odor may appear. The appearance of purulent sputum should serve as an excuse for contacting a doctor. Sputum is a consequence of the activation of mucous glands in the wall of the bronchi, designed to remove ("wash") viral particles from the lumen of the bronchi.

The duration of cough for acute bronchitis is usually 5 to 10 days.

Symptoms of bronchitis in children often include upper respiratory tract infection. It is caused by the same viruses that caused inflammation of the bronchi. A child may be troubled by nasal congestion, runny nose, decreased sense of smell, difficulty in nasal breathing. On examination, hyperemia (reddening) of the mucous membrane of the nasal cavity and pharynx is visible.

Some viruses (for example, parainfluenza) cause simultaneous development of pharyngitis (inflammation of the pharynx) and laryngitis (inflammation of the larynx). This combination is manifested by the hoarseness of the voice or even by its soundlessness.

Bronchitis in a child may be accompanied by shortness of breath. Most often it occurs only with considerable physical exertion. In severe cases, shortness of breath appears and at rest. This is a dangerous symptom, it indicates the occurrence of respiratory insufficiency of the II degree and serves as the basis for hospitalization of the child.

Children can complain of pain in the chest, along the spine, and especially - in the pain in the upper abdomen. It is associated with fatigue of the respiratory muscles and diaphragm with prolonged coughing.

Intoxication is manifested by an increase in body temperature, often to subfebrile digits (not higher than 38 ° C). High fever is characteristic of some viral infections (eg, influenza). If, after the treatment has begun, the body temperature first decreases and then rises again after 2-3 days - most likely, this indicates the attachment of bacterial pathogens. Repeated temperature rises are the basis for contacting a doctor. Often, this requires treatment with antibiotics.

Other signs of intoxication in a child are headache, refusal to eat, malaise, lethargy, drowsiness during the day. The child is upset and crying.

Thus, several syndromes that are characteristic of bronchitis in a child are distinguished:

bronchitis;
intoxication;
respiratory insufficiency.

The severity of the course of this disease is determined by the severity of these syndromes.

Signs of bronchitis, revealed during examination

The general condition usually suffers insignificantly, the increase in body temperature can be recorded. In severe cases, cyanosis (blueing) of the fingers, nasolabial triangle is noted. This is due to the lack of enrichment of the blood with oxygen in the lungs.

With concomitant viral damage of the upper respiratory tract, there is a visible hyperemia (reddening) of the sclera, which is separated from the nose.

The frequency of respiratory movements increases with fever or development of respiratory failure. In severe cases, breathing takes place in the areas of the chest, which serves as a sign of the intensive work of the respiratory musculature.

With percussion of the lungs their boundaries are unchanged, percussion sound is pulmonary. With the development of bronchiolitis, accompanied by signs of acute swelling of the lungs, a box percussion sound appears.

The main signs of the disease are recorded during auscultation. The doctor can hear on the background of hard breathing widespread dry wheezing, as well as buzzing and in some cases wet rales over the entire surface of the lungs. The number of wheezing and their character usually change after coughing, since they are caused by a congestion of sputum in the lumen of the bronchi. In more mild cases, severe breathing is noted with a small amount of dry wheezes.

With bronchial obstruction dry wheezing rales are heard primarily on exhalation.

Characteristic increase in the number of cardiac contractions (tachycardia) and muffled heart tones.

Laboratory and instrumental signs of bronchitis

Changes in blood tests are non-specific and are caused by the effect of pathogens. With viral infection, there is often an increase in the number of lymphocytes. For bacterial infection, an increase in the number of segmented neutrophils is more typical, in severe cases - a shift of the formula to the left, an increase in the rate of erythrocyte sedimentation.

When examining the function of external respiration in severe cases, there is a decrease in bronchial patency with a preserved vital capacity of the lungs. The test with salbutamol is more often positive.

When radiographing chest organs, a diffuse enhancement of the pulmonary pattern is revealed without focal changes.

Signs of bronchitis in certain diseases

With mycoplasma bronchitis there is a cough with light sputum, symptoms of pharyngitis, conjunctivitis, fever and pain in the muscles. The disease can last up to 6 weeks.

For bronchitis caused by klebsiella, a combination of signs of pharyngitis and laryngitis is especially characteristic.

Bronchitis caused by chlamydia often occurs in an erased form, manifested only by a prolonged cough with a small amount of sputum. Cough with this disease usually appears only at night.

Acute bronchitis in whooping cough is manifested by a paroxysmal dry cough. It can also occur in vaccinated individuals, but proceeds in mild form.

The severity of bronchitis

A mild degree is characterized by a normal or slightly elevated body temperature, a mild cough with mucous sputum. The condition of the child does not suffer.
The moderate severity of the disease is characterized by intoxication, an increase in body temperature to subfebrile digits, a fairly strong cough with sputum, dyspnoea with exercise.
The severe course is characterized by a sharp onset, high fever, intense cough, often painful, with a low amount of sputum, dyspnea at rest, signs of oxygen starvation.

Signs of complications of bronchitis

In children under 5, bronchitis may be complicated by the development of bronchiolitis and pneumonia. Bronchiolitis is an inflammation of the smallest branches of the bronchial tree. When pneumonia affects the alveoli - the final sections of the respiratory tract.

The child has a painful cough, the amount of sputum decreases. Expressed dyspnoea at rest. There may be cyanosis (blueing) of the nasolabial triangle and limbs. The condition worsens, the body temperature rises to high figures. Such complications of acute bronchitis require treatment in a hospital.

Acute bronchitis can be complicated by the development of bronchial obstructive syndrome. This is due to the pronounced edema of the mucosa, which blocks the lumen of the respiratory tract. Bronchoobstruction is manifested by a paroxysmal cough, shortness of breath with a complicated elongated expiration. Quite often, at a distance from the patient dry rattles are heard. The child can take a forced position sitting, with the support of the hands. Bronchial obstruction requires immediate treatment.

Acute bronchitis can go into a relapsing, and then into a chronic form. Chronic bronchitis is characterized by repeated exacerbations for a minimum of 2 years. Most often this option occurs against the background of other lung diseases. It manifests itself as a cough with purulent or white sputum. Gradually, the child begins to lag behind in growth. It develops a barrel-like deformation of the chest.

ingalin.ru

Signs of bronchitis in children

The manifestation of signs of bronchitis in children worries parents more than rhinitis or ARVI. This concern is justified, since advanced bronchitis can pass into pneumonia. Children may experience a complication that can lead to death, and according to statistics, at the age of up to four this happens more often than in older age. But if you diagnose the disease in time and apply treatment, this ailment is quite easy to overcome. What is bronchitis and its forms

Bronchitis is an inflammatory process of the bronchi that forms a cough and phlegm (mucus) in them, which coughs up. This disease is infectious or allergic. This disease doctors in children are divided into:

acute bronchitiswith sharply manifested signs;
recurrent- acute bronchitis, when the baby is sick from them three or more times a year;
chronic- the child is ill with protracted bronchitis several times a year, and so for two years.

There are several types of this disease:

bronchiolitis- when the inflammatory process passes in very small bronchi;
obstructive bronchitis- partial obstruction of the bronchi.

Bronchitis in children - symptoms and treatment

The first signs of bronchitis in children, regardless of the forms and species, are practically the same: sharply the body temperature rises to 38-39 ° C, a runny nose appears, a cough with gurgling or wheezing sounds in the area breasts. But the signs of obstructive bronchitis in children can be noted, characteristic only to this type of disease, wheezing. If wheezing is not audible, but there is a hard breathing, then this can also be an indicator of bronchitis. Symptoms of chronic and acute bronchitis in children are basically similar and manifest the same. But in rare cases this disease is very different. The temperature rises no higher than 3, -3, ° C, or completely without it, and instead of a "wheezing" cough - as if choking, without wet manifestations. This manifestation is typical of atypical bronchitis, which causes infections such as mycoplasma or chlamydia. But in this form the disease is extremely rare.

Self-medication is best not to deal with any diseases, including bronchitis. If you find the first signs of the disease, it is better to immediately go to the doctor or call him at home. Before the appointment of treatment, you need to identify the nature of the disease. For example, if it turns out that the disease is caused by an allergic irritant, then you can do without antibiotics, but only antihistamines, elimination of irritants or a change in conditions in which Allergy is caused. And if the disease is of an infectious nature, then it is necessary to find out which virus, bacteria or virus-bacteria it is caused to pick up preparations which with the maximal amazing effect will be act on them. Antitussives are also prescribed depending on the nature of the cough.

So, with obstructive bronchitis, a remedy is needed that increases the clearance in the bronchi. And if the sputum is dense and poorly departs, drugs that dilute it are needed.

But the general rules that will help the child's recovery, parents are obliged to provide, they include: air humidification, abundant drinking, in including juices, compotes, tea with lemon, etc., as well as the correct attitude to the temperature, if it keeps to a level of 38 ° C, then do nothing with it necessary. Elevated body temperature is a normal reaction of the body to diseases, which stimulates the work of immunity. A very good remedy for any cough is inhalation, which does not prevent, even if the medicines were prescribed by a doctor.

WomanAdvice.ru

Symptoms of bronchitis without fever in an adult

All are accustomed to believe that the first symptom of colds and infectious diseases is always a rise in temperature. We hasten to surprise you: this is not so. Recently, experts are increasingly faced with signs of bronchitis in adults, flowing without temperature. This phenomenon can be explained both by individual features of the organism and by the form of the disease.

Can there be bronchitis without temperature?

Colds and infectious diseases are always bad. It so happened that most people share all the ailments for simple ARD and ARVI, more complicated bronchitis and very severe pneumonia. Many people do not even think about the fact that each disease can have certain forms and types.

The most common acute form of the disease is always accompanied by a sharp deterioration in the state of health and a violation of the body's thermal state. But there are other varieties of bronchitis, the symptoms of which may well manifest themselves without temperature:

The infectious form of the disease is characterized by dry wheezing and coughing, a feeling of discomfort in the chest and hard breathing. In some patients, the temperature rises against the background of the ailment, but it does not happen often.
Bronchiolitis or obstructive bronchitis at an easy stage without ceremonycan manifest itself only by coughing, wheezing, shortness of breath and shortness of breath.
There is such a thing as allergic bronchitis. It develops by contact with feathers and down, birds, animal hair, inhalation of pollen or household chemicals. The disease develops wavy - after eliminating the allergen cough, shortness of breath and shortness of breath disappear. And the temperature of the body does not go up by a tenth.
Without temperature, an adult passes chemical bronchitis. It develops by inhalation of toxic substances. Characteristic features: headache, severe cough, pain in the retina, irritation of the mucosa.