This year's Spring Festival movie "Hot and Spicy" was released in full swing. Everyone went to the cinema one after another to experience the ups and downs of Jia Ling's weight loss. Many adults and children also experienced Jia Ling's "Hot and Spicy", not in the cinema. Yes, but outside the movie:
Many children have high fevers, burning pain in their throats, and their foreheads are hot when touched; some children have fever in cities, some children have fever in their hometowns, and some children are in tourist places. Fever; some are caused by influenza infection, some are caused by adenovirus infection, some are caused by respiratory syncytial virus, some are caused by upper respiratory tract infection, and some are caused by pneumonia.
Let us take a look at Xu Lin, deputy chief physician of pediatrics at the Second People's Hospital of Hunan ProvinceThe online consultation situation!
fan 1 said: We just came back from the hospital, and the test showed that it was respiratory syncytial virus. We have had a fever for 3 days in a row. Can I give her azithromycin in addition to aerosolization and cough medicine? I'm afraid he will get pneumonia.
Director Xu Lin answered: There is no evidence of Mycoplasma pneumoniae infection, so there is no need to take azithromycin. Respiratory syncytial virus infection causes fever, cough, sputum production, and wheezing, and only symptomatic treatment such as aerosol cough suppressants, such as ribavirin spray, is available. If you are afraid of getting pneumonia, go to the hospital for a follow-up check-up after 2-3 days.
fan 2 said: Our child started to have recurring fevers on the third day of the Lunar New Year until the seventh day of the Lunar New Year. Now he takes Motrin to reduce the fever basically every 4-6 hours. The temperature is always around 38.5℃. what to do?
Director Xu Lin replied: Come to the hospital for treatment as soon as possible to find out the cause and rule out pneumonia.
fan 3 said: The 16-month-old baby's body temperature is 37.7℃, can he take Pediatric Bupleurum Granules?
Director Xu Lin replied: Generally, there is no need to eat. It is recommended to physically cool down below 38.5℃. Fever is just a symptom, not a disease. Many diseases can cause fever, and the disease can be mild or severe. For us pediatricians, the concern is not the fever, but the cause behind the fever.
If you just have a cold or fever, don’t worry. Some viral infections have a self-limiting course. We rule out critical illness and just treat symptoms and observe them. If the fever is caused by a bacterial infection, anti-infective treatment is required. If the condition is severe, hospitalization and further examination are required.
Common causes and treatment methods of cold and fever in children:
1. Common causes
1. Viral infection
One of the common causes of cold and fever is viral infection, such as influenza virus, respiratory syncytial virus, adenovirus, etc. These viruses spread through the air, droplets, etc., and after entering the respiratory tract of children, they cause an inflammatory reaction and cause fever.
2. Bacterial infection
Bacterial infection is also one of the common causes of colds and fever in children, such as Streptococcus pneumoniae, Haemophilus influenzae, Staphylococcus aureus, etc. These bacteria are spread through direct contact or droplets, causing respiratory infections and leading to fever.
3. Low immunity
Children's immune systems are not fully developed and their resistance is weak. They are prone to viruses and bacteria, which can cause colds and fever.
4. Environmental factors
Environmental factors such as climate change, poor indoor air circulation, and crowding can also cause colds and fever in children.
2. Treatment methods
1. Physical cooling
For children with low fever, physical cooling methods can be used, such as drinking more water and rubbing warm water on the places where large blood vessels pass, such as armpits, popliteal fossa, both sides of the neck, etc., to lower body temperature. ,Relieve symptoms.
2. Drug treatment
For children with high fever, antipyretic analgesics, such as acetaminophen, ibuprofen, etc., can be used under the guidance of a doctor to relieve symptoms. At the same time, antiviral drugs or antibacterial drugs can be used to treat the cause.
3. Dietary conditioning
When children have a cold and fever, they should be given light and easy-to-digest foods, such as porridge, noodles, fruits, etc., and avoid greasy and spicy foods to avoid aggravating symptoms.
4. Rest and care
Let children have adequate rest and avoid strenuous exercise and fatigue. Maintain indoor air circulation and keep warm to avoid getting cold again. At the same time, pay attention to children's oral hygiene and clean their mouths in time.
5. Observe the condition
Parents should closely observe the changes in the condition of their children. If they find persistent high fever, worsening cough, difficulty breathing and other symptoms, they should seek medical treatment in time.
For babies with fever, it is recommended to go to the hospital as soon as possible. The younger the age, the more timely it is to go to the hospital to avoid delaying the condition and causing lifelong regrets.
Some children are sick, and parents are afraid of going to the hospital for cross-infection, so they keep putting it off with a sense of luck. In the end, a small problem turns into a big problem, and it is too late to regret!
Special author of Hunan Medical Chat: Liu Liling, Department of Pediatrics, Hunan Second People's Hospital
(Editor yt. Picture source network, infringement and deletion)
