Common cold

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Written by Yan Xin Liang
Pediatrics
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How to deal with a child's cold and low fever

When a child has a mild fever due to a cold, it is often likely caused by a viral infection. In this case, it's important to monitor the child's temperature. Initially, physical methods to reduce fever can be adopted, such as encouraging the child to drink more warm water, giving warm water sponge baths, or bathing in warm water. Additionally, appropriate oral antiviral medications and some traditional Chinese medicines, such as those that clear heat and detoxify, can be administered. It is also vital to observe the child's behavior and check for symptoms like coughing, vomiting, runny nose, or diarrhea.

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Written by Wang Xiang Yu
Pulmonology
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What department should I go to for a cold?

Colds are generally divided into common colds and influenza. For a common cold, one can visit the department of respiratory medicine; if this department is unavailable, one may alternatively visit the general internal medicine department. This disease can also be treated at community hospitals under the general practice department. Additionally, influenza is a contagious disease, so it is typically advised to seek treatment at a fever clinic or a clinic specializing in infectious diseases. If these options are not available, it is recommended to go to a hospital that can treat influenza.

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Written by Li Jiao Yan
Neonatology
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How to determine if a full moon baby has a cold

Generally, a one-month-old baby cannot express discomfort, so it is difficult to determine whether they have caught a cold. To judge if a baby has a cold, you need to observe if there are any changes in their usual behavior such as obvious spit-ups, decreased milk intake, increased sleep duration, deeper sleep, inconsolable crying or restlessness, labored breathing, nasal congestion, phlegm sounds in the throat, or frequent bubbles at the corners of the mouth. If the baby's breathing appears faster than usual, it likely indicates sickness. If parents notice their one-month-old is uncomfortable, it is imperative to promptly take the baby to a hospital for a thorough examination and treatment guidance from a specialist doctor.

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Written by Li Jiao Yan
Neonatology
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How to care for a baby with a cold in the summer

If a baby catches a cold in the summer, it is essential to take care of them by avoiding cross-infection. Additionally, pay attention to how the baby is dressed. If someone in the house has a cold, they should minimize contact with the baby and avoid sneezing, coughing, or kissing the baby to prevent cross-infection. Dressing the baby should be moderate during a summer cold; it's not about wearing more layers. The clothing should make sure the baby’s neck or chest and abdomen are warm without causing sweating. Keep the baby away from crowded places and, if possible, have them stay at home. If air conditioning is used, ensure to ventilate the room by opening windows 1-2 times a day, and keep the baby away from direct drafts. If the baby experiences nasal congestion or tends to choke while feeding due to the cold, it is crucial to avoid lying them down flat immediately after feeding. Instead, hold the baby upright or slightly elevate their head to prevent choking and worsening of the condition.

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Written by Li Jiao Yan
Neonatology
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How to determine if it is food stagnation or a cold?

The common cold is characterized by symptoms such as fever, chills, nasal congestion, runny nose, sneezing, coughing, headache, and body aches. It is an externally contracted disease that can occur throughout the year but is most common in the winter and spring seasons, and when there is a sudden change in the climate. Overeating mainly results from dietary imbalances, leading to symptoms like loss of appetite, indigestion, bloating or pain in the stomach area, frequent belching, sour regurgitation, or vomiting, and having foul-smelling or irregular stools. This is more common in infants and toddlers, typically occurring after binge eating. Symptoms can suddenly include abdominal bloating, vomiting, or changes in the frequency and nature of bowel movements, without the general signs of an upper respiratory tract infection. If the issue is overeating, the baby may feel relief after passing stools or vomiting; however, if it is a cold, symptoms might include gastrointestinal issues like vomiting, abdominal pain, or diarrhea, usually accompanied by mild fever and respiratory symptoms such as nasal congestion, runny nose, sneezing, or coughing. If vomiting or diarrhea occurs, the symptoms generally do not alleviate, and the baby would still feel very uncomfortable. Therefore, whether it is overeating or a cold can be determined by analyzing the specific conditions of the child.

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Written by Li Jian Wu
Pulmonology
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What should I do if I have a cold?

When you catch a cold, first measure your body temperature, pay attention to rest and hygiene, avoid eating spicy and overly greasy food, avoid staying up late, avoid getting chilled, ensure sufficient and good sleep, and drink more ginger brown sugar water, which can warm the body, promote sweating and urination, and enhance metabolism. If there are symptoms of fever, you can also use antipyretic analgesic medications primarily for antiviral treatment based on the cause, as well as symptomatic treatment. You may choose to take Qingkailing granules or Banlangen granules for antiviral treatment.

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Written by Zhai Guo Dong
Gastroenterology
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Do you need an IV for a stomach flu?

When suffering from a stomach flu, symptoms often include abdominal pain, diarrhea, and bloating. If the symptoms are mild, it is recommended that patients take some antispasmodic and pain relief medications orally. In terms of diet, it is best to avoid irritant foods and consume oral rehydration salts to prevent electrolyte imbalance and significant fluid loss. If the patient experiences severe diarrhea, it is advisable to appropriately supplement with sugar and electrolyte solutions or liquids. If the condition worsens, the use of antibiotics and antiviral medications may be considered.

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Written by Zou Zhong Lan
Pulmonology
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The difference between viral and bacterial colds

The main differences between viral and bacterial colds are: First, the pathogens are different. Viral colds are primarily caused by viruses, while bacterial colds are mainly caused by bacterial infections. Second, the characteristics of contagion differ. Viral colds generally have stronger contagiousness, such as influenza, which has distinct characteristics of outbreaks and often occurs seasonally in spring and winter, with a sudden onset. Bacterial colds are less contagious and typically occur sporadically. Third, the symptoms differ. Generally, viral colds mainly present symptoms of nasal congestion, runny nose, and other upper respiratory catarrhal symptoms. Bacterial colds mainly present with fever, sore throat, tonsillitis, and other symptoms. Fourth, in terms of examinations, a typical hemogram for viral colds usually shows normal or low white blood cells, with an increase in lymphocytes, while bacterial colds often show an increase in white blood cells or neutrophils. Fifth, the treatment approaches differ. Treatment for viral colds primarily includes antiviral therapy, nutritional support, ventilation, and hydration. Bacterial colds are mainly treated with antibiotics and anti-infection therapies.

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Written by Feng Hai Tao
Pediatrics
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How to take care of a child with a cold

How to take care of a child during a cold? First, it is essential to ensure that the child rests in bed. Provide the child with plentiful water, offering small amounts frequently. If the child does not want to drink water, you can appropriately add some juice or glucose water. Also, monitor the temperature changes, generally measuring the temperature under the armpit. Second, it is crucial to keep windows open for ventilation at home, avoiding too cold or too hot environments, as neither is conducive to the child’s recovery from illness. Third, based on the changes in temperature, adjust the child’s clothing accordingly but avoid dressing the child too warmly or covering too thickly, as this can hinder heat dissipation. This is not only detrimental to the child’s recovery but can also exacerbate the illness and potentially lead to heat rash. Fourth, if the child sweats excessively, be sure to wipe the sweat timely and change their clothes. Fifth, in terms of diet, adopt a strategy of small, frequent meals that are light and easy to digest. The child should avoid eating fish, shrimp, spicy, and other stimulating foods. If the child has poor appetite or indigestion, do not force-feed them. Instead, frequently massage their abdomen, and if necessary, administer oral medication to aid digestion. Sixth, ensure adequate caloric intake and that the child urinates frequently and has regular bowel movements. Seventh, actively apply symptomatic treatment for the child and avoid the misuse of antibiotics. If the temperature persists for more than three days or if the condition worsens, it is imperative to visit the hospital promptly to avoid delaying the child's condition.

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Written by Yan Xin Liang
Pediatrics
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Symptoms of childhood cold and encephalitis

Some common symptoms of encephalitis secondary to a cold in children primarily include fever, usually moderate to high, though some may exhibit low fever. Next, symptoms such as headache, dizziness, primarily around the forehead, crown, or occipital region, may occur. This is followed by vomiting, which is generally more evident after eating or drinking, with some exhibiting persistent vomiting. Additionally, some may experience lethargy, weakness, or even seizures.