Pediatric common cold


How effective is Xiao'er Ganmao Ning Heji?
Xiao'er Ganmao Ning combination is a non-prescription medication with Chinese herbal ingredients, used for treating colds in children. It is primarily used for symptoms such as fever and cough. It can be administered to children experiencing nasal congestion, runny nose, coughs, and throat discomfort, and it generally has a good therapeutic effect. While taking Xiao'er Ganmao Ning, it is essential to ensure the child drinks plenty of water. Additionally, if a bacterial infection or tracheitis has developed due to the cold, treatment should be combined with other medications based on the child's specific condition. Overall, Xiao'er Ganmao Ning mixture is a viable option for treating common colds in children and can effectively achieve the intended treatment goals. (Note: The answer is for reference only. Medication should be administered under the guidance of a professional physician, and blind medication should be avoided.)


How should a child's cough be treated after a cold?
After catching a cold followed by coughing, this is often due to viral or bacterial infections leading to pharyngitis, bronchitis, or pneumonia that cause coughing. Under this circumstance, the initial treatment is anti-infection. If it is considered a bacterial infection, then sensitive antibiotics should be added either orally or intravenously; if a viral infection is considered, then the primary treatment is symptomatic. For instance, taking some expectorant and cough suppressant medications, including Western or proprietary Chinese medicines. Concurrently, nebulizer inhalation can be administered to achieve expectoration, spasm relief, and cough suppression. Additionally, intravenous cough suppressants, enhancing back patting, and drinking more warm water can help dilute sputum and promote its expulsion among other treatments.


What should I do if a child has a cold and an earache?
When a child catches a cold, it indicates that the child has an acute upper respiratory tract infection. About 90% of acute upper respiratory tract infections are caused by viral infections, and approximately 10% are caused by bacterial infections. It is important to actively deal with a child's cold. If a child experiences ear pain during the cold, it is essential to take the child to an otolaryngologist to check their ears, as acute otitis media is the most common complication after a cold. The child may develop acute serous otitis media, and if not promptly treated, it can lead to rupture or perforation of the eardrum. Therefore, it is crucial to rule out otitis media when a child with a cold experiences ear pain. If otitis media is ruled out and the child still has ear pain, it may simply be a symptom of the cold.


How many days will it take for a child to recover from a cold?
How long it takes for a child to recover from a cold depends on the specific circumstances. If it's just a minor cold, like a common viral cold with symptoms such as a runny nose and sneezing, the symptoms can generally be controlled within about 3 to 5 days. However, if the child's cold symptoms are more severe, including high fever, coughing, and a runny nose, it could take longer, possibly 5 to 7 days or more. This is because some colds can lead to bronchitis or even develop into pneumonia. It is difficult to specify an exact duration in such cases. For instance, bronchitis generally requires about 5 to 7 days of treatment to control the symptoms. If pneumonia is involved, the recovery might take even longer, around 7 to 10 days or up to 2 weeks. Therefore, an assessment based on the child's specific condition is needed to estimate how long it might take to recover. A typical mild cold can usually have its symptoms controlled within about 3 to 5 days.


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.


What are the symptoms of viral colds in children?
Symptoms of viral cold in children include nasal congestion, runny nose, sneezing, cough with phlegm, fever, headache, body aches, and sore throat. When having a cold, it is important to rest first, avoid strenuous exercise, and allow the body to focus its resources on the functioning of the immune system. It is also important to drink plenty of water, as all immune mechanisms rely on sufficient water. Drinking more water leads to more urination, which increases the excretion of water-soluble vitamins, so it is necessary to adequately supplement water-soluble vitamins, such as vitamin C and vitamin B. Fruits and vegetables are preferred. Additionally, symptomatic medication treatment should be applied.


What should I do if a child has a cold with a persistent high fever?
For a minor cold accompanied by persistent high fever, firstly, it is essential to monitor body temperature. If the fever continues, the initial step should be to reduce the fever, which can be done by taking ibuprofen or acetaminophen orally every 4 to 6 hours as required. Additionally, physical cooling methods such as tepid sponge baths, warm baths, and drinking warm water can also be used. If the fever persists or recurs, it's crucial to visit a hospital for routine blood tests and C-reactive protein assessments to evaluate the condition and determine whether it is caused by a bacterial or viral infection. If a bacterial infection is suspected, sensitive antibiotics should be used to treat the infection. If a viral infection is considered to be the cause of the ongoing fever, treatment should primarily focus on fever reduction. Attention should also be paid to mental responses and changes in body temperature.


Can children with a cold eat eggs?
When a child has a cold, the diet should definitely be light, offering easily digestible foods. If the baby does not have a fever, eggs can be consumed in moderate amounts as they provide a rich source of protein, phospholipids, vitamins, and other nutrients. However, if the baby has a fever, it is best to avoid giving them eggs because eggs are relatively hard to digest and rich in protein and phospholipids, which can increase the burden on the gastrointestinal tract. Additionally, a fever can affect digestive functions, which is not conducive to the baby's recovery. Therefore, it should be determined based on the situation.


What medicine should a child take for cough and cold?
If children develop a cough due to a cold, like occasional mild coughing, slight nasal congestion, and runny nose, without obvious fever, and they maintain a good spirit and appetite, parents do not need to worry too much. Let the children rest appropriately, drink more warm water, and eat a light, easily digestible, and nutritious diet. A common viral cold generally has a certain self-healing capability. However, if the cough is more severe with noticeable phlegm, a significant decline in spirits, or if high fever occurs, it is then essential to visit a hospital promptly for doctors to treat the child based on their condition. Typically, children should not take cold medicines that are meant for adults, as these can have significant side effects on children. A usual viral cold infection tends to be self-limiting, so parents should closely monitor the progress of the illness, and seek medical attention promptly if the condition worsens.


Do children with colds need to take cephalosporins?
Common colds in children are generally divided into bacterial colds and viral colds, with the majority being viral colds. For viral colds, it is mainly important to monitor body temperature and mental state, among other conditions. If there is a high fever, fever-reducing measures should be taken, and some antipyretic and detoxifying medications may be administered. If a bacterial cold is considered, such as acute tonsillitis caused by streptococcal infection, the use of sensitive antibiotics, such as cefaclor or cefixime, should be added to the treatment. Therefore, not all colds require cefaclor, but if the upper respiratory infection is caused by bacterial infection, cefaclor-type medications are needed for treatment. (Please use medications under the guidance of a doctor.)