Differences between viral colds and bacterial colds in children

Written by Li Jiao Yan
Neonatology
Updated on September 02, 2024
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When children have a viral cold, they have a runny nose with clear mucus, whereas bacterial colds usually do not involve a runny nose, or the discharge is purulent. In viral colds, children may have a fever but generally remain in good spirits, and their spirits return to normal after the fever subsides. In contrast, with bacterial colds, children experience fluctuating high temperatures, poor spirits after the fever subsides, and may show symptoms such as chills and cold hands and feet. Viral colds typically present more nasal discharge than throat symptoms; when the tonsils are inflamed, they appear smooth and bright red, whereas in bacterial colds, the inflamed tonsils are uneven, dull, and sometimes with visible pus spots.

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Written by Qiu Xin Hui
Traditional Chinese Medicine
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The cause of colds and flu

Cold and influenza are what traditional Chinese medicine refers to as 'wind-cold common cold.' The main causes are due to a decrease in the body's resistance, exposure to cold wind, and the inability to expel it from the body promptly. This results in a series of symptoms related to the wind-cold common cold, such as nasal congestion, clear nasal discharge, sneezing, sore limbs, chills, and fever. At this time, active treatment should be carried out, and it is appropriate to eat more warm foods or take medicines for conditioning. At home, you can use ginger brown sugar water, drink more hot porridge, and cover with thick blankets to make the body sweat slightly, which can alleviate the symptoms.

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Written by An Yong Peng
Pulmonology
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What should I do if I have a cold and a sore throat?

In cases of colds with sore throats, appropriate measures should be taken based on the specific condition. A cold with a sore throat may be caused by a viral infection. For viral colds, there are usually no specific treatments, and symptomatic pain relief treatment is often needed, along with adequate hydration and proper intake of fruits and other related measures. Additionally, a sore throat from a cold could also be a bacterial infection, such as acute purulent tonsillitis, which is a type of bacterial cold. Patients with acute purulent tonsillitis often experience significant throat pain, swollen tonsils with purulent secretions on the surface, and may also have a fever. For acute purulent tonsillitis, not only is symptomatic treatment necessary, but also the use of sensitive antibiotics is required.

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Written by Hu Bai Yu
Pulmonology
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What should I drink for a cold and cough?

For a cold accompanied by coughing, it is appropriate to drink some rock sugar pear water, or some stewed Fritillaria pear, or some fruit juice and vegetable juice. Drinking mung bean soup can also have a certain cough-relieving effect. Additionally, it is recommended to appropriately consume loquat pear or some honey water. Pay attention to a light diet, avoiding spicy and greasy, stimulating foods. During the coughing period, avoid seafood such as fish and shrimp, and also avoid insect-based foods. Also avoid overly sour, overly sweet, or overly greasy foods. At the same time, keep warm, avoid exposure to wind and cold, refrain from intense exercise, and engage in appropriate activities to strengthen the physique and enhance resistance.

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Can you eat chestnuts during a cold?

During a cold, it is advisable to eat fewer chestnuts. Although chestnuts are rich in proteins, vitamins, and carbohydrates, and can provide the necessary substances for the body, especially high in carbohydrates, providing the body's energy, it is important to note that chestnuts are warm in nature. Eating too many during a cold can possibly induce symptoms of 'internal heat', leading even to sore throats, which is not conducive to alleviating the condition. Furthermore, during a cold, the patient’s digestive function generally declines, particularly in those with gastroenteric colds, who may also experience significant nausea, abdominal bloating and pain, diarrhea, etc. Consuming too many chestnuts at this time can potentially cause an increase in abdominal symptoms like bloating and nausea, which are not conducive to recovery and might worsen the patient's appetite. Therefore, during a cold, it is recommended to avoid spicy, stimulating, and hard-to-digest foods.

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How to clear phlegm for a baby with a cold?

There are several methods to help a baby with a cold expel phlegm, which are as follows: First, you can give the infant some Western or traditional Chinese medicines that help expel phlegm to aid the removal of mucus. Second, gently patting the baby's back can also facilitate the expulsion of phlegm. Third, if possible, using a phlegm suction device can help the baby expel phlegm. Fourth, administering nebulized medications that help expel and remove phlegm can be effective. Lastly, it's important to treat the cause of the baby's cold-related phlegm production. Most colds are caused by respiratory viral infections, so taking antiviral medications can be very effective. If the cold and phlegm persist, be aware of the possibility of a secondary bacterial infection, which, if present, may require antibiotic treatment. (Note: Medication should be used under the guidance of a doctor.)