What should I do if a child has a cold and an earache?

Written by Yao Li Qin
Pediatrics
Updated on September 17, 2024
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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.

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Written by Quan Xiang Mei
Pediatrics
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Why do children have stomachaches when they catch a cold?

Colds are usually caused by viral infections, and may be accompanied by swelling of the lymph nodes. Abdominal pain caused by colds in children is often considered to be mesenteric lymphadenitis. This means that the virus causing the cold leads to the swelling of the lymph nodes around the intestines, which in turn can cause abdominal pain. There are generally two ways to alleviate this condition. One is to use oral pain relief medications, where children typically use traditional Chinese medicine orally, and do not take Western medicine, such as Yuanhu Zhitong Drops. Another method is to apply heat. At the same time, it is essential to ensure that the gastrointestinal tract is functioning well during a cold. Gastrointestinal dysfunction during a cold can also cause abdominal pain. Therefore, the diet should consist of warm, liquid, and easily digestible foods. (Note: The use of medications should be under the guidance of a professional doctor.)

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Written by Yan Xin Liang
Pediatrics
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What to do for quick relief of nasal congestion in children with a cold?

A minor cold with nasal congestion is likely caused by a viral infection leading to swelling of the nasal mucosa, and thus, blocking the nasal passages. For quick relief, we can initially take oral medications such as children's acetaminophen-diphenhydramine granules, etc., which can promote the contraction of the nasal mucosa. Additionally, antiviral oral solutions can be taken for antiviral treatment. Locally, a 3% sodium chloride solution can be used for nasal drops to promote the contraction of the nasal mucosa, or physiological seawater nasal drops can also be used for the same purpose. Furthermore, physiological saline can be used to wash the nasal cavity, and then a nasal aspirator can be used to clean the secretions inside the nasal cavity, which also helps to clear the nasal passages.

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Written by Yao Li Qin
Pediatrics
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What foods are good for children with a cold?

Children's colds are acute upper respiratory infections, and children can have rhinitis, pharyngitis, tonsillitis, etc. Most are caused by viral infections and are self-limiting. Therefore, during a cold, it is important to ensure that the child drinks plenty of water, rests a lot, eats more green vegetables, and supplements some vitamins. The diet should be light and easy to digest, avoiding heavy meals with large fish and meat, as well as snacks, sweets, and even puffed food. It is very helpful for the recovery from a cold to eat more fruits and vegetables that contain vitamin C. Also, drinking plenty of water and getting plenty of rest are very important.

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Written by Yan Xin Liang
Pediatrics
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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.

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Written by Quan Xiang Mei
Pediatrics
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How to treat a child's cold and cough?

For upper respiratory infections in children causing colds and coughs, the treatment approach should vary based on the child's age, as well as the severity and duration of the illness. For mild cases with less severe symptoms, treatment can be administered at home including frequent hydration, drinking plenty of water, and symptomatic oral administration of expectorants and cough suppressants. If the child's cold and cough symptoms are more severe, with significant coughing and phlegm, and are even affecting the child's sleep, it is typically recommended for parents to take their child to the hospital for blood tests. These tests may include a complete blood count, Mycoplasma testing, or a C-reactive protein test, to identify the specific cause of the cold and cough, and to enable targeted treatment. (Note: The use of medication should be under the guidance of a professional doctor.)