What to do if a child has a cold and ear pain?

Written by Yao Li Qin

Pediatrics

Updated on February 10, 2025

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Children catching a cold indicates that they have an acute upper respiratory tract infection, which is mostly caused by viral infections, while others are caused by bacteria or mycoplasma infections. If a child experiences ear pain after catching a cold, we must be highly vigilant about whether the cold has caused otitis media. It is essential to take the child to an otolaryngology clinic promptly, allowing the doctor to examine the painful ear with an otoscope. If it is confirmed that the child has otitis media, treatment should be administered based on the type of otitis media, such as serous otitis media or bacterial otitis media. With active treatment, the problem of ear pain can be quickly alleviated and cured.

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How to determine whether a child's cold is caused by a virus or bacteria

When determining whether a child's cold is caused by a viral infection or a bacterial infection, you can take the child to the hospital for a routine blood test. In most cases, it is caused by a viral infection. Combined with the routine blood test, if there is an increase in white blood cell count and neutrophil count, it usually indicates a bacterial infection. If the white blood cell count is normal, or low, along with an increase in lymphocyte count or percentage, it usually indicates a viral infection. Alternatively, combining this with a C-reactive protein test, if the C-reactive protein level significantly multiplies, then it indicates a bacterial infection.

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Symptoms and treatment of wind-heat cold in children

The symptoms of wind-heat cold in children mainly include coughing, coughing up purulent sputum, yellow sputum, or having a runny nose with yellow discharge. The child's tongue coating tends to be yellow and thick. This condition is considered a wind-heat cold. It is suggested to give the child some heat-clearing and detoxifying patent Chinese medicines for treatment. The diet should be light and easy to digest, avoiding overly greasy and spicy foods. The child's diet should include more fresh vegetables and fruits. In terms of treatment, the child should drink plenty of warm water and take some heat-clearing and detoxifying patent Chinese medicines. If the condition persists for more than three days, it is recommended to perform a routine blood test. If the white blood cell count is high, it is necessary to administer antibiotics to the child.

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Pediatrics

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What to do if a child has a cold and is short of breath?

There are two common causes of shortness of breath in children with colds, and the corresponding treatments are as follows: First, shortness of breath in children with colds is mainly due to respiratory obstruction caused by cold symptoms, leading to blockages in the nasal mucosa. This can easily lead to breathing difficulties, so shortness of breath occurs. We can use warm, damp towels or drop vitamin AD drops into the nasal cavity, among other methods. A warm, damp towel can be placed near the nasal cavity, and the principle of water vapor evaporation can effectively alleviate the blockage of the nasal mucosa. Dropping vitamin AD drops into the nasal cavity can also effectively moisten and lubricate the nasal mucosa, relieving nasal blockages and thus improving symptoms of shortness of breath from a cold. The second cause of shortness of breath from a cold is due to myocarditis or cardiac damage following a viral cold. For mild cases, oral medications that nourish the heart muscle should be administered for treatment, and children must ensure they rest and avoid strenuous activity. For severe cases, intravenous infusions and medications that nourish the heart muscle are needed for treatment. (Please follow medical advice when using medications.)

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Written by Dong Xian Yan

Pediatrics

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What to do about nasal congestion in children after a cold?

After a child catches a cold and exhibits symptoms of nasal congestion, antihistamine medication can be taken orally under the guidance of a doctor to relieve nasal congestion. Local use of nasal drops or saline solution, or the use of nasal spray locally can also relieve symptoms of nasal congestion. When a child has a cold causing nasal congestion, it is mostly because the nasal mucosa becomes congested and swollen after the cold, leading to the symptoms of nasal congestion. Some children may develop symptoms of allergic rhinitis after a cold. In addition to nasal congestion, most children may also experience symptoms such as a runny nose and sneezing.

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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.