How to treat a child's cold and cough?

Written by Quan Xiang Mei
Pediatrics
Updated on January 21, 2025
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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.)

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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 Yan Xin Liang
Pediatrics
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What medicine should a child take for vomiting and a cold?

When a child has a cold and shows symptoms of vomiting, it is likely due to acute gastrointestinal symptoms. In this case, oral medications to protect the stomach, such as bifidobacterium, cimetidine, omeprazole, or other antiemetic drugs can be administered. Additionally, it is important to check if there are symptoms of tonsillitis or throat inflammation, as inflammation of the tonsils or throat can stimulate the gag reflex and also cause reflex vomiting. In this situation, the first step should be to control the symptoms of the throat and tonsils, which will gradually improve the vomiting. Also, pay attention to the child's body temperature and their mental responses.

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Written by Yan Xin Liang
Pediatrics
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How to treat children's colds, coughs, and phlegm

When children catch a cold and cough with phlegm, the first consideration should be whether there is bronchitis. If the cough is severe, expectorant and cough suppressing medications can be administered orally, such as traditional Chinese medicine or Western medicine, for example, ambroxol. Additionally, bronchitis might be accompanied by a bacterial infection, in which case anti-inflammatory drugs like cephalosporins or penicillin can be prescribed. Nebulizer treatment can also be used, which helps in thinning the mucus and suppressing cough. Furthermore, it might be necessary to conduct a routine blood test to assess the child's condition.

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Written by Dong Xian Yan
Pediatrics
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Why do children with colds have a lot of eye discharge?

Increased eye discharge in children with colds is primarily due to congestion and swelling of the nasal mucosa during a cold, which blocks the nasolacrimal duct. At the same time, pathogenic microorganisms from the nasal cavity can enter the eyes through the nasolacrimal duct, causing conjunctivitis, which leads to increased eye discharge. Therefore, when a child shows symptoms of a cold, it is important to maintain cleanliness and hygiene of the eyes. If nasal congestion is severe, medication should be administered under the guidance of a doctor to reduce the chance of developing conjunctivitis. If there is excessive eye discharge, eye drops can be used locally to alleviate the symptoms.

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Written by Yao Li Qin
Pediatrics
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How can a child recover quickly from a cold?

Children's colds are mostly viral infections, and viral infections can heal themselves. Therefore, when a child catches a cold, we should first let the child rest plenty, drink lots of water, and ensure they get enough sleep. If the child has noticeable cold symptoms, you can give them cold granules for symptomatic treatment of the cold. Also, maintain indoor air humidity, and keep the home temperature appropriate, generally between 18-23℃, with about 60% humidity. Under these conditions, a child's cold can recover quickly. Do not let children in contact with adults who have a cold during their cold period, do not let children play outside, and certainly do not allow children to engage in strenuous activities. (Please follow your doctor's medical advice regarding medicines.)