Will children with colds have recurrent low-grade fever?

Written by Zeng Hai Jiang
Pediatrics
Updated on November 14, 2024
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Children with a cold may experience recurrent low fevers. In children, colds are generally caused by viral infections, such as rhinoviruses, common coronaviruses, etc. The symptoms include fever, runny nose, sneezing, coughing, sore throat, etc., and the duration of the illness is mostly three to five days, usually not exceeding a week. Therefore, during the course of the illness, the symptoms of a cold may recur. During the illness, fever-reducing measures are taken, such as physical cooling and medication. However, after the fever subsides, it may recur, which is a normal phenomenon.

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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.

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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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The Difference between a Cold and the Flu in Children

Epidemic influenza and the common cold have different pathogens for children. The main cause of epidemic influenza is the influenza virus or parainfluenza virus, meaning that the cold is caused by one or both of these viruses. This condition is called influenza. On the other hand, the common cold can be caused by many viruses, such as rhinovirus or coronavirus, and includes the influenza virus among others. Therefore, the pathogens are different; about 90% of common colds are caused by viruses.

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What should I do if a child has a cold and fever?

Children's colds and fevers are caused by viral or bacterial infections, with the vast majority being viral infections. First, we need to ensure that the child is well-hydrated and also manage the symptoms. When the body temperature exceeds 38.5 degrees Celsius, administer antipyretic medication to the child, such as ibuprofen suspension or acetaminophen. The interval between doses of these medications should be at least six hours. Additionally, give the child cold relief granules to alleviate the symptoms of the cold. When the body temperature is below 38.5 degrees Celsius, physical cooling methods can be applied, such as using fever-reducing patches, taking lukewarm baths, or wiping the forehead, neck, armpits, and groin—areas where large blood vessels are located—with a warm towel. Throughout the process, it is very important to keep the child hydrated. If the child's cold and fever persist, a complete blood count should be performed to check for a bacterial infection. If a bacterial infection is present, treatment with antibiotics should be administered under the guidance of a hospital doctor, based on the child’s condition. Controlling the infection is essential for reducing the fever and bringing the child's temperature down, ultimately helping the child return to normal.

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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.