How to treat phlegm in children with colds

Written by Quan Xiang Mei
Pediatrics
Updated on April 29, 2025
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When children have a cold with phlegm, the treatment includes:

1. Administering antiviral drugs or other appropriate medications based on the cause of the cold;

2. Providing specific oral cold medicines for treatment;

3. If there is a lot of phlegm, oral medications to reduce phlegm can be used in combination with other treatments. When there is less phlegm, parents can encourage the child to drink more water, frequently hydrate, and assist with patting the back, which helps to moisten and expel the phlegm.

For excessive phlegm, nebulization inhalation treatments can also be used, where the medication acts directly on the respiratory tract, helping with the absorption of respiratory tract phlegm. In severe cases, if there is a lot of phlegm with coughing discomfort or a severe cough, it is necessary to take the child to the hospital for detailed laboratory tests. Based on the specific pathogen causing the excessive phlegm and cold, targeted treatment should be given under the guidance of a doctor.

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Can you drink alcohol when you have a cold?

You should not drink alcohol when you have a cold. Drinking alcohol during a cold often exacerbates the clinical symptoms of the cold, worsening the condition, and may even increase complications in some patients. Cold sufferers often experience marked upper respiratory tract catarrhal symptoms, and some may also feel generally unwell. Drinking alcohol can exacerbate these respiratory symptoms and sometimes lead to bacterial infections due to lowered immune defenses, resulting in acute suppurative tonsillitis, pneumonia, bronchitis, and other conditions. Moreover, drinking alcohol when you have a cold can trigger gastrointestinal disturbances, especially in patients with gastrointestinal-type colds, noticeably worsening symptoms such as nausea, abdominal bloating, and diarrhea. In cases of severe colds, where patients take oral cold medications, drinking alcohol can increase the adverse reactions of these medications, causing significant discomfort. Some bacterial colds require antibiotic treatment, especially oral cephalosporin antibiotics, where drinking alcohol may induce a disulfiram-like reaction; therefore, it is prohibited for cold sufferers to drink alcohol.

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How to distinguish between bacterial cold and viral cold?

Viral colds primarily affect the nasal area, with severe runny nose that is mostly clear and lacks pus-like discharge. When coughing, there is little phlegm. Symptoms of bacterial colds mainly occur in the tonsils and throat, showing redness and swelling of the throat, enlarged tonsils, and throat pain. The nasal discharge is generally thick, and the cough brings up thick phlegm. Viral colds do not show any abnormalities in routine blood tests, whereas bacterial colds often display an increase in white blood cells.

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