Symptoms of bronchitis in children

Written by Li Jiao Yan
Neonatology
Updated on August 31, 2024
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Pediatric bronchitis is an infection of the bronchial mucosa caused by various pathogens. Clinical presentations commonly begin with symptoms of upper respiratory infection such as nasal congestion, sneezing, runny nose, or low-grade fever, followed by coughing as the main symptom. Initially, the cough is dry, later accompanied by phlegm. Symptoms can be more severe in infants and young children, often including fever, vomiting, and diarrhea, generally without systemic symptoms. Auscultation of the lungs reveals coarse breath sounds, with fixed and scattered dry rales, and medium to coarse moist rales. Infants and young children often have difficulty expelling phlegm, which may be audible in the throat and lungs as a rattling sound. If the infant or young child has wheezing bronchitis accompanied by eczema, or other allergic histories, they may develop pronounced symptoms of difficulty breathing, and may even progress to asthma.

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Written by Wang Xiang Yu
Pulmonology
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Does bronchitis cause asthma?

Bronchitis can be classified into acute bronchitis and chronic bronchitis based on the onset and progression of the condition. Acute bronchitis usually begins suddenly, with generally mild systemic symptoms. It can include fever and is mostly characterized by a dry cough or a small amount of mucous sputum. Over time, the amount of sputum may increase and the coughing may intensify, occasionally accompanied by blood-streaked sputum. There is generally no significant hemoptysis or chest pain. The duration of cough and expectoration can be quite long, potentially lasting two to three weeks. A small portion of patients may experience prolonged symptoms, eventually progressing to chronic bronchitis. The most common symptoms of chronic bronchitis are also cough and expectoration, but these symptoms last much longer, typically persisting for more than two years and occurring for three months each year. A small number of bronchitis patients may experience bronchial spasms or bronchial asthma, leading to varying degrees of chest tightness, shortness of breath, or wheezing.

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Written by Hu Bai Yu
Pulmonology
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Daily care for children's bronchitis

For children with bronchitis, it is essential to keep warm and avoid exposure to cold and wind, especially from cold air, which can reduce the local resistance of the bronchial mucosa and exacerbate the condition of bronchitis. It is also important to monitor the child's body temperature, maintaining it above 36.5 degrees Celsius, drink plenty of water, and promote metabolism to enhance the body's immunity. Additionally, attention should be paid to the diet, which should primarily consist of liquid or semi-liquid foods. It is also appropriate to drink some sugar water or light salt water. It is important to increase dietary nutrition by consuming light, fully nutritious, balanced, and easily digestible liquid or semi-liquid foods such as porridge, egg custard, soft noodles, fresh vegetables, and fruit juices. Furthermore, it is crucial to maintain the child's respiratory passages clear, focus on expectoration, and ensure regular ventilation in the room to keep the air fresh and flowing, with appropriate temperature and humidity levels.

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Written by Han Shun Li
Pulmonology
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What are the symptoms of bronchitis?

Bronchitis is a common clinical disease, which can generally be divided into acute bronchitis and chronic bronchitis in clinical practice. Acute bronchitis often has a sudden onset, with symptoms such as coughing and expectoration; some people may also experience fever, chest tightness, and wheezing. Typically, the course of the disease lasts two to three weeks. Chronic bronchitis, on the other hand, has a longer duration, with a more gradual onset and symptoms of recurrent coughing and expectoration, and even chest tightness. The annual duration of the disease is more than three months, with a typical onset lasting over two years, making it very long and difficult to control.

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Written by Hu Bai Yu
Pulmonology
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What to drink for bronchitis?

Patients with bronchitis can appropriately drink some plain boiled water, as it is the best beverage. It can promote the metabolism of the body and accelerate the circulation of the blood, effectively removing toxins and aiding in a quicker recovery from illness. Additionally, it is advisable to also drink some fruit and vegetable juices, which contain abundant vitamins. These vitamins can serve an antibacterial and germicidal role, greatly assisting in disease recovery. It is recommended that everyone ensures to rest adequately during illness, avoid excessive fatigue, maintain a relaxed mood, and not to be under too much stress. Patients suffering from bronchitis must ensure that their airways are clear to avoid coughing and expelling phlegm. Furthermore, one can also take cough and phlegm relieving medications under the guidance of a doctor to alleviate symptoms.

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Written by Hu Bai Yu
Pulmonology
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How to treat bronchitis in children?

For pediatric bronchitis, it is primarily important to determine the cause of the infection in the child and to treat the disease based on its cause. Choose corresponding sensitive antibiotics or antimicrobial drugs for treatment. If coughing and expectoration are severe, it may be necessary to use some antitussive and expectorant drugs. Moreover, if the child shows signs of wheezing or obvious suffocation, nebulized inhalation can be used for treatment to relieve symptoms. It is generally advisable to be cautious; if the baby shows signs of breathing difficulty, it is best to take the baby to the hospital for a chest X-ray. Typically, this will only reveal a coarse lung texture, but if the pathogen causing bronchitis in children is complex, then combined medication may be required for treatment.