How to treat respiratory tract infections?

Written by Li Fang Xiao
Internal Medicine
Updated on September 02, 2024
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Respiratory infections are common situations in both clinical and daily life. The focus of treating respiratory infections is to identify the cause. For example, upper respiratory infections are most commonly caused by viral infections, primarily presenting symptoms such as coughing, sputum production, nasal congestion, runny nose, and sore throat, and may be accompanied by fever. The treatment can involve taking antiviral medications and nonsteroidal anti-inflammatory drugs to reduce fever when it occurs. For lower respiratory infections, such as lung infections, these are often due to bacterial infections. Identifying the type of bacteria through blood or sputum cultures can allow for targeted antibiotic treatment. It is important to avoid catching colds, exercise regularly, and improve overall fitness to prevent respiratory infections.

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Written by Li Jian Wu
Pulmonology
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Symptoms of upper respiratory tract infection

The symptoms of upper respiratory tract infection mainly manifest as fever, sore throat, cough, difficulty breathing, and sputum production. Some cases may also present with signs of hypoxia, leading to phenomena like cyanosis of the lips. Firstly, drink plenty of water and measure body temperature. If there is acute inflammation, a sensitive antibiotic must be chosen, accompanied by antipyretic analgesic drugs to relieve symptoms. Additionally, taking medication to dilute the sputum and alleviate spasms of the bronchial smooth muscles is advised for symptomatic treatment. A treatment course generally requires five to ten days and regular follow-up checks are necessary. It is important to quit smoking and drinking, and to drink plenty of water.

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Written by Li Jian Wu
Pulmonology
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The difference between upper respiratory tract infection and lower respiratory tract infection.

The difference between upper respiratory tract infections and lower respiratory tract infections mainly lies in the location of the infection. The pathogen causing the infection could be the same. If an upper respiratory tract infection is not treated in time, the pathogen might infect downwards and cause a lower respiratory tract infection. Compared to upper respiratory tract infections, which are commonly seen in clinical practice, lower respiratory tract infections are less common. Therefore, whether it is an upper or lower respiratory tract acute inflammation, sufficient and sensitive antimicrobial drugs should be chosen according to the treatment course for proper treatment.

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Written by Li Jian Wu
Pulmonology
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How many days does an upper respiratory tract infection last?

Upper respiratory tract infections caused by common bacteria or viruses generally recover after about a week of treatment. If caused by Mycoplasma, the course of the disease is relatively longer, requiring about half a month to twenty days. If the upper respiratory tract inflammation is due to whooping cough or tuberculosis bacteria, the course of the disease will be even longer. Whooping cough requires at least half a month to twenty days of medication, while tuberculosis-induced respiratory infections need at least three to six months for full recovery. Common respiratory tract infections seen clinically generally recover completely within three to seven days, and the specific duration of the disease depends on the pathogen causing the infection.

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Written by Hu Bai Yu
Pulmonology
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Can respiratory infections heal on their own?

Respiratory infections can be self-healing, usually in individuals who are physically strong or have a robust immune system. During an infection, drinking plenty of water, resting adequately, timely replenishing vitamin C, eating fresh fruits and vegetables, exercising appropriately to enhance physical fitness, and dressing appropriately according to the weather can potentially lead to self-healing. However, for elderly and frail patients, the self-healing rate from respiratory infections is very low. They should be treated under the guidance of a doctor, actively taking anti-inflammatory and anti-infection medications, as well as cold remedies. It is also important to ventilate rooms frequently to maintain fresh air circulation indoors, avoid overly dry environments, and keep indoor temperature and humidity at comfortable levels. Additionally, it is advisable to avoid spicy, greasy, cold, and irritating foods, and not to consume seafood to prevent exacerbating cold symptoms by promoting the production of phlegm.

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Written by Hu Bai Yu
Pulmonology
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How to treat upper respiratory tract infections

If an upper respiratory tract infection is severe, it is necessary to take anti-inflammatory and anti-infection medications under the guidance of a doctor. The first and most important step is to identify the cause of the infection under medical supervision and then use medication accordingly, which is crucial. Additionally, it is advised to support the treatment by drinking more water, resting adequately, avoiding overexertion, and eating a bland diet without spicy, greasy, or cold and irritating foods. An upper respiratory tract infection may also be accompanied by fever. If the body temperature exceeds 38.5℃, fever-reducing medications should be taken. Moreover, it is important to drink plenty of water to promote excretion. If the body temperature is between 37.5℃ and 38.5℃, physical cooling methods can be used. It is also recommended to rest well, frequently ventilate indoor spaces, and ensure air remains fresh and circulating.