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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Causes of upper respiratory tract infections

There are many causes of upper respiratory tract infections, the most common being due to factors such as exposure to cold, staying up late, fatigue, mental stress, and lack of sleep, which lead to a decrease in the body's resistance. The normal pathogenic bacteria in the body gain the upper hand, easily causing respiratory infections. Additionally, it's also possible for patients with weak constitutions to come into contact with pathogens, for example, being around patients with pneumonia or influenza. The exhaled gases from these patients can contain certain pathogens, making it easy to inhale them through the respiratory tract and cause infections.

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Written by Hu Bai Yu
Pulmonology
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How is an upper respiratory infection caused?

Upper respiratory tract infections are generally caused by pathogens such as viruses, fungi, and parasites that invade the patient's throat, causing acute inflammation. Viruses are the most common infectious agents, including rhinoviruses, coronaviruses, adenoviruses, influenza viruses, and others, which can cause these symptoms. In some cases, bacterial infections are the cause, often due to exposure to cold weather, sudden drops in temperature, or excessive fatigue, leading to rapid reproduction of viruses or bacteria and triggering the illness. It is advised that everyone actively seek symptomatic treatment under the guidance of a doctor. The main treatment should include rest and drinking plenty of water. Antiviral medicines may be used, such as antiviral oral solutions, heat-clearing and detoxifying oral solutions, or Scutellaria baicalensis oral solutions. If antibiotic treatment is necessary, anti-inflammatory drugs like erythromycin or penicillin may be used. (Note: The above medications should be used under the guidance of a doctor.)

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Written by Hu Bai Yu
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What medicine to take for respiratory infection?

If there are signs of a respiratory infection, it is mostly caused by bacteria, viruses, and other microbial infections. It is advised to undergo a routine blood test under the guidance of a doctor to determine the type of infection, and then to treat it with appropriate anti-infective medication as directed by a doctor. Symptomatic treatment should also be given. Common symptoms of respiratory infections include coughing, sputum production, and sore throat. During such times, it's advisable to take cough suppressants and expectorants, or use throat lozenges to alleviate sore throat. Additionally, drinking more water to aid metabolism and enhance immunity, eating a light diet, avoiding staying up late, maintaining a relaxed mood, and avoiding excessive stress or emotional excitement are recommended.

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Written by Li Jian Wu
Pulmonology
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Is an upper respiratory infection contagious?

Upper respiratory infections are contagious to some extent, as they are mostly caused by common pathogens such as rhinoviruses, streptococci, bacteria, mycoplasma, and other infectious agents. Clinically, they encompass a variety of diseases, including acute rhinitis, sinusitis, pharyngitis, tonsillitis, bronchiolitis, pneumonia, etc. These infections often spread through close contact and airborne droplets. Whether an individual gets infected mainly depends on the body's immune response. If a person has been vaccinated against a contagious disease and has developed antibodies, they generally will not be infected.

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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.