Entering autumn and winter, the sudden change in temperature can easily cause children with low immunity to catch a cold. After the cold, cough will follow.
Once the child starts to cough, he will cough and cough constantly... Every time he coughs, the old mother's heart will hang up. Why has the child coughed for so long? I tried various cough relief methods, but why did it still not improve? If this continues, will you cough into pneumonia ? Today, Xiaojiu will talk.
The child has been coughing and coughing constantly. Will he cough into pneumonia?
First of all, the next conclusion: Coughing does not cause pneumonia, but pneumonia can cause repeated coughing.
Cough itself is just a symptom, but it is not a pathogenic factor. On the contrary, moderate coughing is a self-defense behavior of the human body. Through coughing, sputum and foreign objects in the respiratory tract can be excreted, thereby keeping the respiratory tract clean and unobstructed, which is conducive to the recovery of diseases.
Pneumonia is caused by pathogens such as bacteria and viruses, and is mostly caused by the downward development of upper respiratory tract infection of (including colds, pharyngitis , etc.), while upper respiratory tract infection is often accompanied by cough. When respiratory tract infection has not improved for 21-2 weeks, and the cough has significantly worsened, it may develop into pneumonia.
Don’t worry too much about cough caused by colds, just correct cough. However, if the child coughs frequently, which seriously affects sleep and eating, or the coughing time exceeds 4 weeks, you should be alert to pneumonia and should go to the hospital for treatment in time.
Is the child’s cough catching a cold or pneumonia? 3 tips to tell you how to distinguish the early symptoms of pneumonia are usually similar to a cold. Parents should observe closely and can distinguish them based on the following three aspects of the symptoms.
Cough and fever
The common cold has mild symptoms, less phlegm and easy to cough out, and most of them occur in the morning and evening. The heating time is short, the general temperature is around 38.5℃, and rarely exceeds 39℃, and it will generally improve within 1 week.
If it is pneumonia, it will have a continuous high fever, the temperature is generally above 39℃, and the repeated fever lasts for more than 5 to 7 days, or even longer. It may also be manifested as fear of cold and trembling. Cough is manifested as frequent and irritating dry cough, which is severe, and the face is red and even vomiting when coughing.
Check the respiratory status
Due to lung infection, gas exchange in alveolar is difficult, so the typical symptoms of pneumonia are actually shortness of breath and dyspnea .
According to the prevention and control plan of World Health Organization , the standard for rapid breathing in children is:
＜2 months: breathing ≥60 times/minute
2～12 months: breathing ≥50 times/minute
1～5 years old: breathing ≥40 times/minute
5 years old: breathing rate ＞20 times/minute
0 Parents can lift their clothes and count the number of breathings of their children when they sleep. If the breathing frequency standard of the corresponding age is exceeded, it means shortness of breath. If the nose wings flap, shrugging, and the chest wall is sunken when breathing, it means breathing difficulties. Take the child to the hospital for treatment in time.
See the sternum condition
If it is a cold and cough, the child's sternum will not show abnormal symptoms, but if it is pneumonia, the front and lower part of the neck will be sunken when the child inhales. In addition to the sternum, the supraclavicular fossa and intercostal space are also sunken inward when breathing, which may be severe pneumonia.
In addition to respiratory symptoms, pneumonia may also be accompanied by systemic symptoms such as mental depression, irritability, loss of appetite, trembling, and diarrhea.
distinguishes 4 types of cough syndrome, relieve cough and avoid detours
If the baby’s cough is not caused by pneumonia, then parents should not worry too much. Just relieve cough correctly, but you must learn to use syndrome differentiation to avoid repeated coughing.
Traditional Chinese medicine believes that cough is a lung disease syndrome in which the lungs are not pronounced and descended, the lung qi is upward, the cough sounds, or the coughing and spitting. It is mainly divided into the following 4 types of syndromes:
1. Wind-cold cough
Wind-cold evil qi invades the body, manifested as coughing, thin phlegm, nasal congestion and runny nose, headache, chills and no sweat, and thin and white tongue coating.
Treatment rules: Those who relieve lungs, dispel wind and cold, and those who cough and vomit thin phlegm should add medicines to dry dampness and eliminate phlegm.
group prescription: Xingsu Sanao Decoction; Chinese patent medicines can be taken Cold Qingre Granules , Wushi Cha Granules , etc.
2. Wind-heat cough
The body feels the evil of wind-heat, and the lungs are incomplete and clean, which is manifested as yellow and thick coughing of phlegm, thirst and sore throat, body heat, headache, aversion to wind, sweating, and thin and yellow tongue coating.
treatment principles: disperse wind and heat, and promote lungs.
group recipe: Sang Ju Drink, Yinqiao San .
3. phlegm and heat cough
is mainly caused by phlegm and heat invasion of the lungs and loss of lung qi, which are manifested as sticky and yellow phlegm, unpleasant coughing, nasal congestion and turbid nipple, hoarse throat, red tongue, thin yellow or greasy tongue coating.
treatment rules: dry dampness and eliminate phlegm and , and promote the lowering of lung qi.
group recipe: Lian Qiaolu Decoction, Lingyang Qingfei San, etc.
Whether it is wind-heat or phlegm-heat cough, it is manifested as yellow and thick phlegm, and if you want to relieve cough, you must first eliminate phlegm. When choosing Chinese patent medicines, you can take Jinzhen Oral Liquid specially developed for children, which is mainly composed of Lingyang Qingfei San and Lushi Goutan Pills . Among them, the optimized expectorant - Lushi Goutan Pills can effectively reduce the generation of sputum and help infants and young children to discharge sputum from the lower part of the digestive tract; goat horns, scutellaria baicalensis, raw gypsum and other Chinese medicine ingredients that clear heat and suck fire and detoxify can reduce the number of coughs and reduce the duration of attack; at the same time, rhubarb has a diarrhea effect, which can allow sputum to be excreted as the child urinates and defecates.
can better relieve symptoms of lung heat cough and high fever. It also contains no ephedra and no preservatives. It has a sweet taste. Mom is relieved and the child loves to drink it. It is recommended that parents consult a doctor and take medication.
. Dry and hot cough
Dry and hot cough is usually caused by external wind-cold or wind-drying, which is manifested as dry cough without phlegm, or phlegm like thread powder, which is not easy to cough out, dry nose and throat, and even cough chest pain , red tongue tip, thin yellow coating.
treatment rules: relieves exterior , clears lungs, moistens dryness.
group formula: Sangxing Decoction, Yinqiao Powder, etc.; Chinese patent medicines can be selected as Qiuli Xuanlv Paste, etc.
As the saying goes, "Three parts of treatment, seven parts of nourishment." In addition to taking medicine to relieve cough, it can also strengthen dietary care. You can give your children more foods that nourish yin and promote salivation, such as lily , honey, pear, lotus seeds, tremella and various fresh vegetables, etc., and eat less spicy and hot foods.
Reference:
1. Will a child become pneumonia if he coughs for a long time? [J]. Family Health: Popularization of Medical Sciences, 2018: 53-53.
2. Zhang Yuanyuan. Baby coughs constantly. Is it a cold or pneumonia? [J]. Fashion Parenting, 2011:92-93.
3. Li Jian. Traditional Chinese Medicine Treatment of Cough[J]. Health Big Vision : Medical Edition, 2013:295-295.
