Patient's question:
The baby has bronchitis and has been taking Azithromycin Granules for Suspension (Zithromax) after. When coughing, there is dry vomiting and very loose stools. Hello, how should I switch to another medication? Thank you!! It has been a week since the onset of the illness. The reason is; initially, there was a fever, but after three days, it did not subside...Doctor's answer:
The main reason is that repeated infections of viruses and bacteria cause chronic non-specific inflammation of the urethra. When the temperature rises sharply, small blood vessels in the respiratory tract spasm, leading to brain edema and increased protective functions, which favor sepsis. Chronic exposure to smoke, dust, industrial pollution, and other atmospheric factors can also trigger the disease. Smoking causes bronchial spasm, mucosal changes, reduced ciliary activity, and continuous increase in mucus secretion, facilitating infections. Allergens also play a certain role.(1) Suppressing infection: Antibiotics are used based on the main pathogenic bacteria, the severity of the infection, or the results of pathogen drug sensitivity tests. Mild cases can be treated orally, while more severe patients may require intramuscular or intravenous antibiotics. Commonly used antibiotics include penicillin G, erythromycin, aminoglycosides, quinolones, and cephalosporins.
(2) Mucolytic and antitussive effects: For patients in acute relapse, mucolytic and antitussive drugs are used alongside infection control measures to stabilize symptoms. Patients with delayed onset should tolerate medication to ensure complete symptom resolution. Common drugs include ammonium chloride mixture, bromhexine, and viognin. Traditional Chinese medicine "Qingfei" also has a certain effect.
(3) Spasmolytic and bronchodilatory effects: Aminophylline and terbutaline are often taken orally, or albuterol and other inhaled agents are used. If airway dilation agents still fail to relieve persistent airway obstruction, corticosteroids such as prednisone (20–40 mg/day) can be administered.
(4) Aerosol therapy: Humidified inhalation or the addition of compound benzoin tincture can dissolve secretions in the trachea, facilitating expectoration. If sputum is thick and difficult to cough up, magnetic resonance aerosol inhalation may provide assistance, often combined with antibiotics and mucolytics.
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