Patient's question:
Child with sore throat and bronchitis: Previous treatment and effectiveness: 0.1g was taken on both days, half of which was more than half. What kind of assistance is needed: Please inform to take Duojie in small amounts...Doctor's answer:
The cough is primarily caused by viral or bacterial infections leading to inflammation in the pharynx, trachea, and bronchi, which is also the last symptom to disappear after a fever. In some patients, the cough can last for up to a month. On the basis of routine antiviral and antibacterial treatment, the cough symptoms should gradually subside.Your child is still coughing, and if it is not severe, it is recommended not to use lung-cleansing medications. Instead, consider using drugs with hemostatic effects, such as Fuzheng Xueyi Gao (Fuzheng Xueyi Paste), to promote the discharge of phlegm. This will help reduce the severity of the cough. Additionally, your child's yellow urine indicates low fluid intake, so it is advised to increase their water consumption.
Since you are still coughing and if it is not severe, it is recommended not to use lung-cleansing medications. Instead, consider using drugs with hemostatic effects, such as the licorice tablets you are currently using, to promote the discharge of phlegm. This will help reduce the severity of the cough. It is also advised to discontinue the use of antibiotics and consult a hospital for a chest X-ray to rule out other conditions.
Asthma is primarily caused by autoimmune and non-immune responses, leading to the release of inflammatory mediators such as histamine, 5-HT, LTC4, LTD4, TXA2, and PAF, which result in epithelial damage, increased vascular leakage, excessive secretion, and mucosal edema. These inflammatory responses are accompanied by smooth muscle spasm and increased airway resistance, leading to obstructive breathing difficulties.
Currently, the commonly used asthma medications include:
1) Bronchodilators primarily used for acute bronchospasm and have a certain anti-inflammatory effect. Examples include salbutamol, clenbuterol, terbutaline, theophylline, and aminophylline.
2) Anti-inflammatory asthma medications that suppress inflammatory responses, such as sodium cromoglicate, ketotifen, beclomethasone dipropionate, and budesonide.
3) Asthma medications that inhibit certain stages of the autoimmune process.
Regarding your child's high fever: A normal armpit temperature for a healthy person is 36–37°C. Due to their developmental stage, children have a higher metabolic rate, so their body temperature is naturally higher than that of adults. However, your child's fever requires medication. In addition to antiviral and antibacterial treatment, fever must be controlled. Theoretically, medication is recommended only if the child's temperature drops below 38.3°C, but clinically, medication is usually given once the temperature exceeds 38°C. Non-steroidal anti-inflammatory drugs (NSAIDs) containing ibuprofen or nimesulide can be used for fever reduction. Additionally, keep infant fever suppositories on hand for rectal use before bedtime to prevent high fever seizures if the child's temperature drops during the night.
Doctors have prescribed a variety of antibiotics, antipyretics, and anti-inflammatory drugs based on the symptoms, such as penicillin, cephalosporins, ibuprofen, and paracetamol. For patients with high histamine excretion, H1 receptor blockers like chlorpheniramine may also be needed. Pseudoephedrine can also relieve nasal congestion.