Patient's question:
Hello! If a 18-month-old child has an upper respiratory infection with cough and fever below 39℃, which medications are ideal to use?Doctor's answer:
It is recommended to take Azithromycin orally for treatment. Nimesulide can be used to reduce fever. Drink plenty of water.Colds are caused by viral infections, and bacterial infections can occur directly or after a viral infection. The main symptoms include fever, headache, dizziness, nasal congestion, runny nose, tearing, body aches, and fatigue. Some patients may experience a loss of appetite.
Guidelines:
It is recommended to follow the treatment plan below:
1. Antiviral treatment with traditional Chinese medicine that has the effects of clearing heat and detoxifying, such as Shuanghuanglian oral liquid or Daqingye mixture.
2. Antibacterial treatment, using penicillin-class drugs (e.g., Amoxicillin granules) or cephalosporin antibiotics, for about one week.
3. Symptomatic treatment, such as fever. Theoretically, medication is required only if the child's temperature exceeds 38.3°C, but in practice, medication is usually given if the temperature is above 38°C. Paracetamol-containing compound preparations or Nimesulide can be used for fever reduction. Additionally, prepare infant fever-reducing suppositories for rectal use before bedtime to prevent high fever seizures caused by elevated temperatures at night.
If the condition is not severe, cough medicine should not be used. Medications that promote mucus discharge, such as Chuangbei Xueli Gao, can be chosen to help alleviate cough symptoms. If the cough is severe, cough medicine like Benzydamine can be used for a short period.