Patient's question:
When sleeping, I occasionally cough and feel like I want to gag. Currently, I have a clear runny nose, nasal congestion, a fever (around 38°C, sometimes with sweating). My appetite is still good.2 days ago, the treatment and its effects: I took Xiao'er Ganmao Granules (for wind-heat and influenza), but it really didn't...
Doctor's answer:
The child first developed a cough, indicating that inflammation has affected the throat or trachea. Since the child is young, they will never cough up phlegm. Therefore, when phlegm is coughed up and hits the throat, it causes dry coughing, especially at night when the body position changes, making the cough softer.Later, the child developed symptoms of upper respiratory tract infection, such as runny nose, nasal congestion, and fever. This should be due to delayed treatment of tracheal inflammation, which weakened the child's immunity and caused them to develop a fever again.
Currently, in the early and late stages of fever, wind-cold and wind-heat can fluctuate. Given that the child has a cough and fever, it indicates that the inflammation in their body is spreading. It is recommended that you take the child to the hospital for a doctor's examination, including percussion to check for abnormalities in lung breathing sounds. This is because pneumonia symptoms in young children are often not obvious, and delaying treatment should be avoided.
You can have the child undergo blood tests and Mycoplasma tests to determine whether the infection is bacterial, viral, or Mycoplasma. This will help decide on effective medication based on the pathogen. Generally, bacterial and viral infections are easier to differentiate. If the child has no signs of lung infection and has a high fever of 38°C or above, and if their diet is good, oral medications such as Cefalexin or Cef can be given, along with traditional Chinese medicine such as Mahang Granules and Qingkailing. Additionally, cold medicine containing diphenhydramine and acetaminophen, such as Haowaobao, Houtong, or 999 Granules, can be used to relieve symptoms like runny nose and nasal congestion.
If the infection is Mycoplasma, erythromycin-class antibiotics such as Azithromycin can be used. If the examination reveals severe lung inflammation or high fever, it is recommended to seek hospital intravenous treatment.
Lifestyle care: Ensure the child drinks plenty of fluids and avoids sweet foods, fish, shrimp, etc. Maintain a stable indoor air environment, paying attention to humidity and temperature.