Patient's question:
The baby has a fever. About the past treatment and effectiveness: There was nothing special, the doctor said it was a fever, and I don't know what's wrong with her?????????? I would like to ask for advice. What kind of assistance does she need? Why does she keep crying?...Doctor's answer:
In this case, it is highly likely that sinusitis is the cause. Sinusitis is a common complication of upper respiratory infections. If there is tenderness when gently pressing the center of the forehead or the depression below the cheekbone, it is likely that you have sinusitis. It is recommended to take an X-ray for further diagnosis. If sinusitis is diagnosed, active treatment is necessary. You can use furacilin nasal drops for nasal administration, but be mindful of the posture after administration: for maxillary sinusitis, lean to the affected side after nasal drops; for frontal or ethmoid sinusitis, sit with your knees drawn up and head lowered after nasal drops. If a child has prolonged nasal congestion, it can lead to poor ventilation and choking, thereby affecting brain function.1. For fever, it is usually caused by a viral infection and is not effective with antibiotics. Chinese herbal medicines are more suitable for treatment. Examples include Sang Jie Fei Hao Pian (Mulberry and Orange Peel Fever Reducing Tablet), Xiao Er Gan Ma Chong Ji (Children's Cold Relief), Ban Lan Gen Chong Ji (Isatis Root Granules), Yin Qiao Du Du (Forsythia and Elderflower Disinfectant), Liu Shen Wan (Six), and Vitamin C.
2. If it is allergic rhinitis, you can use a 0.5-1% ephedrine saline solution for nasal drops. Systemically, oral administration of 0.2% diphenhydramine syrup, clemastine, chlorpheniramine, phenobarbital, prednisone, and 6-chloroethylhexanoic acid can be used. Intravenous administration of 10% calcium gluconate with vitamin C, aprotinin, corticosteroids, and epinephrine can be considered. Intramuscular administration of histamine globulin may also be used. If necessary, you can go to the hospital for allergy testing to identify allergens such as dust mites or pollen, and then create desensitizing agents for subcutaneous injection to perform desensitization therapy.
Care and Management:
1. For a baby with a runny nose, parents can use a soft handkerchief to wipe the nasal discharge. Since a baby's skin is very delicate, excessive wiping can cause discomfort. After wiping, a damp towel can be used to cover the nose, followed by a light application of oil to prevent skin cracking and pain.
2. For a baby with nasal congestion, if there is a foreign object blocking the nasal passage, a cotton swab dipped in a very small amount of water can be used to gently remove secretions from the nasal cavity. Be extremely careful not to push the foreign object further in; instead, take the baby to the hospital for a doctor to remove the nasal foreign body. Additionally, a warm, damp towel can be applied to the base of the nose to relieve congestion. If the baby's nasal passage is blocked by mucus, a nasal aspirator can be used to help the baby expel the mucus.