Patient's question:
Child with sore throat and bronchitis: Previous treatment and effectiveness: Dosage of 0.1g was taken for both days, half 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 of 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 cooling blood medications such as Fritillaria cirrhosa and pear 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 advisable 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 cooling blood medications such as licorice tablets (as you are currently using) to promote the discharge of phlegm. This will help reduce the severity of the cough. It is also suggested that you stop taking antibiotics and visit 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. This results in epithelial damage, increased vascular leakage, excessive secretion, and mucosal edema, accompanied by smooth muscle spasm and elevated airway resistance, causing obstructive respiratory distress.
Commonly used asthma medications include:
1) Bronchodilators primarily used for acute bronchospasm and have some anti-inflammatory effects. Examples include salbutamol, clenbuterol, terbutaline, theophylline, and aminophylline.
2) Anti-inflammatory asthma medications that suppress inflammation. Examples include sodium cromoglicate, ketotifen, beclomethasone dipropionate, and budesonide.
3) Asthma medications that inhibit certain steps in the autoimmune process.
Regarding your child's high fever: A normal temperature (armpit temperature) in adults is 36-37°C. Due to their developmental stage, children have higher metabolic rates, 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 temperature is 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 temperature drops at night.
Doctors often prescribe a combination of antibiotics, antipyretics, and anti-inflammatory drugs such as penicillins, cephalosporins, ibuprofen, and paracetamol. For patients with high histamine excretion, H1 receptor blockers such as chlorpheniramine may be needed. Pseudoephedrine can also alleviate nasal congestion symptoms.