Patient's question:
Child with bronchial asthma always has phlegm in the throat and wheezes. After taking many days of medicine, it's still not getting better. What should be done?Doctor's answer:
Consider the possibility of bronchopneumonia, maintain good ventilation, provide sufficient vitamins and protein, drink plenty of water, and eat small, frequent meals. Keep the airways clear, promptly clear upper respiratory secretions, change positions frequently to reduce pulmonary congestion, which facilitates inflammation absorption and sputum discharge. Antibiotics are primarily used for bacterial pneumonia, mycoplasma pneumonia, chlamydial pneumonia, and viral pneumonia with secondary bacterial infections. Before treatment, throat secretions or blood, pleural effusion, or other samples should be cultured and tested for drug sensitivity to select effective medications. For cough with phlegm, do not overuse cough suppressants, as suppressing cough can hinder sputum expulsion. To prevent phlegm from obstructing the bronchi, expectorants such as compound licorice syrup, 10% ammonium chloride solution, senna syrup, and diethylamine cough syrup can be used. For thick phlegm, trypsin 5mg can be added to 15-20ml of normal saline for ultrasonic nebulization inhalation.