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Li Jian Wu
Pulmonology
About me
Graduated from Jiangxi University of Traditional Chinese Medicine, with rich clinical experience.
Proficient in diseases
Treat common and prevalent respiratory diseases in respiratory medicine such as COPD, emphysema, bronchial asthma, and chronic bronchitis with a combination of traditional Chinese and Western medicine.
Voices
What should I do if I feel miserable with a cold?
First, it is important to correctly understand the common cold and not to be overly stressed mentally or emotionally. The common cold is a respiratory infectious disease caused by viral infection, leading to symptoms such as nasal congestion, runny nose, dry throat, cough, headache, dizziness, fever, and fatigue. Appropriate symptomatic treatment medications should be primarily used. For instance, antipyretic analgesics can be taken for fever, and it is also advisable to drink plenty of water, avoid staying up late, and eat more vegetables and fruits. If nasal congestion and runny nose are severe, medications that suppress gland secretion can be taken for symptomatic treatment.
Whooping cough is caused by what?
Whooping cough is a type of contagious disease, caused by infection with the Bordetella pertussis or Corynebacterium diphtheriae that causes respiratory infection symptoms. Its characteristics include paroxysmal, hormone-like coughing, commonly seen in clinical paediatrics. It presents specific cough sounds, such as a bark-like cough or a crowing sound during inhalation. If similar symptoms are observed, sputum culture or other diagnostic tests such as chest X-rays and routine blood tests can be performed. Once diagnosed, it is crucial to promptly select macrolide antibiotics to eliminate the pathogens.
What medicine is used for mycoplasma infection?
Clinical treatment of mycoplasma infection primarily involves the selection of sensitive antimicrobial drugs to control the infection. A drug sensitivity test can be conducted to aid in drug selection, or one can choose macrolide antibiotics, or other drugs such as gentamicin or josamycin to control the infection. Additionally, symptomatic treatment should be provided. For instance, in cases of mycoplasma pneumonia caused by mycoplasma infection, medications that dilute sputum and relieve bronchial smooth muscle spasms should be used to alleviate symptoms such as coughing and difficulty breathing. Also, temperature should be monitored, increased fluid intake is recommended, and antipyretic drugs or physical cooling methods should be used if fever symptoms are present. (Please use medications under the guidance of a professional physician, and do not self-medicate.)
Pertussis vaccine side effects
In clinical practice, the pertussis vaccine commonly used is mostly the DTP (Diphtheria, Tetanus, and Pertussis) vaccine, which primarily includes diphtheria, pertussis (whooping cough), and tetanus. This vaccine effectively prevents these three infectious diseases. Common adverse reactions and side effects from the vaccine injection include local muscle site reactions such as redness, swelling, and hard lumps; if there is a secondary bacterial infection, it may also lead to purulent discharge. Additionally, some patients may experience transient fever symptoms, generally not lasting more than twenty-four hours, followed by common gastrointestinal reactions.
What should I do about a seasonal cold?
Colds caused by seasonal changes should be treated symptomatically, often due to fluctuations in temperature differences leading to decreased immune function and colds caused by chilling. It is recommended to drink more ginger sugar water and measure body temperature. Drinking ginger sugar water can warm the body and disperse cold, as well as promote metabolism. If there are symptoms of fever, physical methods to reduce fever should be adopted, or antipyretic medications can be taken orally. Firstly, it is important to maintain the cleanliness of the indoor air, avoid eating irritating or spicy foods, measure body temperature twice daily, and possibly combine with antiviral medications for etiological treatment.
Quick treatment methods for colds with mild fever
The general method for quickly handling mild fever due to a cold primarily involves physical cooling. If the body temperature exceeds 38.5 degrees Celsius, it's necessary to combine this with taking antipyretic and analgesic drugs. There are many common methods of physical cooling. For adults, approximately 30% concentration alcohol can be used to wipe areas such as the palms, soles, neck, and chest. For infants and young children, alcohol should not be used; instead, wipe the body with warm water around 30-40 degrees Celsius. Applying cool towels or ice packs to the forehead can also serve as a physical cooling method.
Can whooping cough recur?
Pertussis, a respiratory infectious disease, is contagious and mainly transmitted through airborne droplets. Once infected and treated promptly and properly, the body will develop immunity and produce antibodies, though not for life. Relapse is possible, but generally, it does not recur within three to five years after recovery. If symptoms of cold and cough appear, it is possible that they are caused by other pathogens or allergic factors.
How to deal with cold chills and fever?
Symptoms of a cold such as chills and fever are manifestations of chills and high fever. During this period, one should first measure the body temperature, drink plenty of water, and promptly take appropriate fever-reducing measures depending on the severity of the fever to prevent febrile convulsions. Generally, the body temperature is measured again two hours after fever reduction through physical cooling or medication. Once the body sweats, the body temperature will return to normal, and the symptoms of chills will gradually ease. If the body temperature exceeds 38.5 degrees Celsius, medications such as acetaminophen or ibuprofen can be taken. (The use of medications should be under the guidance of a doctor.)
Types and Symptoms of Common Cold
From the perspective of Western medicine, there are primarily two types of colds: the common cold and influenza. The symptoms of the common cold are different and mainly include nasal congestion, runny nose, dry and sore throat, tearing, sneezing, and other symptoms. In contrast, influenza mainly manifests as weakness in the limbs, muscle soreness, and some may experience fixed joint swelling and pain. It can also cause complications such as nausea and vomiting, mainly due to infections caused by different pathogens, thus the symptoms vary.
How to distinguish between bacterial cold and viral cold?
Viral colds primarily affect the nasal area, with severe runny nose that is mostly clear and lacks pus-like discharge. When coughing, there is little phlegm. Symptoms of bacterial colds mainly occur in the tonsils and throat, showing redness and swelling of the throat, enlarged tonsils, and throat pain. The nasal discharge is generally thick, and the cough brings up thick phlegm. Viral colds do not show any abnormalities in routine blood tests, whereas bacterial colds often display an increase in white blood cells.