Pediatric common cold


Can children with a cold eat eggs?
When a child has a cold, the diet should definitely be light, offering easily digestible foods. If the baby does not have a fever, eggs can be consumed in moderate amounts as they provide a rich source of protein, phospholipids, vitamins, and other nutrients. However, if the baby has a fever, it is best to avoid giving them eggs because eggs are relatively hard to digest and rich in protein and phospholipids, which can increase the burden on the gastrointestinal tract. Additionally, a fever can affect digestive functions, which is not conducive to the baby's recovery. Therefore, it should be determined based on the situation.


What medicine should a child take for cough and cold?
If children develop a cough due to a cold, like occasional mild coughing, slight nasal congestion, and runny nose, without obvious fever, and they maintain a good spirit and appetite, parents do not need to worry too much. Let the children rest appropriately, drink more warm water, and eat a light, easily digestible, and nutritious diet. A common viral cold generally has a certain self-healing capability. However, if the cough is more severe with noticeable phlegm, a significant decline in spirits, or if high fever occurs, it is then essential to visit a hospital promptly for doctors to treat the child based on their condition. Typically, children should not take cold medicines that are meant for adults, as these can have significant side effects on children. A usual viral cold infection tends to be self-limiting, so parents should closely monitor the progress of the illness, and seek medical attention promptly if the condition worsens.


Do children with colds need to take cephalosporins?
Common colds in children are generally divided into bacterial colds and viral colds, with the majority being viral colds. For viral colds, it is mainly important to monitor body temperature and mental state, among other conditions. If there is a high fever, fever-reducing measures should be taken, and some antipyretic and detoxifying medications may be administered. If a bacterial cold is considered, such as acute tonsillitis caused by streptococcal infection, the use of sensitive antibiotics, such as cefaclor or cefixime, should be added to the treatment. Therefore, not all colds require cefaclor, but if the upper respiratory infection is caused by bacterial infection, cefaclor-type medications are needed for treatment. (Please use medications under the guidance of a doctor.)


What should I do if a child has a cold and fever?
Children's colds and fevers are caused by viral or bacterial infections, with the vast majority being viral infections. First, we need to ensure that the child is well-hydrated and also manage the symptoms. When the body temperature exceeds 38.5 degrees Celsius, administer antipyretic medication to the child, such as ibuprofen suspension or acetaminophen. The interval between doses of these medications should be at least six hours. Additionally, give the child cold relief granules to alleviate the symptoms of the cold. When the body temperature is below 38.5 degrees Celsius, physical cooling methods can be applied, such as using fever-reducing patches, taking lukewarm baths, or wiping the forehead, neck, armpits, and groin—areas where large blood vessels are located—with a warm towel. Throughout the process, it is very important to keep the child hydrated. If the child's cold and fever persist, a complete blood count should be performed to check for a bacterial infection. If a bacterial infection is present, treatment with antibiotics should be administered under the guidance of a hospital doctor, based on the child’s condition. Controlling the infection is essential for reducing the fever and bringing the child's temperature down, ultimately helping the child return to normal.


How to treat children's colds, coughs, and phlegm
When children catch a cold and cough with phlegm, the first consideration should be whether there is bronchitis. If the cough is severe, expectorant and cough suppressing medications can be administered orally, such as traditional Chinese medicine or Western medicine, for example, ambroxol. Additionally, bronchitis might be accompanied by a bacterial infection, in which case anti-inflammatory drugs like cephalosporins or penicillin can be prescribed. Nebulizer treatment can also be used, which helps in thinning the mucus and suppressing cough. Furthermore, it might be necessary to conduct a routine blood test to assess the child's condition.


Which department should a child visit for a cold?
If a child has a cold and is being seen at a general hospital, it is advisable to visit the pediatrics department. However, if the child has a persistent high fever and the condition is urgent, a visit to the pediatric emergency department is recommended. If it's a children's specialty hospital, it would be advisable to visit the pediatric respiratory department, the emergency department, or the fever clinic. Generally, colds are caused by viral infections, though some are caused by bacterial infections. Most fevers can last from three to five days. Therefore, we should not be too hasty and should focus on symptomatic treatment.


How to take care of a child with a cold
How to take care of a child during a cold? First, it is essential to ensure that the child rests in bed. Provide the child with plentiful water, offering small amounts frequently. If the child does not want to drink water, you can appropriately add some juice or glucose water. Also, monitor the temperature changes, generally measuring the temperature under the armpit. Second, it is crucial to keep windows open for ventilation at home, avoiding too cold or too hot environments, as neither is conducive to the child’s recovery from illness. Third, based on the changes in temperature, adjust the child’s clothing accordingly but avoid dressing the child too warmly or covering too thickly, as this can hinder heat dissipation. This is not only detrimental to the child’s recovery but can also exacerbate the illness and potentially lead to heat rash. Fourth, if the child sweats excessively, be sure to wipe the sweat timely and change their clothes. Fifth, in terms of diet, adopt a strategy of small, frequent meals that are light and easy to digest. The child should avoid eating fish, shrimp, spicy, and other stimulating foods. If the child has poor appetite or indigestion, do not force-feed them. Instead, frequently massage their abdomen, and if necessary, administer oral medication to aid digestion. Sixth, ensure adequate caloric intake and that the child urinates frequently and has regular bowel movements. Seventh, actively apply symptomatic treatment for the child and avoid the misuse of antibiotics. If the temperature persists for more than three days or if the condition worsens, it is imperative to visit the hospital promptly to avoid delaying the child's condition.


What to do for quick relief of nasal congestion in children with a cold?
A minor cold with nasal congestion is likely caused by a viral infection leading to swelling of the nasal mucosa, and thus, blocking the nasal passages. For quick relief, we can initially take oral medications such as children's acetaminophen-diphenhydramine granules, etc., which can promote the contraction of the nasal mucosa. Additionally, antiviral oral solutions can be taken for antiviral treatment. Locally, a 3% sodium chloride solution can be used for nasal drops to promote the contraction of the nasal mucosa, or physiological seawater nasal drops can also be used for the same purpose. Furthermore, physiological saline can be used to wash the nasal cavity, and then a nasal aspirator can be used to clean the secretions inside the nasal cavity, which also helps to clear the nasal passages.


Symptoms of childhood cold and encephalitis
Some common symptoms of encephalitis secondary to a cold in children primarily include fever, usually moderate to high, though some may exhibit low fever. Next, symptoms such as headache, dizziness, primarily around the forehead, crown, or occipital region, may occur. This is followed by vomiting, which is generally more evident after eating or drinking, with some exhibiting persistent vomiting. Additionally, some may experience lethargy, weakness, or even seizures.


What to eat for a child with a cold?
If a child's cold is considered to be caused by a viral infection, it is important to monitor the baby's temperature and mental response, among other factors. If the child does not have a fever, or only has a low fever and is in good spirits, simply monitoring the baby’s condition and ensuring they drink plenty of warm water and eat light, easily digestible foods is sufficient, with no other special requirements needed. However, some colds, such as those with persistent high fever, lethargy, and poor responsiveness, are more serious and require immediate attention. It is crucial to visit the hospital for further diagnosis and treatment in these cases. Sometimes, the impact of a cold should not be underestimated, as diseases like myocarditis and intracranial infections can initially be triggered by a cold. Therefore, a comprehensive analysis is necessary to make a judgement, and treatment should proceed under the guidance of a doctor.