How to treat a child's cold and cough?

Written by Quan Xiang Mei
Pediatrics
Updated on January 21, 2025
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For upper respiratory infections in children causing colds and coughs, the treatment approach should vary based on the child's age, as well as the severity and duration of the illness. For mild cases with less severe symptoms, treatment can be administered at home including frequent hydration, drinking plenty of water, and symptomatic oral administration of expectorants and cough suppressants. If the child's cold and cough symptoms are more severe, with significant coughing and phlegm, and are even affecting the child's sleep, it is typically recommended for parents to take their child to the hospital for blood tests. These tests may include a complete blood count, Mycoplasma testing, or a C-reactive protein test, to identify the specific cause of the cold and cough, and to enable targeted treatment. (Note: The use of medication should be under the guidance of a professional doctor.)

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Do children with colds need to take cephalosporins?

Pediatric colds can be divided into viral colds and bacterial infections that cause upper respiratory tract symptoms. Generally speaking, 90% of cases are commonly viral colds. Viral colds are mainly treated symptomatically. Appropriate antiviral medications can be used, and antipyretics can be given during fevers. Also, drinking plenty of warm water and using some Chinese patent medicines for clearing heat and detoxifying can be sufficient. However, if the viral infection lasts a long time, it can easily lead to a secondary bacterial infection. In such cases, antibiotics can be used. Initially, oral penicillin antibiotics should be chosen, and cephalosporin antibiotics can also be selected for anti-infection treatment. If considering bacterial infection causing upper respiratory tract infection, such as acute tonsillitis caused by streptococcus infection, oral penicillin or cephalosporin antibiotics for anti-infection treatment can be used. Therefore, it is essential to choose medications based on the specific situation. (Medication should be used under the guidance of a doctor.)

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Is rectal administration good for children with colds?

Rectal administration of medicine is not a treatment method used in formal hospitals; it is typically used for sedation or certain gastrointestinal disorders, requiring enema treatment. In some smaller clinics, enemas and rectal administration of medication might be used to treat children's fever and colds, which is an irregular treatment method and is best avoided. This may cause damage to the gastrointestinal mucosa and lead to disorders such as diarrhea. Therefore, formal hospitals do not recommend using rectal administration to treat common issues like children's colds and fevers. Moreover, this method could potentially lead to side effects from the medication, affecting body functions.

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Can a cold in children cause encephalitis?

Colds in children can potentially lead to encephalitis, and are generally referred to as upper respiratory tract infections in children. The pathogens can be bacteria, viruses, etc., typically manifesting as fever, runny nose, sneezing, coughing, sore throat, and more. Sometimes, gastroenteric colds can also manifest as nausea, vomiting, abdominal pain, diarrhea, etc. Because children have relatively lower immunity, if the infecting pathogen is highly toxic and aggressive, it can potentially cross the blood-brain barrier and enter the brain tissue, causing encephalitis. When encephalitis occurs in children, symptoms such as fever, seizures, and coma can appear, and neurological signs may be observed upon examination.

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What should I do if a child has a stuffy nose at night due to a cold?

When a child catches a cold due to the invasion of pathogens, it can cause symptoms such as fever, runny nose, nasal congestion, cough, sore throat, headache, abdominal pain, bloating, vomiting, diarrhea, etc. Some children may experience severe nasal congestion, especially at night during sleep, which can lead to snoring and mouth breathing. At this time, we recommend using a warm towel to apply heat to the root of the child's nose, which can improve the child's nasal airway ventilation. Adjusting the child's sleeping position to lie on one side instead of on the back can also help relieve nasal congestion. Of course, if the child indeed has a cold, giving appropriate cold medicine during the day can provide symptomatic relief, which makes it easier to alleviate nasal congestion.

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How to treat a child's cold with a stuffy nose

When children catch a cold, they may exhibit symptoms such as fever, runny nose, nasal congestion, cough, sore throat, headache, abdominal pain, vomiting, and diarrhea. If a child's nasal congestion is severe and the nose is blocked, we can apply a warm towel to the root of the nose for a hot compress, or gently remove the nasal secretions using a small cotton swab. It is also possible to apply some nasal ointment at the vestibule of the nose to improve air passage. At the same time, it is advised to administer cold medicine for symptomatic treatment.