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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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.

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What to do if a child has a cold with nausea and vomiting?

Childhood colds refer to a general term for upper respiratory infections in children, including wind-cold colds, wind-heat colds, acute pharyngitis, acute tonsillitis, and more. They are caused by infections from various pathogens, including bacteria, viruses, etc., and symptoms include fever, runny nose, cough, sore throat, fatigue, nausea, vomiting, abdominal pain, diarrhea, etc. When children experience a cold accompanied by nausea and vomiting symptoms, it is referred to as a gastroenteric type of cold, and treatments can include antiemetics and adjustments to gastrointestinal function. However, it is also important to consider whether there are surgical conditions. If the child exhibits abdominal distension, poor mental state, or frequent vomiting, it is advisable to go to the hospital for examinations such as X-rays to rule out symptoms like intestinal obstruction.

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What to do about nasal congestion in children after a cold?

After a child catches a cold and exhibits symptoms of nasal congestion, antihistamine medication can be taken orally under the guidance of a doctor to relieve nasal congestion. Local use of nasal drops or saline solution, or the use of nasal spray locally can also relieve symptoms of nasal congestion. When a child has a cold causing nasal congestion, it is mostly because the nasal mucosa becomes congested and swollen after the cold, leading to the symptoms of nasal congestion. Some children may develop symptoms of allergic rhinitis after a cold. In addition to nasal congestion, most children may also experience symptoms such as a runny nose and sneezing.

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What medicine should a child take for vomiting and a cold?

When a child has a cold and shows symptoms of vomiting, it is likely due to acute gastrointestinal symptoms. In this case, oral medications to protect the stomach, such as bifidobacterium, cimetidine, omeprazole, or other antiemetic drugs can be administered. Additionally, it is important to check if there are symptoms of tonsillitis or throat inflammation, as inflammation of the tonsils or throat can stimulate the gag reflex and also cause reflex vomiting. In this situation, the first step should be to control the symptoms of the throat and tonsils, which will gradually improve the vomiting. Also, pay attention to the child's body temperature and their mental responses.

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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.