Is rectal administration good for children with colds?

Written by Zhang Qin Liang
Pediatrics
Updated on March 21, 2025
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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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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 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.

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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.

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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 fruits are good for children to eat when they have a cold?

During a cold, babies generally have reduced appetite. At this time, it is appropriate to supplement some fruits for the baby, which can enhance the baby's appetite, aid in digestion, and provide a significant amount of vitamin C and calories. It can also enhance the baby's resistance and immunity, promoting recovery from the illness. For example, eating more apples, pears, bananas, grapefruits, oranges, and other fruits that are rich in vitamin C and are bright in color and sweet in taste, which are favored by babies. However, during the process of feeding fruits to a baby, it is essential to adopt a method of eating small meals frequently. Try to avoid giving the baby raw, cold food and do not overfeed as it might lead to poor digestion. Furthermore, it is best not to feed the baby foods that are likely to cause allergies, as this can affect the baby's digestive absorption functions.