How to treat a cold in children

Written by Yao Li Qin
Pediatrics
Updated on January 28, 2025
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Pediatric colds, also known as upper respiratory tract infections in children, are the most common illnesses among children. They primarily manifest as inflammation of the mucous membranes of the nose, nasopharynx, and throat, which can lead to conditions such as rhinitis, pharyngitis, and acute tonsillitis. Collectively, these are referred to as upper respiratory tract infections, or simply pediatric colds. The treatment of pediatric colds mainly focuses on preparing for and preventing complications. Secondly, symptomatic treatment is essential. When a child has a high fever, antipyretics should be taken, and physical cooling can be achieved through cold compresses, or warm moist compresses. Children with febrile convulsions should be given sedatives and antispasmodics while reducing the fever. For significant nasal congestion, local medications can be used, or physiological saline water can be used to rinse the nose. For throat pain, throat lozenges can be taken, or sprays that alleviate throat discomfort can be used. It is also crucial to treat the cause of the illness. Generally, antiviral drugs are not specific, but ribavirin can be taken, along with Chinese herbal medicines that clear heat and detoxify. If there is a secondary bacterial infection, antibiotics should be used under the guidance of a hospital doctor.

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Written by Wang Chun Mei
Pulmonology
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Does the common cold have phlegm?

The common cold, also known as acute upper respiratory infection, is generally caused by a viral infection for most patients. For the first three days before catching a cold, patients typically experience a dry cough without phlegm. After symptoms persist for two to three days, some patients may develop a bacterial infection as well. Therefore, at this point, some patients with the common cold might also experience varying degrees of phlegm production. In the case of the common cold, once a diagnosis is confirmed, it is important to promptly administer appropriate treatments such as antivirals and heat-clearing detoxifying medications to alleviate the acute clinical symptoms of the patient. By effectively alleviating these symptoms, it prevents the patient from developing additional bacterial infections, thus avoiding the occurrence of a cough with phlegm.

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Written by Han Shun Li
Pulmonology
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What to do when a cold causes a hot nose?

The common cold is an acute rhinitis caused by viral infection, with common symptoms including sneezing, runny nose, and nasal congestion; there may also be symptoms of nasal fever. In cases where the cold is accompanied by a hot nose, one initial approach is to use medications to alleviate the symptoms, such as compound cold medicines or traditional Chinese medicines that clear heat and detoxify. Additionally, it is advisable to drink plenty of hot water, rest, avoid getting chilled, quit smoking, and ensure good ventilation in the room to aid recovery from the cold.

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Written by Quan Xiang Mei
Pediatrics
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What should a baby eat when they have a cold?

Most colds in children are caused by viral infections. During a cold, it is normal to take oral cold medications and antiviral drugs. Additionally, we should consider the specific condition of the child's cold. For simple symptoms like sneezing and a runny nose, just taking cold medications and antivirals should suffice. However, if the child has other symptoms such as gastrointestinal nausea and vomiting, it may be necessary to also use digestive aids to adjust the stomach and intestines. If the cold is accompanied by fever, with temperatures exceeding 38.5 degrees Celsius, antipyretics are also needed for treatment. Besides medication, it is important to maintain a light and reasonable diet and ensure proper rest during a cold. (The use of medications should be under the guidance of a doctor.)

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Written by Yan Xin Liang
Pediatrics
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Can babies take a bath when they have a cold?

Actually, when children have a cold, they might sweat. If they sweat, their clothes will get wet, and having a lot of sweat on their body can also be uncomfortable. If they are not cleaned properly, it can actually make the baby feel very uncomfortable. So, it's completely fine to bathe when having a cold, especially for babies who are feverish. After their body temperature rises, bathing can also help to bring the temperature down, which is actually an effective method of physical cooling. As long as the room temperature and water temperature are kept appropriate, it is okay to bathe.

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Written by Wang Chun Mei
Pulmonology
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Can I eat mangoes if I have a cold and a stuffy nose?

Colds belong to respiratory system diseases, and the factors causing colds in clinical settings are often due to low immune function in patients. A slight carelessness or getting chilled can lead to the invasion of viruses, bacteria, or other pathogens into the respiratory tract, causing inflammatory lesions. In clinical settings, patients with a cold often experience nasal congestion, runny nose, sneezing, and some also have varying degrees of coughing. For patients with a cold, we recommend that they eat more foods high in vitamins. Especially fresh fruits, such as apples, pears, mangoes, strawberries, kiwis, and even watermelons, can all be appropriately consumed. Therefore, when a patient with a cold has nasal congestion, they can eat mangoes. Because mangoes are very nutritious, containing a variety of vitamins and trace elements needed by the body.