Upper respiratory tract infection complications

Written by Wang Xiang Yu
Pulmonology
Updated on September 21, 2024
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Upper respiratory tract infections, also known as URIs, refer to acute inflammation occurring from the external nostril to the lower edge of the cricoid cartilage, commonly affecting the nasal cavities, pharynx, and larynx. Most patients with upper respiratory infections experience mild symptoms and a short disease course, generally having a good prognosis with self-recovery. However, a small subset of upper respiratory tract infections can lead to complications such as sinusitis, otitis media, and tracheobronchitis. Some infections that manifest primarily as pharyngitis can lead to secondary conditions like rheumatic fever and glomerulonephritis caused by Streptococcus. In these cases, the prognosis may not be as favorable. Additionally, a small number of patients might develop more severe illnesses, such as viral myocarditis, which significantly affects the prognosis. Therefore, upper respiratory tract infections should not be underestimated, and proactive prevention and treatment are essential.

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Respiratory infection symptoms

The symptoms of respiratory infections vary among individuals. Common clinical symptoms include fever, headache, fatigue, swollen throat, coughing, runny nose, sneezing, tearing, as well as difficulty breathing, phlegm, chest pain, and body aches. Some may also experience nausea, vomiting, and even sleep disturbances. Severe cases can lead to oxygen deprivation due to inflammation, manifesting as cyanosis of the lips, and increased and rapid breathing.

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Upper respiratory tract infection fever lasts for a few days

Upper respiratory infections generally come with symptoms of fever and the illness usually lasts about seven to eight days, with the fever persisting for about three to four days. It's suggested not to worry too much. If the temperature exceeds 38.5 degrees Celsius, it's then advisable to take some antipyretic medication to reduce the fever. During this period, use physical cooling methods, drink plenty of water to promote metabolism and enhance immunity. Diet should be light, and one can also take some heat-clearing, detoxifying, and fire-eliminating medicines. Regular physical exercise is also important to strengthen the physique. Avoid staying up late and ensure sufficient sleep. It's advised to have appropriate examinations and proceed with targeted treatments after a clear diagnosis, which is crucial. It's also recommended to frequently ventilate indoor spaces to maintain fresh air.

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How to treat respiratory tract infections?

Respiratory infections are common situations in both clinical and daily life. The focus of treating respiratory infections is to identify the cause. For example, upper respiratory infections are most commonly caused by viral infections, primarily presenting symptoms such as coughing, sputum production, nasal congestion, runny nose, and sore throat, and may be accompanied by fever. The treatment can involve taking antiviral medications and nonsteroidal anti-inflammatory drugs to reduce fever when it occurs. For lower respiratory infections, such as lung infections, these are often due to bacterial infections. Identifying the type of bacteria through blood or sputum cultures can allow for targeted antibiotic treatment. It is important to avoid catching colds, exercise regularly, and improve overall fitness to prevent respiratory infections.

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Upper respiratory tract infection current treatment

Upper respiratory infections are the most common infectious diseases, most of which are caused by viral infections, with a minority being bacterial infections. Regarding the treatment of upper respiratory infections: If it is a bacterial infection, sensitive antibiotics should be chosen for treatment. Commonly used antibiotics include penicillins, cephalosporins, macrolide lactones, etc. If it is a viral infection, there are currently no particularly effective antiviral drugs for treatment. However, if chosen appropriately, some antiviral drugs can still be effective. Treatment for upper respiratory infections also involves symptomatic management, such as using antipyretic analgesics for fever, and cough suppressants for coughing, etc. (Please use medications under the guidance of a doctor)

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Difference between acute upper respiratory tract infection and upper respiratory tract infection

In clinical terms, acute upper respiratory infection and upper respiratory infection usually mean the same thing, and there is no significant difference between them. Upper respiratory infections are typically acute, so sometimes they are simply referred to as upper respiratory infections without specifically mentioning 'acute.' Acute upper respiratory infections and upper respiratory infections generally have no difference; patients are often infected by viruses, typically presenting symptoms such as runny nose, sneezing, sore throat, coughing, and sometimes accompanied by fever. There may also be associated muscle soreness, fatigue, and headaches, but patients often experience low-grade fever rather than high fever. For these issues, symptomatic treatment is usually needed, and through such treatment, patients often recover on their own.