What should I do about a respiratory infection?

Written by Li Fang Xiao
Internal Medicine
Updated on September 05, 2024
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Respiratory infections are the most common type of infection encountered in both clinical and daily life, primarily divided into upper and lower respiratory tract infections. An upper respiratory tract infection, commonly referred to as a cold, is mainly characterized by nasal congestion, runny nose, and sore throat, and is mostly caused by viral infections. In the early stages, antiviral medication can be taken, and by checking a complete blood count, one can preliminarily determine whether the infection is viral or bacterial, deciding whether antibiotics are needed for treatment. Lower respiratory tract infections, on the other hand, are often caused by conditions such as pneumonia or bronchitis, which are mostly bacterial infections requiring targeted antibiotic treatment. For patients who are physically weaker, immunocompromised, or elderly and frail, there may also be a possibility of fungal co-infection, necessitating the use of antifungal medications for treatment.

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Written by Hu Bai Yu
Pulmonology
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Can respiratory infections heal on their own?

Respiratory infections can be self-healing, usually in individuals who are physically strong or have a robust immune system. During an infection, drinking plenty of water, resting adequately, timely replenishing vitamin C, eating fresh fruits and vegetables, exercising appropriately to enhance physical fitness, and dressing appropriately according to the weather can potentially lead to self-healing. However, for elderly and frail patients, the self-healing rate from respiratory infections is very low. They should be treated under the guidance of a doctor, actively taking anti-inflammatory and anti-infection medications, as well as cold remedies. It is also important to ventilate rooms frequently to maintain fresh air circulation indoors, avoid overly dry environments, and keep indoor temperature and humidity at comfortable levels. Additionally, it is advisable to avoid spicy, greasy, cold, and irritating foods, and not to consume seafood to prevent exacerbating cold symptoms by promoting the production of phlegm.

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Written by Li Jian Wu
Pulmonology
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How many days does an upper respiratory tract infection last?

Upper respiratory tract infections caused by common bacteria or viruses generally recover after about a week of treatment. If caused by Mycoplasma, the course of the disease is relatively longer, requiring about half a month to twenty days. If the upper respiratory tract inflammation is due to whooping cough or tuberculosis bacteria, the course of the disease will be even longer. Whooping cough requires at least half a month to twenty days of medication, while tuberculosis-induced respiratory infections need at least three to six months for full recovery. Common respiratory tract infections seen clinically generally recover completely within three to seven days, and the specific duration of the disease depends on the pathogen causing the infection.

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Written by Li Jian Wu
Pulmonology
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Is an upper respiratory infection contagious?

Upper respiratory infections are contagious to some extent, as they are mostly caused by common pathogens such as rhinoviruses, streptococci, bacteria, mycoplasma, and other infectious agents. Clinically, they encompass a variety of diseases, including acute rhinitis, sinusitis, pharyngitis, tonsillitis, bronchiolitis, pneumonia, etc. These infections often spread through close contact and airborne droplets. Whether an individual gets infected mainly depends on the body's immune response. If a person has been vaccinated against a contagious disease and has developed antibodies, they generally will not be infected.

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Written by An Yong Peng
Pulmonology
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Can you eat oranges with an upper respiratory tract infection?

Upper respiratory infections can include orange in the diet; these infections are usually viral, and typically there are no specific therapeutic drugs available, only symptomatic treatment is provided. Additionally, patients should also consider eating some fruits and drinking more plain water while maintaining a light diet; fruits like oranges and apples are suitable. Furthermore, patients with severe symptoms of upper respiratory infection may also need to use some cold medicines to alleviate their symptoms. Generally, upper respiratory infections are self-limiting, and patients can gradually recover with symptomatic treatment and dietary adjustments mentioned above. However, it is important to note that some upper respiratory infections may be bacterial, such as acute suppurative tonsillitis, which is a bacterial infection and requires anti-infection treatment.

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Written by Han Shun Li
Pulmonology
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Do upper respiratory infections cause vomiting?

Upper respiratory tract infections refer to infections occurring in parts such as the nasopharynx and throat. Clinically, symptoms often include sneezing, runny nose, sore throat, fever, headaches, and coughing. So, can upper respiratory tract infections cause vomiting? Yes, one reason is that sometimes upper respiratory infections can manifest as gastrointestinal-type symptoms including nausea, vomiting, abdominal pain, and diarrhea. Sometimes this is due to the pharyngeal reflex, which reflexively causes vomiting.