Do children with bronchitis need medication?

Childhood bronchitis is a common respiratory disease in children with a relatively high incidence rate. It may occur throughout the year. The incidence rate of childhood bronchitis is usually very high in winter and spring. When suffering from childhood bronchitis, first of all, in terms of medication, it is necessary to judge according to the patient's condition and the symptoms that appear, because drugs have toxins and cannot be used casually. If coughing, fever, loss of appetite, and phlegm in the throat occur, you can first inhale nebulization, and then combine it with anti-inflammatory drugs and expectorant and cough suppressant drugs. For more serious cases, there will be diarrhea, and you need to stop exercising, drink less water, and take antidiarrheal drugs.

Infection Control

If acute bronchitis is caused by bacterial infection, the following antibacterial drugs can be used: co-trimoxazole 0.05/kg/day orally twice, penicillin 30,000-50,000 U/mg/day intramuscularly twice, medetomidine and erythromycin 30-50 mg/kg/day orally 3-4 times. If there is no clear bacterial infection or mixed infection, 10-15 mg/kg/day of ribavirin can be used or added for intramuscular injection twice, or 5 mg/kg/day for nebulized inhalation twice. 200,000 U/day of interferon-a-muscle injection can also be tried.

Bronchitis medications for children

Symptomatic treatment

1. Relieve cough and eliminate phlegm: If the phlegm is thick and difficult to suck out, you can use nebulization inhalation and choose 10% ammonium chloride mixture, Bisuoping, and Xiaoer Qiangli Tanling (1-2 tablets for 2-4 years old, 2-3 tablets for 5-8 years old). Frequent dry coughs affect sleep and rest. You can take a small amount of antitussive drugs, such as promethazine and chlorpromazine 0.5-1 mg/kg/time, 2-3 times a day. Care should be taken to avoid overdose and prolonged use, which will affect the physiological activity of cilia and make secretions difficult to discharge.

2. Antispasmodic

Aminophylline: 2-4 mg/kg/time, 3-4 times/day, orally.

Salbutamol: For children under 6 years old, 1-2 mg/day, orally in 3-4 doses or 0.1 mg/kg/time, Salbutamol aerosol (0.5% 1 press = 0.1 mg), 1-2 presses/time, 2-3 times a day.

When wheezing is severe, prednisone 1 mg/kg/day can be added, taken orally in 3 doses, for a course of 4-7 days. Beclostrobin aerosol can also be used. Local administration can reduce the side effects of systemic medication. It is not suitable for infants and young children who are difficult to cooperate. Children should take 1-2 presses (50μg-100μg) each time, 2-4 times a day.

Chinese medicine treatment

1. Antitussive and antiasthmatic: During the remission period, some antitussive and antiasthmatic Chinese medicine preparations can be used, which can also alleviate the symptoms to a certain extent.

2. External application of medicine: When many infants and young children become ill, long-term medication may cause some drug toxic effects. The safety and convenience of external application of Chinese medicine is also a good solution. Currently, the more commonly used ones include Baicao Qiongjiang Yiqi Patch for removing and removing phlegm and Sanjiu Patch for use in winter.

Traditional Chinese Medicine Treatment

The superposition of magnetic medicine to regulate immunity is based on the theory of syndrome differentiation and treatment. It is not a single Chinese medicine treatment. According to the physical characteristics and symptom differences of each patient, different acupoints and prescriptions are selected according to the individual and syndrome, and different treatment plans are formulated. It is mainly treated by combining various methods such as acupuncture, cupping, fumigation, and Chinese medicine plasters.

Home Care

Parents should follow the doctor's instructions to give their children medication on time and provide good home care: 1. Keep warm: Temperature changes, especially cold stimulation can reduce the local resistance of the bronchial mucosa and aggravate bronchitis. Therefore, parents should add or remove clothes for their children in time as the temperature changes, especially cover the children with quilts when sleeping to keep the body temperature above 36.5 degrees Celsius.

2. Feed more water: Children with bronchitis will have varying degrees of fever, and water evaporation is large, so you should pay attention to feeding the children more water. It can be supplemented with sugar water or sugar and salt water, or with rice soup or egg soup. The diet is mainly semi-liquid to increase the water content in the body and meet the body's needs.

3. Adequate nutrition: When children suffer from bronchitis, they consume a lot of nutrients. In addition, fever and bacterial toxins affect gastrointestinal function and cause poor digestion and absorption. Therefore, nutritional deficiencies in the children's bodies cannot be ignored. In this regard, parents should adopt the method of small meals and frequent meals for their children, and provide them with light, nutritious, balanced and easily digestible semi-liquid or liquid diets, such as porridge, cooked noodles, egg custard, fresh vegetables, fruit juice, etc.