Medicine with good effect of relieving cough and resolving phlegm for children
(1) expectorant drugs If chronic cough is accompanied by phlegm, it should be based on the principle of expectoration, instead of simply relieving cough, so as not to aggravate or cause airway obstruction. N- ethylphenol cysteine, ammonia-o-sule hydrochloride, guaiacol glyceryl ether and traditional Chinese medicine expectorant can be selected.
(2) antihistamines such as chlorphenamine, loratadine, cetirizine, etc.
(3) Antibacterials can be considered for patients with chronic cough caused by bacteria or mycoplasma pneumoniae and chlamydia. People infected with mycoplasma pneumoniae or chlamydia can choose macrocyclic vinegar antibiotics, including erythromycin, azithromycin and clarithromycin. If it is necessary to adjust antibiotics for other pathogen infections after initial experience treatment, they should be selected according to the results of drug sensitivity test.
(4) Antiasthmatic and anti-inflammatory drugs include glucocorticoids and glucocorticoids. 2 receptor agonists, M receptor blockers, leukotriene receptor antagonists, theophylline and other drugs. Mainly used for targeted treatment of CVA, EB and allergic rhinitis. Glucocorticoid therapy should be re-evaluated after 2 ~ 4 weeks. Cough after infection can generally be relieved by itself, and short-term inhalation or oral administration of glucocorticoid, leukotriene receptor antagonist or M receptor blocker can be considered for those with severe symptoms.
(5) Digestive system drugs advocate the use of H receptor antagonists such as cimetidine and gastric motility drugs such as domperidone.
(6) Antitussive drugs Chronic cough does not advocate the use of antitussive drugs, especially before the cause is clear, and the use of such drugs is related to the incidence and mortality of some diseases. The American Academy of Pediatrics warned that codeine is prohibited from treating various types of cough. The sedative effect of phenanthrene may mislead parents, and the application of this medicine reduces the noise of children and ignores the adverse reactions of this medicine, including irritability, hallucinations, abnormal muscle tone, and even apnea and sudden infant death. Adverse reactions were obvious in infants, which led WHO to warn that phenergan was prohibited for children under 2 years old and as an antitussive drug.
Causes of children's cough
1, cough in children caused by upper respiratory tract infection
If children's upper respiratory tract is infected, at this time, children's nasal mucosa has symptoms of inflammation. When dry air is unconsciously inhaled during breathing, the nasal cavity becomes more uncomfortable and even aggravates cough. Therefore, when children are at home, mothers can appropriately use humidifiers, hang wet towels, mop the floor with water or put a basin of clean water in the room to appropriately increase the humidity of the air and reduce the irritation of dry air to the nasal mucosa of children. If your child's cough and stuffy nose symptoms continue for a week and still do not improve, you should take your child to see a doctor as soon as possible.
2. Children's cough caused by bronchitis
Children suffering from bronchitis are mainly under 3 years old, which is also an acute upper respiratory infection disease. Children's cough caused by bronchitis mainly occurs in children around 1 year old, and it is common in spring and winter festivals. Bronchitis will initially stimulate the upper respiratory tract, causing dry cough in children, followed by bronchial secretions, aggravating the degree of cough. If children's cough fails to recover for a long time, they should go to the hospital for treatment and take children's cough-relieving drugs prescribed by doctors. Children should not eat too sweet or salty food, otherwise it will aggravate their cough at night.
3, children cough caused by pharyngolaryngitis.
The discomfort of pharyngeal mucosa often stimulates children to cough, which is more severe and will cough when the throat itches. In this case, parents can't solve it at home by themselves. They should seek medical treatment in time and ask the doctor to make a clear diagnosis and treat the symptoms.
4. allergic cough
Pay attention to try not to let your child catch a cold at ordinary times, and should consult a doctor at the hospital. For babies with a family history of asthma and other allergic diseases, we should pay special attention to cough, seek medical treatment as soon as possible, make a clear diagnosis and actively treat them to prevent them from developing into asthma.
5. Inhalation of foreign bodies causes coughing
Parents should encourage children to cough after inhaling foreign bodies, and never dig in their mouths with their hands to prevent the foreign bodies from digging deeper and deeper, thus completely blocking the airway. If you don't cough up anything, the child coughs or wheezes repeatedly, indicating that the foreign body has reached the lower respiratory tract. You should immediately send the child to the hospital to take out the foreign body in time.
Taboos for children to cough and take medicine
For general cough, expectorant should be the main method, not only using cough medicine, but also taking cough syrup excessively. At present, most of the cough syrup for children produced in China contains ephedrine hydrochloride, platycodon grandiflorum liquid extract, ammonium chloride, phenobarbital and other pharmaceutical ingredients, which will have side effects if taken too much. Especially if ephedrine hydrochloride is taken too much, the baby will have dizziness, vomiting, increased heart rate, increased blood pressure, irritability and even shock and other toxic reactions. Therefore, don't abuse cough syrup for your baby, otherwise it will be harmful to your baby's health. Parents should give the baby medicine according to the doctor's instructions.
If the child's cough is getting worse and worse, which affects his sleep, he needs to go to the hospital to ask a doctor to help him choose antibiotic treatment.
When the baby coughs, in addition to drug treatment, dietotherapy is used as an auxiliary treatment, and the treatment effect is better.
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