Bronchitis is an island-inflammatory process resulting from the entry of infection into the lower respiratory tract. Often affects the area of the nose and throat, trachea and larynx. First, inflammation occurs in the nasopharynx, then goes into the deeper parts of the respiratory system. This means that under the influence of specific etiological conditions and background conditions, structures that are in the lumen of the bronchus of any caliber are damaged. Moreover, in the traditional form, inflammation is not transmitted to close matter of the lungs or other areas of the upper respiratory organs.
Girls and boys are equally ill. As for the type of physique of the child, children with high mass and signs of paratrophy are more likely to experience bronchitis, especially its obstructive form. Hereditary tendency and cases of family failure were also found. Does bronchitis occur without temperature in children? Symptoms signaling this disease are described below.
The main signs of the course of the disease in babies
Early detection of signs of the disease will prevent further complications and can help to start therapy in time, which will increase its effectiveness. For bronchitis in a child up to a year, as in young children, the criteria for diagnosis are:
- Prior acute respiratory illness. Very often, guys can get the disease against a background of viral infections. As a rule, this occurs on 3-4 days ARVI.
- A cough is considered a baseline for bronchitis. By its nature, it is possible to note with concrete certainty that inflammation is localized directly in the bronchi and at what stage it is. As a rule, its occurrence signals the onset of the disease. At this time, it is dry, sometimes in horseman. The baby coughs regularly, with almost every breath. This is due to irritation of the inflamed mucosa with air. After a couple of days, the bronchial epithelium resumes and mucus begins to form rapidly to remove microorganisms located in the affected areas. Clinically, this is expressed as a wet cough. It becomes less frequent and soft enough. At this time, the baby is able to cough up colorless or yellow sputum, which he usually swallows.
- Chest discomfort. Children are not able to speak up to a year, but older babies in some cases indicate this. Localization of the inflammatory focus in the thoracic region is more characteristic of tracheitis, which very often forms in the form of a successive downward process.
- Strong weakness of the body, lethargy and lack of appetite in a child are far from specific properties of bronchitis. However, their formation must constantly alert parents. The problem is that the infant body is so variable that the etiology of the disease can change its course every hour. Indicators that indicate deterioration are considered these signs.
- Wheezing is also one of the peculiar signs. His character can contribute to the correct determination of the diagnosis - simple or obstructive bronchitis. The disease can be both dry and wet. Among the latter, large and small-bubbled are distinguished. The more wheezing resembles crepitating, the more likely it is that the small bronchi are affected, and this will require differential diagnosis to exclude pneumonia. At the same time, it is possible to listen to them either during auscultation of the chest, or even at a distance, at a distance. It is not necessary to bear in mind that wheezing can also occur due to the accumulation of mucus in the throat, which can smooth out the clinic of bronchitis.
- Shortness of breath is considered a serious indicator of the disease. Determines the occurrence of respiratory failure and its severity. The baby begins to breathe often and hard, especially under various loads. In young children, this is also expressed by the occurrence of blueness of the skin during breastfeeding, which he refuses.
- Strong palpitations and tachycardia occur simultaneously with shortness of breath and are also considered indicators of respiratory failure. Its very appearance already indicates a difficult condition.
It is worth mentioning again that a child has bronchitis without fever. Symptoms in children of different ages manifest in their own way, but the main of the initial signs is a dry cough.
Additional research
As a rule, these symptoms of bronchitis without fever in children with cough and wheezing are enough to make a diagnosis. In doubtful situations, an X-ray examination of the chest organs is indicated to exclude concomitant lung damage in the form of bronchopneumonia or other pathologies. It is highly advisable to sow sputum on the composition of microflora and its susceptibility to drugs, which will prevent the appointment of substances that are not suitable for a particular child in this case.
Causes of bronchitis
Among the etiological conditions and mechanisms for the development of bronchitis in a child up to a year with its frequent chronicity and recurrent course up to 2–3 years of age, it is possible to note the characteristic features of the child’s body, conditions that provoke the development of the disease and bacteria that directly become its factor.
As for the provoking causes for the formation of the disease, then it should be noted more significant, which provoke the rapid development of the disease.
Regular hypothermia
This is due to the imperfection of the heat regulation of children, especially in the first 3 months of existence. If the parents put on their kids very easily and walk on the street at the same time, or the baby stays in a room with an air temperature below 18-19 ° C, this can cause hypothermia. And on the contrary, if you wrap up the baby very much, he will reproach. There is enough of the smallest draft for damp skin in order to provoke hypothermia and further the disease.
Teething
In this case, there is a huge number of disagreements. If the baby begins to cough and teeth are being cut at the same time, almost all parents take all the signs for the course of the natural process. Doctors stubbornly refute this, as a variant of the norm, and insist on curing bronchitis. In fact, these 2 processes are interconnected. Of course, teething will require a lot of energy and the immune mechanisms are affected, and mucus begins to form in the bronchi. If the process goes into inflammatory, with the presence of absolutely all the accompanying signs, then it is summarized as bronchitis.
Acute Respiratory Disease
ARI in more than half of the cases become a factor and background for the formation of bronchitis. Among the specific causative agents of the disease in a child up to a year, initially affecting the bronchi and able to actively increase the enterobacterial flora, there are microbes of the most diverse groups, and less often pathogenic organisms from the genus of adenoviruses. They stimulate the destruction of the epithelium of the respiratory organs. In this case, the mucosa is defenseless. Against this background, a secondary enterobacterial infection joins, which under normal circumstances lives in the lumen of the bronchi, without initiating virtually any pathologies.
How to treat bronchitis in a child?
In a child, bronchitis often becomes chronic, with stable relapses up to a three-year period. For this reason, it is mandatory to comply with certain periods of the treatment process. How is bronchitis treated in children without fever, the symptoms of which you already know? Here are the key recommendations:
- Food. Allergenic foods are excluded (chocolates, honey, raspberries, citrus fruits.) The menu must be fractional, nutritious and high-calorie food. Be sure to drink enough. Mother's nutrition is the same when breastfeeding.
- Routine. Eliminate tiring loads and walks on the street, tiring for a sick baby, especially in bad weather and in the acute period of the disease. It is necessary to go out into clean air. You need to dress children according to the weather.
- To treat bronchitis in a child without an obstructive temperature, antitussive substances are prescribed. This requires a differentiated approach to the appointment. If children have a dry cough, regularly disturbing and sleeping, it is recommended to take antitussive drugs (Sinekod, Stoptussin.) When the baby begins to sputum, it is necessary to start taking medications to dilute it and remove it from the bronchi.
- Inhalation treatment. The most productive way to cure with each variant of bronchitis. With its precise application, every need for the appointment of antibacterial substances can disappear.
- In the treatment of bronchitis in a child without an acute temperature, antiviral and immunomodulating substances are used. Taking into account that most of the diseases occur against the background of respiratory tract infections, homeopathic drops or pills are certainly prescribed.
No antibiotics anywhere
It is advisable to involve them from 2-3 days in the period of enterobacterial infection with the smallest signs of bronchitis. The duration of their use of not less than 5 days must be precisely sustained. If necessary, it is preferable to continue the duration of treatment in order to prevent the development of resistance of microorganisms to drugs and the chronization of the process. In the case of an allergic interaction with the drug, it is replaced by an identical medicine (preferably from a different category). Antihistamines are prescribed.
Massage procedure
The massage at the rehabilitation stage proved to be very good. In the acute form of the disease, it is strictly prohibited. The criterion for the appointment is the condition during the transition of dry cough to wet, after a decrease in temperature or its absence. It is worth remembering that it must be vibrational and contribute to the elimination of sputum. For this, the baby is placed on the tummy. Alternately stroking the skin, followed by knocking movements towards the spine, from the bottom up. The duration of one session is 7-9 minutes. Procedures are performed every day, about two weeks.
General recommendations Komarovsky with bronchitis without temperature in a child
The doctor, examining children, is able to detect bloating. The retraction of zones of this area is visually considered, since additional muscles are involved in the course of breathing. The key conditions for treating bronchitis in a child are the exclusion of self-medication, appropriate treatment by a specialist, which will indicate the course of therapy.
In the case of a threat of the transition of the disease into a chronic form, in the presence of a high body temperature, the baby is subject to hospitalization. This is especially true for a child up to a year or older, since they are characterized by the inferior functioning of the organs responsible for breathing. Acute bronchitis is cured using warm drink, taking antipyretic substances and bed rest. At normal temperature inhalations are made, rubbing the affected area.
When are additional measures needed?
If the disease does not leave within a week, an auxiliary examination is necessary. It is forbidden to take antibiotics. Physiotherapeutic methods are introduced into the totality of medical operations, a special diet is determined.
As antibacterial therapy, children need to be provided with only those drugs that are indicated for medical purposes. Parents should take this matter seriously and not purchase randomly advertised pharmaceuticals.
No codeine!
Children under one year of age are prohibited from giving codeine. Nationwide methods for treating bronchitis can be used as additional in the presence of basic medical therapy.
In order to exclude this diagnosis in the future, children are put on a dispensary account. In winter, it is preferable not to wrap the baby very much, beware of sweating, clothing must be windproof.
It is worth protecting yourself from hypothermia
Subcooling is one of the first factors in the appearance of bronchitis. Industrial dust also often causes disease. The best place for the child’s games, the area where the trees grow, it is recommended to walk with them away from production. It is necessary to pay attention to the cleanliness of the room where the baby is located. Dusty air is considered a hotbed of bacteria that can provoke inflammation of the bronchi. It is advisable to carry out activities to harden the child, enter into physiological procedures, breathing exercises.