A cold or upper respiratory infection is an infection of the nose and throat caused by a virus.
Symptoms of a cold may include:
The cold viruses are spread from one person to another by hand contact, coughing, and sneezing. Colds are not caused by cold air or drafts. Because there are up to 200 viruses that cause colds, most healthy children get at least 6 colds a year.
Many children and adults have a runny nose in the wintertime when they breathe cold air. This is called vasomotor rhinitis. The nose usually stops running within 15 minutes after a person comes indoors. It does not need treatment and has nothing to do with cold or an infection.
Chemical rhinitis is a dry stuffy nose that results from using decongestant nose drops or spray too often and too long (longer than 1 week). It will be better a day or two after you stop using the nose drops or spray.
Usually the fever lasts 2 or 3 days. The sore throat may last 5 days. Nasal discharge and congestion may last up to 2 weeks. A cough may last 3 weeks.
Colds are not serious. Between 5% and 10% of children develop a bacterial infection from a cold. Watch for signs of a bacterial infections such as earaches, yellow discharge from the ear canal, yellow drainage from the eyes, sinus pressure or pain (often means a sinus infection), or rapid breathing (often a sign of pneumonia). Yellow or green nasal discharge are a normal part of the body's reaction to a cold. As an isolated symptom, they do not mean your child has a sinus infection. Suspect a sinus infection only if your child complains of pressure, pain or swelling over a sinus and it doesn't improve with nasal washes.
If you have a young infant, make sure that the she does not get dehydrated. A blocked nose can interfere so much with the ability to suck that dehydration can occur.
Not much can be done to affect how long a cold lasts. However, we can relieve many of the symptoms. Keep in mind that the treatment for a runny nose is quite different from the treatment for a stuffy nose.
The best treatment is clearing the nose for a day or two. Sniffing and swallowing the secretions is probably better than blowing because blowing the nose can force the infection into the ears or sinuses. For younger babies, use a soft rubber suction bulb to remove the secretions gently.
Put petroleum jelly around the nostrils to protect them from irritation.
Nasal discharge is the nose's way of getting rid of viruses. Antihistamines are not helpful unless your child has a nasal allergy.
Most stuffy noses are blocked by dry mucus. Blowing the nose or suction alone cannot remove most dry secretions. Using nose drops and then suctioning or blowing out the fluid in the nose can help. This is called a nasal wash.
Nose drops of warm tap water or saline solution are better than any medicine you can buy for loosening up mucus. To make normal saline nose drops, mix 1/2 teaspoon of table salt in 8 ounces of water. Make up a fresh solution every day and keep it in a clean bottle. Use a clean dropper to put drops into the nose. Water can also be dripped in using a wet cotton ball.
Place 3 drops of warm water or saline in each nostril. (If your child is younger than 1 year old, use only 2 drops at a time and do 1 nostril at a time). After 1 minute use a soft rubber suction bulb to suck out the loosened mucus gently. To remove secretions from the back of the nose, you will need to seal off both nasal openings completely with the tip of the suction bulb on one side and your finger closing the other side. If you cause a nosebleed, you are putting the tip of the suction bulb in too far. Suction no more than every 4 hours. You can get a suction bulb at the drugstore for about $2. Try to buy a short, stubby one with a clear-plastic mucus trap.
Use 3 drops in each nostril while your child is lying on his back on a bed with his head hanging over the side. Wait 1 minute for the water to soften and loosen the dried mucus. Then have your child blow his nose. This can be repeated several times for complete clearing of the nasal passages.
The main errors are not waiting long enough for secretions to loosen up before suctioning or blowing the nose, and not repeating the procedure until the breathing is easy. The front of the nose can look open while the back of the nose is all gummed up with dried mucus.
A child can't breathe through the mouth and suck on something at the same time. If your child is breast-feeding or bottle-feeding, you must clear his nose out so he can breathe while he's sucking. It is also important to clear your infant's nose before you put him down to sleep.
A cold is caused by direct contact with someone who already has a cold. Over the years we are all exposed to many colds and develop some immunity to them. Teach children to wash hands often, especially after coming in contact with someone who has a cold.
Complications from colds are more common in children during the first year of life. Try to avoid exposing young babies to other children or adults with colds, day care nurseries, and church nurseries.
A humidifier prevents dry mucous membranes, which may be more susceptible to infections.
Vitamin C, unfortunately, has not been shown to prevent or shorten colds. Large doses of vitamin C (for example, 2 grams) cause diarrhea.
Most over-the-counter cold medicines are worthless. In children under 4 years of age, they can cause serious side effects and should never be used. Antihistamines do not help cold symptoms. Especially avoid drugs that have several ingredients because there is a greater chance of side effects from these drugs. Nothing can make a cold last a shorter time. Use acetaminophen (Tylenol) or ibuprofen (Advil) for a cold only if your child also has a fever, sore throat, headache, or muscle aches. Children under 18 years of age should not take aspirin or products containing salicylate because of the risk of Reye's syndrome.
Do not give leftover antibiotics for uncomplicated colds because they have no effect on viruses and may be harmful.
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