Does the child have a temperature of 38 and cough? What is the reason? How to act in this situation?
Cough is a protective reaction of the body, designed to remove irritants from the respiratory tract. A dry (or unproductive) cough is a cough without sputum. Normally, it can occur in young children in the morning or occasionally during the day, and if it is not accompanied by other signs of the disease, it is not considered a pathology. It can also be a sign of an incipient inflammatory process in the airways. For example, a barking cough with laryngitis, metal with tracheitis – such a cough is felt as exhausting, intrusive.
Also, an attack of dry cough can occur when a foreign body enters the respiratory tract, an attack of bronchial asthma, allergic diseases. It should be noted that in newborns, the cough reflex is very weak and does not allow to clear the throat properly.
When does the temperature occur?
Rising temperature, like coughing, is one of the body’s defensive reactions, and it occurs quite often in children. It can be caused by infections, allergic reactions, diseases of the nervous system, overheating, teething, reactions to prophylactic vaccination. Raising the temperature to 38.5 degrees is not considered dangerous and does not require treatment with antipyretic drugs, except in cases where high fever is accompanied by chills, pain in muscles and joints, if convulsions were previously observed with fever (febrile seizures) or if the temperature rose child under two months.
How to get rid of hyperthermia without medication?
If the child has a strong cough and the temperature is 38 or higher, besides the preparations, it can be reduced by a set of measures called physical cooling methods. They improve the well-being of the child and do not allow further increase in temperature. First of all, it should be said that it is not necessary to bundle up the child, since this can lead to thermal shock. The temperature in the room should be comfortable, the clothes should be light, from natural fabrics that let in well of heat. You can use a rubbing of warm water to quickly reduce the temperature (cold water or alcohol is undesirable to use, vinegar can be used only in older children). Wiping the face, hands, neck, chest, legs, do not wrap up after wiping the baby, as this may cause the opposite effect.
Cough and fever
The most common cause that may cause a dry cough and a temperature of 38 in a child is viral infections of the respiratory tract (ARVI or flu). These diseases are considered to be one of the most common among children, and, despite seeming harmlessness, they can cause quite dangerous complications – false croup, pneumonia, exacerbation of chronic respiratory infections, damage to the kidneys, liver and cardiovascular system.
Therefore, if a child has a temperature of 38 and a cough, then the disease cannot be allowed to flow by itself. We urgently need to contact a pediatrician. According to various sources, cough and temperature of 38 in a child (Komarovsky, Shaporova and others) are the most frequent reasons for parents to go to the clinic or to see a doctor for a house, and most often in such cases a diagnosis of “ARVI” or “flu” is made.
SARS and flu
SARS is caused by various viruses that affect the mucous membrane of the nose, nasal and oropharynx, larynx and trachea (adenoviruses, rhinoviruses, respiratory syncytial viruses). The disease does not always occur with high fever, but a dry cough and runny nose appear from the first days of the disease. Most often, children fall ill in the offseason, in the fall or in the spring, when the changeable weather disposes to colds.
In contrast to acute respiratory viral infections, flu is one of the earliest symptoms – headache, fatigue, weakness, muscle pain, and only after three or four days does the child have a temperature of 38, cough and snot. During the epidemic season (February-March), up to 30 children out of 100 thousand suffer from the flu. Complications of influenza, especially pneumonia, caused by both the influenza virus and the accompanying bacterial flora, can be very difficult and even fatal.
Drugs for the treatment of influenza
It is absolutely impossible for children to carry the flu on their feet, as many adults do, and if a child has a temperature of 38 and a cough, then you should definitely consult a doctor.
Antiviral drugs (Remantadin, Algirem, Tamiflu, Relenza) are used to treat the flu. They are the main means of control. Also, the doctor will prescribe interferons and interferon inductors (popular drugs Kagocel, Arbidol, Grippferon). According to the testimony will be assigned symptomatic drugs (Theraflu, Coldrex, etc.). It should be noted that drugs of symptomatic therapy will help alleviate dry cough and a temperature of 38 in a child, but do not have any effect on the influenza virus and viruses that cause acute respiratory viral infections, therefore it is not enough for proper treatment.
Drugs for the treatment of SARS
As it is known, if a cold is not treated, then it lasts for seven days, and if treated, it is only one week, therefore, in the treatment of ARVI, symptomatic therapy should be preferred. First of all, these are vasoconstrictive sprays and nasal drops (their assortment in pharmacies is huge and varied), antipyretic drugs, of which Paracetamol and Ibuprofen (Nurofen) are commonly used in children, as well as expectorant drugs (Lasolvan) , Bromhexin, ACC).
It should be remembered that children under three years are often not able to effectively cough, therefore expectorants are used with caution. Antitussive preparations containing codeine for children are not used recently. Also, they do not use drugs containing acetylsalicylic acid (aspirin) and metamizole sodium (analgin) because of their negative effect on blood formation.
In no case can not self-medicate, as this may be harmful to the health of the child. All drugs must be taken as directed by a doctor.
In the treatment of acute respiratory viral infections or flu, when a child has a temperature of 38 and cough, it is very important to comply with the treatment regimen. You should not force the child to comply with bed rest, if he does not want to, but you should not allow excessive physical activity either. In a child’s room, you need to maintain a comfortable temperature and ensure that the air is not dry. With a dry cough, inhalations with steam, inhalations with medicinal plants (chamomile, eucalyptus), plenty of warm drinks (weak tea, sweet juices, fruit drinks, compotes) help. To reduce the temperature applied methods of physical cooling, as described above.
When is urgent medical care needed?
You should immediately consult a doctor if:
- The temperature of the child has risen to 40 and above.
- A dry cough and temperature of 38 in a child lasts for more than three days, despite the treatment prescribed by the doctor.
- Against the background of fever and cough, other symptoms appear – rash, vomiting, diarrhea, or the child’s condition worsens as the recovery begins.
- There were allergic reactions to the drugs used (often they can cause flavoring in tablets and powders).
- The child has chronic diseases, and the temperature and coughing cause their aggravation.
- The child refuses to drink, there are signs of dehydration (dry, pale skin, crying without tears, rare urination).