Symptoms and treatment of pneumonia with a cough, but without fever
Identifying the signs of pneumonia in babies is a rather difficult task. To suspect a disease, you need to know what the main clinical signs of this condition in a baby can be.
Symptoms
The inflammatory process in the lungs can develop in the crumbs as a result of exposure to a variety of factors. The most frequent "provocateur" - bacterial flora. Various representatives of staphylococci, streptococci, and atypical microbes lead to the appearance of clinical signs of the disease. The latter are quite often and cause the development of pneumonia in the crumbs, which can be without a high body temperature.
The incubation period of this disease is very different. In most cases, the manifestations of the disease develop. 1-2 weeks after the baby has been infected. Many infectious diseases are transmitted from a sick child to a healthy one. Airborne way of spreading these diseases is leading, especially in crowded children's groups.
Inflammation of the lungs is manifested by the appearance of many different clinical signs. The expression of their manifestation is usually different and is determined by the primary state of health of the crumbs. The age of the child also plays a significant role. Babies of infancy, as a rule, endure the pathology much harder than schoolchildren. Severe disease can also be in weakened children, as well as in children with comorbidities.
The pathological process that has arisen in the respiratory tract and proceeds without fever, but with cough, most often develops in children with an atypical variant of the course of this pathology. The baby coughs pretty hard.
A severe form of the disease is accompanied by an already hacking cough, bringing crumbs with significant discomfort.
Coughing, the child gives off phlegm. In bacterial diseases, it has a yellow or greenish tint. Viral infections occur with the release of mucous or sulfur sputum. After coughing in the chest, there is a strong pain, and in certain situations even pronounced pain syndrome. This manifestation of the disease may also increase when getting out of bed.
The amount of discharge of sputum - a very significant figure. The usual form of the disease is characterized by the separation of several teaspoons of such a pathological fluid. Heavy version is accompanied by sputum production. up to 1/3 cup and more. With long-term standing, it can flake into separate layers that are different from each other in density.
This clinical version of the pathology develops very long. This is largely due to the fact that the child does not complain about the presence of adverse symptoms. Quite often it happens that parents cannot determine that their baby is sick, since the baby’s well-being may suffer only slightly. The child may become only a little distracted or get tired quickly.
Cough with this pathological variant of pneumonia does not always develop. Sputum secretion is also not a permanent symptom. Some ill children can only cough. Cough in this case is unproductive - "dry." Usually this symptom becomes the first signal for parents to contact a pediatrician.
Some doctors believe that pneumonia, occurring with a normal body temperature, is manifested only in children, suffering from various immunodeficient pathologies. Reduced immunity and causes them a long and protracted development of the disease. In some babies, the disease proceeds with a normal body temperature for quite a long time.
A characteristic symptom of this pathology is the development of manifestations of intoxication. Their expression is usually minimal. You can notice the occurrence of such manifestations in a baby only by changing its behavior. A sick child becomes more nervous. Outdoor games with other kids do not delight the child and do not attract his attention.
If a viral infection has led to the formation of manifestations of the disease, then its other nonspecific signs appear in the crumbs. So, Adenoviruses cause a bad cold in a sick baby. Discharge from the nasal passages is usually abundant. The breath of a sick baby is severely disturbed. He stops breathing with his nose and begins to inhale with his mouth.
Many babies have a characteristic "Ssadnie" in the chest. This situation is characterized by the appearance of a sensation of strong pressure. The coughing and prolonged cough only aggravates the development of this condition. When inflammation passes from the lungs to the pleura, there is a strong pain syndrome, which is a manifestation of a very dangerous clinical condition - pleurisy.
Intoxication of the body with bacterial or viral toxins contributes to the fact that the sick child has increased thirst. Baby's lips become very dry and can even splinter. In some babies, you can notice the pathological paleness of the skin of the face. In some cases the child begins to turn blue lips.
The long course of the disease often leads to the development of respiratory failure. Parents may suspect this manifestation if you experience rapid breathing - shortness of breath. In the initial stages of development of this pathology, this manifestation develops only when committed active actions. In the future, these clinical signs appear at rest.
With an increase in intoxication in the child, the skin becomes very pale, and the cheeks become red. The area of the nasolabial triangle is blue. In some cases, a sick child begins to whistle during normal breathing. This symptom when making active movements only increases.
A strong manifestation of severe intoxication, in addition to shortness of breath, is the appearance of heart palpitations. This manifestation is due to the lack of oxygen in the children's body due to impaired breathing and subsequently developing oxygen hypoxia. Tachycardia is also first manifested in a sick child only with active walking, and then in complete rest.
The spread of inflammation in the bronchial tree contributes to the fact that the child may have difficulty breathing air. In this situation, the child also grows overall weakness. This symptom is quite distinct among schoolchildren. The sick kid begins to learn poorly, it becomes difficult for him to concentrate on performing at first complex, and then more simple tasks.
Inflammation in most cases develops only on one side of the body. Too weakened immunity contributes to the spread of the process and the neighboring lung. Bilateral pneumonia, which develops without fever, is rarely registered in children. This condition can develop in crumbs of infancy, especially in those babies who were born ahead of time or have a critical weight at birth.
Existing disorders in the structure of the lung tissue can also lead to the fact that the pathology can become bilateral.If adverse clinical signs occur in a baby immediately after its birth, then the prognosis for the development of this pathology is usually extremely unfavorable. In babies with low weight, you can even see some displacement of the affected chest to the right or left side.
The prolonged course of the disease can lead to the fact that sputum, separated during cough, becomes very dense and difficult to separate. This condition contributes to the growth of congestion and pain in the chest.
Attempts to otkashlit thick sputum only lead to a deterioration of the child's health. In this situation, the child coughs tight clots or lumps.
Increasing intoxication contributes to the fact that the child may develop sweating. She usually worries the baby in a state of complete rest. In this state, the baby feels pretty bad. He may also have a headache or dizziness increases. If the disease progresses further, it can lead to the development of a child with severe respiratory failure.
Diagnostics
Recognize pneumonia should be as early as possible. Timely diagnosis allows you to make a quick appointment treatment. Without specific therapy, it is impossible to get rid of adverse symptoms. It is quite difficult to suspect pneumonia in a child, especially if it occurs without developing a high temperature. In this case, only careful attention to the mood and behavior of the child in everyday life is required.
Regular patronage and a visit to the pediatrician will help to reveal the hidden signs of the disease at rather early stages. A clinical examination in this case plays an important diagnostic role. During such a study, the doctor will necessarily perform auscultation (listening) of the lungs. The appearance of dry or wet rales, as well as the weakening of the holding of breathing - signs of the presence of damaged areas in the lungs of the baby.
Confirm the diagnosis will help laboratory studies. All babies who have a suspicion of pneumonia are required to undergo a complete blood count. This pathological condition is characterized by an increase in immune cells - leukocytes. ESR in inflammation of the lungs also increases. With severe disease, it may increase by 2-3 times relative to the norm.
The increased number of neutrophils in the leukocyte formula indicates, as a rule, that bacterial infection has led to the development of adverse symptoms in a sick child. In viral pathologies, lymphocytes usually increase. These immune cells guard the child’s body against various infections.
To determine the causative agents of infectious disease are carried out several bacteriological studies. For carrying out such tests the biomaterial is taken. They usually become phlegm. To establish the cause of the disease, bacteriological analysis of sputum for nutrient media is carried out. The result of the study is ready for about 5-7 days from the time of material collection.
X-ray is the primary method which is used in babies to verify inflammation in the lung tissue.
It should be noted that this study is not carried out for all children. For carrying out there are strict medical indications. Determines the need for this study can only the attending physician.
In complex diagnostic cases, computed and magnetic resonance imaging can also be performed. These studies have good resolution and identify any pathological changes in the lungs, even at the earliest stages. Small in size pathological foci are also quite well determined by CT and MRI. Studies can be performed on all babies, as they do not cause any pain.
Treatment
For the rapid recovery of the child is very important to observe the correct mode of the day. It is better not to walk with the child during the cold season., as it can only aggravate the course of the disease. To improve immunity requires the mandatory inclusion in the daily diet of the baby enough protein foods. These include: low-fat beef and pork, poultry, fresh fish. Fermented milk products will be a good addition to the child's diet.
Drinking regimen also plays a very important role in eliminating the symptoms of intoxication. Water entering the body removes all toxic products from infectious diseases. As drinks suitable fruit drinks and fruit drinks, cooked on the basis of dried fruits or berries. Frozen fruits can also be used to make drinks.
In the treatment of any inflammation in the lungs that occurs even without an increase in temperature, antibacterial agents are required. They are necessary for the elimination of microbes from the body, which have caused the development of this pathology in the baby. Cephalosporins, macrolides and modern penicillins help to cope with most infections quickly and efficiently.
Elimination of intoxication syndrome will help anti-inflammatory drugs. They not only help reduce inflammation in the lung tissue, but also lead to a marked improvement in the health of the sick baby. For babies with signs of reduced immunity, interferon-based drugs are used. They have a stimulating effect on the immune system, leading to a marked improvement in the condition of the child.
To restore immunity and accelerate recovery is possible only with the help of multivitamin preparations. The composition of such complex tools contains the necessary combination of all vital vitamins and minerals. Multivitamin complexes can be prescribed both for the treatment of pneumonia and for the prevention of any inflammation in the lung tissue.
Next, we recommend to watch the video in which Elena Malysheva will talk about what pneumonia is and where it comes from.