Wheezing in the lungs without fever in a child. What is prescribed for a strong cough. Other treatments

Bronchiectasis. The cause of breath sounds is narrowing of the lumen of the airways and the accumulation of mucus, blood, foreign bodies in them. An obstruction in the path of the air flow causes the occurrence of wheezing sounds.

You can detect wheezing when breathing with the naked ear or with the help of a phonendoscope and a stethoscope. In children, wheezing is much more difficult to identify than in adults. This is due to the characteristics of the child's body: in young children, normal breathing is often observed, which is typical for SARS in adults. If a sick child does not have a fever, it is almost impossible to detect wheezing sounds. Children without fever feel good and cannot sit still while the pediatrician examines them.

sputum, narrowing and pathological changes in the elements of the airways - the causes of wheezing during breathing

Wheezing is an important symptom of pathological changes in the lungs or bronchi accompanied by such clinical signs as difficulty breathing, chest pain, weakness, fatigue, myalgia, arthralgia, fever, hyperhidrosis.

Types of wheezing

According to localization, wheezing sounds are pulmonary, bronchial, tracheal and extrapulmonary.

Wheezing from the throat and nasopharynx occurs after a long cry, with or. Pulmonary rales are signs of bronchopulmonary pathology, and extrapulmonary rales are a symptom of dysfunctions of other organs and systems: the heart, blood vessels, kidneys.

There are the following types of wheezing:

Each type of wheezing corresponds to a specific disease and is determined by the characteristics of its course.

Etiology

Localization, mechanism of formation and intensity of wheezing are determined by the cause of their occurrence. There are 2 etiological factors for the formation of pathological noises in the bronchi and lungs:

  1. Spasm or narrowing of the lumen of the bronchi,
  2. The presence in various parts of the respiratory system of a thick and viscous mucopurulent secret, which fluctuates during breathing and creates sound vibrations.

Wheezing is a nonspecific symptom of most diseases of the respiratory, cardiovascular and other body systems. It does not allow to make a diagnosis and correctly assess the patient's condition. In order to accurately diagnose the pathology and prescribe effective treatment, all symptoms must be taken into account, as well as data from additional research methods - instrumental and laboratory.


In infants, wheezing in the throat is physiological. In children up to 4 months, the process of swallowing saliva is formed, and up to one and a half years the respiratory organs develop. If the child's body temperature remains normal, sleep and appetite are not disturbed, you should not worry. A consultation with a pediatrician will rule out heart disease and allergies. Wheezing in combination with a runny nose, cough, lethargy and blue lips are a sign. Parents should immediately call an ambulance.

Dry wheezing

Dry wheezing occurs when there is an obstruction in the airways, formed from dense and thick contents. Another cause of dry wheezing in the bronchi is a spasm of smooth muscles or a narrowing of their lumen due to inflammatory edema, a foreign body, or tumor growth.

Liquid discharge does not take part in the formation of dry rales. That is why such breath sounds got such a name. They are considered unstable, changeable and occur with inflammation of the pharynx, larynx, bronchial asthma.

A jet of air, passing through the affected airways, creates turbulent eddies, which manifests itself in the formation of wheezing sounds.

The main characteristics of dry rales depend on the degree of damage and the caliber of the inflamed bronchus:

  1. By the number of wheezing are single and multiple, scattered throughout the bronchi. Bilateral dry wheezing is a symptom of generalized inflammation in the bronchi and lungs. Unilateral wheezing sounds are detected over a certain area and are a sign of a cavity.
  2. The tone of wheezing is determined by the degree of resistance of the bronchi to the air stream passing through them. They are low - buzzing, bass, high - whistling, hissing.
  3. In bronchial asthma, dry wheezing resembles a whistle and is a sign of bronchospasm. Filamentous mucous membranes in the bronchi are manifested by buzzing wheezing, which can be heard at a distance.

Dry wheezing without coughing and other symptoms occur not only in pathology, but also in the norm. They form in response to dry air. Dry wheezing sounds can be heard when communicating with older people. After a deep breath or a slight cough, they completely disappear.

Whistling dry wheezing is a sign of dysphonia, paralysis of the vocal cords and hematoma of the surrounding soft tissues. Diseases of the oral cavity, pharynx, larynx and esophagus are accompanied by dry wheezing:, retropharyngeal abscess.

Wet rales

The appearance of wet rales is due to the accumulation of liquid contents in the bronchi, lungs and pathological cavities - caverns, bronchiectasis. A stream of inhaled air passes through liquid sputum, bubbles form, which burst and generate noise.

Depending on the caliber of the affected bronchi, moist rales are divided into small, medium and large bubbling. The first are formed in the bronchioles, alveoli and the smallest bronchi, the second - in the bronchi of medium caliber and small cavities, the third - in the large bronchi, cavities and trachea.

Wet rales are consolidating and non-consolidating. The first appear with pneumonia, and the second - with stagnation in the lungs due to chronic heart failure.

Moist rales sometimes become dry, and dry rales very often become moist. As the disease progresses, their main characteristics may change. These signs not only indicate the nature of the course and the stage of the disease, but can also signal the progression of the pathology and the deterioration of the patient's condition.

Diagnostics

The main diagnostic method for detecting wheezing is auscultation. This is a special medical manipulation carried out using a phonendoscope or stethoscope. During auscultation, all segments of the chest are listened in turn in different positions of the patient.

Auscultation allows you to determine the origin, nature and localization of wheezing. To make a diagnosis, it is important to find out the caliber, tonality, timbre, sonority, prevalence, uniformity, and the number of wheezing.

Auscultation may reveal crepitus, resembling crackling or crackling when breathing.. This is a sign of the accumulation of inflammatory fluid in the alveoli of the lungs. They stick together, and at the height of inhalation, the air causes them to come apart, and a sound effect is formed, comparable to the sound of hair rubbing between fingers. Crepitus is a pathognomonic symptom of pneumonia and fibrosing alveolitis.

Diagnosis of diseases manifested by wheezing in infants is difficult. Babies can't tell what hurts them. In infants, wheezing can be a consequence of crying or a symptom of a serious illness. In order not to miss it, it is necessary to observe the baby during and after crying. If the child quickly calms down in his arms and behaves normally, despite wheezing, then you can not worry. And if he suffocates and turns blue, it is urgent to call an ambulance. Such signs indicate a serious infectious disease or foreign objects entering the respiratory system.

For the correct diagnosis of patients with wheezing, the doctor suggests undergoing a series of laboratory and instrumental studies: complete blood count, microbiological sputum analysis, radiography of the mediastinal organs, spirography, tomography, lung biopsy.

Treatment

To get rid of wheezing in the chest, it is necessary to cure the underlying disease which became their direct cause. The treatment of wheezing in the broncho-pulmonary system is carried out by doctors of the following specialties: pulmonologist, therapist, cardiologist.

Traditional treatment

Etiotropic treatment consists in the use of antibiotics or antiviral drugs.. If the pathology was provoked by a bacterial infection, patients are prescribed broad-spectrum antibiotics from the group of fluoroquinolones, macrolides, penicillins, cephalosporins. In case of viral damage to the respiratory organs, antiviral therapy with drugs is indicated. "Kagocel", "Ingavirin". Interferon preparations are dripped into the nose for children, rectal suppositories are injected into the rectum "Viferon" or give sweet syrup "Tsitovir". If the cause of wheezing is an allergy, then the use of antihistamines of general and local action is indicated - " Suprastin", "Tavegil", "Loratodin", "Flixonase", "Kromoglin".

Pathogenetic therapy of diseases of the respiratory system, manifested by wheezing, consists in the use of drugs of the following pharmacological groups:

  • Mucolytics, thinning sputum and facilitating its excretion - Fluimucil, ACC,
  • Expectorants - "Ambroxol", "Bromhexine", "Mukaltin".
  • Bronchodilators that relieve bronchospasm - "Berodual", "Atrovent", "Salbutamol",
  • Phytopreparations - breast collection, chamomile tea.

ethnoscience

Wheezing without fever responds well to folk remedies.

The following traditional medicine will help get rid of wheezing in the lungs in children and adults:

  1. Decoctions of medicinal herbs - coltsfoot, licorice, thyme, chamomile.
  2. Infusions of plantain, raspberry, eucalyptus, elderberry, viburnum, cranberry.
  3. Inhalations over potato peels, soda inhalations or inhalations with essential oils.
  4. Honey mixed with butter and egg yolks.
  5. Radish juice mixed with honey.
  6. At normal body temperature - compresses on the chest from potato or mustard-honey cakes. A highly effective remedy for wheezing is an oil compress.
  7. Milk with honey is a popular remedy for coughs and wheezing. Patients are advised to eat honey with a spoon and drink it with hot milk.
  8. Onion syrup is prepared as follows: the onion is chopped, covered with sugar and insisted. Take the syrup several times a day until the wheezing in the lungs disappears.
  9. Milk with sage is taken at bedtime.
  10. Heated alkaline mineral water with honey helps to get rid of moist rales.

Prevention

Prevention of wheezing in children and adults consists in the timely detection and treatment of the underlying disease, as well as in maintaining health. It includes the following activities:

Video: wheezing and lung auscultation

The child's body is very fragile and sensitive to various viruses and bacteria. Unfortunately, children get sick much more often than adults. Wheezing in the throat, cough, hoarse voice, fever and lethargy - what do these symptoms signal? This condition may be due to a physiological phenomenon or a serious illness. What to do and how to treat crumbs? The answers to these questions are in the article.

Wheezing in the throat and cough in a child - a reason to see a doctor for an examination

Causes of wheezing in the throat with and without cough

Wheezing in the chest and coughing are symptoms that signal problems in the body. The most common causes of wheezing are:

  1. Allergic and respiratory diseases. These include the flu, certain types of asthma, bronchitis, and so on.
  2. Pneumonia. With the development of this disease in the lungs of a child, sputum accumulates in large quantities. It prevents the normal flow of air during breathing, which causes hoarseness in the chest.
  3. Entry of a foreign body into the bronchi.
  4. Thoracic dropsy, causing wheezing and rattling on respiration.

The main reasons are listed above, but it should be remembered that wheezing can signal much more serious and dangerous problems in the baby's body, such as heart pathologies and neoplasms in the lungs. Whatever the listed symptoms are associated with, only a specialist can make an accurate diagnosis and prescribe effective therapy.

Treatment of wheezing in a child

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To prescribe the correct treatment for coughing, hoarseness and wheezing in the chest, the doctor must listen to the chest with a stethoscope. In some cases, an x-ray is necessary.


In some cases, with wheezing, the doctor insists on an X-ray examination of the child.

With a dry cough, accompanied by wheezing, treatment is prescribed with special preparations for children. At elevated temperatures, antibiotics are necessary. When prescribing therapy, the age of the patient should be taken into account. If the child is still very small, the temperature does not drop, and there are signs of intoxication of the body, then the treatment will be stationary.

Medical therapy

If the baby wheezes when breathing and coughs, then without medication it is unlikely to be cured (see also:). After taking it to the pediatrician, making sure that the cause is a cold, you can start using expectorants in the form of a syrup or mixture (Ambrobene, Bromhexine). The advantages of syrups are that they taste good and children are more likely to drink them.

If a child is over 12 years old, it is better to use cough medicines in powders or tablets (ACC, Stoptussin) (we recommend reading:). Pay attention to the dosage of the drug, and follow the recommendations of your doctor exactly. Additionally, you can take anti-inflammatory drugs. In the case when wheezing in the chest is caused by pneumonia and the ingress of a foreign body into the bronchi, the treatment is carried out in a hospital.

Treatment with folk methods

If wheezing in the chest is caused by hypothermia, a cold or SARS, then alternative methods of treatment can be added to traditional therapy. The first place in the fight against cough is occupied by infusions of medicinal herbs. A decoction of licorice, coltsfoot and chamomile is effective for coughing. In pharmacies, you can purchase various herbal preparations that are selected specifically for cough therapy.


For the treatment of wheezing caused by colds, warm teas and herbal infusions are very effective.

At normal body temperature, the child can be inhaled. A decoction prepared on the basis of pine buds helps well, but if they could not be found, then potato peelings have a similar effect.

Pine bud remedy can also be taken orally: 1 tablespoon of the collection should be poured with 1 liter of milk and drunk 50 ml every 2-3 hours. With such treatment in the initial stages of the disease, it is possible to get rid of a cough in just a couple of days.

If the child is not allergic to honey, then you can make eggnog. Most children perceive it as a treat and take it with pleasure. Honey must be rubbed with egg yolks and butter. The mixture should be consumed in 20 ml before meals.

Causes of hoarseness in a child with and without a cough

A child may suffer not only from hoarseness, but also from a hoarse voice. The most common causes of the condition are:

  1. Acute form of laryngitis (we recommend reading:). With this diagnosis, the patient coughs, feels a sore throat, and the temperature rises to him. A common symptom is a barking cough (see also:). The most dangerous form of laryngitis is false croup.
  2. Various neoplasms in the larynx (cyst, polyp).
  3. Aneurysm of the thoracic aorta.
  4. Cold. This is the most common cause of a hoarse voice in a baby. With a cold, the child needs to ensure the rest of the vocal cords.
  5. Taking antihistamines, which dry out the mucous membranes in the throat.
  6. Inflamed adenoids.

The cause of a hoarse voice in a child can be various ENT diseases

Methods for treating a hoarse voice

  • Keep your vocal cords calm. Explain to the child that the neck is hoarse and should rest, there is no need to talk yet (we recommend reading:).
  • Do not eat foods that irritate the mucous membrane of the throat. These include hot and cold, spicy and salty dishes, etc.
  • Plentiful warm drink is a wonderful helper to soften the throat. Herbal infusions with chamomile will relieve inflammation.
  • Maintain the optimum humidity in the room.
  • Regularly carry out wet cleaning and ventilate the room.

If a child has a hoarse voice due to a cold, then local therapy is recommended before consulting a doctor. Gargling with decoctions of chamomile, coltsfoot, sage will relieve pain and soothe an irritated throat. Rinsing with salt and soda is not recommended.

With hoarseness in a baby, drugs are used:

  • antiallergic drugs Tsetrin, Zirtek, Claritin;
  • solutions for rinsing Lugol or Furacilin;
  • tablets Faringosept, Lizak;
  • sprays with antibiotic Ingalipt, Bioparox.

Physiotherapy has a positive effect: UHF, electrophoresis. Treatment is aimed at reducing inflammation and relieving swelling of the larynx.

Inhalations and compresses for wheezing and hoarseness without fever

One of the most popular treatments is inhalation over potatoes. The child bends his head over the boiled potatoes, and a towel is placed on top of him. You need to breathe until the potatoes cool down.

Another proven method is inhalation with eucalyptus. To do this, boil 50 grams of eucalyptus leaves and 2 grams of Asterisk ointment in 1 liter of water. Leaves can be replaced with a few drops of aromatic oil. The child must breathe in the steam. The procedure is recommended to be repeated 2-3 times a day for 15-20 minutes.

All types of inhalations are allowed to be carried out only in the absence of elevated temperature.

A compress is a simple and effective way to ease breathing and eliminate wheezing in the throat. It is advisable to put compresses all night, using mustard mixed with honey, vodka and vegetable oil. You can also make cakes from warm boiled potatoes or paraffin - the mass must be kept on the baby's chest until it cools completely.

What can't be done?

It is important not only to know how to treat a child, but also what absolutely cannot be done. With wheezing in the throat and coughing is prohibited.

A child can often have a dry, wheezing cough when the person inhales air. This indicates a disease of the bronchi, lungs, throat. Wheezes are different - dry and wet. With the second type of wheezing, sputum quickly departs; with a dry cough, it is important to monitor and take measures in time so that the cough becomes productive.

Causes of wheezing in the lungs in a child

Often wheezing in a child can be triggered by a foreign body. It often ends up in the larynx, bronchi, trachea. Small children put everything in their mouths. A foreign body can get into the lumen of the trachea when the child coughs, talks. Because of this, the lungs suffer from acid starvation, the child begins to breathe frequently, in addition to wheezing, suffocation is observed.

It is dangerous when wheezing is caused and there is no temperature. It can be a croupous, focal, chronic inflammatory process in the lungs. If there is no temperature, this does not mean that everything is fine. Such symptoms indicate a latent form of pneumonia. Therefore, it is so important after having suffered the flu, a cold, bronchitis, a child’s cough does not go away for a long time, to consult with your doctor.

Types of wheezing in the lungs of a child

1. Wheezing with a whistle appears when the air passes through the bronchi, it can narrow, swell, there is a strong spasm.

2. Humming wheezing accompanied by thick viscous sputum, often occurs with obstructive processes in the lungs.

3. Wet rales appear due to the accumulation of blood and liquid sputum in the bronchi. They are characteristic of lung abscess, bronchiectasis, pneumonia.

4. Unsound wheezing occurs if the lungs swell, with chronic.

Symptoms of pneumonia with wheezing without fever

1. There is a strong weakness.

2. Worried about a headache.

3. The child may be in a semi-conscious state.

4. During physical exertion, severe shortness of breath occurs.

5. Sharp and aching pain in the chest.

6. Increased sweating, weakness, constant thirst.

7. Heartbeat quickens.

8. Pain when turning.

9. Wet rales appear in the chest.

To find out for yourself if your child has pneumonia. Raise the outer clothing so that the chest part of the body is visible, ask him to hold his breath, then exhale sharply. You will notice that the chest is not working properly.

Signs of pneumonia without fever with wheezing in infants

1. Rejection of the breast.

2. The child is restless, lethargic.

3. The stool becomes more frequent, the child constantly spits up.

4. Worried about severe shortness of breath.

5. A bluish tint can be seen near the eyes, nose.

6. There is a strong cough,.

7. The newborn is very ill.

Despite the fact that the child does not wheeze, he is admitted to the hospital for treatment of pneumonia. After a blood test, without temperature, leukocytes may be elevated. Hidden pneumonia is determined using fluorography, sputum analysis is also taken, lung volume is examined.

The inflammatory process and wheezing in the lungs are treated with antibiotics. At the same time, do not forget to monitor the air in the room, constantly ventilate it, give the child as many compotes of their dried fruits, fruit drinks, tea, herbal decoctions as possible. Do breathing exercises regularly. Please note that hidden pneumonia in a child can be fatal.

In the event that such wheezing is caused by inflammation, it is necessary to use a nebulizer. You can use a kettle, equip it with a straw and breathe in vapors. If the child does not suffer from various allergic reactions, eucalyptus, chamomile decoction are used, essential oils are sometimes added, but they are not recommended for the child. The child should not breathe boiling water, it is best for him to use water that has already cooled down a bit.

With a dry and wet cough, if wheezing is heard in the lungs, despite the fact that there is no temperature, you should immediately contact your doctor.

In case of contact with a foreign object, you need to call emergency help. Before they arrive, try to provide medical food yourself. To do this, tilt the child, hit a little between the shoulder blades. When this method does not help, the stomach is strongly compressed, the ribs from below. So you can push out the trapped foreign body.

Wheezing can be treated with:

1. Mucolytic drugs, agents that will help thin the sputum. Their doctor prescribes if the sputum is viscous, it is difficult to separate.

2. Expectorant drugs. They are necessary in order for liquid sputum to depart better.

3. Bronchodilators will help expand the narrowed bronchi, with the help of medicines, you can restore respiratory functions.

To protect the child from wheezing in the lungs, he should be exposed to allergens as little as possible. Also, hypothermia of the child should not be allowed, all viral, infectious diseases should be treated in time.

The danger of wheezing in the lungs for a child

It is important to treat the disease in time, because breathing can stop. This happens if the organs are affected by a viral infection, toxic substances. Often the disease begins to affect other organs.

So, to prevent wheezing in the lungs of a child, you need to protect him from inhaling smoke, an allergen, various harmful elements, walk in the air as much as possible. In summer, the child should rest in a sanatorium near the sea. If the temperature does not rise with wheezing in the lungs, this can be a dangerous symptom. Therefore, the child should immediately contact the attending doctor, undergo an additional examination. Then, based on the data, the analysis selects effective and safe treatments. In no case should wheezing in a child be treated with folk methods, everything can lead to serious consequences.

Wheezing in a child during breathing is a serious sign indicating the presence of a pathology associated with the state of the respiratory system. The most likely factors that provoke wheezing are an inflammatory process in the lungs, trachea, throat, or bronchi.

With the development of acute respiratory diseases, accompanied by a significant increase in temperature, cough and runny nose, children often develop noisy breathing, called wheezing.

In addition to pathological conditions, such manifestations occur against the background of physiological or mechanical factors.

The appearance of a negative symptom should not be ignored, since wheezing can signal the development of serious pathological processes that pose a threat to the health and even life of the baby.

What it is

Wheezing when breathing in a child is a noise that can be heard while being next to the baby. Extraneous sounds that occur during breathing are quite diverse and depend not only on the cause, but also on the localization of the inflammatory process.

Noisy breathing occurs during various pathological processes localized in the respiratory organs.

The sputum in the respiratory tract, when air enters them, foams and, as a result, a noise effect occurs. In addition, the protective functions of the body try to get rid of mucus, as a result of which a cough begins, followed by expectoration of sputum.

The situation is more complicated with a dry cough, when there is swelling in the bronchial area. The noise is whistling, sharp.

It is quite difficult to determine the nature of wheezing in children; only experienced doctors can cope with this task. Therefore, if you notice breathing difficulties in the crumbs, you should immediately contact a specialist.

Main reasons

Identification of factors provoking the occurrence of wheezing is a paramount task. This allows you to choose the right treatment tactics and eliminate not only a severe symptom, but also its cause.

Most often, the mechanism of development of wheezing manifests itself in conditions such as:

  1. Acute respiratory disease, pneumonia, tuberculosis, bronchitis, tracheitis and other inflammatory processes in the respiratory tract. They are accompanied by the formation of sputum and the likelihood of spasms. It should be borne in mind that spastic breathing is also characteristic of the pathology of the heart and kidneys.
  2. Return of fluid from the esophagus back into the nasopharynx. Especially often regurgitation is observed in babies up to two or three months after birth.
  3. allergic manifestations. A severe condition occurs against the background of contact with the allergen. In addition to hoarse breathing, itching, difficulty breathing through the nose, coughing and rashes on the skin are noted. Among the most common irritants, drugs, dust, animal hair, plant pollen, and various products should be noted.
  4. physiological factor. Wheezing in the lungs in children under two years of age is quite common, which is explained by the active formation of their respiratory organs.
  5. Swallowing a foreign object. The situation is extremely dangerous, since small toys or food components that have fallen into the trachea can completely block breathing.

It is possible to find out the exact reason why the child wheezes when breathing, according to the nature of the noise produced. The presence / absence of cough, temperature and the general condition of the baby are also taken into account.

Various manifestations of wheezing

The classification distinguishes the following types of wheezing:

  • tracheal;
  • bronchial;
  • pulmonary;
  • arising in the nasopharynx, larynx or throat;
  • allergic.

In addition to localization, the nature of the noise produced and its duration are taken into account. These are wheezing:


Noisy breathing should not be expected to improve without treatment. In most cases, it is possible to eliminate negative manifestations with the use of drugs, and sometimes (ingestion of objects) requires surgical intervention.

Species under different conditions

Wheezes, depending on the pathological condition, are distinct, muffled, whistling. With different diseases, the nature of wheezing has its own characteristics:

  1. Dry wheezing. Occur against the background of inflammation in the bronchi. Swelling of the mucous membrane of the organ leads to stenosis (narrowing) of the bronchial lumen, as a result of which the free movement of air to the lungs is blocked. The basis of this condition is the development of bronchial asthma, allergic manifestations.
  2. Wet. Appear in chronic bronchitis, due to the accumulation of a large amount of mucus and sputum of different density. Mucus is coughed up with difficulty and makes breathing difficult.
  3. Wheezing with cough in a child. Such symptoms indicate the likelihood of a large accumulation of mucus or the presence of a foreign body in the airways. Mucus and sputum indicate an inflammatory process. The presence of a foreign object requires urgent intervention by medical professionals.
  4. Wheezing without cough and fever. These signs rather indicate the allergic nature of breathing noises, and also appear due to physiological changes characteristic of a growing child's body. It should be borne in mind that in pathological processes associated with the lungs, heart and kidneys, such wheezing are also frequent companions in the absence or presence of cough and fever.
  5. The appearance of wheezing in a child without fever. Of particular concern are such manifestations when the baby is ill with pneumonia. The absence of a fever in a child calms the parents, and the process develops with increasing force. The temperature does not rise with wheezing caused by the reflux of food from the stomach into the respiratory tract, the ingestion of foreign objects and due to physiological changes.
  6. A cold that occurs with nasal congestion or runny nose also contributes to noisy breathing. In addition to acute respiratory infections, these signs indicate the likelihood of an allergic reaction.
  7. Wheezing with cough and fever. The condition is difficult for children to tolerate. Such signs are clear evidence of an inflammatory process localized in the respiratory system. Such wheezing when breathing in a child is a complication caused by a simple cold, an acute course of bronchitis. But the possibility of their occurrence due to pneumonia is not ruled out.

Wheezing in the lungs of a child should be the reason for a serious examination and adequate treatment under the constant supervision of a doctor. The lack of timely measures taken leads to such a complex pathology as pleurisy, which threatens not only the health, but also the life of the baby.

Deterioration

A more thorough examination to identify the cause of wheezing is a necessary procedure if such manifestations do not stop after taking medications prescribed by a pediatrician. This is especially important in case of a noticeable deterioration in the general condition of the crumbs, accompanied by symptoms such as:


The manifestation of such a clinical picture should be a signal for immediate medical attention. The danger of the condition lies in the likelihood of developing lobar pneumonia, often leading to death.

How to recognize wheezing in the lungs in a child

A diagnostic procedure that reveals the presence and nature of noises is to use a conventional phonendoscope.

Auscultation of the chest is performed in many positions. Auscultation allows you to identify the true cause of wheezing, which is diverse in nature, to clarify the localization of the lesion and to choose the most effective tactics of the treatment course.

If a baby breathes with wheezing, this does not always indicate the presence of a pathological condition. Wheezing in infancy is often the result of prolonged crying. Therefore, the baby should first be calmed and listen to his breathing when the baby is not crying. If there are wheezing even in a calm state of crumbs, therefore, he is sick.

Anxiety is caused by a condition when, when crying, the baby has cyanosis and difficulty breathing. This may be a manifestation of a complex inflammatory or infectious disease, as well as the result of a swallowed toy, a food bolus that blocks the flow of air.

To clarify the diagnosis, the following measures are taken:

  • clinical blood test;
  • x-ray;
  • biological examination of sputum;
  • CT, MRI;
  • biopsy.

Some parents detect changes in their baby's breathing by placing their ear against their chest or back. One should not rely on the accuracy of such listening. The best method is to consult a pediatrician.

How to treat

It is possible to eliminate hard breathing only after the treatment of the pathology that has become the root cause of wheezing.

Based on an accurate diagnosis, the doctor prescribes the following methods of therapy:

Widespread use for the elimination of wheezing found preparations based on medicinal plants. This is chamomile or eucalyptus tea, breast collection, as well as decoctions of thyme, St. John's wort, mint.

Inhalations are an effective procedure; they are recommended for children over two years old. A solution for inhalation is prepared using soda, mineral water or medicinal plants.

The main requirement for the use of these methods is no amateur performance. Medications and folk remedies are used only on the advice of a doctor.

Prevention

Parents themselves must create all the conditions for the improvement of the baby. These include:

  • complete nutrition;
  • compliance with the daily routine;
  • daily exposure to fresh air;
  • hardening procedures (taking into account the recommendations of specialists);
  • carrying out daily wet cleaning and air humidification.

The use of these simple preventive measures will make it possible to avoid the development of an alarming symptom, which is wheezing when breathing.

If you can cope with the usual runny nose and a slightly elevated temperature on your own, then a violation of the respiratory tract, namely wheezing in a child, leads parents to confusion. Since shortness of breath can symbolize quite serious problems in the body.

Children often get sick, their body has not yet had time to develop immunity to most existing infections. Wheezing and wheezing are common at an early age. It can be triggered by asthma, allergies, infection, and gastroesophageal reflux disease (GERD).

Wheezing in children

Incomprehensible sounds emanating from the chest of a child always scare parents. But you should understand this issue and know all the necessary rules and recommendations in order to provide the necessary assistance in time.

The main factors in the occurrence of shortness of breath: narrow airway patency and high resistance. These factors may be congenital or have a genetic predisposition to the formation of noisy breathing.

The main causes of wheezing in babies:

  1. Allergic reaction - upon contact with any allergen that irritates the body (dust, plant pollen, etc.), the body begins to defend itself. This process narrows the airways and restricts airflow. This is how whistling sounds are formed during an allergic reaction.
  2. Bronchial asthma - with this disease, the entire bronchial system is sensitive and inflamed with any irritating factors - a dusty room, cigarette smoke, polluted air, strong odors. There is shortness of breath, coughing and wheezing. As a rule, the condition worsens at night.
  3. Gastroesophageal reflux disease (GERD) is a disease of the lower esophagus caused by the regular release of stomach acid into the esophagus. At the time of ejection of the liquid, a small amount of it is inhaled and immediately enters the lungs. This irritates the airways and leads to wheezing. It should be allowed to burp air after feeding and positioned vertically, this will reduce the risk of GERD.
  4. Infection - Various types of infections can lead to serious complications. There is shortness of breath and shortness of breath, this indicates inflammation of the lower respiratory tract. Diseases like bronchitis and pneumonia are most often diagnosed at this age.
  5. Infections affecting the upper respiratory tract - ARVI is the most common disease in modern pediatrics. If the doctor does not observe complications and the infection remains in the upper part of the bronchi, then with proper care of the child, the disease goes away on its own.
  6. Pneumonia - this disease has its own ways of development. It may not always manifest itself at an early stage of development. Outwardly, the child may seem completely healthy. But the symptoms will still begin to appear - whistling when breathing, dry unbearable cough, which may be accompanied by vomiting.
    If you have these symptoms, you should immediately consult a doctor and be examined. The main symptoms of pneumonia are heavy breathing, palpitations, fever, cough, excessive sweating, lack of appetite, and chills.

Symptoms and types of wheezing

Wheezing is just a concomitant symptom to the underlying disease. Signals about malfunctions in the body. Additional symptoms may also be present:

  • shortness of breath and chest pain;
  • cough, dry or wet;
  • fever or fever;
  • profuse sweating;
  • weakness;
  • impotence;
  • headache complaints.

These are the main symptoms of a serious disorder in the body, in which it is necessary to call an ambulance or take the child to the nearest hospital department on your own. In infants, they can be provoked by a strong and prolonged cry.

Wheezes are divided according to their localization - pulmonary, bronchial, tracheal. And they also have several types: large-bubble, small-bubble, medium-bubble.

However, according to the mechanism of occurrence and sound diagnostics. They are divided into dry and wet, constant and periodic, whistling and crepitating.

Wet rales are formed with a large amount of fluid in the bronchi. The passing air foams the moisture inside, and the resulting bubbles burst. And with the help of an auditory examination, wet rales are diagnosed.

Dry rales are observed with spasmodic disorders of bronchial patency. In this case, the lumen of the bronchi narrows. In those areas where the bronchi are narrower, the air passes in vortex-like movements. Which gives the audibility of dry wheezing.

The sounds are of a different nature and are often accompanied by additional symptoms. But, exclusively wheezing, without any signs of illness or deterioration in health, do not require urgent medical diagnosis. If the child feels well and has no complaints. But, it’s still worth it to see your treating pediatrician.

How to hear and recognize wheezing

There are several types:

  1. Whistling - appear with swelling of the bronchi, spasms can also be observed.
  2. Buzzing - accompanied by thick viscous sputum, predicts an obstructive process in the lungs.
  3. Wet - may occur due to a large amount of fluid, observed with tuberculosis, pneumonia, abscess.
  4. Deaf, unvoiced - indicates a possible pulmonary edema and heart failure.

What wheezing needs urgent medical attention?

It is very important to respond to alarming symptoms in time. In the worst case, respiratory arrest may occur. This is possible with viral infections and organ damage by toxic substances.


Medical help for wheezing

It is necessary to protect the child from getting into the respiratory tract - smoke, allergens and various harmful factors. If wheezing is accompanied by fever, the lips turn blue and breathing becomes difficult, this means that there is an inflammatory process and the child should be immediately shown to the doctor. After examining the chest with a stethoscope, the doctor prescribes the necessary examinations and tests. And already by the presence of their results, individual treatment is prescribed. Self-medication in this case is contraindicated, it can lead to serious consequences.

Foreign object in the airways

A foreign body in the airways is a serious and dangerous problem, especially in childhood. Requires urgent specialized care. Untimely recognition and removal can lead to serious consequences and even death. Deaf, unsound - indicates a possible pulmonary edema and heart failure.

Parts enter the bronchi by aspiration (by inhalation or vomiting). Young children love to put everything in their mouths. And with a banal game or pampering, small parts can get from the oral cavity into the bronchi.

The reaction of the body depends on the size of the part, the position it occupied, the material and the residence time. An irritable cough immediately begins, breathing is disturbed, even a stop is possible. Then there is wheezing and wheezing, then shortness of breath and pain in the part of penetration of a foreign body.

Due to the small size, it is not always possible to determine that something has entered the bronchial system. However, if there is even the slightest suspicion, a pulmonologist should be examined and an x-ray of the lungs or bronchoscopy should be taken.

While the ambulance is on the way, you should try to remove the foreign body. It is necessary to tilt the child and tap on the back between the shoulder blades. If there is no result, then you should squeeze the stomach at the bottom of the ribs.

Treatment and prevention of wheezing in a child

Diseases of the bronchial system and accompanying wheezing are treated with antibiotics. But the treatment is not limited to this. You should make every effort to get well as soon as possible. The room should be regularly ventilated, do daily wet cleaning, monitor the humidity of the room. During the treatment period, provide the child with plenty of fluids, these can be compotes, teas, fruit drinks and various decoctions that the child will drink with pleasure. After sleep, do drainage massage and breathing exercises.

Today, nebulizers are in almost every home. These procedures are an integral part of the disease of the respiratory tract. The crushed particles of the drug penetrate directly deep into the bronchi, and greatly alleviates the patient's condition. It is better not to get carried away with steam inhalations, as there is a chance of getting burns, which will only aggravate the recovery period. If a child often suffers from bronchitis, pneumonia or other similar diseases, then it is better to purchase a home nebulizer.


Irrigation of the respiratory tract with a nebulizer

Medical treatment:

  • mucolytic drugs help to thin sputum, they are prescribed for viscous and difficult-to-separate accumulations in the lungs;
  • expectorant medicines help thin the sputum and remove it from the body;
  • bronchodilators dilate the bronchi and restore respiratory function.

Folk remedies:

  • herbal teas and infusions - mix crushed aloe leaves (only adult, which is over 3 years old), fresh lemon peel and honey. It is necessary to insist a week, then take a tablespoon every day on an empty stomach. Use until the condition improves;
  • ginger is a good remedy for wheezing in the lungs. It is necessary to grate the spice and brew with tea, lemon and honey;
  • the properties of hot milk have long been known, therefore it is one of the most effective. You can add honey or soda;
  • viburnum - helps with almost any disease, the juice of the berries is mixed with honey or consumed as a whole.

To protect your child from diseases, it is necessary to minimize contact with allergens that provoke swelling. Prevent hypothermia, respond to colds in a timely manner and treat viral and infectious diseases accordingly.

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