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Childhood bronchiolitis is an acute respiratory disease common in the first years of life, during winter and early spring, in which the bronchioles (terminal part of the bronchi) are affected. Coughing, wheezing, and chest pulling are the key symptoms for diagnosis.
I remember on one occasion that I went to the emergency room with my little one when he was two months old, he had the typical upper tract catarrh, but in the outpatient clinic they advised me to take him to the children's hospital to rule out possible bronchiolitis, because they would estimate him better there. Finally, the doctor who treated us, by auscultation of her lungs, ruled out bronchiolitis and added: "bronchiolitis has not yet arrived, but we are waiting for it."
Sooner or later, the medical emergencies wait year after year for the appearance of this frequent disease that affects children under one or two years of age because in them the bronchioles are small enough to become obstructed by inflammation, preventing the flow of air and is usually produced by viruses that, initially, cause a catarrhal picture.
For the treatment of bronchiolitis in babies, it is recommended:
- Frequent nasal washes and the aspiration of mucus by means of a rubber bulb or nasal aspirator, to eliminate the discharge to the chest of the mucus existing in the upper airways.
- Provide the baby with environmental humidity to soften the mucus in the lungs, for this, aerosols are used with physiological soil.
- To sleep it is recommended that the baby's head and upper part are slightly incorporated to facilitate breathing.
- The use of physiotherapy by patting the back and chest with the hollow hand is useful to mobilize the secretions of the bronchioles.
- Sometimes, but not always, the pediatrician may recommend a bronchodilator medication administered through aerosols, and paracetamol or an antipyretic for fever.
- Maintaining a warm, humid and smoke-free environment is essential for recovery. If the baby goes outside, it is convenient for him to breathe through a scarf.
- Steam baths can also relieve airway obstruction and mucus clearance. For children under two months it is considered a dangerous disease, these little ones should be taken to the doctor for any sign of fever or respiratory distress, but for most, the condition lasts more or less a week with proper treatment.
This disease is spread like colds, through contact with saliva and mucus, therefore it is advisable to use hygienic measures such as hand washing, the use of paper tissues and scrupulous washing of the mask for aerosol machines, if we do home therapy.
Patro Gabaldon. Editor of our site
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