Early and typical symptoms of pneumonia in children

  Pneumonia in children is a common childhood disease, and mothers and fathers who often hear their children coughing must have learned about this condition. The first thing you need to know is that your child is suffering from childhood pneumonia.  A. Early symptoms of childhood pneumonia: A. Pediatric cough A pediatric cough is a symptom of a protective reflex that clears out foreign bodies, irritating gases, respiratory secretions, and other substances that irritate the respiratory mucosa by coughing, often accompanied by sputum production. Pediatric cough can be caused by a variety of diseases and needs to be carefully identified.  II. Irregular breathing Irregular types of breathing are characteristic of increased intracranial pressure. Tidal breathing, shallow and rapid breathing, and sobbing breathing are common in clinical practice. Slowed breathing is more common when there is a posterior cranial fossa hematoma. Irregular and tidal breathing is more common in brainstem injury. Tidal breathing: also known as Chen-Schi breathing, is a periodic breathing abnormality with a period of about 0.5 to 2 seconds. Breathing is gradually shallow and slow to pause, and then the breathing gradually deepens and accelerates, alternating from week to week. It is mostly seen in central nervous system diseases, such as encephalitis, meningitis, increased intracranial pressure, barbiturate poisoning, etc.  Pediatric fever Fever is a very common symptom in infants and children, and many diseases manifest as fever at the beginning. In our daily life, we often see some parents feel the child’s head and palms with their hands, and when they feel the skin is hot, they think the child has a fever. Some parents think that as long as the child’s body temperature exceeds 37 ℃ is sick. In fact, this understanding is not entirely correct.  The typical symptoms of pneumonia in children: 1. Fever: Most children suffering from pneumonia have fever symptoms, the temperature is more than 38 ℃, lasting two or three days, antipyretic drugs can only make the temperature drop temporarily for a while, and soon will rise again. Although children with colds will also have fever, but most of the body temperature is below 38 ℃, which lasts for a shorter period of time, and the effect of antipyretic drugs is also more obvious.  2. Cough and breathing: To determine if a child has pneumonia, look for coughing, wheezing and difficulty breathing. Coughs and wheezes caused by colds and bronchitis are mostly paroxysmal and usually do not cause breathing difficulties. If the cough and wheezing are heavy, the respiratory rate increases at rest (i.e., less than 2 months old infants ≥ 60 breaths/min; 2-12 months old infants ≥ 50 breaths/min; 1-5 years old children ≥ 40 breaths/min), both sides of the nose one after another, the lips are blue or purple, once the above symptoms appear, suggesting that the condition is serious and should not be delayed.  3. Mental state: To detect pneumonia in children in time, attentive mothers should also pay attention to the child’s mental state. If your child has a fever, cough, or wheezing while being in good spirits, able to play, and smiling, it is very unlikely that he or she has pneumonia. On the contrary, a child who is not in good spirits, has blue lips, is irritable, cries or is lethargic, or has a seizure, and a few children may have delirium, indicates that the child is more seriously ill and has a higher likelihood of having pneumonia. The child may not have any significant mental changes in the early stages of pneumonia, or he may be in a poor mental state.