Bronchitis seen in winter due to cold, manifests itself as “bronchiolitis da in children. Department of Child Health and Diseases, Büyük Anadolu Medical Center Fikret Nakipoglu, Medi Bronchiolitis may develop heart failure and pneumonia if not treated early. This will cause a negative effect on the brain as a result of the transfer. ”
: What is bronchiolitis?
Dr. Fikret Nakipoglu: Bronchiolitis is an inflammatory condition that can cause obstruction in the small airways of the lungs. It is usually seen in children older than 1 month and younger than 2 years and most commonly in 6 months old babies. Acute bronchitis is an inflammatory condition of the large airways in the lung. In slightly older children, the flu develops following an upper respiratory tract infection.
: What are the symptoms?
Dr. Fikret Nakipoglu: Bronchiolitis may have a family history of influenza infection. Symptoms of mild upper respiratory tract infection (sneezing, runny nose, cough), fever around 38 degrees, loss of appetite, symptoms of difficulty in breathing (intermittent audible cough, difficulty breathing), feeding difficulties can be seen. Acute bronchitis, on the other hand, starts with a cough that can be dry, short-term, sputum-free and progressive, sometimes seizures, 3-4 times after a cold. There may be chest pain and a fever not exceeding 38 degrees.
: What is the course of the disease?
Dr. Fikret Nakipoglu: In mild cases, the symptoms regress in one to three days. Severe cases, especially children under 6 months can progress to one to two hours and become more severe. Air hunger, bruising, nasal wing breathing, abnormal movements in the bones of the chest may occur. Fire does not exceed 38 degrees. If the fever exceeds 38 degrees, it is necessary to pay attention to pneumonia. Initially clear sputum may take the appearance of inflammation, within five to ten days cough begins to decrease, phlegm disappears.
: In which months is the most common?
Dr. Fikret Nakipoglu: Bronchiolitis occurs in the form of outbreaks, sometimes in the winter and early spring. 90% of patients have a family history of influenza infection. In addition, cold, humidity, sudden temperature changes and especially foggy, polluted air, household dust, flower dust and various pollen are among the preparatory factors.
: In which months is the most common?
Dr. Fikret Nakipoglu: Children under 2 months; bruising, respiratory arrest findings, respiratory rate is more than 60 per minute, blood oxygen levels fall, carbon dioxide values should be hospitalized in case of increase. The aim is to provide oxygenation with moist oxygen treatment, softening sputum and cough with a nebula to facilitate the excretion of bronchodilator drugs, expectorant drugs and fluid therapy if fluid loss has occurred. Antibiotics are not normally required. However, antibiotics can be used if there are inflammatory areas in the lung film and fever is elevated and inflammatory cells in the blood are increased. In severe cases, steroids can be used because of the effect of reducing edema in the bronchi.
: What to do if the disease recurs frequently?
Dr. Fikret Nakipoglu: Recurrent bronchiolitis; hidden asthma, tuberculosis, cystifibrosis, heart failure, foreign body swallowing, whooping cough and immune deficiency diseases should be differentiated and the underlying cause should be treated. Especially if children with recurrent bronchiolitis are diagnosed with asthma, spray medications may be required depending on the level of asthma.
: What are your recommendations to families?
Dr. Fikret Nakipoglu: Smoking should be prevented in the family. The most common cause of the disease is familial influenza. Therefore, all family members should be protected from the flu, and if necessary, the child should be treated with a mask. After the onset of the disease, children should be given plenty of fluids and frequent lung massage should be done at regular intervals. Dirty, dusty city air should be avoided, should not go to places higher than a thousand meters.