When you can completely help yourself, and when you need to urgently call a doctor? Why is eating garlic a cold is completely useless? Is it necessary to bring down the temperature? Do cough pills help, and sprays help with a runny nose? Dasha Sargsyan has written a short guide for those who have ARI from time to time.
If in childhood you dispensed with iodine nets, mustard plasters and tea with lemon, but acidic, then you probably immigrated to Russia after coming of age. In fact, ARI requires much less fuss than we are used to thinking, and the effect will be much better. We warn you that this text can cause you indignation and denial, but in the end you have to put up with it: garlic is useless, with a sore throat you need to eat ice cream, and the iodine grid is evil.
For clarity, we define what acute respiratory disease (ARI) is.
This is most often a viral (rather than bacterial) infection, which is manifested by nasal congestion, snot, sneezing, coughing, sore throat, chills, fever and / or headache. Without treatment, acute respiratory infections pass in 3-10 days. True, in a quarter of patients the unpleasant state will last for a couple of weeks, smokers are most likely at risk. On average, an adult suffers 2-3 acute respiratory infections per year.
If the onset of the disease is sharp and severe, you feel aches all over your body, tiredness, then most likely you have the flu and you should go to a doctor immediately who will prescribe an antiviral drug.
So, how to get sick with acute respiratory viral infection (ARVI)?
Unfortunately, the invention of antiviral drugs is especially difficult, and now there is only a cure for the flu, but with SARS the human body is forced to fight itself. Fortunately, he often succeeds in this. If you just remembered about antiviral drugs, which are actively advertised and in the pharmacy are certainly on the main window, you can safely forget about them. In the West, these funds are not, as they have not proved their effectiveness and safety in qualitative research.
In general, just put up with the fact that you can’t speed up your recovery.
For some reason, it is customary to score. The sick person goes to work at rush hour, wipes his nose with his hand and grabs the handrail, sneezes and coughs actively, and then spends nine hours indoors, generously sharing his virus with colleagues. Agree, this is not very beautiful. If for some reason you still need to appear at work,
put on a medical mask
and change it every four hours.
If you don’t put it on, cough and sneeze, covering yourself with your hand (and then wash your hands with soap or alcohol-containing gel: the virus can live on the skin for about two hours).Ask loved ones not to touch your lips, nose or eyes while talking to you so that they do not bring the virus in. Kissing, by the way,
: nothing is transmitted through the saliva, but being next to a sick person is still dangerous, since you can inhale droplets of mucus containing the virus from the respiratory tract.
Important: the patient is better not to contact people for the first 2-4 days, since at this time the person is especially contagious. But a week after the onset of the first symptoms, it is no longer so dangerous for others.
How to wash your hands:
But not immunomodulators. They are still useless at best, and in the West, again for this reason, they are not used. It is very important that the air in the room was with a normal humidity of 40-60 percent - then it will be easier for the mucosa to do its job. (Usually in such a situation you can’t do without a humidifier.) For this, you need to drink a lot.
Mandatory. To make it easier to deal with heat, it is best to maintain a temperature of 18-20 ° C in the room. If you wish, you can take a shower in which the temperature of the water will be approximately equal to the temperature of your body. Try to create peace for yourself so as not to interfere with the body's ability to deal with the virus, do not eat through force. But if you feel normal, you do not have fever, fatigue and muscle pain, you can work out.
So even get to temporarily get rid of nasal congestion.
American doctors Mayo Clinis writes in a
article on ARF medications
: “If you have a cold, you will probably be sick for a week or two. But this does not mean that you need to be unhappy.” Actually, so that a person does not especially suffer from acute respiratory infections, there are drugs for symptomatic treatment. In other words, almost all of the unpleasant manifestations of acute respiratory illness can be eliminated to one degree or another.
Probably, salt solutions (they
can be done
at home, only carefully) allow you to cope with a runny nose. However, this
is not completely
There is also reason to believe that the spray containing ipratropium bromide reduces the number of snot and allows you to sneeze less often. Thanks to the spray with cromoglic acid, the nose will also flow less, you will not sneeze and cough so often.
Handle vasoconstrictor drugs (decongestants) very carefully: if you use them for more than 3-5 days, you run the risk of getting a runny nose caused by them. Although the temptation to use them for longer, of course, is great: they give a wonderful effect, including removing the stuffy nose for a while.
Using antihistamines does not make much sense, like glucocorticoids in the form of a nasal spray.
It is not always necessary to fight cough.
It is often useful - it often eliminates sputum. In most cases, he leaves after three weeks and does not require any treatment. So it is better not to use antitussive drugs, especially right away.
Expectorants such as guaifenesin and other mucolytics should not be used for acute coughing, as there are no reasonable arguments for or against these drugs in a similar situation.
Honey when coughing has a softening effect, at least in children.
To bring down or not to bring down the temperature is a difficult question. In principle, there are two specific indications for vigorous action: temperature above 39 ° C and extremely poor health. The general opinion so far is: be patient - be patient. Moreover, the elevated temperature
is not as scary
as it is customary to think about.
it is not completely clear
whether we are delaying the course of acute respiratory infections, bringing the temperature to normal immediately. Logically - yes, it’s better not to do this, since, for example, some viruses and bacteria do not tolerate it well. However, there is still no evidence of such harm.
If you still decide to get to 36.6 ° C as quickly as possible, the worst thing you can do is grind with vodka, vinegar or ice water.
Vodka creates only the appearance of cooling, while it can greatly dry the skin and enter the bloodstream. Any strong cooling leads to the fact that the vessels of the skin narrow and do not give off heat, and inside we are still quite hot, only there is nowhere to leave the heat.
You can still eat raspberries, it really helps to cope with the temperature, but it's much easier to take paracetamol or some non-steroidal anti-inflammatory drug like ibuprofen. And, of course, do not stop your body from losing heat, maintaining a normal temperature in the room and drinking plenty of fluids so that there is something to sweat.
Paracetamol and ibuprofen are not only antipyretic drugs, but also painkillers. Therefore, they will also help you relieve headaches and aches.
Sprays with anesthetic do not relieve pain more effectively than lollipops, while lollipops affect longer. The cheaper anesthetic option — cold drinks, ice cream, fruit ice, etc. — is psychologically difficult to take, but try at least once.
“It's like putting a bag of ice to a bruise, or many remember that after removing the tonsils in childhood they gave ice cream, the same principle is to reduce swelling, inflammation and / or decrease sensitivity,” explains general practitioner Dmitry Troshin.
Local antiseptics in the form of sprays, gargling with various solutions does not look very effective. However, if this makes you feel better, you can always use such tools.
And a couple more tips:
That is, you can drink tea "from a cold" from a pharmacy in which paracetamol will be, and then use it in the form of a tablet, not knowing that you are taking the same substance and with a brisk step you go to an overdose;
There are drugs that, in principle, can be suitable as psychotherapy ("I do something, I help myself recover faster"), but in fact, they have no effect, and sometimes they do harm. Take, for example, an iodine grid. Iodine can easily penetrate the bloodstream through the skin and lead to problems with the thyroid gland.
will get the
and Lugol's solution, which includes iodine and even better penetrates through the mucous membrane of the mouth.
Banks leave bruises and burns, while there is no evidence of their effectiveness. Mustard plasters also have no effect on the course of acute respiratory infections: “The action of mustard plasters is simple. When a mustard plaster bakes, it becomes bad, when it is removed, it immediately becomes easier,” explains general practitioner Alexander Ryltsov. Soaring legs is a story of the same order.
Echinacea does not work with acute respiratory infections. There is no reason to believe that garlic will speed up your recovery. He is more likely to help others who will stay away from you and not get sick. It is better not to be treated with inhalations, since their benefits are doubtful, and the chance of getting a small burn of the respiratory tract is very real.
In order for vitamin C to somehow affect the course of acute respiratory infections, you need to take at least 200 mg daily.
Then, when you get sick, ARI will be eight percent faster. That is, if you had been ill for a week without taking vitamin C, then after its preliminary daily use you would be sick for 6.5 days.
Prophylactic antibiotic treatment (to prevent the development of a bacterial infection) is not necessary, since there is no benefit from this, and a side effect in the form of diarrhea will develop with a high degree of probability.
If you find it difficult to come to terms with all this, watch the transmission of the famous pediatrician Evgeny Komarovsky - he explains everything quite convincingly.
Very rarely, a disease with symptoms of acute respiratory infections is bacterial. But at first finding out what we are dealing with is not easy. If only then, after improvement, the disease returns, then it’s more about a bacterial infection. Also, if all the conditions for recovery are created, but the disease has not disappeared in 10 days, it is worth thinking about its bacterial nature.
By the way, the color of the snot has nothing to do with the diagnosis: green mucus
even with a viral infection.
If the throat hurts, then in 10 percent of cases, the cause is a bacterium called streptococcus. Typically, the symptoms of this disease are as follows: temperature above 38 ° C, enlarged lymph nodes in the neck, white purulent plaque on the side walls or back of the throat, no coughing, runny nose, or red eyes. In this case, you should immediately go to the doctor who will prescribe antibiotics. It is unreasonable and dangerous to be treated with "some" antibiotics that have remained in the medicine cabinet from the last time, to put it mildly.
In 0.5-2 percent of cases, acute sinusitis (inflammation of the paranasal sinus mucosa) is bacterial, and usually it is a complication of the viral. It is manifested by nasal congestion, thick yellow or green snot, pain in the teeth, pain or pressure in the face (aggravated when a person leans forward). With this, it is also better to go to the doctor, who, by the way, can decide that you do not need antibiotics - sinusitis usually goes away by itself.
There are situations when SARS may not be SARS, but a more serious disease. Or an acute respiratory illness is for some reason too difficult for you. Then you need to go to the doctor. And here are exactly what for this
there are reasons
The doctor will ask about the symptoms, conduct an examination and explain what is really going on with you.
As you can see, getting sick with acute respiratory infections is not such a troublesome and unpleasant thing - just not stopping the body from recovering. And for this you need to have the courage and abandon the meaningless events, which since childhood have been firmly connected for us with recovery, which in reality comes itself.