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КАК ВЫЛЕЧИТЬ ОРВИ БЫСТРО И БЕЗ ОСЛОЖНЕНИЙ: ЧТО ДЕЛАТЬ С ТЕМПЕРАТУРОЙ У ДЕТЕЙ? УБРАТЬ КАШЕЛЬ

Learn how to quickly and safely treat respiratory infections and manage fever in children with expert tips from Dr. Alina Litrinova.

Key Takeaways

  • Fever is a natural and helpful immune response, not always requiring medication.
  • Proper fever management in children depends on identifying warm vs cold fever.
  • Hydration and symptomatic care are crucial for recovery from respiratory infections.
  • Avoid unnecessary antibiotics and cough suppressants to prevent resistance and complications.
  • Seek immediate medical help for infants under 2 months or if fever persists despite treatment.

What the video covers

  • Respiratory infections affect the respiratory tract and include viruses like adenovirus, influenza, and coronavirus.
  • Fever is a beneficial immune response that helps T-killer cells fight viruses effectively.
  • Temperature up to 38.5 °C can be left untreated for the first 3 days if no history of febrile seizures exists.
  • Differentiate between warm and cold fever in children by checking limb temperature to guide treatment.
  • For warm fever, keep the child hydrated, cool them with towels or water, and avoid bundling.
  • For cold fever, keep the child warm, rub hands and feet to improve circulation, and consider mild vasodilators if needed.
  • Call an ambulance if the child's fever remains high after an hour of treatment or if a baby under 2 months has a fever.
  • Sore throat relief is best achieved with sugar-free lozenges or NSAIDs like benzydamine rather than topical antibiotics.
  • Cough is a protective reflex; avoid suppressants and focus on hydration to thin mucus.
  • Nasal breathing is important for warming and cleaning air; symptomatic treatment and hydration are key for recovery.

Answers

Questions about this video

When should I lower a child's fever and when should I let it be?

If the child's temperature is up to 38.5 °C and they have no history of febrile seizures, you can usually let it be for the first 3 days. If the child feels very unwell or the fever is above 38.5 °C, especially with cold limbs, you should take steps to lower it.

How can I tell if a child's fever is warm or cold?

You can check by touching the child's hands and feet. Warm limbs indicate a warm fever, which means the body is dissipating heat properly. Cold, icy limbs indicate a cold fever, where blood vessels are constricted and heat is retained inside.

What are safe ways to reduce fever in children without medication?

Use towels at room temperature or slightly cool and apply them to the forehead, armpits, chest, groin, and behind the knees. Also, keep the child hydrated with warm drinks and avoid bundling them up.

Full Transcript — Download SRT & Markdown

00:01
Speaker A
If you want to cure a respiratory infection in yourself or your children quickly and without complications, and know when to start antibiotics or how to properly take a temperature, you have come to the right place, as we will be covering all these questions here today. My name is Alina Dmitrievna Litrinova. I am a general practitioner and the founder of the supplement company Kladovit, which produces vitamins with proven efficacy. And today we are talking about how to treat a respiratory viral infection. A
00:12
Speaker A
respiratory infection is any infection that affects the respiratory tract. This could be an adenovirus, influenza virus, or any other virus, including coronavirus, that is transmitted by airborne droplets and affects the respiratory tract. Depending on the virus, we will see different
00:22
Speaker A
manifestations, but one way or another, people commonly call it a cold, and it is treated in more or less the same way. The main symptoms of a respiratory infection are a scratchy or sore throat, cough, runny nose, nasal congestion,
00:39
Speaker A
and a fever. Now we will go through each symptom separately and look at how to get rid of them immediately. The most unpleasant symptom is a fever. My friends, a fever is not our enemy at all; it is our friend. Because when the
00:53
Speaker A
temperature rises, our body produces many, many T-killer cells. These are cells that fight viruses and kill them.
01:09
Speaker A
And for them to work effectively, they need to function in conditions of an elevated temperature. So, you have measured your temperature. By the way, the best way to measure temperature is still the mercury thermometer. It is considered that it never lies. Even
01:17
Speaker A
when using electronic thermometers or other alternatives, it is better to first check how accurate they are compared to a mercury thermometer. So, you have measured the temperature and seen that it is elevated. General international guidelines tell us that
01:31
Speaker A
if we see a temperature up to 38.5 °C, we can leave it alone, provided it is during the first 3 days of the illness and you or your child have never had febrile seizures, because with febrile
01:47
Speaker A
seizures, we would indeed lower even a mild fever. And if you feel relatively okay overall, whether to lower the temperature or not depends on how you are feeling. If you have a temperature of 38 °C but feel absolutely terrible,
01:59
Speaker A
then, of course, we will lower the temperature. If you have a temperature of 38.7 °C, for example, but you feel good, then it can be left alone. A very important point regarding children. If we have measured a child's temperature
02:16
Speaker A
and see it is above 38.5 °C, it is very important to determine if it is a cold or warm fever. To do this, we simply touch their limbs. The hands and feet. If the hands and feet are warm,
02:29
Speaker A
it means it is a warm fever and everything is fine. If the fever is warm, it’s excellent; it means the body is managing heat dissipation on its own, and our task is not to interfere. At this moment, we don't
02:42
Speaker A
bundle the child up; we try to cool them down as much as possible and keep them hydrated, because the more the child drinks, the more they will sweat and urinate, meaning the body will lose heat and lower the temperature. The
02:54
Speaker A
first thing we do is give the child plenty to drink. We keep the child hydrated with warm drinks. That is, we will give them fruit drinks, water, tea, or anything at all. Whatever the child likes to drink, give it to them.
03:09
Speaker A
Next, we need to cool the child down. We uncover them and remove the blanket.
03:22
Speaker A
As unpleasant as it may seem, it will lower the temperature by 1-2 degrees. How will we cool the child down? I once recorded a video about where to apply towels so that a child's fever drops quite quickly without any antipyretics.
03:26
Speaker A
We take towels, they can be at room temperature or slightly cool, and apply them to areas of active heat loss.
03:41
Speaker A
These are the forehead, armpits, chest, groin area, and the area behind the knees. If you don't have that many towels, you can simply wipe the child down with plain warm water. For heaven's sake, do not wipe them down
03:49
Speaker A
with vinegar or vodka. This will only increase their intoxication, and you could even cause alcohol poisoning, because in children, any substances are absorbed very, very well through the skin. We always wipe children down only with water. If 30-40 minutes after such
04:02
Speaker A
measures the child's temperature has not gone down, then we can resort to antipyretics like ibuprofen or paracetamol. Well, as a rule, such physical methods of lowering temperature, like towels and water, help very, very well. A less pleasant type of fever is a cold fever. If you
04:18
Speaker A
touch the child's hands and feet and they are icy, it means the child has a cold fever and their body has constricted the peripheral vessels and is not letting heat out. The heat remains inside. In this case, we must
04:36
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by no means overcool the child. With a cold fever, it is very important to give the child something warm to drink.
04:51
Speaker A
Tea, fruit drink, compote, please, give them whatever the child likes to drink. We start rubbing the child's palms and feet. Really, really well. Rub until they turn red. If the feet and hands have turned red, it is an excellent
04:58
Speaker A
sign. It means our blood vessels have dilated, and the temperature will now drop because heat dissipation will be normalized. If even after rubbing the hands and feet they don't turn red and remain cold, then you can resort to
05:11
Speaker A
medications like No-Spa or Papaverine. They will have a mild vasodilating effect. My friends, read the instructions very carefully when doing so. Medication dosage must be calculated strictly by weight. Please pull yourselves together, read the instructions, and only then give it to
05:25
Speaker A
the child. If the temperature hasn't dropped below 38 °C within an hour, we call an ambulance. We don't wait, we don't experiment, we simply call an ambulance. We must also call an ambulance if the temperature rises in a
05:41
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baby under 2 months old. This is a very vulnerable age, when a child can experience fever very severely, plus it can be confused with other illnesses.
05:57
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Therefore, we do not self-medicate here; we consult a doctor immediately. And as I've already said, if you're an adult and tolerate temperatures up to 38.5 °C well, you can safely stay with that fever. If you feel unwell,
06:10
Speaker A
even at 37.5 °C, you can safely bring it down with fever reducers. It is very important, even for adults, not to combine ibuprofen and paracetamol in one dose. You should either alternate them, waiting a sufficient amount of
06:25
Speaker A
time, for example 4–6 hours between doses, or take only one, because they have different ways of being eliminated. If you take ibuprofen and paracetamol together, you put a heavy strain on both your kidneys and liver. Therefore, you should not do that. The next
06:39
Speaker A
unpleasant point is a sore or scratchy throat. It occurs due to swelling and the mucus that drains down our throat.
06:56
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The only thing you can do to ease the condition is to suck on something.
07:04
Speaker A
These can be simple sugar-free lozenges sold in any grocery store, or they can be non-steroidal anti-inflammatory drugs. It is better not to use topical antibiotics because they won't kill the viruses that are inside you. They won't even kill the bacteria you have,
07:08
Speaker A
because the dose of antibiotic in one lozenge is very low. However, with prolonged use, for example, 2–3 days if you have a sore throat, by constantly sucking these tablets, you increase the risk of antibiotic resistance, and they may stop helping
07:28
Speaker A
you in the future. Therefore, it is better to choose non-steroidal anti-inflammatory drugs. By the way, one option for an NSAID is benzydamine.
07:43
Speaker A
Its advantage is that it only works locally, only on the mucous membranes, and is not absorbed into the blood.
07:52
Speaker A
Therefore, you can suck on it throughout the day. Next, we have the dreaded cough. My friends, it is very important to understand that a cough is not our enemy either; it is our friend, a protective reaction of the body to
07:57
Speaker A
something. We have mucus, and we are usually used to thinking that if mucus f
08:12
Speaker A
something. We have mucus, and we are usually used to thinking that if mucus flows from the nose, it's a runny nose, but if it doesn't, there is no congestion. But in reality, mucus also forms in the back, and it can drain
08:25
Speaker A
down the back of the throat. And when it drains down the back of the throat, we start clearing our throat, and a cough develops. And there are two types of coughs we can have. Either productive, when the mucus is thin, it
08:36
Speaker A
drains, we clear our throat, and everything is fine, we go on, and everyone is happy. Or the cough can be unproductive, when we start trying to clear our throat, our throat tickles, and we just keep hacking and hacking
08:47
Speaker A
and can't clear it. As a rule, in this case, the mucus is either too thick, or we simply cannot cough it up. Since we understand that in this case, the cough is not our enemy, but our friend. And
08:59
Speaker A
as I already said, it is a protective reaction, so we don't treat it. The only thing we can do is to alleviate the cough. And how can we alleviate it so we aren't in that hacking state?
09:09
Speaker A
Accordingly, what should our mucus be like? Thin. Our mucus is produced by special glands on the mucous membrane.
09:16
Speaker A
Surprisingly, yes. And scientists have conducted studies and concluded that the consistency of the mucus forming in our throat depends on the hydration of our blood. So, how can we make our blood thinner? Drink plenty of fluids.
09:33
Speaker A
Again, it comes down to drinking a lot so that the mucus draining down the back of our throat becomes thin and clears away quickly and easily when we cough. Here, my friends, is what is very important. We do not use any cough
09:49
Speaker A
medications for ARVI. It’s simply not necessary. Look, in general, cough medications are divided into two large groups. The first group is those that block the cough entirely. And since it is a protective reaction, and we need to cough up that phlegm, we must not
10:05
Speaker A
block it, we must not leave it inside, so we cannot take those medications. Actually, these medications can be taken, for example, after surgery, when it’s painful for a person to cough and they shouldn't, then these cough-blocking drugs are indeed
10:18
Speaker A
prescribed. Or the second group of drugs are mucolytics, which thin the phlegm. But if it’s already thin, there will simply be too much of it, and we will be coughing, coughing, and coughing it up. And in the event that
10:35
Speaker A
you have humidified air and drink enough water, you will also avoid various complications. But if you take cough medicine, and on top of that the air is dry, and the mucus dries out in your throat and moves lower and lower,
10:49
Speaker A
that is exactly how you can easily get pneumonia. Therefore, we do not take these drugs. In many countries around the world, expectorant medications are strictly prohibited for children under 5 years old. And furthermore, many foreign medical textbooks state that
11:05
Speaker A
expectorants have not proven their effectiveness or advantage over plenty of warm fluids. In other words, a lozenge of expectorant medication is just as effective as a cup of tea.
11:22
Speaker A
Since we said that we don't treat the cough, but only relieve the condition, what should we do? We drink plenty of fluids, humidify the air, and we can do a gentle vibration massage. We stay in an upright position and try to lie down
11:36
Speaker A
as little as possible, because then we cannot cough properly and the mucus does not drain where it should. We try to move more, even if we are in bed, we raise the head of the bed so as not to
11:50
Speaker A
be constantly in a horizontal position. And the last unpleasant symptom of ARVI is a stuffy nose. To clear a stuffy nose, we need to use vasoconstrictor drops. Please, do not hesitate to use them, but do not get carried away and
12:04
Speaker A
do not use them for longer than 5 days. As a rule, nasal congestion goes away 3-4 days after the onset of the illness . And once the vasoconstrictor drops have taken effect, we start rinsing our nose. You can rinse it five, six, or
12:19
Speaker A
seven times a day until you wash out the mucus that is there so it doesn't obstruct your breathing. There is a huge variety of nasal irrigation devices available. Choose the one that works best for you. For young children,
12:32
Speaker A
if we cannot rinse their nose properly, we use a nasal aspirator. Again, for the mucus to come out quickly and easily, what must it be like? Liquid.
12:43
Speaker A
And for it to be liquid, we need to drink plenty of fluids. And we need to humidify the air. And so, we have discussed all the symptoms, so let's move on to the five basic principles of treatment, so to speak. Let's draw a
12:56
Speaker A
line under this topic. The first principle is free movement. Bed rest is not something that needs to be followed with an acute respiratory viral infection. If you feel unwell, of course, you should lie down. But if you feel fine, you can walk around the
13:10
Speaker A
house, go about your business, and even go for a walk, even if you have a fever , as long as you feel quite energetic.
13:17
Speaker A
Just try to avoid contact with people so you don't infect them unnecessarily. Also, if your child is jumping all over the house, building castles and forts, even with a temperature of 39, you don't need to put them to bed. If they
13:31
Speaker A
aren't feeling well, of course, don't force them to get up and say, "Go play and run around." But if they are feeling fine, please, let them feel fine. By the way, if we happen to lie down for a very long time, we increase
13:45
Speaker A
the risk of complications, because we can't properly blow our noses or cough. And all that mucus we talked about starts to stagnate and dry out in the airways. The second thing is plenty of fluids. We’ve talked so much before
14:01
Speaker A
about our mucous membranes, the mucus that forms and needs to be coughed up, and our sweating—none of this is possible without water or fluids. So, keeping membranes moist, thinning our phlegm, and allowing the body to sweat is the only thing we can do for it.
14:21
Speaker A
This is fundamental for a faster recovery. The main criterion that you or your child is drinking enough is urinating at least every three to four hours. Can it be more or less frequent?
14:33
Speaker A
No. If you find yourself urinating less often, it means you aren't drinking enough. We also eliminate toxins produced during a viral infection through our urine. If a child feels nauseous and can’t drink a large amount of water, set up a drip system
14:46
Speaker A
—not into a vein, but into their mouth. Take a dropper and attach it to a water bottle. And let them sit and slowly sip that water. Even if it's just a little bit, water must get into their system. The third thing is the
15:00
Speaker A
indoor climate. It should be cool and humid. The air temperature should be between 18 and 22 ° C, and humidity between 40 and 60%. 70%is fine if you can manage it, because viruses don't survive well in such conditions, and
15:17
Speaker A
your mucous membranes thrive. To keep from getting cold, you can dress warmly , put on socks, pants, or a sweater, so you feel comfortable. But the air must always be cool. Remember that viruses thrive best in dry, warm air. The
15:36
Speaker A
fourth thing is nasal breathing. We should breathe through our nose because when we breathe through our mouth, the air enters the airways immediately, without warming or cleaning. When we breathe through our nose, the air is warmed in the sinuses, cleaned by the
15:51
Speaker A
hairs in our nose, and dust particles and viruses are trapped on our mucous membranes. And we receive filtered, safe air for our body. And the fifth thing is food. Oh, how I wish I could tell you that food should be balanced
16:07
Speaker A
and as varied as possible. We perfectly understand that when we are sick, we may have no appetite. If you have no appetite for 2–3 days, that’s okay, there’s no need to force-feed yourself. But if you have an appetite,
16:20
Speaker A
try to eat protein-rich and fatty foods , because protein is what your immune cells are made of, and fat is what keeps them protected. If you can minimize your sugar intake, do so, because excess sugar will block the
16:35
Speaker A
production of your white blood cells that fight off viruses and bacteria. And here we see that there is essentially no cure for an acute respiratory viral infection. So what does that mean? Is it inaction or what?
16:46
Speaker A
Actually, it’s not inaction; it’s the best thing you can give your body. An ARVI is treated symptomatically, meaning we simply remove the symptoms that make us uncomfortable and wait for the body to win. The body doesn't need any antivirals or immunomodulators.
17:02
Speaker A
They haven't proven their effectiveness against ARVI. The body certainly doesn't need any antibiotics unless there is a confirmed bacterial infection. ARVI is a virus, and antibiotics are for bacteria. Therefore , if a doctor says yes, you’ve developed a bacterial infection, you
17:17
Speaker A
have pneumonia or tonsillitis, then you need antibiotics. But for a regular ARVI, you absolutely do not need antibiotics. If your body develops complications after any ARVI, the question is: why does that happen? What is going on with your immunity? There
17:32
Speaker A
might be issues with your immunity because you didn't fully recover, for example, or you treated the ARVI incorrectly. You may have some chronic process, like a fungus or staphylococcus; something is present that is weakening you, preventing your body from handling the ARVI. Or perhaps
17:49
Speaker A
you are lacking vitamins and minerals. Let’s not forget the basics, like vitamins and minerals. For example, we have vitamin D3. 90%of the population is deficient in it. And by the way, this is a real, genuine immunomodulator . It is a vitamin-like hormone. It is
18:06
Speaker A
what makes our immunity strong and capable of coping with viruses and bacteria. By the way, have you noticed that we almost never get ARVI in the summer? The sun is bright, enough vitamin D3 is produced in our body, and
18:18
Speaker A
it manages to protect us. Our immunity is strong enough, but in the autumn, winter, and spring, we start getting sick because the body can't keep up. So , my dear friends, if you don't know your D3 level or whether you have a
18:31
Speaker A
deficiency, definitely go and get tested. I will write about how to get tested correctly in the description of this video so you can screenshot and save it for yourself. I will also leave a link there for a high-quality vitamin
18:44
Speaker A
D3 supplement, which contains only oil and the D3 itself, nothing extra, and where one capsule a day is all you need . And if you need help interpreting your lab results, I host free monthly analysis reviews on my Telegram channel
18:57
Speaker A
. So, head over there and submit your request. Stay healthy, my dears, and take care of yourselves.
Topics:respiratory infectionfever managementchildren healthcold treatmentfever in childrenantipyreticshydrationsore throat reliefcough carepediatric fever

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