Cough with tracheitis - how to treat


Definition of disease

Tracheitis refers to an inflammatory process that occurs in the mucous membrane of the trachea. Despite the localization of inflammation, which is closer to the lower respiratory tract, the disease belongs to the group of diseases of the upper respiratory tract.

Tracheitis is damage to the trachea by viruses, bacteria or allergens
Tracheitis is damage to the trachea by viruses, bacteria or allergens

Tracheitis exists in two forms: acute and chronic. In the vast majority of cases, this disease is combined with other pathological conditions, such as bronchitis, laryngitis, sinusitis, and rhinitis.

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List of effective cough medicines for tracheitis

As soon as the patient develops a cough, the medicine must be chosen as soon as possible. The type of drug and dosage should only be prescribed by a doctor. In practice, there is a whole list of effective means.

  • Bromhexidine. It is mucolytic. Shows expectorant and antitussive effect. The effect of the substance is to increase the amount of sputum, decrease the density and accelerate the process of its elimination;
  • salbutamol. Refers to bronchodilators. Prevents spasm of the larynx, trachea and bronchi. After consumption, it dilates the coronary artery, but does not affect blood pressure;
  • guaifenesin. Refers to mucolytics. Promotes the transition of a dry cough to a wet one.

Thanks to this composition, Ascoril has bronchodilator, mucolytic and expectorant properties.

The instructions state that it is prohibited for children under 6 years of age. But in pediatrics it is often used to treat children 3-5 years old.

Erespal syrup

A combined agent that has antiallergic, anti-inflammatory, antispasmodic effects. Doctors recommend it not only for adults, but also for children over 2 years old.

The medicine contains several components in the form of:

  • fenspiride hydrochloride;
  • licorice extract;
  • sucrose;
  • vanilla tincture;
  • glycerol;
  • potassium sorbate;
  • glycerin;
  • flavorings;
  • purified water.

The effect of the medication is aimed at suppressing the inflammatory process, relieving swelling and hyperemia, eliminating allergic manifestations, and reducing muscle tone in the respiratory tract.

Sinekod syrup

Belongs to the group of antitussives. Eliminates a cough attack at the reflex level.

The drug contains:

  • butamirate citrate;
  • sorbitol solution;
  • glycerol;
  • vanillin;
  • purified water.

Prescribed for tracheitis in the first days of illness. Relieves cough by acting directly on reflexes in the brain. May become addictive with prolonged use.

According to the instructions, it is prohibited for children under 3 years of age. But since many drugs from this group are contraindicated for children, they are sometimes used in pediatrics at a younger age. But the whole process must take place under the supervision of a doctor.

One of the best remedies for children of different ages. This is a combination drug of plant origin.

Prospan contains safe components in the form of:

  • ivy leaf extract;
  • fennel oil;
  • sodium saccharin;
  • anise oil;
  • ethanol;
  • peppermint oil.

Thanks to this composition, the medicine exhibits several beneficial properties:

  • expectorant. Liquefies thick mucus and removes it from the bronchi and trachea. Acts directly on the ciliated epithelium;
  • antitussive. Reduces the intensity of a cough attack;
  • antispasmodic. Eliminates spasm of muscle structures in the respiratory tract. Due to this, sputum is removed better;
  • antimicrobial. Eliminates the inflammatory process. Has an adverse effect on pathogenic flora.

There are only a few contraindications in the form of increased susceptibility to the components of the medication and the presence of alcohol dependence.

Often used to treat children, as it is considered safe. Belongs to the group of mucolytic and expectorant drugs. The active ingredient is ambroxol hydrochloride.

For tracheitis, it can be taken orally or used as inhalation. Indicated for wet cough, which is accompanied by viscous sputum.

The instructions indicate that children under 2 years of age are a contraindication. But doctors prescribe it in a reduced dosage. It is forbidden to combine with medications that suppress the cough reflex.

A medicine with a mucolytic effect. Improves sputum discharge and reduces the severity of a cough attack. The positive effect is due to the presence of carbocysteine ​​in the composition. The active substance activates the enzyme of mucous membrane cells in the respiratory tract, thereby producing liquid mucus.

The medicine also helps restore damaged tissue, increases the functionality of epithelial cilia, and improves immunity at the local level.

Prescribed for adults and children over 2 years of age.

Not prescribed for:

  • stomach and intestinal ulcers
  • increased susceptibility to the components of the drug;
  • chronic glomerulonephritis.

Cope with cough in a few days, but treatment continues for at least 8 days.

Causes

The trachea is a tube consisting of open rings of cartilage connected by muscles and ligaments. The inside of this tube is covered with a mucous membrane. When it is affected, tracheitis develops. This disease can be of three types depending on the pathogen. If the causative agent is a virus or microbes, we can talk about viral or bacterial tracheitis. In addition, inflammation can also be allergic in nature.

Acute tracheitis almost never occurs on its own and, as a rule, occurs in combination with other respiratory diseases, such as rhinitis, laryngitis, pharyngitis, bronchitis.

The main causes of acute inflammation of the tracheal mucosa:

  • Flu, ARVI and other viral infections;
  • Bacteria (streptococcus, staphylococcus, hemophilus influenzae, etc.);
  • Hypothermia;
  • Dry, cold or polluted air.

Chronic tracheitis occurs as a complication of the acute form of the disease.

If the disease is not treated, and exposure to harmful factors is not excluded, tracheitis will become chronic. Therapy in this case will be much more difficult and longer.

Predisposing factors for chronic tracheitis include:

  • Hypothermia.
  • Inhalation of dry or cold air, gases, dust and chemicals that irritate the mucous membrane of the trachea.
  • Smoking and alcohol abuse.
  • Chronic lung or heart diseases.
  • Inflammatory processes in the nasal cavity, paranasal sinuses, and pharynx.

Tracheitis of allergic etiology is an allergic reaction that developed in response to inhalation of various allergens:

  • Household, industrial or library dust;
  • Plant pollen;
  • Microparticles of animal hair;
  • Chemical compounds contained in the air.

Syrup for tracheitis - the effect of use

This disease is equally diagnosed in both children and adults. It often acts as a complication of a cold or flu.

Regardless of the cause of the inflammatory process, treatment consists of using drugs that eliminate the source of infection and remove unpleasant symptoms.

Often, cough syrups and tablets are included in drug therapy. This sign is a hallmark of tracheitis. Intensification of attacks occurs at night and after waking up. Therefore, the main task of such funds should be aimed at transitioning from a dry cough to a productive one, thinning viscous sputum and facilitating its discharge, and stopping cough reflexes at night. Expectorants, mucolytics, antitussives and combination drugs cope with this.

In the first days of the illness, you should use those remedies whose effects are aimed at overcoming a dry cough.

These include:

After 3-4 days, sputum begins to form. But it is so thick that it cannot leave the respiratory tract. Then expectorants and mucolytics come to the rescue:

When choosing cough syrup for tracheitis for children, the emphasis is on the safety of the medicine. Antitussive drugs are rarely given to young patients, as they act directly on the cough center and are addictive. Therefore, doctors prescribe medications for tracheitis that have a combined effect.

This category includes:

They contain herbs that do not have side effects and help to quickly cope with any type of cough.

Symptoms

With tracheitis in adults, the main symptom is a severe paroxysmal cough. At first unproductive, dry, then with the release of a small amount of sputum. The cough is especially intense in the early morning and at night; the symptom also intensifies when laughing, crying, loudly talking, or sharply inhaling cold air.

Features of cough with tracheitis:

  1. Coughing attacks are intermittent and begin in the early morning. The rest of the time, the patient only needs to take a deep breath in order to provoke spasms.
  2. The cough is accompanied by a small amount of sputum, severe pain in the throat and behind the sternum.
  3. When the bronchi are involved in the process, the patient’s condition becomes more severe (body temperature rises, the cough becomes constant and more painful, chest pain intensifies).

How to treat tracheitis? Tracheitis in children - treatment. Acute tracheitis - drugs, treatment

Tracheitis caused by viruses is treated with antiviral drugs. Arbidol, Grippferon, Amiksin, Kagocel, all of this can be prescribed to fight viruses. Other medications are also used, which may include cough tablets or syrups for tracheitis.

In the bacterial form, antibiotics are added to conventional medications. For example, Flemoxin and Amoxiclav may be prescribed.

And in case of an allergic form, it is necessary to relieve swelling of the larynx, so first of all you need to take antihistamines. Of course, it is necessary to get rid of the cough, so symptomatic remedies will be prescribed.

Several types of inhalations can be used for tracheitis. Conventional steam, when the patient inhales hot steam over potatoes or a medicine, decoction. You can also use inhalers that have special attachments and allow you to reach the bronchi faster. Nebulizers are considered the most effective device; they have mostly positive reviews.

Oils cannot be used for nebulizers, otherwise they will clog the bronchi, which can lead to suffocation.

  • Lazolvan;
  • ACC;
  • Summed;
  • Fluimucil, Berodual;
  • Alkaline mineral water without gas and other products as prescribed by a doctor.

Causes of tracheitis

Possible complications

With timely treatment, acute tracheitis usually disappears after 2 weeks. In the chronic form, the prognosis is not so favorable: in some cases, the disease can last for months. The danger of tracheitis is that in advanced forms of the disease, infection from the trachea can spread through the respiratory tract. Most often the bronchi are affected, resulting in tracheobronchitis. With this complication, the cough becomes even more painful and is quite difficult to tolerate.

Pneumonia (pneumonia) as a complication of tracheitis
Pneumonia (pneumonia) as a complication of tracheitis

A particularly dangerous complication of tracheitis is pneumonia. This disease requires hospital treatment and the use of high doses of antibiotics.

With tracheitis, the risk of developing pneumonia increases in young children and the elderly, since in this category of people the body's defenses are significantly reduced.

Treatment

Competent treatment involves a number of measures, including medications, physiotherapy and traditional medicine recipes.

Medications

The choice of medications for the treatment of tracheitis depends on its form. Since the disease is mainly caused by infection, the doctor usually prescribes antibiotics for tracheitis. If the patient has chills, high body temperature, purulent sputum and a severe cough, then this indicates an acute form of the disease.

When treating acute tracheitis, antibiotics of the penicillin group are usually prescribed. Typically, drugs are used in the form of intravenous injections 4 to 6 times a day, depending on the severity of the disease. The latest generation of penicillin antibiotics are very effective:

  • Augmentin;
  • Amoxiclav;
  • Flemoxin;
  • Solutab.

If patients are intolerant to drugs of the penicillin group, the doctor prescribes antibiotics from the cephalosporin group. These include drugs:

  • Zinnat;
  • Cefixime;
  • Aksetin.

The advantage of cephalosporins is their single use, that is, once a day.

For viral tracheitis, the patient is prescribed macrolide antibiotics. Of all the drugs in this group, doctors prefer the drug Azithromycin.

Doctors try to treat tracheitis in pregnant women, the elderly, and children without antibiotics. But if there is a need for their use, then only the doctor prescribes the drug and its exact dosage.

Treatment of bacterial tracheitis includes antiviral, antihistamine and expectorants in the form of aerosols, tablets, syrups, and inhalations. If the disease is mild, then taking antibiotics may not be necessary at all. Bacterial tracheitis is treated with drugs such as:

  • Sinecode;
  • Lazolvan;
  • Erespal;
  • Bioparox;
  • Sumamed;
  • Berodual.

The drug Sinekod is an antitussive drug. Sinekod acts on the cough center, suppressing coughing attacks. The drug is indispensable if tracheitis is accompanied by inflammation of the bronchi. It is available in the form of syrup and tablets.

Sinekod can be used for tracheitis in children (from 3 months of age). For young patients, the drug is available in the form of syrup or drops. This drug is not suitable for pregnant and breastfeeding women.

Lazolvan is a stimulant of the motor properties of the respiratory system. Prescribed as a secretolytic. This drug will help cure tracheitis, acute bronchitis, acute laryngitis, pharyngitis. However, Lazolvan cannot be used simultaneously with any other antitussive drug.

Inflammation of the trachea is contraindicated in treating with Lazolvan in pregnant women (especially in the 1st trimester), while breastfeeding, and with gastric and duodenal ulcers.

The drug Erespal is a universal treatment for tracheitis in adults.
It has an antihistamine and anti-inflammatory effect. Available for adults in tablet form. In standard cases, the course of treatment is 1-2 weeks. But with chronic recurrent tracheitis, the course of treatment can reach 1 month. Like all previous medications, Erespal should not be used during pregnancy and breastfeeding. If tracheitis is accompanied by high fever, the patient is prescribed antipyretic medications, for example, Ibuprofen or Paracetamol. In this case, the patient is recommended to rest in bed, eat light and soft foods, and drink plenty of warm drinks, which will ease the symptoms and help lower the temperature.

For debilitating dry cough, antitussives are prescribed: Codeine, Libexin, Glaucine. When it is difficult to discharge sputum, expectorants are indicated. If tracheitis is combined with acute pharyngitis, laryngitis, then in the first three days of the disease, the mixture of Apomorphine hydrochloride (1 tablespoon every 2-3 hours) is effective, and an infusion of thermopsis and marshmallow is also used.

For purulent sputum, sulfonamide drugs are prescribed. Vitamin therapy (vitamins A and C) is also indicated.

Treatment of tracheitis with folk remedies

Among the recipes of traditional medicine there are many effective remedies intended for the treatment of tracheitis. These methods are widely used in combination with conservative therapy.

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Here are the most popular of them:

  • At the beginning of the disease, it is useful to do “cold” inhalations. Finely chop one onion, add 2 crushed cloves of garlic. Transfer the mixture into a gauze bag and breathe over it for 10–15 minutes.
  • Inhalation of potato steam gives a good effect. To do this, boil a few potatoes and drain the water. Lean over the pan and inhale the hot, moist steam. Place a large towel over your head. This procedure warms the airways well and promotes a speedy recovery.
  • Steam inhalations with mineral water help improve sputum discharge. However, remember that at elevated temperatures, thermal procedures are contraindicated.
  • For tracheitis, it is recommended to take herbs that have an expectorant effect. An excellent remedy is the marshmallow herb, which alleviates the symptoms of acute tracheitis. To prepare the decoction, use the root rather than the leaves of the plant. Drink the prepared decoction twice a day.
  • Gargling decoctions prepared at home have a good antibacterial effect. They help relieve swelling and destroy bacteria in the mouth and throat mucosa. Prepare infusions for rinsing from onion peels, calendula, chamomile, and oak bark.
  • Decoctions of chamomile, sage, and calendula have an anti-inflammatory effect. 2 tbsp. Brew a tablespoon of any of these herbs with a glass of boiling water. Drink 1/3 glass 3 times a day.
  • When sputum appears, use expectorant mixtures from coltsfoot, plantain, wild rosemary, violet, licorice, and thyme.
  • For a wet cough, it is good to drink milk with soda and honey (for a glass of milk - 1/2 teaspoon of soda and 1 teaspoon of honey).
  • A good expectorant is black radish juice. Mix juice and honey in equal parts and drink 1 tbsp. spoon 3 times a day.
  • Children can be offered a tasty cough medicine - figs. Simmer 3-4 berries over low heat in a glass of milk. Give everything to eat and drink warm.

Folk remedies are not able to cure tracheitis, but they significantly alleviate the symptoms of the ongoing disease. Therapy prescribed by a doctor can be combined with traditional methods of treating tracheitis. In this case, recovery will most likely occur in 1–2 weeks.

Inhalations for tracheitis

How to treat acute tracheitis in children? In addition to syrups, tablet forms, and cough solutions, inhalations can be used. They have a therapeutic effect directly at the site of inflammation, reducing bronchospasm, swelling, normalizing the production of bronchial secretions and facilitating its elimination. First, let's look at the rules of the procedure:

  • inhalation is carried out an hour after eating. After the procedure, it is not recommended to go out into the cold and eat for an hour;
  • you need to breathe calmly, inhale through your mouth;
  • for a nebulizer, medications need to be diluted only with saline;
  • if several drugs are prescribed for inhalation, first a drug with a bronchodilator effect is inhaled, then a drug that dilutes bronchial secretions, and only the last one is an antibiotic or anti-inflammatory drug;
  • the duration of the session should not exceed 8-10 minutes; if the fever is above 37.8 degrees, the procedure is not performed;
  • You cannot use oil solutions and herbal decoctions using a nebulizer.

The compressor nebulizer is quite noisy, but allows you to inhale almost all medications. In turn, ultrasonic devices are silent, but significantly limit the range of medications used.

Depending on the diameter of the medicinal particles, they settle at a certain level of the respiratory tract. To provide a therapeutic effect on the trachea, a diameter of 5-10 microns is required.

What can be used for inhalation using a nebulizer?


  1. Berodual is a bronchodilator, prescribed for bronchospasms. To three milliliters of saline you need to add 10 drops, 20 drops or 40 drops for children under 6 years of age, 6-12 years of age and over 12 years of age, respectively;

  2. Ventolin is a bronchodilator, used for bronchospasm. Available in nebulas with a 0.1% solution, ready for inhalation. 2.5 ml is enough for one procedure;
  3. Fluimucil (acetylcysteine) facilitates the removal of sputum by reducing its viscosity. Use 1 ml, 2 ml or 3 ml at ages 2-6 years, 6-12 years and over 12 years respectively. The dose is diluted with saline 1:1;
  4. Lazolvan, Ambrobene is used in a dose of 1 ml, 2 ml and 3 ml for ages up to 2 children, 2-6 years and over 6 years, respectively. The recommended volume is diluted with saline 1:1;
  5. Borjomi, Essentuki, Borjomi – 4 ml undiluted per session is enough;
  6. Sinupret is a homeopathic medicine. Reduces swelling and strengthens local protection. At the age of 2-6 years, the dilution is 1:3, at 6-14 years – 1:2;
  7. Gedelix contains ivy. Diluted 1:2 for children under 10 years old, at older ages it is allowed to dilute 1:1;
  8. Pertusin consists of thyme, diluted 1:2 for children under 12 years of age;
  9. Tonsilogon N (herbal homeopathic preparation). Children under one year old - dilution 1:3, 1-7 years old - 1:2;
  10. Pulmicort is available in children's form - 0.25 mg/ml. Used when there is a threat of laryngospasm, it has a powerful anti-inflammatory and anti-edematous effect. Children 6 months-12 years old - 1 ml per inhalation, adding 2 ml of saline solution.

In order for the treatment to have a quick effect, it is necessary to ensure that the child follows certain rules:

  • drink plenty of warm teas, milk with soda, still mineral water, jelly and compotes;
  • bed rest - to restore the internal strength of the body;
  • vitamin nutrition (fresh vegetables, fruits, broths, cereals). Cold drinks, spicy and fatty foods are prohibited;
  • Do not shout loudly, because screaming can provoke a coughing attack;
  • parents need to remember about wet cleaning and humidification of the air in the children's room;
  • requires no contact with people suffering from ARVI.

For parents, a child’s illness is a testing period when they should not lose self-control, but strictly follow the doctor’s instructions. This will avoid complications and quickly restore good health to the child.

After recovery, you need to strengthen your immune system through hardening, sports and water treatments.

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