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Colds and runny noses
 


COLDS AND RUNNY NOSES

Red Line

A cold is an infection caused by a virus. It starts with feeling unwell, sniffling, runny and/or blocked nose. After 1 to 2 days the nose starts to run with a watery, clear fluid which then becomes thick and green. A high temperature does not necessarily occur with a normal cold except in small children. Because the nose is linked to the ears, sinuses and throat, the cold can spread there. This can result in middle ear infection or sinusitis, often with a fever. A frequent and annoying cough may start because the mucus runs down the back of the throat and tickles the airways. Other symptoms linked with a cold are: sneezing, hoarseness, sore throat and a slightly raised body temperature.

There are more than 1,000 types of cold virus, so immunisation is not possible. There are no medicines against these viruses, and antibiotics do not help either. You can only treat a cold's symptoms.

A cold usually gets better after 5 to 10 days. If there is no fever, someone with a cold may go out of doors as normal. Do not be afraid that you will catch another cold.

SELF-CARE


What you can do yourself

Keep the room well ventilated and sleep with the window open. Use extra pillows at night or raise the head of the bed. Do not smoke. If you are suffering badly from a blocked nose or blocked ears, rinse out your nose with salt water or nose drops (see section on medicines), suck a menthol sweet or gargle salt water or soluble aspirin for a sore throat. You may have to do this for more than a week. Medicines for relieving symptoms are obtainable from a pharmacy.

If you have a temperature and/or achiness try taking paracetamol regularly.


Try to avoid infecting other people. Cover the mouth and nose when you sneeze. Do not shake people's hands. Wash your hands often (viruses are passed hand to hand!).

BABIES

It is difficult for a baby with a blocked nose to drink from the breast or bottle. The baby will decide not to drink rather than to choke. The baby then becomes hungry and will cry more. The baby can only drink again once the nose is clear. This occurs only after sneezing, which may be brought about by dropping warm water (which should be boiled and left to cool) into the nose using a pipette. If warm water is not successful ask your pharmacist for salt water nose drops.

Use salt water nose drops sparingly in babies under 18 months of age, try to avoid the baby swallowing the water.

CHILDREN OVER 1 YEAR

Colds are normal among children particularly if they go to places where there are many other children, like child minders, play schools or nurseries.

When they have a cold give them enough to drink. Hot drinks can have a soothing effect. They may go outdoors.

Give them paracetamol for temperatures.


Do not give aspirin to children under sixteen years of age.

Contact your doctor

Bullet  If you have a (severe) pain in the ears or sinuses. Pain from the sinuses is felt next to the nose, in the upper jaw or above and behind the eyes.

Bullet  If as well as the cold there is a high temperature/fever which lasts longer than 3 days.

Bullet  If you think that the child is in pain and the pain hasn't been helped by a full recommended dose of paracetamol.

Bullet  If green or yellow mucus comes out of the nose for longer than 1 to 2 weeks.

Bullet  If a baby continues to cry.

Contact your doctor immediately

Bullet  If despite the above treatment babies still cannot or will not take feeds on 2 occasions.

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