Cough in infants without temperature Komarovsky: treatment how to treat

How to treat cough in infants at Komarovsky?

Cough is an unpleasant symptom that causes discomfort for the baby and a concern for parents. His appearance is due to inflammation, chemical or mechanical respiratory tract irritation. Attempts to stifle the cough acts increase the risk of progression of the underlying disease, accompanied by an unpleasant symptom.

How then to help the child quickly to rehabilitate yourself without hurting your child’s body? How recommends known pediatrician E. O. Komarovsky to treat the cough of infants?

What is a cough?

In response to the excitation of the receptor segment of the brain occurs unconditioned reflex – cough. Protective-adaptive reaction prevents the violation of the patency of pneumatic cavities, the accumulation and dissemination of pathogens.

Depending on the provoking factor it is of two types: physiological and pathological. The first precedes the localization in the mucous membrane of foreign substances (dust, small objects, remnants of sputum).

For reference! In children older than 6 months cough occurs during the period of teething. Reflex acts are short, pass on their own within 3-4 days.

Dry cough in infants can be the result of air concentrations of gases and chemical wastes, adverse living conditions. Bronchospasm is situational, seizures, short-term, held immediately after the elimination of the pathogen.

Pathological cough is associated with serious disorders in the organs and systems. In the most part of clinical cases its occurrence is associated with a cold and ENT diseases.

The prerequisites for the emergence of unpleasant symptom include:

  • infectious-inflammatory processes in the upper and lower respiratory tract (sinusitis, tracheitis, bronchitis, pneumonia);
  • whooping cough;
  • bronchial asthma;
  • problems with the cardiovascular system;
  • pathology of the gastrointestinal tract;
  • benign growths in the nose (adenoids, polyps);
  • Oncology.

The probable cause of cough in infants without fever is contact with allergens. With bronchospastic syndromes is manifested lacrimation, redness and itching of the skin, sneezing, angioedema.

It is very important to monitor the child’s condition, and respond to the slightest changes in the body. If, in addition to cough toddler worried about high temperature, running nose, nasal congestion and other symptoms, the more likely the child will require medical treatment.

Komorowski of cough in infants: what to do and how to treat

First of all, the doctor emphasizes that cough is a defensive reaction to adverse endogenous and exogenous factors, which performs a useful function – clears the respiratory tract from foreign substances.

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Often, excessive concern of parents leads to a decrease in local immune protection. Wrong when the slightest sneeze or cough is regarded as a sign of the disease and the reason for taking medicines.

The therapeutic task when you cough is not reduced to the elimination of forced exhalations, and improve their efficiency. To achieve results in three ways that combine to create favorable conditions for recovery.

The cleaned and humidified air

Localization of dust on mucosa of the sinuses reduces the production of mucociliary clearance. The body, instead of to resist viruses and bacteria, consumption of energy for warming, cleaning and moistening of air masses.

Compliance with the optimal parameters will help to reduce the load on the respiratory path, preventing from the accumulation and drying out of mucus, which is the root cause of dry cough.

Komarovsky recommends that:

  1. To maintain the humidity in the nursery at the level of 55-65%.
  2. To adjust the temperature of the air: for day time – 20-21⁰С, to sleep for the night – 18-19⁰С.
  3. To ventilate the room twice a day.
  4. A systematic wet cleaning.
  5. To minimize the number of pyrenochaeta (carpets, soft toys, books).
  6. To avoid odors from household chemicals, perfumed means of tobacco smoke.

Tip! If no humidifier, it will replace the wet towels hanging on the radiators in the heating season or water containers placed along the perimeter of the room.

Useful tips provide palliative care in the treatment of respiratory diseases, and profilaktirujut the emergence of a morning cough that is associated with the drying of the mucosa.

Prolonged drinking regime

Normalization of water-salt balance and shortens the period of recovery, has a beneficial effect on the entire body.

Water changes the rheological properties of blood, improving the processes of hemocirculation in mucous membranes, ensures the production of typical bronchial secretion. With the water evacuated the metabolic products of pathogenic strains, which prevents poisoning of the body.

Additionally absorb the moisture increased body temperature and rapid breathing. Give your child to drink we actively need the rare urination, bouts of irritating dry cough when shell in the nasal and oral cavity are dry.

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Great value for the organism are:

  • solutions for rehydration;
  • natural juices, fruit drinks, or fruit drinks;
  • the broth on the basis of the raisins;
  • purified or alkaline water;
  • milk with honey;
  • weak tea with raspberry, lemon.

Offer a drink on demand and at every opportunity. Infants also need extra fluids as breast milk partially meets the needs of the sick organism.

Nuance! For the active absorption of fluid better to bring it to body temperature, then it will instantly be absorbed in the stomach and enter the blood stream.

Clean nose

It is important to prevent blockage of nasal passages, because breathing in neonates is carried out directly through paranasal sinuses. In addition, the nasal cavity communicates with the mouth through a tool hole in which the mucus gets into the throat, activating the cough reflex.

In order to prevent unpleasant phenomenon, need to regularly clear the sinuses of accumulations of mucus.
Irrigation of pneumatic cavities hold boiled water, saline or broth-based chamomile.

In the previously cleaned spray holes bury a few drops of the liquid, 5-10 minutes gently remove excess mucus with a cotton turundy or sticks of the ear.

To replace means you can moisturizing products based on isotonic sea water:

  • «Akvamaris»;
  • «Marker»;
  • «Humer»;
  • «But Sol».

Tip! For children the first year of life, the best option will be drop, because when the dispersed spraying there is a risk of injury to fragile mucous membranes.

Useful minerals in the composition of the pharmacy products enhance the therapeutic effect. They accelerate the regeneration of soft tissues, activates local immune protection, have poorly expressed anti-inflammatory and bacteriostatic action.


How to treat cough in infants at Komarovsky? It would be correct to identify the underlying cause of the cough acts, behind which may hide serious pathological disorders, instead of trying to stifle bouts of syrups and tablets.

Attempts to restore the children’s body on its own can only hurt the baby. Therefore, the earlier you start appropriate treatment, the less the risk of side effects.

Harmful for the relief of the forced exhalations to combine antitussives with expectorant. Underdeveloped respiratory muscles are not able to cope with the increased volume of sputum, the mucus accumulates in the projection of the tracheobronchial tree. The output is pneumonia or bronchitis.

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According to Komarovsky, the use of cough medicines for treatment of wet cough in children is unjustified and ineffective because they are not able to affect the root cause of the reflex acts, and just let the natural outflow of mucus. The exceptions include severe bronchospasm whooping cough, pleurisy.

Judgments pediatrician boil down to the fact, with spasmodic breaths necessary to help the child to cough. With this purpose prescribed mucolytic drugs. They alter the bio-chemical properties of sputum without increasing its volume, reduces the adhesiveness, which facilitates the process of evacuation from the bronchial tract. Widespread in ENT practice received the «Mukaltin», «Ambroxol», «Bromhexine».

Important! The majority of secretolitics contraindicated in children up to 2-3 years. Therefore, the decision about the use of the drug, dosage and duration of treatment taken by the doctor, from the age of the little patient, the characteristics of the course of pathology.

Cough of allergic origin, there is a need in the use of antihistamines: «Suprastin», «Fenistil», «Tavegilum». To achieve positive dynamics in the first place, it is necessary to define and limit the contact with an irritant.

With caution Komarovsky refers to phytoproducts and homeopathic remedies. Though they are safe, but not effective.


For the prevention of respiratory disease, the doctor recommends an increased focus on the indoor climate. Take the good habit of three rules: take a walk in the fresh air, the more water the child, to humidify and purify the air. If necessary, medical treatment the choice of regimens remains for the attending physician.