The cold, evolution and common complications

Written by: Dr. Josep Morera Prat
Edited by: Top Doctors®

With the cold appear many cases of what we can call: common cold. How it evolves and its most frequent complications are constant doubts in the consultations. To begin with, we must remember that a common cold usually lasts between four days and a week, although if it extends to bronchial tubes causing acute bronchitis , it always lasts for less than 2 weeks.. The evolution is different from smokers to non-smokers. In smokers the evolution from a cold to a bacterial superinfection is more frequent than in non-smokers, the same happens with pneumonia. These colds are complicated or not depending on the virus of origin, for example the rhinoviruses are always milder than the flu viruses .



In many cases, high fever is especially worrisome, which can lead to complications especially for young patients. An episode of seizures is a very unpleasant complication. Given this, the combination of antipyretics can be a solution, if for example, take acetaminophen add acetylsalicynic and even a third as metamizole. If, however, the fever does not lower the classic measurement of a bath with warm water, drinking cold water or cold broth abundantly would contribute to lower the temperature above all the internal temperature.

Another common consequence is the appearance of plaques of pus in the throat , then it is a pultulous tonsillitis, usually by streptococcal or anaerobic germs and should always be treated with antibiotics.. Amoxitavulánico is the first option and the dose of antibiotic should be high, if we want to avoid other complications.

If you already have chest pain and tightness, the first thing is to do a chest X-ray. Also, if the chest pain increases when breathing and there is fever, it is probably pneumonia that should be confirmed with a chest X-ray. And when there is difficulty in breathing, it may be due to previous COPD or asthma. These are alarm situations, so you should go to a hospital because you can not rule out severe pneumonia or influenza virus pneumonia.

Avoid complications

To avoid complications most of the time if the patient is previously healthy, the most useful are antipyretic , follow the advice of the "grandmother" and combinations of drugs with antihistamines and caffeine and antipyretics.

Of course, antibiotics should be taken when there are complications, not to prevent. Although they can be taken for some minor symptoms such as earache, yellow sputum, etc.

*Translated with Google translator. We apologize for any imperfection

By Dr. Josep Morera Prat
Pulmonary Disease

Dr. Morera Prat is a leader in Pneumology and one of the foremost experts on COPD, asthma, lung cancer, sleep apnea syndrome and sarcoidosis. He has held senior positions in various prestigious institutions and scientific societies. He is currently director of the service of Pneumology Hospital Cima and Teknon Clinic. He was a member of the National Commission for the specialty of Pulmonology of the Ministry of Health and Ministry of Education and Science. Recognized with several awards, he has performed more than 200 papers and participated in at least 50 books. His long and full career and you have become a specialty eminence.

*Translated with Google translator. We apologize for any imperfection

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