Swelling of mucous throat is difficult breathing
Under shortness of breath implies an unpleasant feeling of complexityperformance of inspiration or expiration. It is important to find out whether there is difficulty breathing at rest or during physical exertion and what is the intensity of such a load. Is the difficulty of breathing accompanied by coughing, chest pain, fever, swelling of the legs. Whether the child is forced to stop and resting to rest his breath.
Allergic edema</ B> (angioedema): this is one of the forms of an acute allergic reaction to medications, allergens of food, plants or household chemicals. The disease is characterized by the sudden development of limited or widespread edema of subcutaneous adipose tissue and mucous membranes. Swelling lasts from several hours to days. Favorite places of localization: lips, forehead, cheeks and eyelids. Often the tongue swells so much that it does not fit in the mouth. Itching usually does not happen, as the process is localized mainly in the subcutaneous layer, poor sensitive endings of skin nerves. Approximately in one of four cases of Quincke's edema the larynx is swelling, which is accompanied by difficulty breathing, wheezing, loss of voice. The face becomes cyanotic. Sometimes there is hemoptysis due to multiple hemorrhages in the mucous membrane of the pharynx and larynx.
Help:</ B> in case of sudden development of edema of the face andthe appearance of signs of suffocation must urgently call an "ambulance." Prior to her arrival, you can give the child an antihistamine drug (dimedrol, suprastin or tavegil), as described in the section "Trauma" in the article "Bites of bees and other stinging insects."
Bronchial asthma:</ B> characterized by difficulty in exhalation due to spasm of smallbronchial tubes and clogging them with a viscous secret. The exhalation is accompanied by whistles and wheezing. There is a painful cough. For more details about bronchial asthma, see the same article in the section "Cough".
Inhalation of foreign body:</ B> an unexpected cough, asphyxiation, and difficulty breathing in a healthy child should always suggest that a foreign object enters the respiratory tract.
Help:</ B> It is necessary to help the child to trick a foreign object. To do this, press the baby's belly and chest to a solid object, such as a table, and several times short and hard hit in the back between the shoulder blades. If this does not help, you should cover the child by the shin, turn it upside down and shake, tapping on the back. In case of failure, it is urgent to take the child to the hospital. During transportation, he must sit. Do not make sharp movements so that the object does not go deeper.
Pneumonia:</ B> difficulty breathing arises unexpectedly and is accompanied by a cough, fever or chills. Characteristic is the swelling of the wings of the nose and the retraction of the ribs during breathing. See the same article in the "Cough" section.
High Altitude Hypoxia:</ B> this condition is associated with a lack of oxygen in thehigh altitudes, more than 3000 m above sea level. Within a few hours, pulmonary edema develops, which causes coughing, chest pain, a feeling of lack of breath, and vomiting. After 48 hours, adaptation usually begins.
Help:</ B> If you take the child to the mountains, he must begradually adapt to the height. Let it first stay 2 days at the level of 2000-2500 m above sea level, then it can be raised to 3000 m. After 2-3 days it will be ready to master and large heights.
Hyperventilation of the lungs:</ B> that is, their excessive ventilation, is manifestedperiods of respiratory arrest, a feeling of restraint and "dagger" pain in the chest, palpitations, abdominal pain, muscles, dry mouth, weakness, headache, and a feeling of numbness, a "veil" before your eyes, dizziness and confusion. This condition occurs with kidney failure, accompanied by uremia (the accumulation of harmful products of nitrogen metabolism in the blood, which are normally excreted in the urine), diabetes, salicylate poisoning.
Help:</ B> if the child develops signs of poisoning with a violation of consciousness, it is necessary to urgently call an "ambulance".
Heart defects:</ B> the heart's blood is not saturated enoughoxygen. This causes shortness of breath and a feeling of lack of air. The child can clearly see the blue around his lips and at the tips of his fingers, he quickly gets tired. After minor runs during the game, he often stops and squats to rest.
Help:</ B> Radically, heart defects are treated operatively. If the condition of the child allows, the operation tries to do after reaching the age of 5 years. Until then, the child should be observed by a cardiologist.
Accumulation of pus in the pleural cavity (empyema of the pleura):</ B> manifested by difficulty breathing, fever,cough, chest pain, general symptoms of intoxication: weakness, pallor, exhaustion, nausea, headache. This condition is one of the complications of tuberculosis of the respiratory system, pneumonia or surgical operations on the lungs.
Help:</ B> the child needs to be hospitalized in a specialized surgical department, where there is experience in the treatment of patients with diseases of the lungs and the pleura.
Obesity:</ B> with severe obesity fat is delayed byThe wall of the chest cavity and pushes up the diaphragm. The thorax can no longer expand normally to provide a full inspiration. Develops persistent shortness of breath. The baby is cyanotic, breathing often and superficially, periodically stops breathing for a while and falls into a drowsy condition. This ultimately leads to severe cardiopulmonary insufficiency, called "Pickwick syndrome" by association with one of the characters of the work of C. Dickens "Notes of the Pickwick Club."
Help:</ B> if the child has signs of cardiopulmonary insufficiency, such as severe shortness of breath, cyanosis of the lips and fingers, swelling on the legs, urgently need to call an ambulance.
Emphysema of the lungs:</ B> this disease is associated with excessive accumulationair in the lung tissue due to the pathological expansion of air spaces, which is accompanied by a decrease in the effective surface of gas exchange. It usually occurs after infectious diseases of the respiratory tract, chronic inflammation of the lungs, inhalation of zinc stearate powder, congenital heart disease, tuberculosis. With emphysema, the baby looks thin, cyanotic. The chest cell is barrel-shaped and as if constantly in a state of deep inspiration. Despite the rapid breathing, it is ineffective and is accompanied by excessive work of the intercostal muscles of the chest. The child puffs his cheeks and puffs even with a little physical exertion.
Help:</ B> treatment should first of all be directed toThe main disease that led to the development of emphysema. Special breathing exercises are needed to teach the patient to breathe properly with effective use of the diaphragm. Particular attention is paid to the training of elongated exhalation and increased mobility of the chest. It is useful to inflate a rubber ball or ball. At physical exercises it is necessary to watch, that the child did not strain and did not hold breath.