Cough is the most prominent symptom and it is always present from the
commencement of the affection, and apprehensive of this the parents
seek medical assistance. The expectoration in young children is
generally swallowed after each paroxysm of cough, hence the nature of
it can rarely be seen. In the first part of the night the cough is
always more severe than during the day, and the paroxysms may last from
half to one minute, recurring several times in the hour. Some children
are less disturbed in their sleep than others, for they sleep on,
notwithstanding the cough, while others always awaken, become annoyed
from the disturbance and cry. These interruptions in their night’s rest
reduce them in strength and flesh. Children who cough more when laid on
one or the other side than when they lie on their back and who distort
their face when coughing or, when old enough, complain of pain during
or after coughing have something more than a simple bronchitis; they
have a complication of pleurisy or a pneumonia. There is always fever
and this may run very high, so that the child becomes delirious; even
before the fever becomes very pronounced or the cough very annoying,
their little hands and faces feel hot to the touch, indicating that
they are not well.
Infants require good nursing when they are suffering from bronchitis,
and it is not good to let them lie on their backs all of the time; when
they have a coughing spell take them up quickly and lay them across the
knees, with their faces downwards; this gives the mucus a chance to run
out of the bronchial tubes and mouth which is better than swallowing
it. The most important feature in the treatment of bronchitis is a warm
room of even temperature night and day. If the temperature is allowed
to go down during the night and the child inhales cold air into the
lungs it will often bring on a relapse or aggravate the disease. When
children have a cough and cold they must be kept warm in order to get
well; this is no time for trying to harden them. A thermometer should
be in every house and certainly in every bedchamber, so that the
temperature of a room may be gauged to a certainty. In ordinary cases
the temperature should not fall below seventy degrees Fahrenheit, and
when the child coughs very much and the bronchitis is very bad it is
best to keep the temperature of the room around eighty degrees night
and day for several days, and as the patient improves, it is advisable
to gradually drop to seventy.
The application of oil and spirits of turpentine is advisable in all
cases of cold in the chest; it does good and one can hardly explain
how and why. For the cough an infant can take with great advantage
three or four drops of syrup of ipecac together with the same amount
of paregoric, every four hours; older children take larger doses in
proportion. When scrofula or tuberculosis is at the bottom of the
bronchitis, a reliable preparation of cod liver oil emulsion should
also be administered.