Bronchitis in children | symptoms, diagnosis, treatment

Acute bronchitis in children

Acute bronchitis is an inflammatory lesion of bronchi of any caliber of various etiology (infectious, allergic, toxic) that has developed in a short period of time. There are acute bronchitis, acute obstructive bronchitis, acute bronchiolitis.

Causes of acute bronchitis

Most often, the etiologic factor of acute bronchitis is various viruses, less often bacteria. Irritant bronchitis occurs when exposed to toxic and chemical substances, physical factors. Allergic acute bronchitis is possible. Bronchitis often accompanies diphtheria, typhoid fever, whooping cough. The etiology of bronchitis and their clinical features often depend on the age of the children.

Etiology of acute bronchitis

Etiology

Criteria for diagnosis

Influenza A, B, C Adenovirus infection Parainfluenza, respiratory syncytial infection Rhinovirus infection Chlamydia and mycoplasma infections

Epidemic rise in morbidity. Specific influenza intoxication (high body temperature, chills, dizziness, headaches and muscle pains) Expressed catarrhal phenomena. Hyperplasia of the lymphoid formations of the nasopharynx. Lymphadenopathy. Catarrhal-follicular, more often membranous conjunctivitis Croup syndrome. Bronchoobstructive syndrome Uncontrollable rhinorrhea with mild catarrh of the respiratory tract Prolonged subfebrile condition, persistent cough, defeat of the bronchial system up to malosymptomatic (atypical) pneumonia

Pathogenesis of acute bronchitis

The pathogenesis of bronchial obstruction in obstructive bronchitis and bronchiolitis is complex and is caused, on the one hand, by the influence of the respiratory viruses themselves, on the other, the anatomical and physiological features of children, their tendency to allergic reactions. Influence of respiratory viruses on the bronchopulmonary system of the child is diverse: they damage the respiratory epithelium, increase the permeability of the mucous membrane, promote the development of edema and inflammatory infiltration by cellular elements, violate mucociliary clearance. Bronchial spasm can be caused by the release of biologically active substances. In a significant part of children episodes of bronchial obstruction recur, part of the subsequent development of bronchial asthma.

Acute bronchitis (simple) in children - an acute inflammatory disease of the bronchi, which proceeds without signs of bronchial obstruction.

Symptoms of acute bronchitis

In acute bronchitis, as a rule, body temperature rises. The duration of the fever varies and depends on the type of pathogen. So, with respiratory syncytial and parainfluous infections, the duration of fever is 2-3 days, and with mycoplasmal and adenovirus infection - 10 days or more. The main symptom of bronchitis is a cough, dry and obtrusive at the onset of the disease, in the future - moist and productive. Auscultation reveals widespread diffuse coarse dry and moist medium- and large-bubbling rales.

Laboratory and instrumental research

In the peripheral blood of the changes may not be. When a viral infection is detected, leukopenia, lymphocytosis. There may be a small increase in ESR, and with the attachment of a bacterial infection - neutrophilia, a small shift of the leukocyte formula to the left. Chest radiographs are performed to exclude pneumonia; when bronchitis is usually found a moderate diffuse enhancement of the pulmonary pattern.

Acute bronchiolitis

Acute bronchiolitis is an acute inflammation of the small bronchi and bronchioles, proceeding with respiratory insufficiency and an abundance of small bubbling rales. The disease develops mainly in children in the first year of life. Most often bronchiolitis is caused by respiratory syncytial virus, parainfluenza viruses, somewhat less often - adenoviruses, even less often - mycoplasma and chlamydia.

Clinical picture of acute bronchiolitis

Usually, fever lasts 2-3 days (with adenovirus infection - up to 8-10 days). The condition of children is quite severe, signs of respiratory failure are expressed: cyanosis of the nasolabial triangle, shortness of breath, expiratory or mixed, tachypnea. Often observed bloating, involvement of ancillary muscles in breathing, the entrainment of compliant places of the chest. When percussion reveals a boxed percussion sound, with auscultation - scattered wet small bubbling rales on inhaling and exhaling. Significantly less likely to listen to medium- and large-bubbly wet wheezing, the number of which changes after coughing.

Complications of acute bronchiolitis in children can develop with the progression of respiratory disorders. An increase in P _a C0 ₂ , the development of hypercapnia, indicating a worsening of the condition, can lead to apnea and asphyxia; Very rarely there are pneumothorax and mediastinal emphysema.

Laboratory and instrumental research

When radiographing chest organs, signs of bloating are determined, including an increase in the transparency of the lung tissue. Possible atelectasis, strengthening basal pulmonary pattern, expansion of the roots of the lungs. When examining the gas composition of the blood, hypoxemia is detected, a decrease in P _a 0 ₂ and P _a C ₂ (the latter due to hyperventilation). Spirographic examination at an early age is usually not possible. Peripheral blood parameters may not be altered or reveal an ineffective increase in ESR, leukopenia and lymphocytosis.

Acute obstructive bronchitis in children

Acute obstructive bronchitis is acute bronchitis, which occurs with bronchial obstruction syndrome. Usually develops in children in the 2-3rd year of life.

Clinical picture of acute obstructive bronchitis

Signs of bronchial obstruction often develop on the first day of acute respiratory infections (earlier than bronchiolitis), less often - on the 2-3rd day of the disease. The child is observed noisy wheezing with an extended exhalation, audible at a distance (distal rales). Children can be restless, often change their position. However, their general condition, despite the severity of obstructive phenomena, remains satisfactory. Body temperature is subfebrile or normal. Expressed tachypnea, mixed or expiratory dyspnea; The respiratory tract can be assisted by the musculature; the chest is swollen, its compliant places are drawn in. The percussion sound is boxed. Auscultation reveals a large number of scattered moist medium- and large-bubbles, as well as dry wheezing.

Laboratory and instrumental research

On the roentgenogram of the chest organs, signs of swelling of the lungs are expressed: increased transparency of the lung tissue, horizontally placed ribs, and low position of the diaphragm dome. When studying the gas composition of blood, moderate hypoxemia is found. In the analysis of peripheral blood a slight increase in ESR, leukopenia, lymphocytosis, with an allergic background - eosinophilia.

Diagnostics

Most often acute bronchitis in children must be differentiated from acute pneumonia. Bronchitis is characterized by a diffuse nature of physical data with a satisfactory general state of children, whereas in pneumonia, physical changes are asymmetric, signs of infectious toxicosis are expressed, and the general condition is significantly impaired. The fever is longer, in the peripheral blood inflammatory changes are expressed: neutrophilic leukocytosis, an increase in ESR. Radiographically, local infiltrative changes in pulmonary tissue are determined.

With repeated episodes of bronchial obstruction, differential diagnostics with bronchial asthma should be performed.

Treatment

Treatment for acute bronchitis in children is symptomatic in most cases.

• Bed rest before normal body temperature.


• Milk-vegetable, vitamin-enriched diet.


• Abundant drink (tea, mors, broth of wild rose, alkaline mineral water, hot milk with Borjomi in the ratio 1: 1).


• Restoration of nasal breathing. Various vasoconstrictive drugs are used [oxymetazoline, tetrisolin (tizin), xylometazoline], including combined (with antihistamines, glucocorticoids). The use of drops, especially vasoconstrictors, should not be prolonged, as it can lead to atrophy or, conversely, mucosal hypertrophy.


• Antipyretics in the age dosage with an increase in body temperature above 38.5-39.0 ° C. The drug of choice is paracetamol. A single dose of paracetamol is 10-15 mg / kg orally, 10-20 mg / kg in candles. From the list of used antipyretic drugs, amidopyrine, antipyrine, phenacetin are excluded. Do not recommend the use of acid acetylsalicylic (aspirin) and sodium metamizole (analgin) because of possible side effects.


• Antitussive agents [butamir (sinecode), glaucin, prenoxdiazin (libexin)] are used only in the case of dry compulsive cough. Hyper secretion of mucus and bronchospasm - contraindications to the appointment of antitussive drugs.


• Expectorants (preparations of thermopsis, althea, licorice, essential oils, terpinhydrate, sodium and potassium iodides, sodium hydrogen carbonate, salt solutions) and mucolytic drugs (cysteine, acetylcysteine, chymotrypsin, bromhexine, ambroxol) are indicated in all clinical variants of bronchitis. Means that facilitate sputum evacuation are usually administered orally or by inhalation with a nebulizer or an aerosol inhaler. Currently, there is a large number of effective combination drugs that have a multidirectional effect: muco-and secretolitic, expectorant, anti-inflammatory, reducing edema of the mucous membrane (bronchicum, etc.).


• Bronchodilators are used for clinical signs of bronchial obstruction in the form of inhalations (through a nebulizer, with the help of spacers), inside, less often rectally. The bronchodilator has ß-adrenomimetics, anticholinergic agents [ipratropium bromide (atrovent), ipratropium bromide + fenoterol (berodual)] and methylxanthines (theophylline preparations, including prolonged ones). They use salbutamol, fenoterol, clenbuterol, salmeterol (sulfur), formoterol (oxy turbuhaler, foradil). Assign also fenspirid (erespal), which has a bronchodilating, anti-inflammatory effect, reducing the reactivity of the bronchi, reducing the secretion of mucus, normalizing mucociliary clearance.


• Rehydration of respiratory tracts is carried out by moistened aerosols, steam inhalations with alkaline solutions, including mineral ones, to which, in the absence of allergic reactions, essential oils can be added.


• Drainage and removal of sputum with the help of medical gymnastics, vibrating massage, postural drainage.


• They also struggle with dehydration, acidosis, heart failure, prescribe vitamins.

Antibacterial and antiviral therapy is prescribed only on strict indications:

• febrile fever for 3 days or more;


• increased signs of infectious toxicosis and respiratory failure;


• marked asymmetry of physical data;


• inflammatory changes in the analysis of peripheral blood (neutrophilic leukocytosis, increased ESR).

When choosing a starting drug, it is necessary to take into account the age of the patient and the spectrum of prospective pathogens. The predominance of penicillin-sensitive pneumococcus strains among them makes it possible to use penicillin preparations and macrolides for the treatment of community-acquired infections. Standards for antibiotic therapy have been developed and are recommended.

Standards of antibiotic therapy for children aged 1-6 months.

Alleged pathogens	Drugs of choice	Alternative drugs
Atypical pathogens (with body temperature <38 ° C): chlamydia (often) pneumocysts (rarely) mycoplasmas (rarely)	Macrolides (roxithromycin)	Cotrimoxazole
Typical pathogens (body temperature > 38 "C, dyspnea, toxicosis): intestinal flora (E. coli , etc.) rarely - staphylococci,Moraxella catarrhalis	Amoxicillin + clavulanic acid (amoksiklav, augmentin)	Cephalosporins of the II-III generation (cefuroxime, zinnate, zinacef)

Standards of antibacterial therapy for children aged 6 months to 6 years

Alleged pathogens	Drugs of choice	Alternative drugs
Typical pathogens (often): pneumococcus, including in combination with H. influenzae type b	Amoxicillin Macrolides	Amoxicillin + clavulan-new acid (amoksiklav, augmentin) Cephalosporins
Atypical pathogens (rare): mycoplasma	Macrolides	Doxycycline

Standards of antibacterial therapy for children aged 7-15 years

Alleged pathogens	Drugs of choice	Alternative drugs
Atypical pathogens (often): mycoplasma	Macrolides	Doxycycline
Typical pathogens (rare): pneumococcus	Amoxicillin Macrolides	Amoxicillin + clavulanic acid (amoksiklav, augmentin) Cephalosporins

If you have symptoms such as wheezing, coughing or shortness of breath, this does not mean that you have asthma. Other diseases may have symptoms that are very similar to those of asthma. Let's look at some of these "imitators."

Diseases with symptoms that are similar to Asthma

Since the same symptoms may apply to asthma and other diseases, your healthcare provider should conduct a thorough examination to make sure that these symptoms refer specifically to asthma.

Diseases with similar symptoms:

• 
  
  Sinusitis: also called an infection of the nasal sinuses; it is an inflammation or swelling of the nasal sinuses. Sinusitis and asthma often coexist.
  
  


• 
  
  Myocardial ischemia: heart disease, which is characterized by impaired blood circulation in the muscle tissues of the heart.
  
  


• 
  
  Embolism of the lungs: clots of blood in the pulmonary arteries.
  
  


• 
  
  Gastroesophageal reflux disease (GERD): a disorder in which the contents of the stomach and stomach acid enter the esophagus, causing heartburn. Heartburn can cause an exacerbation of asthma symptoms.
  
  


• 
  
  Angina pectoris: chest pain due to lack of blood flow to the heart.
  
  


• 
  
  Chronic Obstructive Pulmonary Diseases (COPD): a common term that unites several lung diseases, the most common of them are emphysema and chronic bronchitis, triggered by exposure to tobacco smoke.
  
  


• 
  
  Chronic bronchitis: irritation and inflammation (edema) of the respiratory tract, is also considered a form of COPD, triggered by exposure to tobacco smoke.
  
  


• 
  
  Bronchiectasis: a disease of the lungs, which is characterized by damage to the walls of the respiratory tract in the lungs; the main cause is a recurring infection.
  
  


• 
  
  Acute heart failure: a heart disease in which the heart badly pushes blood, which leads to the filling of the lungs with fluid.
  
  


• 
  
  Abnormality of the upper respiratory tract: a disease in which air passage is impossible due to a blockage of something, including an enlarged thyroid gland or tumors.
  
  


• 
  
  Vocal cord dysfunction: A disease in which the muscles of the respiratory neck (the vocal apparatus) rapidly contract, causing respiratory problems.
  
  


• 
  
  Paralysis of the vocal cords: the vocal cords cease to perform their functions.
  
  


• 
  
  Bronchogenic cancer: lung cancer.
  
  


• 
  
  Aspiration: sudden penetration of a foreign body, for example, food, with inhalation in the respiratory tract.
  
  


• 
  
  Aspergillosis of the lungs: fungal infection of lung tissue.
  
  


• 
  
  Respiratory syncytial virus(RSV): this virus can cause causative bronchitis and pneumonia in children and can trigger the development of pediatric asthma.
  
  

How to identify "imitators" of asthma and put the right diagnosis?

To make the right diagnosis and make sure that the symptoms are not caused by any other illnesses, your doctor will study your medical history, your family's hereditary diseases and, of course, the symptoms. The doctor will be interested in the smallest details of the problems associated with shortness of breath in the past, as well as a hereditary predisposition to asthma or other lung diseases, allergies or skin diseases, for example, eczema, which is closely related to allergies. It is very important to describe in detail your symptoms (cough, wheezing, shortness of breath, chest tightness), including when and how often they appear.

[caption id="attachment_289" align="aligncenter" width="586"] diseases-similar-to-asthma[/caption]

The doctor will definitely ask if you smoke or smoked before. Smoking and asthma are incompatible. Smoking is another major factor in the development of symptoms (COPD (chronic obstructive pulmonary disease) and cancer), similar to asthma. You will also be asked if you ever encountered harmful chemicals, for example, at work.

The doctor will also conduct a thorough examination, including lung function tests, allergic reaction tests, lung and nasal x-rays. All these tests will help the doctor determine if you have asthma or another disease that looks like asthma in symptoms.

What is a test of pulmonary function?

The pulmonary function test (TLF or lung function test) includes several tests to identify lung problems. The two most common of these are spirometry and a test with a load of methacholine. These two tests plus the medical history and physical examination are fundamental in the diagnosis of asthma.

• 
  
  Spirometry. This is a simple test, during which the volume of lungs and the speed of exhaled air are measured. Blockade of the respiratory tract due to asthma or COPD quickly resolves. Spirometry is performed before and after inhalation of albuterol, bronchodilator. Albuterol is a part of the inhaler and helps to expand the airways. If, after taking albuterol, the airways expand, this indicates the presence of asthma or COPD. The doctor may conduct several additional tests to determine the type of asthma.
  
  

This test is also used for further monitoring of the course of the disease and helps the doctor develop a treatment program.

• 
  
  
  

  Measurement of air volume. In a simple spirometry test, you only need to exhale all the air from the lungs, but some additional actions are performed to measure the air volume. This test determines the blockage of the airway in the neck, for example, paralysis or vocal cord dysfunction.

  
  

  Such narrowing of the upper respiratory tract can be confirmed by computed axial tomography of the neck.

  
  
  
  


• 
  
  Test with a load of methacholine. If pulmonary function tests have shown normal results, then you may have a weak form of intermittent asthma. To confirm this, the doctor can offer a test with a load of methacholine. During this test, you inhale each time an increasing amount of methacholine before and after spirometry. If lung function decreased by 20% and more after a small dose of methacholine, this indicates the presence of asthma. This decrease in lung capacity cannot lead to an attack of asthma, and yet after testing you need to take albuterol, which neutralizes the effect of methacholine.
  
  


• 
  
  Diffusion capacity of blood. During this test, you need to hold your breath for 10 seconds to determine how well the lungs are supplied with blood. The results of the test for diffuse blood capacity are normal in asthmatics, but below the norm in smokers with COPD.
  
  

What is the chest x-ray?

Thanks to the radiography, the doctor can find out if you have other diseases that can provoke symptoms similar to those of asthma. Asthma can cause a slight increase in lung size (which is called excessive enlargement), but asthmatics often have radiographic results normal. Patients with COPD (chronic obstructive pulmonary disease) may also experience excessive lung enlargement, but with emphysema, holes in the lungs are formed, called bullae or water bubbles, which are especially visible on X-rays. Radiography of the chest can also confirm the presence of pneumonia or lung cancer, especially in smokers.

Other tests for asthma-like conditions

There are several other diseases that, in addition, complicate the diagnosis, but also complicate the treatment and control of asthma. These diseases include allergies and GERD. If you have asthma, the doctor must check you for these diseases or prescribe a treatment for several weeks, which will show whether asthma symptoms decrease from it or not.

Sinus Infections and Asthma: Symptoms, Effects, and Treatments

This article explains the relationship between Sinus infections and Asthma, what is sinusitis, how are asthma and sinusitis treated, synoblocchial syndrome, symptoms of sinobronchial syndrome, how is sinusitis treated and much more topics.

Sinusitis and asthma

Most people with asthma can develop sinusitis. According to statistics, asthma of moderate severity is accompanied by chronic sinusitis.

In addition to all the troubles that asthma carries, sinusitis or sinus infection only multiplies them. This can cause feelings of pain and helplessness. Without proper treatment, the disease can last for months or even years. And even worse, this one symptom can be replaced by another, more serious. Basically, sinusitis is associated with a severe form of asthma. Not only does asthma increase the likelihood of contracting sinusitis, but sinusitis can complicate the treatment and control of asthma.

But there is good news. There are many ways to treat both sinus infections and asthma. Studies have shown that treating one disease will help improve the course of another. The key is an intensive treatment of both diseases at once.

What is sinusitis?

Although the body has many different sinuses, but this term refers specifically to the paranasal sinuses. This is a group of four cavities on the face near cheeks and eyes. They are associated with the nasal passages and help to heat, moisturize and filter the air we inhale. Sinusitis is an inflammation and infection that affects these cavities.

[caption id="attachment_194" align="aligncenter" width="500"] Sinus Infections and Asthma[/caption]

Since the sinuses are near the nose, they are easily irritated or inflamed due to contact with allergens, viruses or bacterial infection. The most common pathogens of sinusitis:

• Cold or viral infection


• Pollution of the environment, smog


• Allergens present in the atmosphere


• Dry or cold air


• Ozone

When tissues in sinuses are irritated, they begin to produce mucus. When the sinuses are clogged with mucus and because of this oxygen can not freely circulate through them, one can feel a painful contraction in the sinuses. Similar symptoms occur and with a sine headache.

Symptoms of sinusitis can be varied, depending on which sinuses are affected. But most often there may be a pain in places such as:

• Forehead


• Upper jaw and teeth


• Eye area


• Neck, ears, top of head

More acute sinusitis can be accompanied by the following symptoms:

• Formation of thick yellow or green mucus


• Unpleasant taste of nasopharyngeal mucus


• A sore throat


• HeatWeakness


• Fatigue


• Cough

Usually, infection of the nasal sinuses is caused by viruses, for example, a virus of colds. But if the sinuses are blocked by the mucus for a long time, then the bacteria can spread further, thereby causing a secondary infection. Multiple infections of the nasal sinuses lead to chronic sinusitis.

What is the relationship between asthma and sinusitis?

Most studies confirm the relationship between sinusitis and asthma. A 2006 study showed that when compared with asthmatics in asthmatic patients with sinusitis:

• More serious asthma symptoms


• More acute sudden exacerbations of the disease


• Most often, restless sleep

Everyone has a risk of developing sinusitis. The same 2006 study showed that sinusitis, associated with asthma, is more likely to develop in women than in men. In addition, sinusitis is more common in the white population than in other racial groups. Gastroesophageal reflux disease (GERD) and smoking significantly increase the risk of sinusitis in asthmatic patients.

Scientists suggest that the more acute asthma attacks, the more debilitating is sinusitis. In acute asthma, sinusitis only complicates its control and treatment.

 

 

How is asthma and sinusitis treated?

Treatment is a very important stage in controlling the disease. And since sinusitis and asthma are related, the treatment of sinusitis will improve the symptoms of asthma.

If you have sinusitis and asthma, your doctor can recommend the following:

• Steroid nasal aerosols that reduce swelling. Reduction of inflammatory processes will allow sinuses to function normally.


• Antidiarrheal medications or antihistamine.


• Painkillers (if necessary) will reduce discomfort and discomfort.

Before you start using anti-decontaminated aerosols, talk to your doctor. Sometimes they can give the opposite result: even more to lay a nose. Therefore, it is possible to wash the nose with warm salt water instead of aerosols or breathe over steam.

If a secondary infection develops in the sinuses, then in this case only antibiotics will help. The doctor can prescribe antibiotics for a period of 10 to 14 days. But remember that antibiotics work only with a bacterial infection. They will not help get rid of the virus.

For people with severe allergies, the main task is to stay away from allergens. This will not only reduce the severity of the symptoms of asthma but also prevent the occurrence of infections in the nasal sinuses. Try to avoid such allergic pathogens and irritants, as, for example, cigarette smoke. You can also ask your doctor about immunotherapy.

In some cases, more drugs may be needed. The physical problems of the nasal passages can lead to the development of chronic sinusitis. This includes narrowing the nasal passages, the curvature of the nasal septum or the formation of polyps - small bumps in the nose. Sometimes the solution to this problem is only surgical intervention.

Can postnazalny become pregnant cause asthma?

Postnazalny zatek is an unscientific term that refers to a feeling of unpleasant mucus in the throat that can spread the infection. The glands in the nose and throat constantly produce mucus (from 0.5 to 1 l per day). This helps to clean the nasal membranes, heal the inhaled air and hold the inhaled foreign particles. Slime also helps fight infections.

In the usual situation, the throat is moistened with secretions from the nasal and laryngeal mucous glands. This is part of the mucus forming system with thin hairs, which protects us from the disease. When the amount of the secretion of the glands of the nose and the sinuses decreases, the hair of the nose and sinuses drop, a layer of liquid on the surface thickens and you begin to sense its presence. And since the thickened layer of mucus is unpleasant and most often can spread infections, our body naturally tries to get rid of it by a strong cough and cleaning the throat.

How is the synoblocchial syndrome associated with asthma?

Sinobronchial syndrome is a combination of sinusitis and the effects of lower respiratory symptoms such as bronchitis or asthma. During synobronchial syndrome, nasal sinus disease can cause an aggravation of the allergic reaction or the spread of the infection - or develop into a chronic one. Lung disease - one of the several serious types such as acute infectious bronchitis, recurrent bronchitis, chronic bronchitis or asthma - is very difficult to control.

[caption id="attachment_195" align="aligncenter" width="432"] combination of sinusitis and asthma[/caption]

It is believed that infection of the nasal sinuses, a consequence of diseases of the lower respiratory tract such as asthma, is due to the constant swelling of infectious secretions from the posterior nasal passage into the larynx. Irritation of the larynx causes compression of the bronchus due to signal transmission to the nervous system. Or, to provoke a secondary inflammatory reaction in the lungs can postnazalny zatek infectious secretions from the upper respiratory tract, which also causes an attack of asthma or bronchitis.

What are the symptoms of sinobronchial syndrome?

During the sinobrachial syndrome, minor symptoms in the nasal and thoracic area can be felt, including shortness of breath, wheezing, coughing with sputum, stuffy nose, fever, headache and tightness in the chest area. Along with signs of inflammation of the nasal sinuses or the spread of inflammation, painful sensations or increased sinus sensitivity, there may be a constant outflow of fluid from the glands and sinuses, wheezing, coughing and other respiratory symptoms or symptoms of asthma.

How is sinusitis treated?

There is no single effective method to prevent the development of sinusitis. But there are some tips that can help reduce the risk of sinusitis.

Use steroid aerosols regularly to prevent further spread of the infection. This is especially important in the case of recurrent or chronic sinusitis.

• If there is an allergy, then try to avoid contact with allergens and irritants.


• Take asthma medication as prescribed. By controlling the symptoms of asthma, you can reduce the risk of developing sinusitis in an acute form.

 

Somkalpam Syrup by Unjha Ayurvedic Pharmacy

Somkalpam Syrup is very effective in Bronchial Asthma, Chronic Bronchitis and Acute Bronchitis with dyspnoea. By regular use of Somkalpam syrup, bronchitis become dilated, viscid cough is liquified and easily expectorated, so respiration and breathing become easy. By regular use of this syrup, the asthmatic spasmodic attack is prevented and the patient gets easy breathing. Somkalpam syrup is very effective in whooping cough too.

 

Somkalpam Syrup Usage

• Relieves the broncho spasm and makes the breathing easy


• Makes expectoration easy and induces sense of well-being


• Tones up the lungs & improves the vital capacity


• Non-sedative, well tolerated and safe for all age groups

 

Somkalpam Indications

• Bronchial Asthma


• Allergic Asthma


• Productive Cough


• Chronic obstructive pulmonary disease

 

Somkalpam Dosage

Children: 5 ml. two times a day with water
Adults: 10 to 15 ml. two times a day with water or as directed by the physician.

Somkalpam Syrup Packing

100, 200, 450 ml.

Somkalpam Syrup Composition

Each 10 ml. contain Aqueous extract derived from:

 

Somlata	(Sarcostemma Brevistigma)	300 mg.
Kantakari	(Solanum Xanthocarpum)	300 mg.
Ardushi	(Adhatoda Vasica)	300 mg.
Arkamool	(Calotropis Procera)	75 mg.
Dhaturpan	(Dhatura Stramonium)	60 mg.
Talispatra	(Taxus Baccata)	60 mg.
Kakdasing	(Pistacia Chinensis)	60 mg.
Jethimadh	(Glycyrrhiza Glabra)	60 mg.
Tulsi	(Ocimum Sanctum)	60 mg.
Bhoringani	(Solanum Indicum)	60 mg.
Pipli	(Piper Longum)	15 mg.
Bharangi	(Clerodendrum Serratum)	15 mg.
Yavkshar	(Pottesium Carbonate)	15 mg.
Sugar	(Saccharum Officinarum)	Q.S.
Sunset Yellow & Tartrazine Colour		Q.S.
Approved Flavour		Q.S.
Excipients		Q.S.

 

You may also like to check Unjha Shankhpushpi Syrup | For Weak Memory

 

About Unjha Ayurvedic Pharmacy

Established in 1894, Unjha Ayurvedic Pharmacy is engaged in carrying forward the fundamental and applied principles of 'Ayurveda' in this modern era of science & technology. They are known as a renowned manufacturer, exporter, supplier, and trader of the ayurvedic drug like Amiri Jivan, Allerzun Tablet, Balamrit, Blossom Capsule, Cruel Capsule, Emivita Capsule, etc. You may visit the official website of the company from here. Over the years, the company has acquired ISO 9001:2000, GMP certificate.