胸片的结果是怎样的？ reactive airway disease不是个明确的诊断，而是一个描述性的东西。就是气管对刺激物的收缩和炎症。 刺激物可能性有很多，过敏原，感染什么的。这种感冒发烧后的绵延咳嗽，我个人认为很大可能是没有清除干净的低度感染。免疫系统在和病原体拉锯战，所以时好时坏。 美国这边没有指征（比如肺部感染的胸片）不愿意用药。 如果实我孩子，我会要求给开阿莫西林（细菌）加阿奇霉素（衣原体） what's reactive airway disease ChatGPT Reactive airway disease is a term that is sometimes used to describe a group of conditions characterized by episodes of airway constriction and inflammation in response to certain stimuli. It is not a specific diagnosis but rather a descriptive term that may be used to refer to conditions such as asthma or bronchospasm. Conditions falling under the umbrella of reactive airway disease share common features, such as: Airway Constriction: This refers to the narrowing of the air passages, which can make it difficult for an individual to breathe. Inflammation: There is often inflammation of the airways, contributing to the constriction and other symptoms. Hyperresponsiveness: The airways tend to be overly sensitive and may react strongly to various triggers. The term is sometimes used in situations where it's not clear if a person has asthma or another similar condition, or when the symptoms are recurrent but not yet fully diagnosed. However, it's important to note that the term "reactive airway disease" is not always used consistently, and different healthcare professionals may use it in different ways. If someone is experiencing symptoms suggestive of reactive airway disease, such as coughing, wheezing, shortness of breath, or chest tightness, it's crucial to consult a healthcare provider for a proper evaluation and diagnosis. This may involve a thorough medical history, physical examination, and possibly pulmonary function tests to assess lung function. Please translate the above response into Chinese ChatGPT 反应性气道疾病是一个有时用来描述一组特征为在特定刺激下出现气道收缩和炎症的疾病的术语。它不是一个具体的诊断，而是一个描述性的术语，有时用来指代哮喘或支气管痉挛等疾病。 属于反应性气道疾病范畴的疾病具有以下共同特征： 气道收缩： 这指的是气道狭窄，可能使个体呼吸困难。 炎症： 通常会有气道炎症，加剧了狭窄和其他症状。 高度反应性： 气道往往过于敏感，可能对各种刺激产生强烈反应。 这个术语有时在人们尚未确诊患有哮喘或其他类似疾病的情况下使用，或者在症状经常复发但尚未完全诊断时使用。然而，值得注意的是，“反应性气道疾病”这个术语的使用并不总是一致的，不同的医疗专业人员可能以不同的方式使用。 如果有人出现了可能暗示有反应性气道疾病的症状，如咳嗽、喘息、气短或胸闷，重要的是咨询医疗专业人员进行适当的评估和诊断。这可能涉及到详细的病史记录、身体检查，以及可能的肺功能测试来评估肺功能。 is a secondary bacterial infection following a viral upper respiratory infection common ChatGPT Yes, secondary bacterial infections following a viral upper respiratory infection are relatively common. Upper respiratory infections, such as the common cold or the flu, are often caused by viruses. These viral infections can weaken the immune system and damage the respiratory tract lining, making it easier for bacteria to infect the respiratory system. Common secondary bacterial infections that can occur after a viral upper respiratory infection include: Sinusitis: Inflammation of the sinuses, which can be caused by bacteria. Otitis Media: Middle ear infection, which can be bacterial in nature. Bronchitis: Inflammation of the bronchial tubes, which can be viral initially but may become complicated by bacterial infection. Pneumonia: In some cases, a viral upper respiratory infection can make an individual more susceptible to bacterial pneumonia. While secondary bacterial infections can occur, it's essential to note that not all upper respiratory infections lead to bacterial complications. The majority of upper respiratory infections are caused by viruses and are self-limiting. However, if symptoms persist or worsen, or if there is a development of new symptoms that may suggest a bacterial infection, it's important to seek medical attention for proper evaluation and treatment, which may include antibiotics if a bacterial infection is confirmed. please translate the above into Chinese ChatGPT 是的，病毒性上呼吸道感染后的继发性细菌感染相对较常见。上呼吸道感染，如普通感冒或流感，通常由病毒引起。这些病毒感染可能削弱免疫系统并损伤呼吸道黏膜，从而使细菌更容易感染呼吸系统。 常见的病毒性上呼吸道感染后可能发生的继发性细菌感染包括： 鼻窦炎： 鼻窦的炎症，可能由细菌引起。 中耳炎： 中耳感染，可能是细菌性的。 支气管炎： 支气管的炎症，最初可能是病毒性的，但后来可能发生细菌感染的并发症。 肺炎： 在某些情况下，病毒性上呼吸道感染可能使个体更容易感染细菌性肺炎。 尽管可能发生继发性细菌感染，但需要注意的是，并非所有上呼吸道感染都会导致细菌并发症。大多数上呼吸道感染由病毒引起且是自限性的。然而，如果症状持续或加重，或者出现新的症状可能暗示细菌感染，重要的是寻求医疗评估和治疗，如果确认有细菌感染可能包括使用抗生素。
胸片的结果是怎样的？ reactive airway disease不是个明确的诊断，而是一个描述性的东西。就是气管对刺激物的收缩和炎症。 刺激物可能性有很多，过敏原，感染什么的。这种感冒发烧后的绵延咳嗽，我个人认为很大可能是没有清除干净的低度感染。免疫系统在和病原体拉锯战，所以时好时坏。 美国这边没有指征（比如肺部感染的胸片）不愿意用药。 如果实我孩子，我会要求给开阿莫西林（细菌）加阿奇霉素（衣原体） what's reactive airway disease ChatGPT Reactive airway disease is a term that is sometimes used to describe a group of conditions characterized by episodes of airway constriction and inflammation in response to certain stimuli. It is not a specific diagnosis but rather a descriptive term that may be used to refer to conditions such as asthma or bronchospasm. Conditions falling under the umbrella of reactive airway disease share common features, such as: Airway Constriction: This refers to the narrowing of the air passages, which can make it difficult for an individual to breathe. Inflammation: There is often inflammation of the airways, contributing to the constriction and other symptoms. Hyperresponsiveness: The airways tend to be overly sensitive and may react strongly to various triggers. The term is sometimes used in situations where it's not clear if a person has asthma or another similar condition, or when the symptoms are recurrent but not yet fully diagnosed. However, it's important to note that the term "reactive airway disease" is not always used consistently, and different healthcare professionals may use it in different ways. If someone is experiencing symptoms suggestive of reactive airway disease, such as coughing, wheezing, shortness of breath, or chest tightness, it's crucial to consult a healthcare provider for a proper evaluation and diagnosis. This may involve a thorough medical history, physical examination, and possibly pulmonary function tests to assess lung function. Please translate the above response into Chinese ChatGPT 反应性气道疾病是一个有时用来描述一组特征为在特定刺激下出现气道收缩和炎症的疾病的术语。它不是一个具体的诊断，而是一个描述性的术语，有时用来指代哮喘或支气管痉挛等疾病。 属于反应性气道疾病范畴的疾病具有以下共同特征： 气道收缩： 这指的是气道狭窄，可能使个体呼吸困难。 炎症： 通常会有气道炎症，加剧了狭窄和其他症状。 高度反应性： 气道往往过于敏感，可能对各种刺激产生强烈反应。 这个术语有时在人们尚未确诊患有哮喘或其他类似疾病的情况下使用，或者在症状经常复发但尚未完全诊断时使用。然而，值得注意的是，“反应性气道疾病”这个术语的使用并不总是一致的，不同的医疗专业人员可能以不同的方式使用。 如果有人出现了可能暗示有反应性气道疾病的症状，如咳嗽、喘息、气短或胸闷，重要的是咨询医疗专业人员进行适当的评估和诊断。这可能涉及到详细的病史记录、身体检查，以及可能的肺功能测试来评估肺功能。 is a secondary bacterial infection following a viral upper respiratory infection common ChatGPT Yes, secondary bacterial infections following a viral upper respiratory infection are relatively common. Upper respiratory infections, such as the common cold or the flu, are often caused by viruses. These viral infections can weaken the immune system and damage the respiratory tract lining, making it easier for bacteria to infect the respiratory system. Common secondary bacterial infections that can occur after a viral upper respiratory infection include: Sinusitis: Inflammation of the sinuses, which can be caused by bacteria. Otitis Media: Middle ear infection, which can be bacterial in nature. Bronchitis: Inflammation of the bronchial tubes, which can be viral initially but may become complicated by bacterial infection. Pneumonia: In some cases, a viral upper respiratory infection can make an individual more susceptible to bacterial pneumonia. While secondary bacterial infections can occur, it's essential to note that not all upper respiratory infections lead to bacterial complications. The majority of upper respiratory infections are caused by viruses and are self-limiting. However, if symptoms persist or worsen, or if there is a development of new symptoms that may suggest a bacterial infection, it's important to seek medical attention for proper evaluation and treatment, which may include antibiotics if a bacterial infection is confirmed. please translate the above into Chinese ChatGPT 是的，病毒性上呼吸道感染后的继发性细菌感染相对较常见。上呼吸道感染，如普通感冒或流感，通常由病毒引起。这些病毒感染可能削弱免疫系统并损伤呼吸道黏膜，从而使细菌更容易感染呼吸系统。 常见的病毒性上呼吸道感染后可能发生的继发性细菌感染包括： 鼻窦炎： 鼻窦的炎症，可能由细菌引起。 中耳炎： 中耳感染，可能是细菌性的。 支气管炎： 支气管的炎症，最初可能是病毒性的，但后来可能发生细菌感染的并发症。 肺炎： 在某些情况下，病毒性上呼吸道感染可能使个体更容易感染细菌性肺炎。 尽管可能发生继发性细菌感染，但需要注意的是，并非所有上呼吸道感染都会导致细菌并发症。大多数上呼吸道感染由病毒引起且是自限性的。然而，如果症状持续或加重，或者出现新的症状可能暗示细菌感染，重要的是寻求医疗评估和治疗，如果确认有细菌感染可能包括使用抗生素。 平明寻白羽 发表于 2023-11-26 13:51
被这咳嗽折磨得快疯了，在家休息得好一些就好很多，一去学校就严重，只能在家蹲，缺了好多课。。。怎么办？？？
reactive airway disease不是个明确的诊断，而是一个描述性的东西。就是气管对刺激物的收缩和炎症。
刺激物可能性有很多，过敏原，感染什么的。这种感冒发烧后的绵延咳嗽，我个人认为很大可能是没有清除干净的低度感染。免疫系统在和病原体拉锯战，所以时好时坏。
美国这边没有指征（比如肺部感染的胸片）不愿意用药。
如果实我孩子，我会要求给开阿莫西林（细菌）加阿奇霉素（衣原体）
what's reactive airway disease
ChatGPT Reactive airway disease is a term that is sometimes used to describe a group of conditions characterized by episodes of airway constriction and inflammation in response to certain stimuli. It is not a specific diagnosis but rather a descriptive term that may be used to refer to conditions such as asthma or bronchospasm. Conditions falling under the umbrella of reactive airway disease share common features, such as: Airway Constriction: This refers to the narrowing of the air passages, which can make it difficult for an individual to breathe. Inflammation: There is often inflammation of the airways, contributing to the constriction and other symptoms. Hyperresponsiveness: The airways tend to be overly sensitive and may react strongly to various triggers. The term is sometimes used in situations where it's not clear if a person has asthma or another similar condition, or when the symptoms are recurrent but not yet fully diagnosed. However, it's important to note that the term "reactive airway disease" is not always used consistently, and different healthcare professionals may use it in different ways. If someone is experiencing symptoms suggestive of reactive airway disease, such as coughing, wheezing, shortness of breath, or chest tightness, it's crucial to consult a healthcare provider for a proper evaluation and diagnosis. This may involve a thorough medical history, physical examination, and possibly pulmonary function tests to assess lung function.
ChatGPT 反应性气道疾病是一个有时用来描述一组特征为在特定刺激下出现气道收缩和炎症的疾病的术语。它不是一个具体的诊断，而是一个描述性的术语，有时用来指代哮喘或支气管痉挛等疾病。 属于反应性气道疾病范畴的疾病具有以下共同特征： 气道收缩： 这指的是气道狭窄，可能使个体呼吸困难。 炎症： 通常会有气道炎症，加剧了狭窄和其他症状。 高度反应性： 气道往往过于敏感，可能对各种刺激产生强烈反应。 这个术语有时在人们尚未确诊患有哮喘或其他类似疾病的情况下使用，或者在症状经常复发但尚未完全诊断时使用。然而，值得注意的是，“反应性气道疾病”这个术语的使用并不总是一致的，不同的医疗专业人员可能以不同的方式使用。 如果有人出现了可能暗示有反应性气道疾病的症状，如咳嗽、喘息、气短或胸闷，重要的是咨询医疗专业人员进行适当的评估和诊断。这可能涉及到详细的病史记录、身体检查，以及可能的肺功能测试来评估肺功能。
ChatGPT Yes, secondary bacterial infections following a viral upper respiratory infection are relatively common. Upper respiratory infections, such as the common cold or the flu, are often caused by viruses. These viral infections can weaken the immune system and damage the respiratory tract lining, making it easier for bacteria to infect the respiratory system. Common secondary bacterial infections that can occur after a viral upper respiratory infection include: Sinusitis: Inflammation of the sinuses, which can be caused by bacteria. Otitis Media: Middle ear infection, which can be bacterial in nature. Bronchitis: Inflammation of the bronchial tubes, which can be viral initially but may become complicated by bacterial infection. Pneumonia: In some cases, a viral upper respiratory infection can make an individual more susceptible to bacterial pneumonia. While secondary bacterial infections can occur, it's essential to note that not all upper respiratory infections lead to bacterial complications. The majority of upper respiratory infections are caused by viruses and are self-limiting. However, if symptoms persist or worsen, or if there is a development of new symptoms that may suggest a bacterial infection, it's important to seek medical attention for proper evaluation and treatment, which may include antibiotics if a bacterial infection is confirmed.
ChatGPT 是的，病毒性上呼吸道感染后的继发性细菌感染相对较常见。上呼吸道感染，如普通感冒或流感，通常由病毒引起。这些病毒感染可能削弱免疫系统并损伤呼吸道黏膜，从而使细菌更容易感染呼吸系统。 常见的病毒性上呼吸道感染后可能发生的继发性细菌感染包括： 鼻窦炎： 鼻窦的炎症，可能由细菌引起。 中耳炎： 中耳感染，可能是细菌性的。 支气管炎： 支气管的炎症，最初可能是病毒性的，但后来可能发生细菌感染的并发症。 肺炎： 在某些情况下，病毒性上呼吸道感染可能使个体更容易感染细菌性肺炎。 尽管可能发生继发性细菌感染，但需要注意的是，并非所有上呼吸道感染都会导致细菌并发症。大多数上呼吸道感染由病毒引起且是自限性的。然而，如果症状持续或加重，或者出现新的症状可能暗示细菌感染，重要的是寻求医疗评估和治疗，如果确认有细菌感染可能包括使用抗生素。
抗过敏药只是压制免疫反应，属于治标。
如果是继发细菌或衣原体感染，上抗生素早点解决问题。
多谢科普，医生不开抗生素怎么办？另外需要阿莫西林和阿奇霉素一起使用吗？
如果能说服医生开抗生素呢？因为X-ray说肺部没有感染？我家一不吃抗过敏药就咳得厉害
我家之前这样也是inhaler，不一定是细菌引起的，所以抗生素不一定有效。
找个好一点点中医看看，亲身经历，中医治咳嗽的确有效
albuterol inhaler用了，没啥帮助
我们医生就不开药，你家感觉抗生素起作用了
有的肺炎不发烧，阿莫西林不管用，要开针对非典型肺炎专门的药比如支原体肺炎要上阿奇霉素，阿莫西林治疗不了。行走型肺炎，就是病人看起来还不是特别严重有感冒样病，病程长。我们儿科医生说的是即使孩子不发烧，只要看起来蔫了，或者咳嗽超过10天也要来看病。
我们现在开始从上两星期开始每天带着口罩去学校，我也觉得支气管对冷空气特别敏感
也不给药，就靠过敏药维持，治标不治本，搞得我上班都心不在焉，好焦心。。。
是呀，约了过敏专家，但是我觉得过敏没法解决根本
那现在自己好了，这么折腾真是焦心。。。
不一定要一起用，先上一个不行换另一个。
不过这边要找到愿意给开的医生。
因为没有药敏培养，不确知是不是细菌，支原体感染。
实在不给开就要求做检查确认是不是有感染
可以问问能不能做气管提取物culture, PCR, 血相（白血球，反应蛋白，procalcitonin什么的）
可以帮助确诊是否有细菌或支原体感染。
这个办法好，医生说根据结果看看是否需要验血，我明天去要求一下。吃个阿奇霉素也没那么大副作用，怎么这么难开药？
用flovent控制住咳嗽了吗？医生说先上albuterol ，不行就上flovent.albuterol对我家不管用，我觉得这两个药都是治哮喘的，不是专门针对咳嗽的
我家的现在也是医生说吃过敏药。
可能是过敏性哮喘。叫儿医refer给specialist
要上抗生素，好歹做个痰液细菌培养再说吧。
我们用的是激素，气道高敏。
病毒性上呼吸道感染以后咳嗽迁延一个月了，继发感染基本没跑。病毒感染撕开呼吸道上皮防线，其他微生物趁机侵入很常见。
培养其实假阳性率很高。痰液培养特异性只有70%。
意义不大。
上抗生素不缓解就停了呗。有啥大不了的。
诊断和治疗本来大多时候就是trial and error。
有这时间去用特异性不足的检测去确定感染源，一周抗生素80%几率已经解决问题了。
单纯用皮质激素压制免疫反应只压制症状，不解决源头问题。
也许细菌性感染就是过敏源呢？
我觉得也是，只能说对病毒过敏，否则还能今年过敏以前都没有，MM说得很有道理，是学医的吧？
每天游泳，有些病还是得，否则游泳运动员怎么不长生不老。很多运动都能起到提高免疫的作用，已经咳嗽了怎么可能去游泳？没有孩子总是咳嗽的人，是不理解这样的状况的，这种过敏性咳嗽很难缠，每年都会犯，跟游泳关系不大。说实话，冬天户外跑步比游泳更锻炼心肺！
不是学校，在家蹲了一个星期都咳
telemedicine会愿意开吗？会不会你的儿医怎么不给开抗生素，不过可以去试试，谢谢