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“Immunomodulators are not an option”: infectious disease specialist Pozdnyakov told what to do with frequent colds KXan 36 Daily News

Date: March 27, 2023 Time: 06:47:15

How many times a year is it normal to get ARVI without complications? Is there such a rule or is it strictly individual?

Andrei Pozdnyakov: For children older than six years and adults, it is believed that if an acute respiratory infection occurs four times a year or more, then this is frequent. But, of course, this is a very average figure. It is also important to count correctly – really new cases of the disease. Sometimes people mistake a complication or long course of a disease for two or even more new cases.

If a person gets sick more often, what should be done to understand the reason?

Andrei Pozdnyakov: We need to be examined. The doctor will prescribe certain tests – they will help to understand what the problem is, what is wrong with the body.

Here is an approximate list of studies that are usually prescribed in such cases.

General blood tests. The total number of leukocytes and the leukocyte formula are evaluated, in particular, repeatedly detected leukopenia can be a marker of a “reduced” immune response that provokes frequent infectious diseases.

General urinalysis. It is necessary to exclude a chronic inflammatory process in the urinary system. Any source of chronic infection can cause frequent respiratory infections.

Blood chemistry. Many indicators are analyzed in this study. C-reactive protein will provide information about the presence or absence of a bacterial inflammatory process in the body. Anti-O-streptolysin (ASL-O) will help to suspect a chronic focus of infection caused by pyogenic streptococcus, a microbe that often causes chronic inflammation in the nasopharynx. Under certain conditions, it gives serious systemic manifestations that affect the whole body: damage to the joints (rheumatoid arthritis), kidneys (nephritis) and heart (myocarditis and endocarditis). With an existing focus in the nasopharynx, plating in the microflora of this location will provide useful information. It will help to identify pathogenic, opportunistic flora and determine their sensitivity to antibiotics.

What can be done in the first place and on your own with frequent colds?

Andrey Pozdnyakov: If all these cases of acute respiratory infections are really different diseases, and not one protracted or exacerbation of a chronic one, then you should:

– increase the duration of sleep (norm 7-9 hours);

– try to balance the diet by eliminating fast food and other potentially harmful foods as much as possible;

– avoid stress;

– try to harden the body. This should be done gradually and progressively, as well as in accordance with the indications of specialists.

But such a popular intake of all kinds of immunostimulants, immunomodulators and other “tonic” agents in various combinations, in any courses and doses, is something that should not be done. Any therapy of this type, potentially aimed at correcting the immune response, must be prescribed exclusively by a doctor, and self-medication can stimulate the development of autoimmune diseases.

You should not overdo it with folk remedies either, absorb natural phytoncides in industrial doses. A head of garlic a day can help protect against respiratory infections for a while, but it’s guaranteed to damage your stomach lining.

If everything you say is done, but the person still has a cold, then what?

Andrei Pozdnyakov: This can indicate serious health problems. For example, about acquired immunodeficiency, about the presence of HIV infection. About hormonal imbalance. About poisoning with heavy metals and other poisons. The presence of one or more foci of chronic infection. About oncopathology, in particular oncohematology. On extreme physical effects, harsh ionizing radiation. These are details. In general, to understand this problem (if it really is a problem), further examination and consultation with a doctor is necessary.

Hansen Taylor
Hansen Taylor
Hansen Taylor is a full-time editor for ePrimefeed covering sports and movie news.

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