Pediatrician: Cough, why is the child coughing is not good, what should I do?

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Parents often say that children’s cough is the least easy.

Sometimes a cold, a fever is okay for two days, but the symptoms of cough are not good for a few weeks.Always cough like this, we are all worried about whether there will be any problems.

So, what is the reason for this "bad" cough and how to solve it?I ask Dr. Dong Honghong of the Yuexue Park Clinic to tell you about it.

Let’s talk about why children cough are not good, and what should parents do at this time.

The first thing to explain is that some infected, short and not serious cough, will not be discussed here.Because cough in this case can help children remove sputum in the airway. As long as it does not affect the child’s daily sleep and eating, it is not recommended to relieve cough and treat the primary disease.

What we want to say today is a "bad" cough.

How can it be "not good"?In fact, there are strict definitions.

The definition of chronic cough in children: Cough is the main or unique clinical manifestation. The course of disease is greater than 4 weeks and no obvious abnormal abnormalities are seen in the X -ray of the chest.

From the definition, we understand that the cough of 1-2 weeks is not a chronic cough.And if the child has a cough every day and the cough is more than 4 weeks, parents have to consider chronic cough.

So what are the common causes of chronic cough?What should parents respond?We compare the following "common causes of chronic cough", one by one.

Cough mutant asthma is the only or mainly asthma with cough. It is a kind of asthma, but there is no "asthma", only cough, accompanied by high airway reactivity.

The 2016 "Guidelines for the Diagnosis and Prevention of Children’s bronchial asthma" proposed four most basic diagnostic standards: coughing continues to be greater than 4 weeks, often in exercise, night, or early morning or worsen.A asthma; no signs of infection, or ineffective antibiotic treatment after a long time; diagnostic therapy for anti -asthma drugs is effective; eliminating chronic cough caused by other reasons.

If the child is explicitly diagnosed as cough mutant asthma, it is necessary to form regular treatment according to the principle of asthma treatment.

First of all, it is recommended to follow the children’s respiratory specialist to establish a partnership between doctors and children and parents, establish a specialized archives, formulate long -term prevention and treatment plans, and follow up regularly.

Secondly, determine and reduce the contact between children and risk factors, such as air pollution, second -hand smoke, infection and allergens.When there is haze, try not to go out; the family is best to quit smoking, at least not to smoke at home, and so on.(How to prevent second -hand cigarettes? Click here ~)

In addition, in terms of drug selection, children under the age of 6 are the most effective is inhaling glycogenoids; children over 6 years of age can choose ß2 receptor agonist, inhaled glucocorticoids, or white trisine receptor antagonists, etc.Essence

Cough mutant asthma can be well controlled if the treatment is properly treated.However, if the control is not good, it will have a great impact on children’s lives and learning.Therefore, the long -term management and education of cough mutant asthma is important. Early prevention can reduce the occurrence of cough mutant asthma.

"Guidelines for Children’s bronchial asthma diagnosis and prevention" recommended early prevention should be achieved: mothers avoid contact with cigarette environment after birth and baby birth; promote natural delivery; encourage breastfeeding; baby should avoid using broad -spectrum antibiotics as much as possible within 1 year of birth.

The upper airway cough syndrome refers to a syndrome that is caused by various upper tract (nasal, pharynx, throat) diseases, and cough as the main manifestation.

The reason is that the secretions caused by the inflammation of the upper airway enter the pharynx and the trachea, which causes cough.

The characteristic of this cough is that the symptoms are severe in the early morning. This is because the secretion has accumulated overnight, so there will be more obvious cough in the morning.

Because it is a variety of inflammation of the airway, if the child belongs to this problem, in addition to cough, there may be headache dizziness (time of sinusitis), runny nose, fever and other symptoms.

As for the treatment of upper airway cough syndrome, allergic rhinitis can use antibody antagonist antagonists, and nasal glucocorticoids with antibody amine, leukenohne receptor antagonist; antibiotics need to be used when bacterial sinusitis.

Cough after infection is irritating dry cough, or with a small amount of white sticky sputum.

When a child’s respiratory infection, the integrity of the airway epithelium will be damaged, the subtissum of the submucosal nerve is exposed, and the sensitivity to various stimuli (including cold air, smoke, etc.) increases the symptoms of cough.

Because it directly stimulates nerve endings, this cough is generally regardless of day or night.Only some special pathogens have a time -specific cough. For example, cough caused by pneumoniac belief will be heavier at night.

Cough after infection is usually relieved naturally after the airway mucosa epithelium is repaired and the inflammation fades.

Children who have cough after infection will gradually reduce the symptoms over time without special treatment.In severe cases, you can consult a doctor and use antibro -alkaline drugs, corticosteroid atomization or antibody amine, and white trisine receptor antagonists.

In addition to the above three most common reasons, chronic coughs have more and more allergic coughs in recent years.

Allergic cough is mostly stimulating dry cough, accompanied by allergic diseases, which are similar to cough and mutant asthma, which is not easy to identify.

We can remember that allergic cough is directly related to allergies, and can find allergic factors that directly cause cough; and the cause of cough mutant asthma is very complicated and diverse. Many induced factors can induce the appearance of cough.For example, upper respiratory tract infection, contact with allergens, strenuous exercise, laughing, crying, or climate change.

If necessary, you can use antihistamine drugs and glucocorticoids to treat allergic cough after consulting the doctor

There are other relatively rare reasons for chronic cough.For example: gastroesophageal reflux cough.This situation is more common among infants and young children.Although it shows the discomfort of the respiratory tract, that is, cough, the actual problem is the stomach and esophagus.This kind of cough is mostly at night or after feeding, children may have vomiting after meals, upper abdomen or "under the swords" discomfort, heartburn and other feelings; foreign bodies inhale.This is also an important reason for chronic cough at a 1-3-year-old child. Due to foreign bodies entering the trachea, the strenuous cough of irritation and paroxysmal.If this possibility is suspected, parents should take their children to seek medical treatment in time, be diagnosed by professional doctors, and remove foreign objects.Heart cough."Heart" is not a cough caused by heart factor, but cough caused by children’s psychological factors.Mainly cough during day, often accompanied by anxiety symptoms.When rest or concentration at night, the symptoms of cough disappear, not accompanied by organic diseases.This situation is more common among older children.

Based on the above, for children who have a "bad" cough, parents are advised to find a reliable pediatrician for a clear diagnosis, follow the doctor’s advice, manage the child’s respiratory tract, and believe that the child’s cough problem can be solved.

Xiaobian said

Cough is a symptom, which causes diverse causes of cough.

After reading Dr. Dong Honghong’s explanation, Xiaobian felt that when the child cough, we should grasp two points: the course of the disease is more than 4 weeks before chronic cough.We take our children to see a doctor. Do not use "old cough", "It’s long" to describe it, and directly explain when the symptoms appear for several weeks.Such information helps doctors understand the situation.Before you seek medical treatment, you can observe that the child’s cough degree during the day and night, dry cough, or sputum, this information is also helpful to the doctor diagnosis.

The article is limited and may not be able to solve all your problems, but I hope to help you know more knowledge, less panic and more calm when the child is sick.

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