Some parents find that their children’s cough is particularly stubborn. It has been dragging for several weeks, and even one or two months have not improved significantly. Mr Denis, chief physician of the Department of Pediatrics of the Provincial Maternal and Child Health Hospital, pointed out that the child’s cough has not healed for a long time and may be plagued by variability.
Child variant asthma, also known as cough variant asthma, is a common disease in pediatrics. The clinical manifestations are coughing with unhealed, uncomfortable or accompanied by mild chest tightness and wheezing, and repeated attacks. Cough is often more obvious at night and after exercise. .
It should be noted that for babies with cough variant asthma, the effect of antibiotic treatment is not ideal because there is no bacterial infection, and it will continue to attack repeatedly after use. In addition, cough syrup has no obvious therapeutic effect on cough variant asthma, and may even aggravate cough symptoms. Mr Denis explained that this is because the common cough syrup is mainly the effect of phlegm. After the baby with cough in the upper respiratory tract is used, the sputum can be excreted better, but for the cough variant asthma, the cough syrup Their tracheal stimulation is relatively large, but after drinking it can make the cough worse.
“Parents should not underestimate the recurrent asthma.” Mr Denis reminded that some cough variant asthma babies are often misdiagnosed as repeated upper respiratory tract infections or bronchitis, and they have not been properly treated. Delayed the optimal treatment opportunity, repeated attacks caused irreversible airway damage, airway remodeling, bronchoconstriction, and further developed into typical asthma, the chance of developing chronic obstructive pulmonary disease in adulthood will increase accordingly.
How to identify your baby’s cough early is the cough caused by common upper respiratory tract infection or cough caused by variant asthma? In general, babies with cough variant asthma usually have high risk factors such as allergies or parents and other relatives with asthma history; coughing time is longer, and there are no obvious improvements in weeks or even months; there are certain incentives before coughing If exposed to cold air, pollen, pet hair and other allergens; there is no fever during cough, cough is often more obvious after exercise or at night. Mr Denis emphasized that if the baby has the above characteristics, parents should take the baby to the hospital for further examination.
Children with variant asthma are treated the same as asthmatic babies, usually with glucocorticoid atomization, antiallergic drugs, leukotriene receptor antagonists and specific immunotherapy, and the degree of cough for the baby. Treat with a cough suppressant containing a bronchodilator. In general, asthmatic babies usually have good control of their condition after receiving standard treatment.