Children's cough brings endless troubles to parents. Drugs for treating cough are overwhelming, but it is difficult to stop children's cough, which affects the rest of children and parents. Some coughs spit out all the meals they have eaten. Parents' hearts make their children's cough sound tightly. Drug therapy, diet therapy, physical therapy and atomization treatment have been used one after another, but none of them is effective. Children's cough that cannot be cured for a long time bothers parents. What parents are most concerned about and need to solve is how to stop coughing.
Why do children cough?
Cough in children is a symptom and a protective reflex action. The "garbage" in the respiratory tract is cleared by coughing, and cough is often accompanied by expectoration, which is "garbage". So, cough is a good thing, so don't treat it. No, when there is no "garbage" in the respiratory tract, there is only congestion and edema, or because of long-term cough, the cough center is in a state of high excitement for a long time. At this time, cough is not a reflex action with protective effect, so you should actively stop coughing. Even if it is protective, if the cough is severe and affects sleep and eating, it should be treated, and so should cough treatment. Therefore, cough treatment is not simply taking cough medicine. First of all, we should analyze the primary factors of cough. Only by treating the cause can we get good results.
◎ Treat cough according to the cause.
Respiratory tract infection caused by various viruses, bacteria and other microorganisms, if the infection is confined above cricoid cartilage (above pharynx), is upper respiratory tract infection; if the infection develops below cricoid cartilage (below pharynx), it is lower respiratory tract infection, that is, trachea, bronchi, bronchioles, alveoli and interstitial lung infection. If we use the image metaphor of a big tree and turn it upside down, the upper respiratory tract is above the root, and the lower respiratory tract is below the root. The trunk is trachea, the branches are bronchi, the leaf stalks are bronchi, the leaves are alveoli, and the interstices between leaves are interstitial lung. The whole respiratory tract can be attacked by various external factors, which can lead to pathological changes. These external factors are not just viruses and bacteria, but also various microorganisms, as well as various physical and chemical factors and environmental factors, or the pathological changes of respiratory mucosa caused by viruses, bacteria and various factors, which cannot be improved with the death of viruses, bacteria and various microorganisms, leading to the damage of respiratory mucosa's own function, thus forming a long-lasting cough. Therefore, this is the crux that it is difficult to treat cough even with very advanced antibiotics, and the function of respiratory mucosa itself must be improved. To cure the cough.
◎ Diseases that cause cough
According to the anatomical position, the respiratory tract from top to bottom is: frontal sinusitis, sinusitis, rhinitis, pharyngitis, laryngitis, bronchitis, bronchiolitis and pneumonia. According to the disease spectrum, there are whooping cough, whooping cough syndrome, cold, flu, upper respiratory tract infection, allergic cough's disease, bronchial asthma, and heart cough. According to the cough type, it can be divided into peripheral cough and central cough. According to the theory of traditional Chinese medicine, it can be divided into: damp-heat cough, cold asthma cough, fever cough, cold cough and so on. To treat these diseases, cough treatment is an adjuvant treatment, and the weight of cough treatment cannot be heavily added to cough medicine.
Frontal sinusitis, sinusitis, rhinitis and pharyngitis are all refractory diseases, which belong to the category of otorhinology. However, most children see a doctor in the pediatric internal medicine clinic, which is easy to be misdiagnosed. Parents should think of seeing an otorhinologist to get rid of the cause of cough in time. Even cough caused by tracheitis and pneumonia may not have active infection. For chronic cough, it is not necessary to use antibiotics for a long time, and it is even unnecessary to use antiviral drugs for a long time. Without bacterial or viral infection, long-term use of antibiotics can only increase the side effects of drugs, such as leukopenia, dysbacteriosis, impaired gastric function and decreased appetite of children, which is not desirable. At this time, the treatment should focus on the protection, repair and functional recovery of respiratory mucosa, such as taking vitamin AD capsules, which is conducive to the repair of intima, drinking plenty of water, proper indoor air humidity, improving ciliary movement function, thinning sputum, facilitating discharge, fresh air, reducing indoor dust and physical and chemical factors, and helping to restore the function of respiratory intima.
◎ allergic cough with amazing misdiagnosis rate
Allergic cough is a persistent inflammatory reaction caused by antigenicity or non-antigenicity, and children often have persistent or recurrent severe cough. If this cough is not diagnosed and actively treated in time > >
Question 2: What should the child do if he always coughs at night? It may be allergic cough. Go and have a check-up and make a definite diagnosis. What is allergic cough? Symptoms of allergic cough in children
Allergic cough is also known as allergic bronchitis. The clinical features of allergic cough are: chronic cough with no cause for more than two months, paroxysmal dry cough, or a small amount of white foam-like sputum; The sexual odor can be aggravated by inhalation; The application of multiple antibiotics was ineffective, and there was no obvious abnormality in radiography or CT examination. 40% patients can be complicated with allergic rhinitis symptoms such as sneezing and runny nose, which many doctors abroad call allergic rhinobronchitis.
The causes of allergic cough's disease and allergic asthma are similar. The causes of allergies are numerous and complicated, but they mainly include two aspects, namely, the physique and environmental factors of allergic cough patients. The constitution of patients includes subjective conditions such as "genetic quality", immune state, mental and psychological state, endocrine and health status, which is an important factor for patients to be susceptible to allergic cough. Environmental factors, including allergens, gas, virus infection, living area, room conditions, occupational factors, climate, drugs, exercise (hyperventilation), food and food additives, eating habits, social factors and even economic conditions, may be more important reasons for the development of allergic cough. The increasing trend of incidence in allergic cough is also related to the susceptibility and environmental factors caused by patients' allergic constitution.
Allergic cough's symptoms
Allergic cough is also called allergic bronchitis or cough variant asthma. The disease usually occurs after a cold, so it is very easy to be misdiagnosed as bronchitis or chronic bronchitis and treated with antibiotics. The clinical features of allergic cough are as follows:
1. Chronic cough with no cause for more than two months, with paroxysmal dry cough or a small amount of white foam-like sputum; Nausea or vomiting will occur when children cough badly.
2. Inhalation of * * * odor (including chemical odors such as cold air, smoke or paint, dichlorvos, air fresheners, perfumes and automobile exhaust) or contact with allergens such as bed dust and dust mites can be aggravated; It will get worse after strenuous exercise or laughter;
3. The attack is often related to the environment or time, such as aggravating in the morning and evening or at night, aggravating at home and relieving outdoors.
4. Without fever, it may be accompanied by itchy throat.
5. After the cough is relieved, there is no obvious abnormality in auscultation, radiography or CT examination.
6. The application of multiple antibiotics is ineffective.
7. 40% of patients can be complicated with allergic rhinitis symptoms such as sneezing, runny nose or stuffy nose, and children also show rubbing their noses and eyes, which many doctors abroad call allergic rhinobronchitis.
8. For patients with atypical cough or patients who can't be diagnosed for a long time, airway reactivity test and allergen test should be done as soon as possible to help diagnose and avoid misdiagnosis.
Prelude performance of allergic cough in children
The high incidence of allergic cough in children is 2-6 years old. Because the early inducing cause is not directly related to allergies, the diagnosis of allergic cough in children will be delayed by doctors or parents. Preschool children are prone to recurrent respiratory infections and bronchopneumonia due to the characteristics of physiological development, as well as the current popular mycoplasma infection. Because the infection focus is not easy to be completely removed, children will have recurrent respiratory infections. Repeated anti-inflammatory treatment is destructive to children's intestinal flora, which mutates this airway inflammatory reaction over time. Even when there is no obvious infection, it is easy for children to have paroxysmal cough, and these children often delay the anti-allergic treatment because they are not diagnosed early. Some children develop allergic asthma, and some children have sports cough and wheezing. As long as they laugh or exercise too much, they will suddenly have paroxysmal cough and wheezing.
Treatment scheme of allergic cough in children
First, it is most worth mentioning that parents should never stop taking anti-allergic drugs because their children don't cough. Anti-allergic treatment needs to be given according to the course of treatment. Because most children in allergic cough have allergic rhinitis in the early stage, attention should be paid to early intervention of allergic rhinitis in children, and helping children adjust their allergic constitution too early can prevent allergic rhinitis in children from developing into allergic cough.
Secondly, the clinical examination of children in allergic cough shows that eosinophils are high, and the serum IgE is more than 200. Antihistamine drugs and Kangminyuan anti-allergic probiotics are mainly used to reduce the serum IgE antibody and slow down allergic cough or wheezing.
Thirdly, adjusting allergic constitution is the basis of treating allergic cough's disease in children. Supplementing Kang Minyuan's antiallergic lactic acid bacteria to adjust allergic constitution, people ... > >
Question 3: What should children do if they cough at night? Is there any way to stop coughing at once? Don't eat stewed pears with rock sugar. You can eat such a cool diet only if you have a hot cough. According to you, it should be a cold cough, so you should get rid of the cold. For children, cough can't be completely cured for more than three days, unless you just have an attack. My suggestion is to try not to take medicine as long as you are still in good spirits. If you want to be a conscientious mother and think about your baby, you should try to use diet therapy. You should treat it carefully. Cough that only happens at night is caused by cold, and the body is cold and wet. You can break two small petals of garlic and boil water with red sand bran to feed it to her. My baby coughs at night. This method is tried by Bailing, feeding a few spoonfuls at a time, feeding half a bowl a day, feeding it once before going to bed, and feeding more water during the day. Water is the best anti-inflammatory drug, and urinating more. It helps to expel phlegm. If you get better, you will get better after a few days. Drink less milk, and it is better to feed porridge or rice soup during the period. Generally, it takes about a week for a cough to completely get better, so I suggest you not to take anti-inflammatory drugs for quick recovery. As long as it is not serious, try not to go to the hospital. Antibiotics and anti-inflammatory drugs are very bad for children.
Question 4: What should I do about children's severe cough at night? 1. Cough causes: Children's cough at night caused by improper lying position can cause poor breathing in the lungs or bronchi, and children can hold their breath and shed tears. After this happens, parents can pad their children's pillows higher. Children cough frequently at night, which may also be due to inflammation of the throat, or dry itching of respiratory mucosa. In the gap between children's coughs, children can be changed to lateral position or picked up on their side. Gently pat the child's back to promote sputum discharge.
Second, external environmental reasons: such as indoor ventilation. In order to prevent children from catching cold, people may close the doors and windows when they sleep at night, which makes the indoor air turbid, so that children are prone to cough at night. The best solution is to keep the indoor air ventilated, not dry and odorless, and not to burn mosquito-repellent incense.
The change of indoor temperature may also cause children to cough at night. Experts suggest that it is best not to turn on the air conditioner when sleeping at night. You can turn it on for a while before going to bed to adjust the indoor temperature, or adopt other methods to adjust the indoor temperature to create a comfortable sleeping environment for children.
Third, the solution
1, grapes. It has the effects of nourishing liver and kidney, benefiting qi and blood, promoting body fluid production and facilitating urination. Raw food can nourish yin and relieve annoyance. Adding honey to the juice and taking it with boiling water is especially good for annoyance, heat and thirst.
2. Pomegranate. Produce body fluid and stop polydipsia. Anyone who has insufficient body fluid and dry mouth and throat can use pomegranate juice or decoction to clear away heat and toxic materials, moisten lung and relieve cough.
3. Citrus. It has the effects of promoting fluid production, relieving cough, moistening lung and resolving phlegm, sobering up and diuresis. It is suitable for weak body, thirst due to insufficient body fluid after fever, polydipsia due to wine injury, etc. Juicing or honey decoction is especially good for treating cough due to lung heat.
Precautions: 1 Drink plenty of water 2 Try not to go to crowded areas.