Patient question: disease: cough variant asthma or allergic asthma
Description: My child has had rhinitis for more than a year at the age of 4. After he got allergic urticaria once in March this year (he got better after taking allergy medicine for a few days), I found that he had coughing and wheezing after 7 times of strenuous exercise (not every time he coughs and wheezes after strenuous activity), but he didn’t have wheezing without exercise, just clearing his throat and coughing when he had snot. Now two of them were in March (during the allergy period) when the weather was colder. In July, he didn’t cough after one exercise, but I gave him a popsicle and he sneezed and coughed and couldn’t catch his breath. There were two other times when it rained and the weather was cooler than usual, and I don’t know the reason for the other two times when the child’s mother took him. During this period, I have been taking Chinese herbal medicine for rhinitis, but now the snot is basically gone, he doesn’t cough anymore, sometimes he has a few throat-clearing movements, but he sneezes every day.
On August 18 at Anhui Provincial Hospital the doctor (asthma clinic) said there is no need to check, this asthma symptom of yours is very typical, and directly gave the medicine that I am eating now. The doctor (who is said to be a very good doctor in Anhui for asthma) was very good and asked her questions and ignored them (probably in a bad mood that day) and just said that the asthma would be fine after 25 days of washing the nose. Then she let the young doctor she took guide how to take the medication.
Hope to provide help: I recently learned some asthma knowledge on, I myself feel that the child also meet the symptoms of asthma, but there are still some questions confused, see you can be very enthusiastic to answer the questions of the parents of patients, so I also want to consult you a few questions: 1.
1. Is the child’s asthma serious? I guess it is the effect of the saline nose wash.
2. How many times a day do I wash my nose with salt water and are there any side effects from washing more often? The doctor asked for at least three to ten times a day, but now the child has no snot, only a yellow dry snot in the morning, the size of the tip of a ballpoint pen.
3.Do I need to limit my child’s exercise? Every time he coughs and can’t breathe, it comes on after strenuous exercise.
4. Do I need to do allergen testing? The doctor did not mention this at all.
5.Is it better to control rhinitis with hormones or with cotrimoxazole?
6. I feel uncomfortable with the diagnosis without the test, but the doctor is trying to reduce the financial burden for us. In the city hospital, the child did not cooperate and it was not done.
7. Is the child allergic asthma or cough variant asthma? I’ve given you trouble.
Hospital department: Anhui Provincial Hospital, Department of Pediatrics
Anhui Hospital of Traditional Chinese Medicine Department of Otolaryngology
Medication used: Drug name: Cozultone, nasal wash, cisplatin, kairetan syrup
Dosing instructions: Cozultone two times a day, nasal wash at least three times a day as requested by the doctor, cisplatin two times a day, keratan once a day just started taking yesterday
Zhu Highest Reply.
This parent you ask more questions, here I just want to elaborate a little about the basic knowledge of asthma for reference.
1, the academic name of asthma is “bronchial asthma, short for asthma”.
2, the essence of asthma is airway allergy, the airway is also called the respiratory tract, the nose is the opening of the airway, below is the throat, trachea, bronchus until the end of the bronchus are part of the airway. Asthma can be understood as an airway allergy, if it is a nasal symptoms (nasal itching, nasal congestion, sneezing) is mainly called allergic rhinitis, to cough, wheezing, wheezing is mainly called bronchial asthma; some people have both. That is, rhinitis and asthma, in fact, the two is a disease, washing the nose can treat asthma, is also the reason.
3, the cause of asthma, there are internal and external causes, the internal cause is the allergic body, only part of the allergic body will be asthma, the internal cause is determined by the congenital genes, which has been set at the time of birth of life. External causes are external allergens, such as mites or certain foods.
4. The typical symptoms of asthma are shortness of breath or wheezing during an attack and asthma sounds heard in the lungs. Based on the typical symptoms, recurrent episodes of wheezing, combined with the medical history of allergies, and the family history of asthma of first-degree relatives, etc., asthma can be clinically diagnosed. While some related auxiliary tests are only auxiliary and not necessary, pulmonary function can be used as an assessment of the severity of the disease. pulmonary function tests in children under 6 years of age are more difficult and less stable and are not routinely tested.
5. In addition to the typical types of asthma, there are some atypical types clinically, such as cough variant asthma, which is a type of asthma with cough as the main symptom and wheezing not obvious. Recently, academics have also named a type of asthma with chest tightness as the main symptom, called chest variant asthma. Other children have asthma attacks after exercise, so it is called exercise-induced asthma, or exercise-induced asthma.
All children with asthma can be tested for allergens. The purpose of the test is to find possible allergens, and after knowing the allergens, remove or avoid contact as much as possible to reduce attacks or do desensitization treatment.
7.Lastly, asthma is a chronic disease that requires long-term prevention and treatment.