OVERVIEW
Overview of Allergic Cough
Allergic cough is a cough that persists for more than 4 weeks in certain children with allergic sensitivities and is effectively treated with antihistamines or glucocorticoids, but differs from typical bronchial asthma and cough variant asthma.
Are you insured?
Yes
Department
Pediatrics, Respiratory Medicine, Allergy, Allergic Reactions, Anaphylaxis
Alias
Allergic Cough
Clinical Symptoms
Irritating dry cough lasting more than 4 weeks, especially during the day.
Hazards
This disease can affect children’s normal physical activity, sleep, and schooling.
Complications
Allergic rhinitis, upper airway cough syndrome, 3. atopic dermatitis, and allergic conjunctivitis.
Examination
Blood routine, sputum examination, pulmonary function test, specific allergen diagnosis, imaging examination, airway inflammation index test.
Diagnosis
Cough lasting more than 4 weeks, irritating dry cough, increased sensitivity of cough receptors; normal lung ventilation function, negative bronchial provocation test; other allergic diseases at the same time, positive allergen test.
Treatment principle
Avoid contact with allergens, apply antihistamines and glucocorticoids.
Curability
Exposure to allergens may lead to recurrence of the disease.
Dietary advice
Eat a light diet and avoid contact with allergenic foods.
Etiology
Epidemiology
The prevalence of allergic cough in all age groups of children is predominant in preschool and school-age children; it is more frequent in boys and is associated with airway narrowing and airway hypertonicity in boys.
Etiology
Allergies, allergenic stimuli, medications and food additives, pathogens of respiratory tract infections, smoke stimuli, exercise, excessive emotional distress
Symptoms and Diagnosis
Typical symptoms
Cough lasting more than 4 weeks, with an irritating dry cough, especially during the day. It may be combined with other allergic manifestations.
The symptoms may be combined with other manifestations of allergic diseases.
Diagnostic basis
Cough of 4 weeks duration, irritating dry cough; normal pulmonary ventilation, negative bronchial provocation test; other allergic diseases, positive allergens, increased serum atopic IgE; other causes of chronic cough are excluded.
Treatment
Treatment policy
Prompt diagnosis, prompt treatment, prompt evaluation, application of antihistamines and glucocorticoid drugs.
Drug therapy
Glucocorticoids: including inhalation, oral and intravenous administration;
2. Antihistamines: e.g. loratadine, cetirizine, ketotifen, etc.
Other treatments
It is necessary to both soothe the lung tubes and regulate the unevenness of the organs and qi; during the coughing period, the wind should be restrained to stop coughing; during the relieving period, the root cause should be treated to regulate the organs and qi, emphasizing on regulating the lungs and strengthening the spleen, and secondly, on suppressing the liver. The aim is to slow down lung deficiency and liver exuberance, so that the lung and liver can be maintained in a stable state of equilibrium.
Prognosis
Timely diagnosis, timely treatment, timely evaluation, good prognosis.
Questions you may be concerned about
How to treat children’s allergic cough in TCM and Western medicine?
Allergic cough in children belongs to the category of cough in traditional Chinese medicine. Traditional Chinese medicine and Western medicine can be treated with appropriate medications.
1. Chinese medicine treatment: Chinese medicine treatment requires evidence-based treatment, such as children’s allergic cough identified as wind-cold attacking the lungs, can be taken under the guidance of the doctor’s San’ao Tang and stopping the cough powder treatment; Chinese medicine identified as wind-heat against the lungs, can be taken under the guidance of the doctor’s Sang Ju drink treatment.
2. Western medical treatment: cough suppressants (e.g. montelukast), glucocorticoids (e.g. budesonide), antihistamines (e.g. loratadine) are the mainstay, and the dosage of the medication should be adjusted according to the child’s condition, as children’s allergic coughs usually require short-term continuous treatment.
If you are not feeling well, you should seek medical advice, and if you need to use medication, you should use it under the guidance of your doctor.
How to cure allergic cough in children
Allergic cough in children is a disease that occurs after exposure to allergens or following a cold or flu, so there is no such thing as a cure.
Because of their low immunity, children can be allergic to common factors such as cold air, pollen, and common foods such as eggs and milk, so the best way to avoid the onset of the disease in children is to avoid allergens as much as possible.
Children are also often prone to allergic coughs when they develop respiratory illnesses such as colds or pneumonia, so it’s important to try to avoid children getting sick.
Although there is no so-called categorical treatment, but the child’s immunity will gradually strengthen as he grows, and most of the allergic factors will slowly adapt. Parents can encourage their children to strengthen the skating, swimming and other exercises to exercise the lung function of the sports, which can significantly reduce the incidence of morbidity.
Once you find that allergic asthma occurs in children, you must go to the hospital in time.
Children’s allergic cough is fine during the day, fall asleep at night coughing yellow sputum how to do
When children’s allergic cough is fine during the day, but they fall asleep at night coughing up yellow sputum, they can take anti-allergy drugs (cetirizine hydrochloride), cough and phlegm relieving drugs (orange shellfish), and anti-infective drugs (amoxicillin) for treatment.
Children with allergic cough with yellow sputum, it is recommended under the guidance of the doctor oral cetirizine hydrochloride anti-allergy treatment, cough and phlegm class of orange shellfish combination, ambroxol and other drugs, while you can add budesonide, acetylcysteine and other nebulized inhalation treatment, oral amoxicillin and other drugs anti-infective treatment.
During the period of treatment, more water, more fruits and light food, should not eat too greasy or stimulating food.
Children with allergic cough and yellow phlegm should actively seek medical advice, improve relevant examinations and give targeted treatment. All of the above medications should be taken under doctor’s supervision.
Nursing care
Daily care
1. Avoid exposure to triggering factors, including removing indoor dust mites, eliminating indoor cockroaches, staying away from fur-bearing animals, removing indoor mold, and avoiding smoke irritation;
2. Maintain proper indoor temperature and humidity, and pay attention to indoor ventilation;
3. Take care to wear a mask when going out during the peak pollen season;
4. Keep your mood relaxed and avoid emotional excitement.
Diet
Eat a light diet and avoid contact with allergenic food.