Deep coughing and fainting symptoms, be alert to cough syncope syndrome

       A 48-year-old man, who is usually healthy, rarely gets sick and takes medication, and never feels tired at work, has developed a cough for no apparent reason in recent months, and every time he encounters a deep and violent cough, he immediately faints and becomes confused and can only come back to his senses after about 1 minute. This is not an isolated disease, but a serious complication of chronic cough in the middle-aged and elderly due to various causes. Cough syndrome refers to a transient loss of consciousness that occurs after a few seconds of episodic coughing, and the patient may awaken within 10 seconds to one minute. In mild cases, the patient may not faint and fall to the ground, but may feel dull, dizzy, dizzy and weak after coughing, and may forget instantly what he or she is doing; in severe cases, the patient may not only faint immediately after a deep and violent cough, but also faint after a few ordinary coughs. Cough syndrome occurs in middle-aged and elderly people who have a long or chronic cough, especially those who present with an irritating dry cough, and often faint immediately after a violent spasmodic dry cough. Generally speaking, the prognosis of cough syncope syndrome is good, as long as the cause of the cough is diagnosed in a timely manner and symptomatic treatment measures are taken, the cough can be completely restored to normal without any sequelae once it is stopped. It should be noted, however, that because cough syncope mostly occurs in sitting, standing, working, walking, especially when riding a bicycle (horse), driving, etc., sudden falls due to syncope can cause trauma or fractures, or even cranial injury. Individual elderly people with cardiovascular and cerebrovascular diseases may also suffer from cerebrovascular accidents, malignant arrhythmia, myocardial infarction, or even cardiac arrest and death on this basis. Therefore, this kind of patients should not be taken lightly and should always pay attention to protection against unpredictability. Fuxinshun, Department of Gastroenterology, Qinghai Provincial Hospital of Traditional Chinese Medicine So, what should be done to prevent cough syncope syndrome? The first thing is to treat the cough symptomatically and give expectorants or sputum thinners to promote the smooth discharge of sputum and reduce the onset of violent coughing; the second thing is to minimize the occurrence of accidents in the event of syncope, and people with a history of this disease should be especially vigilant and should stop all activities carried out in time whenever they have a premonition of coughing and lie down immediately to avoid accidents due to syncope. As for the treatment of the primary disease, specific analysis and treatment should be made for specific problems, such as those caused by tuberculosis, anti-tuberculosis drugs such as rifampin, isoniazid, streptomycin, etc. should be used in a timely, regular, complete, combined and sufficient amount.