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    A Simple Guide To Chronic Cough In Children, Diagnosis, Treatment And Related Conditions
    Unavailable
    A Simple Guide To Chronic Cough In Children, Diagnosis, Treatment And Related Conditions
    Unavailable
    A Simple Guide To Chronic Cough In Children, Diagnosis, Treatment And Related Conditions
    Ebook98 pages1 hour

    A Simple Guide To Chronic Cough In Children, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

    ()

    Currently unavailable

    Currently unavailable

    About this ebook

    This book describes Chronic Cough In Children, Diagnosis and Treatment and Related Diseases

    Chronic Cough in Children is very commonly seen at the family doctor clinic.

    Up to 7-10 % of preschool and primary school children may have chronic cough without wheeze at some time.

    Cough in children may occur from causes anywhere along the airway, from the nose to the alveoli.

    Cough is a non-specific reaction to irritation anywhere from the pharynx to the lungs.

    Childhood coughing is a frequent disorder that can cause anxiety in parents.

    There are significant differences from adult cough in terms of possible causes and treatment guidelines.

    Chronic cough in children is described as a cough that last longer than eight weeks.

    This time period is used because most acute infective causes of cough will recover in 3-4 weeks, and the eight-week definition identifies those who may require more investigations.

    Occasionally post infective cough may persist longer (3-8 weeks) as in the case of pertussis or post viral cough.

    Chronic cough may be classified as:

    1. Specific cough (in which there is no identifiable cause)

    2. Non-specific cough (persistent isolated dry cough in otherwise well children with no signs of respiratory disease and normal investigations)

    The three most frequent causes of chronic cough in adults (asthma, postnasal drip syndrome and gastro-esophageal reflux) are not always the most frequent in children

    Isolated cough is now thought to be abnormal as a manifestation of asthma in children, which normally is linked with other presenting symptoms.

    Investigations are CXR and spirometry

    Frequent causes in primary care

    1. Infections (or recurrent infections) - including respiratory syncytial virus (RSV), adenovirus, Mycoplasma pneumoniae, chlamydial pneumonia, whooping cough (pertussis) and tuberculosis.

    2. Asthma.

    3. Postnasal drip syndrome.

    4. Environmental agents - tobacco smoke, possibly charcoal or kerosene heaters.

    5. Gastro-esophageal reflux.

    Further investigations:

    1. Sputum sample if possible - for microbiology and cytology.

    2. Allergy testing (skin prick or radioallergosorbent test (RAST) specific testing) may help if atopy/asthma is likely diagnoses.

    Treatment

    This is dependent on any specific cause found.

    1. In a well child with no 'red flags', the doctor should aim to prevent invasive investigations and to reduce the expectations and anxieties of parents.

    2. Persistent cough produces a significant load in terms of repeated treatments and parental anxiety.

    3. Environmental contributions should be removed if possible - e.g., tobacco smoke.

    No treatment has been discovered to be especially effective for isolated nonspecific cough in an otherwise well child.

    Reassurance is essential, and it will normally subside over time.

    Anti-tussive drugs, other than simple cough linctus, are not normally advised.

    If the patient has seasonal allergies, such as hay fever, the child should:

    1. Stay indoors during days or times of the day (normally the morning) when airborne allergens are high.

    2. Keep windows closed and use an air conditioner.

    3. The child should not use fans that draw in air from outdoors.

    4. Shower and change the clothes after being outside.

    LanguageEnglish
    PublisherKenneth Kee
    Release dateJun 7, 2018
    ISBN9781386114260
    Unavailable
    A Simple Guide To Chronic Cough In Children, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972. Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009. Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993. Dr Kenneth Kee is still working as a family doctor at the age of 69. However he has reduced his consultation hours to 3 hours in the morning and 2 hours in the afternoon. He first started writing free blogs on medical conditions seen in the clinic in 2007 on http://kennethkee.blogspot.com. His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog afamilydoctorstale.blogspot.com. This autobiolographical account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Conditions” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com. From which many free articles from the blog was taken and put together into 550 amazon kindle books and some into Smashwords.com eBooks. He apologized for typos and spelling mistakes in his earlier books. He will endeavor to improve the writing in futures. Some people have complained that the simple guides are too simple. For their information they are made simple in order to educate the patients. The later books go into more details of medical conditions. The first chapter of all my ebooks is always taken from my blog A Simple Guide to Medical Conditions which was started in 2007 as a simple educational help to my patients on my first blog http://kennethkee.blogspot.com. The medical condition was described simply and direct to the point. Because the simple guide as taken from the blog was described as too simple, I have increased the other chapters to include more detailed description of the illness, symptoms, diagnosis and treatment. As a result there are the complaints by some readers of constant repetitions of the same contents but in detail and fairly up to date.  

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