Patient's question:
I've been on aztreonam for two days, but it's getting worse instead of better. It's driving me crazy. In the past, this child had no effect after being on medication for days in rural clinics and village health centers. Whenever the child coughs, I feel like my head will explode—it's even more painful than death. When the coughing frequency increases, I vomit foam several times a day...Doctor's answer:
The clinical diagnostic features of sensitive cough are:1. Persistent or recurrent cough for ≥1 month, often recurring at night and in the morning with episodic coughing that worsens after physical activity.
2. No clinical signs of contagion (e.g., fever), or the cough does not improve with long-term use of antibiotics (anti-inflammatory drugs).
3. Cough symptoms can be relieved with the use of urinary dilators (e.g., theophylline).
4. Personal or family history of allergies (e.g., infantile eczema, urticaria, food allergies) or family history of allergies (e.g., allergic rhinitis in parents or relatives).
Advice: It is recommended to undergo a thorough medical examination at a hospital. Allergic cough is a relatively severe type of pediatric allergic disease and is prone to complications such as bronchitis or pneumonia. Nine out of ten children develop this condition before the age of 5, and treatment is best initiated between the ages of 5–7 with proper desensitization therapy. Allergens can be identified through allergen testing, allowing for targeted desensitization treatment. In terms of medication, antihistamines such as chlorpheniramine and ketotifen can be used, or urinary dilators like salbutamol and theophylline may also be effective.