How to handle it when children's coughing does not respond to atomization

Patient's question:

A 6-year-old child has been coughing for a month, and medication has not shown any improvement. Chest X-ray and Mycoplasma tests were normal. Blood tests showed 12.2, and the child received intravenous penicillin, azithromycin, and ambroxol for 4 days. Except for the lack of effect from the nebulizer, there is suspicion of a foreign object. What detailed examinations should be performed, and should surveillance be conducted?

Doctor's answer:

When suspecting a child of having a foreign body in the urethra, it is necessary to conduct a thorough chest CT examination. If a foreign body is diagnosed and it leads to recurrent infections, it may be necessary to use a urethral fibroscope to remove the foreign body, followed by anti-inflammatory treatment. Of course, if there is recurrent coughing, it is also necessary to confirm whether there are issues with allergic cough or asthma. The above advice is for the question "What should I do if my 6-year-old child has been coughing for a month and nebulization hasn't helped?" I hope it is helpful to you. Wishing you good health!

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