Patient's question:
The doctor's child is two years and ten months old. Coughing for one month and ten days, occasionally coughing during the day. Sometimes the nose gets blocked. There is sometimes nasal mucus. At night, around midnight, there is continuous coughing in bursts. In the early stages, the coughing would last for hours continuously. There are no other symptoms. Blood has been drawn and X-rays taken. Initially, bronchitis was diagnosed. The hospital performed and the child took medication, which improved significantly. However, the child still coughs for a few minutes at night. The coughing duration varies, sometimes long and sometimes short. The child has been taking medication without improvement. Several hospitals have been visited. Later, it was diagnosed as variable asthma.Doctor's answer:
This parent, if your child coughs more than the surrounding area, frequently recurs at night or in the morning or continuously worsens based on a mild cough, has no infectious increase in clinical diagnosis, or is ineffective with long-term antibiotic treatment but effective with anti-asthma medication, and has chronic cough with other causes ruled out, as well as positive allergens, or has children with positive allergens in direct relatives, can be diagnosed as cough-variant asthma. It is recommended to take oral montelukast for 1 to 3 months and undergo at least one month to over a year of aerosol treatment. Unscheduled clinical diagnostic tests should be conducted, and medication should never be stopped on one's own.