Patient's question:
Each time, the cough is usually triggered by a fever, and once the fever symptoms subside, the cough persists. The coughing comes and goes, with a duration of over a year. Recently, from early March to the present, there hasn't been a single day without coughing. After a thorough examination at the hospital, the doctors said it was bronchitis, with no issues detected in the lungs. There is no history of asthma in the family through three generations. From March 23 to 25, the coughing was the most severe, occurring frequently both day and night (interfering with rest). From March 26 to 28, after intravenous drips, the nighttime coughing slightly improved, though daytime coughing remained frequent. Later, during treatment at the Guangzhou Children's Hospital, the nighttime coughing stopped completely (with a slight cough before sleep), while daytime coughing was still occasional and less frequent (in bursts). However, as of today (April 4), the coughing has become frequent again, though not intense, but very frequent.Previous Treatment and Effects:
- March 23: Ultrasound treatment (atomization) for 4 days; once a day; Compound Furkotin Syrup; 3 times a day for 3 days; Desloratadine Powder for Suspension; once a day; half a pack; Montelukast Tablets; once a night for 3 days; SuTang Cough Syrup; 3 times a day for 3 days; Zhen's Fuzheng Granules; 3 times a day for 4 days.
- March 26: Intravenous drip: 100ml of 5% Glucose Injection; Cepharanthin Injection (5ml:125mg) intravenously; 100ml/75mg; 5% Glucose Injection (National Base); Needle (15mg2ml5); intravenously (connected to drip) 50ml/15mg.
- March 27-28: Continuous intravenous drip for 2 times: 100ml of 5% Glucose Injection; intravenously; 100ml/75mg; 5% Glucose Injection (National Base); Needle (15mg2ml5); intravenously (connected to drip); Skin test; 0.9% Sodium Chloride Needle (10ml5; National Base); Penicillin Sodium Needle (800,000U; National Base).
- March 28 afternoon to Guangzhou Children's Hospital for 10 days of medication:
1. Compound Furkotin Syrup; 3 times a day.
2. Montelukast Tablets.
3. Tiotropium Bromide (Amida); once a day.
4. Bacterial Lysozyme Capsules (Panaxol).
5. Transfer Factor Oral Liquid; 1 tube (10ml) each time.
What Assistance Is Needed:
The child's cough keeps coming and going without resolving; it has lasted for over a year. Although the child coughs, their spirits remain good, and they have never had high fever. The cause has not been identified, and the situation is very urgent. Please help the experts diagnose, speculate, and provide advice. Thank you very much!
Doctor's answer:
Mostly, cough is caused by inflammation due to upper respiratory infections. It is advisable to consider using some antibacterial and anti-inflammatory drugs in combination with expectorants for treatment. Suggestions: If the cough is severe, you can let the baby inhale steam; moist air is beneficial for thoroughly clearing mucus from the lungs and soothing the cough. The above is advice for the question "Child's cough persists for over a year," hoping it helps you, wishing you health!