Patient's question:
Half-year illness description: Six days ago started, now the child is coughing badly, especially severe spasmodic coughing. In the morning upon waking, it's the worst, as if there's phlegm that can't be coughed out, making it hard to breathe. After a long coughing spell, it feels like a dry cough. When coughing gets severe, the child cries. It's worse during the day and improves a lot at night when sleeping, but coughing gets intense with any activity. The child had mycoplasma pneumonia last year, which recurred several times. Before this illness, a test was negative, but now it's unclear what the cause is and how to treat it. It's very distressing, and I just want to cry. Why does the child keep getting sick like this?Treatment history and effectiveness: Six days ago, in the morning, the child had a runny nose, slight coughing in the afternoon, and a fever as high as 39°C. After taking azithromycin for 2 days without improvement, intravenous azithromycin and ceftriaxone were administered for 2 days.
Doctor's answer:
Medical Analysis: Hello, the child always has dry cough in the morning and it becomes more noticeable after physical activity. If the child has a history of wheezing, asthma should be considered.Recommendations:
1. The child has an allergic constitution. It's not necessarily that the child is allergic to something specific to be considered allergic; for example, if the child had eczema in childhood, it is likely to have an allergic constitution. After respiratory infections, the symptoms may be more severe and pronounced compared to other children. Currently, continue with intravenous anti-inflammatory and anti-allergic treatment to alleviate the child's airway hyperresponsiveness.
2. If conditions permit, it is recommended to check the child's lung function and then determine if hormone treatment is necessary based on the results.
3. For a child of this age, it is also important to be cautious about accidental inhalation of foreign objects, such as nuts or peanuts, into the trachea.