A 4.5-year-old child has had a persistent cough that hasn't improved. I heard there are wheezing sounds—is it asthma?

Patient's question:

Okay, here is the translation following your instructions:
Okay, later the doctor also prescribed Singulair and Beconase. On January 17th before the New Year, I took him to the hospital for a blood test and a chest X-ray, which showed no problems. After that, the cough was lighter. However, starting from the second day of the Lunar New Year, the cough worsened. On the eighth day, I took him to the hospital. The doctor heard wheezing sounds and prescribed asthma medication Ventolin and Flixotide. Should I give them to my child? I am extremely anxious. The child is not wheezing, but the cough hasn't gone away for a long time. Sometimes they seem to have difficulty breathing through their nose, and sometimes they breathe with their mouth open. Is this asthma?

Doctor's answer:

Medical Analysis: Hello, based on the situation you described, the baby has been coughing frequently with asthma-like sounds, and the medication has not been effective. Therefore, pulmonary function tests, elevated eosinophils in the blood, and Mycoplasma pneumoniae testing should be considered.
Guidance: Generally, a positive Mycoplasma pneumoniae test requires a 15-day treatment course with azithromycin. If the condition is caused by allergies, it is necessary to avoid allergens. Additionally, symptomatic treatment for allergies and asthma can be administered, such as using salbutamol spray and prophylactic use of ketotifen. For mucus thinning, the first choice is ambroxol hydrochloride, or oral Huanglian Houzao Powder.

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