How to treat barking cough in children Komarovsky

• Prevention
• Komarovsky about allergic cough in a child

Cough in children is a sign of colds, but in some cases it can become a manifestation of an allergic reaction. The first manifestations of allergies can occur in infancy, and both common household objects and pets can become allergens. Experts identify certain signs that help distinguish an allergic cough in a child from a cold.

Causes of allergic cough in children

Most often, substances contained in the inhaled air can be provocateurs.

1. Dust that rises when air masses move.
2. Plant pollen - during the flowering period of grasses there is quite a lot of it in the air.
3. Fungal spores are carried by the wind.
4. Animal fur.
5. In addition, an allergic cough in children is possible as a response to a foreign protein. It can enter the body after the vaccine is administered. Plasma and serum should be added to this list.
6. The smell of perfume can also cause an allergic cough.

Causes

An allergic cough in a child is a fairly common reaction in the presence of a strong irritant. At the same time, children often develop a runny nose and many other signs that indicate an allergy.

This problem is mostly related to the individual characteristics of the body. The most common reason in this case was a genetic predisposition, which was formed in the womb. If parents have a tendency to allergies, then children may also have a tendency to have a similar reaction to allergens. Typically, an allergic reaction is manifested by redness of the skin, frequent sneezing and runny nose. However, a dry, strong cough is a more acute response to an irritant.

Common types of allergens that can have a negative effect on the human respiratory system are household, chemical, medicinal, plant poisons and toxins, and food products.

Dr. Evgeniy Komarovsky, a pediatrician, notes that allergic cough is the cause of the development of contact and food allergies, atopic dermatitis, rhinitis, pharyngitis, laryngitis, as well as bronchial asthma. This problem usually affects the respiratory system, as a result of which acute pathologies may appear in the bronchi or lungs.

How not to confuse an allergic cough with other diseases - bronchitis or whooping cough

Bronchitis is an inflammatory process in the bronchi, and whooping cough is an infectious disease often found in children. So, allergic cough in children is very similar to the one that occurs with these diseases. But there are clear differences.

1. In case of allergies, a cough is rarely accompanied by the discharge of sputum; it takes a lot of effort to remove it from the respiratory tract.
2. Due to swelling of the bronchial mucosa, before an allergic dry cough begins, the child has difficulty breathing and shortness of breath.
3. Before the attack, parents notice that the baby has been in contact with some objects. Perhaps he smelled flowers on the street while walking or petted a cat or dog. Or maybe there were other provocateurs that could cause allergies in children.
4. A seasonal disease is not affected by ambient temperature, while bronchitis most often occurs in the cold season.
5. The child’s temperature does not rise if the cough is allergic in nature.
6. Antihistamines are effective for treatment - they stop attacks.

How to distinguish an allergic cough from a cold

Many parents do not know how to determine the origin of uncontrollable spasms of the larynx and throat. In most cases, to understand the original sources of an unpleasant symptom and select the correct, effective treatment, you should remember whether the child has had contact with possible allergens, for example, animals or household chemicals.

You can understand what type of allergy cough occurs in children by the following symptoms:

• unpleasant manifestations of the pathological condition appear suddenly;
• an allergic cough in a child usually lasts more than 3 weeks, sometimes several months;
• spasms are not accompanied by fever, chills, or unmotivated weakness;
• There are almost always accompanying signs of an incorrect response of the immune system to irritants (runny nose, tearfulness, itching and sore throat).

It is important to know that a cough due to allergies is not always dry. Sometimes the spasms are wet with sputum discharge. In this case, the mucus is colorless or glassy. In rare cases (food poisoning, contact with poisons), swelling, redness, diarrhea, vomiting, and conjunctivitis may occur.

Doctors recommend that parents closely monitor the health of children who are predisposed to allergic cough.

If your baby complains of difficulty breathing or a constant sore throat, you should immediately seek help from a doctor.

Sometimes symptoms indicate the onset of bronchial asthma or obstructive bronchitis. Such diseases require immediate treatment.

Symptoms

Seasonal cough is practically no different from cough that accompanies other health problems. But there are certain signs that will indicate its allergic nature.

Allergic cough itself is not a disease, but a symptom, therefore, even if you get rid of it, you cannot cure the disease.

Symptoms of seasonal cough:

1. Coughing attacks appear suddenly.
2. It can last for a very long time (an hour or more), so appropriate measures must be taken.
3. The cough is dry and may manifest itself periodically.
4. A common addition to an allergic cough is rhinitis.
5. The cough is especially worse at night, and the child feels better during the day.
6. Rarely, clear sputum may be produced.
7. Sometimes itching in the nose and sneezing appear.
8. Before a coughing attack, the child may feel shortness of breath and difficulty breathing.

Barking cough Komarovsky

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Doctor Komarovsky about allergic cough in children

This doctor is very popular among mothers, because he gives good advice for the treatment of various childhood diseases. Regarding how to cure an allergic cough in a child, Komarovsky says the following:

1. Here a whole chain of first actions is built - the doctor makes a diagnosis based on the symptoms, then treatment is prescribed. The doctor is in charge.
2. In fact, with the help of coughing, the body clears the lungs of accumulated mucus, which cleanses the bronchi and neutralizes viruses and bacteria.
3. To prevent the mucus from drying out, which is so necessary in the body’s self-healing process, you need fresh air and plenty of fluids.
4. If an allergen is found that caused the disease in a child, it is necessary to exclude all contacts of the baby with it. This could be a wool blanket or flowers.

Causes of night cough in a child according to Komarovsky

Parents experience any illness in children very seriously. Anxiety about the child’s condition haunts me. Coughing is a protective mechanism to remove accumulated mucus, and it can appear for various reasons.

Most often, this symptom appears during colds. But pediatrician Komarovsky also sees the causes of a child’s night cough in other pathologies and conditions.

To prescribe effective treatment, it is important to find out the provoking factor and eliminate it.

Komarovsky's opinion on the causes of night cough

If a child develops a nighttime cough reflex, this does not necessarily indicate the development of a serious illness, although such attacks should not be ignored.

Komarovsky sees the following reasons for a child’s cough at night:

1. Allergic reactions.
2. Colds.
3. The period of teething in the baby.
4. The air in the children's bedroom is too dry.
5. Psychogenic nature of cough. In this case, there is psychosomatics, the symptom is caused by nervous disorders. Convulsions are not uncommon in such cases.
6. A residual phenomenon after an infectious disease.
7. Serious pathologies requiring medical intervention.

A decision on possible treatment can be made only after the cause has been determined; this should be done by a pediatrician.

Possible diseases with cough without fever

When a child goes to sleep, the horizontal position leads to the accumulation of mucus in the upper respiratory tract. If a child coughs at night, Komarovsky believes that the absence of temperature may indicate the presence of the following pathologies:

• Rhinitis, pharyngitis. With these diseases, the cough is dry and irritating. Between attacks, the baby may cough and a sore throat appears.
• Bronchitis of asthmatic nature. The cough is accompanied by wheezing, the child complains of chest pain, and it becomes difficult for him to breathe.
• Whooping cough. A serious illness that manifests itself as a non-stop barking cough. In this case, whistling sounds appear, a large amount of sputum is released, and vomiting may occur. A severe cough simply exhausts the baby, disrupting sleep and leading to exhaustion.
• Adenoids. With this pathology, the cough reflex increases during periods of exacerbation and in severe cases of pathology. Mucus, going down the nasopharynx, causes the child to cough.
• Gastro-food reflux is manifested by a dry cough and sore throat. If you cough too much, you may vomit.
• Helminthic infestations. The presence of helminths in a child’s body often causes a dry cough reflex. The child may also have abdominal pain and a feeling of nausea.

If an unpleasant symptom does not allow the child to fall asleep and torments him at night, then during the day he is sleepy and looks tired. If a child’s cough does not go away during sleep for a long time, then Komarovsky believes that it is time to visit a doctor.

You should not prescribe medications to treat your child on your own. This could be dangerous to his health.

The child coughs only at night

Parents begin to worry if there is no cough during the day, and at night their child often wakes up due to an obsessive symptom. Komarovsky advises paying attention to some points if a child coughs while sleeping:

• The symptom is accompanied by grinding of teeth. This may indicate not only inflammation, but also the presence of parasites in the body, a foreign body in the respiratory tract.
• The cough reflex is accompanied by mucus discharge from the nose. If there is no temperature, then an allergy or infection can be suspected.
• A cough along with rhinitis, but at a normal temperature, is a sign of the presence of a virus in the body. If the readings on the thermometer are creeping up, then a bacterial infection can be assumed. In such a situation, urgent measures must be taken; there is a high probability of developing bronchitis, laryngitis, sinusitis, and pharyngitis.
• The following symptoms will also indicate a cough of an allergic nature: heavy discharge from the nasal passages, lacrimation, skin rashes. To combat this symptom, it is important to identify the allergen and eliminate it if possible. Only antihistamines can help alleviate symptoms.

It is important to distinguish an allergic cough from the symptoms of a cold. Therapy is meant to be different.

Komarovsky's advice on how to cure a cough

The pediatrician believes that it is not the symptom itself that should be treated, but the pathology that provoked it. Parents often ask the question, how to stop an attack, what to do in such cases?

The doctor's recommendations on this matter are:

• If the cough is allergic, then you should try to eliminate allergens: make bed linen only from natural fabrics, regularly carry out wet cleaning, and ventilate the children's bedroom before bedtime.
• Infectious pathology, as the cause of cough, requires its own drug treatment.
• To maintain air humidity at a normal level, the ideal option for a children's room is a humidifier.
• The culprit of the cough is teething, nothing can be done about it, we need to survive this period.

If parents are sure that a severe cough is caused by a cold infection or ARVI, then drug therapy will be needed, but only a doctor should prescribe it.

As for taking medications, Komarovsky has his own opinion on this matter:

1. Most often, in the presence of a respiratory infection, cough medications are not required, and sometimes they are completely prohibited.
2. If the baby is less than two years old, then drugs that suppress the cough reflex are contraindicated. You can achieve results quickly, but the consequences can be quite serious.
3. It is strictly forbidden to combine cough medications with drugs to increase phlegm. This is fraught with the accumulation of fluid in the lungs and the development of an inflammatory process in them.
4. Drug therapy should be combined with air humidification, warm and plentiful drinks, and compliance with the temperature regime in the room.

Drug treatment

According to Komarovsky, if a child coughs in his sleep and therapy is prescribed by a doctor, then parents should have an idea of ​​the mechanism of action of a particular drug. Such funds are divided into several groups:

1. Mucolytic. The active ingredients of the drugs dilute sputum.
2. Expectorants. Helps remove mucus from the bronchi.
3. Combined means. At the same time, the inflammatory process is relieved. Makes sputum less viscous and promotes expectoration.

Depending on the type of cough your child has, the doctor will prescribe medicine. The following medications will help soothe dry sleep and improve sleep:

• "Sinecode".
• "Tusuprex".
• "Sedotussin."
• Antitussive mixtures: “Stoptussin”, “Bronholitin”.

The dosage and treatment regimen are selected individually, taking into account the baby’s condition, age and the presence of accompanying symptoms.

The following medications will provide relief from a wet cough:

• "Bronchicum".
• "Doctor Mom"
• "Pekutsin."

In addition to drugs to relieve the cough reflex itself, drugs are prescribed to combat the cause of the symptom. If there is a bacterial infection, then you cannot do without taking antibiotics.

It is strictly forbidden to give any antibacterial agents to a child without the advice of a specialist. This can cause serious harm to your health.

If a viral infection provokes the cough reflex, then treatment with antiviral drugs will be added.

Physiotherapy to relieve cough

Physiotherapeutic treatment speeds up recovery and improves the child’s condition. Taking into account the reason, the doctor prescribes a set of procedures during which the following devices are used:

• Magnetotherapy. The action is based on a magnetic field, which eliminates the inflammatory process, improves the child’s condition, and reduces the amount of medications taken.
• Quantum and laser therapy. Procedures using such equipment can increase the body's immune response, which helps reduce the amount of drugs consumed.

Among the methods of treating cough, the following are often used: electrophoresis, UHF therapy, treatment with mud, and salt. This therapy is especially useful if the cough reflex is caused by bronchitis or other infectious diseases of the respiratory system.

It is not possible to use the devices at home, but you can resort to the following procedures:

• Cupping and warming patches.
• Vibration massage of the back and chest.
• Breathing exercises will help ease the baby's condition.
• Physiotherapy. A specialist will help you choose a set of exercises that will help strengthen the respiratory system and remove phlegm.
• Steam inhalations. The procedures help to liquefy mucus and reduce the inflammatory process. Nebulizers are ideal for inhalation.

If you have serious illnesses, physiotherapeutic treatment will be an excellent addition to speed up the healing process. Even if, as Komarovsky believes, the child coughs during the day but not at night. It does not matter when the symptom appears; physical therapy can help treat any cough.

Folk remedies

Many mothers try to avoid taking medications and resort to traditional medicine recipes. It should be noted that such remedies help in many ways, but if the cough is caused by a serious illness, then they can only complement the main drug treatment.

Among the effective recipes are the following:

1. Mix heated milk with honey and baking soda. Drink during the day and at night.
2. Buy a herbal mixture at the pharmacy: coltsfoot, oregano and licorice root. This composition helps reduce inflammation and improve mucus discharge.
3. You can calm the morning or night cough reflex with the help of compresses. Boiled potatoes are suitable for this procedure. It is kneaded, internal fat, half a teaspoon of mustard and honey are added. It is better to do the procedure at night.
4. Use badger fat to rub the baby's chest and back.
5. Grate the radish, mix with sugar or honey, squeeze and give a teaspoon several times throughout the day.

If parents do not regularly take preventive measures and do not monitor the child’s health, then after treatment the cough may soon return again.

Cough prevention

Children's doctor Komarovsky assigns the main role to prevention. It should be as follows:

1. Every day before sending your child to bed, you need to ventilate the bedroom and do a wet cleaning.
2. Maintain optimal humidity levels.
3. Avoid contact with any household chemicals, possible allergens, and do not allow smoking in the house.
4. During the day, provide something to drink; during the cold season, it is better if it is herbal teas or rosehip infusions.
5. Soak your feet before going to bed.
6. If you have laryngitis, inhaling steam will relieve the condition. You need to fill the bath with hot water and put the baby in so that it can breathe.
7. For babies from one year of age, inhalations with saline solutions and medicinal herbs are recommended.

Inhalations and antihistamines are prohibited for infants, so night cough can be alleviated by changing the position of the child in the crib more often.

Doctors also recommend paying great attention to nutrition. The diet should contain only healthy foods, fresh vegetables and fruits. A balanced diet helps strengthen the immune system, increase tone, which will allow the body to quickly get rid of an unpleasant symptom.

Cough is, of course, a problem, but not always serious. It is only important to recognize the culprit of the symptom in time and take the necessary measures to improve the child’s night sleep and improve his condition.

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Source: https://NetSna.com/deti/detishki/kashel-prichiny-komarovskij.html

Diagnosis of allergic cough

If parents cannot achieve success in treatment on their own by giving the child antitussive drugs, then they take him to see a doctor. The specialist conducts a thorough diagnosis and identifies the exact allergen, after which treatment can begin. First, the doctor examines the child to see if he has any symptoms of other illnesses that could cause coughing attacks. Tests are then carried out to help identify the allergen. They are done so that you can determine how to cure an allergic cough. Small scratches are applied to the skin of the forearm with a scarifier. Solutions with certain substances are dripped onto them. This is how an allergy test is performed. If irritation appears at the site of the drop, the desired allergen will be found. Although there may be several of them. This diagnosis is contraindicated in children under 3 years of age.

In addition, before starting treatment for allergic cough in children, it is necessary to determine the level of immunoglobulins in the blood. With the help of this modern and accurate method, it becomes possible to reliably state that the child has an allergic reaction.

It is necessary to gradually protect the baby from suspicious substances and objects. If the attacks stop as a result, it means that the allergen was definitely found.

Allergic cough in children: causes

The main cause of allergic cough and related diseases is allergy - increased sensitivity (sensitization) of the body to foreign substances. There is a pronounced age-related variability in children's sensitization to allergens:

• in young children, food allergens are the most common cause of allergic cough;
• at the age of 4–6 years, household allergens take first place;
• In schoolchildren, the most common cause of cough is an allergy to pollen.

The likelihood of an allergic cough in a child increases:

• hereditary predisposition to allergic reactions;
• air pollution with chemical aerosols;
• frequent respiratory infections;
• excess of food additives in the diet;
• passive smoking;
• medicines, serums, vaccines.

"Intal"

The drug effectively affects cells located on the mucous membranes. It also prevents the release of meliatory substances from the respiratory system. "Intal" must be used in a course, since it is not very effective in eliminating allergy attacks. Immediately after inhalation, you should drink a glass of clean water, which will prevent the development of bronchospasm. "Intal" can be prescribed during pregnancy, as well as for children over five years of age. The price for it is quite high and amounts to more than 650 rubles. What other medications should I take for an allergic cough?

How to treat a dry cough in a child: advice from Dr. Komarovsky

Often, when advertising medications for dry cough, they promise quick relief from the disease. This is fundamentally wrong. Cough is not a disease, but a symptom of it, a protective reflex of the body.

OK

The famous children's doctor E. Komarovsky claims that it is not the cough that needs to be treated, but the disease that caused the cough. Developing this idea, Dr. Komarovsky argues: you don’t need to get rid of a cough, but increase its effectiveness.

How does it manifest?

The main characteristic of a dry nonproductive cough is the absence of sputum.

Other characteristic signs of a dry cough:

• sore throat.
• barking cough
• bronchospasms,
• dyspnea,
• elevated temperature,
• painful cough at night.

Symptoms indicating the development of the disease:

• pain in the head area,
• nervous system disorders,
• insomnia.

Reasons for development

Cough without phlegm accompanies many diseases. The main ones:

• Laryngitis . Inflamed ligaments, hoarse voice, barking cough, fever.
• ARVI . At the beginning of the disease, there is a painful dry cough with a high temperature.
• Whooping cough . Severe spasmodic cough with wheezing inhalation (reprise).
• Measles . Often the disease begins with a dry cough at an elevated temperature.
• Laryngotracheobronchitis . The disease causes swelling of the trachea and larynx and a barking cough. Inspiratory dyspnea occurs due to a swollen larynx.
• Allergy . Along with nasal congestion and lacrimation, a cough without sputum appears.
• Tracheitis . The disease is characterized by frequent attacks of dry cough.
• Pleurisy . In severe cases of the disease, a cough without sputum causes pain when inhaling.
• Reflux . The contents of the stomach rise into the esophagus, and the throat also becomes irritated. The baby feels a burning sensation.
• Irritation from smoke, chemicals, detergents, dusty air.

Cough at night

A child’s cough during sleep is the body’s reaction to infection or inflammation. If your baby starts coughing at night, you should immediately consult a doctor.

The causes of a dry cough in a child at night can be:

• Allergic reaction caused by surrounding objects: bed linen made of low-quality fabric; nearby toys of unknown origin, especially soft ones; the smell of recently painted objects.
• Viral origin . It is at night that mucus in the lungs begins to accumulate, causing attacks of suffocation.
• A nighttime cough without sputum sometimes occurs with gastrointestinal reflux .
• Frequent night cough, and then a paroxysmal dry cough, signals the onset of bronchitis or whooping cough .

No temperature

When a child has a cough with signs of suffocation, and the temperature is normal, you should consider whether a foreign body has entered the throat. A ball, a button, or part of a toy can bring a child to a critical state. A foreign body can be removed with sliding blows between the shoulder blades. In this case, the child lies on the adult’s knee, body down.

Infants up to one year old develop a cough in the morning, which causes great anxiety among parents. Fears are in vain: the baby coughs to get rid of the phlegm that has accumulated overnight, which is normal for infants.

If a child has a dry cough, you should consult a doctor and, after consulting a pediatrician, begin treatment.

Treatment options

In articles and television programs devoted to eliminating dry cough, doctor E. Komarovsky emphasizes that it is not possible to get rid of a cough unless the causes of the cough are eliminated.

You can humidify the air and eliminate the effect of allergens, but if the cause of the cough is a viral disease, you can only expect the effect of antiviral immunity on the disease.

During this time, the child will undergo painful attacks, and his parents will undergo a lot of unpleasant worries.

It is impossible to eliminate a cough; it is necessary to increase its effectiveness . These words of E. Komarovsky became the main principle of getting rid of cough.

A positive characteristic of an effective cough is its rare manifestations. After the accumulation of sputum, the child coughs, getting rid of it, there is a respite, and everything repeats.

But sometimes you have to cough many times to get rid of phlegm.

Treatment for children differs from treatment for adults. There are factors that cannot be ignored:

• For up to two years, drug treatment is prescribed only as a last resort, strictly adhering to the doctor’s advice, since there is a risk of drug overdose.
• The medicine should be given to the baby before rest - often the drugs cause drowsiness or dizziness.
• Until the age of two, children do not know how to cough to remove mucus. A child who has a cough needs to drink as much fluid as possible.

When treating dry cough you should remember:

• It is necessary to strictly follow the instructions of the pediatrician.
• Conditions favorable for treatment are created in the house. Clean air should be cool and humid. Air temperature is within 18 – 20 degrees.
• Eliminate odors and cigarette smoke.
• The child should receive plenty of fluids.
• The diet includes fermented milk products, cereals, vegetable and fruit purees.

What affects the effectiveness of a cough?

Dr. Komarovsky identified factors for the effectiveness of cough:

• The ability to cough , i.e. consciously perform a cough impulse. In an older child, the cough is more effective.
• Quality of sputum . Thick sputum is more difficult to get rid of; you have to cough many times. Cough shocks cannot be changed. But you can change the thickness of the sputum, thereby affecting the effectiveness of the cough.

For symptomatic treatment of dry cough, the following mandatory requirements must be observed:

• The room should be cool and fresh. This will prevent the discharge from becoming thicker and the mucous membranes from drying out.
• The child should receive the maximum amount of fluid to thin the mucus.

By following these rules, you can rid your baby of dry cough by 90%.

Will medications help?

There are two options for the effects of medications:

• Cough medicines. They relieve cough by reducing the excitability of the cough center.
• Expectorants. They improve cough, while the rheology of sputum and bronchial contractility change.

Medicines for dry cough are aimed at changing sputum, performing one of two functions:

• Liquefies already formed mucus
• Increases the amount of sputum that is easy to cough up.

Cough medicines

According to Dr. Komarovsky, coughing is a necessary protective reflex, but some diseases require the use of medications:

• whooping cough.
• pleurisy,
• oncological diseases of the respiratory system.

E. Komarovsky warns parents against using antitussive medications for their children without a doctor’s prescription: some of them have a narcotic effect.

Expectorant medications

Drugs in this category help cleanse the respiratory system from mucus. Dr. Komarovsky divides them into two groups:

• Resorptive (after absorption, drugs from the gastric mucosa are released in the bronchi, diluting the mucus).
• Reflex . By activating the nerve endings of the stomach, they influence the production of mucus in the bronchi.

Mucolytics

The drugs affect sputum, while thinning it. Mucolytics are used, according to Komarovsky, if the sputum is thick and viscous. Otherwise, mucolytics may worsen the cough.

Among mucolytics, a well-known pediatrician identifies:

• Ambroxol,
• Bromhexine,
• Carbocysteine,
• Guaifenesin

At the same time, Komarovsky claims that the effectiveness of the drugs will only appear with an additional effect on blood rheology by increasing the amount of fluid taken.

What should a child drink?

A sick child needs large amounts of fluid. If the child does not have allergic reactions, it is advisable to give the baby water:

• tea with lemon,
• linden tea,
• cranberry juice,
• tea with raspberries,
• tea with added honey,
• warm milk.

Use of herbal infusions

The following herbs have expectorant properties:

• marshmallow (root),
• pine buds,
• coltsfoot,
• oregano,
• licorice (root),
• sage.

Directions for use: 1 teaspoon of dry herb or root, pour a glass of boiling water, simmer for 15 minutes. Take a teaspoon every 4 hours. You can prepare a decoction from a mixture of these herbs, taken in equal proportions. Methods of preparation and dosage are the same as in a one-component decoction.

Children after two years of age can take decoctions in the absence of allergic manifestations.

Remember! When getting rid of a dry cough, you need to be extremely careful: simultaneous use of cough medicines and drugs for cough effectiveness lead to very serious consequences!

Preventive measures

A dry cough occurs for various reasons, accompanying many diseases and mechanical effects on the baby’s respiratory system. To minimize unpleasant moments when a child becomes ill, you need to follow the advice of Dr. Komarovsky:

• Constantly take measures aimed at increasing your child’s immunity.
• Provide your baby with cool, moist air in his room.
• Eliminate allergens in the child’s environment.
• Make sure your baby is drinking enough fluid.
• Do not treat your baby without consulting a specialist. The first time you cough, contact your doctor.

And don’t forget about a favorable emotional environment . The attention and love of family members is the best medicine for a sick child.

Source: https://ai-bolit.com/zabolevaniya/lor/sukhoy-kashel-u-rebenka.html

Types of allergic cough

There are the following types of cough:

Barking cough in a child: Komarovsky gives advice

Children's doctor pediatrician, Evgeniy Komarovsky, identifies the following causes of barking cough in children:

• allergic reaction;
• infectious diseases;
• foreign body entering the throat;
• diphtheria;
• whooping cough;
• pharyngitis;
• laryngitis;
• increased air dryness;
• bronchial asthma;
• nervous breakdown;
• cystic neoplasms;
• inflamed larynx.

Children under five years of age are most susceptible to bouts of barking cough. Parents should remember that coughing in infants can be a protective reaction to dust. Dr. Komarovsky spoke about this more than once. A constant dry cough that does not worsen the general condition of the body is called nervous. In this case, the child needs to be shown to a pediatrician.

In cases where a cough is accompanied by an allergic reaction, vomiting, fever, shortness of breath, parents should immediately consult a specialist. In such a situation, you should not treat children yourself until the true cause of the cough is determined.

How to diagnose

Evgeny Komarovsky distinguishes two types of cough in children: wet and dry. With the wet type of the disease, the lungs are freed from mucus and phlegm, which makes breathing easier and improves the general condition of the patient. A dry cough is also called a barking cough, since the child is not able to clear his throat on his own, his breathing is difficult, his voice shrinks and begins to wheeze.

To diagnose this disease, just listen to how your child coughs.

The sound when coughing is similar to a dog barking, and is due to the fact that the voice changes due to slight swelling in the larynx.

It is most severe at night and early in the morning, because at this time the lungs are ventilated at a slower pace, phlegm accumulates and causes severe attacks in children.

This cough may be accompanied by a sore throat, runny nose, fever, and slight inflammation of the lymph nodes. In addition, chest pain due to severe muscle tension is a frequent companion.

Weakness, fatigue and dizziness appear in children as a result of lack of oxygen.

A barking cough is dangerous because the swelling of the mucous membrane of the larynx increases, which can result in suffocation.

The disease is not always accompanied by infection or inflammation. A cough can begin in a completely healthy baby.

Call an ambulance immediately if you experience symptoms such as high temperature with chills or fever, increased salivation, diarrhea, change in skin color, swelling of the larynx, or asthma attacks. Self-treatment of children with such symptoms is strictly not recommended.

Treatment according to Komarovsky with fever

You need to start by eliminating the main cause of the disease. It is important to treat not the cough, but the disease of which it is a symptom. There is something in the child’s body that irritates the mucous membrane of the respiratory tract and leads to the accumulation of sputum. It is necessary to eliminate the causative agent of the disease or irritant, and after a while the cough will stop on its own.

If this is a consequence of a bacterial infection, then an antibiotic may be prescribed. If you have allergies, use antiallergic medications, but if it is a viral infection, then you need to help the body cope with it faster. And so, if children have a fever and cough, Dr. Evgeniy Komarovsky advises parents to adhere to the following rules during treatment:

• the child needs peace of mind, do not worry him, otherwise the cough will only get worse;
• the air in the room should be fresh and humid, as this makes breathing easier and promotes rapid expectoration. Ventilate the room as often as possible, and don’t be lazy to do wet cleaning at least once a day;
• Give your child plenty of fluids as often as possible. This can be tea, juice, warm water, decoctions of chamomile, linden, rosehip. The more liquid the baby drinks, the faster the sputum thins and expectoration occurs;
• do not be afraid to undress the child, this will lower the temperature faster and make it much easier for the patient to breathe. Clothing can compress the respiratory system;
• It is not recommended to lower the temperature to 38.5 degrees. If your body temperature rises, give antipyretic medications. But do not overdo it, antipyretics have a strong effect on the liver;
• Do not rub your back and chest with ointments that contain essential oils. They can provoke a severe allergic reaction;
• regular inhalations with mineral water help remove phlegm and mucus from the body;
• You can massage your chest and back with light stroking movements, this will make breathing easier.

A barking cough with an elevated body temperature in children can be a dangerous symptom that needs to be treated as soon as possible to prevent the disease from worsening. It is strongly not recommended to prescribe or give medications to a child on your own.

Since various complications may appear against the background of a cough, it is unknown how this will affect his future life. Therefore, do not risk the health of your beloved child and immediately contact a specialist. Only a doctor can find out the real cause by prescribing appropriate treatment.

And so, if the doctor has prescribed a course of treatment, then it is important to know how each remedy can help the patient, and how it will affect the patient’s body.

Firstly, the right medications should affect the condition of the sputum, that is, make it less viscous.

In most cases, medications increase the amount of mucus that accumulates on the mucous membrane of the respiratory tract, making it easy to cough up. The drugs also slow down the inflammatory process in the upper epithelial tissues.

They optimize the work of the ciliated epithelium, improve the contractile function of the bronchi. Dr. Evgeniy Komarovsky says that dry cough should be treated at the first stage so that it turns into a wet form. The reflex must remove the infection that has accumulated in the body so that the sick child feels better.

Treatment without fever

If your child has a barking cough due to a viral infection, Evgeniy Komarovsky recommends starting treatment for children following simple rules.

• Maintain the required level of humidity in the room. Use devices to humidify the air, keeping it warm, fresh and humid. If there is no device, during the heating season you need to place wet rags on the radiators, thus increasing the humidity in the room;
• Free your child from uncomfortable and tight clothing. Pressure on the chest can lead to aggravation of the general condition. If a coughing attack begins on the street, immediately open his chest - unbutton his outer clothing and lightly massage his chest;
• During a severe coughing attack, you should not force the child to drink water, tea or other drinks, you should not give medicine or feed, there is a high probability of choking or choking. This may cause suffocation.

• Perform regular inhalations with mineral water at room temperature - this is the best way to make your child’s breathing easier. When inhaled, moisture directly affects the state of sputum, quickly diluting it.
• You can carry out hot procedures - apply mustard plasters, compresses, take a hot bath and warm your throat. Remember, under no circumstances should you put mustard plasters on your chest, as this will only make things worse. We place mustard plasters only on the lower limbs - on the feet. This will increase the flow of blood to the legs, while reducing it in the larynx, preventing swelling in the throat.
• Let the patient drink as much liquid as possible with a high content of vitamin C. Cowberry juice, a decoction of rose hips or viburnum are suitable for this.

According to Dr. Evgeniy Komarovsky, cough treatment will be easy and quick as soon as you create a child-friendly atmosphere in your home, including proper nutrition, intake of vitamins and calories, as well as other useful microelements.

Review of the best inhaler models

The best nebulizer models are:

OMRON CompAIR C28

This is the best device among compressor inhalers, which is in particular demand among the population. Its advantages include ease of use, fine grinding of the drug, as well as high power of the device.

When using OMRON, it is permissible to use antibiotics, mineral water, almost all drugs belonging to different groups, as well as physical solution. Medicines will penetrate into the patient’s body using dry steam, which will allow it to be evenly distributed throughout all parts of the respiratory system.

Microlife NEB-50

Another compressor type of nebulizer, which is highly rated by doctors. The operating time of the unit is at least 1 hour. When heated, the device turns off automatically.

The advantages include a continuous supply of medicine, which is necessary for the treatment of serious diseases. The device can be used by patients of any age, since the nebulizer has several attachments in stock. The only downside is the big noise when carrying out home treatment.

AND UN-232

This is a modern ultrasonic inhaler, the main feature of which is the presence of a heating program. Thanks to this, it is possible to cure diseases of the respiratory system, throat and runny nose. Each device mode has its own indicator light.

Don't miss useful information: Instructions for use of Omron inhalers: advantages and disadvantages

The only disadvantage of the device is the large size of the nebulizer. Judging by the reviews, the treatment is convenient for patients of any age.

When choosing an inhaler model, it is imperative to familiarize yourself with the classification of devices - only after this will the patient be able to choose the right device for home therapy.

Allergens that cause coughing attacks

These include:

• Household. Dust, mold fungi, cockroaches and their waste products.
• Reaction to pollen.
• Food. Often children are allergic to milk or eggs, cereals. You need to add honey and strawberries to this list, as well as citrus fruits. And also chocolate and nuts, sesame.
• Epidermal. Wool, saliva, dander, fluff, feathers, pet excrement.
• A reaction to insect bites, manifested as an allergy.
• Medicinal. For antibiotics or anesthetics.
• Fungal.
• Helminthic.
• Physical factors. Wind or heat, cold or mechanical irritation.

Treatment methods for allergic cough in children

There are many effective medications, but only a doctor can prescribe them - self-medication is unacceptable here. There are other effective remedies for allergic cough.

1. The house must be kept as clean as possible. Wet cleaning should be done several times a week.
2. You should not smoke in the room where the child lives. Even the clothes of a smoker can cause a coughing attack in a baby.
3. In case of allergies to animal fur, children should limit their contact with the pet.
4. Products with a high risk of developing allergies should be excluded from the diet.

Prevention

• Monitor the condition of the baby's skin. If you suspect diathesis, contact your doctor immediately.
• Do wet cleaning in the house every day, ventilate the room.
• Avoid direct contact with animals. It is better not to allow a cat, dog or other pets into places where your baby eats, plays, or sleeps at night.
• For babies, it is better to reduce the number of soft toys and replace them with rubber ones.
• Hygiene products must be hypoallergenic.
• If your baby has a down pillow and blanket that may have an attack at night, replace it with an artificial one.

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Simple and effective preventive measures from Evgeniy Olegovich

Most often, adults, according to Komarovsky, can prevent the cause of coughing after sleep in a child. To do this, caring parents must perform a number of simple preventive measures:

• Before going to bed, when the child is away, air and wet clean the room. These manipulations should be carried out daily, regardless of the time of year.
• Monitor the humidity and temperature conditions in the baby's bedroom. The air should not warm up above 22 degrees.
• Rid your baby of allergic odors (perfumes, paint, tobacco smoke).
• A warm drink will be useful not only before bed, but also during the day.
• Blow your baby's nose after rinsing with saline solutions. The procedure is carried out before going to bed.
• It is allowed to hover your feet in water (about 40 degrees), if there is no temperature.
• Children who are two years old are given inhalations before bedtime using special devices in the form of toys. But such procedures and rubbing with warming ointments are prohibited for infants.

Coughing attacks in children worry parents. It is necessary to take preventive measures and try to determine the source of the abnormal phenomenon. You should monitor the baby’s behavior and follow Dr. Komarovsky’s recommendations. When symptoms increase and worsen, consult a doctor immediately. You should not try to establish a diagnosis yourself if you develop a high fever or a progressive cough.

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Medicines for allergic cough in children

There are many effective means, among which are:

• The drug "Gerbion" is a syrup with plantain. It is absolutely harmless to the child and is an excellent remedy for dry cough. Contraindications include individual intolerance and diabetes. This syrup helps get rid of irritations due to the negative reaction of sensitive nerve receptors to allergens.
• In order to stop the onset of an attack, allergic cough tablets are used. The preferred antihistamines are Suprastin, Diazolin and Loratadine. The effect of taking them occurs after approximately 20 minutes.
• If your doctor allows it, you can do inhalations with medications or herbs. After brewing medicinal plants, you need to breathe the resulting steam. In this way, the child’s condition can be alleviated. But first you need to make sure that there are no allergies to the constituent components, otherwise the situation will become even worse.

Mechanism of action

The main task of cough syrups is to prevent the production of histamine. Upon contact with an allergen, the body's immune system recognizes it as a harmful substance. As a result of this process, receptors begin to actively work, causing the development of an allergic reaction.

Allergy syrup, like any other antihistamine, blocks histamine and other components that contribute to the onset of the disease.

A large accumulation of mast cells, basophils and platelets are found on the skin and mucous membranes. When exposed to allergens, histamine is produced from them. Penetrating into the extracellular space, it leads to the development of negative reactions from the body.

Antihistamines inhibit the production of antibodies, blocking the appearance of disorders of the nervous and respiratory systems. They prevent histamine from attaching to nerve receptors. Medicines of this type actively eliminate itching, burning, and have antiseptic and anti-edematous properties.

Signs and symptoms of how to recognize a barking cough

The first coughing signals to parents about the formation of an illness in the child’s body. Complications of the disease in a child depend on the complexity and duration of the pathological process. Dr. Komarovsky identified manifestations that require immediate action:

• The child has a high temperature for a long time. He feels drowsy, lethargy, fatigue, and chills. The condition is considered dangerous; it signals the manifestation of meningitis.
• Fainting during coughing attacks requires immediate consultation with a specialist.
• Attacks of suffocation are accompanied by false croup. Cough provokes the formation of asthma, the baby does not have enough air. The condition is extremely serious and can cause respiratory arrest.
• A barking cough accompanied by vomiting attacks indicates a dysfunction of the digestive organs. With frequent vomiting, a large amount of fluid is lost from the body. The condition provokes damage to the mucous membranes of the esophagus.

Barking cough is a dangerous condition for children and adults. The pathological process can cause swelling of the larynx, leading to clogging of the respiratory system. Medical practice recorded deaths.

A symptom that requires medical attention is shortness of breath. A dry, barking cough in a baby does not cause an increase in temperature. The patient has:

• bluish tint to pale skin;
• inhaling, the supraclavicular fossa and jugular cavity are retracted;
• wheezing whistle when inhaling;
• Hoarseness of voice appears, children are able to periodically lose it.

The doctor determines how to treat the patient after examination. If the attack began suddenly at night, you should call an ambulance; you cannot do without the help of doctors. The development of edema in the larynx blocks the access of air, which leads to suffocation. As a result of an attack, the child may develop chronic asthma and respiratory failure.

Solutions for inhalation

Internal solutions for the treatment of respiratory organs can be different.

Herbal decoctions

For this recipe you can use sage, raspberry leaves, chamomile, thyme, oregano and eucalyptus. Throw a spoonful of herbs into a liter of boiling water and keep on fire for 10 minutes. After this, leave the mixture to brew for half an hour. The medicinal liquid should be used warm.

Salt

Saline solutions involve treatment using saline, liquid with sea salt, or using any alkaline mineral water (for example, Essentuki or Borjomi). During pregnancy or childhood, you need to wait until the gases are completely released from the mineral water.

With medications

It is permissible to pour into the nebulizer:

• antihistamines;
• corticosteroids;
• Cromons;
• mucolytics;
• bronchodilators;
• hormonal drugs (for example, Pulmicort).

The choice of treatment depends on how the disease manifests itself.

How to deal with allergens

By following a few simple rules, you can protect your child from allergies:

1. Wet cleaning should be carried out every day, rooms should be ventilated.
2. Pets should not be allowed in the baby's crib.
3. If you have a food allergy, allergenic foods should be excluded from your diet.
4. Before the child goes to bed, be sure to ventilate the room.

Whatever the parents’ assumptions about the origin of the cough, it is imperative to consult a specialist. Only after this should you begin treatment. The doctor will conduct the necessary examination of the child, identify the cause of the allergy and help get rid of unpleasant symptoms. The recovery process will be quick if parents do not resort to self-medication with various untested methods.

Possible complications

Untimely treatment of allergies can lead to serious complications. A prolonged cough, the causes of which lie in an allergic reaction of the body, can develop into obstructive bronchitis, and the next stage will be bronchial asthma.

Allergies are also a cause for the development of diseases of the ENT organs, such as sinusitis. It all depends on the individual characteristics of the child’s body.

As stenosis develops, a possible complication is suffocation, which will lead to a real risk to life due to the lack of sufficient air to breathe.