Question of the Week

Question :
Posted On : 10 Sep 2023
In some children, there is nonstop cough but no wheezing, and the chest is clear, it is a type of asthma, I give double doses of cetirizine, steroid, Budesal nebulization, a bronchodilator, still in some cases nonstop coughing is not improved, What should be done? Give double dose steroid? Add hydrocortisone?
5
Expert Answer :
It may be a post-infectious cough that may be persistent. In such cases, lozenges and cough suppressants may be useful.
Answer Discussion :
S
Sanaa
Profile
X-ray and exclude foreign body
9 months ago
F
Florence Luganje
Profile
I dont think increasing the dise is a solution. Broaden your differential diagnosis
9 months ago
H
Henrique Ellwanger
Profile
Search for another dignosis... Is it really asthma? maybe we should do an epirometry if its possible and an X-Ray. Think in other causes for isolate cough like GERD, medications, allergic rhinitis. But if the hypothesis still is asthma, before double dose steroid we can try add leukotriene modifier.
9 months ago
S
Shadi Noorizadeh
Profile
and sinusitis
9 months ago
S
Shadi Noorizadeh
Profile
R/O GERD , allergic rhinitis
9 months ago




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