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Saturday, August 6, 2011

Bronchitis-Complication, Treatment And Recovery

Complication

Apart from bronchitis, neither acute nor wheezy bronchitis is usually dangerous. Acute bronchitis may, however, be parents at the same time as acute larun-gotracheitis (inflammation of the voice box and windpipe) or may progress and develop into pneumonia.

Treatment

Sometimes an antihistamine or mild sedative is prescribed to be used particularly at night. Antibiotics are widely used, but often ineffective as acute bronchitis is often a viral infection or allergy. If wheezy is the main symptoms then the doctor may suspect that asthma is playing a part in the illness. If so, he may prescribe one of the many extremely effective drugs used to relax the muscles surrounding the bronchi and bronchi-oles, thus widening them and making breathing easier. The bronchi most widely used of these drugs are salbutamol and theophylline, given in the from of tablets, capsules or medicine. In other children, drug such as salbutamol are frequently given via a pocket aerosol spray. Children under the age of four find these sprays difficult to manage, so some family doctors and most hospitals use electrically driven nebulizers. In severe cases of wheezy bronchitis, steroid hormones may be usually prescribed in tabled from, but if the child is in hospital the first 48 hours of treatment, may be given intravenously. If there is evidence of a collapsed area of lungs, or of pneumonia, physiotherapy may be advised. This involves positioning the child so that main air tube from each area of lungs slopes downwards in turn. The chest is then vibrate and tapped to loosen phlegm and held clear it from the lungs.

Recovery

Acute bronchitis is not likely to be a repeated problem unless parents smoke a good deal in the house. Wheezy bronchitis may well be recurrent, and many of these children will eventually turn out to have asthma. Making the correct diagnosis is very important as in this condition anti-asthmatic drugs are extremely effective, whereas antibiotics and cough medicines are not. Asthma should be considered especially if either parent, grandparents, brothers or sisters have asthma, eczema or hay fever. Some doctors prefer not to use the world asthma: they fear it will distress parents because it implies a long-term problem. In fact, parents should not dread this diagnosis as the method of treatment currently available are remarkably effective.

Tuesday, July 26, 2011

Cough-Causes

What Is Cough ?

Cough are the very common problem in childhood and are usually a symptom of infections such as a cold, measles or whooping cough. The cough itself is a reflex action, designed to prevent anything other than air from entering the lungs. A cough clears the upper part of the breathing tube of phlegm, mucus or any inhaled foreign body. It is worth remembering that, if a child suddenly starts to cough with no other obvious signs of infection, a breathed-in foreign body, such a piece of food, may be the cause. But normally, cough clear up on their own and should not be dosed with strong medicines, unless prescribed by a doctor.

Causes

Most childhood cough starts as part of an obvious respiratory infection the commonest being a cold. A cold can be caught at any age from birth onwards and coughing is nearly always one of the symptoms. The infection of the cold can spread through the tubes which make up the lower respiratory tract. In the larynx, or voice-box, this can cause laryngitis. Infection of the trachea, or windpipe, will cause tracheitis, and infection in the lungs will cause bronchitis or pneumonia. Small children who are prone to bronchitis whenever they get a cold, may also develop wheezing. This can be diagnosed as wheezy bronchitis or, sometimes, as asthma. A cough may last for several weeks after a cold. In this case usually a noisy bark without any rattling noise and no sputum will be present. It will be worse at night when the child is lying down. This happen because, after a cold, the nose and sometimes which, during the day, can be cleared by blowing the nose, sniffing or swallowing (where the stomach can neutralized it harmlessly). At night time, however the discharge trickles down the back of the throat, irritates the entrance to the lungs, and sets off a reflex cough. The reflex prevents the discharge from entering the lungs and so prevents more serious problem arising. Sometimes, other factors, such as enlarged adenoids, a chronic infection of the sinuses or an allergy, can cause a similarly persistent discharge down the throat and so result in a long-lasting cough which is worse at night than in the day. Another cause is whooping cough which has once again become widespread as fewer children are being immunized against it. When it starts, the infection is often very like an ordinary cold but, gradually, the cough gets worse especially at night. Bouts of coughing, during which the child’s face goes red, followed by being sick or a characteristic whooping, make the diagnosis more obvious. Measles is another common cause of coughing. When a child first gets measles, he will suffer from a runny nose and a cough, and the eyes become pink. Small white spots inside the mouth appear followed by a rash on the body. A cough which starts suddenly, without any other signs of infection may be caused by a foreign body which has been breathed in and become lodged in one of the tubes leading to the lungs. Young children often put small toys in their mouths and can quite easily swallow sometimes or breathe it in through the nostrils. A child of any age can breathe in a small piece of food or a titbit such as a peanut. If such an accident happens, it is important to see a doctor any foreign body that remains in the lungs can cause serious infection. Another cough that has no signs of infection is the habit tic. A child who, for example, may have some emotional problem can develop a persistent, nervous cough. Whether or not the child has a habit tic will become apparent if the child stops coughing whenever happily occupied or asleep.READ MORE

Cough-Symptoms,Complication & Treatment

Symptoms

Noisy, dry, barking cough are common and not usually serious. They often stat during a cold and are more persistent at night when children lie down. Sometimes, often start during a cold and are at night, a spell of dry coughing may be the  start of an attack of asthma. Later, the child may get wheezy, although in many children coughing rather than wheezing is the symptom of asthma. A less noisy, rattling cough which leads to sputum being coughed up or swallowed, occur with bronchitis or pneumonia if part of the lung has collapsed. Such a cough also occurs when a foreign body gets into the lung and is also a symptom of cystic fibrosis.

Complications

Where the coughing is caused by an inhaled foreign body, this can lead to severe bouts of coughing and, if the problem is acute, the child may go blue and start choking. Even if this does not happen, however, the incident may be followed by a high temperature a few days later. If this happen it means that part of the lung has become infected. A young baby who catches whooping cough can become very ill indeed. Nearly all deaths from whooping cough occur during the first year of life. The baby may develop lung complication, inhale vomit after a bout of coughing or suffer from insufficient food if frequent bouts of coughing are followed by vomiting. Any child who develops a croupy cough should get medical treatment at once.

Treatment

As far as possible, the cause of the cough should be treated, not the cough itself. Antibiotics are used for treating infections such as sinusitis, bronchitis, tonsillitis and pneumonia. Nose drops, decongestants and antihistamines can be used to treat allergies that cause runny noses. Special drugs are necessary for asthma. A foreign body in the lungs needs urgent medical attention and a habit cough needs understanding of the child’s problem, not medicine to stop the cough. The majority of cough will clear up as soon as the cause disappears or is successfully treated. Coughs caused by colds are quite normal and will keep on happening all through childhood.