The fastest and most effective treatment for children's night cough

When the seasons change, many children always catch colds and coughs. Coughing is upsetting to many people and makes parents anxious, not knowing how to protect their children. There are many reasons for coughing. Children's coughing needs to be diagnosed and treated according to different causes. If the disease is not serious, you can pay attention to your living habits and keep warm. So, what is the most effective and quickest way to treat children's nighttime cough?

Children suspected of having respiratory infections such as pneumonia and bronchitis need to undergo complete etiological tests such as sputum culture, Mycoplasma pneumoniae antibodies, respiratory virus antigens, and chest X-rays. If asthma is suspected, relevant examinations such as allergen screening, lung function, and exhaled nitric oxide measurement are required. Fiberoptic bronchoscopy can be performed for chronic cough suspected to be caused by airway malformation, foreign bodies (including foreign bodies grown in the airway and sputum plugs), or when anti-contamination pathogenic microorganism examination is required. In short, relevant examinations need to be carried out according to the characteristics of the disease.

The cause needs to be identified and treated accordingly. If the cause is unclear, empirical symptomatic treatment can be performed in order to achieve effective control. If the cough symptoms do not improve after treatment, reassessment should be performed. Commonly used drugs are as follows:

1. Expectorant drugs

If children's cough is accompanied by phlegm, the principle should be to eliminate phlegm. Do not simply suppress the cough, so as not to aggravate or cause airway obstruction. N-acetylcysteine, ambroxol hydrochloride, guaifenesin and traditional Chinese medicine expectorants can be used.

2. Antihistamines

Such as chlorpheniramine, loratadine, cetirizine, etc.

3. Antimicrobial drugs

Patients with chronic cough that is clearly caused by bacterial, Mycoplasma pneumoniae, or Chlamydia pathogens may consider using antibacterial drugs. People infected with Mycoplasma pneumoniae or Chlamydia trachomatis can choose macrolide antibiotics, including erythromycin, azithromycin, clarithromycin, etc. If antibiotics need to be adjusted after initial empirical treatment for infections caused by other pathogens, they should be selected based on the results of drug sensitivity tests.

Including glucocorticoids, β2 receptor agonists, M receptor blockers, leukotriene receptor antagonists, theophylline and other drugs. It is mainly used for targeted treatment of bronchial asthma, eosinophilic bronchitis, allergic rhinitis, etc. Reassess after 2 to 4 weeks of glucocorticoid treatment. Cough after infection can generally be relieved on its own. For those with severe symptoms, short-term use of inhaled or oral corticosteroids, leukotriene receptor antagonists or M receptor blockers can be considered.

5. Digestive system drugs

If gastroesophageal reflux is considered, the use of H receptor antagonists (such as cimetidine) and prokinetic drugs (such as domperidone) is recommended.

6. Antitussive drugs

It is not recommended to use strong antitussive drugs for chronic cough, especially before the cause is clear, and the use of such drugs is related to the morbidity and mortality of some diseases.