Persistant Cough

Updated on April 15, 2008
T.L. asks from Broomfield, CO
6 answers

Hi. My 2 year old was diagnosed with croup on 3/18...the worst illness he has ever had. He was put on a steroid for 3 days to help keep his airways open. His fever went up and down the first few days. On 3/22, his fever spiked again and he had green discharge from his nose, so we took him into the docs. The doc stated the croup may have caused a sinus infection, but she wasn't completely sure...it may still have been symptoms of croup, so she sent us home and said to call back in a few days if he didn't get better. He didn't get better and so 3 days later, I called the office to get a prescription for an antibiotic, only to be told I'd have to bring him in...even though the doctor had suspected a sinus infection not but 3 days earlier. I asked for the doc to call me. We played phone tag for 2 days and by the time I finally chatted with her on 3/27, my son finally seemed to clear up for the most part or so. So we nixed the sinus infection theory. The next week, he seemed fine, however was still having trouble sleeping at night (probably because my husband and I had taken turns sleeping with him during the croup stage and he totally got off his sleeping schedule--as was to be expected). Anyway, on 4/3, he started coughing again--a different cough though. I thought his allergies were acting up as my own had started as well. So, on 4/4, I put him back on Zyrtek (he'd been off since December), figuring that'd clear up the cough. He started coughing so bad, he'd wake himself up at night and also during nap-time. By 4/7, the cough had gotten so bad, I figured I'd take him into the docs again to make sure it wasn't anything too serious. The doc (not his regular ped) suggested he go on Singulair. I didn't like that, but wasn't sure what else to do, so I complied. By 3/9, we hadn't had a descents nights sleep (or nap from my baby) in quite a long time and his cough just wasn't better, so I called the docs office as my husband and I really thought our son probably had a sinus infection and the allergy med was doing nothing. So, we went AGAIN! We were able to see his regular ped, who took him off the Singulair and put him back on the Zyrtek, a nasal spray and recommended a cough syrup suppressant, saying "it's probably really just a cold." His lungs sound fine and no real signs of a sinus infection. Needless to say, it is now 4/13, and none of us has had a real good night's sleep since the middle of March and my lil' boy has not had a good nap since then either. He is becoming so dang tired during the day from the lack of sleep at night and just so fussy and not very pleasant to be around--because he is just so tired! He wakes up all throughout the night, coughing fitfully. It is a different cough than when he had the croup--but a cold? His coughs last anywhere from 30 seconds to several minutes. Several nights, either my husband or I have been up for close to 2 hours with him before the coughing really stops for any length of time beyond 3-5 minutes. I'm afraid my lil' guy is going to break a rib or something--pull a muscle! It's just awful. All 3 of us are totally sleep-deprived...and because of a cold? I just don't think so. Has anyone had a child with similar symptoms? Was it really just a cold? He does cough during the day while playing--not nearly as bad as at night though. I just want my happy, healthy, well-slept-good-attitude child back. He's just not the same and I just don't feel comfortable believing this is all "just a cold." But maybe I'm over-reacting. Any thoughts? Ideas? Suggestions? Similar child incidents? Thank you in advance.

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So What Happened?

First, thank you all for your advice. I see a chiropractor myself, and believe me, if my son would let the chiropractor touch him, I'd be all for having him go on a regular basis!:-)

So, I took much of what many of you recommended, as well as advice from my mom and friends, and followed my own instinct as well and took him to Colorado Allergy TODAY! I called yesterday first thing and they scheduled me right away. The doctor did not believe it was life-long asthma--perhaps just induced by the croup virus; but also said perhaps it could very well be a sinus infection (you know, what my husband and I have suspected for over 2 weeks!). I took my son in for an X-Ray, and well, what do you know? He has a terrible maxillary (cheek bones) sinus infection which are opacified (full of fluid and very inflamed). Needless to say, I'm completely upset that this has gone on for quite some time and am heavily considering changing our ped. I don't know if I can put the well-being of my child in the care of someone who is very set against antibiotics, putting my kid on meds--including a nasal steroid--for nothing. I feel so conflicted as we have been going to this office for over a year and other than this incident, all has been great. I just don't know. Anyway, my son is now on a very strong antibiotic and hopefully will soon be back to his normal self. Again, thank you all for your input and not making me feel like I was a nut. I appreciate all of your comments. Here's to some sleep!!!! :-)

More Answers

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L.W.

answers from Denver on

Hi T. - My daughter had croup 5 (yes, FIVE) times as a toddler. It is a horrible experience, for sure! A few things I learned while going though this: 1) Make sure your humidifier is cleaned out per instructions - I had gotten a little lazy and there was mold growing in it, so I was inessence poisoning the house! That caused us both to cough. I felt like such an idiot when I figured that out! 2) Try honey mixed with lemon juice before bed - it actually coats the throat and my daughter loves it (even now at 9 years old). It helped her finally get some sleep when the cough meds just didn't do a thing. 3) Talk to an allergy and asthma doctor - we went when she was 2 and though she was too little to test for anything, they tested me and found what I was allergic to, as well as that I have asthma! I had NO idea, but it did explain how my coughs would just NOT go away throughout life. So the Dr. was comfortable treating her for asthma since it's hereditary and she had the right symptoms (coughing all the time). That helped as well. I wish my parents/Dr. had figured out I had asthma as a kid, it would have made a big difference in my life. Hopefully something here will help. I understand the frustration... hang in there.

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C.B.

answers from Denver on

Call the Dr. everyday and keep a journal of his night and day activity as well as coughing, symptums and length of cough time. I had a cough that lasted 3 years! I changed Dr. three times before one finally took me seriously! Also, record every medication he is on and reactions to them. No one should have to cough that long without some relief. I have had friends break ribs over coughing, but I never have just a lot of muscle pain from all the coughing and constant exhustion.
C. B

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M.M.

answers from Denver on

Take him to a pediatric chiropractor! My 4 year old used to have really bad coughs from spring time allergies. They did the steriod inhalers, the singular, you name it. Until we found a pediatric chiropractor, nothing really worked other than just waiting it out for several months every fall and every spring.

Similarly, my 1 year old just had a bought with croup, and a couple of visits to the pediatric chiropractor resolved that as well, without any further interventions.

Depending on where you are located, if you need a referral, let me know.

M.

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J.B.

answers from Denver on

check w/another pediatrician. My boys had this trouble and it turned out to be asthma induced by an illness. We got a nebulizer and started treatments and w/i a couple of days they were much better. The oral steriods didn't do the same things. It's crazy, but you really need to push the information onto your pediatrician. The fact that it's waking all of you up at night, and has for a long time should clue them in that it's not just a cold. They don't go on so long. I guess it could be allergies, but I would ask to have him tested instead of just treating it. Hope this helps, it looks like we could be near to each other, so if you need a suggestion of the pediatrician we used, send me an email.

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J.D.

answers from Denver on

Hi Tanqi-

My daughter had a big bout of the coup/RSV earlier this year. Her cough lasted for weeks. Finally, I spoke with a homeopath, who suggested Spongia Tosta, which is homeopathy that is just for croupy coughs. You can get it at any natural food store and some pharmacies. It was incredible. I gave her two doses one day and the next day, no horrible cough. It never came back. Pharmaca (pharmaca.com) is in Boulder & has homeopaths you can speak with--just give a call. I was very skeptical, but in the past 6 months I've been amazed with what homeopathy can do. I mentioned it to my family and now my sisters use it for their kids (pulsatilla--it's good for colds). Good luck!

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L.H.

answers from Denver on

Hi. I would recommend having your child checked for asthma (most likely he will have an allergy component). My son started with this same type of persistent cough when he was still one, and after quite a very long time, was finally diagnosed with Reactive Airways Disease (RAD) which sounds quite scary but is basically an episodic form of asthma. He had RSV as a baby & they think that this caused the onset. His only clear allergies are to cats, dust & seasonal allergies but viruses also cause a major flare-up. He has what is called 'cough-variant asthma' which means rather than wheezing like many kids, he just coughs non-stop. I feel your pain re: listening to him cough because we did so for quite a long time before getting him stabilized. It's so hard as nothing really touches it. It can be so bad that they burst the blood vessels on their faces or in their eyes (he's only done this once). We've been with CO Allergy & Asthma Centers for quite awhile and they have really helped. They are at: http://www.coloradoallergy.com/. We've also been on many meds before stabilizing so I feel like I have a pretty good understanding of it. If you'd like more info contact me directly. L.

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