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Cough that lasts more than four weeks in children is defined as chronic cough and causes a decrease in quality of life. Chronic cough should be considered carefully because it may be an evidence of an underlying chronic lung disease.
The age of onset of cough is important. Coughing that begins in the neonatal period usually indicates an underlying underlying cause and requires an in-depth examination. Genetic diseases such as tracheo-oesophageal fistula, tracheomalacia, or cystic fibrosis and primary ciliary dyskinesia can be manifested by chronic cough from the newborn period. Cough; wheezing or wheezing, especially at night, if the child is difficult to breathe when it is moving, the possibility of asthma should be evaluated. With a continuous cough, runny nose, watery eyes, a feeling of itching in the throat, and nasal discharge, these children may have hay fever or sinusitis.
What causes chronic cough besides respiratory diseases?
It should also be taken into consideration that children may have fled a child’s airway at all times. When a child is evaluated by a doctor due to chronic cough, it can be suspected that a foreign body has escaped the airway according to the findings of the examination and radiological findings. In children, symptoms such as recurrent vomiting with cough, a bad taste in the mouth, burning in the chest may indicate gastroesophageal reflux. It is dry, repetitive, persistent, bursting, and psychogenic cough may come to mind especially in the coughs that are lost during sleep at night or when the child is busy with something he likes. It is useful to evaluate the psychological status of the child after it is understood that there are no other cough diseases. Considering the protective nature of the airway, cough suppression is harmful in many respiratory diseases.
For more information about the Department of Pediatrics, Koç University Hospital, click on the link.
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