Cought

Dear clients!
For your safety, EMC has established an enhanced disinfection mode.
COVID-19 test and testing for antibodies to COVID-19 at clinic and at home. COVID-19 absence certificate
Lung CT
Unique rehabilitation program for patients suffered from COVID-19.

Cought

08.04.2016

A child of 11 years old, suffers from cough for more than six months. The cough is dry, sometimes attack-like, mainly begins during the day, and often occurs before sleep. There is no cough at night. CBC is normal, glucose is 4.16, total IgE 111.80, Toxocara, Ascaride are negative, Cytomegalovirus, Mycoplasma are negative, PPD test is negative as well. A chest x-ray is normal. We have already consulted with a therapist, otolaryngologist, pulmonologist, neurologist, gastroenterologist... the cough is still present. What should we do?

Лопушанская Наталья Анатольевна - педиатр детской клиники EMC
LOPUSHANSKAYA Natalia
Pediatrician

First of all, there are no results of whooping cough testing among the results provided above. The disease cannot be ruled out, even if your child was vaccinated. The blood test for antibodies against the whooping cough germ is required (blood test for class M and G antibodies against Bordetella pertussis). Second, even a slight increase in class E antibodies is a reason to visit an allergist and to perform an evaluation of respiratory function with bronchodilator. This method will detect a latent bronchial spasm in your child. Even if the results of the test will be normal, allergologist mast rule out the allergic nature of the cough even if it's not obstructive syndrome. Third, this cough can be due to gastroesophageal reflux. It is difficult to draw any conclusions having no data of gastroenterologist’s consultation. 24-hour acidity monitoring of the stomach and esophagus is carried out to confirm or exclude the presence of reflux. Fourth, you didn’t mention whether x-ray of nasopharynx and paranasal sinuses was done. Perhaps, after all, the pathology is associated with ENT organs.

Clinic

Программа амбулаторно-поликлинического обслуживания для детей от 7 до 15 лет «Здоровый подросток» от ЕМС.

Children's clinic

Moscow, 26 Trifonovskaya st.
Telephone:

+7 (495) 933 66 55

Make an appointment

    Mobile application EMC