Cough in a child without fever
Coughing in a child without temperature is a kind of protective pathogenetic mechanism that occurs with the purpose of extracting from extraneous foreign particles that enter the lumen of the respiratory tract during breathing. Thus, cough with phlegm in a child without fever can not be regarded as an undeniable clinical sign of any disease. The cough reflex is a physiological cleansing mechanism. Based on this fact, not in all cases of coughing in a child, it is advisable to apply medical procedures.
Depending on the consistency and structure of sputum, coughing in a breastfed child without temperature is both unproductive and wet. The wet type of cough in a child against a background of normal temperature is also divided into productive and unproductive. When a child's coughing against a background of not elevated temperature lasts up to three weeks, an acute process should be implied. The conclusion "a protracted cough in a child without a temperature" is established by pediatricians with a duration of more than three weeks. A dry cough at night in a child without fever is considered an unfavorable clinical criterion, and this category of patients needs an additional examination.
The pathogenesis of cough development in a child without the appearance of an elevated temperature takes place under various pathological and normal physiological conditions. For example, some children may have an acute respiratory illness without a marked intoxication syndrome, so frequent coughing in a child without fever can often be the only clinical marker of the disease. In chronic pathological processes localized in the structures of the respiratory tract, a prolonged cough develops in a child without temperature.
As a result of flowing mucous contents to the walls of the pharynx, which occurs in acute and prolonged ENT infections, a cough with phlegm without temperature in a child is usually observed.
Tuberculosis in pediatric practice, fortunately, is rare, and one of its clinical manifestations is a frequent cough in a child without fever. Most mothers face such problems as a protracted cough in a child without a temperature, due to the presence of an allergic component, complicated by infection. With constant exposure to allergens, a prolonged cough in a child without fever is regarded by allergists and pediatricians as the equivalent of an attack of bronchial asthma .
Causes of a child without fever
In the case when there is frequent coughing in a child without temperature at any time of the day, this condition should be regarded as pathological and look for the root cause of its occurrence. The most common genesis of cough development in a child without temperature is the effect of infectious factors. Pediatricians note the possibility of developing a dry cough against the background of normal temperature in the child, as the only sign of acute respiratory pathology. So, with an active intoxication period, cough is rare, and in a remote convalescent period, moms often complain about the presence of a dry cough in the child against the background of normal body temperature.
The second most frequent cause of development of wet cough without temperature in a child is a different kind of ENT pathology. So, with genyantritis or rhinitis there is an excessive accumulation and gradual flow of mucus along the upper respiratory tract, which provokes the development of a cough reflex in a child. Especially often for this reason, a damp cough develops in an infants without temperature while in a horizontal position.
Among infectious pathologies that provoke the development of a cough in a child without a constant temperature, tuberculosis and whooping cough should be noted. A feature of this cough is its activation at night and dry.
A variety of allergic factors can act as a provocative mechanism for the development of a child's cough without temperature. In this situation, both dry and wet cough can be observed, and with prolonged course there is a development of bronchial asthma, as evidenced by the appearance of pronounced dyspnoea of the expiratory type.
In pediatric practice, specialists often face a variety of helminthic infestations in children, some of which can affect the respiratory tract and provoke respiratory distress in children. With excessive accumulation of worms in the lumens of bronchi and alveoli, sputum secretion is observed, provoking a cough in a child without temperature. In children, against a background of any psychoemotional imbalance caused by a stressful situation, there may be a short-term cough without temperature, which is a kind of marker of anxiety or nervousness. In this situation, the maximum activity of cough in a child is observed in the daytime, and during a night's sleep may be completely absent.
A dry cough at night in a child without temperature can develop as a result of insufficient humidity in the room where it is kept for a long time. With frequent airing and additional use of special metered air humidifiers, this problem in a child disappears without the use of additional medical measures.
Recently, various types of chemical products have started to be used in everyday life, which are synthetic substances that negatively affect the health of the child. The development of cough in a child without a temperature caused by the constant effect of chemical products has pathogenetic mechanisms similar to allergy .
The sharp appearance of a dry cough in a child against a background of normal temperature can be caused by the ingress of some foreign object into the lumen of the respiratory tract, which must first of all be taken into account by the attending physician during the initial examination of the child.
Dry cough in a child without fever
Initially, we should consider the question of terminology. Dry is considered to be a cough in a child without a temperature in the case of complete absence of secretion even a minimal amount of sputum. As a rule, its appearance is accompanied by a pain syndrome in the throat and chest, which causes concern in the behavior of the child. In most cases, the appearance of dry cough requires therapeutic intervention, the effectiveness of which directly depends on the correctness of the establishment of the causes of its occurrence. So, in the presence of a bacterial component, the main link in drug therapy is antibacterial agents with strict adherence to the administration regimen and age-related dosage.
Development of dry cough in a child in most situations is observed in acute respiratory disease, the provocateur of which is a viral infection. The pathogenetic basis of a dry cough in a child in this situation is irritation of the mucous membranes of the throat. With the continued accumulation of viral particles, there is an increased secretion of mucus in the upper respiratory tract, so coughing instead of dry becomes wet, and after a few days there is a reverse development. In the viral nature of dry cough, the child has good support in the fight against this disease is the use of various means of plant nature, as well as physiotherapy.
Often a dry cough in a child without a temperature is provoked by the influence of such irritating factors as cigarette smoke, dust and intense odors. In some patients with dry cough without temperature, gastroesophageal reflux is diagnosed with an additional examination, and cough can be the only clinical manifestation of this pathology.
A classic version of dry cough in a child without fever is observed with whooping cough, which refers to a highly contagious bacterial infection that affects mainly the children's population. An experienced specialist who once heard a dry cough in a child suffering from pertussis can deliver a reliable clinical diagnosis even without additional laboratory methods of investigation. The attack of a dry cough in a child without fever in whooping cough can be so intense that it provokes vomiting, lacrimation and difficulty breathing.
Treatment of dry cough is extremely difficult among patients of early age, which is caused by limitations in the use of most antitussive medication. At the age of more than two years, the use of antitussive cadetine-containing drugs is allowed, however, it is necessary to pay special attention to the issues of clear dosing of the drug in order to avoid the development of severe negative side reactions. Most medicinal drugs, whose effectiveness is aimed at blocking the cough reflex, provoke the development of dizziness and drowsiness, which must be taken into account when they are used in the treatment of dry cough in a child.
With the development of a sharp attack of dry cough without fever, combined with difficulty breathing, one should first of all assume aspirating the respiratory tract or obstructing the lumen of the respiratory tract with a foreign body. This situation requires immediate additional methods of instrumental diagnosis in the form of chest x-rays and bronchoscopy, which allow visualizing the foreign body and extract it from the respiratory tract.
Wet cough in a child without fever
If we consider the frequency of occurrence of the most common complaints of mothers and their children, with whom they seek medical advice from a pediatrician, a wet cough without temperature takes the leading position. The appearance of this clinical symptom requires an additional explanation of its underlying cause, since a wet cough without temperature can be both physiological and display a variety of pathological processes occurring in the body.
Very often, a wet cough without fever in a child acts as one of a wide variety of clinical symptoms indicative of the activation of an acute respiratory infection. Also, with an inflammatory process localized in the bronchi and lungs, a moist cough without temperature can appear. In any situation, the appearance of a damp cough in a child without temperature for any reason must be applied to medicinal types of correction.
The appearance of a damp cough without temperature is always associated with pathological changes in the respiratory tract organs and is caused by an increase in the production of bronchial secretions, as well as the release of the liquid portion of blood into the alveoli, and the opening of cavities with the purulent contents. Depending on the consistency, texture and color of sputum, which is released when the child is wet without coughing, you can judge the cause of the cough. So, for bronchial asthma is characterized by a wet cough in a child without fever with the allocation of vitreous phlegm, and with croupous pneumonia, sputum becomes rusty. In case of detection of secretion of purulent sputum, which has an unpleasant smell, it should be suspected that the child has an abscess of lung or bronchiectasises . For the viral nature of a moist cough in a child without a temperature, the secretion of clear mucous sputum is more characteristic. Characteristic features of sputum is different in the case of a damp cough in a child arising from a pathology such as tuberculosis . In this situation, sputum is found in the sputum and even massive pulmonary hemorrhage. Despite all these differences, it should be noted that the tolerated wet cough without temperature by the child is much easier compared to dry nauseous cough.
In the case when a wet cough in a child without a temperature without a temperature is continuous, combined with progressive respiratory disorders, provokes the appearance of pain in the chest, it is necessary to seek qualified help from a pulmonologist in order to establish a reliable diagnosis and early treatment. Treatment measures with a damp cough in a child without a temperature often reduce to the appointment of medicines, the pharmacological effect of which is to reduce the viscosity of sputum and increase the activity of its release.
Barking cough in a child without fever
The clinical feature of a barking cough in a child arising from a normal temperature is that it causes significant health problems and is difficult to tolerate by patients. When barking coughing, the child does not receive even a minimal amount of sputum or bronchial mucus, so it becomes painful and debilitating. Attack barking cough in a child, usually ends in vomiting and short-term expressed respiratory disorders, after which comes the improvement of overall well-being.
"Barking" specialists called dry cough, accompanied by a whistle and a hum on the exhalation, which is the clinical equivalent of expiratory dyspnea, as the main marker of bronchial obstruction. Prolonged and frequent attacks of barking cough lead to the development of pronounced edema of the soft tissues of the larynx, in connection with which, it becomes difficult for a child to even speak and breathe.
Among the most common etiological factors of barking coughing in a child are infectious and allergic agents, foreign body entry into the respiratory tract, neurological disorders, diphtheria and whooping cough. Recently, the manifestation of barking cough in a child without fever due to diphtheria and whooping cough is extremely rare because of the effectiveness of routine vaccine prevention.
The risk category for developing a barking cough without a temperature is children of an early age of up to 5 years, since they have a physiologically narrow lumen in the larynx, which decreases even more when swelling occurs. Part of patients may have a barking cough without temperature immediately after birth or in the early neonatal period, which is due to congenital developmental anomalies.
With a sudden penetration into the lumen of the respiratory tract of a foreign object, there may also be a barking cough that, in this situation, is sudden and permanent. This situation should serve as an occasion for an immediate inspection of the child's airways with a medical device - a bronchoscope.
In the case when attacks of barking cough without temperature are regular and occur even at night, provoke vomiting, combine with other manifestations of allergy and provoke the development of severe respiratory disorders, immediate medical correction methods should be applied.
Signs of barking cough in a child arising on the background of normal temperature and having an allergic nature are: the absence of manifestations of rhinitis, the seasonality of the appearance of coughing and the intensification of its intensity upon contact with the allergen. The development of barking cough in a child without temperature in the winter time becomes possible due to excessive dryness of air in the living quarters. The basic link in the treatment of a barking cough in a child running at a normal temperature is steam inhalation with the help of a nebulizer. Any alkaline mineral water should be used as a solution for inhalation. To eliminate the allergic component and excessive puffiness of the larynx, it is necessary to take antihistamine drugs of the Alerzin type for 10 drops per day for seven days. To speed up the sputum smearing and improve its excretion, experts recommend expanding the drinking regime of the child with the use of not too hot drinks. To eliminate the increased dryness of air in the room, you should use special devices - humidifiers.
Strong cough in a child without fever
With a physiological cough in a child that proceeds without a rise in temperature, regular cleansing of the airways from excessive bronchial secretions and fine dust particles is observed. Physiological should be considered a cough in a child in the case when it is episodic and short-term, and is not accompanied by the development of other clinical symptoms. In addition, a physiological cough in a child does not provoke the development of any complications and is not a reflection of pathological changes on the part of the respiratory tract.
A severe cough in a child without temperature is most often pathological and its appearance is associated with a number of background diseases. In most situations, a strong cough in a child manifests itself when the proximal parts of the respiratory tract are affected. Separately, mention should be made of the so-called obstructive type of cough in a child without a temperature, which is always intense and is observed in bronchial asthma. When the allergic effect of certain substances on the child's body develops a strong cough without a temperature, which quickly enough to stop when eliminating the allergic factor.
And at the same time, the maximum strong cough in a child without temperature is observed with aspiration of a foreign body, as it is combined with pronounced respiratory disorders until the development of apnea . Objective signs of obturation of the child's airways in this situation is the growing cyanosis of the skin, a brief loss of consciousness, a sharp hoarse voice up to aphonia. This situation needs immediate medical correction, since it can lead to the development of a lethal outcome.
In the case when a severe cough in a child without temperature is accompanied by the development of perspiration and painful sensations when swallowing in the throat, a preliminary diagnosis of "pharyngitis" should be established. With laryngitis, there is a development of severe dry cough and hoarseness, and tracheitis is characterized by the development of a loud strong cough without temperature accompanied by a marked pain syndrome behind the sternum. With the development of inflammatory changes in the bronchi in a child develops a strong cough without fever, accompanied by an active secretion of bronchial secretion of a mucous nature.
To stop an attack of severe cough in a child without a temperature, it is necessary first to calm the child and give him a plentiful drink. Also, various types of distracting procedures, such as hot foot baths, paraffin applications and setting of mustard plasters, have good efficacy against stopping a violent cough attack. In the presence of a nebulizer at home, several times a day, inhalation of alkaline solutions should be performed, and in the absence of the effect - inhalations with Ventolin (2 ml of the drug per 2 ml of physiological solution).
In the case when a strong cough in a child without a temperature does not cause separation of sputum, it is necessary to give preference to the appointment of synthetic or herbal medicinal products whose pharmacological effect is aimed at diluting sputum. In the case when bouts of severe coughing in a child without temperature are observed at night, which is a debilitating stressful condition for the child's body, the use of drugs that suppress the cough reflex is allowed.
How to cure a child without fever
Cessation of cough in a child without temperature is appropriate only in the case when there is a pronounced impairment of well-being. In most situations, eliminating the root cause of the development of cough in a child without fever allows for short periods to stop seizures. Specific antitussive therapy in pediatric practice is used only in the presence of prolonged unproductive exhausting dry cough without temperature. The basis of the so-called antitussive therapy are drugs whose pharmacological effect is aimed at diluting sputum and reducing its adhesiveness. In the case when the dry cough is transformed into wet and productive, there is a significant improvement in the child's condition and a complete restoration of the patency of the respiratory tract, which minimizes irritation of the mucosa and activation of the cough reflex.
In order to correctly select the drugs for antitussive therapy, it is necessary to take into account the etiopathogenesis of cough development in a child without temperature, as well as the nature of seizures and its productivity. For the appointment of additional types of therapeutic correction of cough in a child without a temperature, one should take into account the nature of the secreted bronchial secretion, as well as the presence of signs of bronchospasm.
In the antitussive drug therapy pediatricians and pulmonologists apply different categories of drugs, each of which has its own features of pharmacological effects on the child's body. Actually antitussive drugs blocking the cough reflex are divided into preparations of central and peripheral action (plant and synthetic).
The pharmacological effect of antitussive drugs of the central action is to block the cough center located in the medulla oblongata. This category of drugs includes narcotic drugs such as Codeine, Dionin and Morphin, the use of which is strictly limited to the age range of patients, as well as non-narcotic drugs that have, in addition to antitussive, analgesic, spasmolytic and sedative effects such as Libexin, Sinekoda, Tusuprex.
In pediatric practice, when coughing without temperature, the use of the drug of the central antitussive non-narcotic effect of broncholitin, which has both synthetic and plant components, is allowed. Drugs of the narcotic central antitussive action are allowed to be taken once in such invasive examinations as bronchography and bronchoscopy.
In order to additionally moisten the mucous membranes of the respiratory tract when coughing in a child without a temperature, it is recommended to apply various steam inhalations, as well as inhalations with the help of a nebulizer. Preparations for inhalation can serve as vegetable decoctions, as well as synthetic substances such as Benzoate sodium, Ventolin and Bronchicum inhalate. In severe cough in a child without a temperature, in addition to expanding the drinking regime for the purpose of moistening the mucous membranes, it is recommended to perform additional active infusion therapy with crystalline solutions.
? Cough in a child without temperature - which doctor will help ? If the child has this condition, you should immediately seek advice from such doctors as a pediatrician, a pulmonologist, an allergist.