Symptoms and Treatment of Whooping Cough in Children

Written by Yan Xin Liang
Pediatrics
Updated on September 29, 2024
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The common symptoms of whooping cough are coughing, prolonged coughing, and spasmodic coughing, which ends with a crowing sound, and it mainly occurs during the night. The face may turn bright red during coughing, which is a typical symptom of whooping cough. For treatment, in the early stages of whooping cough, erythromycin is definitely used and can be effective. However, in pediatrics, if the whooping cough has lasted for a long time, the effectiveness of the treatment is relatively not as good. If the coughing period is long and medication is used in the middle to late stages, even with some treatment, it might still continue for two to three months. Although treatments like cough suppressants and expectorants can alleviate the symptoms, a cough usually still persists to some degree.

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Written by Li Jian Wu
Pulmonology
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What is good to eat for whooping cough?

If the body is suffering from whooping cough, in terms of diet, one should eat more fruits such as pears, grapes, watermelons, oranges, and grapefruits. Drinking honey water can also help alleviate symptoms such as coughing and thinning mucus. At the same time, one should choose macrolide antibiotics, as well as medications that thin mucus and relieve bronchial smooth muscle spasms for symptomatic treatment. It is important to adjust one’s mindset, avoid mental stress, follow the treatment course in choosing medications, and it is possible to gradually recover. During the treatment period, maintain the cleanliness of the indoor air, drink plenty of water, and avoid eating spicy foods and snacks.

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Written by Li Jian Wu
Pulmonology
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Whooping cough is transmitted through respiratory droplets.

Pertussis is mainly transmitted through airborne droplets and is a commonly seen respiratory infectious disease in clinical settings. If a child is at school and classmates have pertussis without antibodies in their body, it is quite possible for the infection to occur, commonly seen in babies under five years old. If there are episodes of spasmodic, convulsive coughing accompanied by a barking sound or a crowing sound during inhalation, this disease should be highly suspected, and prompt culturing of the pathogen is needed for confirmation.

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Written by Tong Peng
Pediatrics
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The difference between pertussis and allergic cough

Pertussis (whooping cough) and allergic cough are different. Firstly, pertussis is an acute respiratory infectious disease caused by Bordetella pertussis. Its symptoms include paroxysmal and frequent coughing, sometimes accompanied by a deep, crowing, inspiratory whoop sound. If not treated promptly, the condition can last for several months, which is why it is called whooping cough. Due to its high contagiosity and epidemic history, if infants contract pertussis, their condition can worsen, making them prone to complications like severe pneumonia or heart failure. However, allergic cough is a non-infectious condition primarily caused by hypersensitivity of the airways, easily triggered by various external allergens, leading to irritating dry coughs, but not worsening to lower respiratory tract infections. In daily life, by avoiding environmental allergens and using treatments such as nebulization and oral antiallergic medications, management is possible.

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Written by Li Ying
Neonatology
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After receiving the DTP vaccine, can you still get whooping cough?

The DTP vaccine is a combination of pertussis bacteria, diphtheria toxoid, and tetanus toxoid, which can prevent whooping cough, diphtheria, and tetanus simultaneously. The target group for the DTP vaccine is children aged 3 months to 7 years. The DTP vaccine requires three consecutive shots. Only after the three consecutive injections will sufficient antibodies be produced. However, these antibodies can only be maintained for a certain period of time and do not provide lifelong immunity. Many parents mistakenly think that once their child is vaccinated, they are invulnerable to all diseases, but this is an unscientific notion. The efficacy of vaccines is not 100%. The common basic vaccines currently used generally have an efficacy rate of over 80%, meaning that after vaccination, 80% of people will produce antibodies. However, since the antibody concentration of some vaccines can decrease significantly over time to a level that does not reach the immunity concentration, booster shots are necessary.

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Written by Li Jian Wu
Pulmonology
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Whooping cough vaccine

The vaccine for pertussis is generally a type of compound vaccine, belonging to the triple vaccine category, primarily the DTP vaccine. This vaccine can prevent common infectious pathogens such as whooping cough, diphtheria, and tetanus. It is necessary to take children to the hospital for timely vaccinations according to the treatment schedule to effectively produce antibodies, which can provide effective prevention and treatment. It is also important to pay attention to the cleanliness of indoor air, ensure indoor air disinfection, and avoid going to crowded environments, especially during the flu season to strengthen protection.