L. asks from Mobile, AL on April 29, 2008
Mystery Cough
Hi all,
My three-year old has been suffering from a cough since early fall. We have explored every possibility but haven't really found an answer. She has had two chest x-rays (normal); three courses of antibiotics (for possible ear infection and to rule out walking pneumonia and sinus infection); albuterol, oral steriods, and inhaled steriods for possible asthma (no improvement in cough); a sinus CT scan (normal after 3 weeks of Augmentin); Claritin and two different kinds of prescription nasal spray(no help); an allergy skin test by an asthma and allergy specialist that I trust(normal); and Prevacid for the possibility of GERD/acid reflux (no help). I've tried vitamins, probiotics and a humidifier. I've tried no vitamins, no probiotics, and no humidifier. My daughter eats a healthy diet of wholesome,non-processed foods. The last time we saw the specialist, she said that there was some post-nasal drip, but there are no other symptoms and no apparent cause. It seems that the next step may be to try something to "dry her out." If that doesn't work we are looking at another type of inhaled steriod with a nebulizer to revisit the asthma possibility. I asked if we could just leave it alone finally and see if she outgrows the cough, but the specialist told me that if it *is* asthma, that leaving it untreated long term could cause irreversible damage to my daughter's airways. I hate to keep pumping her full of all of these drugs, though--especially steriods. She is otherwise happy and healthy--no swollen tonsils, lots of energy, no runny nose. Has anyone else been through this kind of thing?
Thanks for any ideas,
L.
So What Happened?™
APRIL 9 UPDATE--A barium swallow test did show reflux. She is now on Zantac, and that helps quite a bit. She still coughs some, and the pulmonogist thinks it might still be an allergy to oak, mold or something else, too, as I did have some luck w/the Zyrtec, so now we're going to try Zantac and Zyrtec. We'll see.
NOVEMBER 24 UPDATE--I don't know if anyone is still reading this, but Marina's cough went away towards the end of a long summer road trip out West. A week or so after our return to Mobile it started creeping back. Now it's the same old thing--it kind of waxes and wanes, but it's always there. It seems like it must me some kind of allergy or sensitivity, so I'm thinking of trying Zyrtec or having blood tests for allergies. Let me know if you have any other ideas! Thanks.
MAY 6TH UPDATE--Marina is coming back from the mountains tomorrow, but we didn't really get to see if the cough improved because she got altitude sickness. She was vomiting for about half of the trip. That would make me cough,too. She is a trooper and had fun anyway, but no new info on the cough! Thanks again for reading/helping.
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First I want to thank everyone for coming up with so many suggestions and ideas--that is exactly what I was hoping for! Obviously things aren't resolved yet, but reading the responses made me realize I'd left gaps in the story.
I have looked for a pattern in the coughing, and the only thing I've sometimes noticed is that she coughs more when leaning back (when in the car seat, reading on someone's lap, first going down to bed), so the sinus infection, post-nasal drip and GERD ideas made sense to me. When she doesn't have a cold, the cough is kind of wet, but not really phlegmy or productive, and she often has a "froggy" voice. This all kind of started with a series of colds in the fall when she started part-time preschool, but eventually the cough stopped going away, and she hasn't been sick for months now. I don't think it is stress or attention getting because it really does seems like there is something back there, though she did cough for laughs as a baby. :) She does tend to get croupy when sick, and she does throw up easily--even from coughing every once in a while. I tried honey, but it just seemed to add to the gunk in her throat, and she seemed to kind of cough and gag more. We don't use harsh chemicals in the house--vinegar and water is probably my favorite cleaner. :) The asthma and allergy specialist tested for mold and dust allergies (among other things), but I guess some things can be cause problems even in a person isn't allergic. I have worried about the things that grow down here since we've moved. ;-) We tried probiotics, but I may try again and for a longer period of time. Marina was on the inhaled steriods and albuterol for about 6? 8? weeks, and they didn't help. They *did* make her hyper, though, and she slept about 1-1/2 to 2 fewer hours each night while on them. She would try to sleep, but just tell me "Mommy I can't." The side effects of inhibiting growth and reducing the body's ability to respond to infection also make me want to avoid them unless they are clearly necessary. Also, she doesn't have allergies, eczema, a family history of asthma, or increased coughing during excercise or during the night.
Anyway, if you are still reading this--thanks! I have written down other suggestions that we haven't tried (checking adenoids, etc.). Marina is actually spending the week in the (very dry) mountains with her Nana and Grandpa for the week, so I will be curious to see if there is an improvement while she's there.
Again, many thanks! I will let you know what happens.
Featured Answers
L.B. answers from Fayetteville on May 01, 2008
When I have dairy or too much sugar, I get a post-nasal drip. Same deal: no swollen tonsils, runny nose, or other symptoms. Try eliminating dairy and avoid processed sugar for a few days to a week and see if it clears up.
M.W. answers from Texarkana on May 01, 2008
I had a similar cough for about 3 years and did the same with doctors, lung specialists, etc. Went to a kinesiologist/chiropractor who said I had a fungal infection in my left lung. He treated me with a coloidal silver solution and got rid of my cough. I would recommend a kinesiologist. Hope you get relief. M.
B.L. answers from New Orleans on April 30, 2008
My 12yr old son used to get the croup every year when he was younger. The only thing that seemed to work was rubbing his chest with vicks vapo rub at night before he went to bed. Wash off good before he goes out the next morning. You can also put a little vapo rub around the opening of the vaporiser at night also. I always found that a hot steam vaporizer worked better than a humidifier.
More Answers
B.L. answers from New Orleans on April 30, 2008
My 12yr old son used to get the croup every year when he was younger. The only thing that seemed to work was rubbing his chest with vicks vapo rub at night before he went to bed. Wash off good before he goes out the next morning. You can also put a little vapo rub around the opening of the vaporiser at night also. I always found that a hot steam vaporizer worked better than a humidifier.
C.S. answers from Biloxi on April 29, 2008
HEY L.!!
I want you to know that it is hard as a parent to watch your child stay on medication that may or may not work! However, my daughter went through that and come to find out that it only took me getting rid of the chemicals in my house to clear her problems up! I had always wondered when we would go to certain stores why her eyes would water and she would begin to sneeze. There was nothing around to cause it, but the fact of the cleaners they used had harsh chemicals in them! I will continue to use the products that I do that are better for my family!
Please let me know how things go!
Thanks
C. Stork
www.forourkidz.fourpointwellness.com
G.C. answers from Tuscaloosa on April 30, 2008
Give her a spoon full of Real Bee Honey one in the Morning and one in the Evening. Bee honey helps with asthma and other respiratory problems. As long as she isn'e allergic to it or has a problem while takeing it.
J.H. answers from Oklahoma City on April 30, 2008
Have you tried any allergy meds? My youngest gets a horrible cough when her allergies act up - her mucus glands kick into overdrive. My suggestion might also be a systemic fungal infection - especially with all the antibiotics she's been given. A lot of docs dont give this credit, but I can tell when both my girl and I are developing one, and it causes some drainage too. you can google "candidiasis" for more info and symptoms. I also had a cough and congestion since the fall with no other syptoms. Being in treatment for breast cancer, they had to run me thru the whole regimine, including a PET scan and pulmonology tests. Nothing came up, and eventually the congestion went away. I agree with you about having to have your kid on all those meds - and steroids really are dangerous biz, and can even exasperate the issue. I know of a case where they were given improperly to a child and he developed pnemonia. He was being treated for asthma and what he really had were severe allergies. He was also around several smokers - his mother even smoked with him in the car. With the smoke cleared away and regular allergy shots, he was perfectly fine. I hope this helps :}
A.D. answers from Enid on April 30, 2008
I went through something very similar with my son. He is now diagnosed with asthma and allergies, but none of that medicine seemed to take care of his "tickle" in his throat. Even dried up on all the meds. I agree, the steroids are not fun and not always the best avenue. I was on many many growing up with my asthma. I know this sounds crazy, but what helped my son is MonaVie. It is 19fruits mixed into a health drink. I can't tell you how or why, but since he has started drinking it on a routine basis, he does not have that constant nagging cough. He is not excessivly tired like he had been. Don't get me wrong, he was/is very very active, but he always seemed kinda drained and if he laid his head down, he was out for a nap. It has helped me in many ways as well. Check out the website Monavie.com and do some research. It sure could not hurt to try! Feel free to contact me. I will be glad to get a bottle to you. ###-###-####
T.W. answers from Monroe on April 30, 2008
Is the cough wet and wheezing sounding? I went through this with my son. He coughed and was sick from 3 months of age on. He was on numerous antibiotics that lasted for months at a time. We were sent to an asthma/allery doctor who put him on about 6 different medicines. He was taking breathing treatments every 4-6 hours. It was a nightmare. We just wanted him to get better. We were told that he had Reactive Airway Disease. We even had to have him tested for Cystic Fibrosis! Imagine our panic!! FInally, we were very frustrated and asked to be referred to an ENT. Our ENT was wonderful. We tried an antibiotic, but nothing helped. He finally told us that it was his adenoids and they had to come out. He was almost 2 when he had them removed. Afterwards, we were told to stop ALL medication. His adenoids were HUGE. THey were blocking everything and were coated with gunk. No medicine could penetrate it. He is 3 years old now, and he is a healthy little boy. No more meds, breathing treatments, etc. I would ask about your child's adenoids. It couldn't hurt to check on that also. If we had only known, we could have saved ourselves and our son so much misery.
C.O. answers from Oklahoma City on April 30, 2008
Have her blood tested for microplasma
S.C. answers from Lafayette on April 29, 2008
Hi L.,
I had the same problem personally. For almost a year I had this persistant cough that would come in bouts. It sounded like I was barking (it wasn't croupy). The fits would last several minutes and would come and go. At first, I was told it was asthma because I was also wheezing. I was put on Pulmicort and later on Advair and Singulair. The wheezing would go away, but it didn't help the cough and it kept coming back. I was using saline sprays and OTC cough meds, but nothing helped. It wasn't until much later that I was told that it was Pertussis (whooping cough). I was then put on Prednisone and it went away. Did your DR explore this possibility? I know that she was already on steriods, but I would ask your DR and rule it out. I hope that you come to a conclusion soon. Good luck and God bless.
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