Question

Patient Age: 3 years Detailed Condition and Purpose of Consultation: Cough, severe at night with phlegm, and triggering nausea and vomiting.

Answer

If treatment for bronchitis is ineffective and nighttime coughing is severe, it should be considered as cough variant asthma, and asthma treatment methods should be adopted for effective relief. It is not caused by infection; it is allergic in nature. Cough variant asthma can last a long time, primarily characterized by coughing, worse at night or upon waking, often dry coughs, and easily misdiagnosed as bronchitis. However, the condition requires systematic treatment and recurrence prevention after recovery. It is recommended to use bronchodilators to see if there is any relief. If symptoms improve, it can be basically determined as asthma. Pay attention to adding clothing for the child during seasonal changes and sudden temperature fluctuations. Clothing should be frequently aired and disinfected. Avoid eating foods that can cause allergic symptoms, such as crabs and shrimp. Do not keep pets or flowers at home; avoid carpets; avoid contact with pollen, dust mites, smoke, paint, etc. Keep the indoor environment, especially the child’s bedroom, well-ventilated and clean.