Doctor insights on:
Tic Cough In Children
Deadly choice : Cases of whooping cough (pertussis) have increased in the us from ~2500 in the mid 90s to over 15000 per year due to increases in unvaccinated infants and children.This is primarily due to the public's mistrust of vaccines after some fraudulent research suggesting linkage to autism. Various celebrities have promoted this fiction.As a result more than 30 babies die/yr from whooping cough. ...Read more
The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more
Yes: According to CDC statistics asthma incidence (new cases per year) among adults (age 18+ years) was 3.8/1000, whereas that among children was 12.5/1000. Incidence among children aged 0–4 years was 23.4/1000, more than five times greater than that among youth aged 12–17 years (4.4/1000). ...Read moreSee 1 more doctor answer
Yes: Children with Tracheobronchomalacia have a weakness in the airway. This predisposes them to airway obstruction because of the accumulation of mucus. Their inability to properly clear the airway of mucus might result in irritation of the bronchial mucosa and bronchospasm. The child needs to be under the management of a Pediatrician, who will prescribe the appropriate treatment, as needed. ...Read more
Sometimes: But not all the time. Nasal allergies are not a frequent cause of a really bad persistent cough. In a child with allergies and a really bad cough (assuming no fever) I would be concerned about a reactive airway/asthma type condition. If the child also had eczema I would be even more concerned. ...Read more
Doubtful: I don't think a child would be allergic to the nasal steroid spray flonase. There are certainly children whose cough may not respond to treatment with flonase, but the reason is most likely a mis-diagnosis rather than an allergy to it. One needs to think about an infectious cause, asthma or possibly reflux to name a few reasons for lack of response to flonase. ...Read more
Asthma, Allergies?: Nighttime cough is often caused by asthma, although allergies are also a problem - especially in Texas. Chronic or persistent cough could be caused by pneumonia, foreign body, viral infections, or even pertussis. Visit your doctor for an exam; a chest X-ray may be needed. Consider using an allergy medicine to see if this helps. Call for a sick visit for difficulty breathing or audible wheezing. ...Read more
Depends on . . .: Babies ages 3-12 months can easily catch colds from other people. If there is just a runny nose, without much fussiness, without any high fever, without other worrisome symptoms, then parents can leave the nose alone. If the mucous is blocking the nose somewhat, try a few drops of saline, followed by gentle suctioning with a suction bulb. A doctor should examine younger or more symptomatic babies. ...Read moreSee 1 more doctor answer
Is palilalia more often related to tourette's or autism spectrum? My child has asd and multiple motor tics started palilalia 6+ months ago.
Statistics unavailab: Palilalia can occur in both. Reports would implicate tourette's as most common, but it has been reported in autism and asperger's. Formal comparative incidence studies appear to be unavailable at this time. Perhaps one of my colleagues in research will comment further. ...Read moreSee 1 more doctor answer
Are seasonal allergies to blame for my 6 year old daughters mild cough? No runny sneezy nose - which would be the classic symptom ...
Variable: A "mild cough" in a 6 year old could certainly be allergies especially if she is rubbing her nose a lot, has dark circles under her eyes, or dry skin in patches on her arms and legs. If she has a history of respiratory infections she should certainly see her pediatrician to be sure. ...Read more
Fever as stress: Fever/illness/lack of sleep etc., all stress factors can set off a seizure in one prone to seizures. To call the adult event a "febrile seizure" is a misuse of a term limited by convention to a benign childhood condition. A more accepted term would be a seizure associated with fever and its long term prognosis would be much different.. ...Read moreSee 1 more doctor answer
Yes: If memory serves me well we lost about 40 in 2014 among the 30-40 thousand cases reported. Sad because we were down to no deaths in the 2500 or so cases in the 90's. It is most deadly under age 6m. Sad that so many people skipped vaccines and brought this back. ...Read moreSee 1 more doctor answer
-Practice 1.5(+) hrs per day
-Developed persistent cough
See a pulmonologist?
Breathing difficulty: Yes, see your pulmonologist for further treatment. ...Read more