Coughing in a child before vomiting is a very unpleasant symptom, both for the baby himself and for his parents.. It can be observed in many pathological processes..

Sometimes this condition occurs episodically and does not require medical attention - most parents experience this type of cough in a child at least once.. But if a paroxysmal cough, accompanied by vomiting, is repeated often or lasts for a long time, then the child should be shown to the doctor for the necessary examination and therapy..

If a child coughs with vomiting repeatedly, an examination is necessary Reasons why a child develops a cough before vomiting.

The mechanism of coughing is based on irritation of the receptors of the mucous membrane of the airways.. Through nerve fibers, this irritation is transmitted to the cough center of the brain, and then a command is already sent from it to the muscles of the walls of the bronchi, chest, diaphragm and abdominals for a simultaneous contraction. This leads to a quick sharp exhalation through the mouth, that is, to a cough push.. The air flow with force exits the bronchi to the outside and carries sputum particles with it.

If the child coughs to the point of vomiting, he needs to be helped, and not wait for the spontaneous end of the attack. First of all, it is necessary to ensure the flow of fresh air into the room and its humidification..

The most common causes of cough with vomiting in children are the following:.

Cause.

Explanation.

Acute respiratory viral infections (ARVI).

This group of diseases is characterized by the development of rhinitis (runny nose), accompanied by abundant secretion of mucus (snot). If the child does not blow his nose in a timely manner, then this mucus accumulates in the nasopharynx, which provokes a severe coughing fit..

Acute stenosing laryngitis (false croup).

This disease is characterized by a rough, barking cough, as well as shortness of breath..

The presence of a foreign body in the airways (in the throat, larynx, trachea, or bronchi).

Diseases of the endocrine system (hyperplasia of the thyroid gland, thymomegaly).

An enlarged thyroid or thymus (thymus) gland presses on the trachea, causing the child to experience severe coughing fits.

Psychological problems.

During a tantrum, the child experiences significant tension of the vocal cords, resulting in paroxysmal coughing with vomiting..

Damage to brain structures (tumors, hydrocephalus).

This type of cough is called neurogenic..

Gastroesophageal reflux disease (GERD).

The basis of this pathology is the weakness of the sphincter located between the stomach and esophagus.. When the baby is in the prone position, the acidic contents of the stomach flow into the esophagus, which causes irritation of its nerve receptors.. This phenomenon provokes the occurrence of cough and gag reflexes.. That is, in this case, it is not cough that should be treated, but GERD..

Cough, accompanied by vomiting, can develop against the background of various respiratory diseases.. Only a doctor can identify its cause and prescribe the correct treatment..

Whooping cough is another commonly observed cause of a child's severe cough before vomiting.. Numerous refusals of parents to carry out routine vaccination of children, unreasonable medical exemptions led to a significant increase in the incidence of this infectious disease.

The causative agent of whooping cough enters the child's body through the respiratory tract.. In the course of its vital activity, it produces toxins that form a cough dominant in the brain.. It is difficult to interrupt it even after the body copes with the pathogen. Therefore, a characteristic symptom of whooping cough is a dry paroxysmal cough at normal body temperature..

An attack often occurs at night - the child suddenly wakes up from a strong cough, his face turns red, and tears may appear in his eyes. A series of coughing jerks is interrupted by a characteristic whistling breath called a reprise.

In what diseases does coughing before vomiting occur in children at night?.

Laryngitis With laryngitis, children develop swelling of the mucous membrane of the larynx, which is accompanied by a rough cough, hoarseness and difficulty breathing. During sleep, the mucous membranes dry out, resulting in a sore throat and an attack of severe coughing..

Bronchial asthma At night, the vagus nerve, which innervates the bronchi, is activated.. This can provoke severe bronchospasm and an associated asthma attack..

GERD With GERD, as noted above, in the supine position, gastric juice is thrown into the esophagus. This process is accompanied by the appearance of heartburn, nausea and vomiting, cough.

In bronchitis, in order to prevent the occurrence of repeated attacks of coughing with vomiting, inhalations are carried out using a nebulizer with saline, mineral alkaline waters or mucolytic solutions.

Why do infants cough before vomiting? Provoke the occurrence of cough in children of the first year of life before vomiting can:.

improper feeding of the baby (overfeeding, early introduction of complementary foods without taking into account the age of the baby);

aerophagia - swallowing a significant amount of air during breastfeeding or from a bottle;

teething - at this time, the secretion of saliva increases, which accumulates in the oropharynx, irritates the receptors in the mucous membrane and the root of the tongue, which causes coughing with vomiting;

post-nasal drip - with a runny nose, mucus from the nose flows down the back of the throat, causing a cough.

Cough, accompanied by vomiting, can develop against the background of various respiratory diseases.. Only a doctor can identify its cause and prescribe the correct treatment.. Self-medication in this case is unacceptable.

In infants, a cough with vomiting can be caused by swallowing a large volume of air during feeding A child has a cough before vomiting: what to do? If the child coughs to the point of vomiting, he needs to be helped, and not wait for the spontaneous end of the attack. First of all, it is necessary to ensure the flow of fresh air into the room and its humidification.. Often these measures are enough to stop the attack..

If this does not happen, then, as prescribed by the doctor, the child has antitussive drugs with a central or peripheral mechanism of action. In some cases, antitussives have a good antitussive effect, but their use is also possible only as directed by a doctor..

In bronchitis, in order to prevent the occurrence of repeated attacks of coughing with vomiting, inhalations are carried out using a nebulizer with saline, mineral alkaline waters or mucolytic solutions.

To prevent the occurrence of coughing attacks against the background of GERD, the child should be fed no later than 4 hours before bedtime. In addition, they raise the head end of the bed, and if necessary, prescribe medications that regulate the motor function of the gastrointestinal tract.

If a child has attacks of coughing with vomiting occur mainly at night, then stenosing laryngitis, bronchial asthma and GERD should be excluded from him..

Parents should understand that the causes for the occurrence of paroxysmal cough, ending in vomiting, can be different, therefore there is no one universal medicine or method of treatment..

Only a doctor after the necessary examination can make the necessary appointments. Depending on the specific clinical situation, the examination plan may include:.

general and biochemical blood test;

bacteriological examination of a smear from the pharynx and blood for whooping cough;

FEGDS;

radiography or fluoroscopy of the lungs;

bronchoscopy;

Thyroid and thymus ultrasound;

determination of hormonal status;

computed tomography of the brain;

consultations of narrow specialists (pulmonologist, neuropathologist, gastroenterologist, allergist, endocrinologist).

In many cases, cough with vomiting does not require treatment, but a doctor's consultation is necessary In which cases should you immediately consult a doctor. In this case, parents should continue the treatment prescribed by the doctor and carefully monitor the general condition of the child..

Seek immediate medical attention if any of the following symptoms appear:.

prolonged choking cough, combined not only with vomiting, but also with signs of respiratory failure (shortness of breath, cyanosis of the nasolabial triangle, participation in the act of breathing of auxiliary muscles);

the appearance in sputum or vomit of even minor impurities of blood;

increasing dehydration (decrease in soft tissue turgor, dry skin and mucous membranes, severe thirst, decrease in the amount of urine separated);

high body temperature, which can not be reduced by taking antipyretic drugs in age dosages.

The mechanism of coughing is based on irritation of the receptors of the mucous membrane of the airways..

Dr. Komarovsky on the treatment of cough with vomiting in children A well-known pediatrician in many post-Soviet countries E. Komarovsky believes that it is not a cough that should be treated in children, but the underlying disease that caused its development. Doctor recommends:.

maintain the necessary microclimate in the room of a sick child (air humidification, ventilation of the room);

take daily walks with him (subject to normal body temperature);

plentiful drink;

exclusion from the diet of foods with high allergenic properties (citrus fruits, eggs, fresh milk, cocoa, chocolate, strawberries);

conducting etiotropic (antiviral and antibacterial drugs) and symptomatic (antipyretic, expectorant) therapy as prescribed by the attending physician;

regular removal of accumulated mucus from the nasal cavity and mouth;

inhalation with a nebulizer.

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