Has your little one started coughing like a cold, then started coughing really bad, all the time? Does it sometimes make it hard to breathe while coughing, and does it make a strange “whooping” sound when you inhale? This is not a normal cough, it could be a dangerous respiratory infection called “ whooping cough ” in colloquial speech, and medically known as `( Pertussis )`. It is very important to be aware of this, especially if you have small children in your home.
What is whooping cough? Let's understand it simply.
Whooping cough is a highly contagious bacterial infection that affects our throat and respiratory tract. It can affect anyone of any age, but it is especially dangerous for babies and young children. It starts out as a common cold. But after about a week or two, it turns into a severe, unstoppable cough.
This cough does not come on all at once. The cough comes on suddenly, then comes back after a while. Doctors call this coughing attack ``paroxysms``. When this cough comes on, it becomes very difficult to eat, drink, breathe, and even sleep. When the cough is over and you try to take a breath, you hear that high-pitched “whoop” sound coming from the throat. However, small babies can have difficulty breathing without coughing.
Some people call this the “100-day cough.” This is because it can take weeks, even months, for these symptoms to fully resolve.
What are the symptoms of whooping cough? Stage by stage
Whooping cough doesn't get worse all at once. It progresses gradually through three stages. Let's look at what those three stages are.
| Stage | Description |
|---|---|
| Stage one: Like a cold | This has been going on for about a week or two. This is when the disease is most contagious, but we think it's just a common cold. The symptoms are: – Nasal congestion and runny nose – Sore throat – Tears coming from the eyes – A slight cough that gradually increases – A lifeless body – A slight fever (less than 100.4°F / 38°C) |
| Second stage: Severe coughing attacks | This can last from one week to six weeks, or even up to 10 weeks. During this time, the airways become filled with thick mucus and there is a severe cough. – He barks non-stop for several minutes at a time. – When you breathe out after coughing, you hear a “whoop” sound. – You may vomit while coughing and your body may become very tired. – Coughing may increase when crying, eating, or laughing. – I have a cough both during the day and at night, but it's worse at night. |
| Stage Three: Gradual Recovery | This can last up to 6 weeks. During this time, the severe coughing attacks do not come like before. But a small cough comes and goes. Gradually, the cough decreases. However, during this time, the body is still weak, so other respiratory diseases can easily develop. Therefore, it is important to be careful. |
Be especially careful with little babies!
Symptoms in young babies may be different from those in adults and older children. They may not have a cough at all, but may only have difficulty breathing.
- Does your baby seem to be struggling to breathe?
- Does it seem like your stomach is going in when you breathe?
- Does the skin or lips around the mouth turn blue/gray due to lack of oxygen ? We call this `( cyanosis )`.
- Does breathing stop for a while? (apnea)
If you see any of these symptoms, don't delay. Immediately take your child to the Emergency Department (ETU) of the nearest hospital.
How does this disease develop and spread?
Whooping cough is caused by a bacteria called Bordetella pertussis. This bacteria damages the lining of our airways and causes them to swell. This swelling causes thick mucus to form and causes a severe cough.
This is a highly contagious disease. It is spread through respiratory droplets that are released into the air when an infected person coughs or sneezes . Imagine that a child in your child's class has this disease. There is a high chance that your child will also catch it.
Symptoms usually appear between 5 and 10 days after exposure to the virus. However, it can sometimes take up to 21 days. People can spread the disease to others from the day symptoms start until three weeks after the onset of a severe cough.
Complications that can occur due to whooping cough
We said this was not a simple cough because of the dangerous complications it can cause. The risk is especially high for babies under 12 months old.
| Complications that may occur in babies and young children | Complications that may occur in young people and adults |
|---|---|
| – Pneumonia `(Pneumonia)` – Ear infections – Nosebleed – Respiratory failure – Malnutrition – Brain damage (encephalopathy) – This can lead to permanent brain damage or even death. | – Pneumonia `(Pneumonia)` – Breaking a rib on the way to Kahinā – Loss of consciousness – Migraines – Weight loss – Urinary incontinence (urinary incontinence) |
Who is particularly at risk?
- Babies who have not received the required vaccinations (or whose mother did not receive the vaccinations during pregnancy)
- Children with low immunity
- Children with severe asthma
How does a doctor accurately diagnose this disease?
When you go to see a doctor, he will do these things to properly diagnose this disease:
- Performing a physical examination: A stethoscope is placed on the child's chest, listened to, and a general examination is performed.
- Asking about symptoms: You will be asked about the nature of your cough, its sound, and how long it has been present.
- Testing a mucus sample: A nasopharyngeal swab is taken by inserting a small stick into the nose and sending it to a laboratory to check for the presence of the virus.
Telling the doctor if anyone around you has had whooping cough or a persistent cough will be very helpful in diagnosing the disease.
What are the treatments for whooping cough?
Doctors prescribe antibiotics to treat whooping cough. The most common medications prescribed are Azithromycin and Clarithromycin.
Here's something very important: Antibiotics won't make your cough go away or reduce the frequency of your cough attacks. But they will stop you from spreading the disease to others. Also, if you start taking them early in the illness, they may reduce the severity of your symptoms.
If your child's condition is serious, they may need to be admitted to the hospital for treatment. There, doctors and nurses can monitor the child's breathing, give oxygen if necessary, and give them saline solutions.
It's time to see a doctor!
In the following cases, be sure to take your child to a doctor.
- If the child has not been properly vaccinated against whooping cough.
- If you have been around someone who has whooping cough.
- If the cough is severe, gets worse day by day, or is accompanied by vomiting.
- If you have a cough and fever.
- If you can't keep milk, formula, or food down.
If you have these symptoms, go to the hospital immediately!
If your child has difficulty breathing or the skin turns blue/gray (especially the lips and fingertips), call 1990 immediately or take them to the nearest hospital Emergency Department (ETU)!
Things you can do at home to get relief
While taking the medication prescribed by the doctor, you can get some relief by doing these things at home.
- Give some honey: Honey can help relieve a cough. But never give honey to babies under one year old! (It can cause a dangerous condition called `(botulism)`).
- Get plenty of rest: Rest is essential for the body to heal.
- Drink plenty of fluids: Drinking things like water and soup will thin out thick mucus and make it easier to cough up.
- Use a cool-mist humidifier: This helps loosen mucus by increasing the humidity in the room.
- Feed in small amounts: Feeding in small amounts rather than one large meal at a time can help reduce vomiting.
- Stay away from things that trigger coughing: Dust, smoke, and harsh chemicals (like some cleaning products) can increase coughing.
How can you protect yourself from whooping cough?
Vaccination is the best and only way to protect yourself from this dangerous disease.
- The `(DTaP)` vaccine given to young children.
- The `(Tdap)` vaccine is given to young people, pregnant mothers, and adults.
These vaccines reduce the risk of getting the disease and, if you do get the disease, they can greatly reduce its severity and complications. However, the longer you get the vaccine, the less immunity you will have. So talk to your doctor about the vaccination schedule for you and your child.
In some cases, if you are exposed to someone with the disease, your doctor may prescribe prophylactic antibiotics as a preventative measure, even before symptoms appear.
Take-Home Message
- Whooping cough is not just a common cold or cough. It is a serious infection that can be fatal, especially for young children.
- The best way to protect yourself from this is through vaccination. Talk to your doctor to make sure your child and yourself are up to date with your vaccinations.
- If you suspect you have whooping cough, seek medical advice immediately. Early treatment can help prevent the spread of the disease.
- If you notice a child having difficulty breathing or turning blue, it is an emergency. Go to the nearest hospital's Emergency Department (ETU) immediately.
- Antibiotics do not cure a cough, but they do prevent the disease from spreading to others. It is important to take the full dose of medication prescribed by your doctor.
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