Cough

 The main concern is in watching for signs of difficult breathing.

  • Coughs may be dry and hacking or wet and productive. This does not really help to tell you the cause of the cough.
  • Coughs help protect the lungs and do not necessarily need to be suppressed with medications.
  • Coughs are usually the last symptom to resolve during the course of a cold and may last up to 2 weeks.
  • Coughs may cause a child to vomit immediately after a coughing episode.

CALL DOCTOR IMMEDIATELY 

  • Signs of severe or moderate difficulty breathing
  • Breathing is fast and / or labored in between coughing episodes
  • Appears agitated, gasping for breath
  • Lips or tongue or nailbeds turn blue or purple with the coughing episodes
  • Blood tinged secretions being coughed up
  • Chest pain that is continuous
  • Listless, lethargic or difficult to arouse or acting sick
  • Suspicion of aspiration of a foreign body, household chemicals or powders

CALL DURING NORMAL HOURS 

  • Fever more than 48 hours
  • Cough more than 2 weeks
  • Coughing episodes associated with chest pain
  • Less than 2 months old
  • Coughing episodes that cause lack of sleep
  • Coughing associated with significant vomiting
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