Suffocating cough in adult and child treatment and what to do
What to do when a suffocating cough?
Special concern cause bouts of cough with suffocation. The reflex act is accompanied by a narrowing of the lumen between the bronchi and the bronchioles, that partially or completely restricts the flow of air flow.
Without the provision of emergency care and further adequate treatment the patient may die. It is important at the first signs of illness seek medical help to differentiate the precipitating factors, determining regimens.
Cough – a protective-adaptive reaction to adverse endogenous and exogenous conditions. With strong irritation of receptors in the cough centre there is a sharp contraction of smooth muscle of the bronchi change their clearance. Rapidly begins to grow short of breath, there is a severe lack of oxygen.
Cough attacks peculiar to the situational character, as the progression of the disease increases the frequency and intensity of the forced exhalations.
The basis for pathological cough are serious violations in the work of organs and systems:
- cardio-pulmonary abnormalities: coronary artery disease and their clinical manifestations (angina, heart failure, cardiosclerosis, arrhythmias, myocardial infarction);
- pertussis infection;
- infectious-inflammatory process in upper and lower respiratory tract: tracheitis, laryngitis, pharyngitis, pneumonia, bronchitis;
- malignant tumors in the lungs, bronchi, trachea, larynx;
- gastro-esophageal reflux.
On the adverse environmental, domestic and industrial conditions, contact with the allergen the body responds by increased secretion of the pathological fluids. Through the cough acts committed attempts to evacuate phlegm, but inflamed and swollen sheath of the larynx prevents the natural cleansing, the patient starts to choke while coughing.
For reference! Due to the close location of the cough and the vomiting center are often strong attacks of spasm in the bronchi end in retching.
I have to take a therapeutic measures, the disease accompanied by a suffocating cough that moves from acute to chronic.
How and what to treat suffocating cough
Different pathologies characteristic of an individual timbre, frequency and time of manifestations of cough reflexes. Based on these characteristics, results of laboratory and instrumental research, the doctor diagnoses the cause of bronchospasm.
Would be wrong to list the basic combination of pharmaceutical agents, as for each clinical case the preparations are selected individually, taking into account the underlying disease, the extent and stage of infestation, physiology of the patient and contraindications.
When a patient presents with complaints of choking cough at night and can’t sleep, the doctor prescribes cough medicine. Indications to their appointment are unproductive spasmodic exhalations of different etiology.
According to the method of influence on the cough center differencesbut their Central and peripheral actions. The first effectively block the cough reflex, but it disrupts the functioning of the respiratory system, causing drug dependence, euphoria, therefore, their therapeutic effectiveness is not always justified.
The most common narcotic drugs are the «Codeine», «Ethylmorphine» «Codipront». Use only in a hospital in extreme cases (pertussis, pleurisy, cancer).
Some of the most popular non-opioid medications. Among their advantages – suppress dry suffocating cough in children and adults, without affecting brain activity. Additionally have antispasmodic, analgesic, hypotensive effect, are not addictive.
As example, «Tusupreks», «the pharmacy was», «Glauben», «Sedotussin» for children drops — «Pour».
For reference! Do not combine cough medications with mucolytics, because there is a risk of formation of stagnation of phlegm in the lungs and bronchi.
Common drugs peripheral actions include:
Active ingredients that reduce the reflex stimulation of the cough reflex by affecting the afferent or efferent receptors. Demonstrate the properties of a mild anesthetic, analgesic, and eliminate profilaktirujut the appearance of bronchospasm, change the formation and viscosity of sputum, thus facilitating its evacuation.
Therapeutic help is to liquefy viscous secretion, improve sputum discharge. The main indications for the appointment – productive cough with trudnootdelyaemoy bronchial secret in tuberculosis, chronic and acute respiratory diseases (laryngitis, bronchitis, tracheobronchitis, emphysema, pneumonia), whooping cough, inflammatory processes in the nasopharynx.
For reference! The main contraindications to the use of acts as increased hypersensitivity to the components, elements, problems with the digestive system, the period of gestation and breastfeeding.
Widespread in ENT practice received the drugs based on medicinal plants: «Marshmallow syrup», «Gerbion plantain syrup», «Geelix», «Woken», «Pertussin», «Bronchipret».
Most of the modern drugs has a complex effect, in addition to expectorant effect exhibit the property of antimicrobial, anti-inflammatory, antispasmodic. The minimum content of toxic substances allows the use of drugs from an early age.
Secretolytic effect is manifested in changes in the adhesive properties of sputum without increasing its volume, improving its drainage of the bronchial tract, increasing the efficiency and effectiveness of reflex acts.
The number of sentences in the lead following medications:
The use of mucolytics is shown in diseases of the respiratory system acute (tracheitis, bronchitis, pneumonia) and chronic (bronchitis, bronchial asthma, bronchopulmonary disorders), ENT diseases (sinusitis, rhinitis of different etiology).
Tip! To achieve positive dynamics, together with tablets, syrups, drops recommended inhalation with secretolytic drugs. With their help it is possible to reduce the frequency and intensity of cough attacks, to soften the irritated throat, thin mocratie education.
Choking when coughing appears on the background of inflammation of the mucous membranes of the respiratory tract:
- allergic rhinitis;
- whooping cough;
- ENT-diseases (rhinitis, rhinopharyngitis, otitis, sinusitis);
- bronchial asthma;
Therapeutic interventions with anti-inflammatory drugs is to stimulate mucociliary clearance, reduction and prevention of bronchoconstriction, inhibition exudation, providing a cushioning effect on irritated mucous membrane of the larynx.
In otolaryngology in great demand «Ibuprofen», syrup «Erespal», «Serrata».
For reference! Modern pharmaceutical industry offers a wide range of drugs combined effect with anti-inflammatory effect: «Omnius», «Ambroxol,» «Fluditec», «ACC».
Treatment suffocating cough in adults and children complement the antibacterial drugs in the respiratory tract by pathogenic strains. Antibiotic should choose a doctor, after determining the sensitivity of viruses and bacteria to the main component.
To reduce the redness and inflammation of the mucosa of the tracheobronchial tree triggered by an allergic reaction will help antihistamines. Profilaktirujut or eliminate the signs of allergies, have antipruritic effect, improves the quality of breathing.
Palliative care in the treatment of suffocating cough have the means at hand: warm milk with honey, burnt sugar, medicinal herbal teas, tea with raspberry, lemon.
How to help the patient during an attack?
Emergency aid in the manifestation of bronchospasm consists of the following operations:
- To release the patient from clothing that restricts movement.
- If the room is concentrated stimulus, to divert to another location. Open Windows and doors for a smooth flow of air.
- A beneficial effect on the respiratory tract has a moist air. Take the patient for a few minutes in the bathroom where I opened the faucet with hot water. If you have a nebulizer, it is possible to spend inhalations.
- When you cough in patients with bronchial asthma offer an inhaler.
- To ensure a rich alkaline water at room temperature. If you do not have mineral water, you can dissolve it in warm milk a pinch of baking soda.
- To give drugs that promote the expansion gaps in the bronchi: «Ephedrine», «Aminophylline».
If the child has had a seizure in my sleep, you can Wake up and drink warm liquid. To alleviate a sore throat will help the absorption of butter or honey (if no allergies). If the patient’s condition worsens, call an ambulance.
What to do when a suffocating cough? The first task is to mild asthma, to restore the natural breathing. Once the patient’s condition could be stabilized, it is necessary to visit a doctor. Often strong pathological cough is a sign of serious disorders in the organs and systems, so solving the problem requires medical involvement.