Should You Take Your Child to the Doctor for Persistent Cough? - Pediatrics

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Should I take my child to see a doctor if they have been coughing for several days?


The child had a cold recently, and while other symptoms have improved, the cough persists and has lasted for almost a month.
It is particularly noticeable in the morning upon waking.
Should I take the child to see a doctor? Which specialty should I consult? Thank you.

zoe, 10~19 year old female. Ask Date: 2015/12/25

Dr. Xiao Kaiwen reply Pediatrics


A cough lasting for a month is unlikely to be just a common cold.
There are many causes for a persistent cough, such as bronchial hypersensitivity, post-nasal drip, mycoplasma infection, and gastroesophageal reflux disease (GERD), among others.
In Taiwan, the most common cause is bronchial hypersensitivity and allergies, and you can consult a pediatric allergy and immunology specialist.

Reply Date: 2015/12/25

More Info


When it comes to a persistent cough in children, especially one that lasts for nearly a month, it is important to take the situation seriously. Coughing can be a symptom of various underlying conditions, and while it may sometimes be a lingering effect of a previous illness, it can also indicate a more serious issue that requires medical attention.

In your case, since your child had a cold and other symptoms have resolved but the cough persists, it is advisable to consult a healthcare professional. A cough that lasts longer than three weeks, especially if it is worsening or accompanied by other symptoms such as wheezing, difficulty breathing, or changes in the color or consistency of mucus, warrants a visit to the doctor.

You should consider taking your child to a pediatrician, as they specialize in diagnosing and treating children’s health issues. The pediatrician will be able to evaluate your child’s cough in the context of their overall health, medical history, and any other symptoms they may be experiencing. They may perform a physical examination, listen to your child's lungs, and possibly order tests such as a chest X-ray or allergy tests if needed.

In addition to a pediatrician, if the cough is associated with respiratory issues, you might also consider seeing a specialist in pulmonology or an ear, nose, and throat (ENT) doctor. These specialists can provide further evaluation if the cough is suspected to be related to asthma, allergies, or other respiratory conditions.

Here are some additional points to consider regarding persistent coughs in children:
1. Post-Viral Cough: After a viral infection, it is common for children to have a lingering cough. This is often due to airway inflammation that can take time to resolve. However, if the cough is severe or persistent, it should be evaluated.

2. Asthma: If your child has a history of asthma or exhibits wheezing or difficulty breathing, it is essential to have them evaluated. Asthma can cause chronic cough, especially at night or early in the morning.

3. Allergies: Allergies can also lead to a persistent cough, particularly if your child is exposed to allergens such as dust, pollen, or pet dander. An allergist can help identify triggers and recommend appropriate management.

4. Infections: Conditions such as bronchitis or pneumonia can cause a prolonged cough. If your child has a cough that produces phlegm, especially if it is discolored, this could indicate an infection that may require antibiotics.

5. Environmental Factors: Consider any environmental factors that may be contributing to the cough, such as exposure to smoke, pollution, or dry air. These can exacerbate respiratory symptoms.

In summary, given that your child has had a cough for almost a month, it is advisable to seek medical attention. A pediatrician is the best first step, and they can guide you on whether further evaluation by a specialist is necessary. Early intervention can help identify the cause of the cough and ensure appropriate treatment, leading to a quicker resolution and improved quality of life for your child.

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