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In children it is important to form an image of the underlying infection. It is due to treat a possible obstructivity in first hand. If you get the obstructivity under controll the cough will often subside. To give exporants is without effect. The cough can often be explained by the time it takes to regain the cilia after an ifection and it will pass after 1-2 months without treatment. A child 4-7 years of age can after a period of recidivating lower airway-infection have developed a postinfectious hyperactivity and the cough-reflex has become easier to provoke. Most likelt there is a chronic inflammatory condition in the mucous membrane. During prolonged hyperreactivity one can try an inhalation-steroid in low dosage 1-2 times a day. Antibiotics do not effect the course of events.

The section then continues with this sentence: "In 2006, the American College of Chest Physicians published a guideline that had the dual message that many over-the-counter cough medicines are not effective, and that those that are effective in treating the symptom do not treat the underlying cause; the underlying disorder emphasized by the guideline was pertussis (whooping cough) in the elderly." There is much wrong with these sentences. First of all, the source is a dead link form . Second, the author begins by making the pronouncement that "many over-the-counter cough medicines are not effective" -- this isn't really true. The most popular cough medicines treat *productive* coughs associated with cold and flu. These work quite well on this type of cough -- especially those that attack the mucus that makes productive coughs so nasty (I touched on this in my paragraph). Anyone who's taken an expectorant has probably felt its effects as mucus is released from the nose and chest. The efficacy of expectorants has been studied clinically and documented anecdotally. So to say that these over-the-counter meds are ineffective is, at best, misleading, and, at worst, simply false. And, most importantly, these popular cough medicines are not meant for whooping cough. They have little to do with whooping cough, which is caused by a bacterium and can last for weeks or months. A doctor wouldn't prescribe most over-the-counter cough medicines for whooping cough because of this underlying problem. Expectorants and decongestants would do nothing to help, and cough suppressants *might* provide temporary relief (or might not) but would by no means stop the cough because the bacteria would still be present. The author does actually write that the available cough medicines don't "treat the underlying cause" -- obviously. They aren't meant to. They are, for the most part, indicated for an entirely different kind of cough. Thus, the inclusion of this revelation that over-the-counter cough meds don't treat whooping cough is silly. These meds don't treat arthritis or acne or anemia either. Should we mention that too?

Inhalationssteroid vid kol

inhalationssteroid vid kol

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