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108
FAMILY ILLNESS

Coughing( children)

For adults and children over 12, see p. 106 Coughing is a normal reaction to irritation in the throat or lungs. Most coughs are due to minor infections of the nose and / or throat, but a sudden onset of coughing may be caused by choking. Coughing is unusual in babies less than 6 months old and may indicate a serious lung infection.

! Danger signs

Dial 911 or call EMS if your child is coughing and has any of the following symptoms:
• Blue-tinged lips or tongue.
• Abnormal drowsiness.
• Inability to produce sounds.
• Inability to drink.
• Excessively rapid breathing.
START
How long has your child been coughing?
Started suddenly a few minutes ago
Started more than a few minutes ago
How old is your child?
Under 6 months
6 months or over
ACTION
CALL YOUR DOCTOR NOW Your baby may have a serious lung infection such as bronchiolitis( inflamed small airways in the lungs).
• Keep your baby sitting up, if possible in a steamy bathroom.
Is it possible that your child is choking on food or a small object?
Possible
Is your child’ s breathing abnormally rapid or noisy( see p. 71)?
Abnormally rapid
Does the cough have either of these characteristics?
Comes in fits ending with a whoop
Unlikely
Noisy
Is accompanied by vomiting
Neither
Neither
ACTION
TRY SELF-HELP MEASURES An inhaled object may be the cause of the coughing. Follow the first-aid advice for choking( pp. 22 – 24).
DIAL 911 OR CALL EMS

! if the object is not dislodged immediately.

ACTION
GO TO ANOTHER CHART Breathing problems( children), p. 112
ACTION
SEE YOUR DOCTOR WITHIN 24 HOURS Your child may have pertussis( whooping cough).