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Pretend you are the parent of the 6 year old boy. This is your first visit with this physician.

Doctor: What seem to be the problem with your child?

Parent: He has been coughing for a long time.

Doctor: How long has he been coughing? (Click here for explantion.)

Parent: Oh, about 3 weeks now.

Doctor: Is there a fever?  (Click here for explanation)

Parent: No fever doctor.

Doctor: Is he coughing more after running, playing, or laughing?   (Click here for explanation.)

Parent: Oh yes, whenever he plays hard he coughs and sometimes he has trouble breathing.

Doctor: In the past, did he had any bronchitis or pneumonia? (Click here for explanation)

Parent: Yes, last year he was seen at the ER for bronchitis and he was given an antibiotic.

Doctor: Do you have asthma, hay fever, or eczema in your close family members?   (Click here...)

Parent: Yes, my brother and sister had bronchial asthma when they were young. And some of their children are taking an inhaler.

Doctor: Is there a smoker in your family? (Click here ...)

Parents: My husband smokes, but he always smoke outside.

Doctor: When he had bronchitis last year, was it after visiting some of your relatives or friends with smokers in the house?

Parent: Oh, yes, it was soon after a Thanksgiving when we were at my parents for the holidays. And their granfather smokes inside the house.

Doctor: I think you child has mild asthma. (Click here ...)

Watch for the Ending

(This page is not yet done, it will be updated in the coming several days till I finish the “whole virtual” office visit on Prolonged Cough.)

If your child has prolonged coughing you should call your clinician for appointment.

Leo Leonidas, MD FAAP

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