Does whooping cough cause diarrhea?

Written by Li Jian Wu
Pulmonology
Updated on September 22, 2024
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Mild cases of pertussis, commonly known as whooping cough, generally do not cause diarrhea. Diarrhea is a symptom of the gastrointestinal tract, whereas whooping cough is a contagious respiratory disease caused by a common bacterial infection. It can lead to symptoms such as vomiting, nasal discharge, and tearing due to coughing. The typical symptoms include a cough that sounds like a bark or a crowing sound during inhalation. The main treatment principle is symptomatic treatment, thinning the mucus, and relieving bronchial smooth muscle spasms. During the acute phase, macrolide antibiotics such as erythromycin or azithromycin can be chosen for treatment. (Please use medication under the guidance of a doctor.)

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Written by Li Jian Wu
Pulmonology
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Can whooping cough be vaccinated against?

Pertussis can be prevented with a vaccination and is a type of respiratory infectious disease. The main clinical preventive measure is vaccination, specifically with the DTP vaccine, which is a national Category I vaccine and part of basic immunization. The first dose should be administered when the baby is three months old. The DTP vaccine prevents not only pertussis but also diphtheria and tetanus infections. The complete course consists of three injections, with the second and third doses administered in the fourth month and between the fourth and fifth months, respectively.

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Written by Li Jian Wu
Pulmonology
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Is whooping cough very harmful?

Pertussis belongs to infectious diseases and certainly poses some risk to health, with the degree of harm varying greatly from person to person. Typical symptoms include paroxysmal, barking coughs, fever, and runny nose. Some may also exhibit cyanosis (bluish hue to lips) and signs of hypoxia. Coughing can also lead to runny nose, teary eyes, and even convulsions, nausea, and vomiting. Some patients may present with an inspiratory crowing sound. Treatment involves anti-inflammatory measures based on the number of infectious pathogens and specific symptoms, and isolation precautions should be taken to prevent the infection from spreading to other children.

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Written by Li Jian Wu
Pulmonology
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Whooping cough is caused by what?

Whooping cough is a type of contagious disease, caused by infection with the Bordetella pertussis or Corynebacterium diphtheriae that causes respiratory infection symptoms. Its characteristics include paroxysmal, hormone-like coughing, commonly seen in clinical paediatrics. It presents specific cough sounds, such as a bark-like cough or a crowing sound during inhalation. If similar symptoms are observed, sputum culture or other diagnostic tests such as chest X-rays and routine blood tests can be performed. Once diagnosed, it is crucial to promptly select macrolide antibiotics to eliminate the pathogens.

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Written by Zeng Hai Jiang
Pediatrics
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How to determine whether it is the paroxysmal stage or the recovery stage of pertussis?

After the incubation period, typical whooping cough goes through three clinical stages. The first stage is the catarrhal stage, also called the pre-paroxysmal stage, during which the infectivity is the strongest. If treated promptly during this stage, the progress of the disease can be controlled. If the catarrhal stage is not effectively controlled, it then enters the paroxysmal stage. During the paroxysmal stage, the patient will experience episodic spasmodic coughing, with more severe episodes at night. During spasms, there will be neck vein distension, swollen and congested eyelids and face, and cyanosis of the lips. This stage can last up to two months. After the paroxysmal stage follows the convalescent stage, where the episodic spasmodic coughing gradually decreases and becomes less severe.

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Written by Li Jian Wu
Pulmonology
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Is pertussis prone to recurrence?

Pertussis is a common respiratory infectious disease. If it is not fully treated and medication is stopped right after the symptoms are alleviated, it is likely to cause repeated relapses and persistent prolongation. Therefore, the treatment of this disease should follow the doctor's advice, choose an adequate amount of antibiotics, and adhere to the prescribed course of treatment. After one course of treatment, a re-examination should be conducted to confirm the absence of the pathogen in the body before discontinuing the medication. Medication should not be stopped merely based on symptom relief, as doing so can easily lead to repeated relapses and prolonged disease, affecting the child’s normal life and, in severe cases, possibly causing delayed growth and development.