Question: Hi...can I ask if worm infestation can cause recurrent bouts of cough to the extent of vomiting (esp at night), and wheeze in a child (age 19 months) ?

Thanks for the answer Dr. XXXXXXX Would you recommend my daughter for deworming now then? I realize it could also be a sign of asthma. Lately, the wheeze is not so much of an issue, it is the cough that's rather persistent and doesn't seem to go away. She used to have night sweats and fever sometimes too, but not anymore for the past few months. Can this also be part of worm infestation? I notice that this the cough and vomiting will be more prominent during the full phase of the moon. Coincidently, old folks mentioned that worms in the bowels tend to unwind from its 'ball' to look for food during the full moon. I have no real previous records as she is not on regular follow-up for her problem. Last visit to the peds clinic, she was given antihistamine and syr leftlose (what is this for?). The salb puffs were advised by other previous pediatricians to give whenever she gets an urti, so that it doesn't get worse and develop into wheeze. The antibiotics would be given when there is persistent or high fever more than 3 days that doesn't seem to settle with PCM alone, or if the cough seems to be worsened or more than 10 days. About 1-2 months ago she also had an episode of watery diarrhoea with fever for 1 week. BTW, I am a doctor by radiology profession, very little pediatric experience.