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Cough after swimming, asthmatic, allergic, sporadic cough, runny nose. Result of?

Hi, I would like to know why both my 6 year old and 8 year old sons develop coughs after swimming. My 6 year old is an asthmatic and has quite a few allergies - as inherited from my husband. My 8 year old also develops sporadic coughs (maybe once or every second month) with a slight runny nose . The doctor then prescribes an antibiotic . But lately whenever they go swimming, both develop a cough after.
Asked On : Sun, 30 Dec 2012
Answers:  2 Views:  628
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Emergency Medicine Specialist 's  Response
Hi Jacobs,
Thanks for writing your query.

Your children are suffering from allergic bronchitis/asthma. Due to exertion during swimming, bronchoconstriction i.e. narrowing of air passage/bronchioles occurs resulting in reflex in the form of cough.

Antibiotic donot play a role unless there is added infection.

In bronchial asthma or in bronchitis, bronchodilators are needed as they dilates the constricted air passage and gives relief in cough.

Bronchodilators can be given in the form of rotacaps or inhaler as this route is safer and more effective.

Antiallergy medicines like levocetrizine can be given to decrease the allergic reaction.

Get them examined by a Paeditrician and give medicines under medical supervision only.

I hope this is helpful to you.
Answered: Sun, 30 Dec 2012
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Psychiatrist Dr. Jonas Sundarakumar's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

The possibilities for developing recurrent coughs in your children after swimming could be:
- an allergic cause, like an allergic rhinitis
- bronchial asthma

You have mentioned that one of your children has been diagnosed to have asthma, so this could be a very likely cause. Exposure to the cold water could be a triggering factor precipitating spasm of the airways, and resulting in the respiratory problems. This diagnosis can be confirmed by doing a test called peak flowmetry. If this is the case, then they may need appropriate anti-asthma treatment to prevent these episodes of cough.

Wish you all the best.

Dr. Jonas Sundarakumar
Answered: Mon, 31 Dec 2012
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