Explanation Of The X-rays Of The Child Who Is Coughing?

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My child often catches coughs and then yesterday went to the doctor to get x-rays the results r n r nTHORAX PA r nCOR: NORMAL r nPULMONUM: BRONCHOPNEUMINIA r nTB LUNG?

1 Answer:

Hi Heri,

Thank you for asking HealthReplies.com.

Coughing in children has many possible diagnoses. And, to diagnose the cause of cough in children, in addition to conducting interviews and physical examinations, doctors can do supporting tests, such as x-rays. However, you need to know that it is not enough to interpret the results of an X-ray examination based on a brief description of the existing X-ray paper. Doctors need to confirm this also with the results of other tests performed on the patient. Therefore, you should consult directly with the doctor who treats your child.

Bronchopneumonia (BP) is an inflammation that occurs in the lower airway, starting from the bronchioles to the surrounding lung tissue. This condition most often affects children and toddlers. BP is usually characterized by the appearance of fever, a productive cough with yellowish or greenish phlegm, runny nose, hoarseness, and sore throat. In general, children will experience decreased appetite, rapid breathing, shortness of breath, pale, bluish, and weak. The cause of BP is an infection, it can be bacteria, viruses, fungi, or parasites. Often, this condition affects children who often experience recurrent ARI (upper respiratory tract infection), suffer from malnutrition, are often exposed to smoke or pollution, and also do not get adequate immunizations.

Meanwhile, pulmonary tuberculosis (TB) is an infection of the lung parenchyma caused by Mycobasterium tuberculosis. This infection is prone to occur in children who have close contact with adults who suffer from TB. Densely populated environmental conditions, poor lighting and sanitation, deficient nutritional status, immune system disorders, and various other factors can contribute to increasing the risk of children developing TB. In addition to coughing, children who suffer from TB generally will also experience a mild fever that does not go away, sweating frequently, especially at night, difficulty gaining weight, decreased appetite, and swelling of the lymph nodes.

Bronchopneumonia is different from pulmonary tuberculosis, therefore its treatment is clearly different. Even so, under rare circumstances, it is possible for the two diseases to appear simultaneously. As explained above, it is necessary to confirm again to the doctor who examined your child directly, what kind of condition happened to your child. Usually, not only X-rays, doctors will also suggest laboratory tests, sputum tests, or other supporting tests before determining the appropriate treatment. Depending on the cause and severity, BP can be treated with observation, administration of oxygen and fluid therapy, administration of antibiotics (if the cause is bacterial), and other therapies according to the symptoms that appear. Meanwhile, pulmonary TB is usually treated by administering a combination of antibiotics (OAT, anti-TB drugs) given for at least 6 months. Consult directly with a pediatrician about the best management that needs to be done to deal with your child's complaints.

In the meantime, what you should do is:

Always maintain sanitation, ventilation and lighting of the environment where the child lives. Avoid the child from excessive exposure to dust, smoke, pollution and other allergens. Keep children away from adults who are coughing Give children high nutritional value food.

dr. Nadia Nurotul Fuadah

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