Is it permissible to get vaccinated if a person has a cough?

The child’s body is quite weak, the immune system is not yet fully formed, so children very often suffer from various diseases. First of all, the respiratory system suffers, because it is through it that the child comes into contact with the outside world, this can lead to frequent inflammatory diseases.

I will try to talk in more detail about such a disease as laryngitis, consider its main symptoms and methods of treatment.

Laryngitis is an inflammation of the larynx, most often caused by infectious agents - viruses or bacteria. Quite often, after suffering viral infections, for example, acute respiratory viral infections, influenza and others, inflammation of the structures of the larynx begins, most often the space under the vocal cords. Given this fact, endoscopic laryngoscopy is so important.

The disease is especially dangerous for the youngest patients. Young parents need to be able to immediately identify the first symptoms in order to take timely measures and prevent complications. In turn, this affects the development and growth of the young organism, because only if there is a normal supply of oxygen do all the necessary intracellular processes occur. Laryngitis is divided into acute and chronic.

Classification of laryngitis

The most common form is the catarrhal form, which is the least dangerous. The symptoms of the onset of the disease are similar to those of most diseases of the respiratory system: low fever, sore throat, dry cough, itching. In children, respiratory failure is possible, as the larynx swells greatly.

When the mucous membrane and its tissues grow, a hypertrophic form of the disease is identified. As they expand, they block the lumen of the larynx, which is why oxygen poorly enters the body.

Various diseases of the circulatory, cardiovascular systems, and liver can cause hemorrhages in the ligaments and mucous membrane. With this hemorrhagic form, the main symptoms that make it possible to distinguish this form of the disease from others are a dry cough, dry mouth, sputum production, possibly with blood, and a feeling that something is blocking the throat. If any of the symptoms occur, the child should be seen by a doctor.

More dangerous is subglottic, or laryngotracheitis, when the inflammation of the disease reaches the trachea.

In very rare cases, phlegmonous laryngitis occurs. Its causes may be severe infectious diseases, various injuries, and especially reduced immunity. This form of laryngitis is accompanied by high fever, severe sore throat, and possible difficulty breathing. Lymph nodes often become inflamed. At the appointment, the ENT specialist will notice red, inflamed mucosa with small areas of dead tissue.

In adults, an atrophic form occurs, in which the mucous membrane begins to thin.

It has been noticed that a third of children under the age of two suffer from laryngitis; as a rule, it is diagnosed together with acute respiratory infections, tracheitis or bronchitis.

Particular attention should be paid to children suffering from allergies. Not all drugs are suitable for such babies; it is better not to use ointments based on essential oils, because they can increase swelling of the larynx; you can use proven folk methods, plants, and medications.

Types of vaccinations in childhood

Immunization carried out according to plan quickly forms specific immunity to serious and dangerous diseases. Vaccines contain weakened or destroyed pathogens. Their quantity is sufficient to activate immune cells to produce antibodies. Specific antibodies remain in the body for a long time and protect the body.

Children are given the following vaccinations against:

• Tuberculosis.
• Diphtheria.
• Whooping cough.
• Tetanus.
• Poliomyelitis.
• Rubella.
• Mumps.
• Hepatitis B.
• Corey.

This is not the entire list of vaccines used for children. The list of vaccination calendar is updated every year.

Why does laryngitis appear?

Each organism is individual, so it is impossible to say for sure what causes laryngitis. Laryngitis is usually caused by several factors, including:
• Various colds (measles, acute respiratory infections, flu, others).
• A reaction to allergens (this can be paints, dust, wool), quite often the disease occurs after the family has moved to a new apartment, which has been renovated and furniture has been purchased. Hypothermia. With a weakened young body, even an ordinary draft can cause laryngitis
• Anatomical features of the structure of the respiratory organs: with a narrow larynx, laryngitis can even lead to a complete narrowing of the larynx, after which breathing becomes very difficult.
• Parents should monitor the air quality in the room where the baby is. Dry air, smoky air, dusty air, as well as air containing large amounts of exhaust gases are undesirable.
• A mechanical factor cannot be excluded when the larynx is severely strained or damaged. This can happen with long or loud singing, screaming, gastroesophageal disease, or foreign bodies.

The risk group includes children with chronic diseases of the nasopharynx, who have impaired breathing or have dental diseases.

Is it possible to do a Mantoux test for a cough?

We are talking about a tuberculin test. It is carried out to detect infection of the patient’s body with Koch’s bacillus. This procedure is harmless to health. But sometimes testing should be postponed.

Contraindications are: allergies of various etiologies, infectious diseases, bronchial asthma. For any manifestation of ARVI, including cough, it is undesirable to put a “button”. Why?

The fact is that against the background of an organism weakened by infection, the Mantoux reaction may appear as a false positive. But this does not mean that the patient has tuberculosis. It’s just how the body reacts to infectious agents. At the same time, the test itself does not affect the course of ARVI. The patient should completely get rid of the cough, after which he should wait another 2 weeks. Only then is it permissible to carry out a tuberculin test.

But this is true for mild ARVI. If a patient has a viral infection causing fever and severe complications, the Mantoux test is performed a month after recovery. When your baby still has a cough after suffering from bronchitis, you should wait at least a month (sometimes longer) until the negative symptoms disappear completely.

The patient must have:

• clean bronchi;
• normal body temperature;
• calm throat (no redness) and no rhinitis.

If you do a test on a coughing child, the result obtained is difficult to reliably interpret. The “button” can be either too big or, conversely, small.

The reason is that the previous illness and previous vaccinations have changed the body’s sensitivity to tuberculin. If the cough is allergic in nature, then the Mantoux test is not performed.

In this case, tuberculin can lead to negative post-vaccination symptoms. For allergic patients, the “button” is given only in cases of stable remission: symptoms of the disease should be absent for at least a month.

The Mantoux test is carried out for diagnostic purposes (this is not vaccination), but its reaction to immunity is still not known. Therefore, research should not harm. Mantoux is allowed to be administered only when there are serious reasons to suspect the patient has tuberculosis.

Although the “button” is not a threat to the patient, in aggravating circumstances the procedure can be rescheduled by a pediatrician (medical withdrawal). Doctors are confident that the Mantoux reaction is indicated only for healthy patients.

Symptoms of laryngitis

Usually the inflammatory process begins suddenly, i.e. it manifests itself in an acute form. The child's family may not notice a slight change in voice. Due to the fact that the throat hurts greatly when swallowing, the baby may have a decrease in appetite, difficulty breathing, a dry cough, and hoarseness. The cough is especially pronounced at night and in the morning, and attacks of suffocation are possible.

Symptoms of laryngitis include:
• Slight increase in body temperature;
• Hoarseness or hoarseness, loss of voice;
• Difficulty breathing due to swelling and spasms;
• Headache;
• Soreness, dry mouth;
• Severe dry cough, which may produce a small amount of sputum.

Parents of a baby can distinguish laryngitis by the following signs: lethargy, nasal discharge, moodiness, coughing, screaming, which is accompanied by wheezing, whistling, noise in the lungs. It is also worth paying attention to the nasolabial triangle. A bluish tint may indicate progression of the disease.

During the examination, the doctor will see redness of the mucous membrane and swelling. With chronic laryngitis, an itchy throat almost always bothers you, there is a desire to clear your throat well, and your voice may change.

In what cases is it necessary to call an ambulance?
• Normal breathing is disrupted - shortness of breath occurs, breathing becomes intermittent. Sometimes parents may not observe these symptoms in the baby, but asphyxia still occurs and cardiovascular failure occurs.
• False croup is a narrowing of the lumen of the larynx as a result of edema. In this case, breathing is difficult and may stop. At the first manifestation, parents should call an ambulance and provide first aid to the child. Diseases of the nervous system that are chronic, allergies, can significantly worsen the baby’s condition.
• When a child coughs, he gets scared, lacks oxygen, and has a high fever for a long time; in this case, parents should immediately call emergency help.
• If false croup occurs, you should first try to relieve swelling and spasm so that breathing can be restored. The first step is to do alkaline inhalation. Parents should not put the child down; this will make breathing difficult. It is advisable to humidify the room; you can make a hot foot bath. In the hospital, the child will be given inhalations, drug therapy, and oxygen therapy. Hormonal treatment is possible; antihistamines and antispasmodics are also prescribed.
• Narrowing of the larynx can occur in four stages, each of which smoothly flows into the next, so do not delay contacting a doctor.
• In the first degree, the child breathes calmly, but when receiving physical activity, the upper part of the sternum and part of the abdomen above the navel are retracted. During the second stage, the child becomes agitated, turns pale, and the nasolabial area acquires a bluish tint. Organ tissues and the brain experience oxygen starvation. The third degree is characterized by difficulty breathing, which is accompanied by noise, sweating appears, and fingers may turn blue. The fourth degree, in which a slow heartbeat, loss of consciousness and suffocation occurs, is best avoided.

What is ARVI? How is it different from the flu?

The term “acute respiratory disease” (ARI) or “acute respiratory viral infection” (ARVI) covers a large number of diseases that are largely similar to each other. Their main similarity lies in the route of transmission (they enter the body along with inhaled air through the mouth and nasopharynx) and in the set of symptoms:

• The patient has a fever, sore throat, cough, chills, muscle pain and headache for several days.
• The most common symptom of respiratory disease is a runny nose; it is caused by a number of related viruses known as rhinoviruses.

Upon recovery, all these symptoms disappear and leave no traces behind.
Basically, pathogens of acute respiratory infections are transmitted from person to person through coughing or sneezing of a patient. Anyone in close (approximately 1 meter) contact with others with cold symptoms is at risk of exposure to potentially infectious inhaled droplets. Viruses can enter the body (eyes, nose or mouth) through hands when touching an infected surface.

By maintaining personal hygiene, you can prevent the spread of pathogens that cause respiratory infections.

Treatment of laryngitis

Laryngitis should be treated comprehensively and to avoid serious consequences, you should follow all doctor’s prescriptions.

- Bed rest is required. — It is worth reducing the load on the vocal apparatus as much as possible, i.e. The child needs to talk as little as possible, because this is the condition that will give the fastest result. It is very important for children to take care of their vocal cords, because it is at a young age that the voice is formed, and too much stress or illness can lead to various defects. — In the room where the child is, there must always be moist air, which can be achieved using a special humidifier, regular ventilation, and it is also necessary to use an air purifier after each ventilation. — The child should drink as much as possible. Do not give very sweet liquid and let it be a little warm. Compotes, various fruit drinks, water, herbal teas, milk - all this helps to remove phlegm. - It is necessary to exclude foods that can irritate the mucous membranes. You can't eat hot or cold, or soda. Nutrition should be balanced with the necessary amount of vitamins.

Treatment of laryngitis with medications

Let's sum it up

Do not be upset if you do not give your child one of the vaccinations if he has contraindications to its administration. This does not mean that the baby will definitely get this disease in the future. In addition to vaccination, there are other ways to strengthen the immune system. Discuss with your pediatrician how to increase the child’s body’s defenses and develop resistance to infections and viruses.

It is also worth noting that none of the vaccinations provides 100% protection against disease. But if the child is vaccinated, the disease is much easier and the likelihood of developing severe consequences is significantly reduced. The most effective vaccinations are those after which you can check the presence of antibodies produced in the blood. If vaccination has not completed its task, then the vaccination can be repeated.

If mothers and fathers believe that vaccination is not advisable for their child, then parents can be advised to undergo an immunity test. Its results will show the level of protective capabilities of the child’s body against infectious diseases. An immunologist can issue a referral for diagnostics. The data obtained will help parents make the right decision regarding vaccination.

Antihistamines

With the help of anti-allergy medications, swelling of the mucous membrane is relieved.
It is better to take such medications before bedtime, then the child will be able to get enough sleep. Antitussives, expectorants
Currently, there are a huge number of cough medications in pharmacies, however, it is the attending physician who must choose the appropriate one.
If your baby has a frequent paroxysmal cough, the doctor will recommend medications that help soften it; this may be after the cough becomes wet, you should choose other medications. Aerosols, gargles, tablets
You can gargle a child in many ways, which the doctor will tell you in detail, but you should carefully monitor the child’s reaction, because even herbal infusions for gargling can cause an allergy and worsen the situation.
The pediatrician will recommend the most suitable aerosol or lozenges. Antipyretics
If a child does not tolerate a temperature above 38ºC, parents should give the baby an antipyretic; if the temperature lasts too long, an ambulance must be called to prevent complications.
Physiotherapy
Physiotherapy gives good results in the treatment of this disease.
Electrophoresis on the larynx, microwave therapy, ultraviolet irradiation, and UHF are usually prescribed. In case of voice defects, corrective classes are carried out with a speech therapist. Antibiotics for laryngitis
In some cases, doctors use antibiotics for treatment: - Bacterial environment, its presence can be determined after laboratory tests, diagnostics, taking a smear, which should be prescribed by the attending physician. — In some cases, doctors play it safe in order to avoid serious consequences. — Intoxication of the body, which can manifest itself in the form of chills, high fever, loss of appetite, and general weakness.

Taking an antibiotic is not the most effective treatment, since bacteria cause the disease in rare cases. List of antibiotics that a pediatrician usually prescribes: - Antibiotics for

When treating with antibiotics, do not forget to take probiotics so that the flora is not disturbed.
Inhalations
In case of illness, warm dry compresses are prescribed on the neck area, frequent drinking of alkaline drinks, and, of course, inhalation with special means using a nebulizer.
If there is no elevated temperature, you can put jars or mustard plasters. If you don’t have a nebulizer for the procedures, you can use steam inhalation. Steam inhalations: how to do them
Now inhalation is used for many diseases of the respiratory system. However, it is worth considering that inhalations will be performed on a child, so there are some rules that must be followed.

Inhalation should not be done after physical activity; it is better to do it twice a day, preferably between meals. You should inhale through your mouth so that the medications have the maximum effect on the source of the disease, and exhale through your nose. You cannot talk or eat during the procedure and for half an hour after it. How to do steam inhalation? If the child is still small, you need to pick him up and hold him close to the container with the boiling solution. You should be very careful not to burn your baby. Parents can sit an older child in front of a teapot with a funnel on the spout. Relatives should ensure that the child breathes calmly and evenly as usual. The list of products that can be used for the procedure depends on the presence of allergic reactions in the baby: - ​​Herbal infusions (calendula, sage, coltsfoot and others); — Inhalation with essential oils, a couple of drops is enough (cedar, juniper, and others); — Alkaline solution (3 tablespoons sea salt, 3 teaspoons soda, 5 drops of iodine).

Inhalations should only be carried out under parental supervision. Do not make the solution too hot, as this may worsen the child’s condition. The baby may accidentally knock over a container of hot liquid, so you need to carefully monitor him.

In some cases, the pediatrician prescribes inhalations with several medications. You should start with bronchodilators, and after 15-20 minutes, inhale with an expectorant. The child should be given a good cough, and then anti-inflammatory medications should be used.

Is it possible to vaccinate a child or an adult if they have a cough?

Doctors say that if a child coughs heavily and cannot clear his throat, then he should not be vaccinated. The procedure is postponed until complete recovery. Cough is a common manifestation of ARVI in both adults and children.

The body is weakened during the period of illness, which means that its “strength” will not be enough to resist vaccine pathogens.

After bronchitis

Bronchitis is a serious lung disease. And the attitude towards it should not be frivolous. Even a treated disease “reminds” itself of itself for a long time by coughing. How long does it last? Sometimes up to several months.

There are no longer any symptoms of bronchitis, but the person suffers from obsessive coughing. There are 2 types of cough: dry and with sputum. The latter indicates recovery, and the first, on the contrary, indicates that the infection has not yet receded.

A patient with bronchitis should be constantly monitored by a doctor. When a person recovers, you should wait another month until the body’s strength is fully restored. Only then can you get vaccinated.

For bronchial asthma

This chronic disease is more often diagnosed in children. Bronchial asthma (BA) manifests itself in 50% of children aged one to three years. It has been established that asthma is often the result of severe skin allergies.

The disease can cause relapses of bronchial obstruction against the background of ARVI, and sometimes be a consequence of the structural features of the respiratory tract. All this complicates the diagnosis of asthma in children in the first years of life, and this age is the busiest in terms of immunization.

Modern vaccines, although safe, can occasionally cause negative reactions. This is due to the fact that the process of manufacturing drugs is impossible without the use of antigens, animal proteins, antibiotics, that is, components that can cause hypersensitivity.

And there is a fear that in patients (especially children) with asthma, vaccination will cause allergic manifestations. Immunization experience has shown that in children with asthma, injection tolerance is generally satisfactory, without complications and with the formation of stable protective immunity.

Vaccination of patients with asthma is carried out during the period of remission.

For allergies

Cough may be a consequence of allergic reactions (AR) of the body.
In children, allergic cough (AC) manifests itself as dry coughing, and in adults – debilitating attacks. But the cause could also be ARVI. Therefore, you should understand the “sources” of the allergen. Immunization in such cases takes place outside the period of its activity.

If there is a history of urticaria or angioedema, anti-allergy medications are prescribed before (and after) vaccination.

If a patient has severe or moderate forms of allergic pathologies (BA or allergic dermatitis), and he receives a course of treatment, then remission is achieved with pharmacological drugs. And against the background of this therapy, vaccination is carried out. In the 14 days following vaccination, all contact with sources of allergies should be avoided.

It is better for children not to attend kindergarten during this period, and for older children not to attend school. If the patient is undergoing specific immunotherapy, vaccination is carried out 2 months after the end of treatment. Immunotherapy is resumed 1.5-2 months after the injection. In some cases (8-15%), vaccination in children can cause a temporary increase in allergic symptoms.

To prevent the situation from worsening, young patients are vaccinated against the background of antihistamine therapy. Periods of decline and growth of allergenic activity should also be taken into account. They are individual for each patient. If allergies worsen in the summer (some plants bloom), vaccination is postponed until autumn-winter, that is, during the period of remission of negative manifestations.

Modern vaccines have contraindications related to allergies, but there are not many of them:

• severe reaction to a previous injection;
• severe intolerance to aminoglycosides;
• anaphylactic reaction to chicken eggs (white).

Before vaccination, the medical history should be examined for AR to aminoglycosides.

Minor amounts of them may be present in MCP vaccines. Identifying such hypersensitivity is very important. The treatment tactics will be chosen by an allergist. His consultations are necessary if the patient has asthma, skin allergies, or reactions to vaccine preparations.

If a positive decision is made by the advisory expert commission, immunization is carried out in the vaccination room (in the morning) in the clinic (or hospital) in the presence of anti-shock drugs for possible emergency care.

Nebulizer: inhalation is easy

It is very convenient to carry out inhalations using a nebulizer. Their only drawback is that they cannot be used for procedures using solutions of essential oils and herbal decoctions. As a rule, alkaline water and special ready-made solutions, which can be purchased at the pharmacy, are poured into nebulizer sprayers. But some nebulizer models have special attachments that allow you to carry out procedures using herbs and oils.

Why are nebulizers so popular? They can be used even in small patients, even during sleep, safety (since the steam temperature will not be too high), high efficiency (the required amount of the drug is inhaled).

The following drugs are used for inhalation: - Medicines that can only be prescribed by the treating pediatrician; — Soda solution; — Herbal decoctions and essential oils, but it is worth considering that not all nebulizers are designed for this; — Alkaline mineral water (Borjomi); - Garlic juice.

Additional recommendations

Sprays should be used with extreme caution, especially in young children. It has been noticed that in some cases a strong jet can cause a spasm of the back wall of the pharynx. Don't forget about a possible allergic reaction. It is necessary to pay attention to the child’s breathing not only during illness, but also after it. Breathing should be uniform and through the nose.

Gargle with herbal decoctions and solutions several times a day.

If your baby's throat is very swollen, warm foot baths, warming and massage of the calf muscles can help. As a result of such actions, blood circulation will increase and swelling of the vocal cords will decrease.

Features of vaccination

In order for a child to develop artificial immunity, it is necessary to carry out immunization according to a developed schedule, which is approved by the Ministry of Health. The vaccination calendar specifically describes the types of vaccines and when they should be administered. The national vaccination calendar consists of two parts:

• The first section lists vaccines against diseases that generally affect all people (varicella, rubella, measles, whooping cough).
• The second lists vaccines against focal infections, such as influenza.

The most frequently debated issue is the flu vaccine. Medical experts are divided in opinion. Some insist on vaccination and consider it life-saving during epidemics. Others are absolutely sure of its uselessness. The flu vaccination is done solely at the request of a particular person during the autumn-winter period, when epidemics of viral and colds rage.

DTP is one of those vaccinations that are difficult for children to tolerate. It is this vaccine that can cause adverse reactions, even if the child tolerated other drugs well. To avoid undesirable consequences, parents need to know the reasons why vaccination should be canceled.

These include:

• Temporary factors. These are colds and infectious diseases; increased body temperature; worsening chronic illnesses. A coughing child should also not be vaccinated; he must first be completely cured. If you have a dry cough, when you do not cough up sputum, it is also not recommended to administer the vaccine.
• Absolute contraindications. These include progressive deviations in the functioning of the central nervous system; severely tolerated previous vaccinations; a history of seizures, including after previously administered vaccines; immunodeficiency; individual sensitivity and intolerance to the components of the drug.

If your son or daughter has any disease or if you are worried that the administered drug may provoke the development of undesirable consequences, it would be wise to first consult with your doctor. There are vaccines that do not contain pertussis toxoids, which cause side effects. Perhaps this is what the doctor will prescribe.

It is important to understand that DTP vaccination requires special care and responsibility from both parents and doctors.