Whooping Cough

What is whooping cough?

Whooping cough is a highly infectious disease of upper respiratory tract and is characterised by acute episodes of carp followed by inspiratory whoop and vomiting.

Causes of whooping cough: –

It is caused by Bordetella pertusis or Haemophilus pertusisw, a small slender gram negative rod which almost exclusively invades children under the age of five. But there has no age of immune. This is a contagious disease, spread by infection, with an incubation period of one to two weeks. Outbreaks may occur in schools. Females are commonly affected by whooping cough but affection of male is not rare. It is common in winter and spring season.



Pathology of whooping cough: –

The total respiratory tract from nasopharynx down to bronchi is involved in a necrotizing inflammation along with inflammation of the peri-bronchial and tracho-bronchial lymphoid tissue. Alveoli are almost certainly not involved.

Clinical features of whooping cough: –

Patient of Whooping Cough

Patient of Whooping Cough

i) Catarrhal stage: it is like common cold. The child presents with same terms of acute naso- pharyngitis and conjunctivitis. So there is nasal discharge and red eyes. Cough and fever are present. Cough is out of proportion to physical signs and generally non-productive. Fever is very slight. Catarrhal stage lasts for two weeks. The disease is most infectious at this stage.
ii) Paroxysmal stage: this is the second stage of the illness which is characterised by severe paroxysm of whoop. Often there is expectoration of tenacious mucus and vomiting. At the end of episode the child gets exhausted and even may go to sleep. The cough is more prominent at night and there is increased on crying and during feeding. Episodes of top may occur as many as 40 to 50 times a day. Children under six months usually do not produce whoop. During this stage fever is not present, unless some other infection complicates. Coryza also disappears in this stage of whooping cough. Vomiting may occur at the end of bouts. Tetany may occur due to severe vomiting and patient is unable to retain any food. Paroxysmal stage lasts for about four weeks.
iii) Convalescent stage: in untreated cases of whooping cough the whoop persist for about a month after which the cup gradually disappears and the child returns to normalcy unless some complications supervane.

Complication of whooping cough: –

i) Different varieties of pneumonia may occur.
ii) Malnutrition due to vomiting may arise.
iii) Electrolytic imbalance or dehydration may be found.
iv) Sometimes developed hernia.
v) Sub -conjunctival haemorrhage may occur.
vi) Enlargement of bronchial lymph nodes may be found.
vii) They are may occur otitis media.
viii) Prolapse of rectum is not very rare.
ix) A serious meningitis may also develop.

Prevention: –

For acute immunisation, triple antigen is usually employed. Three doses of 1 ml at intervals of at least one month are given preferably beginning when the baby is 4 to 6 months old with booster doses in older siblings; this is contraindicated in fevers, aural and cutaneous sepsis, in pre-match your and weak infants. Pertusis vaccine beyond to age of one year is sometimes following by neurological involvement like peripheral neuritis or encephalopathy.



Homeopathic management of whooping cough: –

isolation from other children is useful to prevent the spread of the disease, especially in the early stage. Proper homoeopathic medicine should be choice and used for this treatment. We are giving here some therapeutic hints but we should be remembered that complete treatment to be done under proper medical supervision.
i) When cough is violent which follow each other in quick succession; the patient is scarcely able to breathe. Wakes early in the morning and continues coughing until a quantity of Tenacious mucus is removed by vomiting. Coughs at irregular intervals and it are dry and spasmodic; bleeding from the nose when coughing to me; cough worse lying down after midnight. Laughing, singing, drinking, etc. excite cough and it is the specific for whooping cough. In this situation Drosera is very useful.
ii) Long-lasting, dry, suffocative cough and spasmodic attacks; worse at about 3 AM; unable to speak; breathless; blue face; stiffness; three attacks one after another. The cough has a gargling sound and feels better by drinking water. In this case homoeopathic medicine Cuprum met is suggestive.
iii) Hoarse, incessant, unprofitable cough of spasmodic type which is often barking at night and morning. may be used.
iv) Dry spasmodic and suffocative cough, coughs in rapid succession at irregular intervals and patient becomes purple in face. Worse in open air; changing from a warm to cold room excites cough. In this situation apply Coralium.
These are not all. Many more medicine as per totality of symptoms may be effective for the treatment of whooping cough such as Partussin, Coccus cact, Bryonia, Belladona etc.
With the uses of homeopathic medicine use of magnetic therapy may boost up the treatment process of whooping cough. General Application of magnet Method No. 1 and small magnets may also be applied locally on the throat.