Pediatrician Questions Pediatrician

How do I know if my child has bronchitis?

My son is 10 years old and he has a cough. How do I know if my child has bronchitis?

3 Answers

This answer is in response to the question “how do I know if my child has bronchitis” Children rarely if ever get what is classically known as “bronchitis”, which is almost always an adult disorder.  If your child has a cough, there can be many reasons, including the common cold, croup, asthma, post-viral cough syndrome, pneumonia, etc. More rare causes would be the aspiration of a foreign body, congenital malformations, etc. If your child’s cough has persisted for more than two weeks or is accompanied by fever or trouble breathing, then you need your doctor or NP asap to see your child and listen to the chest.
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"Bronchitis" is just the medical term for cough. the suffix "it is" just means "inflammation of..." the "Bronchi" is the upper airways. With very rare exception, a cough is caused by inflammation of the upper airways, hence...BRONCHITIS. There is nothing in that term that suggests what is the CAUSE of the inflammation, which is the key to appropriate treatment. ONLY BACTERIAL infections, which are extremely rare, especially in children, can be treated with prescription antibiotics. The typical medical pronouncement, "Your child has bronchitis, here is a prescription for antibiotics" is usually not only useless, but is what contributes to antibiotic overuse, both in individual patients as well as in our population at large.