Steroids for whooping cough

In order to diagnose liver diseases and problems, a doctor may need to conduct various tests, which include a blood test, an imaging test as well as a liver biopsy, where some tissue is extracted from the liver, with the help of a long needle. This tissue is then sent to a lab, when it is examined under a microscope. If the results of the tests point out towards a liver problem, then the doctor may suggest various treatment options, ranging from medication to surgery, based on the severity of the problem. Liver problems that lead to liver failure may require an immediate liver transplant.

We included 12 trials of varying sample sizes (N = 9 to 135), mainly from high-income countries, including a total of 578 participants. Ten trials recruited children (N = 448 participants). Two trials recruited adolescents and adults (N = 130 participants). We considered only three trials to be of high methodological quality (one trial each of diphenhydramine, pertussis immunoglobulin and montelukast). Included studies did not show a statistically significant benefit for any of the interventions. Only six trials, including a total of 196 participants, reported data in sufficient detail for analysis . Diphenhydramine did not change coughing episodes; the mean difference ( MD ) of coughing spells per 24 hours was ; 95% confidence interval ( CI ) - to (N = 49 participants from one trial ). One trial on pertussis immunoglobulin reported a possible mean reduction of - whoops per 24 hours (95% CI - to , N = 47 participants) but no change in hospital stay ( MD - days; 95% CI - to , N = 46 participants). Dexamethasone did not show a clear decrease in length of hospital stay ( MD - days; 95% CI - to , N = 11 participants from one trial ) and salbutamol showed no change in coughing paroxysms per day ( MD -; 95% CI - to , N = 42 participants from two trials). Only one trial comparing pertussis immunoglobulin versus placebo (N = 47 participants) reported data on adverse events: % in the treatment group (rash) versus % in the placebo group (loose stools, pain and swelling at injection site).

Hernias that are incarcerated or strangulated present a greater challenge since the potential complication of dead bowel increases the urgency. The health care professional seeks clues of obstruction, including a history of pain, nausea, vomiting, or fever . During a physical examination, a doctor may often discover that a patient has a markedly tender abdomen. These hernias are often exquisitely tender and firm. The exam may be enough to suspect incarceration or strangulation and require immediate consultation with a surgeon. Doctors may use X-rays or CT scans to confirm the diagnosis, depending upon the clinical situation.

How to help: Call your doctor immediately if you suspect whooping cough. Babies under 6 months will need to be hospitalized. The infection is treated with antibiotics, and other adults and children in your household may need preventive antibiotics and a booster shot to avoid getting sick. (Whooping cough is highly contagious, and immunity begins to wane five years after immunization.) Antibiotics will clear up the infection after about five days if they're started early enough, but your child's cough may linger for months and also return when she gets subsequent respiratory infections.

Steroids for whooping cough

steroids for whooping cough

How to help: Call your doctor immediately if you suspect whooping cough. Babies under 6 months will need to be hospitalized. The infection is treated with antibiotics, and other adults and children in your household may need preventive antibiotics and a booster shot to avoid getting sick. (Whooping cough is highly contagious, and immunity begins to wane five years after immunization.) Antibiotics will clear up the infection after about five days if they're started early enough, but your child's cough may linger for months and also return when she gets subsequent respiratory infections.

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