Symptoms of Whooping Cough


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Whooping Cough symptoms come in stages of differing severity
  • Phase 1: Cold-like symptoms
    • Cough
    • Mild fever - or no fever at all in early stages
    • Running nose
    • Sore throat
    • Mild dry cough
    • Sneezing
    • Tears
    • Tiredness
    • Loss of appetite
    • Night cough
  • Phase 2: Coughing spasms: - this is the dangerous phase of the disease.
    • Coughing spasms - followed by the "whoop" breath intake.
    • Rapid breath intake - the characteristic "whoop" noise
    • Dry racking cough - in cases where the cough is not severe enough to "whoop".
    • Breathing difficulties - all of these are serious, and are very dangerous for babies.
      • Holding breath (infant) - in newborns with undeveloped cough reflex. Instead of coughing babies may appear to hold their breath. They may exhale too much and not inhale enough or they may turn blue instead of coughing.
      • Non-breathing periods (apnea) - breathing stops for a period of coughing.
      • Blue or purple (cyanosis) - an inadequate supply of oxygen to the body. Newborns might go blue without coughing.
      • Convulsions - not enough oxygen to the brain can cause convulsions.
      • Choking - the flem from the throat infection can interfere with breathing.
    • Feeding difficulties - The cough also leaves little time to eat or drink. The act of feeding can also trigger a coughing fit, making it hard to feed an infant.
    • Vomiting
    • Retching
    • Nosebleeds
    • Diarrhea
    • Fever
  • Phase 3: Gradual recovery:
    • Mild cough
Whoop-like cough may recur due to other respiratory infections

After about 1 to 2 weeks, the dry, irritating cough evolves into coughing spells. During a coughing spell, which can last for more than a minute, the child may turn red or purple. At the end of a spell, the child may make a characteristic whooping sound when breathing in or may vomit. Between spells, the child usually looks and feels well.  In some infants the characteristic whooping sound is absent, some dont cough or whoop at all, they just look as though their gasping for air, their face may turn red, and in severe cases they may even stop breathing altogther for a few seconds.  All of which is very stressful to onlookers.
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