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I don’t understand what’s happening with us. We get up and head to daycare. On the doorstep, our son starts coughing. We get in the car — I want to go home; the cough gets worse. We arrive at daycare. The cough is heavy, his nose is runny. We drive home — no cough and no runny nose; the night is calm. In the morning, everything is different again. The pediatrician checked him — everything looks fine. The nurse at the daycare checked him as well — everything looks fine. The child continues to cough. I spoke with the caregivers. There were times when a fever rose, but it passed at home. The child is active and has a normal appetite. What should we do?
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Ekaterina
Похоже, что кашель провоцирует что‑то вне дома — холодный воздух, аллерген или раздражитель в саду/машине, а иногда и психогенный (рефлекторный) кашель при переходе в другую обстановку. Странно, что дома всё ок: это прямо подсказывает на внешний фактор (запахи, химия для уборки, освежители воздуха, пыль, плесень, пыльца) или холод/ветер; в редких случаях — кашлевой вариант астмы, когда именно на прогулке/при физнагрузке начинается. Что можно сделать прямо сейчас: вести дневник — когда, где, при каких условиях появляется кашель; снимать видео эпизодов; попросить в саду проверить уборку/освежители/наличие животных и проветривание; показать видео педиатру и обсудить аллергопробы или направление к аллергологу/пульмонологу. Если появится затруднённое дыхание, свистящие хрипы, посинение или высокая температура — срочно в поликлинику/неотложку. Если хочешь, могу помочь составить список вопросов для сада и врача.
Olga
Are you allergic to something in the garden?
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Liliya
Has this been happening for a while?
It might be nerve-related.
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Valentina
I'm feeling anxious.
Should I take a sedative?
I used to have a cough when I was outside, and I think it's nerves.
I recently stopped; it's been a year since I last coughed.
But now, every time I go outside, I start coughing again.
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Alla Ananchenko
Olga The cough starts on the way to the garden. My husband suggested it might be the car's air freshener, but if that were the case, I wouldn't be coughing in the garden.
The cough ends on the way home.
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Ekaterina
Psychosomatics and the Child's Experiences
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Alla Ananchenko
Liliya It's been more than a year now. It started about three months ago. Since the vacation, this is the second time I've had a cough like this.
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Petrenko Marina
This is psychosomatic. Please consider seeing a psychologist.
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Alla Ananchenko
Valentina Should I see a doctor? I'm a bit worried about giving a sedative like that without a good reason.
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Liliya
Liliya Maybe you’ve just fallen out of the habit, or perhaps you didn’t like something there. It’s definitely not a disease or an allergy—it's clearly a stress-related issue.
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Alla Ananchenko
Petrenko Marina Should I go to the kindergarten or to the clinic?
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Natalya
Feeling nervous.
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Alla Ananchenko
Liliya Yesterday I spoke with the caregiver. I asked a doctor to take a look, and she did. The throat seems fine; there is mucus on the back of the throat, but no runny nose. When she coughs, there is mucus as well as tears.
At home everything is normal, and she sleeps well at night. In the morning, when we go out, it starts again. I can’t stay cooped up at home all the time either.
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Fedorova Karina
1) This could be stress-related.
2) It could be an allergy. Please have a blood test. If it's an allergy, you'll notice the symptoms.
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Natalya
Natalya You should see a neurologist.
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Ekaterina Vorobeva
This is entirely psychosomatic. You may consider giving children herbal calming remedies, glycine, and magnesium. Let's monitor the situation.
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Ruzanna
1) Nervous, tic-like symptoms.
2) Allergic reactions.
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Valentina
Valentina Please see a neurologist.
I've checked everything; I'm fine.
I even breathed into the mouthpiece; my lungs are great.
It seems to him that SCD doesn't like it, on some inner level, even if he doesn't say so outright. At least that's how it feels to me; maybe it's the same for the child.
One more thing: if you go outside on weekends, is there no coughing? Specifically when the child is at kindergarten?
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Alla Ananchenko
Fedorova Karina Are these tests paid, or can I get a referral?
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Fedorova Karina
Fedorova Karina Could you please have a standard CBC performed? It could help us identify a possible allergy.
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Natalka
Wow, 😦 he’s grown so big, and he’s screaming 🙈. My younger child cried for three days, and that’s normal. He seems to enjoy it—he runs to the garden on his own.
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natalya
Please read the book 'My Child Enjoys Going to Kindergarten' by Anna Bykova. It even covers coughing, among other topics. 😉
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Alla Ananchenko
Natalka Is there something written somewhere that says it yells?
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Alla Ananchenko
Fedorova Karina Thank you so much.
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Natalka
Natalka Well, in the car, he's begging to go home with you—it's what you wrote.
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Natalka
Petrenko Marina I'm going to the hospital to see the neurologist-psychiatrist.
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Alla Ananchenko
Valentina We go to kindergarten. We go for a walk—at home, everything's fine.
But as soon as we go to kindergarten, this whole thing starts: coughing.
Yesterday my son came home hoarse. At home he ate, drank, played—his voice recovered.
In the morning he woke up fine, but when we head to kindergarten, the coughing returns.
We go into the group—and it starts.
I've already talked to him, hugged him, and right after work I go after him; we have our little rituals and hugs along the way. I'm already crying.
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Alla Ananchenko
Natalka Is this really what you’d call screaming?
The person says they want to go home.
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Natalka
Natalka Is it possible for a child to cry quietly?
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Alla Ananchenko
Petrenko Marina This question wasn't directed at you.
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Alla Ananchenko
Natalka The child can speak calmly.
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Petrenko Marina
Petrenko Marina Is there one that's used in kindergarten, if it's available there? I can recommend Zaychonok Syrup or EDAS306—please follow the instructions exactly.
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Natalka
Natalka Are you telling him that he has a runny nose and tears because he speaks softly?
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Lyudmila
Natalka Children under 3 adapt to kindergarten much more quickly, and if they’re under 2, it usually takes about a week and everything is fine. When there are three kids, it’s always like that: they’re already used to being at home, so the transition is stressful for them.
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Alla Ananchenko
Petrenko Marina There's something at the kindergarten, yes — I'll check and confirm. Thanks for the recommendations 🤗
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Natalka
Natalka My daughter started preschool at three and a half years old, and from day one she didn't cry at all—like she'd been there her whole life 😅. The younger kids cried for three days, and that was it.
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Yuliya
Natalka It's just that they're better off in the garden than with you 🤌🏻😃
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Natalka
Natalka Honestly, I let them rest all together at home once a week 🤲, and that’s why we go about it in complete silence 😁.
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Yuliya
Natalka Well, it seems they don't really like going there. Since they need a break, crying or talking about it isn't allowed.
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Alla Ananchenko
Natalka Would you like to talk?
If so, please take a moment to read carefully first, and then you can join the conversation.
If you'd rather not read, you can skip this and not clutter the discussion.
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Alla Ananchenko
Natalka 100% :)
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Valentina
Valentina Well, it seems there's something a bit stressful going on after all. At three years old, they're prescribed quite a few syrups, Tenoten among them.
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