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Permanent Cough !!!

Question
Hello,

My 13-year-old son has hardly been affected so far. The FEV was 95, little to no sputum.

Since the beginning of June, however, he has had permanent cough, with the FEV dropping to 75, and a considerable increase of sputum. All tests carried out so far (MRT, CT, ABPA diagnosis, lung x-ray [translator’s comment: not sure about this term], blood tests) were okay. On prick testing, he reacted to molds, though, which were not detected during a throat culture test, however. ABPA diagnosis was negative. Neither several weeks of Budesonide inhalation nor a 3-day oral steroid therapy brought any improvement. A three-week stay on the Canaries did not change the results, either. As a final diagnosis, a BAL is to be done now. I am not thrilled about this, but since my son does not emit sputum, I do not have a choice. Perhaps there is a germ sitting somewhere deep down that cannot be detected by a throat culture test.

Now, however, another affected mother told me that it was exactly the same with her son during puberty, and that during that time the sputum and cough often increase and the FEV worsens. I cannot imagine that, however.

Since I am a nurse myself, I am beginning to feel really stupid. My son keeps coughing, and no abnormality is being detected. Can it really be connected with puberty??

Sincere thanks for your advice.

Muckel.
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03.12.2008