Conversation: The conversation between human and AI assistant.
[|Human|] My 23 month old has frequent coughing issues. Episodes every 2-3 weeks, we have to visit urgent care for nonstop coughing spells. Nebulizer not improving symptoms. She has no mucus , just tightness of breathing , & coughing until eyes turn red from pressure. She coughs very hard. Drs. Prescribe more treatments & steroids. Our house is very clean, & she seems very healthy between bouts & even on the says she s coughing, plays as normal as she can. We need answers though. There s got to be an underlying issue. If its asthma , fine, but how do we treat to prevent these monthly to bimonthly episodes?
[|AI|]  Thanks for sharing your concern. The failure of nebulizer meds to work goes against the diagnosis of asthma though can not rule it out. In view of severe, uncontrollable, violent coughing spells I am suspecting that whooping cough is one possibility. Second possibility is unsuspected foreign body aspiration. Peanut / pop corn /seed / toy part /pen tops etc., could be anything. Please discuss with your doctor these possibilities so that they can plan relevant tests. Hope you find the information valuable.