Friday, February 26, 2010

My daughter has constant cough. Dr. said lungs sound clear, but now lips are turning blue sometimes. Thoughts?

When she was 4, she had a positive TB skin test, but was just a carrier so they put her on drugs to prevent it. Unfortunately while she was staying with grandma, she wasn't given it regularly so now I am always on the watch for any symptoms because she cant have any more skin tests..only x-raysMy daughter has constant cough. Dr. said lungs sound clear, but now lips are turning blue sometimes. Thoughts?
I would definitely get her to the Dr.My daughter has constant cough. Dr. said lungs sound clear, but now lips are turning blue sometimes. Thoughts?
You can request the doctor to order an ultrasound of her heart and lungs to see if a problem can be spotted. Something is going wrong that is causing her to turn blue. That is from a lack of oxygen. Problems with the heart can have this effect as well. I have this sort of thing myself, but I'm not a little girl. It sounds like something she should see a lung specialist about to be sure. He would know if anything extraordinary was happening by doing some simple tests in his office. You ought to try and get her in to see one right away. Good luck to you in this.
Blue lips = lack of oxygen. Common sense will tell you why that is bad.





Take her back to the doctor, she might be getting worse. Obviously, her lungs AREN'T clear if she has a constant cough. I swear, sometimes I think doctors are retarded.





You are the mom. Get back to the doctor and pester him. Don't listen to everything he says, he's human too. When your kids health is at stake, you need to be kind of bitchy to doctors, even if it isn't in your nature. Me? I'm a very calm person, but when I go to the doctors, I don't let them give me platitudes. I am just as smart as they are and I know every inch of my own anatomy. I don't let them gloss me over with oh, here, have an antibiotic. The first thing I say when I go to the doctors is, ';I'm allergic to latex, I'm allergic to.....'; Whatever. Before they touch my skin, I again remind them that I am severely allergic to latex and double check to make sure they are NOT wearing latex gloves. Half the time, they have already forgotten what I said ten minutes before!!! I do not appreciate getting painful rashes from latex! I get very angry because too much exposure to latex can kill me. They just don't think!
A constant cough + blue lips seems to scream asthma to me. Lots of people think you can't have asthma without wheezing, but that is completely untrue. Go back to your doctor, discuss the possibility of your daughter having asthma and ask for him to prescribe a reliever inhaler to see if that helps your daughter. And go back urgently because blue lips are a sign the asthma is quite bad (unless its also very cold outside, in which case blue lips could be a sign of your daughter being very cold!)





As for the positive skin test for TB, I really wouldn't worry about that being a cause. It is highly unlikely your daughter has TB. Lots of people are carriers of TB (1 in 3 worldwide) and would react positively to a skin test (I did aged 13) but will never develop the disease. In fact of the 2 billion people who carry TB in the world, only 200 million will ever develop an active form of the disease and 2 million will die (annually). TB tends only to develop in carriers when the carriers immune system is compromised (eg by HIV, certain drugs, diabetes, organ transplants or sometimes stress etc). So TB is not likely to be the cause of your daughters illness, but something definitely is. Demand your doctor does further tests, or ask for a second opinion.
Go to another doctor a pulmonologist who specializes in the lungs. She needs to see someone ASAP. Blue lips is not a good sign, it says that she is not getting enough oxygen. If you have a children's hospital near you I would take her to the emergency room and have them take care of her and find out what is going on...............Good Luck.............
take her back to the Dr. she may have a worsening condition. she might have something going on that would not necessarily be heard
Definately follow up with this.





I am a student RN in a bachelor of science in Nursing program. Although I am not an expert, I have listened to a lot of lungs and know that things can change so although they may have been clear at that moment, they may not be now.





Also, blue lips are a sign she is not getting enough oxygen. If this problem progresses, she may wind up with much worse problems then TB.





Take her in, get her tested, and if its not TB its something else..... as your mother you know her best, don't settle for a blown-off answer.

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