Symptoms of whooping cough
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Updated August 2019
Whooping cough (pertussis) in a recognizable form evolves over a period of 2 weeks. It usually starts as a sore throat with a mild feeling of tiredness and being unwell. Maybe some catarrhal symptoms too, like a cold. Within 2 or 3 days it turns into a dry, "ordinary" cough. This persists, but may come and go over the next 7 to 10 days. Thenthe cough may become a little productive of small amounts of sticky clear phlegm. Occasional intense bouts of choking coughing start to occur.
Fever is usually limited to the first week and is only mild. After the above it becomes a more choking cough that lasts from 1 to 2 minutes, often with vomiting, severe facial congestions and a feeling or appearance of suffocation. Between these attacks the sufferer usually appears feels perfectly well. These choking attacks happen as little as twice a day or as many as fifty. Between attacks the sufferer may not cough at all. 'Whooping' is a noise that comes from the voice box after a paroxysm of coughing when the sufferer is suddenly able to take a breath in again.
There may be very thick, sticky, clear phlegm. It is sometimes stringy. It is also common to produce lots of saliva after a coughing fit.
Only about 50% of sufferers 'whoop' but this is where the name comes from. Sometimes the patient stops breathing after a severe bout of coughing, long enough to go blue. Occasionally the patient faints as well. Recovery is usually rapid however, and back to normal within a couple of minutes
It lasts at least 3 weeks and can frequently go on for 3 months or even longer. I am told that in China it is called the 100 day cough. Interestingly, it is now frequently referred to in the West as the '100 day cough'.
The crucial point for clinical diagnosis is attacks of severe choking cough separated by long intervals of NO COUGHING AT ALL. There is immense variation in severity and duration of the illness. Most cases go undiagnosed because the doctor never hears the patient cough and cannot believe it is severe as he or she is being told. And listening with a stethoscope indicates normal lungs in whooping cough.
If whooping cough seems to come back again just when you seem to be getting over it, it usually means you have just caught a viral cough/cold. I brings the whooping cough symptoms back temporarily. You are not infectious for whooping cough in these circumstances.
Therefore I recommend you record or video a severe coughing attack on a smartphone and show your doctor along with my printout for doctors.
There is an animated video on YouTube illustrating the mechanisms of damage by B. pertussis to the respiratory tract. Here is the link