Coughing causes vomiting 3 or more times. You think your child needs to be seen, but the problem is not urgent. Fever returns after being gone more than 24 hours. Sinus pain (not just congestion) around cheekbone or eyes. You think your child needs to be seen, and the problem is urgent. Caution: do NOT give your baby any fever medicine before being seen. High-risk child (such as cystic fibrosis or other chronic lung disease). Examples are: sickle cell disease, HIV, cancer, organ transplant, taking oral steroids. Can't take a deep breath because of chest pain. Wheezing (high-pitched purring or whistling sound when breathing out). Harsh sound with breathing in (called stridor). Lips or face have turned bluish during coughing. You think your child has a life-threatening emergency. Lips or face are bluish when not coughing. Severe trouble breathing (struggling for each breath, can barely speak or cry). Reason: they have caused most lung damage. Warning: never use home-made or street-purchased vaping solutions. The legal age to purchase vaping products is 21 in the US. Vaping tobacco also causes nicotine addiction. Talk with your child about the dangers of vaping. Sipping warm clear fluids will also help coughing fits. Also, if the air is dry, using a humidifier will help. The main treatment of a cough with phlegm is to drink lots of fluids. Antibiotics are not helpful for the yellow or green phlegm seen with colds. Bacteria do not cause bronchitis in healthy children. 
It's part of the phlegm your child coughs up.
This means the lining of the trachea (windpipe) was damaged by the virus. Yellow or green phlegm is a normal part of the healing of viral bronchitis. Breathing has become noisy (such as wheezes). Ribs are pulling in with each breath (called retractions). Tight breathing so that your child can barely speak or cry. Struggling for each breath or shortness of breath. Respiratory distress is the medical name for trouble breathing. Trouble breathing is a reason to see a doctor right away. Pneumonia, bronchiolitis, whooping cough and airway foreign object If the air is cold or polluted, coughing is even more likely. Others are auto exhaust, smog and paint fumes. Tobacco smoke is the most common example. Fumes of any kind can irritate the airway and cause a cough. 
The coughing spells have the same triggers as asthma attacks. 25% of children with asthma only cough and never wheeze. Asthma with wheezing is the most common cause of chronic coughs in children. Allergic coughs can be controlled with allergy medicines, such as Benadryl. Some children get a cough from breathing in an allergic substance. Or pressure within the sinus may trigger the cough reflex.
It may be that post-nasal drip irritates the lower throat. The exact mechanism of the cough is unknown. Bacteria do not cause bronchitis in healthy children. This includes cold viruses, influenza and croup. Bronchitis in children is always caused by a virus. The bronchi are the lower part of the airway that go to the lungs. Most coughs are part of a cold that includes the lower airway. Coughs can be dry (no mucus) or wet (with white, yellow or green mucus).A coughing fit or spell is over 5 minutes of nonstop coughing.The sound made when the cough reflex clears the airway of irritants.
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