Understanding Whooping Cough
Following an initial period of one to two weeks, the second phase of whooping cough sets in. During this stage, the individual experiences recurring bouts of severe coughing. Each fit consists of five to ten uncontrollable and forceful coughs. After each episode, the person emits a high-pitched gasp while inhaling, often referred to as a “whoop.” This distinct sound is the reason behind the alternative name for pertussis – whooping cough. This stage of the illness can persist for up to 10 weeks or even longer. Hence, pertussis is commonly characterized as a “100-day cough.”
The Consequences of Violent Coughing Episodes
When intense coughing fits occur, they can have significant repercussions on the body. Coughing is a forceful action that can repeat itself up to ten times in a single fit. This repeated force can result in increased pressure within the blood vessels, leading to a condition known as subconjunctival hemorrhage, where the eye may bleed. Moreover, an artery located in the back of the neck, called the vertebral artery, may also be affected. In some cases, the lining of this artery may experience a tear, known as vertebral artery dissection.
Additionally, severe coughing can elevate the pressure inside the abdomen, potentially causing a hernia or urinary incontinence. Furthermore, the increased pressure in the chest during these fits can even lead to rib fractures, highlighting the severity of these coughing episodes.