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The child coughs as soon as he goes to bed at night! Check out these 5 reasons Children's discomfort is the most headache for parents, especially cough. Not only during the day, but also at night, the cough is worse, which makes parents worry and sleep restlessly. So, why do children cough more at night? In clinical practice, nocturnal cough refers not only to coughing at night or at night, but also refers to coughing that is concentrated at night, or whose symptoms are more severe at night than during the day.If the child has a persistent cough that persists beyond 2-4 weeks, and has been chronically nocturnal, it may be due to respiratory infection, cough variant asthma, upper respiratory cough syndrome, post-infectious cough, and gastroesophageal reflux Caused by about 89% of the total cases, and about 11% caused by other causes. ①Respiratory tract infection It refers to the infection of the upper respiratory tract (nose, pharynx, tonsils), trachea, bronchi, and lungs caused by various bacteria, viruses, Mycoplasma pneumoniae, Chlamydia pneumoniae, etc., which make children cough at night. Mainly manifested as cold, bronchitis symptoms (sore throat, fever, etc.), throat tonsillitis. There are also a few pathogens that cause nocturnal coughs that are particularly pronounced, such as whooping cough, pertussis-like cough, acute laryngitis, acute laryngeal bronchitis, and respiratory syncytial virus infection. Generally, this infectious cough does not have a particularly obvious circadian rhythm, and coughs during the day and night. At the same time, it will also be accompanied by sneezing, runny nose, dry throat, sore throat, fever, headache, and general malaise. ②Cough variant asthma is a special type of bronchial asthma. The main symptoms are that you don’t cough during the day, but you start coughing after falling asleep at night. You may also start coughing in the early morning. When you encounter cold air or exercise, Cough will get worse. Usually dry cough mainly, basically no phlegm. It is also characterized by the ineffectiveness of antibiotic treatment and the need for diagnostic therapy with bronchodilators to significantly relieve cough symptoms. If the child's nighttime dry cough persists or recurs for more than 1 month, parents should be alert to cough variant asthma and seek medical attention in time. ③ Upper respiratory tract cough syndrome It was also known as "postnasal drip (flow) syndrome", which refers to a general term for a variety of diseases that occur in the upper airways (nose, pharynx, and throat), including various rhinitis, Sinusitis, nasal polyps, enlarged adenoids, enlarged tonsils and chronic pharyngitis. Its main feature is that the cough mainly occurs in the morning or when the body position changes (sleeping and lying down at night). It is also accompanied by symptoms such as nasal congestion, runny nose, dry throat and foreign body sensation in the pharynx. If the child has a runny nose and no cough during the day, but coughs at night, it should be caused by postnasal drip caused by rhinitis. Because when the child is lying down, the nasal mucus is easy to flow back to the throat and irritate the throat, causing coughing. ④ Post-infection cough It is mainly caused by various infections, the most common cause is respiratory virus infection, as well as Mycoplasma pneumoniae and Chlamydia pneumoniae infection. The main feature is that it lasts for a very long time (cough persists for 2-8 weeks after the acute phase of infection), but it is self-healing and resolves on its own without any treatment. Cough is usually present during the day and at night, but some children may have a high frequency of coughing at night due to their increased sensitivity to coughing. ⑤ Gastroesophageal reflux, as the name suggests, is a cough caused by irritation of the trachea due to the contents of the stomach, such as gastric juice, food, etc., refluxing from the stomach to the throat. It is characterized by a cough that occurs mainly at night, with paroxysmal dry or wet coughs, which may be exacerbated, especially after eating. In addition to the above 5 most common causes of cough, it is also necessary to pay attention to whether the child has allergic cough and non-infectious bronchitis, and pay attention to check whether there are children's allergens or environmental pollutants in the lower bedroom, such as mold, pets, dust mites, etc.So, what can parents do to relieve their child's severe cough during sleep?①Adjusting the temperature and humidity to improve the sleeping environment The air in the bedroom is too cold, too dry or polluted by tobacco smoke, etc., which will stimulate the child's respiratory mucosa and aggravate cough symptoms. Parents can adjust the temperature to 20-26 degrees and the humidity to 40%-60% through air conditioners, humidifiers and air purifiers, so that children can sleep more comfortably and relieve cough symptoms. ② Eat warm or sweet liquids. Babies over the age of 1 can eat honey, which is effective for nighttime coughs caused by infections. 2.5-5ml each time, 2-3 times at a time, you can take it before going to bed, or you can drink honey water after dilution. Sometimes, parents think that the cough is better after eating honey, but the phlegm increases. This is because honey promotes the secretion of mucous membranes of the respiratory tract, which dilutes the sputum, which actually helps relieve cough. Babies under the age of 1 cannot eat honey, but they can drink more breast milk and warm water. You can also add some liquids such as corn steep liquor and apple juice (the ratio of water and pure apple juice is 1:1) to relieve cough caused by discomfort in the trachea and throat. ③ Use nasal saline or sea salt water. This is especially effective for allergic cough, upper airway cough syndrome and cough caused by environmental pollution. Parents can spray, instill, and irrigate the nasal cavity with saline to remove dust, secretions, pathogens, etc. from the nose, which can not only relieve cough, but also help with nasal congestion and runny nose. However, if the baby has fever, shortness of breath, irregular breathing, lethargy, poor spirit, vomiting, severe diarrhea, persistent cough, or no improvement after nursing for more than 7 days, parents need to take the child to the hospital in time. |