HomeAnswersPediatric Allergy/Asthma SpecialistcoughMy son is suffering from a cough and runny nose that aggravates during the night. Kindly help.

Is Momeflo nasal syrup effective for cough and runny nose that aggravates during nighttime?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At December 25, 2021
Reviewed AtDecember 13, 2023

Patient's Query

Hi doctor,

My son has been suffering from cough, running nose, and watery eyes at night for the past one week, which aggravates after midnight. In the morning, after he gets up, he has only a runny nose. Last year he had the same problem, and he was on Momeflo spray for three months.

Hi,

Welcome to icliniq.com.

Thanks for writing in, and I understand your concern.

A proper assessment can be done if you share the following information; Does he have a fever? What medicines are you giving now? Is he active? Is he having a dry cough or wet cough? Kindly reply.

Patient's Query

Hi doctor,

Thanks for the reply.

He does not have a fever. I usually give him Montek LC kid syrup (Levocetirizine and Montelukast) one teaspoon at night if required. He usually coughs with a hollow sound. This cough comes only after midnight (early morning), along with a moist nose and watery eyes. His activity is normal. He plays with children from afternoon till evening. He is very active, and he usually goes cycling. His weight is 66.14 Ibs.

Hello,

Welcome back to icliniq.com.

As there is no breathlessness, this could be an allergic cough. I suggest,

a) Momeflo (Mometasone) nasal spray.

b) Cetrizine one teaspoon once a day for five days at night.

c) Nasomist (Sodium Chloride) saline drops, two drops in each nostril for five days.

d) Honey one teaspoon daily at night.

e) Give steam inhalation.

Patient's Query

Hi doctor,

I had given Momeflo nasal spray last year. Now can I give Cetirizine syrup, Momeflo nasal spray, and Nasomist nasal drops all together for five days?

Hi,

Welcome back to icliniq.com.

Momeflo nasal spray is for allergic colds. I suggest continuing it for one to three months as per the doctor's recommendation. Avoid allergens, for example, pollen, dust, cold air, etc.

Patient's Query

Hi doctor,

Our previous pediatric doctor recommended, Momeflo nasal spray nine months back for my son. The doctor told him to take it for six months, but we stopped giving him after three months, as he became normal. What is your recommendation for Momeflo? For how many months can we continue? My father-in-law is staying with us for the past two months; he has some lung problems (fibrosis), he is under medication as per his pulmonologist's recommendation. Is there any chance of allergy due to him?

Hi,

Welcome back to icliniq.com.

Allery can be genetic. It is not like an infection that spreads from one person to another. We recommend Momeflo nasal spray depending upon patients symptoms. Usually, during the winter months, it is recommended for three months or more. I suggest stopping it during summertime and observing your child for recurrent cold symptoms. Many children have allergies till 12 years of age and become better after that. I suggest to observe him and give him a flu vaccine.

Patient's Query

Hi doctor,

Thanks for the reply.

I will give him flu vaccine after five days.

Hello,

Welcome back to icliniq.com.

You are welcome. Take care.

Patient's Query

Hi doctor,

We have given him the flu vaccine. We are not giving him Momeflo nasal spray. Due to the weather, he has a nighttime cough. He gets a cough only at night, and he is not able to sleep. It is a dry cough first and then a wet cough. We have given him medicines. But still, he has a cough at night. He is completely alright in the morning but with a running nose.

Hi,

Welcome back to icliniq.com.

Allergy can cause nasal as well as lung symptoms. Does he have fast breathing or any fever? Coughing more at night could be a symptom of asthma. Kindly reply.

Patient's Query

Hi doctor,

He does not have a breathing problem or fever.

Hi,

Welcome back to icliniq.com.

This could be an allergic cough, and it may need antiallergic tablets. If he is having breathless, he may need nebulization. I suggest seeing a doctor for a checkup. You can give one teaspoon of honey daily at night. Also, avoid cold air, dust, etc.

Patient's Query

Hi doctor,

I gave him cetirizine and Momeflo nasal spray. He sleeps well without a cough.

Hi,

Welcome back to icliniq.com.

I suggest giving him cetirizine once at night for five days. It is an antiallergic medicine. Momeflo nasal spray needs to be given for a long time for the prevention of allergic rhinitis.

Patient's Query

Hi doctor,

Thank you for the reply.

I want to share some more information. My son was admitted to the hospital four times between two months to two and half years of age for a wheezing problem. After that, he was on Budecort inhaler on and off for five years. After that, he was completely normal. My father-in-law is having fibrosis and uses Nebzmart, Flohale, Budecort nebulization twice a day. He will always be coughing day and night. Last year when he stayed with us for five months, my son had a cold and nose block during those five months and was diagnosed with allergic rhinitis. After my father-in-law went to stay with his other daughter, my son became completely alright within a week. When he came back, my son again had a cold, nose block, and cough. Due to this, we are sending him this weekend for our son's safety.

Hi,

Welcome back to icliniq.com.

Any person with a cold or cough can transmit to others if it is viral. Also, this could be a coincidence, as now the cold season has started, and people are getting allergies.

Patient's Query

Hello doctor,

I took my son to ENT as he had an allergy cough. The ENT specialist asked for an X-ray, and after that, he diagnosed my son with 3rd-grade tonsils. He was prescribed Montor LC one teaspoon for ten days and Momeflo nasal spray twice morning and night for two months. After 10 days, his tonsils were reduced to grade 2. But even if we stop Montor LC for a night, he gets a night cough, and the next day also he coughs. So we are giving Montor LC every night but have reduced it to half a teaspoon dosage. The ENT specialist told me that the tonsils have to be operated on if it does not reduce. We have been giving him Montor LC for more than 20 days, and if he coughs, he gets strain in the throat. We do not want to get our 8-year-old son operated. Please advise.

Hello,

Welcome back to icliniq.com.

You can give Montor LC for 3 months if required on the doctor's advice. Recurrent tonsillitis, if causing difficulty in breathing, requires operation for removal. You can take a second opinion from another ENT specialist and make a decision accordingly for a tonsillitis operation. Even Momeflo can reduce tonsillar enlargement.

Take care.

Patient's Query

Hello doctor,

We are giving him Montor LC half a teaspoon and Momeflo only at night time; he is completely alright. But even if I do not give Montor LC for one night, he gets a cough. What about Cetirizine? Does this have fewer side effects than Montor LC?

Hello,

Welcome back to icliniq.com.

Montor LC contains Levocetirizine. It has a better safety profile than Cetrizine.

So Levocetirizine has fewer side effects. Protection from allergens, good and warm environment and regular medication will help achieve cough-free time. Continue and reassess your child for cough after 45 days. As I said earlier, inhaler medications are more effective in preventing such episodes. You can ask your doctor about this.

Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rakesh Radheshyam Gupta
Dr. Rakesh Radheshyam Gupta

Child Health

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