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How to treat night cough?

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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.

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Published At March 14, 2024
Reviewed AtMarch 18, 2024

Patient's Query

Hello doctor,

I am a 70-year-old male. Recently I observed that I was getting a cough, especially at night. Is there any specific medical condition that can cause this cough? I have a wheezing problem, too. Are there lifestyle factors or environmental triggers that could be contributing to this symptom? What diagnostic tests or procedures can be done to identify the root cause of nocturnal cough? And what are the potential treatment options for this condition? Any lifestyle modifications or home remedies be effective in managing this symptom?

Please help.

Hello,

Welcome to icliniq.com.

I went through your query.

Yes, several medical conditions can cause nocturnal coughs, including:

1. Asthma: This is a common condition that causes inflammation and narrowing of the airways, leading to coughing, wheezing, and shortness of breath. Asthma symptoms may worsen at night due to factors such as sleeping position, bedroom allergens, or air temperature changes.

2. Chronic obstructive pulmonary disease (COPD): COPD is a group of lung diseases, including chronic bronchitis and emphysema, that cause coughing, wheezing, and shortness of breath. COPD symptoms may be worse at night due to factors such as sleeping position or exposure to irritants in the bedroom.

3. Gastroesophageal reflux disease (GERD): This condition occurs when stomach acid flows back into the esophagus, causing heartburn, coughing, and throat irritation. GERD symptoms may be worse at night due to factors such as lying down after meals or sleeping on the right side.

4. Postnasal drip: This occurs when excess mucus drains from the nose into the throat, causing coughing and throat irritation. Postnasal drip symptoms may be worse at night due to factors such as sleeping position or allergens in the bedroom.

5. Sleep apnea: This condition causes breathing to stop or become shallow during sleep, leading to coughing and throat irritation. Sleep apnea symptoms may be worse at night due to factors such as sleeping position or weight gain around the neck.

To identify the root cause of nocturnal cough, your doctor may perform diagnostic tests such as lung function tests, chest X-rays, sleep studies, or endoscopy (a procedure to examine the throat and airways). Treatment options for nocturnal cough depend on the underlying medical condition and may include medications to manage asthma, COPD, GERD, or sleep apnea; lifestyle modifications such as avoiding allergens or irritants in the bedroom; and home remedies such as drinking warm liquids before bedtime or elevating the head of the bed. Your doctor can provide personalized recommendations based on your specific symptoms and medical history.

Yes, lifestyle modifications can be effective in managing nocturnal coughs caused by certain medical conditions. Here are some examples:

1. Asthma: Avoiding triggers such as dust, pollen, smoke, and pet dander can help prevent asthma attacks and reduce coughing. Using a peak flow meter to monitor lung function and following an asthma action plan recommended by your doctor can also be helpful.

2. COPD: Quitting smoking, avoiding exposure to irritants such as dust and fumes, and participating in pulmonary rehabilitation programs can improve lung function and reduce coughing. Using oxygen therapy if prescribed by your doctor can also be helpful.

3. GERD: Avoiding foods and drinks that trigger heartburn, such as spicy or acidic foods, caffeine, and alcohol, can help prevent GERD symptoms and reduce coughing. Eating smaller meals more frequently throughout the day instead of large meals before bedtime can also be helpful.

4. Postnasal drip: Using a saline nasal rinse or neti pot to clear mucus from the nose can help prevent postnasal drip and reduce coughing. Avoiding allergens such as dust mites, pet dander, and pollen can also be helpful.

5. Sleep apnea: Losing weight if overweight, avoiding alcohol and sedatives before bedtime, and sleeping on your side instead of your back can help prevent sleep apnea symptoms and reduce coughing. Using a continuous positive airway pressure (CPAP) machine if prescribed by your doctor can also be helpful.

Hope it helps.

Thanks and regards.

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

Dr. Vandana Andrews
Dr. Vandana Andrews

General Practitioner

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