Why does my baby not cough during the day but cough at night?

Some babies do not cough during the day but start coughing at night. Most people have encountered this situation. This situation has a great impact on the baby's body, so we must pay attention to this situation. Don't think that this problem is common and ignore it. Problems that are often easily ignored will eventually lead to serious consequences. Therefore, we must pay attention to the problem of babies not coughing during the day but coughing at night. Solving this problem is the top priority.

Some children look healthy during the day, but start coughing when they go to bed at night. What is going on? This issue of Expert Viewpoint will explain the reasons and prevention methods for children who do not cough during the day but cough at night.

Haohao is 4 years old this year. He looks healthy during the day, but he starts coughing when he goes to bed at night. Sometimes he also coughs for a long time when he gets up in the morning. This happens every day, and Haohao's mother doesn't know whether she should take the child to the hospital. What is going on? Li Dongfang, deputy chief physician of pediatrics at Sun Yat-sen Memorial Hospital of Sun Yat-sen University, reminds you that children who do not cough during the day but cough at night are mostly suffering from upper airway cough syndrome. So, what is upper airway cough syndrome and how should it be treated?

Upper airway cough syndrome is often caused by rhinitis

Dr. Li Dongfang introduced that upper airway cough syndrome is a general term for cough caused by upper respiratory tract diseases through nasal secretion backflow and/or inflammatory stimulation. Since most of the time it is caused by nasal diseases that cause secretions to flow back into the back of the nose and throat, and then flow back into the glottis or trachea, causing coughing, it is also called postnasal drip syndrome.

For example, if a child has unhealed rhinitis, although we cannot see the mucus secreted, it will flow back into the throat when the child lies down to sleep at night, causing coughing. Morning is the time when the mucus is most accumulated, so some children will cough when they get up in the morning. However, because the rhinitis is not too serious, they will not cough during the day.

25% of children with chronic cough have upper airway cough syndrome

Kawasaki disease is very harmful to children's health, so what are the main clinical manifestations? Dr. Li Shuhua pointed out that the clinical diagnosis is mainly based on the diagnostic criteria issued by the Kawasaki Disease Research Collaboration Group of the Ministry of Health, Labor and Welfare of Japan in 2002: First, the fever must last for more than 5 consecutive days; second, 4 of the following 5 items must be met:

If a child has a long-term cough, it can be considered a chronic cough disease, among which the following 6 common causes are: First, asthma, which is manifested by recurrent symptoms such as wheezing, shortness of breath, chest tightness and cough; second, allergic cough, also known as cough variant asthma, which is a paroxysmal irritating dry cough, which may be aggravated by inhaling smoke or irritating chemical odors, and is often accompanied by paroxysmal coughs at night or in the early morning; third, upper airway cough syndrome; fourth, gastroesophageal reflux, some babies experience this symptom after feeding; fifth, foreign body inhalation, such as babies inhaling some fine particles into the lungs, causing frequent coughing; sixth, tics, which are coughs caused by bad habits in children.

According to Dr. Li Dongfang, 25% of children with chronic cough suffer from upper airway cough syndrome, 25% suffer from allergic cough, and the remaining causes are relatively less common. If your child seems healthy and has no obvious allergy symptoms, it is most likely upper airway cough syndrome.

Treatment of upper airway cough syndrome

Since upper airway cough syndrome is mostly caused by rhinitis, the first thing to do is to treat primary diseases such as nasal polyps, chronic rhinitis, sinusitis, allergic rhinitis, etc., to cut off the source of the disease, reduce inflammatory response, and reduce secretions; secondly, use some nasal drops, which can promote the recovery of mucosal function, promote the discharge of nasal secretions, and reduce postnasal drip; thirdly, pay attention to the child's diet and sleep, which can also help alleviate symptoms. Dr. Li Dongfang particularly emphasized that once a child suffers from an acute inflammation, such as the common cold, he or she will generally recover naturally. However, if the child has an allergic constitution, or has caught a cold repeatedly, and the air quality is poor, then it can easily develop into a chronic inflammation.

We must pay attention to the problem that the baby does not cough during the day but coughs at night. The consequences of this problem are very serious. The above has told you what the results are. Then we must remember the above solutions and apply the solutions to this problem to this problem. In this way, the baby's body will become healthy and the baby will be able to grow well. This is the top priority and the correct way to solve the problem.