Coughing up phlegm in the morning. Morning Cough: 8 Common Causes and Effective Treatments
What causes a persistent morning cough. How to treat coughing fits upon waking. When should you see a doctor for a chronic morning cough. What home remedies can help relieve coughing in the morning.
Common Cold: A Frequent Culprit of Morning Coughs
The common cold often leads to coughing fits, especially in the morning. During sleep, phlegm accumulates in the lungs and throat, triggering coughs upon waking. A wet, productive cough is a hallmark symptom of colds, along with sore throat, body aches, fatigue, headache, sneezing, and runny nose.
To alleviate cold-induced morning coughs, consider these remedies:
- Sipping warm tea with honey
- Using decongestants or antihistamines
- Taking cough suppressants or expectorants
- Inhaling warm vapor or using saline nasal spray
Always consult a doctor before giving over-the-counter medications to children.
Respiratory Infections: Beyond the Common Cold
While the common cold is a type of respiratory infection, other infections can also cause morning coughs. These include COVID-19, influenza, pneumonia, and bronchitis. Bronchitis, an inflammation of the bronchial tubes, can be acute (usually caused by infections) or chronic.
Respiratory infections often lead to increased phlegm buildup overnight, resulting in morning coughing fits. Symptoms may include:
- Fever
- General malaise
- Wheezing
- Chest tightness
- Nasal congestion
- Gastrointestinal symptoms
Treatment for respiratory infection-induced coughs varies depending on the specific infection and whether it affects the upper or lower airway. Common treatments include:
- Over-the-counter cold remedies
- NSAIDs for fever (consult a doctor before giving to children)
- Antiviral therapy
- Antibiotics for bacterial infections
Allergies: A Hidden Trigger for Morning Coughs
Hay fever, or allergic rhinitis, is an immune reaction to airborne allergens such as pollen, pet dander, or dust mites. It can cause persistent morning coughs, especially for those allergic to dust mites, which often live in bedding.
Symptoms of allergy-induced coughs include:
- Runny nose
- Nasal congestion
- Dry cough
- Headaches
- Watery eyes
- Wheezing
- Shortness of breath
To treat allergy-related morning coughs, consider:
- Antihistamines
- Corticosteroids
- Decongestants
Postnasal Drip: A Common Cause of Persistent Coughs
Postnasal drip occurs when excess mucus builds up in the back of the nose and drips into the throat. It’s often a symptom of colds, allergies, or consuming spicy foods. Postnasal drip can lead to a constant urge to clear the throat, especially upon waking.
Symptoms of postnasal drip include:
- Constant throat-clearing sensation
- Wet cough worse at night or in the morning
- Nausea
- Sore or scratchy throat
- Bad breath
To relieve postnasal drip and associated morning coughs:
- Use a saline spray or neti pot to rinse sinuses
- Take decongestants or antihistamines
- Stay hydrated to thin mucus
Asthma: A Chronic Condition Affecting Morning Breathing
Asthma, a chronic condition causing airway swelling, can lead to persistent morning coughs. The severity of asthma can range from mild to life-threatening.
Common asthma symptoms include:
- Dry or wet coughing
- Wheezing
- Trouble breathing
- Chest tightness
- Fatigue
Many people with asthma experience worse symptoms at night or early in the morning. This phenomenon, known as nocturnal asthma, can lead to morning coughing fits.
Why does asthma often worsen at night?
Several factors contribute to nighttime asthma exacerbations:
- Increased exposure to allergens in bedding
- Cooling of airways
- Lying flat, which can trigger reflux
- Circadian changes in lung function
Treatment for asthma-related morning coughs typically involves long-term control medications and quick-relief inhalers. Always follow your doctor’s prescribed treatment plan.
GERD: An Unexpected Cause of Morning Coughs
Gastroesophageal reflux disease (GERD) occurs when stomach acid frequently flows back into the esophagus. While primarily associated with heartburn, GERD can also cause chronic coughing, especially in the morning.
Symptoms of GERD-induced coughs include:
- Persistent dry cough
- Hoarseness
- Throat irritation
- Difficulty swallowing
- Sensation of a lump in the throat
GERD symptoms often worsen at night when lying down, leading to morning coughing fits. To manage GERD-related coughs:
- Elevate the head of your bed
- Avoid eating close to bedtime
- Take antacids or other prescribed medications
- Maintain a healthy weight
Chronic Obstructive Pulmonary Disease (COPD): A Serious Cause of Morning Coughs
COPD is a group of lung diseases, including emphysema and chronic bronchitis, that cause airflow blockage and breathing-related problems. Morning coughs are a common symptom of COPD.
Symptoms of COPD include:
- Persistent cough with mucus production
- Shortness of breath, especially during physical activities
- Wheezing
- Chest tightness
- Frequent respiratory infections
COPD symptoms often worsen in the morning due to the accumulation of mucus overnight. Treatment for COPD-related morning coughs may include:
- Bronchodilators
- Inhaled steroids
- Oxygen therapy
- Pulmonary rehabilitation
Sleep Apnea: A Lesser-Known Cause of Morning Coughs
Sleep apnea is a sleep disorder characterized by repeated interruptions in breathing during sleep. While not typically associated with coughing, sleep apnea can lead to morning coughs due to irritation of the throat and airways.
Symptoms of sleep apnea include:
- Loud snoring
- Gasping for air during sleep
- Excessive daytime sleepiness
- Morning headaches
- Difficulty concentrating
- Mood changes
To address sleep apnea-related morning coughs:
- Use a continuous positive airway pressure (CPAP) machine
- Consider dental devices to keep airways open
- Implement lifestyle changes such as weight loss and avoiding alcohol before bed
When should you see a doctor for a persistent morning cough?
While occasional morning coughs are often harmless, consult a healthcare provider if you experience:
- A cough lasting more than three weeks
- Coughing up blood
- Shortness of breath or chest pain
- Unexplained weight loss
- Fever lasting more than a few days
- Cough interfering with sleep or daily activities
Can lifestyle changes help reduce morning coughs?
Yes, several lifestyle modifications can help alleviate morning coughs:
- Quit smoking and avoid secondhand smoke
- Stay hydrated to thin mucus
- Use a humidifier in your bedroom
- Elevate your head while sleeping
- Maintain good indoor air quality
- Practice good sleep hygiene
Are there natural remedies for morning coughs?
Several natural remedies may help relieve morning coughs:
- Honey: Known for its antibacterial properties and ability to soothe the throat
- Ginger tea: Can help reduce inflammation and ease coughing
- Steam inhalation: Helps loosen mucus and soothe airways
- Saltwater gargle: Can help reduce throat irritation
- Thyme tea: Has expectorant properties that may help clear mucus
Always consult with a healthcare provider before trying new remedies, especially if you have underlying health conditions or are taking medications.
How can you differentiate between different types of coughs?
Understanding the characteristics of your cough can help identify its cause:
- Dry cough: Typically doesn’t produce mucus, often triggered by irritation or inflammation
- Wet cough: Produces mucus or phlegm, often associated with infections or allergies
- Barking cough: Often indicates croup, particularly in children
- Whooping cough: Characterized by a “whoop” sound when inhaling after coughing, indicative of pertussis
Pay attention to the sound, frequency, and any accompanying symptoms to better describe your cough to a healthcare provider.
Can certain foods or drinks worsen morning coughs?
Yes, some dietary choices can exacerbate morning coughs:
- Dairy products: May increase mucus production in some individuals
- Acidic foods: Can irritate the throat and worsen GERD-related coughs
- Spicy foods: May trigger postnasal drip
- Alcohol: Can dehydrate and irritate the throat
- Caffeine: May worsen GERD symptoms in some people
Keeping a food diary can help identify potential triggers for your morning cough.
How does air quality affect morning coughs?
Poor air quality can significantly impact respiratory health and contribute to morning coughs. Factors influencing indoor air quality include:
- Dust and allergens
- Mold spores
- Pet dander
- Volatile organic compounds (VOCs) from cleaning products or furniture
- Secondhand smoke
To improve indoor air quality and reduce morning coughs:
- Use air purifiers with HEPA filters
- Regularly clean and vacuum your home
- Control humidity levels to prevent mold growth
- Avoid using harsh chemicals or air fresheners
- Ensure proper ventilation in your home
Can stress or anxiety contribute to morning coughs?
While stress and anxiety don’t directly cause coughs, they can exacerbate existing respiratory conditions and lead to increased coughing, including in the morning. Stress can:
- Weaken the immune system, making you more susceptible to infections
- Trigger or worsen asthma symptoms
- Cause tension in throat muscles, leading to irritation
- Disrupt sleep patterns, potentially worsening respiratory symptoms
Managing stress through techniques like meditation, deep breathing exercises, or regular physical activity may help reduce stress-related coughing.
Are children more prone to morning coughs?
Children can be more susceptible to morning coughs due to several factors:
- Increased exposure to infections in school or daycare settings
- Developing immune systems that are still learning to fight off pathogens
- Higher likelihood of allergies or asthma manifesting in childhood
- Anatomical differences in children’s airways compared to adults
If your child experiences persistent morning coughs, consult a pediatrician to determine the underlying cause and appropriate treatment.
How can you prevent morning coughs?
While not all morning coughs can be prevented, you can take steps to reduce their frequency and severity:
- Practice good hygiene to prevent infections
- Manage allergies through medication or environmental controls
- Quit smoking and avoid exposure to secondhand smoke
- Stay hydrated to keep mucus thin
- Use a humidifier in your bedroom
- Elevate your head while sleeping to reduce postnasal drip
- Maintain a healthy weight to reduce the risk of GERD and sleep apnea
- Follow prescribed treatment plans for chronic conditions like asthma or COPD
Remember, persistent or severe morning coughs warrant medical attention to ensure proper diagnosis and treatment.
8 possible causes and treatments
A morning cough can occur due to an illness or another health condition, such as allergies or asthma. But if the cough lingers, you may need medical treatment.
Many things can cause a morning cough. Coughing is your body’s way of clearing irritants from your respiratory system. Often, it isn’t a sign of a serious medical condition.
Let’s examine eight potential causes of your morning coughing fits and look at how you can treat them.
While you sleep, phlegm and other irritants can pool in your lungs and throat. When you become active in the morning, the phlegm starts to break up and may trigger a coughing fit.
A cough that produces phlegm is known as a wet cough or productive cough. If it doesn’t produce phlegm, it’s called a dry cough or unproductive cough. Knowing which type you have can help you narrow down the cause.
If you have a cough in the morning, the common cold is a likely cause. The average American has two to three colds per year, and children usually have more. A persistent wet cough is one of the most common symptoms.
Many people find their cough is worse in the morning from phlegm that accumulates overnight.
Other symptoms of the common cold include:
- sore throat
- body aches
- fatigue
- headache
- sneezing
- runny nose
Treatment
Treatments for a cough caused by the common cold may include:
- drinking warm tea with honey
- decongestants or antihistamines
- cough suppressants or expectorants
- using a saline nasal spray or breathing in warm vapor to clear mucus that may cause a cough
As your doctor whether these medications, especially those available over the counter, are safe for a child.
Learn more about treatments for the common cold.
Respiratory infections are a group of infections that target either your upper or lower respiratory tracts.
The common cold is a type of respiratory infection, but there are many other types that can also cause a cough, such as COVID-19, the flu (influenza), and pneumonia.
Bronchitis is another type of respiratory infection that causes inflammation of the bronchial tubes in your lungs. It can be either acute or chronic.
Acute bronchitis is usually caused by an infection such as the common cold. Respiratory infections like bronchitis can potentially increase phlegm buildup overnight, leading to coughing fits in the morning.
Along with cold-like symptoms, respiratory infections can cause:
- fever
- general malaise
- wheezing
- chest tightness
- nasal congestion
- gastrointestinal symptoms
Treatment
The treatment for a cough caused by respiratory infection that is not the common cold can depend on the type of infection and whether it affects the upper or lower airway.
In most cases, you can turn to many of the same treatments that you would use for the common cold, as the symptoms can be similar.
If you also have a fever, you may also take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin). Speak to your doctor before giving your child an NSAID or acetaminophen (Tylenol).
Other treatments may include:
- antiviral therapy
- antibiotics for bacterial infections
Learn more about respiratory infections.
Hay fever (allergic rhinitis) is an immune reaction to airborne allergens such as pollen, pet dander, or dust mites.
Symptoms can include:
- runny nose
- nasal congestion
- dry cough
- headaches
- watery eyes
- wheezing
- shortness of breath
Because dust mites tend to live in bedding, people with dust mite allergies usually experience worse symptoms at night and in the morning.
Pollen counts are generally highest in the morning and may worsen your cough in the morning if you have a pollen allergy.
Treatment
Potential treatments for a cough caused by allergies include:
- antihistamines
- corticosteroids
- decongestants
Learn more about treatments for allergies.
A postnasal drip is one of the reasons allergic rhinitis or a respiratory infection can lead to a cough. This is when your body produces excess mucus that builds up in the back of your nose and drips into your throat. It’s often a symptom of colds, allergies, or eating spicy foods.
Symptoms include:
- a constant feeling of needing to clear your throat
- a wet cough that’s worse at night or in the morning
- nausea
- sore or scratchy throat
- bad breath
Postnasal drip tends to cause the most discomfort at night when you are sleeping. You may still feel the urge to clear your throat when you wake up.
Treatment
You can relieve postnatal drip by:
- using a saline spray or netipot to rinse out your sinuses
- decongestants
- antihistamines
- staying hydrated, which can help thin the mucous
Learn more on how to treat postnasal drip.
Asthma is a chronic condition that causes the airways to your lungs to swell. This swelling can make it difficult to breathe. Asthma severity can range from barely noticeable to life threatening.
The most common symptoms of asthma include:
- dry or wet coughing
- wheezing
- trouble breathing
- chest tightness
- fatigue
Many people with asthma have a cough that’s worse at night or in the early morning. If you have cough-variant asthma (CPA), your symptoms may be entirely confined to a cough that doesn’t seem to go away.
Treatment
If you have asthma, you can control your symptoms using short-acting and long-acting medications. These include:
- inhaled corticosteroids
- bronchodilators
- nebulizers
For more severe asthma, other treatment options are available. Learn more about asthma treatments.
COPD is a group of progressive pulmonary diseases, including emphysema and chronic bronchitis.
The most common cause of COPD is smoking tobacco. The primary symptoms of COPD are a wet cough and trouble breathing.
Other symptoms include:
- wheezing
- chest tightness
- frequent sickness
- fatigue
Late-stage COPD may cause emergency symptoms, such as:
- bluish lips or gray fingernails from low oxygen levels
- confusion
- inability to catch your breath or talk
- rapid heart rate
Symptoms can appear at any time of day, but in general, people with COPD experience the worst symptoms in the morning.
Treatment
COPD treatment options include:
- quitting smoking (quitting can be difficult, but a doctor can help create a plan that works for you)
- bronchodilators
- oxygen therapy
- surgery
Learn more about treatments for COPD.
Recent research has shown that as much as 85% of chronic cough cases may be caused by GERD. GERD occurs when your stomach acid frequently flows back into your esophagus from your stomach.
Symptoms include:
- chronic cough
- burning in your chest, often after eating
- chest pain
- swallowing difficulty
- feeling of a lump in your throat
GERD commonly causes a cough after eating and when lying down. Some people with GERD may notice their cough is worse in the morning after spending the night lying in bed.
Treatment
Treatment options for GERD include:
- antacids
- medications to reduce stomach acid production
- prescription-strength proton pump inhibitors
- prescription-strength h3 receptor blockers
- surgery
Learn more about treatments for GERD.
If you find you are congested and coughing for a long time, you may have a sinus infection (sinusitis). The congestion in your nose can accumulate overnight, making you cough more when you wake up.
Other symptoms of a sinus infection include:
- postnatal drip
- sore throat
- headache
- bad breath
- pain in your face
Treatment
If your sinus infection is bacterial, you will need to take antibiotics. However, in many cases, a sinus infection can go away on its own.
In the meantime, you can use many of the same treatments that you would use for the common cold, other respiratory infections, allergies, or postnasal drip.
In addition, you can also place a warm compress on your nose and forehead to reduce your sinus pressure and help thin out mucus.
Learn more about treatments for a sinus infection.
If your morning cough doesn’t go away after several weeks, you should visit a doctor for a proper diagnosis.
A morning cough is also frequently paired with other symptoms. If you experience these symptoms, you should speak to a doctor:
- fever of 39°C (102.2°F) or higher in children, 38°C (100.4°F) or higher in a baby under 3 months old, or 39.4°C (103 degrees°F) in an adult
- greenish-yellow phlegm
- wheezing
- unexplained weight loss
- ankle swelling
Other symptoms may be more serious. Seek emergency help if you experience:
- trouble breathing
- severe headache
- dehydration
- fainting
- drowsiness or fatigue lasting longer than 2 weeks
- choking
- confusion
- coughing up blood or phlegm with a pink tint
- trouble swallowing
- chest pain
Medical emergency
Coughing up blood may be a sign of a serious medical issue. You should see a doctor if you see blood in your phlegm. Possible causes include:
- COPD
- lung cancer
- throat irritation
- respiratory infections
- asthma
- bronchitis
- pneumonia
Read on for answers to common questions about morning cough.
How do I stop coughing in the morning?
The best treatment option for your cough depends on the underlying cause. There isn’t a cure for the common cold or for respiratory infections. Getting plenty of rest will help your body fight the infection faster. Cough medication can help suppress your urge to cough, while decongestants can help manage postnasal drip.
How do I know what’s causing my morning cough?
The best way to know the cause of your morning cough is to see a doctor, especially if you also have other symptoms. The doctor will likely listen to your breathing with a stethoscope. They may send a sample of your mucus to a lab to search for a viral infection or measure your lung function with a spirometry test. If this is not enough to identify the cause, they may order imaging tests like an X-ray or a CT scan, or a scope test called a bronchoscopy to look inside your lungs with a small camera.
What’s causing my baby to cough in the morning?
Babies can experience morning coughs for many of the same reasons as adults and older children. When coughing in babies and children is caused by a respiratory infection, it appears in 46%-56% of children. Specific infections that can occur in young children include croup and whooping cough (pertussis).
There are many potential causes of a morning cough. Often, a morning cough isn’t a need for concern.
However, if it persists for more than 2 weeks or if you’re having trouble breathing, it’s a good idea to visit a doctor for a proper diagnosis.
8 possible causes and treatments
A morning cough can occur due to an illness or another health condition, such as allergies or asthma. But if the cough lingers, you may need medical treatment.
Many things can cause a morning cough. Coughing is your body’s way of clearing irritants from your respiratory system. Often, it isn’t a sign of a serious medical condition.
Let’s examine eight potential causes of your morning coughing fits and look at how you can treat them.
While you sleep, phlegm and other irritants can pool in your lungs and throat. When you become active in the morning, the phlegm starts to break up and may trigger a coughing fit.
A cough that produces phlegm is known as a wet cough or productive cough. If it doesn’t produce phlegm, it’s called a dry cough or unproductive cough. Knowing which type you have can help you narrow down the cause.
If you have a cough in the morning, the common cold is a likely cause. The average American has two to three colds per year, and children usually have more. A persistent wet cough is one of the most common symptoms.
Many people find their cough is worse in the morning from phlegm that accumulates overnight.
Other symptoms of the common cold include:
- sore throat
- body aches
- fatigue
- headache
- sneezing
- runny nose
Treatment
Treatments for a cough caused by the common cold may include:
- drinking warm tea with honey
- decongestants or antihistamines
- cough suppressants or expectorants
- using a saline nasal spray or breathing in warm vapor to clear mucus that may cause a cough
As your doctor whether these medications, especially those available over the counter, are safe for a child.
Learn more about treatments for the common cold.
Respiratory infections are a group of infections that target either your upper or lower respiratory tracts.
The common cold is a type of respiratory infection, but there are many other types that can also cause a cough, such as COVID-19, the flu (influenza), and pneumonia.
Bronchitis is another type of respiratory infection that causes inflammation of the bronchial tubes in your lungs. It can be either acute or chronic.
Acute bronchitis is usually caused by an infection such as the common cold. Respiratory infections like bronchitis can potentially increase phlegm buildup overnight, leading to coughing fits in the morning.
Along with cold-like symptoms, respiratory infections can cause:
- fever
- general malaise
- wheezing
- chest tightness
- nasal congestion
- gastrointestinal symptoms
Treatment
The treatment for a cough caused by respiratory infection that is not the common cold can depend on the type of infection and whether it affects the upper or lower airway.
In most cases, you can turn to many of the same treatments that you would use for the common cold, as the symptoms can be similar.
If you also have a fever, you may also take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin). Speak to your doctor before giving your child an NSAID or acetaminophen (Tylenol).
Other treatments may include:
- antiviral therapy
- antibiotics for bacterial infections
Learn more about respiratory infections.
Hay fever (allergic rhinitis) is an immune reaction to airborne allergens such as pollen, pet dander, or dust mites.
Symptoms can include:
- runny nose
- nasal congestion
- dry cough
- headaches
- watery eyes
- wheezing
- shortness of breath
Because dust mites tend to live in bedding, people with dust mite allergies usually experience worse symptoms at night and in the morning.
Pollen counts are generally highest in the morning and may worsen your cough in the morning if you have a pollen allergy.
Treatment
Potential treatments for a cough caused by allergies include:
- antihistamines
- corticosteroids
- decongestants
Learn more about treatments for allergies.
A postnasal drip is one of the reasons allergic rhinitis or a respiratory infection can lead to a cough. This is when your body produces excess mucus that builds up in the back of your nose and drips into your throat. It’s often a symptom of colds, allergies, or eating spicy foods.
Symptoms include:
- a constant feeling of needing to clear your throat
- a wet cough that’s worse at night or in the morning
- nausea
- sore or scratchy throat
- bad breath
Postnasal drip tends to cause the most discomfort at night when you are sleeping. You may still feel the urge to clear your throat when you wake up.
Treatment
You can relieve postnatal drip by:
- using a saline spray or netipot to rinse out your sinuses
- decongestants
- antihistamines
- staying hydrated, which can help thin the mucous
Learn more on how to treat postnasal drip.
Asthma is a chronic condition that causes the airways to your lungs to swell. This swelling can make it difficult to breathe. Asthma severity can range from barely noticeable to life threatening.
The most common symptoms of asthma include:
- dry or wet coughing
- wheezing
- trouble breathing
- chest tightness
- fatigue
Many people with asthma have a cough that’s worse at night or in the early morning. If you have cough-variant asthma (CPA), your symptoms may be entirely confined to a cough that doesn’t seem to go away.
Treatment
If you have asthma, you can control your symptoms using short-acting and long-acting medications. These include:
- inhaled corticosteroids
- bronchodilators
- nebulizers
For more severe asthma, other treatment options are available. Learn more about asthma treatments.
COPD is a group of progressive pulmonary diseases, including emphysema and chronic bronchitis.
The most common cause of COPD is smoking tobacco. The primary symptoms of COPD are a wet cough and trouble breathing.
Other symptoms include:
- wheezing
- chest tightness
- frequent sickness
- fatigue
Late-stage COPD may cause emergency symptoms, such as:
- bluish lips or gray fingernails from low oxygen levels
- confusion
- inability to catch your breath or talk
- rapid heart rate
Symptoms can appear at any time of day, but in general, people with COPD experience the worst symptoms in the morning.
Treatment
COPD treatment options include:
- quitting smoking (quitting can be difficult, but a doctor can help create a plan that works for you)
- bronchodilators
- oxygen therapy
- surgery
Learn more about treatments for COPD.
Recent research has shown that as much as 85% of chronic cough cases may be caused by GERD. GERD occurs when your stomach acid frequently flows back into your esophagus from your stomach.
Symptoms include:
- chronic cough
- burning in your chest, often after eating
- chest pain
- swallowing difficulty
- feeling of a lump in your throat
GERD commonly causes a cough after eating and when lying down. Some people with GERD may notice their cough is worse in the morning after spending the night lying in bed.
Treatment
Treatment options for GERD include:
- antacids
- medications to reduce stomach acid production
- prescription-strength proton pump inhibitors
- prescription-strength h3 receptor blockers
- surgery
Learn more about treatments for GERD.
If you find you are congested and coughing for a long time, you may have a sinus infection (sinusitis). The congestion in your nose can accumulate overnight, making you cough more when you wake up.
Other symptoms of a sinus infection include:
- postnatal drip
- sore throat
- headache
- bad breath
- pain in your face
Treatment
If your sinus infection is bacterial, you will need to take antibiotics. However, in many cases, a sinus infection can go away on its own.
In the meantime, you can use many of the same treatments that you would use for the common cold, other respiratory infections, allergies, or postnasal drip.
In addition, you can also place a warm compress on your nose and forehead to reduce your sinus pressure and help thin out mucus.
Learn more about treatments for a sinus infection.
If your morning cough doesn’t go away after several weeks, you should visit a doctor for a proper diagnosis.
A morning cough is also frequently paired with other symptoms. If you experience these symptoms, you should speak to a doctor:
- fever of 39°C (102.2°F) or higher in children, 38°C (100.4°F) or higher in a baby under 3 months old, or 39.4°C (103 degrees°F) in an adult
- greenish-yellow phlegm
- wheezing
- unexplained weight loss
- ankle swelling
Other symptoms may be more serious. Seek emergency help if you experience:
- trouble breathing
- severe headache
- dehydration
- fainting
- drowsiness or fatigue lasting longer than 2 weeks
- choking
- confusion
- coughing up blood or phlegm with a pink tint
- trouble swallowing
- chest pain
Medical emergency
Coughing up blood may be a sign of a serious medical issue. You should see a doctor if you see blood in your phlegm. Possible causes include:
- COPD
- lung cancer
- throat irritation
- respiratory infections
- asthma
- bronchitis
- pneumonia
Read on for answers to common questions about morning cough.
How do I stop coughing in the morning?
The best treatment option for your cough depends on the underlying cause. There isn’t a cure for the common cold or for respiratory infections. Getting plenty of rest will help your body fight the infection faster. Cough medication can help suppress your urge to cough, while decongestants can help manage postnasal drip.
How do I know what’s causing my morning cough?
The best way to know the cause of your morning cough is to see a doctor, especially if you also have other symptoms. The doctor will likely listen to your breathing with a stethoscope. They may send a sample of your mucus to a lab to search for a viral infection or measure your lung function with a spirometry test. If this is not enough to identify the cause, they may order imaging tests like an X-ray or a CT scan, or a scope test called a bronchoscopy to look inside your lungs with a small camera.
What’s causing my baby to cough in the morning?
Babies can experience morning coughs for many of the same reasons as adults and older children. When coughing in babies and children is caused by a respiratory infection, it appears in 46%-56% of children. Specific infections that can occur in young children include croup and whooping cough (pertussis).
There are many potential causes of a morning cough. Often, a morning cough isn’t a need for concern.
However, if it persists for more than 2 weeks or if you’re having trouble breathing, it’s a good idea to visit a doctor for a proper diagnosis.
Cough in the morning: causes and treatments
Contents
- 1 Cough in the morning: causes and effective treatments
- 1.1 Cough in the morning: what is the cause?
- 1.1.1 First cause: chronic bronchitis
- 1.1.2 Second cause: allergic rhinitis
- 1.1.3 Third cause: smoking
- 1.1.4 Fourth cause: weather change
900 05 1.2 Why does the cough get worse in the morning?
- 1.1 Cough in the morning: what is the cause?
- 1.3 Where does the cough occur: upper or lower respiratory tract?
- 1. 4 Why do you constantly cough in the morning?
- 1.5 How to determine the nature of the cough?
- 1.6 Cough treatment in the morning: what methods are available?
- 1.7 Drug treatment: what helps with a cough in the morning?
- 1.7.1 Medicines to relieve dry cough
- 1.7.2 Expectorants and sputum thinners
- 1.7.3 Combination medicines
- 1.8 Inhalation: how to use it correctly ?
- 1.8.1 What are inhalations?
- 1.8.2 How to carry out the procedure correctly?
- 1.8.3 What medicines can be used for inhalation?
- 1.8.4 How often can I inhale?
- 1.9 Folk recipes for coughs: what does the science say?
- 1.9.1 Myths and truth
- 1.9.2 What tools can be used?
- 1.9.3 Conclusion
- 1.10 Establishing a daily routine: how to influence cough?
- 1.11 How does good nutrition affect morning coughs?
- 1.12 Q&A:
- 1. 12.0.1 Why does my cough disappear in the morning in the evening?
- 1.12.0.2 What diseases can cause coughing in the morning?
- 1.12.0.3 What treatments can help with morning cough?
- 1.12.0.4 Can allergies cause coughing in the morning?
- 1.12.0.5 What lifestyle habits can cause you to cough in the morning?
- 1.12.0.6 Can medicines make you cough in the morning?
In the article you will find the causes of morning cough and methods of its treatment. Common causes and effective ways to prevent discomfort.
Cough is a common condition that can occur for a variety of reasons. One of the most common types of cough is the morning cough. It can be quite annoying and even interfere with normal life.
Cough in the morning can be due to various causes, which must be evaluated to determine the correct method of treatment. Some of the causes may be related to the lungs, others to the environment, and coughing can be the result of medical conditions such as allergies.
In this article, we will describe the most common causes of cough in the morning, how to properly diagnose and treat it in order to regain normal sleep and life.
Cough in the morning: what is the reason?
First cause: chronic bronchitis
Cough in the morning is often due to chronic bronchitis. This disease is caused by inflammation of the bronchi, which does not go away for several months. Patients suffering from chronic bronchitis often complain of a morning cough, due to the fact that the bronchial mucosa has accumulated too much mucus during sleep.
Second cause: allergic rhinitis
Another cause of morning cough is allergic rhinitis. This disease is caused by an allergic reaction to pollen, or other irritating environment in your home. You may start sneezing, coughing, or getting laid in the morning right after you wake up. The symptoms then slowly worsen over the course of the day until you are no longer in contact with the cause of the allergy.
Third reason: smoking
Smoking causes toxic effects on the lungs and bronchi, which can aggravate the morning cough. People who smoke often notice a morning cough that is much worse than when they don’t smoke. If you want to get rid of morning cough, then you need to stop smoking.
Fourth reason: weather change
Weather change can cause morning cough. This is especially true for people who suffer from respiratory diseases. If today is a wet and cold day, and tomorrow is dry and warm, then this can cause a morning cough.
Why is the cough worse in the morning?
Cough in the morning is a common occurrence that can have various causes. However, according to doctors, there are several main factors that influence the worsening of the cough in the early morning.
- Secret accumulation . Under the influence of gravity, mucus and sputum accumulate in the lower parts of the lungs, which leads to their irritation and coughing.
- Allergy . In some cases, coughing in the morning can be caused by an allergic reaction to dust, fungus, plant pollen, etc. that accumulate in the bedroom.
- Asthma . Morning cough can be a symptom of bronchial asthma, which is characterized by airway obstruction and mucosal edema.
- Infections and diseases . Almost all the protective functions of the body work in a mode of increased activity at night, so morning cough can be associated with suppressed immunity and various diseases of the respiratory system.
In any case, regardless of the cause of the cough in the morning, you need to see a doctor to get the correct diagnosis and effective treatment. Self-medication can lead to an exacerbation of symptoms and possible complications.
Where does the cough occur: upper or lower airways?
Cough is a protective reflex of the body that occurs when receptors in the airways are irritated. Depending on where the irritation is located, the cough may be associated with the upper or lower airways.
Cough associated with the lower respiratory tract is often a sign of lung or bronchial disease such as bronchitis, pneumonia, obstructive pulmonary disease, etc. Such a cough may be accompanied by expectoration of sputum, shortness of breath and a feeling of tightness in the chest.
In any case, if the cough persists for more than a week, is accompanied by fever or other symptoms, it is necessary to consult a doctor for diagnosis and effective therapy.
Why do you constantly cough in the morning?
Cough in the morning can be a sign of various problems in the body, ranging from banal allergies or chronic rhinitis to more serious diseases such as bronchial asthma or chronic bronchitis. In some cases, a persistent cough is possible due to the increasing dryness of the air in the bedroom, especially during the heating season.
If the cough does not disappear after morning oral hygiene, it may be due to a decrease in the osmotic pressure of saliva, which irritates the air in the respiratory tract and leads to cough. In addition, smoking, both active and passive, can lead to all sorts of problems in the respiratory system, which can cause persistent coughing.
In any case, if the cough becomes regular, the cause must be sought and treated. This can help avoid complications and keep the respiratory system healthy. Call your doctor if you have any symptoms and/or difficulty breathing. Do not self-medicate, effective treatment depends on an accurate diagnosis of the cause of the cough.
How to determine the nature of the cough?
Cough can have different characteristics that help determine its cause. One of the most common types of cough is dry cough, which is characterized by the absence of expectoration. It can be caused by allergies, a viral infection, or other causes.
Intermittent coughing may indicate irritation in the airways, which may be caused by a strong odor, smoke or dust cloud. Such a cough may be accompanied by nasal congestion or eye irritation.
- Dry cough – no expectoration
- Weepy cough – expectoration of sputum
- Intermittent cough – triggered by irritation in the respiratory tract Only a professional will be able to determine the necessary course of treatment to prevent possible complications.
Cough treatment in the morning: what methods are there?
Coughing in the morning is a problem faced by many people. To get rid of this unpleasant symptom, you need to see a doctor and find the cause of the cough. But besides this, there are various treatments that will help soften the cough and alleviate the condition.
- Medications: If your cough is caused by an illness, your doctor may prescribe medication to help manage it. These can be antibiotics, mucolytics, antitussives and other drugs. It is important to take medication exactly as directed by your doctor.
- Folk remedies: Some people prefer to treat their cough with folk remedies. For example, you can make a drink of honey, lemon, and warm water, or a tincture of psyllium herb. However, before using any folk remedy, it is necessary to consult a doctor and make sure that it is safe.
- Lifestyle changes: if the cough is caused by smoking, diet changes or other factors unrelated to the disease, then you need to change your lifestyle. For example, stop smoking, eat healthy and maintain a healthy lifestyle.
Which treatment to choose depends on the cause of the cough. It is important not to self-medicate and be sure to consult a doctor who will diagnose and prescribe the necessary treatment.
Drug treatment: what helps with a cough in the morning?
Medications to relieve dry cough
Dry cough in the morning may be associated with a feeling of dryness and irritation in the throat. Medicines that have an astringent and softening effect on the mucous membranes will help eliminate this problem. These drugs include:
- Lozenges containing mint or eucalyptus extract.
- Marshmallow-based preparations, which have a mild enveloping property, moisten the mucous membrane of the throat and soothe cough.
- Medicines containing codeine or dextomethorphan which are dry cough medicines. However, they are prescribed only by doctors.
Expectorants and sputum thinners
If you have thin sputum that is difficult to cough up, your doctor may prescribe drugs that have mucolytic properties or increase sputum secretion.
- Preparations containing acetylcysteine, bromhexine or verbenol help thin sputum and make it easier to expectorate.
- Ambroxol-based mucolytics stimulate sputum production and help clear mucus from the respiratory tract.
Combination medicines
Combination medicines are available that contain several components to address different aspects of the morning cough. These may include sore throats, dry cough medicines, and expectorant and phlegm thinning medicines. Such funds are prescribed by the doctor, depending on the nature of the symptoms and the patient’s condition.
Inhalation: how to use it correctly?
What is inhalation?
Inhalation is a method of treating coughs and other diseases of the respiratory system, which consists in inhaling the drug in the form of an aerosol or vapor. This method is used to treat cough in the morning, as well as other types of coughs and respiratory diseases.
How to carry out the procedure correctly?
In order to perform the inhalation correctly, it is necessary to regulate the pressure and time of inhalation. The procedure is carried out using special devices – inhalers, into which the medicine is poured and from which steam or aerosol comes out. In order to achieve maximum effectiveness of treatment, you should follow the instructions for using the device and the dosage of the drug.
What medicines can be used for inhalation?
Various drugs can be used for inhalation, such as mucolytics, bronchodilators, glucocorticosteroids, etc. Which specific drug to use in each case is determined by the doctor, based on the cause of the cough and the patient’s condition.
How often can I inhale?
The frequency of inhalations depends on the health of the patient and the doctor’s recommendations. In some cases, for example, during exacerbation of chronic bronchial asthma, inhalations can be carried out every few hours. In other cases, it is enough to carry out the procedure several times a week.
- Important: It is not recommended to carry out the procedure without a doctor’s prescription.
- Important: Before inhalation, clear the airways of mucus and phlegm.
- Important: At the first sign of an allergic reaction, stop the procedure immediately and seek medical attention.
Traditional recipes for cough: what does science say?
Myths and truth
A long time ago, people treated coughs with simple folk remedies – decoctions, infusions, mixtures of herbs and other natural products. But is it worth believing in the effectiveness of such recipes?
However, not all prescriptions are scientifically based and effective. Some may even be harmful, for example, large amounts of onion or garlic juice can irritate mucous membranes and aggravate coughs.
What products can be used?
- Honey with tea – a warm drink with honey helps reduce inflammation and improve expectoration.
- Essential Oil Inhalation – Adding a couple of drops of eucalyptus or peppermint oil to a basin of hot water will help relieve dry coughs, especially at night.
- Onion peel decoction – Onion peel decoction with honey helps in the fight against cough.
- Milk drink with butter and honey Warm milk with butter and honey can help soothe your throat, especially if you have a bad cough.
Conclusion
Folk recipes can be effective, but you should be careful and choose only those remedies that are really supported by scientific evidence. In any case, with a strong and prolonged cough, you should consult a doctor.
Establishing a daily routine: how to influence cough?
Cough in the morning can occur for various reasons. One of the main ones is the wrong daily routine. To influence the cough, you need to set your daily routine and stick to it.
It is also important to observe certain time frames for meals. It is recommended to have breakfast, lunch and dinner around the same time each day. This will help normalize the work of the gastrointestinal tract and reduce the burden on the intestines.
In addition, it is necessary to monitor the regime of physical activity. It is recommended to play sports or do exercises in the morning to prepare the body for work. In the evening, it is better to rest and relax.
Establishing a daily routine can help get rid of the cough in the morning and improve the general condition of the body. However, if the cough persists, you should contact a specialist for medical attention.
How does proper nutrition affect the cough in the morning?
When coughing in the morning, do not forget about the importance of proper nutrition. It can have a significant impact on the health of the lungs and the body as a whole. To reduce cough, you should eat foods rich in vitamin C. It helps to strengthen the immune system and reduce inflammation in the body.
In addition, it is very important to monitor the level of fluid intake throughout the day. The body must receive enough water to moisturize the mucous membranes and thin the sputum, which helps to eliminate it. It is recommended to drink at least 1.5-2 liters of water per day.
Finally, it is recommended to eat foods rich in antioxidants such as fruits, vegetables and green tea. Antioxidants help fight inflammation that can aggravate coughs in the morning.
Q&A:
Why does my morning cough disappear in the evening?
Perhaps the cough in the morning is caused by the nocturnal lifestyle. When we sleep, mucus can accumulate in the throat, which leads to coughing in the morning. During the day, the mucus is distributed in the throat, and the cough subsides.
What diseases can cause coughing in the morning?
Coughing in the morning can be a sign of various illnesses such as asthma, bronchitis, reactive lung changes and respiratory depression. If the cough in the morning does not disappear within a few days, you should consult a doctor for diagnosis and treatment.
What treatments can help with a cough in the morning?
Depending on the cause of the cough, different treatments may be recommended. For example, asthma and bronchitis may be treated with inhalers, oxygen therapy, and anti-inflammatory drugs. With respiratory depression, it is important to carry out physical exercises, breathing exercises and chest massage.
Can allergies cause a cough in the morning?
Yes, allergies can be one of the causes of morning coughs. In this case, the allergen should be identified and measures taken to avoid it. Antihistamines, inhalers, and other medications may be given to reduce mucus in the throat.
What lifestyle habits can cause you to cough in the morning?
Smoking is one of the most common causes of morning cough. Also, drinking alcohol at night can lead to the accumulation of mucus in the throat and coughing in the morning. It is important to quit smoking and avoid alcohol at night to reduce coughing in the morning.
Can medicines make you cough in the morning?
Yes, some medicines can make you cough in the morning. For example, ACE inhibitors prescribed for hypertension can cause cough in 10-20% of patients. If you develop a cough after starting a new medication, you should tell your doctor.
Nocturnal cough – causes of occurrence, in what diseases it occurs, diagnosis and methods of treatment
Whooping cough
Cold
Allergy
2639
July 15
Night cough: causes of occurrence, in which diseases it occurs, diagnosis and methods of treatment.
Definition
Cough is a defensive reaction of the body, ensuring the removal of a foreign body or sputum from the respiratory tract.
This reaction can occur in response to an inflammatory process, mechanical, thermal or chemical effects on cough receptors located in the nasal cavity, pharynx, trachea, bronchi, as well as due to irritation of sensitive endings (during inflammatory processes) of the pleura, pericardium, esophagus, stomach and some other organs.
One of the varieties of cough is a nocturnal cough that causes discomfort, interferes with normal sleep, and reduces the quality of life of both the patient himself and the people around him.
Night cough can be a symptom of many diseases and pathological conditions, so its timely diagnosis is very important.
Varieties of nocturnal cough
Depending on the nature of sputum, cough is divided into dry or non-productive (in this type of cough, sputum is not secreted, cough does not bring relief) and wet, or productive (accompanied by sputum, coughing brings relief).Sputum is a secret in the form of mucus, which is formed in the cells of the bronchial mucosa.
Phlegm is necessary to remove dust and microbes from the respiratory tract and bronchi that get there when inhaled. In addition, this mucus contains immune cells that help fight germs.
According to the duration cough is distinguished:
- episodic cough;
- short cough;
- paroxysmal cough;
- persistent cough.
Downstream:
- acute – lasting less than 3 weeks;
- chronic – lasting more than 8 weeks;
- subacute – lasting from 3 to 8 weeks.
Possible causes of nocturnal cough
The physiological cause of nocturnal cough may be cold or excessively dry indoor air, which, when inhaled, irritates the mucous membrane of the respiratory tract and causes a reflex cough.
Inhalation of various chemical irritants, such as cigarette smoke, may cause coughing at night.
Night cough can cause respiratory diseases of an infectious, viral or allergic nature.
Also, the cause of night cough can be chronic diseases of the cardiovascular system, leading to congestive heart failure.
In gastroesophageal reflux disease (GERD), reflex irritation of cough receptors occurs, which can lead to coughing at night, especially when eating immediately before bedtime.
Diseases of the ENT organs are also a common cause of nocturnal cough. In inflammatory diseases such as rhinitis (inflammation of the nasal mucosa) or sinusitis (inflammation of the mucous membrane of one or more paranasal sinuses), a large amount of mucous secretion is formed, which drains into the lower respiratory tract, causing a cough reflex.
Diseases that cause nocturnal cough
- Acute respiratory diseases (ARVI, whooping cough, etc.).
- Infectious diseases of the respiratory tract (laryngitis, tracheitis, bronchitis).
- Allergy.
- Bronchial asthma.
- Chronic heart failure in adults.
- Gastroesophageal reflux disease (GERD).
- Syndrome of postnasal drip (diseases of ENT organs).
Which doctors to contact in case of night cough
If a night cough occurs, first of all, you should contact a general practitioner or family doctor, who, after a thorough history taking and physical examination, will refer the patient for additional laboratory and instrumental examinations and to specialist doctors, for example, an ENT doctor, a cardiologist, a gastroenterologist, an allergist-immunologist, etc.
Diagnostics and examinations for night cough
When a patient complains of night cough, the doctor collects a detailed history, taking into account the patient’s complaints, finds out the duration of this condition, finds out whether it was preceded by a recent cold, whether the patient has chronic respiratory diseases or cardiovascular system, whether the patient has heartburn or a sour taste in the mouth. With a wet cough, you need to pay attention to the color and viscosity of sputum.
To identify the causes of night cough, the doctor also needs to establish the presence of concomitant symptoms – fever, weakness, headache, shortness of breath, runny nose.
To clarify the diagnosis, the doctor may prescribe the following examinations:
- Clinical blood test with a detailed leukocyte formula to detect inflammatory changes in various infectious and allergic diseases.
Clinical blood test: general analysis, leukogram, ESR (with microscopy of a blood smear in the presence of pathological changes)
Synonyms: Complete blood count, KLA. Full blood count, FBC, Complete blood count (CBC) with differential white blood cell count (CBC with diff), Hemogram.
Brief description of the study CBC: general a…Up to 1 business day
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Plain chest x-ray
X-ray examination of the structure of the lungs to diagnose various pathologies.
RUB 2,440
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X-ray of the paranasal sinuses
X-ray examination of the paranasal sinuses for the diagnosis of pathological changes.
RUB 2,290
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Culture of the upper respiratory tract for microflora, determination of sensitivity to antimicrobial drugs and bacteriophages (Upper Respiratory Culture, Routine. Bacteria Identification. Antibiotic Susceptibility and Bacteriophage Efficiency testing)
Synonyms: Upper Respiratory Culture, Routine. Bacteria Identification. Antibiotic Susceptibility and Bacteriophage Efficiency testing.
Brief description of the study “Sowing the discharge of the upper respiratory tract on …
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ECG in 5 minutes
Examination of the functionality of the heart – fast, painless and informative.
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What to do if you have a nighttime cough
When a night cough appears, first of all, you should pay attention to the ventilation of the room where the sleeping place is located, to exclude the penetration of chemical, thermal irritants.
If the appearance of a nighttime cough was preceded by a cold, you should consult a doctor to prescribe therapy.
For the prevention of gastroesophageal reflux disease and the associated nocturnal cough, it is recommended to avoid leaning forward and lying down after meals; sleep with the head end of the bed raised; do not wear tight clothes and tight belts, corsets, bandages, leading to an increase in intra-abdominal pressure; stop smoking and drinking alcohol. It is important not to overeat, eat small meals, the last meal should be no later than 3-4 hours before bedtime.
If a night cough bothers you for a long time and reduces the quality of sleep, you should consult a doctor to identify the causes of this condition.
Night cough treatment
The choice of treatment method depends on the cause that caused the nocturnal cough.If an infectious process of the respiratory tract is detected, the doctor will prescribe antibiotic therapy and antihistamines to reduce mucosal edema. Depending on the nature of the cough, drugs that thin sputum and stimulate expectoration will be prescribed, or, if the cough is dry, drugs that have a local anesthetic effect on cough receptors.
If the cough is due to irritation of the mucous membrane of the upper respiratory tract, apply a coating preparation.
If a patient is diagnosed with gastroesophageal reflux disease, a gastroenterologist will give recommendations on changing the diet and diet, prescribe antacids to reduce the acidity of gastric contents and proton pump inhibitor drugs that suppress the secretory function of the stomach.
If rhinitis, sinusitis is detected, vasoconstrictor and antihistamines are prescribed.
Treatment of bronchial asthma requires an integrated approach, depending on the stage of the disease. Appointments are made by a pulmonologist after all diagnostic procedures have been performed.
If a relationship between night cough and diseases of the cardiovascular system is established, the patient will need to consult a cardiologist and prescribe individual therapy.
Sources:
- Orlova N.V. Cough in the review of modern recommendations // Medical Council. 2019. No. 6, pp. 74–81.
- Clinical guidelines “Acute respiratory viral infections (ARVI) in adults.” Developed by: National Scientific Society of Infectionists, Russian Scientific Medical Society of Therapists. – 2021.
- Clinical guidelines “Acute obstructive laryngitis [croup] and epiglottitis. Developed by: Union of Pediatricians of Russia, Interregional Association for Clinical Microbiology and Antimicrobial Chemotherapy, National Medical Association of Otorhinolaryngologists.