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Night cough issue
My 1 year and 7 months old child has. Night cough issue and get cured by honey ... why this is in night only. He has no symptoms during day. Plz advice
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I am Dr Shamoon. The pattern you describe in your 1 year 7 month old daughter - a cough only at night, with a completely symptom-free, active and playful child through the day, no fever and no breathing difficulty - is very typical and usually points to one of three things. First and commonest, post-nasal drip: mucus from the nose and adenoids trickles down the throat when she lies flat and triggers coughing bouts. Second, cough-variant asthma or allergic airway sensitivity, which classically worsens after midnight and in the early hours, and is more likely if there is asthma, allergy or eczema in the family or if she has had wheezing episodes before. Third, silent reflux, which is common at this age, especially if her last feed or milk is close to bedtime, and gives night cough with occasional gagging. Dust, mosquito coils, incense, room fresheners, soft toys, a fan blowing directly on her, or a cold air-conditioned room can all aggravate all three. Since she has no medicines, no diagnosed condition and no known allergy, and gains no daytime symptoms, this is very unlikely to be a chest infection or tuberculosis. What decides the treatment is the character of the cough (dry versus wet), whether you hear any whistling sound at night, and whether her nose is blocked or snoring is present - a physical examination of the chest, nose and throat is what will settle this rather than trying more syrups.
Next Steps
1) Elevate the head end of her mattress by about 20-30 degrees (place a folded blanket under the mattress, not a pillow under her head) - this alone helps both post-nasal drip and reflux. 2) Give her last milk or meal at least 1.5-2 hours before she sleeps, and no bottle feeding lying down. 3) Saline nasal drops 2 drops in each nostril at bedtime, and steam inhalation in the bathroom for 5-10 minutes before sleep (never direct steam to the face). 4) Half a teaspoon of honey at bedtime is safe and effective at her age for night cough. 5) Reduce night triggers: no mosquito coil, incense or spray in her room, remove soft toys and carpets, wash bedding in hot water weekly, avoid the fan or AC vent blowing directly on her, keep the room at a comfortable temperature and not too dry. 6) Keep her well hydrated during the day. 7) Note for 3-4 nights: is the cough dry or wet, is there any whistling/wheezing, snoring or mouth breathing, does she vomit with coughing - and take these notes to the doctor. 8) Get her examined by a paediatrician if the cough continues beyond 2 weeks, or earlier if it is worsening; if asthma-type cough is suspected, a short inhaler trial with a spacer and mask is the standard next step. Avoid buying over-the-counter cough syrups - they are not recommended under 2 years. You are welcome to consult me on Practo for a detailed review, or in person at Synergy Multispeciality Hospital, Miraj.
Health Tips
Word of caution: take her to a doctor immediately if she has fast or laboured breathing, chest indrawing, a whistling or barking cough, bluish lips, high fever, refusal to feed, unusual drowsiness, or if the cough started suddenly while she was playing with a small object (possible foreign body). Do not give her adult or over-the-counter cough or cold syrups, and never give any antibiotic without a doctor's examination.
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Need few more details for further evaluation. Please consult
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Please consult paediatrician
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Night time cough in a toddler, could be due to airway reactive condition,post nasal drip.He could find relief with the use of nebulizer especially before sleeping
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For a 1 year 7 month old child with a nighttime cough that responds to honey, give 1/2 to 1 teaspoon of honey right before bed. Night-only coughs are often caused by post-nasal drip from lying down or mild airway irritation. Because your child is over 12 months, honey is safe and effective.
Post nasal drip means the nasal secretions flows down to the throat, irritates it and results in cough.
Honey dose: Give 1/2 to 1 teaspoon of pure honey at bedtime to soothe the throat and calm the cough reflex.
Saline drops: Use nasal saline drops and a bulb syringe to clear minor stuffiness before sleep, reducing post-nasal drip.
Cool-mist humidifier: Run a cool-mist humidifier in the room to keep the air moist.
Hydration: Offer small sips of water during the day to keep the throat hydrated.
Consult me if:
1. Fast breathing, wheezing, or pulling in of the skin around the ribs.
2. High fever develops along with cough. OR if
3. The cough lasts more than two to three weeks or gets worse instead of better.
Please share how many days the cough has lasted or if there is any stuffy nose or fever?
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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ALL COMPLAINTS IN KIDS OR ADULT AGREEVATE IN NIGHT.
WHY??
PROBABLY
ITS SILENT
NO SOUND SO NO DIVERSION. EXACT REASON NOT KNOWN
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19 months old child night cough only is often caused by dry room air, Mild environment allergy
( dust , mite)..
Airway hyperactive / Asthma...
Simple Thing to do to relief...
Use humidifier
Honey - 1 to 2 spoon before bed
Saline drop..
Clear the Irritant..
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Hi!
I am a pediatrician!
Please get in touch with me so I could get a detailed history from you and prescribe medications accordingly
Next Steps
You could book a teleconsultation with me through the practo app as per your convenience
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Could be allergic bronchitis due to something in environment or worms.
Please consult a pediatrician physically.
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Must be allergic cough or cough variant asthma avoid Ac at night
Keep Ac vent and fan free from dust
Wash bed sheets weekly once vacuum clean carpet avoid pets
Mop the floor everyday
Avoid cows milk
See paediatrician if no relief
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Because of lie down position and so.e physiological response of body to expelled out the mucous .
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Get his chest examined by physician
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Mr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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