home Folk remedies The cough gets worse in the evening and at night. Severe cough to the point of vomiting. Tormented by dry cough at night

The cough gets worse in the evening and at night. Severe cough to the point of vomiting. Tormented by dry cough at night

Cough is a symptom of numerous diseases that may not be directly related to the respiratory system. Regardless of what the causes of cough are, an adult’s cough always gets worse in the evening - this is explained physiological characteristics the human body, which will be discussed below.

During the day and in the morning, a dry cough usually appears in heavy smokers, and people who abused alcohol the day before, as soon as they got out of bed, or with chronic bronchitis, ARVI and colds.

But sometimes a dry cough in an adult worsens not in the morning, but in the evening - why does this happen and can it be prevented?

When visiting a doctor, patients often say that during the day they feel completely normal, but in the evening they begin to suffer from a dry or wet cough. And it is not at all necessary that a person is sick or has a cold. The reasons for this phenomenon in an adult may be as follows:

Chronic bronchitis or pleurisy, while the cough is dry;
Bronchial asthma or an allergic reaction - in this case a cough with sputum occurs;
Professional activity when the patient is forced to regularly inhale air contaminated with toxic fumes, dust or tissue fibers;
Diseases of the cardiovascular system; blood clots can be seen in the sputum. To determine the diagnosis and causes, you need to measure the average volume of blood in the mucus;
Tuberculosis - bloody streaks are noted in the secretion;
Chronic sinusitis or rhinitis. In such diseases, mucus draining from the sinuses through back wall larynx, irritates nerve receptors, and causes coughing attacks. Also, with nasal congestion, when the patient breathes through the mouth all the time, the mucous membrane dries out and becomes hypersensitive, which also causes a cough.

Also, the reasons why the cough worsens in the evening and does not bother you in the morning may be an addiction to cigarettes or hookah. Some people believe that hookah is less harmful than cigarettes, but this is not true.

Even when diluted with water, nicotine particles are no less harmful than in the form of dry smoke, and they also settle in the bronchi and lungs, causing.

If this is the reason, then a dry cough, as a rule, bothers you in the evenings - this defensive reaction the body, which is trying to cleanse the respiratory organs of harmful substances. There is another provoking factor - this is the wrong dosage medicines, pharmacy or folk.

Often people with cold symptoms - such as a dry cough, for example - begin to self-medicate. The dosage of medications is usually calculated incorrectly.

As a result, the patient takes more infusions or decoctions than he should medicinal herbs, powders and tablets, and his condition worsens in the evening, when the concentration active substances reaches its maximum.

Interstitial diseases of the lungs and bronchi are no less often the cause of dry cough, but it is not always possible to identify and differentiate them. If a person suffers from illness respiratory organs, then in evening time The cough intensifies due to the fact that all the main processes in the body slow down.

Blood circulation becomes less intense physical activity gets smaller. All this contributes to the accumulation and thickening of mucus in the lungs and bronchi, which irritate the mucous membrane and cause coughing. In this way, the body tries to get rid of harmful substances.

Types of evening dry cough

A dry cough that occurs in the evening can be classified as various symptoms and manifestations:

The presence or absence of sputum, their quantity, if any.
The position of a person in which a cough begins to bother him in the evening - he is sitting, lying on his back, on his side, or actively moving.
The time of day at which coughing begins to bother you is exclusively in the evenings, or also in the morning or daytime.
Additional symptoms that may accompany a cough are most often vomiting, which is caused by very strong and prolonged coughing attacks or overeating.

Thus, a reflex act that occurs in the evenings may be accompanied by intense sputum production, be dry, and cause vomiting reflex. In this case, much will depend on the presence or absence of blood or pus in the sputum.

To effectively treat dry cough in the evenings, it is very important to first accurately determine its cause. Diseases such as rhinitis, pleurisy, bronchitis must be treated under medical supervision. Both medications and folk remedies are used, but all prescriptions are made only by a doctor.

If you are prone to chronic diseases of the lungs, bronchi, blood vessels or heart, it makes sense to think about prevention, reconsider your lifestyle, give up some habits and constantly monitor the condition of your body.

The occurrence of such an unpleasant symptom as evening cough, can be avoided by following simple rules. First of all, you should definitely visit a doctor and undergo necessary examinations to exclude pathologies of the respiratory organs chronic or diseases of the heart and blood vessels.

If such diseases are detected, they must be carefully treated, avoiding complications and relapses. If the reason is professional activity, when you regularly inhale fumes of toxic substances, it is recommended to either change the type of activity, or use protective equipment - medical masks, respirators, gloves.

Employees involved in hazardous industries - chemical or pharmaceutical plants and combines, at a construction site or in a painting workshop - must take care of their health and once a year recuperate in specialized sanatoriums or resorts.

When using medications, you should first consult your doctor and strictly follow all his instructions. You should never change the dosage or regimen of medications on your own, especially if it concerns antibiotics or potent expectorants.

You should not overeat at night, especially if a person has a tendency to gag reflex or suffers from diseases digestive tract. Much depends on the patient’s self-discipline and his independent desire to overcome the disease.

It is not necessary that a cough that bothers you only in the evenings or gets worse in the evening and at night indicates any serious pathologies. But if a person does not have a cold, it may be a symptom of a hidden illness, which sooner or later will manifest itself in a more serious way.

Therefore, if a cough appears regularly and causes significant discomfort, there is no need to try to heal it and soften it with rinses and tablets - it is wiser to consult a doctor to find out its cause and, if necessary, undergo a course of adequate treatment.

Cough is one of the symptoms of a cold, infection or viral disease. It may also indicate the presence of other, more serious pathologies. Many people do not even complain about the cough itself, but about the fact that it gets worse at certain times of the day. The cough may worsen in the morning; most often, heavy smokers complain about this.

If the symptom occurs in the evening, in particular, when taking a horizontal position, then this may indicate the presence of serious illnesses- asthma, chronic bronchitis and others. The main thing here is not to panic, but to contact a specialist in a timely manner, undergo an examination and pass necessary tests, find out the causes of the unpleasant symptom and eliminate them.

What can an evening cough indicate?

Coughing in adults and children is a reflex with the help of which excess mucus is removed from the bronchi and lungs. In adults, a dry cough in the evening may intensify if untreated and chronic diseases, at cardiovascular pathologies. Without an examination, it is simply impossible to say unambiguously why such a dry cough appears, which is why you should not self-medicate until you find out true reasons the occurrence of pathology.

The causes of dry cough in the evenings in adults can be different. Some of the most common ones:

chronic course of diseases - bronchitis, pleurisy and others;
cough intensifies in the evening with a reflex act of sputum discharge - bronchial asthma, lung diseases, allergic reactions;
if, when sputum is discharged, it contains blood clots, then this may indicate tuberculosis, heart failure and a number of other serious pathologies;
the presence of bad habits can also be the cause of increasing cough in adults - smoking, vaping hookahs;
disdain for folk medicine and means - exceeding doses of consuming certain decoctions and infusions of herbs;
taking medications for the cardiovascular system, exceeding doses;
manifestation of occupational diseases;
interstitial lung diseases.

List all possible reasons It’s simply impossible; they need to be determined precisely during the examination.

It is important not to self-medicate, since patients often treat a dry cough, but in fact the problem turns out to be completely different, for example, cardiovascular system. Take your health seriously!

Kinds

This type of reflex can be divided into several main types:

by the type of sputum or its absence;
when changing position;
, most often occurs in children.

Children very often develop a dry cough in the evening, and there may be no reason at all. Such a symptom may not indicate the presence of any disease; cough appears most often due to banal overeating. The solution is simple - refuse to eat before bed. Sometimes the reasons can be quite serious, so you should never let the appearance of a cough take its course. For example, something like this dangerous disease, like whooping cough, can occur in a latent form and it is not always possible to diagnose it on time. The symptom is precisely the presence of a cough. Therefore, if a cough constantly torments a child, it is not associated with overeating, then you should not look for the reasons on your own, consult a doctor immediately!

An adult’s cough most often does not appear in the evening for no reason, so do not put off visiting a doctor. A cough may be the first natural signal in the presence of serious pathologies, including tuberculosis and lung cancer.

Possible help

A dry cough at night and in the evenings can cause a lot of inconvenience to both the patient and his household. Real help- contacting a doctor and prescribing the necessary treatment by a specialist.

Often the cause of a painful evening cough is the use of certain medications - for cardiovascular activity, antibiotics. If you start coughing while taking medication, there is no need to panic. If the reason is really due to medications, then additional and special treatment not required, after completing the course of taking the medication, the cough will disappear on its own.

A dry evening cough in an adult can be relieved with traditional methods, but remember that any prescription is aimed specifically at alleviating the condition, and not at eliminating symptoms. Warmth and drinking plenty of fluids- the most realistic and simple ways help with dry cough. Lie down in bed and warm up, it will be very good to drink a cup of hot tea or herbal decoction. Do not forget about sufficient air humidity. Excessive dry air will provoke the appearance of a reflex reaction. Even if there is no special humidifier, place small containers with clean water, this is especially true with artificial heating and the presence of heaters. Do not forget to regularly ventilate the room and carry out wet cleaning. Excess dust can cause coughing and discomfort.

Smoking can also trigger evening coughing attacks. This especially applies to heavy smokers and those who prefer strong cigarettes or cigars. Should be abandoned bad habit and the cough will go away on its own. Don't think that hookah is a completely harmless form of entertainment. This is not at all true; often, vaping a hookah can also cause coughing due to inhalation of combustion products.

Conclusion

A dry cough in an adult can be relieved with ginger. Can be done ginger tea with cinnamon and lemon. Oregano decoction and tea with anise help well with attacks. If a dry cough is making it difficult to sleep, try drinking warm milk with honey. This remedy helps not only with a suffocating cough, but also with insomnia.

If an evening cough torments an adult, onion juice can help. The product is really effective, although unpleasant. Grate the onion or chop in a blender, squeeze out the juice. Add a few tablespoons of honey (depending on the amount of onion), stir thoroughly and let stand for at least four hours. It is necessary to take the drug in the evening and before bedtime when attacks become unbearable. Interesting recipe for dry cough - sugar with raisins. Grind the dry grapes, add sugar and mix the mixture well. Boil it to a paste. Tasty and healthy! This paste can be prepared not only from raisins, but also from almonds, add butter and honey

If you have a cough, which is especially painful in the evenings or mornings, do not delay the examination. Perhaps it is timely examination and treatment that will help you get rid of serious pathology in time.

Cough is a symptom of many diseases; it occurs not only with a cold or inflammatory processes in the respiratory tract, various diseases of the heart, musculoskeletal system. A cough at night can be an indicator of a serious illness; sometimes a person needs urgent help. You should know about the main causes of cough at night in an adult, which associated symptoms may be present to immediately determine if emergency assistance is needed.

A cough at night can be dry or wet, it all depends on the disease that caused it. Moist cough most often occurs when inflammatory diseases nasopharynx or lungs. The dry form may indicate more serious problems requiring urgent specialist intervention.

The intensification or occurrence of cough at night in many diseases can be explained by several factors. During inflammatory processes in a lying position, during sleep, secretions in the lungs spill into the respiratory tract and are not able to exit. Therefore, the cough intensifies, and the person often wakes up from attacks.

Determining the cause of a symptom is critical to prescribing proper treatment. At various diseases are used completely different means and methods, you should consult a doctor before selecting a treatment regimen.

On occurrence this symptom Various factors influence them; they can be divided into several groups according to the nature of their manifestations and methods of treatment. The most common causes of severe coughing at night are the following diseases.

Colds, inflammatory diseases of the respiratory tract and nasopharynx

Colds and infectious diseases are called the main causes of this symptom. A cough with a cold is not always present all the time during the day; it can occur exclusively at night, especially at the very beginning of the disease.

In this case, the symptom is usually combined with other symptoms of colds. There is weakness and malaise during the day, drowsiness, runny nose, pain and sore throat. For some inflammatory diseases nasopharynx increases in size cervical The lymph nodes. Most often, cough at night occurs due to the following diseases:

various rhinitis, sinusitis, sinusitis;
inflammatory diseases of the lungs and bronchi, bronchitis, pneumonia;
Acute respiratory infections, acute respiratory viral infections, other colds, influenza viruses.

In this case, a cough may occur without fever or with its presence, it all depends on the type of disease. At colds The cough is usually wet; a person may wake up at night and have difficulty coughing up accumulated mucus.

A dry cough at night can occur at the very beginning of the development of the disease. In this case, it gradually turns into wet. When coughing there is often a feeling foreign body. This type of symptom does not cause pain, but may occur discomfort in the chest area.

Important! It is worth noting that this symptom should not be ignored when you have a cold. An advanced cold can lead to pneumonia and other serious consequences.

Cardiac and bronchial asthma differ in origin and treatment methods, but are extremely similar in symptoms, so without a full diagnosis it is quite difficult to distinguish one attack from another. It is worth noting that both attacks are deadly and can lead to serious health consequences.

During asthma attacks at night, a person usually wakes up from suffocation and shortness of breath. A severe, difficult, dry cough begins; if it becomes wet, it bad sign. The person immediately tries to stand up or sit down, since coughing and shortness of breath intensify when lying down. A typical posture for a person having an asthma attack is sitting on the edge of the bed, leaning slightly forward, with his feet on the floor.

In this case, it is extremely important to call “ ambulance", since this condition is dangerous to health. If an attack occurs for the first time, it is difficult to understand that it was provoked by a pathology in the bronchi or heart; no measures can be taken on your own. You can only let the patient breathe over cotton wool soaked in alcohol or vodka without additives to weaken the attack.

Cause: worms

Allergy

In case of allergic reactions, coughing may occur at night. There are cases when a person is allergic to the filling of a pillow or blanket, the contents of the mattress, bed sheets, or contact with the allergen occurred during the day. Special tests from an allergist will help determine the exact cause of the allergy.

An allergy cough is usually accompanied by a foreign body sensation and is usually dry and severe. Sputum may appear, but usually it is quite liquid, transparent, and can be coughed up without much difficulty.

With osteochondrosis of the cervical or thoracic, neuralgia of the thoracic spine may cause a dry hacking cough at night. It is usually preceded by pain in the back and neck during the day, a feeling of numbness in the shoulder blades and arms. The symptom may be accompanied by a sensation of a foreign body or a lump in the throat.

Back problems are a common cause in women. For some reasons, women are more susceptible to osteochondrosis and other similar pathologies.

Which doctor should I contact?

If the cause of this symptom is not clear, you should consult a general practitioner. After examination and testing, the specialist will redirect you to a more suitable neurologist, cardiologist or orthopedist.

For colds and inflammation of the nasopharynx, you should immediately go to a doctor - an otolaryngologist. If the attack occurs at night and resembles asthma, it is better to immediately call an ambulance, as it can be fatal.

How to treat

For appointment suitable treatment it is necessary to identify the cause of this symptom. You should not take any medications without a doctor’s instructions, as this can only harm the body.
To relieve an attack of night cough, it is advised to sit down, drink a glass of water, and breathe deeply. They advise you to open the window to let you into the room. Fresh air, is to improve the patient's condition.

You can also use folk remedies. A good remedy against attacks of severe coughing at night, honey is used. It is recommended to dilute one spoon in a glass of water and drink it. Honey softens coughing and helps relieve an attack, this remedy especially helps with colds.

Coughing is a complex reflex act in which a sharp contraction of the respiratory muscles occurs and a strong push-like release of air from the lungs. A cough occurs when sensitive receptors located in the trachea, larynx, pleura, and large bronchi are irritated.

The main purpose of the cough reflex is to clear the airways of liquid, foreign body or mucus. At its core, a cough is a defense mechanism that is designed to clear the airways of phlegm, foreign particles and harmful microorganisms.

Severe dry cough

Dry cough often develops against the background various diseases respiratory tract. To treat a severe dry cough, both medications and folk remedies are used. A dry cough appears when the cough receptors located in the mucous membrane of any part of the respiratory tract are irritated.

The cause of a severe dry cough can be infectious agents of bacterial, viral, fungal origin, as well as protozoa. In order to establish the causative agent of infection and its sensitivity to various medicines, need to be carried out microbiological examination sputum. Therefore, you should transform the cough into a wet one, and after sputum begins to cough up, conduct an analysis and, if necessary, adjust the treatment.

Pharyngitis causes a dry cough that is accompanied by a burning and scratching sensation in the throat. A dry, exhausting cough often develops with pharyngitis of fungal origin.

With laryngitis, a loud, barking, dry cough appears, which, with swelling of the larynx, turns into hoarse cough and causes suffocation. Tracheitis is accompanied by a dry cough with scratching pain in the chest, and pneumonia and bronchitis cause a duller dry cough.

With lung cancer, a dry cough can be especially long-lasting and intrusive: from small coughs to prolonged attacks.

A severe dry cough cannot be treated on your own, as its cause must be determined, so contacting a doctor is necessary. If it is possible to identify the causative agent of the disease, then treatment is carried out to suppress its vital activity. This treatment for dry cough is the most effective.

Severe cough with phlegm

Coughing with phlegm occurs when the body needs to remove phlegm, which is very difficult to separate. In order to help the body, you need to take the following measures to facilitate the removal of phlegm, but only after consulting a doctor.

You should take expectorants: ACC, ambrohexal, bromhexine, lazolvan or ambrobene.
Additionally you can take medicinal plants, having an expectorant and anti-inflammatory effect: a decoction of wild rosemary, St. John's wort, licorice syrup and breast collection.
Warming compresses in the form of mustard plasters, jars and grated black radish help well with a strong cough. In addition, you can extract juice from radish and take it by mixing it in equal parts with honey or sugar.
In addition, it is useful to inhale five times a day using a mechanical inhaler or nebulizer using Vintolin or Ambrobene.

Severe cough at night

If your child has a severe cough at night, but there are no other symptoms, you should pay attention to the allergens in his room. New mattress, pillow, bed linen, clothes or you just changed washing powder. Seizures allergic cough disappear immediately after the cause of the allergy is eliminated.

Severe attacks of dry, obsessive cough in a child at night can be caused by whooping cough. A cough with whooping cough is whistling, with a strained sigh, the child turns red, may stick out his tongue, tears flow, often coughing attacks cause vomiting or nose bleed. May be observed elevated temperature bodies. For treatment you should consult a doctor.

A cough during sleep, which intensifies in the morning and is accompanied by wheezing and whistling sounds, may indicate the development of bronchial asthma. Sometimes such a cough is the only symptom of the disease. You should definitely consult a doctor.

A prolonged dry cough at night can be caused by gastrointestinal reflux. In addition, shortness of breath must be present, wheezing, attacks of vomiting, poor appetite and weight loss. A dry, obsessive cough at night can be caused by roundworm larvae migrating throughout the body. Laboratory tests can confirm the diagnosis.

Cough during sleep may accompany tuberculosis and lung tumor. If you have even the slightest suspicion of contact with a patient with tuberculosis, or the cough has continued for more than two weeks, immediately consult a doctor and undergo an X-ray examination of the lungs.

The body's defense mechanism against viral infections of the upper respiratory tract is to produce mucus, which is cleared from the body using the cough reflex. At night, when a person is in supine position and the cough center is not as active, mucus accumulates and causes irritation of the respiratory tract. This may provoke night cough, and quite long attacks.

Severe cough in the morning

The most common disease among smokers is Chronical bronchitis. The reason for it is chronic inflammation in the walls of the bronchi, accumulation of mucus in the lumen of the bronchi. Symptoms of a smoker's bronchitis are a cough that is constant and dry, especially a severe cough in the morning, with viscous, thick mucus often coming out. Cough increases with colds, viral infections and flu.

Over time, in addition to the cough, the smoker begins to be bothered by shortness of breath, and the exacerbation of the disease becomes increasingly difficult to cope with, and a cough with mucus also appears in the morning. During exacerbations, body temperature may rise slightly, and whistling and wheezing may appear when breathing. Smoker's bronchitis late stages develops into so-called chronic obstructive pulmonary disease, which in some cases leads to disability.

Severe cough to the point of vomiting

Severe coughing leading to vomiting can be caused by many diseases that develop in the upper respiratory tract. This cough can be a symptom of bronchitis or a common cold in children, and its presence in adults indicates a very serious illness.

Whooping cough is a common disease in children that causes severe chest cough until vomiting. As the disease progresses, coughing attacks can be repeated up to 50 times a day, and in addition to vomiting, hemoptysis and nosebleeds may appear. Treatment of whooping cough is possible only under the guidance of a doctor. Vomiting when coughing in a child can occur against the background of common acute respiratory viral infections and colds.

A common cause of vomiting during severe coughing in children is common snot. Mucus flows down the back wall of the nasopharynx and accumulates, and the body gets rid of it with a strong cough, vomiting. Bronchial asthma is manifested by night attacks of severe coughing. At first the cough is dry, gradually its intensity increases until vomiting. The attack subsides after an hour with sputum separation.

In an adult severe attacks coughs that provoke vomiting can cause many diseases: allergies, cancer, tuberculosis, respiratory tract infections, as well as smoking, air pollution, inhalation toxic substances and dust. A similar cough is observed with gastroesophageal reflux, heart failure, and taking ACE inhibitors.

Severe cough in a child

Often parents are lost and do not know how to effectively treat a child’s severe cough, which prevents him from sleeping, exhausts him, and sometimes leads to vomiting. Before you begin treatment for a severe cough, you should understand the reasons for its occurrence. Coughing is a protective reaction of the body that helps clear the airways. Cough is a symptom of many diseases - from the common cold to tuberculosis. Therefore, to treat a cough, you should treat the disease that caused it.

Treatment of a severe cough in a child

Three types of medications are used to treat cough in children.

Expectorants, which are used to remove mucus from the respiratory tract.
Antitussives, which suppress a child’s severe, debilitating cough by acting on certain areas of the brain, reducing the sensitivity of receptors.
Mucolytic agents that facilitate the removal of sputum by diluting it.

If a child has a strong dry cough, he is usually prescribed children's antitussives; when there is a strong cough with sputum, expectorants are used. It is contraindicated to use both drugs at the same time, as it can provoke the accumulation of sputum in the bronchi.

With acute respiratory infections, bronchitis, pneumonia, a cough with sputum is most often observed, for the treatment of which mucolytics are used:

Ambroxol;
Bromhexine.

The following are used as expectorants:

Mukaltin;
Pertussin;
Solutan.

Medicinal herbs used:

liquorice root;
coltsfoot;
plantain;
thyme.

All these herbs are sold in ready-made breast preparations in pharmacies.

During the treatment period, the child should be warmly dressed - socks or a vest made of goat or sheep wool perfectly retain heat in the body, prevent many diseases and prevent coughing attacks.

We should not forget about folk remedies treatment:

tea with raspberry jam;
hot milk with honey and butter.

These natural remedies Children not only like it for its sweet taste, but also help to liquefy and remove mucus.

If a severe cough worsens at night, it is useful to do compresses and other procedures that warm the chest before going to bed.

For diseases of the respiratory tract accompanied by a cough, it is usually recommended to take inhalations with mineral water, which effectively soften a strong dry cough and help alleviate the child’s condition.

Severe cough in an adult

Questions and answers on the topic "Severe cough"

Question:Hello, I have a strong dry cough that has lasted for the fifth month. Over the past two weeks, the cough has gotten worse (to the point of vomiting), and Laura’s runny nose was treated. The cough continues. I don’t have a fever, I’ve lost a lot of weight and I’m very tired. I took Ambroxol, breast milk mucaltin did not help. Now Ass, cefatoxin, Nimesulide, Loratadine. Nothing has changed yet. What should I expect, The End!

Answer: It is possible that the cough is of an allergic nature. Consult an allergist in person.

Question:Hello! My daughter is 5 years old, she has a strong “wet” cough, the doctor prescribed us Erespal 1 tbsp. spoon 2 times a day, course 10 days. Is it possible to replace Erespal with Bronchicum, and if so, how to take it? Thanks in advance!

Answer: Hello. Why do you need to change the drug? Erespal is used for diseases of the upper respiratory tract, tonsilopharyngitis, tracheitis, its effect is anti-inflammatory and antibronchoconstrictive, that is, the drug prevents the bronchi from collapsing, thus facilitating the discharge of sputum. Bronchicum has a number of contraindications; it should be used with caution in children; it contains alcohol, 29.5% drops, 1.5% elixir, and an age limit of 6 years. I think you should listen to your doctor and start the prescribed treatment.

Question:Hello, I have a severe cough and it’s hard to breathe. A couple of years ago I had pneumonia with similar symptoms. I barely made it out. Can I give myself a cefazolin injection? There are no doctors in our village.

Answer: Hello! Call an ambulance! Self-prescription of an antibiotic can blur the picture of the disease and complicate diagnosis in the future. The emergency doctor will examine you and give necessary treatment recommendations.

Question:The child is 8 full years old, a strong cough began on January 10 - they took antibiotics, Ambrobene, licorice, mucaltin (all in order, one at a time), put the cans. Got better. started going to school, everything started again. What to do? We are currently accepting Sinecode. What else can we do? How to treat?

Answer: Sinekod is a drug that suppresses the activity of the cough (and therefore respiratory) center in nervous system, so taking it is not at all useful. You need not to suppress the symptoms (a cough is just a symptom), but to be examined in detail. First of all, consultations with an otolaryngologist and pediatrician are necessary. If the ENT doctor does not see anything in the throat, and the pediatrician says that “the lungs are clear,” they will have to additionally take an X-ray of the lungs - some problems in the lungs cannot be heard by the ear, but are visible only on x-ray. Additionally, you will need to submit general analysis blood to understand whether the child has this moment inflammatory process. And only on the basis of these examinations will it be possible to judge what the cause of the cough is and what drugs can be used to combat it.

Question:In the evening there is a strong dry cough indoors. When I lie down I get a lump in my throat, I need to clear my throat. During the day there is almost no cough. I haven’t been to the doctors for a check-up for a long time. I checked the thyroid gland with an ultrasound, everything is fine, no enlargements. What could it be? I am 35 years old, 1 child, weigh 105 kg, height 168 cm. Chronic pancreatitis. There are no other diseases. I take it, it helps after 1.5-2 hours.

Answer: You need to take, at a minimum, a general X-ray of the chest, external respiration function, and see an ENT doctor. Also, coughing in a lying position can be caused by the reflux of stomach contents into the esophagus. An allergy factor cannot be ruled out. Go to the doctors and get examined.

Question:Hello! Daughter is 5 years old. I had a runny nose and cough for two weeks. We drank Kagocel and Ascaril and washed our nose with Dolphin. The cough became wet. Afterwards, the pediatrician prescribed physio:quartz No. 5. WE only did it three times. The cough has become stronger and drier, especially at night he coughs a lot and after sleep, both at night and during the day, there is no runny nose, no wheezing. Now they have prescribed Rinofluimucil, Polydexa, Sinupred and Gedelix for cough. Is it possible that the cough has gotten worse because of the quartz and what should I do now? Why all these medications if there is no runny nose at all?

Answer: Hello! Judging by your description, the child’s cough comes from the nasopharynx. Overnight and during increased activity mucus from the nasopharynx flows into the trachea and, irritating the center of the cough, causes it. Of course, quartz could cause an increase in cough symptoms due to the fact that it dries out the mucous membrane somewhat. To make an appointment, you need to examine the child and see the results of the examination. Therefore, the best way is to show the child and the examination results to the doctor for the most optimal prescription.

Question:Good afternoon My son is 3.5 years old. A week ago he had ARVI and sinusitis, took antibiotics for 6 days: Flemoklab, Sinupret and Lazolvan. After discharge, a slight wet cough and slight congestion remained; a week later a strong dry cough began, mostly starting in the morning, lasting until lunch, then a little less frequently. The cough can be dry, it can be wet, but it does not always clear the throat (sometimes he coughs with a dry cough for a long time, then clears his throat, subsides for a while, and so on until the evening). We did inhalations with Ambrobene for 2 days, then simply took Ambrobene, Erius and Erespal. Today is the fourth day, there is no improvement. Maybe it’s worth replacing the ambrobene with something else, like ACC? Should antibiotics be included and which ones? Apart from the cough, there is nothing to worry about, there is no fever, the nasal congestion has gone away, the child is playing and eating. Thank you in advance for your response!

Answer: If the child does cough up sputum, it is most likely very thick. In this case, it is really necessary to replace the ambrobene with a more effective drug. It could be ACC or baby syrup for cough - milistan. Continue taking Erespal.

Situations where the cough intensifies in the evening most often occur in children, since their respiratory system is not yet fully developed and may respond inadequately to a wide variety of stimuli. However, the disorder is also observed in adults - it indicates pathological processes in organism. Call unpleasant symptom can various diseases and unfavorable environmental conditions.

TEST: Why do you have a cough?

How long have you been coughing?

Is your cough combined with a runny nose and is most noticeable in the morning (after sleep) and in the evening (already in bed)?

The cough can be described as:

You characterize the cough as:

Can you tell that the cough is deep (to understand this, take more air into your lungs and cough)?

During a coughing attack you feel pain in your stomach and/or chest(pain in the intercostal muscles and abdominal muscles)?

Do you smoke?

Pay attention to the nature of the mucus that is released during a cough (it doesn’t matter how much it is: a little or a lot). She:

Do you feel dull pain in the chest, which does not depend on movements and is of an “internal” nature (as if the center of pain is in the lung itself)?

Do shortness of breath bother you (during physical activity Do you quickly become out of breath and get tired, your breathing becomes faster, followed by a lack of air)?

Why does the disorder appear in the evening?

By the end of the day our the immune system weakens protective functions the body is reduced, because it is especially susceptible to various irritants. Chronic and infectious diseases of the respiratory tract lead to the fact that the cough begins to intensify in the evening. However, there are other reasons that influence the deterioration of the condition.

When we take it in the evening horizontal position, the mucous membranes of the bronchi cannot remove mucus normally. This is due to the slowing of blood supply to the lungs. Mucus accumulates in the airways and clogs them, causing a reflex spasm.

An intensifying cough is a protective reaction of the body, this is how cleansing occurs. pathogenic microorganisms, dust and other microparticles.

Also, increased spasm is caused by phlegm accumulating in the upper respiratory tract. It begins to flow into the nasopharynx, which irritates the cough receptors. To get rid of congestion, we begin to cough, clearing the airways.

Types of evening cough

If the cough begins in the evening, and the rest of the day does not bother the patient at all, then it should not be ignored under any circumstances. This is a direct sign that the body is attacking a disease that provokes a spasm. It can also be caused by unfavorable living or working conditions.

The following types of cough may appear:

Depending on the nature of the spasm, we can guess what disease caused it. Phlegm also tells a lot. If there is little of it and it is very hard, this indicates inflammatory processes in the respiratory tract. Yellowish or greenish mucus indicates the presence viral infection. Splashes of blood are a direct sign of pneumonia, pulmonary tuberculosis or oncology.

Reasons for violation

Why the cough often gets worse in the evening, only a doctor can say for sure after a detailed examination of the patient and a series of tests and analyses. There are various factors that affect the functioning of the respiratory tract in the afternoon. Let's look at them in more detail.

Drug treatment

Any medications to improve the patient's condition are prescribed by the doctor. There are no drugs that can cure a cough, there are only means by which it can be alleviated as much as possible.

Therapy should be aimed at eliminating the disease that caused the spasm. The following groups of medications are used:

Antitussives - block the functioning of cough centers in the brain. They are prescribed only if the spasm is not accompanied by sputum production and is caused by stimulation of nerve endings.
Mucolytics - thin out sputum and increase its volume, which helps the transition of a dry cough into a wet one and clears the respiratory tract of pathogenic organisms.
Expectorants – provoke the separation of mucus from the bronchi and its active removal; they are effective in the presence of a wet cough.
Antihistamines - prescribed for allergies, block the production of substances in the body that react to irritants.

First aid

To alleviate the patient’s condition before the arrival of an ambulance or the arrival of a doctor, you can use effective and proven first aid methods. There are also measures that will help alleviate the condition after consulting a specialist. Let's look at them in more detail:

Let's sum it up

To find out the reason for the increase in cough in the evening, you need to carefully study your habits and consult a doctor. Violation may appear due to an incorrect lifestyle, or the development of serious diseases.

Without professional help It is impossible to do without it in any case, otherwise it can lead to serious complications.