A cough is the body’s way to help clear the airways of irritants and to prevent infection. Cough is not a disease in itself, but a symptom of an underlying medical condition.
Cough can occur any time throughout the day, and some people may find they cough more often in the morning and at night.
Causes of cough in the morning and at night may include:
- Infections
- Common cold (viral infection)
- Coronavirus 2019 (COVID-19)
- Pneumonia
- Bacterial infection
- Fungal infection
- Whooping cough (pertussis)
- Postnasal drip
- Allergies (allergic rhinitis)
- Sinus infection
- Lung conditions
- Asthma
- Chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema
- Interstitial lung disease
- Lung cancer
- Gastroesophageal reflux disease (GERD)
- Smoking
- The most common cause of chronic cough
- Certain medications such as ACE inhibitors
- Congestive heart failure
- Sarcoidosis
What Are Symptoms of Coughing in the Morning and at Night?
A cough in the morning and at night is a symptom in itself and may be accompanied by other symptoms depending on the cause, such as:
- Postnasal drip
- Sore throat
- Runny or stuffy nose
- Sneezing
- Watery eyes
- Hoarseness
- Unpleasant taste in mouth
- Heartburn
- Fatigue
- Fever
- Chills
- Wheezing
- Headache
- Feeling the need to clear your throat
- Feeling unwell (malaise)
How Is a Cough in the Morning and at Night Diagnosed?
The cause of a cough in the morning and at night is diagnosed with a patient history and physical examination, and tests such as:
- Lung function tests
- Lung imaging
- Chest X-ray
- Chest computerized tomography (CT) scan
- Acid reflux testing
- Upper endoscopy
- pH probe
- COVID-19 testing
- Allergy skin tests
- Lab tests of phlegm that is coughed up
How to Stop Coughing
Treatment for a cough in the morning and at night depends on the cause and whether the cough is acute or chronic.
If your cough is not serious, home remedies include:
- Drinking plenty of water
- Drinking tea with honey
- Gargling with warm saltwater
- Sucking on cough lozenges
- Lozenges are not recommended for young children because they can be a choking hazard
- Using a humidifier
- Inhaling steam in a shower before bed
- Steam should not be used if you have asthma as it can worsen the cough)
- Using a mentholated vapor rub to help open airways
- Not smoking
- Avoiding inhaled irritants such as smoke, dust, and other pollutants
- Avoiding allergens such as pollen, dust, animals, or mold
- Laundering bedding at least once a week in hot water to keep dust mites in check if cough is due to allergies
- For GERD: Avoiding foods that increase reflux, avoiding meals before lying down, elevating the head while sleeping
Medical treatment for cough may include:
- Over-the-counter (OTC) medicines
- Cough medicines containing guaifenesin and/or dextromethorphan
- Decongestants such as pseudoephedrine (Sudafed)
- Antihistamines such as diphenhydramine (Benadryl)
- Nasal inhalers like ipratropium bromide (Atrovent) for postnasal drip
- Antibiotics for infection caused by bacteria such as bacterial pneumonia and bronchitis
- Antibiotics are not used to treat cough caused by viruses such as the common cold, influenza, or COVID-19
- Inhaled bronchodilators and inhaled steroids to treat asthma and COPD
- Acid reducers to treat gastroesophageal reflux disease (GERD)
- Famotidine (Pepcid), cimetidine (Tagamet), ranitidine (Zantac) omeprazole (Prilosec, Prilosec OTC), lansoprazole (Prevacid, Prevacid 24-Hour), rabeprazole (Aciphex), pantoprazole (Protonix), esomeprazole (Nexium)
- If cough is caused by an ACE inhibitor, your doctor may switch your medicine
- Never stop taking a prescribed medication without first talking to your doctor
- Pain relievers to treat pain caused by coughing
Health Solutions From Our Sponsors
Image source: iStock Images
https://www.uptodate.com/contents/chronic-cough-in-adults-beyond-the-basics?topicRef=16896&source=see_link
https://www.aafp.org/afp/2007/0215/p567.html
https://www.nhlbi.nih.gov/health-topics/cough