One of the most frustrating Covid-19 symptoms that many patients report is coughing, and it can become especially problematic at night. As a practicing doctor, I’ve noticed that this symptom not only disrupts sleep but can also escalate in severity when patients lie down. This nocturnal worsening of cough is particularly concerning in children, who often experience more intense symptoms than adults.
The reason this cough tends to worsen at night lies in several factors. When lying down, mucus can accumulate in the throat, triggering cough reflexes. Additionally, cooler nighttime air and lower humidity can irritate the respiratory tract, making coughing bouts more frequent and severe. In children, their smaller airways and developing immune systems can lead to heightened sensitivity, causing more persistent coughing spells that interfere with restful sleep.
Managing nighttime cough involves keeping the air moist with a humidifier, elevating the head during sleep to reduce mucus buildup, and staying well-hydrated throughout the day. While coughing is an expected part of recovering from Covid-19, persistent and severe nighttime coughing should prompt a consultation with a healthcare professional to rule out other complications.
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Understanding the nature of this symptom can help patients and caregivers better cope during recovery and ensure children receive the attention they need to ease their discomfort.