Morning Cough: Causes and Solutions for Relief

Regarding morning cough?

In the past month or two, I have been coughing persistently during the early morning hours, accompanied by a wheezing sound when breathing and clear phlegm.
Occasionally, I also cough in the morning, though not very frequently, but if I cough too much, I notice a metallic taste of blood in my throat.
What should I do? Thank you for your response.

Gong, 20~29 year old female. Ask Date: 2017/02/03

Dr. Hong Yuanbin reply Internal Medicine

Hello, the sound you described as "whooshing" is indicative of bronchoconstriction.
I need to confirm whether this sound has been present for a long time or if it has recently developed.
If it has been ongoing or occurs frequently, you should be cautious and consider visiting a pulmonology clinic for further pulmonary function tests to rule out asthma.
If this is a new symptom, it may be related to a recent cold combined with significant temperature fluctuations leading to bronchitis.
In such cases, it is advisable to rest, stay hydrated, and use some expectorants or throat soothers, which should help improve your condition.
If the symptoms persist, please seek further evaluation.
Regarding the presence of blood in your cough, this is likely due to excessive coughing causing minor damage to the microvessels in the larynx.
There is no need to worry about this; it should resolve naturally as your cough improves.
Thank you for your inquiry.

Reply Date: 2017/02/03

More Info

Morning cough can be a troubling symptom, especially when it disrupts your sleep and is accompanied by wheezing and phlegm. Based on your description, there are several potential causes for your symptoms, and understanding these can help guide you toward appropriate solutions and relief.

Possible Causes
1. Post-Nasal Drip: One common cause of morning cough is post-nasal drip, where mucus from the nasal passages drips down the back of the throat while you sleep. This can lead to irritation and coughing, especially in the morning. Allergies, sinus infections, or even a common cold can contribute to this condition.

2. Asthma: The wheezing sound you hear while breathing could indicate asthma, a chronic condition that causes inflammation and narrowing of the airways. Asthma symptoms can worsen at night or in the early morning, leading to coughing and difficulty breathing.

3. Gastroesophageal Reflux Disease (GERD): GERD can also cause coughing, particularly at night. Stomach acid can flow back into the esophagus, irritating the throat and causing a cough. This is often accompanied by a sour taste in the mouth or a sensation of heartburn.

4. Chronic Bronchitis: If you are a smoker or have been exposed to irritants, chronic bronchitis could be a factor. This condition is characterized by a persistent cough that produces mucus and can lead to wheezing.

5. Infections: Viral or bacterial infections can cause coughing and phlegm production. If you have had a recent cold or flu, lingering symptoms could be a result of that infection.

Recommended Actions
1. Consult a Healthcare Provider: Given the complexity of your symptoms, it is essential to consult a healthcare provider. They may recommend tests such as a chest X-ray, spirometry (to assess lung function), or allergy testing to determine the underlying cause of your cough.

2. Manage Allergies: If allergies are suspected, consider using antihistamines or nasal corticosteroids to reduce inflammation and mucus production. Keeping your living environment clean and free of allergens (like dust mites and pet dander) can also help.

3. Asthma Management: If asthma is diagnosed, your doctor may prescribe inhalers or other medications to help control your symptoms. It’s crucial to follow their guidance and use medications as directed.

4. Lifestyle Changes: If GERD is a concern, lifestyle changes such as avoiding large meals before bedtime, elevating the head of your bed, and reducing acidic foods can be beneficial.

5. Hydration and Humidification: Staying well-hydrated can thin mucus, making it easier to expel. Additionally, using a humidifier in your bedroom can help keep the air moist, which may alleviate throat irritation.

6. Avoid Irritants: If you smoke or are exposed to secondhand smoke, consider quitting or reducing exposure. Other irritants, such as strong odors or pollutants, should also be minimized.

Conclusion
In summary, your morning cough could stem from various causes, including post-nasal drip, asthma, GERD, chronic bronchitis, or infections. It is crucial to seek medical advice for a proper diagnosis and treatment plan. By addressing the underlying cause, you can find relief from your symptoms and improve your quality of life. Remember, early intervention can often prevent more serious complications, so don’t hesitate to reach out to a healthcare professional.

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