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Toddler coughing every night

74 replies

Aftereights91 · 21/03/2019 20:38

He's had a cough for the past six months. He'll cough for hours at a time. Doctor thought asthma but inhaler isn't helping, was given steroid tablets to try, that's not helping either
He doesn't get out of breath or wheeze, it's just this persistent cough.
Could it be an allergy?
I can't listen to anymore of his coughing, it's killing me that I can't fix it and the poor sod just wants to get a good night's sleep

OP posts:
Cherylshaw · 23/03/2019 12:34

My 2 DC's have a similar problem, both cough almost constant every night took us ages to find out they have issues with their sinuses and it's voiding mucus to run down the back or their throats during the night, it dosnt bother them during the day but at night it's terrible. We use the Calpol plugin and that seems to help

Aftereights91 · 23/03/2019 12:39

@Graphista I mean he's dribbled since six months not that he's had all his teeth since six months 😂😂

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Shelbybear · 23/03/2019 12:39

We are going through same problems. We have found giving her the blue inhaler before her bath helps rather than right before bed. The inhaler I think is quite dry and irritates her even more for a while. Also we put vicks on her feet and chest, neck which we find helps. I've heard u can get a calpol/vicks plug in that's gd.

She sleeps fine once asleep but it's getting her to sleep can take anything up to 2 hrs as she rolls about coughing. However since we started doing as mentioned above she goes to sleep within 5/10 mins.

Do you have the small spacer with the teddy on it, we had a huge spacer which was difficult to give her as sometimes she'd fight it.

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Aftereights91 · 23/03/2019 12:48

Going to get him anti allergy bedding to try, see if that makes a difference but can't afford it for a few weeks. Literally feel like I can't do anything right for him atm

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Aftereights91 · 23/03/2019 19:06

@Graphista what did you think it might be?

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MegaClutterSlut · 23/03/2019 20:28

Haven't read the full thread but ds had a night cough and it turned out to be a dust allergy. Had to buy anti allergy bedding, vacuum the room regularly and not have too much crap around his room that collected dust.

Drum2018 · 23/03/2019 20:41

Ds gets it with post nasal drip. He's on preventative becotide inhaler and then ventolin when needed. He's also on montelukast daily. Consultant reckons his is triggered by post nasal drip. He had a nose spray too which another consultant said to try going without. He's going through a dose now so I think I will reinstate the nasal spray. He's also allergic to dust (aren't we all!) so I dust his room with damp cloth, (when I think of it Blush ) My next thing to try is the salin therapy air purifier in his room - salt therapy. I've heard it's good and hope it works as it not cheap. It's so frustrating.

Aftereights91 · 23/03/2019 21:01

@widgetbeana how soon did you see an improvement? He had his first dose this evening and he's been asleep three hours already and not coughed once!!!!!

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widgetbeana · 23/03/2019 22:07

Pretty much within a day or so. It was kinda crazy! That's why we can get away with using it only when she has a cold. Basically by the second day it generally has kicked in for us.

I'm so glad you are having a more restful evening.

It really was miraculous for us!

Aftereights91 · 23/03/2019 22:15

@widgetbeana I'm honestly amazed, he's coughed one time since he went to sleep and it was just a single cough not a two hour coughing fit :) I could honestly cry I'm so happy, I've felt so crap that I've not been able to fix it for him

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NameChange30 · 23/03/2019 22:16

Try a humidifier. It won't solve the root cause but it should resolve symptoms. We use one for DS and it definitely helps.

Another thing that can help if the cough is caused by mucus or reflux is to angle the bed/mattress so that his head is elevated. We use a wedgehog (wedge under the mattress).

Also, a PP mentioned cow’s milk allergy but I think it's very unlikely to be that unless he has other symptoms of it.

NameChange30 · 23/03/2019 22:17

Sorry I meant relieve symptoms not resolve them

justasking111 · 23/03/2019 22:18

Do you have a freezer OP. If so put the pillow in a bin bag and freeze it, that kills the dust mites. Also do not dry his bedding on the line where every allergen in nature can land on it.

Fatted · 23/03/2019 22:20

Keep going back to the GP and pushing for answers. My eldest had a bad chest pretty much from birth. DH has asthma as well so we knew what to look for and ask the GP about. But even still it wasn't until he was 3 and had to spend the night in hospital with it that we actually go referred to the pediatrician about it. Steroid inhaler has sorted him out pretty much.

If it's worse at home, then it could be something in his room like dust or damp. It's not easy but do be meticulous with the bedding, hoovering etc.

widgetbeana · 23/03/2019 22:40

@Aftereights91
I'm so pleased. Just keep an eye on it, it doesn't mean she never coughs when my dd has it, it just meant the cough stayed at just a cough, it didn't descend into breathing crisis and infection like previous.

I would also just keep and eye for asthma symptoms. As a family we have extensive experience with asthma (though not through family illness), so we were fairly certain it wasn't asthma, but still had the blue and brown (steroid) inhalers to try for many months. A paediatrician then took a chest X-ray and listened to our history etc and told me he didn't think it was asthma. Which we agreeed, his is how we ended up with montelukast. But we still had the asthma meds in hand for another year at their insistence in case we had a sudden flare of breathing issues. We never did, though.

I guess I'm saying 'yay! I am pleased and I hope it continues, but just keep being vigilant!'

I hope you are asleep and don't read this til morning.

BitOfAKerfuffle · 23/03/2019 23:38

Sounds like asthma although i'd be a bit shocked if the montelukast helped it so quickly as it usually takes a few days to get into the system and certainly a number of weeks before the full effects of it are in play but it would seem like it has helped if hes not coughing tonight so maybe we were just a bad case that wasnt going to be an overnight !

DD (2) has had terrible issues from a newborn born premature and for her first 2 years pretty much lived in hospital with breathing issues but never any cause really found, was on the blue inhaler to no affect and would end up in an ambulance to a&e for oxygen, steriods and nebulisers too regularly !

Eventually got a paeds referral who looked at all the history and suggested treating it as asthma and seeing how she would respond to treatment, we had ruled out pretty much everything else(ent, reflux, chest and lung xrays and scans) and she also has a few allergies so asthma would seem the likely cause and she is now on a steriod inhaler and montelukast, it did take a few months tho before we seen any major improvement but now she is so so so much better, this is the first winter since on the treatment and so far not a single a&e trip !!

She's been getting increasingly back to how she was before over the past couple of months so they have now increased her steriod dose shes still requiring some blue inhaler atm but hadnt needed it for a few months but she now responds to it whereas in the past she would have been having 10 puffs of it with little or no response and if it did work it would only be very short lived 30 mins or so and she would be right back to struggling again now we manage to make it pretty much 4 hours between the inhalers and oxygen levels are pretty stable !

I really hope you have got it now and the montelukast helps its absolutely terrible to watch them struggling and so draining as well when they are waking up coughing in the night. We are having the coughing and gagging and vomiting atm so i feel your pain, hoping we can get through until monday without needing to visit a doctor, we dont need to be breaking our miraculous stretch of no a&e visits just yet !!!

Graphista · 24/03/2019 01:02

I'm thinking it could be tracheitis or pharyngitis.

These can be caused by excess strain on the trachea or pharynx which can be from infection or started by infection but also exacerbated by lots of talking/mouth breathing etc

It's rare for them to last so long but it can happen.

Pharyngitis is common in adults who suddenly take on roles where they have to talk a lot. I got it when I went back to uni doing a degree that involved a LOT of presentations, by the January I had the same symptoms, not a particularly bad cough, GP initially thought allergies, worsening of asthma etc... Nothing worked! I then had an incident where I took a really bad coughing fit while driving on a country road, nowhere to pull over, dangerous to stop and ended up decorating the glove box! Went back to GP who DX flu! Now around the same time I had a referral to ent for my recurrent sinusitis. The ent appointment was impossible for the specialist to properly carry out cos of the bloody cough! But he noticed something about it, asked me some questions - how long I'd had it, my occupation etc and DX pharyngitis and prescribed appropriate antibiotics (GP had tried antibiotics a few times but just standard ones and they hadn't worked), some kind of anti inflammatory (I'm allergic to NSAIDs so needed an alternative) and told me not to speak for at least 2 weeks! (I appreciate that's hard to stop a toddler doing!)

And finally the damn cough went!

When I felt my chest/throat feeling similar after that I stopped talking for a week or so or at least as much as possible and I'm sure that helped avoid it happening again, plus I think the first time was in part triggered by infection - "freshers flu"

Tracheitis is more common in little ones as the short respiratory tract length makes it vulnerable. I've seen it a couple times when it's got bad enough the poor little things had to be admitted to hospital (ex nurse, this was during my training on paeds ward) it's usually as a complication of flu in vulnerable babies/toddlers. But it's rare it gets that bad.

Anyway, that's just what it sounds like to me I'm absolutely not a paeds or ent expert but it might be worth suggesting the possibility to GP or practice nurse?

Even if it leads to a DX of something none of us have thought of.

And...I see you've found a remedy. Great stuff! But I'm still posting in case that stops working or if someone else reading has a child with a similar issue, or it may even be that there's asthma and something else going on.

I found it rotten enough as an adult. As a child I'd have been terrified!

Dd has asthma but presents very typically, her first asthma attack scared the shit out of me though! Thankfully due to her presenting very obviously/typically she was quickly DX and responded well to the treatment. She's not had an attack in a few years now.

Hope he's doing much better now and you're getting a good rest.

Aftereights91 · 24/03/2019 07:12

He slept all night!!! Coughed once or twice but normal coughs not huge coughing fits :)

OP posts:
Aftereights91 · 24/03/2019 07:13

@Graphista that definitely sounds like something worth suggesting to the doctor thank you

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Graphista · 24/03/2019 09:02

It's just a thought

So glad you've both had a better night. I had sodding whooping cough last winter felt rotten for months! It's horrible being poorly and not able to sleep.

Sleep helps so many things Thanks

BuildingBlocks1 · 18/11/2021 20:06

Hey @Aftereights91 I appreciate this is old but what was the outcome/ did you ever find a root cause? We are in the same position & struggling so much.

Yellow85 · 18/11/2021 20:12

We had this for years with my youngest. He did eventually outgrow whatever it was by about 4yo. Nothing much helped tbh, although we did use a humidifier in his room which DH is adamant worked. Literally tried everything.

BuildingBlocks1 · 18/11/2021 20:28

@Yellow85 my DD (2.5) has always suffered with barking coughs since she was 3 months old, I paid to see a private paediatrician who suggested floppy larynx but never diagnosed properly. It went on for a year then stopped. She wasn't too bad last winter as no illnesses were really about due to lock down & she's been fine through the summer but this cough now is the second in a month. Always barking, it is so, SO loud & doesn't matter if it's day or night. I've tried everything. Humidifier, inhalers, Piriton.. doctor checked her chest, thought it may be croup (they always say that) so gave her soluble steroids that made no difference.. it is soul destroying, the sound of her coughing her guts up every 5 minutes day & night is just awful.. sorry for the rant!

Insertdeadcatsnamehere · 18/11/2021 21:12

Not rtft so apologies if it's already been mentioned but it might be worth trying a humidifier

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