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How Can I Stop Coughing at Night When I Have a Cold?

Woman sleeping with a humidifier on to help suppress her nighttime cough.

Is coughing at night common when you have a cold? Don’t let it interrupt your sleep schedule, learn how to minimize & suppress your symptoms. 

Winter activities in Lenoir may include perusing the shelves of Tybrisa Books, a friendly round of pool paired with a delicious victory sandwich at City Cafe & Billards, or a relaxing walk through downtown. Few things are more frustrating than finally getting into bed after another perfect day in Lenoir – only to start coughing.  

If you’re dealing with a cold and notice your cough seems worse at night, you’re not alone. Nighttime coughing is extremely common and often linked to how your body functions after dark. The good news is that understanding what’s causing your symptoms can help you take steps toward relief and better sleep. 

Visit AFC Lenoir today! 

Why Does Coughing Get Worse at Night? 

When you have a cold, your body produces extra mucus as it works to fight off the infection. This mucus can collect in your airways, triggering a cough. During the day, staying upright and active allows gravity to help move mucus out of your lungs and sinuses. At night, lying flat changes that process. 

When you recline, mucus tends to pool in the back of your throat, a condition known as postnasal drip. This buildup stimulates your cough reflex as your body tries to clear the airway. Without gravity helping with sinus drainage, congestion can feel heavier and more uncomfortable once you’re in bed. 

Your body’s natural hormone cycle also plays a role. Cortisol, a hormone that helps regulate inflammation and immune response, is higher during the day. At night, cortisol levels decrease, allowing your immune system to become more active. While this is beneficial for fighting illness, it can also lead to increased inflammation, swelling in the nasal passages, and excess mucus – all of which can contribute to nighttime coughing. 

Dry indoor air, especially during colder months in the Lenoir area, can further irritate your throat and nasal passages. Heating systems remove moisture from the air, which may worsen coughing and throat discomfort while you sleep. 

Ways to Reduce Nighttime Coughing 

While a cold needs time to run its course, several at-home remedies can help reduce coughing and improve nighttime comfort. One simple step is adjusting your sleep position. Elevating your head with extra pillows can help prevent mucus from settling in your throat and encourage sinus drainage. 

Moisture can also make a big difference. Using a humidifier adds moisture to the air, which may soothe irritated nasal passages and ease throat dryness. Staying hydrated throughout the day is equally important, as fluids help thin mucus and make it easier for your body to clear it naturally. 

Other helpful options include: 

  • Saline nasal sprays to rinse nasal passages and reduce irritation. 
  • Warm showers or steam inhalation before bed to help open airways. 
  • Over-the-counter medications, such as decongestants or pain relievers, when appropriate. 
  • Antihistamines like Benadryl or Claritin to help decrease postnasal drip overnight. 

During the day, cough drops or lozenges can provide temporary relief and help calm throat irritation before bedtime. 

When Should You See a Medical Provider? 

Most colds and coughs resolve on their own, but there are times when professional care is recommended. Consider seeking medical attention if your cough lasts longer than a few weeks, interferes with your breathing, or is accompanied by fever, chest tightness or shortness of breath. 

You should also seek care if you experience severe ear pain, a persistent sore throat, or sinus pain that doesn’t improve. If you suspect your symptoms may be related to the flu, COVID-19, or another contagious illness, it’s important to be evaluated. 

How AFC Lenoir Can Help 

At AFC Lenoir, our team is here to help when a nighttime cough becomes more than just a nuisance. We offer rapid testing to determine whether your symptoms are caused by COVID-19, the flu or even pneumonia. While we don’t have an on-site pharmacy, our providers can prescribe medications and create a personalized treatment plan to help you recover more comfortably. We offer walk-in care, extended hours and affordable services. So, the next time your cough keeps you up at night, get the answers you need at our urgent care.

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