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-> Children's Health
seeker
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 Mon, Sep 26 2016, 9:38 pm
DD (4) is having coughing fits every night for weeks already. She did sometimes have enough of a cold/cough/allergy/whatever during the day to think it's just related to that, but the night coughing has been so persistent that I'm starting to think it's its own thing. But she is clear during the day, so I'm assuming that if I take her to the pediatrician during office hours he'll listen, not hear anything, say she's fine, and we've wasted a whole afternoon going. But she is definitely coughing every single night enough to raise my concern.
What could it be and how will we ever know if she only "performs" at midnight?
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amother
Wheat
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Mon, Sep 26 2016, 9:43 pm
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sounds exactly like cough-variant asthma.
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happyone
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Mon, Sep 26 2016, 9:46 pm
ReFlux is a huge culprit of night cough. Try to reduce fatty or spicy foods before bedtime and elevate the head of her bed or have her sleep on pillows.
Check with your doc of course.
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justforfun87
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Mon, Sep 26 2016, 9:46 pm
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Record the sound with your phone and make an appointment. Sounds like allergies...
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seeker
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Mon, Sep 26 2016, 9:46 pm
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Tell me more. My other DD has asthma sometimes but it was never like this. Asthma did cross my mind in this case I just can't figure it out! I don't hear any wheezing but then again I don't always hear it on other DD either. And with other DD the asthma generally gets progressively worse, it never goes away without treatment. In this case she coughs on and off for about an hour a night, mostly within the first 10 minutes or so and then another few coughs here and there until it just tapers off.
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HeartyAppetite
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Mon, Sep 26 2016, 9:48 pm
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It might be reflux. A family member had this. They would only cough at night. It usually happened about an hour after going to sleep, because the acid backed up after lying down. Usually the doctor prescribes medicine like prevacid.
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amother
Brown
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Mon, Sep 26 2016, 9:49 pm
My ped told me to do nebulizer as soon as his nightly cough starts.
If it stops then it means it's asthma.
If not then probably allergy.
Speak to your ped he'll tell you what to do.
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seeker
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Mon, Sep 26 2016, 9:50 pm
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Hm, reflux makes sense. I'm a little reflux-ish myself, and this DD also tends toward smelly breath which I know is also associated. But I'm really not a fan of prevacid, I guess I'd need to head over to the natural parenting if this is it... reflux meds are supposed to be so bad for you.
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MitzadSheini
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Mon, Sep 26 2016, 10:02 pm
I AM NOT a DOCTOR. But I have had similar with myself and kids , and had normal doctors tell me I was overreacting add an asthma specialist tell me I was EXACTLY right. Another point- unlike in Israel (unless it's changed) ventolin is available over the counter without a prescription
With that disclaimer....
This is what I would do. You have ventolin for your other child? Dose the coughing child with ventolin if he wajes coughing. Give 4 puffs through a spacer, then wait a minute, then another 4 puffs. If the coughing stops, it's probably asthma. Or whatever it is called, clearly it responds to ventolin. Take this information to your doctor. Another non-wheezing indicator of asthma that occurs with all of my family members who have it, but no doctor seems to know about it, is an itchy chin.
I say again- I am not a doctor and where I live ventolin is available over the counter.
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seeker
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Mon, Sep 26 2016, 10:06 pm
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Here it's by prescription and is called albuterol (googled what ventolin is) but I have it for my other DD and it's supposed to be very harmless so it makes sense to try that. Thanks.
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MitzadSheini
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Mon, Sep 26 2016, 10:19 pm
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Yeah see personally I think NOT giving it to a wheezing child is far more dangerous than giving I inappropriately. Especially if you only di this one or twice. I did EXACTLY what I have outlined to you and had general practitioners tell me I was overreacting. But the referred me to a specialist to "give me sensible advice". The specialist measured the child's lung capacity and said it was only operating at 60% even though the GP couldn't hear a wheeze. And the specialist said he gets one of these a week, because in the middle of the night there is some hormone that kicks in that makes the wheezing worse, but during the day the GP can't hear a wheeze.
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seeker
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Mon, Sep 26 2016, 10:35 pm
OMG, 60%?! That doesn't sound good. My (known) asthmatic DD blood oxygen dropped down into the 80s during her last episode and everyone acted like she was dying (she did look pretty scary). I know lung capacity and pulse ox are not the same thing but since the lungs deliver the oxygen I imagine they must be related...
Related to same episode doc said the same thing as you - better to give too much albuterol than too little because we have to get the asthma down and albuterol is generally not harmful. It speeds you up for a little while but that's not considered dangerous as long as it's only speed. And then with same DD there was one time she had a coughing attack that I gave her the albuterol just in case because I had no clue what was going on and it sounded bad... turned out it was a reaction to a food allergy and doc said we were lucky the albuterol helped because it really was a borderline epipen situation.
I tell you G-d himself looks after our kids. It's freaky how unprepared we are. Even with following medical advice, each situation comes up just differently enough to mess you up. Especially with allergies each episode can have a different reaction even if it's the same food with the same child.
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MitzadSheini
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Mon, Sep 26 2016, 10:51 pm
| seeker wrote: |
I tell you G-d himself looks after our kids. It's freaky how unprepared we are. Even with following medical advice, each situation comes up just differently enough to mess you up. Especially with allergies each episode can have a different reaction even if it's the same food with the same child. |
This 1000%, especially the first sentence. Seriously I FIRMLY BELIEVE that none of these medications have any independent power. That is why they work sometimes but not all the time. They are simply hishtadlut. You have to do the hishtadlut as if Hashem does not run the show, but Daven as if there is no need for hishtadlut.
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yc
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Tue, Sep 27 2016, 1:55 am
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my son had a problem coughing only at night, till we discovered mold growing on the wall behind his bed. we cleaned the mold and presto, no more coughing.
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myself
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Tue, Sep 27 2016, 3:01 am
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It's also worthwhile to check the humidity level at night.
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Mama Bear
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Tue, Sep 27 2016, 7:25 am
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Coughing at night is usually a post-nasal drip. Elevating her bed/pillow, a humidifer in the room and saline drops are helpful. You can still take her to the pedistrician bc the dr can listen to the lungs for wheezing/asthma and look down her nose for a postnasal drip.
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FranticFrummie
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Tue, Sep 27 2016, 7:31 am
My DD had this, and it turned out to be "night asthma". An inhaler before bed, and a dose if she woke up, kept it under control. She outgrew it by the time she was 10.
I agree with everyone above, though. There are many possible causes, and many things that can compound what's going on. Definitely check for mold!
Refuah sheleimah to your little one, I hope you find your answer soon.
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Greta
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Tue, Sep 27 2016, 8:25 am
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I had the same thing with one of my kids it ended being a sinus infection does she have a funny smell from her mouth?ask your doctor. good luck.
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Ruchel
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Wed, Sep 28 2016, 1:43 am
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Reflux? Kids can have it, like babies. and adults
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MitzadSheini
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Wed, Sep 28 2016, 1:51 am
How was Last night? Was there coughing? Did you give albuterol?
Check out the mold thing as well , it's a big asthma trigger in my family
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