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Medical Forum / General / General / July 2004

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How to stop coughing madly at night from allergies

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Andrew - 13 Jul 2004 15:27 GMT
I recently got over a summer allergy that produced a huge amount of
phlegm / sputum - to the point of creating eustachian tube blockage.

My ear, nose, and throat appear to be cleared up now through
decongestents, however, now I am experiencing a cough from what I
think are last bits of phlegm/sputum still stuck in my lungs.

What is most annoying is that the coughing only appears to manifest
itself at NIGHT.  I am fine during the daytime but then magically
around 10PM, the coughing starts itself up (even before I have gone to
bed, so its not the position of my body).  Then, I have a crappy night
of sleep, wake up, and the coughing stops itself at 9AM.

When I get up in the middle of the night, the coughing is definitely
producing a yellowish phlegm/sputum.

I was just curious why the coughing only manifests at nighttime
(irrespective of body position) and how I can go about speeding up the
removal of the excess phlegm / sputum from my lungs - should I use an
expectorant?  Should I use an acid like lemon juice to cut through the
compound?  Any suggestions?  Thank you.
Amy Caryn - 13 Jul 2004 15:54 GMT
Here's what I learned from my doctor when I had the very same problem...

Coughing is a natural reflex produced when an allergy or other conditions
cause phlegm and other substances to become blocked in the Eustachian tube
and sinus passages thereby draining into the upper lung tissue, particularly
when lying in a prone position.

The coughing at night, even before you actually go to bed, is due to your
body relaxing enough to allow the natural coughing reflex to manifest
itself.  You may not be aware of yourself relaxing enough even prior to your
actually going to bed, but if bed time is usually sometime near the hour of
10pm, then your body begins to relax by habit around that time frame for the
coughing to be produced prior to your going to sleep.

The best thing to do to help alleviate this problem is to continue taking
your allergy medication as prescribed by your doctor, drink plenty of WATER
during the day, and clear your nasal passages as often as you feel necessary
prior to bedtime.  Consumption of large amounts of dairy products, such as
milk and yogurt, as well as smoking will exacerbate the problem; try to
avoid these substances until you are fully recovered.  Likewise, prop
yourself up from about the mid-chest area when you sleep at night, instead
of sleeping in a prone position.  This may help keep the drainage from your
sinuses to your esophagus, rather than to your lungs, and a better ability
to relieve your body of the substances causing your problem.  You can take
an expectorant cough syrup prior to going to bed, and during the day, to
help the phlegm to be expelled from your body.  Please, as always, speak
with your doctor about any drug interactions prior to self medication of
this kind.

> I recently got over a summer allergy that produced a huge amount of
> phlegm / sputum - to the point of creating eustachian tube blockage.
[quoted text clipped - 17 lines]
> expectorant?  Should I use an acid like lemon juice to cut through the
> compound?  Any suggestions?  Thank you.
Griffin - 13 Jul 2004 16:10 GMT
> Coughing is a natural reflex produced when an allergy or other conditions
> cause phlegm and other substances to become blocked in the Eustachian tube
> and sinus passages thereby draining into the upper lung tissue, particularly
> when lying in a prone position.

Wrong.
1) The eustacian tubes to not drain the sinuses; they ventilate the
middle ear space
2) Post-nasal drip does not go as far as the "upper lung tissue" -
this would likely result in an aspiration pneumonia. Nocturnal cough is
stimulated by irriation of the posterior oropharynx and larynx, not the
lungs themselves.

> The coughing at night, even before you actually go to bed, is due to your
> body relaxing enough to allow the natural coughing reflex to manifest
> itself.

Nonsense. Nocturnal cough has many potential etiologies, but none of
them has anything to do with "relaxing." There are many other things
going in in the typical sleep position and setting that contribute to
nocturnal cough.

> The best thing to do to help alleviate this problem [yada, yada, yada]

The rest of your message was actually fairly good advice. Congratulations!  ;-)
Amy Caryn - 13 Jul 2004 17:58 GMT
And, who are you to critique me?
You obviously think you are something special.

> > Coughing is a natural reflex produced when an allergy or other conditions
> > cause phlegm and other substances to become blocked in the Eustachian tube
[quoted text clipped - 21 lines]
>
> The rest of your message was actually fairly good advice. Congratulations!  ;-)
Griffin - 13 Jul 2004 20:54 GMT
> And, who are you to critique me?

I didn't "critique" you, I corrected you. If I were to critique you,
however, it wouldn't be favorable...
Amy Caryn - 13 Jul 2004 22:20 GMT
You mean nothing to me, nor do your corrections.

> > And, who are you to critique me?
>
> I didn't "critique" you, I corrected you. If I were to critique you,
> however, it wouldn't be favorable...
Griffin - 13 Jul 2004 23:58 GMT
> You mean nothing to me, nor do your corrections.

Only the truly foolish fail to learn from their mistakes. If any of my
corrections were inaccurate, *please* feel free to enlighten me.
Otherwise, just ignore me...PLEASE.
Amy Caryn - 14 Jul 2004 03:18 GMT
Enlighten the ignorant? Not possible

It would be a pleasure to ignore the scum you came from, and step beyond
your sticky puddle of baloney.

> > You mean nothing to me, nor do your corrections.
>
> Only the truly foolish fail to learn from their mistakes. If any of my
> corrections were inaccurate, *please* feel free to enlighten me.
> Otherwise, just ignore me...PLEASE.
Carey Gregory - 14 Jul 2004 03:23 GMT
>Enlighten the ignorant? Not possible

Quite the contrary;  the ignorant are the only ones who can be enlightened.
Perhaps you meant "uneducable."

Just trying to enlighten a bit... politely, mind you.
frank - 14 Jul 2004 23:49 GMT
Carey Gregory <tiredofspam123@comcast.net> wrote in message

plonk

new st. mary's college moraga, ca   observatory
http://149.137.107.8./home/homeJ.html
Griffin - 14 Jul 2004 03:38 GMT
> Enlighten the ignorant? Not possible

Clearly.

> It would be a pleasure to ignore the scum you came from, and step beyond
> your sticky puddle of baloney.

If you need help adding me to your killfile, let me know what
newsreader you're using, and I'll walk you through it.
Patty - 13 Jul 2004 15:56 GMT
You might want to try some Guaifenesin to help loosen and bring up the
phlegm.  Usually works for me when I have chest congestion with cough.  As
for the night time occurrance...happens with me too, not sure why.
~Patty~
snip..
> When I get up in the middle of the night, the coughing is definitely
> producing a yellowish phlegm/sputum.
[quoted text clipped - 4 lines]
> expectorant?  Should I use an acid like lemon juice to cut through the
> compound?  Any suggestions?  Thank you.
Steven D. Litvintchouk - 13 Jul 2004 19:08 GMT
> I recently got over a summer allergy that produced a huge amount of
> phlegm / sputum - to the point of creating eustachian tube blockage.
[quoted text clipped - 16 lines]
> removal of the excess phlegm / sputum from my lungs - should I use an
> expectorant?

I find that the best thing to do, by far, is to irrigate my sinuses
frequently to flush away those secretions before they even have a chance
to drip down into my larynx and cause the cough.

In fact, I have a mild sinus infection right now that is causing just
such a post nasal drip.  So what I do is irrigate right at bedtime.  And
if I wake up in the middle of the night to go to the bathroom, I will
irrigate again right then.

I find that an expectorant works well to thin the remaining secretions.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Rex Tincher - 13 Jul 2004 19:17 GMT
<snip>
>When I get up in the middle of the night, the coughing is definitely
>producing a yellowish phlegm/sputum.
<snip>

Yellowish snot is a sign of a possible sinus infection.  (Been there,
done that.)

Use saltwater spray to irrigate the inside of your nose.  (Ayr brand
is best.)  Use lots of spray so that you almost drown.

If the problem persists then see your doctor.  Keep using the
saltwater spray while taking the prescribed antibiotics.  Note that
some sinus infections are resistant to up to 5 different antibiotics,
so the first medicine may not work.

Signature

"You can't tell the kids to stop the violence with the mothers running
around like this."
--- Mary Ann Smith, after her son was shot by a Million Mom Marcher
More details at:  http://www.tincher.to/mmm.htm

Neil - 13 Jul 2004 21:08 GMT
SNIP
>What is most annoying is that the coughing only appears to manifest
>itself at NIGHT.  I am fine during the daytime but then magically
[quoted text clipped - 7 lines]
>I was just curious why the coughing only manifests at nighttime
>(irrespective of body position)

Several possible reasons.

Pollen and other allergens have  seasons and vary with time of day.

If you go to work and work in an air conditioned building then the air
may well be filtered ( operating theatre staff are well aware of this
especially orthopaedic theatres. Hence you are better by day

You might be reacting to  specific local problem. ( Famously one
problem in  the area of a dockyard only happened when a particular
cargo was unloaded and the wind was in the right direction.The cargo
was also seasonal to make it worse.)

Some plants release pollen at night ( wind pollinators) .

atmospheric conditions also play a part.

As others have said yellow sputum can mean infection but it can also
occur in asthma without infection.

N
Dave Jones - 14 Jul 2004 01:23 GMT
> I recently got over a summer allergy that produced a huge amount of
> phlegm / sputum - to the point of creating eustachian tube blockage.
[quoted text clipped - 17 lines]
> expectorant?  Should I use an acid like lemon juice to cut through the
> compound?  Any suggestions?  Thank you.

Starts at bedtime and clears up a couple hours after waking?

Dust mites in your bedding.  Everyone's got them, you're sensitive to them.

Bleach your sheets/pillow cases, then go to the department store and buy a
"mite-proof" bed bag and pillowcases.

CC
Gunner - 14 Jul 2004 05:07 GMT
>> I recently got over a summer allergy that produced a huge amount of
>> phlegm / sputum - to the point of creating eustachian tube blockage.
[quoted text clipped - 26 lines]
>
>CC

Excellent suggestion. Dust mites are very common where I live and can
indeed cause such a reaction.

Gunner
"The entire population of Great Britain has been declared insane by
their government. It is believed that should any one of them come in
possession of a firearm, he will immediately start to foam at the
mouth and begin kiling children at the nearest school. The proof of
their insanity is that they actually believe this."
 -- someone in misc.survivalism
francispoon - 14 Jul 2004 04:18 GMT
Years ago i was suffering from persistent coughing for 8 months until
an Irish doctor asked me to inhale liquid menthod.

FP
======================

> I recently got over a summer allergy that produced a huge amount of
> phlegm / sputum - to the point of creating eustachian tube blockage.
[quoted text clipped - 17 lines]
> expectorant?  Should I use an acid like lemon juice to cut through the
> compound?  Any suggestions?  Thank you.
francispoon - 14 Jul 2004 04:19 GMT
Try inhaling liquid menthod.  It worked for me years ago after
suffering from persistent coughing for 8 months.

FP
=====

> I recently got over a summer allergy that produced a huge amount of
> phlegm / sputum - to the point of creating eustachian tube blockage.
[quoted text clipped - 17 lines]
> expectorant?  Should I use an acid like lemon juice to cut through the
> compound?  Any suggestions?  Thank you.
NoDocs@DocsSuck.org - 15 Jul 2004 04:37 GMT
In misc.survivalism Andrew <analystresearch2002@yahoo.com> wrote:

> I was just curious why the coughing only manifests at nighttime
> (irrespective of body position) and how I can go about speeding up the
> removal of the excess phlegm / sputum from my lungs - should I use an
> expectorant?  Should I use an acid like lemon juice to cut through the
> compound?  Any suggestions?  Thank you.

Well, you certainly came to the right place for reliable advice! Had you
consulted a "medical" text, you would have been filled with all sorts of
misinformation.  Them "doctors" don't know nothing.

If you want to SURVIVE this, then ask a survivalist.
Nick Hull - 18 Jul 2004 01:16 GMT
> > I was just curious why the coughing only manifests at nighttime
> > (irrespective of body position) and how I can go about speeding up the
> > removal of the excess phlegm / sputum from my lungs - should I use an
> > expectorant?  Should I use an acid like lemon juice to cut through the
> > compound?  Any suggestions?  Thank you.

For bad coughs I but a cough medicine with codine, availiable from a
pharmacist without prescription if you sign the narcotics register.  The
codine is really excellent in stopping continuous coughs but I really
wouldn't want to use it more than one night.  I use it so seldom I
haven't even opened the last bottle I bought 4 years ago, but it sure is
nice to have it when you need it at night on the weekend.

Signature

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www.geocities.com/CapitolHill/5357/

The Seventh Sign - 17 Jul 2004 11:34 GMT
> I recently got over a summer allergy that produced a huge amount of
> phlegm / sputum - to the point of creating eustachian tube blockage.
[quoted text clipped - 17 lines]
> expectorant?  Should I use an acid like lemon juice to cut through the
> compound?  Any suggestions?  Thank you.

Ok being a sinusitis sufferer since I was born I can tell you it sounds
like your infected with bronchitis brought on by sinusitis.
First I suggest getting to a doctor and having him check your lungs.
If he says they are OK then try the following

Bed sheets - Bleach them change them bleach them again daily for two
weeks. Lemon juice might help the load too.

Buy a vaporizer - use it to help moisten the lungs the air your
breathing could be too dry. Use it as need.

Lemon tea - drink it hot with a teaspoon of vinegar and a teaspoon of
honey added to the mix stir vigorously. (Helps the sinuses.)

Change all air and heat filters put in a heppa filter if you can.
Change these filters monthly (due to the severity of the coughing)

If you have cats give kitty its own home at the other end of the house.
Cat dandruff is a main cause of the problems around my area. They get
under your house and have kittens.

If the Mrs. likes bringing in flowers remove them immediately from the
house. Biggest source of irritants of the sinuses is pollen

Hope it helps.
Griffin - 17 Jul 2004 14:18 GMT
> Change all air and heat filters put in a heppa filter if you can.

It's HEPA (High Efficiency Particulate Air) filter. Might be important
to know that when you go shopping.

> Cat dandruff is a main cause of the problems around my area.

I'm sure you mean "dander", not "dandruff". Dandruff is flaky, dry
skin. Dander (the allergen) comes from the cat's saliva, not skin. It
winds up on their skin because of their habit of licking themselves all
over.
Howard McCollister - 17 Jul 2004 15:10 GMT
> I'm sure you mean "dander", not "dandruff". Dandruff is flaky, dry
> skin. Dander (the allergen) comes from the cat's saliva, not skin. It
> winds up on their skin because of their habit of licking themselves all
> over.

Animal dander is dry, dead skin flakes. While some people are indeed
allergic to animal saliva, that has nothing to do with dander.

HMc
Griffin - 18 Jul 2004 01:57 GMT
> Animal dander is dry, dead skin flakes. While some people are indeed
> allergic to animal saliva, that has nothing to do with dander.

I stand corrected. Thanks, Howard.
Myal - 18 Jul 2004 00:38 GMT
> If the Mrs. likes bringing in flowers remove them immediately from the
> house. Biggest source of irritants of the sinuses is pollen

I have similar problems , I removed all the smelly flowering plants from
the garden too , as they was making problem for me too .
Yeruchem & Fraida Cohen - 21 Jul 2004 15:58 GMT
Anyone who is having signs of coughing madly at night "from allergies"
should include in their workup a visit with an ENT to be checked  for GERD
(reflux).

My mother-in-law suffered for years with a tickle in her throat and coughing
spasms, especially bad at night.  Was tested for allergies and given all
sorts of cough medicines, allergy medicines, covered her mattress and pillow
with  hypoallergenic covers, etc.  It all helped to a degree, but after her
son (my dh) was dx'd with reflux (after going through similar testing and
treatment for "allergies") and prescribed Prilosec which finally cured his
frequent coughing spells, we encouraged her to get to an ENT and as of last
fall she was diagnosed with GERD, put on Aciphex and her "allergic" cough
(which was especially severe during her winters in Florida) is gone.

> > I recently got over a summer allergy that produced a huge amount of
> > phlegm / sputum - to the point of creating eustachian tube blockage.
[quoted text clipped - 43 lines]
>
> Hope it helps.
Bob Brock - 18 Jul 2004 04:13 GMT
>I was just curious why the coughing only manifests at nighttime
>(irrespective of body position) and how I can go about speeding up the
>removal of the excess phlegm / sputum from my lungs - should I use an
>expectorant?  Should I use an acid like lemon juice to cut through the
>compound?  Any suggestions?  Thank you.

A small amount of salt placed under the tounge before going to bed.
Dee Randall - 18 Jul 2004 23:06 GMT
> I recently got over a summer allergy that produced a huge amount of
> phlegm / sputum - to the point of creating eustachian tube blockage.
[quoted text clipped - 17 lines]
> expectorant?  Should I use an acid like lemon juice to cut through the
> compound?  Any suggestions?  Thank you.

I don't know if this answer has been given, but I will cough (madly) at
night if the temperature in the room falls below a certain degree; and I
don't know if this might relate to barimetric pressure as well.  The
temperature doesn't have to be  cold for me to start coughing, but just cool
enough to instigate the coughing.

If I am in a hotel room where the a/c hasn't been cleaned well, I will cough
when it comes on.  Watch to see if perhaps the a/c or furnace turning on
initiates your coughing.

Good luck,
Dee
Lisa - 19 Jul 2004 17:07 GMT
You might want to give Tessalon Pearls a try also.  If a cough becomes
chronic at night and absolutely won't go away, sometimes they'll
resort to Hitussin.  Keep in mind that Hitussin is highly addictive
since it has hydrocodone in it so I suggest against it.  The Tessalon
Pearls are great, works for me.  Also, a steroid might also work.

Lisa (not a doctor)

> > I recently got over a summer allergy that produced a huge amount of
> > phlegm / sputum - to the point of creating eustachian tube blockage.
[quoted text clipped - 30 lines]
> Good luck,
> Dee
Griffin - 19 Jul 2004 21:41 GMT
> You might want to give Tessalon Pearls a try also.  If a cough becomes
> chronic at night and absolutely won't go away, sometimes they'll
[quoted text clipped - 3 lines]
>
> Lisa (not a doctor)

In case you're looking those drugs up on Google, it's "Tessalon Perles"
(note the spelling of "Perles") and "Histussin". I wouldn't be
concerned about getting hooked on hydrocodone from short-term use of
cough medication, assuming you use it as your doctor prescribes. As for
steroids, they're not particularly good cough suppressants unless the
coughing is caused by asthma/bronchospasm.
Lisa - 21 Jul 2004 06:21 GMT
> > You might want to give Tessalon Pearls a try also.  If a cough becomes
> > chronic at night and absolutely won't go away, sometimes they'll
[quoted text clipped - 10 lines]
> steroids, they're not particularly good cough suppressants unless the
> coughing is caused by asthma/bronchospasm.

I hope my earlier attempts at typing this response weren't put
on....anyhow.... thanks for the correction on the spelling.  Just an
FYI, the generic name for the Tessalon Perles is "Benzonatate".  I'd
suggest if you're going to look up the drug information that you use
www.mayoclinic.com  I've always found that site to be most useful.  As
for the steroids....I do have asthma so I'd agree with Griffin that it
might not be wise for someone without asthma.  Good luck,
Lisa
Lisa - 21 Jul 2004 06:22 GMT
> > You might want to give Tessalon Pearls a try also.  If a cough becomes
> > chronic at night and absolutely won't go away, sometimes they'll
[quoted text clipped - 10 lines]
> steroids, they're not particularly good cough suppressants unless the
> coughing is caused by asthma/bronchospasm.

I hope my earlier attempts at typing this response weren't put
on....anyhow.... thanks for the correction on the spelling.  Just an
FYI, the generic name for the Tessalon Perles is "Benzonatate".  I'd
suggest if you're going to look up the drug information that you use
www.mayoclinic.com  I've always found that site to be most useful.  As
for the steroids....I do have asthma so I'd agree with Griffin that it
might not be wise for someone without asthma.  Good luck,
Lisa
Lisa - 21 Jul 2004 06:23 GMT
> > You might want to give Tessalon Pearls a try also.  If a cough becomes
> > chronic at night and absolutely won't go away, sometimes they'll
[quoted text clipped - 10 lines]
> steroids, they're not particularly good cough suppressants unless the
> coughing is caused by asthma/bronchospasm.

I hope my earlier attempts at typing this response weren't put
on....anyhow.... thanks for the correction on the spelling.  Just an
FYI, the generic name for the Tessalon Perles is "Benzonatate".  I'd
suggest if you're going to look up the drug information that you use
www.mayoclinic.com  I've always found that site to be most useful.  As
for the steroids....I do have asthma so I'd agree with Griffin that it
might not be wise for someone without asthma.  Good luck,
Lisa
Lisa - 21 Jul 2004 06:27 GMT
> > You might want to give Tessalon Pearls a try also.  If a cough becomes
> > chronic at night and absolutely won't go away, sometimes they'll
[quoted text clipped - 10 lines]
> steroids, they're not particularly good cough suppressants unless the
> coughing is caused by asthma/bronchospasm.

I hope my earlier attempts at typing this response weren't put
on....anyhow.... thanks for the correction on the spelling.  Just an
FYI, the generic name for the Tessalon Perles is "Benzonatate".  I'd
suggest if you're going to look up the drug information that you use
www.mayoclinic.com  I've always found that site to be most useful.  As
for the steroids....I do have asthma so I'd agree with Griffin that it
might not be wise for someone without asthma.  Good luck,
Lisa
 
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