Gm Dr,
in the morning my son is having sneezing and coughing issue and whole day he is fine but while sleeping also he is having block nose issue

Question

Accepted Answer

If your son experiences sneezing, coughing, and a blocked nose primarily in the morning and during sleep, but feels fine during the day, it could be due to several factors. Here’s a guide to help manage these symptoms:

### **Possible Causes:**

1. **Allergies:**
   - **Common Triggers:** Dust mites, pet dander, mold, or pollen. Allergies can cause nasal congestion, sneezing, and coughing, especially in the morning after a night of exposure.
   - **Management:** Keep his bedroom clean, use allergen-proof covers on pillows and mattresses, and consider using a HEPA filter in the bedroom.

2. **Nasal Congestion from Dry Air:**
   - **Dry Air:** Can dry out nasal passages and lead to congestion.
   - **Management:** Use a cool-mist humidifier in his room to add moisture to the air.

3. **Post-Nasal Drip:**
   - **Symptoms:** Mucus dripping down the throat can cause coughing and congestion.
   - **Management:** Elevate his head while sleeping and use saline nasal drops or a saline nasal spray to help clear mucus.

4. **Common Cold:**
   - **Symptoms:** A cold can cause symptoms like sneezing, coughing, and nasal congestion, which might be worse in the morning.
   - **Management:** Ensure he gets plenty of fluids, rest, and consider using a saline nasal spray to relieve congestion.

5. **Environmental Irritants:**
   - **Possible Triggers:** Smoke, strong odors, or chemical fumes in the home.
   - **Management:** Avoid exposure to potential irritants and ensure good ventilation in the home.

### **Steps to Take:**

1. **Monitor Symptoms:**
   - **Track Patterns:** Observe if symptoms are consistent and if any specific triggers seem to worsen his condition.

2. **Consult a Pediatrician:**
   - **Seek Advice:** If symptoms persist, worsen, or are accompanied by other concerns, consult your pediatrician. They can help determine if allergies, a respiratory infection, or another condition is causing the symptoms and recommend appropriate treatment.

3. **Maintain a Healthy Environment:**
   - **Clean Regularly:** Keep his living environment clean and free from dust and allergens.
   - **Check Bedding:** Ensure that bedding and pillows are clean and consider washing them regularly.

4. **Use Remedies Carefully:**
   - **Nasal Drops/Sprays:** Use saline nasal drops or sprays as directed by your healthcare provider to help with congestion.

If symptoms continue or if there are additional signs such as fever, difficulty breathing, or persistent coughing, it's essential to seek medical attention for further evaluation and appropriate treatment.

Gm Dr, in the morning my son is having sneezing and coughing issue and whole day he is fine but while sleeping also he is having block nose issue