Coughing with a tickle in the throat and coughing at night may be associated with conditions such as reflux pharyngitis, cough variant asthma and chronic sinusitis. General treatment, medication and surgery should be chosen according to the cause and degree of the disease.
1. Reflux pharyngitis: if some patients lie down within 3 hours after eating and drinking at night, the stomach contents may reflux to the throat and stimulate the above performance. It is necessary to eat small meals, avoid eating and drinking 3 hours before bedtime, and elevate the upper body by 30° when sleeping. At the same time, oral omeprazole and mosapride and other acid-suppressing and anti-reflux drugs.
2. Cough variant asthma: it is an atypical asthma with chronic cough as the main symptom and airway hyperresponsiveness. The cough is irritating, dry and usually severe, mainly at night. Avoid exposure to allergens and excessive exercise. β2 agonists, such as salbutamol, anticholinergic drugs, such as ipratropium bromide, glucocorticoids, such as prednisone, etc. can be applied.
3. Chronic sinusitis: acute sinusitis delay, as well as nasal septum deviation, allergic rhinitis and other diseases, leading to the disease of persistent mucopurulent mucus flow symptoms, night secretions continue to flow backward, through the nasopharynx to the pharynx, resulting in irritation, coughing throat itchy, coughing at night.
Glucocorticoids such as budesonide nasal spray are commonly used for nasal spraying, and macrolide antibiotics such as clarithromycin and mucus promoters such as eucalyptus pinene are taken orally. If conservative treatment is not effective, endoscopic sinus surgery is feasible.
When coughing throat tickling night coughing symptoms, need to actively seek medical examination, clear diagnosis, follow the doctor’s instructions standardized treatment.