Itchy throat and cough are more serious at night, which may be related to chronic simple rhinitis, reflux pharyngitis and cough variant asthma, etc. According to the etiology and characteristics of the disease, general treatment, medication and surgical treatment should be chosen.
1. Chronic simple rhinitis: the disease can be triggered by repeated episodes of acute rhinitis or stimulation by adverse physical and chemical factors, often with nasal congestion and mucus. When the secretion flows backward to the throat after lying down, it is easy to trigger the above symptoms. It can be treated with glucocorticosteroid nasal spray such as budesonide nasal spray, oral rhinitis tablets, Huo gall pills and other proprietary Chinese medicines, as well as warm saline nasal wash.
2. Reflux pharyngolaryngitis: the reflux of stomach contents into the throat can stimulate the mucous membrane of the throat and cause the above symptoms. It is necessary to take a light diet, eat small meals, avoid staying up late, prohibit eating and drinking 3 hours before bedtime, and elevate the upper body 30° during sleep. Oral omeprazole, mosapride and other acid-suppressing and gastrointestinal-promoting drugs can be taken for treatment. If the effect of conservative treatment is unsatisfactory, fundoplication is feasible.
3. Cough variant asthma: it is a kind of atypical asthma with chronic cough as the main symptom and airway hyperresponsiveness. Itchy throat, dry cough, mainly at night. Avoid contact with allergens, avoid excessive exercise can be applied to β2 agonists, such as salbutamol; anticholinergic drugs, such as ipratropium bromide; glucocorticoids, such as prednisone.
When there is a tickle in the throat cough more serious symptoms at night, need to actively seek medical attention, systematic examination after a clear diagnosis, follow the doctor’s instructions standardized treatment.