There are more reasons that can cause coughing to worsen after sleeping and exercising, such as asthma, upper respiratory tract infections, cardiac insufficiency and other diseases. 1. Asthma: asthma can be characterized by coughing, chest tightness, wheezing and other symptoms, these symptoms often occur at night or aggravated. Exercise asthma, these patients due to physical activity can induce bronchoconstriction, resulting in asthma attacks and asthma symptoms. 2. Upper respiratory tract infection: Upper respiratory tract infection can have cough symptoms. When exercising, open-mouth breathing may stimulate the mucous membrane of the respiratory tract, resulting in aggravation of cough; at night, due to vagus nerve excitation, it may also cause aggravation of cough. 3. Cardiac insufficiency: cardiac insufficiency, especially left heart insufficiency, can lead to pulmonary stasis and cause cough. Increased oxygen consumption after exercise, as well as vagal arousal and increased ileocardial blood flow during sleep, can lead to cough aggravation. In addition to this, there are other conditions that can cause cough aggravation during sleep and after exercise. If the symptoms are not relieved or aggravated, you should go to the hospital in time to clarify the cause of the disease and target treatment.