How to stop coughing to the point of vomiting in a child, what to do


Why can a cough be accompanied by gagging?

Vomiting is usually accompanied by a paroxysmal dry cough. During an attack, the child’s facial and neck muscles are tense, tears may flow from the eyes, and the skin turns purple. It seems that he does not have enough air, and this is true. The amount of vomit that comes out is small. Until the baby clears his throat, it won’t get any easier. After the attack, he looks tired and confused, and is afraid to cough again.

With a wet cough, vomiting occurs between attacks. The situation can be provoked by an excess amount of sputum, which can become clogged in swollen airways. The mucus enters the stomach, which wants to get rid of it by vomiting.

Why do coughing attacks occur more often at night?

The cough almost always gets worse at night. During the day, the baby not only lies, but also sits, walks, talks, due to which the phlegm leaves faster. During sleep, blood flow slows down, and mucus in a horizontal position clogs the throat. This becomes the main cause of coughing and vomiting.

Pediatricians convince parents that there is nothing dangerous in such a cough. It most often occurs in children under three years of age who cannot perfectly control the urge to vomit. During illness, parents should carefully monitor their children at night, help them clear their throat and fall asleep peacefully.

Causes of coughing before vomiting

Vomiting during coughing or between coughing attacks is caused by various disorders. Main physiological reasons:

  • dry air in the room;
  • excessive drooling during teething;
  • breathing through the mouth, which dries out the nasopharyngeal mucosa;
  • dumping the contents of the nasopharynx into the esophagus and activating the gag reflex.

There is always a risk that the child will choke on vomit and cough even more severely. Parents should be on alert, especially during the period of ARVI, when the child has a stuffy nose and a daytime cough.

Bronchospasm, which causes vomiting at night, can provoke the following diseases:

DiseaseManifestation
Rhinitis and sinusitisThe cough appears when the baby is lying down. Mucus flows down the back wall of the nasopharynx and irritates the vomiting center.
BronchitisIn the initial stage, the cough is dry, turning into wet over time. His attacks are characterized by shortness of breath, gagging, and severe tension in the child.
Whooping coughIn the initial stage, the disease is similar to a cold, which is quickly accompanied by a painful cough that leads to vomiting. His attacks can be accompanied by wheezing and are repeated several times a night, which exhausts the child.
Allergic reactionsPeriodic coughing attacks are associated with swelling of the mucous membrane and runny nose, redness of the nose.
Asthma bronchialCoughing attacks occur in the morning and may be accompanied by the release of a small amount of clear mucus. It becomes easier for the baby in a sitting position.
Foreign body in the respiratory tractIt is very difficult for the child to breathe and wheezing is possible. If a foreign object blocks the bronchi, suffocation is possible.

What causes a dry cough?

A dry cough leading to vomiting at night or during the day is caused by:

  • helminthiasis during migration of larvae through the lungs;
  • the initial stage of a cold, ARVI;
  • cardiac pathology;
  • chronic inflammation of the paranasal sinuses;
  • whooping cough;
  • bronchitis;
  • dry air in the room.

Coughing to the point of vomiting in a child without fever or any symptoms on the eve of sleep is usually caused by a reaction to the presence of an allergen nearby (new powder used to wash clothes, pollen from a window, lint inside a pillow). Additionally, the child suffers from a sore throat, itchy nose, red eyes and watery eyes.

What causes a wet cough?

These conditions go away over time and are not considered dangerous to health. Also, in infants under one year old and older children, a wet cough is based on the cough reflex. It can occur for the following reasons:

  • viral infection and colds in the final stage;
  • tuberculosis;
  • cystic fibrosis;
  • lung abscesses;
  • bronchitis, pneumonia under treatment.

The cause of a cough is easy to determine by the nature of the sputum. Purulent contents are characteristic of bronchiectasis and abscesses, watery contents are characteristic of a viral infection. Viscous sputum occurs with bronchitis, its rusty tint is observed with pneumococcal pneumonia.

Why does cough syndrome develop without fever?

A cough that causes a child to vomit is considered the first suspicion of whooping cough. If a person has innate immunity or has had this disease, he acquires stable immunity to infection for life. When a child’s temperature is not elevated against the background of an asymptomatic cough, sometimes ending in vomiting, this may indicate the following problems:

  • the development of a latent inflammatory process of unknown cause, to which the immune system does not respond with an increase in temperature;
  • polluted air in the room where a person is located can lead to dizziness, weakness, nausea and coughing leading to vomiting;
  • the presence of irritants that cause allergic symptoms - runny nose, coughing fits, nausea and vomiting syndrome.

Attention! A paroxysmal cough that often plagues a child should alert parents. Especially if the breathing is noisy with whistling, even gagging. This is a characteristic symptom of asthma that threatens suffocation. Urgent help from a specialist is needed.

A common cause of gagging that accompanies a cough is rhinitis, which occurs with an abundance of mucus. It flows down the back of the throat, causing irritation of the mucous membrane, which leads to an attempt to cough up. The effect of involuntary swallowing of sputum results in gagging.

First aid for severe cough with vomiting

If the baby wakes up at night, coughs and vomits, the parents try to help him in any way, sometimes falling into panic. Both traditional methods and medicines are used. It is important to remember that coughing is a natural reaction to inflammation of the airways. It evacuates pathogenic bacteria and cleanses the trachea and bronchi.

Correct first aid should be as follows:

  • unbutton your pajamas so that they do not impede breathing;
  • try to move the child to another room;
  • if sputum does not come out well, massage your back with tapping movements;
  • ventilate the room;
  • give a mucolytic drug according to instructions;
  • do inhalation when the attack has passed;
  • give the baby warm water (ideally heated Borjomi without gas) or milk;
  • go out onto the balcony and breathe some air (if the child does not have a temperature).

You should call emergency help for your child in the following cases:

  • vomiting does not stop;
  • the nasolabial triangle turns blue;
  • foam appears at the mouth;
  • signs of suffocation are expressed;
  • the skin is pale, cold;
  • loss of consciousness.

Treatment of a child

In addition to antitussive drugs and folk remedies, he prescribes basic treatment for the little patient, aimed at eliminating the cause of the ailment.

In case of ARVI and its complications (laryngitis, tracheitis), you should adhere to the rules of caring for the baby. They require providing the baby with rest, wet cleaning and ventilation of the room, taking antiviral drugs and immunomodulators as prescribed by a doctor.

For bacterial diseases and their complications (tonsillitis, bronchitis, pneumonia), therapy usually cannot be done without antibiotics. In an advanced stage, the disease becomes chronic, when coughing with vomiting and fever are not easy to eliminate. If the cause of the cough is serious disorders in the body, the pediatrician involves other specialists (cardiologist, ENT specialist, pulmonologist).

Inhalations

Cold inhalations are good for eliminating most causes of cough. To carry them out, nebulizers are used, which are filled with mineral water, saline solution or a medicine prescribed by a doctor (for example, Chlorphyllipt, Interferon, Furacilin, Lazolvan).

When the baby does not have a fever, you can do warm herbal inhalations. Antitussive preparations can be used, as well as coltsfoot, calendula, chamomile, and St. John's wort. During the procedures, you should be close to the baby and monitor that he is breathing correctly.

Using compresses

Compresses give good results in eliminating cough, which is accompanied by vomiting. They improve blood circulation, relieve inflammation, and prevent pain syndromes. The following recipes are effective and safe for children:

  • Compress based on boiled potatoes. Two boiled, unpeeled tubers should be crushed into puree, mixed with alcohol, turpentine and vegetable oil, taken 1 tablespoon each. Make warm cakes and wrap in cloth. Apply to chest and back for 30-60 minutes. Do not apply a compress to the heart area or do it at elevated temperatures.
  • Compress of grated radish and honey. A mixture of components in a 1:1 ratio should be wrapped in cellophane and cloth and applied to the throat, wrapped in a warm scarf. Keep for 20 minutes. After removal, lubricate the skin with baby cream and insulate the area where the compress was located.

Drug therapy

Any antitussive medications should be given strictly according to the instructions and only after consultation with the doctor.

Cough that is accompanied by vomiting is usually treated with the following medications:

  • expectorants: Doctor MOM, Gedelix, Mucaltin (we recommend reading: how to use children's "Gedelix"?);
  • herbal remedies: sage in tablets;
  • mucolytics: Ambroxol, Brombhexine;
  • peripheral medications: Levopront, Libexin;
  • combined: Stoptussin, Codeteprin;
  • antihistamines: Zodak, Cetrin;
  • central action: Sinekod, Glauvent.

Traditional medicine recipes

Traditional methods complement traditional treatment and help the baby recover faster. For a cough that is accompanied by vomiting, the following folk recipes will help:

  • Infusion of plantain and mallow leaves. Pour a glass of boiling water over a mixture of crushed leaves, taken in equal proportions (1 tablespoon each). Leave for 15 minutes, strain, and give to the child warm.
  • Fruits and color of viburnum. Pour a liter of boiling water over a glass of berries or flowers and cook for 10 minutes. Take 2 tablespoons warm in the morning and evening.
  • Warm tea with raspberries. A proven recipe will help you sweat well, remove toxins and waste, and reduce the viscosity of sputum.
  • Herbal infusions. Decoctions of nettle, chamomile, mint with the addition of honey will help overcome the disease.

Tea with raspberries helps very well with a hysterical, dry, debilitating cough
. An attack of coughing that ends with vomiting will help to finally calm down the following activities (suitable for all babies, with the exception of allergy sufferers and infants):

  • give chamomile infusion or warm milk to drink in small sips, which will soothe the mucous membrane;
  • offer to suck on a spoonful of honey or a piece of butter, which have a soft enveloping effect;
  • Offer a mint lozenge for sucking, which can eliminate soreness and dull irritation.

How to relieve coughing before vomiting in children

All parents know how dangerous childhood illnesses accompanied by complicated coughs are. A cough that appears in a child before vomiting is one of the most alarming signals and adults should know what to do and how to treat such a disease. First of all, you need to establish the symptoms and determine the type of disease.

Wet cough with vomiting: how to help a child?

Carrying out wet cleaning will help humidify the air and make breathing easier. This method is recommended by Dr. Komarovsky and other pediatric doctors.

Taking a warm bath will effectively combat phlegm (the only contraindication is a high temperature of 38.5 degrees). Gerbion expectoration syrup will also help your baby.

The appearance of a gag reflex is associated with mucus entering the child’s stomach. Therefore, a severe runny nose should be treated immediately after it appears. Cleaning of the nasal passages can be done with special drops and sea water. The procedures will help prevent coughing attacks caused by the accumulation of mucus.

Dry cough and vomiting: treatment at home

Medicinal inhalations will help relieve cough. For them, breast milk or folk remedies such as calendula, coltsfoot, and thyme can be used. An exacerbation or the appearance of spasms will indicate whooping cough symptoms and treatment, which must be studied. A dangerous disease can lead to exhaustion of the body and chronic diseases.

Parents also need to know not only how to treat whooping cough, but also how to help their child with its manifestations. Home treatment will not be enough. The infection is transmitted by airborne droplets, so parents should learn in advance how to recognize the primary signs of the disease and who to turn to for help.

Cough with vomiting at night: what to do?

If the cough appears at night, you need to ensure high humidity in the room. A basin of plain water located near the child’s bed and wet cleaning of the room will help. Lying on a high pillow will help prevent coughing during sleep. You need to lay the baby on his side and make sure he does not sleep on his back.

The resulting temperature should be brought down with an antipyretic. An illness without fever is treated according to the above method. But visiting a doctor after alarming symptoms is mandatory. Parents need to find out exactly what this disease is and how to treat it correctly. It is necessary to deal with mucus according to the doctor’s recommendations.

The therapist will indicate the medications that the baby can take and the correct dosage to take.

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What should you do to prevent coughing and vomiting?

Preventing cough and vomiting is easier than treating and calming the baby. Prevention is as follows:

  • Correct daily routine. You should regularly ventilate the room and humidify the air (humidity should be at least 50%). It is important to ensure that pajamas and bed textiles are made from hypoallergenic fabrics. It is necessary to avoid hypothermia and overheating, and not to be in crowded places during epidemics of influenza and ARVI.
  • Hardening and physical activity reduce the risk of respiratory diseases and ease their course. If your child is sick, you should not restrict him from bathing. Previously, it was believed that water treatments were prohibited for a sick child. It has now been proven that warm baths with the addition of pine extracts thin thick mucus. A contraindication to them is the child’s temperature.
  • Drink plenty of fluids. During illness, the baby may refuse to eat and this is not scary. However, he should drink as much warm water, milk, tea, herbal infusions and fruit drinks as possible. Drinking will ensure the removal of waste and toxins, help eliminate the viscosity of sputum and remove harmful bacteria.
  • Antitussive diet (reduces the risk of attacks at night). Your child’s diet should include berries and fruits with vitamin A and C, mashed potatoes, fresh juices, and rolled oats with butter. This food helps relieve bronchospasm and has expectorant properties.
  • Attention to the child's condition. When the baby is sick, it is better for one of the parents to sleep in the nursery or take the child to bed with them (see also: what medications to give the child if he coughs when he sleeps?). It is important to turn him over more often at night so that he can breathe and phlegm does not clog his nasopharynx. You can slightly raise the head of the crib using a bolster or pillow. This technique will prevent mucus from accumulating in the nasopharynx.

When a child coughs and has a fever, you should immediately consult a doctor. It should not lead to serious conditions when vomiting is added to the cough. It happens that medical prescriptions are ineffective. In this case, you should seek medical help again, clarify the diagnosis and receive new recommendations.

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Definition of cough and its types

In some cases, the presented attacks are quite simply removed and do not recur. But if vomiting occurs repeatedly, you should immediately go to the hospital. There are these types of cough:

  1. Dry. Sometimes he talks about cancer of the respiratory tract. Regular medication does not help in this case, and the symptoms gradually intensify.
  2. Productive (wet). Here the cause is ARVI or another respiratory disease. In addition to medications, the child is given plenty of fluids to drink.
  3. Cough at night. Sometimes changing the position of the baby's body will help stop the attack.
  4. Cough with fever. This symptom occurs when there is a viral or bacterial infection in the body.
  5. A syndrome that occurs without a change in temperature. In this case, bronchial asthma and allergies are to blame.

If you have such manifestations, you should not rush to tablets or decoctions. You need to first visit a doctor and find out an accurate diagnosis.

Treatment

Therapy is divided into several areas: non-drug, taking medications, using traditional medicine recipes and physiotherapy.

The first point is of greatest importance for allergic coughs, since limiting contact with the antigen significantly reduces the severity of inflammation and increases the effectiveness of medications.

Medicines prescribed:

  • mucolytics - reduce the viscosity of sputum (Ambroxol, Bromhexine);
  • expectorants - enhance the removal of mucus (tablets with thermopsis or thyme);
  • antispasmodics - increase the lumen of the bronchi (Salbutamol, Formoterol);
  • non-steroidal anti-inflammatory drugs - relieve tissue swelling, reduce sputum secretion;
  • antiemetics - affect the center of vomiting and reduce the severity of the symptom (Cerucal).

Cough should be treated taking into account the etiological factor. Thus, for acute respiratory viral infections, antiviral drugs are prescribed (Tamiflu, Rimantadine), for bacterial infections - antibiotics, and when allergies are detected - antihistamines in combination with glucocorticosteroids.

Taking a particular drug must be discussed with your doctor, since each medication has contraindications and side effects.

To eliminate cough and relieve bronchospasm, you can use inhalations in the hospital or at home. To do this, use essential oils, hot herbal decoctions, Lazolvan, Acetylcysteine.

Of the folk methods, the most popular are soothing and anti-inflammatory teas with chamomile, sage, St. John's wort, and thyme.

Night cough in a child to the point of vomiting

The cough always gets worse at night. The fact is that when lying down, blood circulation slows down, mucus cannot drain normally and accumulates in the throat. It is this condition that will be the catalyst for the attack.

Causes of night cough

To understand why a child has coughing attacks at night before vomiting, it is necessary to examine him. The main reasons for the development of this pathological condition are:

  • whooping cough;
  • infection of the body with helminths;
  • chronic or obstructive bronchitis, asthma, pneumonia;
  • the presence of a foreign body in the respiratory tract;
  • gastrointestinal pathologies;
  • dust or other external irritants of the mucous membranes of the trachea and bronchi;
  • too hot or dry air (dehydration of the mucous membranes occurs);
  • hypothermia of the body;
  • flow of mucus into the throat due to the development of sinusitis or a severe runny nose;
  • ARVI;
  • allergic reaction;
  • neoplasms in the respiratory system;
  • tuberculosis;
  • pleurisy;
  • rhinitis or tracheitis;
  • insufficient functionality of the heart or its defects;
  • pathologies of the nervous system.

In infants, such symptoms appear in the case of teething, when he simply cannot swallow a large amount of saliva. Another explanation is improper feeding. The cause of the pathology is also the immaturity of the digestive system.

Vomiting when coughing: mechanism of development

Nausea and vomiting usually occur with a dry type of cough. At this time, the muscles of the face and neck are under strong tension, tears are released involuntarily, and the shade of the skin changes. During an attack, the child does not have enough air. The amount of vomit here is not large. The condition does not improve until the baby clears his throat. Small children subsequently become very tired and are afraid to cough again. And the vomiting and cough center is located nearby, so this situation is possible.

Manifestations of the syndrome

Symptoms of night cough, depending on the cause, are as follows:

PathologyManifestations
Whooping coughOver time, the attack intensifies, and the most difficult time is at night. Vomiting is a common manifestation of the pathology. The baby's breathing is difficult, the tongue usually sticks out, and the skin becomes bluish.
HelminthsIn addition to coughing, the child’s body temperature rises (to high levels), and pain appears in the gastrointestinal tract.
Colds, gastrointestinal dysfunctionAfter vomiting, the baby should feel better if the pathology is caused by poisoning. But for colds, it is important to quickly wet the cough to avoid complications.
Chronical bronchitisSymptoms in this case appear during the cold season or during epidemics. Before a coughing attack, there is a slight soreness in the throat.
PneumoniaHere you can hear a muffled sound when coughing. Gradually, vomiting joins the symptoms. There is pain in the chest
AsthmaIn addition to the signs already indicated, the baby may experience suffocation
GERD (gastroesophageal reflux disease)In addition to coughing and vomiting, the child develops nausea, heartburn, sore throat, and excessive salivation.
RhinitisThe main symptom appears only when the baby is lying down
Allergic reactionIn this case, increased lacrimation and runny nose additionally appear.
Insufficient heart functionThe patient develops shortness of breath, cough with vomiting, pain in the chest area

Regardless of what cause caused these symptoms, it needs to be treated. But you shouldn’t do this yourself, as you can cause even more harm to your health.

Why does my baby cough until he vomits?

Coughing is a reflex reaction of the body. Its occurrence is associated with irritation of receptors located on the mucous membrane of the respiratory tract.

Thermal, mechanical, chemical and other factors can irritate the mucous membrane. In addition, the inflammatory process can also cause irritation of cough receptors.

This symptom can occur even in healthy children. If a child coughs several times a day without other symptoms, then this condition cannot be regarded as a pathology. This means that the mucous membrane is cleared of dust and mucus that collects in the bronchi.

Why does a child sometimes cough and vomit? The human brain is an amazing organ where all components are interconnected. The vomiting and cough centers are located in close proximity to each other. An intense cough can irritate receptors located on the back of the tongue and in the throat, causing the person to feel the urge to vomit.

Sometimes, with strong stimulation of the cough center, the nearby vomiting center is irritated and parents notice that the child vomited immediately after a severe coughing attack. Often, similar symptoms are observed in diseases that are accompanied by a dry, unproductive cough.

Treatment of cough with vomiting in childhood

When a child coughs at night before vomiting, the reasons must be established first. Simply eliminating the symptoms will only work for a short period of time, after which the manifestations will resume with renewed vigor.

Quick help to eliminate a night attack

If night falls and your child has a seizure, do not panic. You need to call an ambulance immediately. Until she arrives, the following measures should be taken:

  1. The little patient needs to be reassured and shown that he is not left alone with the problem. You should take him in your arms, talk to him tenderly, explain what is happening. At the same time, the baby must be kept in an upright position, the head should not be thrown back, so that vomit does not enter the respiratory tract.
  2. Clear the nasal passages of mucus. For this, a special suction or pipette is used.
  3. Give your baby some warm water.
  4. Place a pillow under the patient's back to improve mucus removal.
  5. You cannot give your child medications before the doctors arrive, as this can complicate the diagnosis or worsen his condition.
  6. It is necessary to maintain an optimal level of humidity in the house (if it is too dry, then you should put wet rags on the radiators and wash the floors).
  7. If there is poor sputum discharge, you can give the baby a massage in the form of tapping on the back.

Medications for course therapy

If a child has a cough with vomiting at night, he is prescribed medications that should not only relieve the symptoms, but also eliminate the very cause of the pathology. The patient is prescribed the following medications:

  1. Expectorants: “Mukaltin”, “Gedelix”.
  2. Mucolytics: Ambroxol.
  3. Combined drugs: "Codteprin".
  4. Antiallergic: “Cetrin”, “Zodak”.
  5. Central action: "Sinecode".
  6. Preparations for eliminating nasal mucus: “Aquamaris”, saline solution.
  7. Vasoconstrictor drops to facilitate nasal breathing.

To eliminate viruses, it is necessary to use tools such as Interferon.

People's Councils

If a child vomits from coughing at night, the doctor will tell you what to do. Folk remedies will be useful, especially if used in conjunction with medications. You can use the following recipes:

  • Warm milk. It soothes irritated mucous membranes. You should drink it in small sips.
  • Honey. The presented remedy not only soothes damaged tissues, but also strengthens the immune system. It is important to ensure that your baby is not allergic to bee products.
  • Butter. It coats the throat and relieves unpleasant symptoms. Only 1 tsp should be used. facilities.
  • Infusion of mallow and plantain. All components must be taken in equal proportions. Need 1 tbsp. l. Steam the mixture with a glass of boiling water. It will take 15 minutes to infuse. After filtering, the product is given to the child several times a day. The liquid should be warm.
  • Kalina. Not only flowers are used here, but also fruits. A glass of raw materials is poured with a liter of boiling water and infused for 10 minutes. The product should be used twice a day, 60 ml.
  • Raspberries. Tea is made from these berries. It helps reduce the viscosity of sputum and remove toxic substances from the body.
  • Pine buds. They need to be brewed in hot milk (1 tablespoon of raw material per 0.5 liter of liquid is enough). It takes 1 hour to infuse. You will have to drink 50 ml every 2 hours. It should be warm. Relief occurs within a day.
  • Badger fat. It is used for rubbing the chest, feet, and back. After completing the procedure, the child should be placed in a warm bed and wrapped up.

Folk remedies are not a panacea. Their use should be agreed with your doctor.

Carrying out inhalations

Inhalations can soothe a cough and eliminate snot. A nebulizer is required for the procedure. It is filled with saline solution, mineral water or solutions of medicinal or folk remedies. The list of drugs includes: “Interferon”, “Chlorophyllipt”, “Furacillin”. If cough with vomiting is characterized by the absence of fever, then herbs can be used for treatment.

Application of compresses

Compresses can also stop an attack and promote coughing. This method of treatment activates blood circulation in the affected tissues, eliminates the inflammatory process, and relieves pain. The following tools will be useful:

  1. Potato. Unpeeled tubers must be boiled, crushed into puree, mixed with turpentine or alcohol and vegetable oil (1 tablespoon each) and made into a flat cake from the pulp. It is wrapped in cloth and applied to the back and chest. The duration of the procedure is 30-60 minutes. The compress should be applied so that it is not in the area of ​​the heart. It is prohibited to use this method of treatment at elevated temperatures.
  2. Radish and honey. Both ingredients must be taken in the same ratio. The pulp is wrapped in cellophane film, applied to the throat and wrapped in a scarf. The duration of the procedure is 20 minutes. After this, you need to lubricate the skin with baby cream and tie it with a warm cloth. Reviews about this product are very good. It helps both adults and children.

If the baby begins to cough, then you need to be careful with compresses. Children's immunity is not yet strong enough to resist the pathogen. Some drugs used for therapy can cause an allergic reaction.

Reason for urgent hospitalization

If your baby starts vomiting without stopping, you should immediately call emergency help. In addition, indications for urgent hospitalization are:

  • change in the shade of the nasolabial triangle (becomes blue);
  • pronounced signs of suffocation;
  • loss of consciousness;
  • the appearance of foam from the mouth;
  • pallor of the skin and changes in its temperature (they become cold);
  • presence of blood in sputum;
  • dehydration.

Vomiting and coughing appear if the underlying pathology was not noticed in a timely manner.

Consultations with various specialists

If your child starts coughing, do not delay your visit to the doctor. However, not all parents know where to look for help. Many people use the advice of Dr. Komarovsky, but it is better to show the baby to a live specialist and conduct tests before using any methods of therapy. This is especially necessary if the patient has additional symptoms: fever, diarrhea.

Possible causes of the problem

Let's look at the diseases and conditions that most often cause coughing and vomiting in a child:

  1. Infectious diseases, such as whooping cough. This is an acute bacterial inflammation, which is caused by a specific bacterium and is characterized by paroxysmal cough and inflammation of the upper respiratory tract. Most often, this disease occurs in children; it poses a great danger to babies in the first year of life. The disease begins gradually and initially resembles a common cold. The child has a runny nose, a fever, and a cough. After a few days it intensifies and proceeds with convulsive attacks. Periodically, such attacks are accompanied by vomiting and sputum discharge. Such attacks often occur at night and are very frightening for parents. This period of coughing can last for 3-4 weeks.
  2. ARVI, cold, runny nose. The cause of cough in this case is excessive snot. The baby does not yet know how to blow their nose and therefore swallows them. Irritation of mucosal receptors by snot causes a cough, and a prolonged and severe cough leads to vomiting. Another mechanism for the development of vomiting during ARVI can be high temperature. The child coughs and at the same time vomits due to severe intoxication of the body.
  3. Allergic reaction. The immature immune system of children may respond with an inadequate response to various allergens that enter the body through the air. In these cases, the child naturally coughs heavily and vomits after such a severe coughing attack.
  4. The entry of a foreign body into the respiratory tract causes coughing attacks that lead to vomiting.
  5. Gastroesophageal disease. This is a pathology in which reflux of stomach contents into the esophagus occurs due to sphincter insufficiency. It is rare in children.
  6. Stress and emotional shock. The nervous system of a child is much more labile than that of an adult. Strong emotional experiences can cause such a symptom.
  7. Intestinal infections (rotavirus, etc.). This pathology is accompanied by combined damage to the respiratory and gastrointestinal tract. The little patient is worried about diarrhea, vomiting and symptoms of inflammation of the respiratory tract (cough, runny nose, sore throat).

The cause of such attacks can be bronchial asthma. Even teething in infants is sometimes accompanied by strong salivation, which, in turn, causes coughing and vomiting.

Dangers and prevention of night cough with vomiting in children

If your baby has a paroxysm of coughing and vomiting, you should immediately contact a specialist, as the following complications may develop:

  • Muscle pain due to constant hypertonicity (pain occurs in the chest and peritoneum).
  • Rupture of small blood vessels in the respiratory organs (risk of bleeding).
  • Increased pressure (creates additional stress on the heart).
  • Pneumothorax (occurs in the presence of bronchial asthma).
  • Atelectasis (in this case, the lobe of the lung decreases, part of the organ simply stops functioning).

In order to avoid coughing or other pathologies that provoke such a symptom, the following preventive measures must be observed:

  1. Give preference to walks in the fresh air in parks and forest areas.
  2. Ventilate all living areas every day, especially those in which children live. However, you should not create a draft, as this can cause a coughing attack and vomiting.
  3. Maintain the optimal air temperature in the room. If it is too hot, pathogenic microflora will multiply much faster. At the same time, the baby’s well-being will worsen. It is impossible for the house to be warmer than 23 degrees.
  4. Constantly humidify the air. The best indicator is 55-65%.
  5. Every day it is necessary to maintain the baby’s personal hygiene, and after bathing there should be no drafts in the house.
  6. Dehydration should not be allowed, especially if the patient has a high temperature. He should be given plenty of warm fluids.
  7. Treat any inflammatory and infectious processes in a timely manner.
  8. Ensure proper daily routine.
  9. Temper the child, do gymnastics and exercises with him.
  10. Enrich your baby's diet with fruits, berries, and other healthy foods.

Parents are always obliged to closely monitor the child’s condition and, if necessary, consult a doctor. A cough aggravated by vomiting should alert adults. Self-medication will only worsen the patient's condition.

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What to do before the doctor arrives

Vomiting and headache in a child - how to help a newborn

Before the doctor arrives, the parents’ task is to alleviate the child’s condition and at the same time not erase the picture of the disease, so as not to make it difficult for the pediatrician to make a diagnosis. To do this you need:

  • Do not give your baby any medications, especially antibiotics. If you suspect rotavirus, you can give any antiviral drug; if the body temperature is above 38 degrees, you can give an antipyretic;
  • Do not overheat your baby, especially in summer. Vomiting and nausea often occur from heat, due to the fact that infants have imperfect thermoregulation and can easily become overheated;
  • Do not feed the baby;
  • Provide the child with plenty of fluids from a bottle with a nipple or from a cup, depending on the age of the baby.

To restore the water-salt balance of the body, it is advisable to use a ready-made glucose solution purchased at the pharmacy. It is sold in powder form and diluted with water according to the instructions. The child is allowed to drink little by little, in small portions. Glucose restores strength well and prevents dangerous dehydration.

If vomiting began after the baby fell and hit his head, until the doctors arrive, the baby needs strict bed rest at night and during the day, since any sudden movements can provoke dizziness and repeated nausea with the release of mucus. The same rule should be followed if the child has acute abdominal pain.

If it is known that vomiting was caused by eating an allergenic product, you can give the infant an antihistamine in an age-appropriate dosage. It is better to choose the medicine in the form of drops, as they can be easily given to the baby from a spoon. This must be done strictly according to the instructions.

As a rule, a doctor who arrives at a child examines the baby’s belly, looks at the child’s throat and teeth, listens to the heart and lungs, and checks the fontanel. If there are signs of incipient dehydration, especially if the child refuses to drink, the doctor will most likely suggest hospitalization. You cannot refuse, otherwise you may waste precious time. In a hospital setting, the baby will be given drips with a water-salt solution to saturate the body with moisture. If a child becomes ill at night, you should not wait until the morning, it is better to immediately call an ambulance. The sooner the cause of the illness is found out, the sooner it will be possible to help the baby.


You should not give your baby any medications until the doctor arrives.

Reasons for appearance

In the first months of life, the baby’s digestive system is just getting ready for smooth operation. In addition, infants often swallow air when feeding. Such dietary habits lead to a gag reflex, which is accompanied by a cough.

During teething, a lot of saliva is produced in the baby's mouth. Some of it flows down the throat to the bronchi, irritating the cough receptors. There is also mucus produced in the nasal sinuses when crying. These viscous fluids are eliminated from the body by coughing.

While playing, your child may aspirate (put a small object up his or her nose). With air flows during breathing, it ends up in the supraglottic apparatus of the larynx or in the lumen of the bronchi. The body tries to get rid of the foreign body by coughing with mucus.

In children with an unstable nervous system, hysterics and crying out loud often turn into a coughing fit. And only vomiting makes the baby calm down.

Colored, scented baby soaps and shampoos often cause allergic reactions. It is accompanied by the secretion of mucus, which flows into the bronchi and is eliminated after coughing attacks. At night, vomiting can be caused by inhaling the powder that was used to wash the bed linen.

Other diseases and conditions

Coughing until vomiting is a sign of the following ailments and disorders:

  1. Cardiovascular dysfunction often manifests as a severe cough. Its attacks occur due to a lack of oxygen in the body and stagnation in the pulmonary circulation. Patients suffocate, cannot breathe deeply and exhale completely. Their heartbeat quickens, their heart rhythm is disturbed, a cough attack occurs, the tone of the peritoneal muscles increases, the gastrointestinal tract relaxes, and vomiting begins. Signs indicating heart failure: shortness of breath, bluish skin, tachycardia, chest pain, hemoptysis. Damage to the structures of the cardiovascular system leads to the accumulation of blood in the lung tissue, swelling of the bronchial mucosa, and irritation of the cough class=”aligncenter” width=”640″ height=”372″[/img]
  2. A cough of neurogenic origin can also result in vomiting. Stress, strong emotions, fear, bitterness of loss, excitement, outbursts of emotions, neurological disorders are the causes of coughing attacks with vomiting in adults and children. Excessive overstrain of the central nervous system leads to dysfunction of the medulla oblongata and erroneous activation of the cough and vomiting centers. This cough occurs systematically, cannot be treated and does not go away for a long time. It disappears after normalization of the psycho-emotional background. Psychologists, psychiatrists, and psychoanalysts will help to cope with this problem.
  3. Heavy smokers cough heavily in the morning. Tars, nicotine, and chemicals contained in tobacco smoke over time damage the ciliated epithelium and paralyze its cilia. The respiratory tract is not completely cleared of sputum, which accumulates inside. A person is tormented by a persistent cough to the point of vomiting.
  4. Parasitosis is manifested by a non-productive, spasmodic cough that gets worse at night. When microbes multiply in the respiratory organs and move through the lungs, the receptors in the trachea and bronchi are irritated, causing coughing attacks with vomiting. The disease may be accompanied by high fever, skin rashes, and a general allergic reaction of the body. Helminths cause intoxication, and their metabolic products destroy soft tissue. Through coughing and vomiting, the body tries to get rid of pathogens and their toxins.
  5. With reflux disease, aggressive gastric juice enters the esophagus and pharynx. This usually happens at night when the person is in a horizontal position. In the morning, patients experience a paroxysmal cough until vomiting. It leaves an unpleasant sour taste in the mouth and a burning sensation in the chest.
  6. In children, a severe cough to the point of vomiting occurs when the cough center, which is localized in the medulla oblongata, is irritated. This occurs in individuals with encephalitis or meningitis, a space-occupying formation, disturbances in cerebrospinal fluid dynamics, ischemic or hemorrhagic brain lesions, and intrauterine infection. The cough is accompanied by neurological symptoms - anxiety, neuromuscular hyperactivity or lethargy, hypertonicity or muscle weakness, bulging fontanel, convulsions. At the peak of the cough reflex, vomiting occurs.

There are a huge number of pathological processes accompanied by severe coughing to the point of vomiting. They have an infectious, oncogenic or neurogenic origin, manifest themselves with a variety of symptoms, are accompanied by a temperature reaction or occur without obvious signs of acute inflammation. The choice of diagnostic and therapeutic measures depends on the cause of the disorder and the severity of the patient’s condition.

What diseases are manifested by coughing until vomiting?

A dry cough often indicates the initial stage of diseases of the respiratory system. During this period, the cough receptors of the mucous membrane are already irritated, but sputum is not yet released. The child cannot clear his throat, and uncontrollable muscle spasms result in gagging.

Common sources of cough with vomiting:

  • colds;
  • whooping cough and parawhooping cough;
  • inflammation of the paranasal sinuses.

During helminthiasis, the larvae of some worms migrate through the circulatory system, lingering in the bronchi and lungs. They irritate the tissues, causing a dry, obsessive cough.

Attacks of wet cough indicate diseases of the bronchi and lungs. Sputum is produced in these organs. During the day, while moving and talking, it is easier for a child to cough up mucus, but at night, when the body is in a horizontal position, it accumulates and is expelled along with vomit. This is how inflammation of the bronchi, pneumonia, and tuberculosis manifest themselves.

Treatment of such diseases is often carried out in a clinic under the supervision of doctors.

Etiology

Diseases of the respiratory system are the most common cause of coughing before vomiting. These include:

  • Viral infections - adenovirus, influenza, coronavirus, rotavirus,
  • Inflammation of the trachea, bronchioles, bronchi and lungs of bacterial etiology,
  • Allergic reactions to dust, poplar fluff, animal hair, perfume, plant pollen,
  • Bronchial asthma,
  • Tuberculosis of lung tissue,
  • Oncopathology of the bronchopulmonary apparatus.

In more rare cases, the causes of cough with vomiting are:

  1. Reflux esophagitis and other diseases of the digestive system, accompanied by the reflux of gastric chyme into the esophagus and pharynx,
  2. Gallbladder dysfunction
  3. Endocrine disorders - pathologies of the thyroid gland,
  4. Heart failure.

A child may cough to the point of vomiting when:

  • Whooping cough and parawhooping cough,
  • Diphtheria,
  • helminthic infestations,
  • Foreign bodies entering the respiratory tract.

Exogenous factors leading to the appearance of the trait in question:

  1. Long-term smoking
  2. Taking certain medications - antihypertensives,
  3. Psycho-emotional stress, stress,
  4. Insufficient air humidity in the room,
  5. Work in hazardous production.

The key points in the occurrence of vomiting during coughing are not fully understood. The pathogenesis of vomiting cough is based on a complex reflex process. Excessive accumulation of mucus in the respiratory tract excites peripheral cough receptors, which send nerve impulses to the cerebral cortex. The cough and vomiting centers are in close proximity and are simultaneously irritated. Important structures responsible for the vomiting reaction transmit information to the periphery through the fibers of the vagus nerve. A paroxysmal cough begins, during which the abdominal muscles and diaphragm contract intensely. All these phenomena cause vomiting and lead to regurgitation of the food bolus.

How to help your child during coughing attacks and vomiting

Vomiting during an attack usually alleviates the condition of sick children. Therefore, when mucus is secreted, it is necessary to help the baby get rid of it. At the same time, parents should not make sudden movements and be nervous. The excitement of adults frightens the child, which causes new throat spasms.

First aid after sputum separation:

  • remove mucus;
  • take an inhalation;
  • change your pajamas;
  • give warm milk to drink;
  • ventilate the bedroom.

If the baby does not have a temperature, take him out into the fresh air (veranda, balcony).

Call a doctor immediately if the following symptoms appear:

  • gagging does not stop;
  • there is blood or foam in the sputum;
  • the face in the nose area turns blue;
  • skin becomes cold and clammy;
  • the child loses consciousness.

In this case, you cannot perform artificial respiration, give medicine, or carry out other medical procedures on your own.

Diagnostic methods

During the consultation, tell the doctor about the child’s general condition and the symptoms accompanying a coughing attack with vomiting (fever, runny nose, diarrhea, lethargy). Remember how many times the urge to vomit appeared, what you did to eliminate it.

A description of the sputum will help determine the cause of the cough. Tell your doctor the volume, consistency, and color of the mucus. White transparent secretion means an allergic reaction or colds. Green – the addition of a bacterial infection. A brown tint appears with pneumonia. Blood streaks indicate rupture of capillaries from a debilitating attack.

After identifying all the symptoms, the doctor examines the throat, palpates the lymph nodes, listens to breathing, and taps the lungs using percussion. Next, the pediatrician prescribes laboratory tests:

  • urine and blood analysis;
  • smear examination;
  • fluorography;
  • Ultrasound of internal organs.

After assessing the test results, consultation with a specialized specialist (otorhinolaryngologist, pulmonologist or allergist) may be required.

Medicines for cough and vomiting

To eliminate attacks of dry and wet cough, it is necessary to cure the underlying disease. The method of therapy depends on the nature of the pathogen (viruses, bacteria, allergens) and the individual characteristics of the patient. Antibiotics and anti-inflammatory drugs are used. Treatment will be complemented by:

  • expectorants – “Gedelix”, “Mukaltin”;
  • bronchodilators – “Eufillin”, “Berodual”;
  • aerosols for the throat - “Kameton”, “Miramistin”;
  • immunostimulating drugs - “Bronchomunal”, “Anaferon”.

Only a doctor can determine the name and calculate the dosage of the drug, taking into account the child’s age, severity of the disease, and general health.

How to help a child with a cough using folk remedies

Folk remedies are an effective auxiliary method of treatment. It is important to remember that some medicinal herbs cause an allergic reaction or worsen an attack with side effects.

Honey and bee products can soften irritated oral mucosa and prevent paroxysmal coughing. To do this, give your child a piece of honeycomb soaked in honey liquid. Make a healthy drink by mixing honey with milk, or adding it to warm tea, linden decoction, or chamomile.

If the child does not have a fever, rub his feet with a warm towel or place dry mustard plasters on his feet. This procedure is done so that the blood rushes to the extremities, easing the swelling of the throat. Remember, steam inhalations when coughing to the point of vomiting are prohibited, as they can cause a new attack.

Compresses improve blood circulation in the lungs and bronchi. As a result, sputum thins out faster and is easier to remove from the body. For this treatment method, mash warm potatoes, wrap them in cloth, and apply them to your back for a few minutes. Wrap your baby up to keep the mixture cool longer. The procedure should not be performed at high temperatures or in the acute stage of the disease.

Prevention

Measures to prevent coughing before vomiting:

  1. Eliminating contact with allergens,
  2. Preventing hypothermia,
  3. Proper nutrition,
  4. Strengthening immunity,
  5. Maintaining a healthy lifestyle,
  6. Anti-smoking
  7. Indoor air humidification
  8. Rest and proper rest with the exception of physical and psychological stress,
  9. Compliance with basic hygiene rules,
  10. Taking vitamin complexes and immunomodulators in the autumn-spring period.

Coughing to the point of vomiting is a sign of the development of a serious pathology of the respiratory system or other disorders. Any damage to the body requires timely diagnosis and properly selected therapy. Adequate treatment reduces the risk of complications and improves the patient's quality of life.

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