how to sleep with a cough

How to Sleep with a Cough? 7 Ways to Reclaim Restful Nights

Coughing fits that persist through the night can turn our peaceful slumber into a restless ordeal. The struggle to find rest when plagued by a persistent cough is a common one, but fear not – there are ways to ease the nighttime discomfort.

In this article, we’ll explore 7 proven techniques on how to sleep with a cough. By understanding the causes, implementing home remedies, and making lifestyle adjustments, you can finally bid adieu to sleepless nights and welcome rejuvenating rest.

What are the Causes of Nighttime Coughing


Coughing at night can be a frustrating and disruptive experience. To effectively tackle this issue, it’s crucial to understand the underlying causes. Here are some common culprits:

1. Respiratory Infections

Often, the onset of a persistent nighttime cough is triggered by respiratory infections. Viral infections like the common cold or influenza can irritate the delicate lining of the respiratory tract, leading to increased coughing, particularly when lying down.

The body’s response to infection, characterized by heightened mucus production, can further contribute to nighttime coughing. This persistent irritation can be especially pronounced during sleep when the body’s defenses are slightly compromised.

2. Allergies

Allergic reactions to environmental factors like dust mites, pollen, pet dander, or mold spores can lead to nocturnal coughing. When allergens are present in the bedroom environment, they can trigger an inflammatory response in the airways, causing coughing fits. This type of coughing is often accompanied by other allergy symptoms such as sneezing, nasal congestion, and a runny nose.

3. Asthma

Nocturnal coughing is a common symptom in individuals with asthma, a chronic respiratory condition. The phenomenon known as “nocturnal asthma” occurs when asthma symptoms worsen during the night. Coughing, wheezing, and shortness of breath may become more pronounced during sleep, leading to frequent awakenings and sleep disturbances.

4. GERD (Gastroesophageal Reflux Disease)

GERD can contribute to nighttime coughing due to acid reflux. When stomach acid flows back into the esophagus and even into the throat, it can irritate the airways and trigger coughing, especially when lying down. This condition, referred to as acid reflux-related cough, is often associated with heartburn and regurgitation and can disrupt sleep significantly.

Understanding the specific cause of your nighttime cough is essential for effective management. It enables you to tailor your approach to address the root issue, whether through medication, lifestyle changes, or targeted remedies.

Home Remedies for Nighttime Coughing


When it comes to managing a persistent nighttime cough, home remedies can offer natural and effective solutions. These holistic approaches can help alleviate discomfort and promote restful sleep without relying on medication. Here are some home remedies to consider:

1. Hydration

Staying adequately hydrated is crucial for managing a nighttime cough. When you’re well-hydrated, it helps keep the mucus in your airways thin, making it easier to clear. Drinking water throughout the day is essential, but consider sipping warm herbal teas as well. Chamomile tea, in particular, is known for its soothing properties, while ginger tea can help reduce inflammation.

2. Humidifiers

Dry indoor air can exacerbate coughing, especially during the winter months. Using a humidifier in your bedroom can help add moisture to the air, preventing your throat and airways from drying out. Opt for cool mist humidifiers, as they are generally safer, especially if you have children or pets. Remember to clean your humidifier regularly to avoid mold and bacteria buildup.

3. Honey and Warm Beverages

Honey has natural antibacterial and anti-inflammatory properties, making it an excellent choice for soothing a nighttime cough. Mix a teaspoon of honey into a cup of warm herbal tea or simply dissolve it in warm water with a squeeze of lemon. This concoction not only eases throat irritation but also provides comforting warmth before bedtime.

4. Elevating the Head of the Bed

If your cough is triggered by postnasal drip, consider elevating the head of your bed slightly. This position can help prevent mucus from accumulating in your throat, reducing the urge to cough. You can use bed risers or extra pillows to achieve the desired elevation. It’s important to maintain a comfortable sleeping position while ensuring your upper body is slightly raised.

5. Cough Drops and Lozenges

Over-the-counter cough drops or lozenges can provide temporary relief from coughing by numbing the throat and soothing irritation. Look for products that contain menthol or honey for added comfort. Keep these handy by your bedside for quick relief during the night.

6. Nasal Saline Rinses

Nasal saline rinses can help alleviate nighttime coughing associated with nasal congestion and postnasal drip. These rinses work by flushing out excess mucus and irritants from your nasal passages. You can use a saline nasal spray or a neti pot to perform these rinses. Be sure to use distilled or sterile water and follow proper hygiene practices when using a neti pot.

7. Steam Inhalation

Inhaling steam from a bowl of hot water can provide instant relief from throat irritation and coughing. The steam helps moisturize your airways and soothe inflammation. Create a makeshift steam tent by placing a towel over your head and leaning over a bowl of hot water. Breathe deeply and slowly for about 10 minutes before bedtime.

Lifestyle Adjustments for Improved Sleep

Improved Sleep

Making certain lifestyle adjustments can significantly improve your ability to sleep peacefully despite a persistent nighttime cough. These changes focus on minimizing triggers and irritants that can worsen your cough and disrupt your sleep. Here’s a detailed exploration of these lifestyle adjustments:

1. Avoiding Triggers and Irritants

  • Smoking and Secondhand Smoke: If you smoke, quitting is the most effective step you can take to reduce coughing. Additionally, steer clear of secondhand smoke, which can exacerbate respiratory issues. Make your home a smoke-free zone.
  • Allergens in the Bedroom: Dust mites, pet dander, and pollen are common allergens that can provoke coughing. Keep your bedroom clean and allergen-free by washing bedding regularly, using allergen-proof covers, and vacuuming with a HEPA filter.
  • Spicy or Acidic Foods Close to Bedtime: Foods that are spicy, acidic, or high in caffeine can trigger acid reflux and worsen nighttime coughing. Avoid consuming these items, especially in the hours leading up to bedtime.

2. Maintaining a Consistent Sleep Schedule

Establishing a regular sleep pattern helps regulate your body’s internal clock. Try to go to bed and wake up at the same time each day, even on weekends. Consistency reinforces your natural sleep-wake cycle, making it easier to fall asleep despite a cough.

3. Creating a Comfortable Sleeping Environment

  • Optimal Room Temperature: Keep your bedroom cool, typically between 60-67°F (15-20°C), as cooler temperatures are conducive to better sleep. Ensure proper ventilation for fresh air.
  • Darkness and Quiet: Invest in blackout curtains and use white noise machines or earplugs if necessary to block out disruptive sounds and light.
  • Comfortable Bed and Pillow: Make sure your mattress and pillows are comfortable and supportive. The right bedding can help reduce discomfort and improve sleep quality.

4. Elevating the Head of the Bed

Elevating the head of your bed by a few inches can be an effective strategy for managing nighttime coughing, especially when it’s related to postnasal drip. You can achieve this elevation using bed risers or by placing sturdy objects, such as books or wooden blocks, under the bed’s head legs. Alternatively, you can invest in an adjustable bed frame that allows you to customize the angle.

5. Avoiding Late-Night Snacking

Eating heavy meals or snacks close to bedtime can increase the risk of acid reflux, which can lead to coughing. Try to finish eating at least two to three hours before going to bed to allow your digestive system to settle. Additionally, pay attention to the types of foods you consume in the evening. Spicy, fatty, and acidic foods are more likely to trigger acid reflux, so try to avoid them in the hours leading up to sleep.

6. Regular Physical Activity

Engaging in regular exercise during the day can improve overall health and potentially reduce coughing at night. Aim for at least 30 minutes of moderate aerobic exercise most days of the week. Activities like brisk walking, swimming, or cycling can be particularly beneficial. However, avoid strenuous exercise close to bedtime, as it may energize you and interfere with your ability to fall asleep.

7. Stress Reduction Techniques

Chronic stress and anxiety can exacerbate nighttime coughing and make it challenging to sleep. Incorporating stress reduction techniques into your daily routine can help calm your mind and improve your sleep quality. Practices like deep breathing exercises, meditation, progressive muscle relaxation, or mindfulness can be effective tools for managing stress. Allocate time in the evening to engage in these activities.

Breathing Techniques for Nighttime Coughing

Breathing Techniques

For those dealing with a persistent cough at night, mastering breathing techniques can be a game-changer in achieving better sleep. Here are some breathing strategies to help you sleep soundly, even with a cough:

1. Deep Breathing Exercises

Deep breathing involves taking slow, deliberate breaths to calm your body and ease coughing. Start by inhaling deeply through your nose, allowing your abdomen to rise as you fill your lungs. Then, exhale slowly through pursed lips. This technique helps relax your airways and promotes better airflow.

2. Pursed Lip Breathing

Pursed lip breathing is a technique that can improve oxygen exchange and reduce the work of breathing. Inhale gently through your nose, then exhale through pursed lips as if you were blowing out a candle. This prolongs the exhalation phase, preventing rapid breathing that can trigger coughing.

3. Controlled Coughing

Controlled coughing may seem counterintuitive, but it’s a useful technique to clear mucus from your airways before bedtime. Sit upright, take a deep breath, and then cough gently to clear your throat. This can help reduce the frequency of uncontrolled coughing during the night.

4. Practicing Relaxation Techniques

Incorporating relaxation exercises into your bedtime routine can be immensely beneficial. Techniques such as progressive muscle relaxation or meditation calm your mind, reducing anxiety that can exacerbate coughing. These practices promote a sense of calm, making it easier to fall asleep despite a cough.

Recognizing When to Seek Emergency Help

Emergency Help

While managing nighttime coughing is essential, it’s equally crucial to recognize situations where seeking immediate medical attention is imperative. Some symptoms and signs associated with nighttime coughing may indicate a medical emergency. Here’s a comprehensive guide to help you distinguish when urgent action is required:

  • Severe Difficulty Breathing: If you experience extreme difficulty breathing, such as wheezing, gasping for air, or struggling to breathe in or out, seek immediate medical attention. This could indicate a severe respiratory issue requiring urgent intervention.
  • High Fever: A high fever accompanying your nighttime cough may suggest a severe infection, like pneumonia. If your fever is persistently high and causing chills or weakness, seek prompt medical evaluation.
  • Chest Pain: Chest pain accompanying your nighttime cough is a critical sign. It could signify cardiac problems or chest wall inflammation. Any chest pain should be addressed urgently to rule out serious issues.
  • Loss of Consciousness: Fainting or losing consciousness during a coughing episode is a significant concern. It may indicate underlying heart or neurological problems and requires immediate medical assessment.
  • Coughing Up Blood: If you cough up blood, known as hemoptysis, it’s a serious symptom demanding immediate medical attention. Various underlying issues, including respiratory infections, lung disease, or even lung cancer, can be the cause.
  • Sudden Onset of Swelling or Hives: If you notice sudden facial or throat swelling or develop hives along with your nighttime cough, this could indicate a severe allergic reaction known as anaphylaxis. Anaphylaxis requires immediate medical attention, as it can rapidly progress and be life-threatening.
  • Persistent and Severe Cough: If your nighttime cough persists for several weeks, worsens in severity, or doesn’t respond to over-the-counter treatments or prescribed medications, consult a healthcare professional promptly. It could be a sign of an underlying health problem that requires specialized care.

In any of these circumstances, do not delay seeking help. Call 911 or visit the nearest emergency room promptly for a comprehensive evaluation and appropriate treatment. Timely action can greatly impact the management of severe health crises related to nighttime coughing.


In your quest to learn how to sleep with a cough, these 7 strategies will be your allies. By understanding the causes, seeking professional guidance, and adopting home remedies, lifestyle changes, and breathing techniques, you can bid farewell to sleepless nights. Remember, a good night’s sleep is essential for overall health, so don’t hesitate to take action and reclaim your restful slumber.

AboutCorinne Switzer

Corinne is an avid reader and takes a keen interest in conspiracy theories. When not busy with her day job, she likes to indulge the writer in her and pens columns on a wide range of topics that cover everything from entertainment, healthy living to healthcare and more.