Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

184 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Pregnant, getting dry cough only at night. Should i consult with an ENT?

Answered by
Dr. Raju A.T

General & Family Physician

Practicing since :2008

Answered : 3909 Questions

Posted on Mon, 17 Dec 2012 in Ear, Nose and Throat Problems
Question: Sir, My wife gets intense dry cough only at night.. During day she is very normal... I have also started noticing some crackling sound while she breathes just before she cough.. the cough is thre for past two months..
What could this be.... Yesterday night she did not sleep except for an hour or so, by 7 am she slept again.. During sleep there is no problem..
My wife also pregnent for 1.5 months.. Should we consult a ENT doctor or a Lungs doctor
Answered by Dr. Raju A.T 21 minutes later

Thanks for your query.

The symptoms you mentioned above are commonly seen in upper respiratory tract infections (URTI). Dry cough on lying down position is typically seen in URTI specially when Pharynx or larynx is involved. The other reason could be acid reflux from the oesophagus in early pregnancy because of HCG hormone where the lower oesophageal sphincter can is lax.

I hope your wife was not allergic and not diagnosed with asthma.

I suggest you to take her to ENT specialist who can address the problem effectively after examining her.

Meanwhile she can gargle with an Antiseptic solution like CHLORHEXIDINE twice daily after food.This will cure or at-least contain the infection if it is in the pharynx.

Do not give medications on your own, as some medications are contraindicated in early pregnancy.

Hope I answered your query.Please let me know if there are any other concerns.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Raju A.T 41 minutes later
Thanks for your reply dear sir.

But the incident of unceasing cough has started much before my wife became pregnent. In fact the homeo doctor had tried to address hormonal cause of the cough but was for no good...

Also does the whisteling / crackling sound just before Cough mean anything!!!! She does not have that during the day or times when she is not coughing.

Also its strage to us that the moment she hits her head on the pillow, the cough starts immaterial of what time of night.

She has not been detected with any asthma or serious allegry till now..

We will visit an ENT as you suggested and see how things fair..

Thanks for your feedback..
Answered by Dr. Raju A.T 48 minutes later

Thanks for writing back.

URTI like Pharyngitis and laryngitis do present as chronic conditions presenting with dry cough.Most of times they occur due to infections which persist for months in some or occur recurrently.Also in early pregnancy there can be congestion in the mucosa which could have been the reason for the preexisted URTI to persist.

The crackling or the gurgling sound which you listen could be due to secretions from the inflamed mucosa in the respiratory tract.Lying down specially in patients with laryngitis causes the inflamed glottis to sag down due to gravity causing irritation and thus initiating cough.

I do not think it to be due to any hormonal cause.

Do visit an ENT specialist he can after examination rule out the above conditions.

Wish you good health.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  

Recent questions on  Pharyngitis

doctor1 MD

I have a long term problem (4-5 years) with a perennial allergic throat infection kind of symptoms, punctuated with genuine throat infections. I am perennially on Montair LC, and when have throat infections (about once in 3 months) usually have Cefixime 200 BD. Any way to change this situation?

doctor1 MD

My 5 year old son had strep pharyngitis 2 weeks ago and was treated with keflex x 10days. Midway through the keflex course he c/o lower bilateral abdominal pain although he would first point to the right lower quadrant. Yesterday he developed a fever, headache, sore throat, and abdominal pain. No N&V, no diarrhea, no one else is sick in the house. He was seen by his PCP who did a throat culture, UA and culture. His UA showed +4 ketones, trace blood, +1 protein, negative glucose, and specific gravity of 1.010. We were given a second course of Keflex and sent to the ED where they did another UA, CBC, and CMP. Glucose 116. UA still had +4 ketones but no other abnormalities. Today he is febrile 101 to 102 F, with abdominal pain which is lower bilateral but a little more on the right side. The ED said that he could have an appendicitis brewing and to keep an eye on him. The also said that his urine did not look dehydrated and his electrolytes looked normal so they are not sure why his ketones are so high. Any thoughts?

doctor1 MD

i went to doctors yesterday and they confirmed i had a high temperature and throat infection and gave me some antibiotics. about a year ago i had glandular fever and had some pain in my tummy. the doctor said it was an enlarged spleen. with this infection i was warned of the similar effects to glandular fever it may have and am sore under my ribcage. is there anything to worry about here or will this go with the illness?

doctor1 MD

I am 5 10 , 195 lbs, 24 years old male.... So sunday night I was getting a scratchy throat, but I was not worried, woke up next morning and had a sore throat, went to work it was manageable, asked fellow employees why my throat was only sore on one side. Monday night I started to get cold chills and a fever..Went to bed and woke up next morning with an even worse sore throat on my right side only. I was tired and had body aches, so I thought it was the flu or something, took some pain killers and went to work, Tuesday evening at work I was getting even more cold chills the night before , so I went home early and took a hot bath to warm me up, some tylenol and tried to sleep. Wednesday morning, same routine, right side of throat hurts even worse, where I can barely swallow liquids with out my throat hurting. So I took some thera-flu the prescribed dosage and continue to take it but still no results, but I happened to look in the mirror with a flashlight right next to my right tonsil it looks as if it got infected and there was white stuff stuck in there. I tried to remove it with a q-tip but was unsuccessful, not only did it hurt but it felt as if it was stuck in. Thursday I went to a doctor and she said I have some sort of pharyngitis, pre scribed me some amoxicillin and asked if I have post nasal drip, not that I know of.... But I have been following the directions and still now it is friday woke up pain in my throat on my right side only and I havent any real food since sunday... Am I not giving the amoxicillin enough time, if not if my throat continues to be in pain what s next?

doctor1 MD

For the past 3 weeks I have had a very persistent sore throat which at times has made it very difficult to swallow. Lemsips and lozengers ease and alcohol makes it worse. Sleeping can be disturbed due to being painful to swallow. The symptoms seem...

doctor1 MD

Recently had a very bad respiratory infection several weeks ago and also developed pharyngitis from GERD, that I have suffered for the last several years. Since then I have a very slight cough a few times a day which produces a little phlegm. So I...

doctor1 MD

pop top stuck in my throat, what should I do?