Why is whooping cough milder during the day and worse at night?

Written by Zeng Hai Jiang
Pediatrics
Updated on February 26, 2025
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Whooping cough is an acute respiratory infectious disease caused by Bordetella pertussis infection, commonly seen in children. The main symptoms are paroxysmal spasmodic coughing, a crowing inspiratory noise, with coughing occurring both during the day and at night, more significantly at night. The main reasons are as follows: first, the dry indoor air causes irritation. Second, during the night, the mucus secreted by the bronchial mucosa cannot be expelled from the body, which stimulates the bronchial nerves and triggers worsening cough symptoms. Coughing can also cause redness of the face and ears, runny nose, nausea, and vomiting.

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Pulmonology
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Whooping cough vaccine

The vaccine for pertussis is generally a type of compound vaccine, belonging to the triple vaccine category, primarily the DTP vaccine. This vaccine can prevent common infectious pathogens such as whooping cough, diphtheria, and tetanus. It is necessary to take children to the hospital for timely vaccinations according to the treatment schedule to effectively produce antibodies, which can provide effective prevention and treatment. It is also important to pay attention to the cleanliness of indoor air, ensure indoor air disinfection, and avoid going to crowded environments, especially during the flu season to strengthen protection.

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Can whooping cough recur?

Pertussis, a respiratory infectious disease, is contagious and mainly transmitted through airborne droplets. Once infected and treated promptly and properly, the body will develop immunity and produce antibodies, though not for life. Relapse is possible, but generally, it does not recur within three to five years after recovery. If symptoms of cold and cough appear, it is possible that they are caused by other pathogens or allergic factors.

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What fruits can be eaten with whooping cough?

Pertussis, once diagnosed, should be treated promptly with anti-inflammatory treatment and symptomatic care. Regarding diet, common fruits such as apples, bananas, grapes, pears, watermelons, pineapples, avocados, and mangoes can generally be consumed without special restrictions. Eating more pears, tangerines, and oranges can effectively moisturize the lungs, dissolve phlegm, suppress coughs, and alleviate symptoms. It is also important to drink plenty of water and maintain suitable indoor temperature and humidity to aid in recovery from the disease. Early detection and treatment of the disease, and the formulation of individualized treatment measures, are crucial.

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Written by Li Jian Wu
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Whooping cough vaccine at what age?

The pertussis vaccine is generally administered within the first year of age. Under normal circumstances, children should be taken to hospitals or public health prevention stations for vaccination according to the course of treatment. The first dose starts at the third month after birth, followed by the second dose at four months and the third dose at five months old. A booster can be administered when the baby is two years old. The DTP vaccine used in clinics mainly consists of three components: pertussis, diphtheria, and tetanus.

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Written by Li Jian Wu
Pulmonology
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Whooping cough is transmitted through respiratory droplets.

Pertussis is mainly transmitted through airborne droplets and is a commonly seen respiratory infectious disease in clinical settings. If a child is at school and classmates have pertussis without antibodies in their body, it is quite possible for the infection to occur, commonly seen in babies under five years old. If there are episodes of spasmodic, convulsive coughing accompanied by a barking sound or a crowing sound during inhalation, this disease should be highly suspected, and prompt culturing of the pathogen is needed for confirmation.