What can calm a childs cough?

Over-the-counter cough and cold medicines are not recommended for young children. Learn how to soothe your child's symptoms naturally with these home cough remedies.

If your child seems to be coughing constantly, it can be concerning. Typically, a child's cough is nothing to worry about. Many times, it can be caused by a common cold or even by allergies.

Because over-the-counter cough and cold medicines are not recommended for children under the age of 6 years, it can be challenging to know how to help your child feel comfortable – especially if a cough is keeping them up at night. See seven ways you can treat your child's cough at home.

Home remedies to help soothe a child's cough

• Drink warm fluids: Encourage your child to drink plenty of fluids. Warm liquids such as caffeine-free tea, broth or hot water with lemon can help loosen up mucus and soothe a sore throat.
• Consider using a humidifier: Dry air can make a child's cough worse. Consider placing a cool-mist humidifier in your child's room, near where they sleep, to help ease their breathing.
• Breathe in warm water vapors: Let your child breathe in water vapors from a warm bath or shower. This can help loosen mucus and, as a bonus, calm your child before bed.
• Try icy treats: Give your child cold items like popsicles or ice cream to make a hurting throat feel better.
• Saline and suction: A saline solution, such as a nose spray or mist, can help loosen mucus in the nose. Have your child blow their nose frequently, or if they are young, use a suction bulb to prevent drainage.
• Give a spoonful of honey (over age 1): A teaspoon of honey can help combat coughing but should only be given to children over age 1.
• Get some zzz's: Encourage your to child get plenty of rest and sleep to promote healing. While coughing may seem aggravated at night, the above tips may help your child find relief.

Remember, it can take a couple of weeks for a child to recover from a cold. However, if your child's cough continues to linger, is accompanied by symptoms such as a high fever or difficulty breathing, or you are concerned that it may be a sign of a more serious illness (see other common causes of coughs in children), contact your child's pediatrician as soon as possible.

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Medicines (OTC)

Over-the-Counter (OTC) cough and cold medicines can cause side effects. These side effects can be serious in young children. The risks of using these medicines outweigh any benefits. The Food and Drug Administration (FDA) recommends these medicines never be used in young children. After age 6, the medicines are safe to use, if you follow the package instructions. But, it's easy to treat coughs and colds without these medicines.

Home Remedies:

A good home remedy is safe, cheap, and as helpful as OTC medicines. They are also found in nearly every home. Here are some simple but helpful home treatments.

1. Runny Nose: Just suction it or blow it. Teach your child how to blow the nose at age 2 or 3. When your child's nose runs like a faucet, it's getting rid of viruses. Allergy medicines (such as Benadryl) do not help the average cold. They are useful only if your child has nasal allergies (hay fever).

2. Blocked Nose: Use nasal saline.

• Use saline (salt water) nose drops or spray to loosen up the dried mucus. If you don't have saline, you can use a few drops of water. Use distilled water, bottled water or boiled tap water.
• Step 1: Put 3 drops in each nostril. If age under 1 year old, use 1 drop.
• Step 2: Blow (or suction) each nostril separately, while closing off the other nostril. Then do other side.
• Step 3: Repeat nose drops and blowing (or suctioning) until the discharge is clear.
• How Often: Do nasal saline rinses when your child can't breathe through the nose. Limit: If under 1 year old, no more than 4 times per day or before every feeding.
• Saline nose drops or spray can be bought in any drugstore. No prescription is needed.
• Reason for nose drops: Suction or blowing alone can't remove dried or sticky mucus. Also, babies can't nurse or drink from a bottle unless the nose is open.
• Other option: use a warm shower to loosen mucus. Breathe in the moist air, then blow (or suction) each nostril.
• For young children, can also use a wet cotton swab to remove sticky mucus.
• Medicines. There are no drugs that can remove dried mucus from the nose.

3. Coughing: Use homemade cough medicines.

• Age 6 months to 1 year. Give warm clear fluids (such as apple juice or lemonade). Dose: 1-2 teaspoons (5-10 mL) four times per day when coughing. Under 3 months, see your child's doctor. Caution: Do not use honey until 1 year old.
• Age 1 year and older. Use Honey ½ to 1 teaspoon (2 to 5 ml) as needed. It thins the secretions and loosens the cough. If you don't have honey, you can use corn syrup. Research shows that honey works better than cough syrups to reduce nighttime coughing. Can also offer warm lemonade or herbal teas. Amount: a few ounces (30 mL) each time.
• Age 6 years and older. Use Cough Drops to decrease the tickle in the throat. If you don't have any, you can use hard candy. Avoid cough drops before 6 years. Reason: risk of choking.
• Coughing fits. The warm mist from a shower can help.

4. Fluids: Help your child drink lots of fluids. Staying well hydrated thins the body's secretions. That makes it easier to cough and blow the nose.

5. Humidity: If the air in your home is dry, use a humidifier. Moist air keeps the nose and airway from drying out. Run a warm shower for a while to help put moisture in the air.

Treatment is Not Always Needed:

• If symptoms aren't bothering your child, they don't need medicine or any treatment. Many children with a cough or cold are happy, play fine and sleep well.
• Only treat symptoms if they cause discomfort or wake your child up. Treat a cough if it's hacking and really bothers your child.
• Fevers are helpful. Only treat them if they slow your child down or cause some discomfort. That does not occur until 102° F (39° C) or higher. Acetaminophen (Tylenol) or ibuprofen (Motrin or Advil) can be given. Use to treat higher fever or pain. See Dose tables.

Summary

If coughs or colds need treatment, home remedies may work better than medicines.

Last Reviewed: 11/11/2022

Last Revised: 09/18/2022

Copyright 2000-2022 Schmitt Pediatric Guidelines LLC.