Nightime cough

My 12 month twin girls both had RSV in March with one hospitalized for 5 days on oxygen.  One week after they were over the RSV they began coughing, just at night.  The family doc we see first tried decongestants, then Zantac, and now we are doing albuterol/pulmicort nebs twice a day.  Since they only cough at night does it seem possible that they are coming in contact with a bedroom allergy?  The cough is loose and rattley sounding and sometimes they gag or vomit.  They were 2 1/2 months premature and both have BPD.  Thanks, momofsupersix

[National Jewish]

Given the history you have presented, it does not seem that allergy is the likely cause of the problem. This may be residual airway reactivity from the Respiratory Syncytial Virus (RSV), which is also aggravated by the girls having had Bronchopulmonary Dysplasia (BPD). This is not uncommon. It is also not uncommon for this to last a while and be associated with wheezing. I think the approach your family physician has tried is a good one. If this fails, you may consider seeing a specialist.

[bruno]

have they ruled out enlarged tonsils and/or adenoids (adenoids)?

[momofsupersix]

No they haven't.  However we have allergy proofed the bedroom and they are not coughing near as much!  Hopefully we are on the right track.  Thanks for responding.
momofsupersix