@drowenyuan: A 17-Month-Old Coughs and Gags Every Night — But Is Fine All Day A de-identified real ENT consultation: a 17-month-old boy coughs in his sleep, then gags and retches — twice he sat up asleep and vomited milk and food. Awake he is energetic and shows no discomfort, with no fever or nasal congestion, though he sometimes has acid reflux and his nose sounds stuffy. Dr. Owen Yuan explains why a cold — a viral upper respiratory infection including acute rhinitis and pharyngitis — is the likeliest cause, why no special medicine is needed, the rest, sit-up feeding and saline rinse plan that usually resolves it in about a week, and the one red flag — persistent gagging and reflux — that calls for a pediatric gastroenterologist instead. Educational content only — not medical advice. Patient identities are de-identified. Consult your doctor for personal concerns.

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