This is an English rendering of a Polish public-health reference. The care paths it names (112, night and holiday care NiŚOZ, primary care POZ) are Polish. This is not medical advice.

PL

This is not medical advice Life-threatening emergency (Poland): 112

Home › Fever and symptoms of illness

Why does a child's cough get worse at night, during sleep, in the morning or in the evening?

Applies to age: 0–60 months

In short

A cough that lasts a long time, especially when it gets worse at night, may be a sign of asthma, and it is worth seeing a doctor about it. If the child has increased shortness of breath, call an emergency medical team (ZRM) on 112 (the emergency number in Poland) or 999 (the ambulance number in Poland).

Sources: NHS, NFZ i Akademia NFZ, Portal PacjentaChecked: Report an error

What is normal

All claims: international norm

  • Children often cough when they have a cold, because mucus runs down the back of the throat.
    Source: NHS – show the original wording (EN)

    Summarized and translated by the editors, not an official translation. Verbatim quote from the source, in its original wording:

    Children often cough when they have a cold because of mucus trickling down the back of the throat.

    NHS · open the source · accessed: 2026-10-16 · license [1]

  • Croup symptoms (a barking cough) usually appear after a few days and often get worse at night.
    Source: NHS – show the original wording (EN)

    Summarized and translated by the editors, not an official translation. Verbatim quote from the source, in its original wording:

    Croup symptoms usually come on after a few days and are often worse at night.

    NHS · open the source · accessed: 2026-10-16 · license [1]

When to worry

All claims: international norm

Worth discussing with a doctor:

  • A cough that lasts a long time, especially one that gets worse at night or after running, may be a sign of asthma; it is worth seeing a doctor.
    Source: NHS – show the original wording (EN)

    Summarized and translated by the editors, not an official translation. Verbatim quote from the source, in its original wording:

    If a cough continues for a long time, especially if it's worse at night or is brought on by your child running about, it could be a sign of asthma.

    NHS · open the source · accessed: 2026-10-16 · license [1]

ER / 112 (Poland)

Some claims: international norm

Immediate medical help needed: international norm

  • Difficulty breathing in a child with a cough needs immediate medical help.
    Source: NHS – show the original wording (EN)

    Summarized and translated by the editors, not an official translation. Verbatim quote from the source, in its original wording:

    Go to A&E or call 999 immediately if your child is finding it hard to breathe, as they'll need urgent treatment in hospital.

    NHS · open the source · accessed: 2026-10-16 · license [1]

  • Call an emergency medical team (ZRM) when someone has lost consciousness, has seizures, heart rhythm disturbances, extensive burns, persistent vomiting (especially with blood), has increased shortness of breath or acute abdominal pain.
    Source: NFZ i Akademia NFZ – show the quote

    Verbatim quote from the source:

    Polish original

    Wezwij zespół ratownictwa medycznego, jeśli ktoś w Twoim otoczeniu np. stracił przytomność, ma drgawki, zaburzenia rytmu serca, rozległe oparzenia, uporczywe wymioty – zwłaszcza z domieszką krwi, odczuwa nasiloną duszność lub ostry ból brzucha.

    NFZ i Akademia NFZ · open the source · accessed: 2026-10-16 · license [2]

  • Call 112 (the emergency number in Poland) or 999 (the ambulance number in Poland) if life or health is at risk.
    Source: NFZ i Akademia NFZ – show the quote

    Verbatim quote from the source:

    Polish original

    Zadzwoń na 112 lub 999, jeśli zagrożone jest życie lub zdrowie.

    NFZ i Akademia NFZ · open the source · accessed: 2026-10-16 · license [2]

See a doctor

  • Night and holiday care (NiŚOZ) is medical help outside the working hours of a primary care (POZ) clinic.
    Source: NFZ i Akademia NFZ – show the quote

    Verbatim quote from the source:

    Polish original

    Nocna i świąteczna opieka zdrowotna to pomoc lekarska po godzinach pracy przychodni POZ.

    NFZ i Akademia NFZ · open the source · accessed: 2026-10-16 · license [2]

  • A sick patient who contacts a POZ clinic should get an appointment on the day of contact.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    Jeśli przyjdziesz chory do przychodni, powinieneś uzyskać wizytę w dniu zgłoszenia.

    Portal Pacjenta · open the source · accessed: 2026-10-16 · license [3]

international norm “International norm” next to a section heading means its claims come from a non-Polish source, because no Polish source in our registry covers this topic. When this applies to only some of the claims, the foreign ones carry the same label next to their source.

International norm

“International norm” next to a section heading means its claims come from a non-Polish source, because no Polish source in our registry covers this topic. When this applies to only some of the claims, the foreign ones carry the same label next to their source.

Sources

  1. NHS (nhs.uk, Anglia)
    License: Open Government Licence v3.0. Source: NHS (nhs.uk, Anglia). Content summarized and translated by the editors; changed relative to the original. Contains public sector information licensed under the Open Government Licence v3.0. The summary is ours and is not attributed to the NHS.
  2. NFZ i Akademia NFZ
    License: Treści NFZ – wykorzystanie ze wskazaniem źródła, bez obrotu komercyjnego. Source: NFZ i Akademia NFZ. Content summarized and translated by the editors; changed relative to the original.
  3. Portal Pacjenta (pacjent.gov.pl)
    License: CC BY 3.0 PL. Source: Portal Pacjenta (pacjent.gov.pl). Content summarized and translated by the editors; changed relative to the original.

See an error or outdated information? Report an error in this answer. Answer checked against the sources on October 16, 2026.

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