Are your flu symptoms getting worse at night?

9.8 (15 reviews) Rate this page



Immune System Expert
@AvogelUKHealth
Ask a question


08 August 2014

Why do flu symptoms get worse at night?

There are 3 main reasons why symptoms of colds or flu seem to be worse as we try to get our much-needed rest, and understanding what is happening to our bodies at night can sometimes help us to glean more restful sleep.

1. Role of gravity

During the day when you are standing or sitting upright, nasal mucus drains down your nose and throat. When you blow your nose or swallow, the mucus is cleared away from your airways, making it easier to breathe. However, as you lie down at night, the flow of mucus changes and it does not clear in the same way – instead collects at the back of your throat and lodges in your airways. The extra congestion can mean that you are forced to breathe through your mouth, making your mouth and throat dry and more prone to coughing. So, the combination of not being able to breathe properly, along with persistent coughing, can cause your suffering to worsen during the small hours of the night.

2. Daytime distraction and the dreaded darkness

During the day we usually have plenty to get on with and to think about. Running from one thing to the next can mean that we have little time to dwell upon our symptoms. However, at night when all we have to look at is the darkness, we have the time to notice how unwell we are. Additionally, we can begin to worry that we are spending our precious sleeping hours blowing our nose and clearing our throat instead of getting much needed rest. Fretting about being awake can prevent us from falling asleep, and so the vicious circle continues…

3. Immune system function

Although we have to respect our immune systems for doing their job, it can be a bit frustrating that they are so active in the middle of the night. The inflammatory response of the immune system is heightened at night and this worsens symptoms of congestion and headache. Additionally, it raises the temperature of your body in an attempt to kill the flu virus, worsening your fever and resulting in alternating chills and hot flushes. Exactly what you need at two in the morning!

Easing your symptoms at night

So, armed with this knowledge about what is making night-time so problematic, what can you do to ease your symptoms?

Go to bed hydrated – being dehydrated will make any symptom worse, as well as reducing your body’s ability to fight and flush out infection.

Clear your nasal passages before going to bed – this will prevent difficulty sleeping because of a blocked or runny nose. Try inhaling steam, or better still, add some essential oils such as Eucalyptus or peppermint to a bowl of hot water and gently breathe in the steam. Alternatively, try a nasal spray to help clear those airways.

Elevate your upper body – this will mean that gravity will continue with its daytime job of draining mucus from your airways rather than allowing it to accumulate. Arrange your pillows so that your shoulders neck and head are slightly raised. Just raising your head can restrict your breathing and may result in a stiff and sore neck the next day.

Adapt your environment – being unwell means that you can be pedantic about your sleeping environment by making sure your room is completely dark and at a comfortable temperature. Some people prefer complete silence, while others find that listening to some relaxing music helps to transport you to the land of nod.

Keep your mouth and throat moist – breathing through your mouth because of a blocked nose can cause your throat to dry out, which can then cause a sore throat or dry, tickly cough. Use our cough spray to remedy this, as it leaves a protective layer in the throat that soothes dryness and irritation.

Be prepared – if you are lucky you may sleep peacefully till your alarm clock rings the next morning, but the chances of this happening when you have the flu are significantly reduced. My top tip is to be prepared for any night-time awakenings by having some water by your bedside to moisten your mouth and throat which can become very dry, and a nice stack of tissues for any nose troubles. There is nothing worse than having to get out of bed and put the light on to find a tissue or remedy, so try to have everything you will need to hand so that you don’t wake yourself up too much. Try to go back to sleep as soon as possible.

Support your immune system – your immune system needs to work a bit harder in order to fight infection, so be helpful to it by taking some Echinacea, a herb with traditional use of supporting the immune function and fighting colds and flu. This herb can be found in licensed herbal remedy Echinaforce Echinacea drops or tablets.

Echinaforce® Echinacea Drops

For relieving the symptoms of colds and flu. Also in 50ml & 100ml drops.
More info

A.Vogel Echinaforce Hot Drink Cold & Flu Echinacea concentrate for oral solution with Elderberry for the relief of cold and flu symptoms, 100ml

100ml

£ 12.99

find your local stockist

Echinaforce® Echinacea Hot Drink. Soothing and palatable hot drink.
More info

What's being asked

Can you catch flu from not washing your hands after going to the toilet?

In general, the answer is no. The bacteria and viruses in the digestive tract and faeces will not ...
Read more >

I think I have the flu, but why does the inside of my nose feel like its burning?

This is all to do with the infection causing inflammation and irritating the mucus lining of the ...
Read more >

I have been feeling really unwell with flu symptoms for over a week now and still not showing any signs of recovery. What would you suggest?

I am sorry to hear that you have been feeling unwell with flu symptoms for the past week. Most ...
Read more >

How healthy are you?

Take our quick quiz to discover just how healthy your immune system is, as well as some useful information about your general health and wellbeing!