What causes a newborn to cough twice?

Mar 18, 2025 Source: Cainiu Health
Dr. Zhou Xiaofeng
Introduction
In general, occasional coughing in newborns may be caused by underdeveloped organs, airway clearance, overly dry indoor air, upper respiratory tract infections, bronchitis, or other factors. Symptomatic management such as general care or medication may be needed. Parents are advised to give newborns an appropriate amount of water regularly, in small quantities frequently, to help moisturize the respiratory tract and relieve coughing symptoms.

Generally, a newborn coughing a couple of times may be caused by underdeveloped systems, airway clearance, overly dry indoor air, upper respiratory tract infection, bronchitis, or other reasons. Symptomatic treatment such as general care or medication may be needed. If discomfort occurs, it is recommended to seek medical attention promptly and receive appropriate treatment under a doctor's guidance. Detailed explanations are as follows:

1. Underdevelopment

Newborns have just left the maternal environment, and their respiratory systems are not yet fully developed. Their respiratory mucosa is relatively fragile and susceptible to external stimuli, which may lead to occasional coughing. Usually, no special treatment is required. Parents should simply observe the newborn's condition closely, keep indoor air fresh, and avoid exposure to irritating gases.

2. Airway Clearance

A newborn's airway is relatively small and can be easily blocked by mucus or milk. Coughing is a natural defense mechanism of the body that helps expel these substances and maintain an open airway. It is recommended to ensure proper feeding posture to prevent milk regurgitation.

3. Overly Dry Indoor Air

If the indoor environment where the newborn resides is excessively dry, it may cause reduced body moisture, leading to dryness and itching of the throat mucosa, which can cause occasional coughing. Parents should appropriately adjust indoor humidity, for example by using a humidifier, to keep the newborn's respiratory mucosa moist.

4. Upper Respiratory Tract Infection

A newborn's immune system is not yet fully mature, making them susceptible to viral infections. During an upper respiratory tract infection, viruses can cause inflammation in the throat area, triggering the cough reflex, and may be accompanied by symptoms such as fever, runny nose, and sneezing. It is recommended to use medications such as amoxicillin granules, cefaclor granules, or oseltamivir phosphate capsules under a doctor's guidance.

5. Bronchitis

Bronchitis is an inflammation of the bronchi caused by bacterial or viral infection, resulting in bronchial narrowing and increased secretions, which stimulate the cough reflex. The cough may be dry or accompanied by phlegm, and sometimes is associated with difficulty breathing. It is recommended that newborns follow medical advice to use medications such as roxithromycin granules, antiviral granules, or children's cough syrup to relieve symptoms.

Parents are advised to give the newborn an appropriate amount of water regularly, offering small amounts of warm water frequently, which helps moisturize the respiratory tract and alleviate coughing symptoms.