Gas and digestive upset are also likely, and sitting up and burping offers some relief. Feeling worse in the evening, and worse from talking, eating, or lying down are other indications for this remedy. The cough is often worse around nine p.m., and may continue into the night. The person seems hypersensitive and may be extremely irritable and agitated. Wheezing can come on suddenly with a feeling of suffocation and heaviness in the chest.
Mucus collects in breathing tubes, but the person has difficulty coughing much out.
The person may sweat a lot and feel clammy or nauseous, be worse from motion, and sometimes worse from warmth. The person may hold the chest while coughing, because it feels so weak. Wheezing and breathing difficulties are aggravated by exertion, and episodes tend to be worse in the very early morning. Problems are often worse in the morning. Overindulgence in stimulants, alcohol, sweets, or strong spicy food can bring on or aggravate an episode.