Cough

A cough is a natural reflex that helps to clear the airways of mucus, irritants, and other foreign particles. It is a common symptom of many respiratory conditions, including colds, flu, bronchitis, pneumonia, and asthma.

Types of Cough

  • Acute cough: A short-term cough that lasts less than 3 weeks, often caused by a viral infection such as a cold or flu.
  • Chronic cough: A long-term cough that lasts more than 8 weeks, often caused by underlying conditions such as asthma, chronic obstructive pulmonary disease (COPD), or gastroesophageal reflux disease (GERD).
  • Productive cough: A cough that brings up mucus or phlegm, often indicating a respiratory infection.
  • Non-productive cough: A dry, hacking cough that does not bring up mucus or phlegm, often caused by irritation of the airways.

Causes of Cough

A cough can be caused by a variety of factors, including:

  • Respiratory infections such as colds, flu, bronchitis, and pneumonia
  • Allergies to dust, pollen, or other substances
  • Asthma and chronic obstructive pulmonary disease (COPD)
  • Gastroesophageal reflux disease (GERD)
  • Smoking and exposure to secondhand smoke
  • Air pollution and environmental irritants
  • Medications such as ACE inhibitors and beta blockers

Symptoms of Cough

The symptoms of a cough can vary depending on the underlying cause, but may include:

  • A dry, hacking cough or a productive cough that brings up mucus or phlegm
  • Chest tightness or discomfort
  • Shortness of breath or difficulty breathing
  • Fatigue and weakness
  • Headaches and facial pain
  • Sore throat and hoarseness

Diagnosis of Cough

A diagnosis of a cough is typically made based on a physical examination, medical history, and diagnostic tests such as:

  • Chest X-rays or computed tomography (CT) scans to evaluate the lungs and airways
  • Pulmonary function tests (PFTs) to assess lung function
  • Blood tests to check for infections or inflammation
  • Allergy testing to identify potential allergens

Treatment of Cough

The treatment of a cough depends on the underlying cause, but may include:

  • Over-the-counter (OTC) medications such as cough suppressants and expectorants
  • Prescription medications such as antibiotics, bronchodilators, and corticosteroids
  • Lifestyle changes such as quitting smoking, avoiding allergens, and staying hydrated
  • Alternative therapies such as acupuncture and herbal remedies

Complications of Cough

If left untreated or poorly managed, a cough can lead to complications such as:

  • Respiratory failure and pneumonia
  • Asthma and chronic obstructive pulmonary disease (COPD)
  • Gastroesophageal reflux disease (GERD) and esophagitis
  • Sleep disturbances and fatigue
  • Social and economic burdens due to lost productivity and healthcare costs

Prevention of Cough

To prevent a cough, it is recommended to:

  • Get vaccinated against flu and pneumonia
  • Avoid smoking and secondhand smoke
  • Use allergy-proof bedding and avoid allergens
  • Stay hydrated and get plenty of rest
  • Practice good hygiene such as washing hands frequently

Article last updated on: 11th April 2025.
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