Chronic Cough Treatment

First of all, what is coughing or chronic coughing? Chronic Coughing is a reflex action started by stimulation of sensory nerves in the lining of the respiratory passages - the tubes we use to breathe.

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When a person coughs, there is a short intake of breath and the larynx (the voice box) closes momentarily. The abdominal and chest muscles used for breathing contract, which in turn increases the pressure needed to drive air out the lungs when the larynx re-opens.
You start coughing.

The resulting blast of air comes out at high speed, scrubbing and clearing the airway of dust, dirt or excessive secretions. This is a common symptom when the airways are 'tight', as in asthma.

The reflex is a vital part of the body's defence mechanisms. Normally, the lungs and the lower respiratory passages are sterile. If dust or dirt get into the lungs, they could become a breeding ground for bacteria and cause an infection in the breathing tubes.

What causes coughing?

It usually means there is something in the respiratory passages that should not be there. This can be caused by breathing in dust particles in the air or when a piece of food goes down the wrong way.

Chronic Coughing could also be a sign that an infection in the lungs is making the respiratory passages produce phlegm.

It can be provoked by:
The common cold, which is a frequent cause of acute coughing that usually settles in less than three weeks.
Sucking material into the breathing tubes from your mouth, which starts a bout of coughing.
It also can be caused by more severe illnesses, such as pneumonia, acute heart failure or pulmonary embolism (a clot in the blood vessels of the lung).
Smoking, which often causes chronic coughing.
Asthma - particularly in children who may only show coughing and no wheezing.
Another cause is stomach acid coming back up the gullet and spilling over into the windpipe (gastro-oesophageal reflux).
Medicines used in heart disease called angiotensin converting enzyme (ACE) inhibitors can also cause coughing.
A common cause of chronic coughing is bacterial or viral infections in the lungs, e.g. pneumonia, whooping cough, croup in children.
Coughing is more efficient when preceded by a full intake of air.

For this reason, patients with weak muscles, poor coordination of airway closure and re-opening, or who have airflow obstruction will have a poor coughing result and be susceptible to complications including chronic coughing infection in the lower respiratory tract and pneumonia.

Best Chronic Cough Treatment ?

Chronic Coughing is a symptom, not a disease. It is the underlying cause that needs to be treated.

You should consult your doctor if any of the following symptoms accompany your chronic coughing, so that possible underlying causes can be investigated and treated where necessary:

Coughing up phlegm that is green, rusty brown, yellow, blood-stained or foul smelling.
Chest pain.
Shortness of breath or wheezing.
Pain and swelling in the calf.
Recurrent night-time coughing.
Whooping cough or croup.
Worsening smoker’s cough.
Sudden weight loss.
Fever and sweating.
If you can't cough but need to, problems soon arise. Equally, when coughing is painful (for example, because of a broken rib), patients try not to cough and this can be dangerous.

What if a young child is coughing?

Older children and adults usually have some idea whether their chronic coughing is caused by a foreign body, dust or smoke particles, or an infection in the breathing tubes. Clinical inspection will reveal features that may suggest a specific cause.

If a young child is coughing, parents need to be able to tell whether the coughing is a sign of disease or whether their child has a foreign body in their respiratory passages.

If your child also has a fever or a cold, this is a sign of an infection. If nothing else seems to be wrong, wait for the coughing to go away. If the coughing goes on for more than a couple of days, consult a doctor.

If the coughing comes on suddenly, and is very forceful, it's likely your child has swallowed something that's causing the cough. This could be life-threatening for your child, who could choke. Lift your child by the legs so their head points downwards, then slap their back with a cupped hand. If this doesn't help, call an ambulance immediately.

If at any point your child seems very ill, you should consult an emergency doctor immediately.

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The material on this page is provided for educational and informational purposes only, and is not intended to be a substitute for a health care providers consultation.

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