Symptom

Cough

Overview | Possible Causes | Care and Treatment | HOME REMEDies | When to Call the Doctor | References

cough

Overview

A cough is your body's way of responding when something irritates your throat or airways. An irritant stimulates nerves that send a message to your brain. The brain then tells muscles in your chest and abdomen to push air out of your lungs to force out the irritant.

An occasional cough is normal and healthy. A cough that persists for several weeks or one that brings up discolored or bloody mucus may indicate a condition that needs medical attention.

At times, coughing can be very forceful. Prolonged, vigorous coughing can irritate the lungs and cause even more coughing. It is also exhausting and can cause sleeplessness, dizziness or fainting, headaches, urinary incontinence, vomiting, and even broken ribs.

Possible Causes

While an occasional cough is normal, a cough that persists may be a sign of a medical problem.

A cough is considered "acute" if it lasts less than three weeks. It is considered "chronic" if it lasts longer than eight weeks (four weeks in children).

Some causes of coughs include:

Common causes- acute

Common cold
Influenza (flu)
Inhaling an irritant (such as smoke, dust, chemicals or a foreign body)
Pneumonia
Whooping cough

Common causes- chronic

Allergies
Asthma (most common in children)
Bronchitis
Gastroesophageal reflux disease (GERD)
Postnasal drip

Others

Acute sinusitis (nasal and sinus infection)
Bronchiectasis (a chronic lung condition in which abnormal widening of bronchial tubes inhibits mucus clearing)
Bronchiolitis (especially in young children)
Choking: First aid (especially in children)
Chronic sinusitis
COPD (chronic obstructive pulmonary disease) exacerbation — worsening of symptoms
Coronavirus disease 2019 (COVID-19)
Croup (especially in young children)
Cystic fibrosis
Emphysema
Heart failure
Laryngitis
Lung cancer
Medications called angiotensin-converting enzyme (ACE) inhibitors
Neuromuscular diseases that weaken the coordination of upper airway and swallowing muscles
Pulmonary embolism (blood clot in an artery in the lung)
Respiratory syncytial virus (RSV) — especially in young children
Sarcoidosis (collections of inflammatory cells in the body)
Tuberculosis

Care & Treatment

Typically, medical care will involve your doctor looking down your throat, listening to your cough, and asking about any other symptoms.

If your cough is likely due to bacteria, your doctor will prescribe oral antibiotics. You’ll usually need to take the medication for a week to fully cure the cough. They may also prescribe either expectorant cough syrups or cough suppressants that contain codeine.

If your doctor can’t find a cause for your cough, they may order additional tests. This could include:

A chest X-ray to assess whether your lungs are clear
Blood and skin tests if they suspect an allergic response
Phlegm or mucus analysis for signs of bacteria or tuberculosis

It’s very rare for a cough to be the only symptom of heart problems, but a doctor may request an echocardiogram to ensure that your heart is functioning correctly and isn’t causing the cough.

Difficult cases may require additional testing:

CT scan. A CT scan offers a more in-depth view of the airways and chest. It can be useful when determining the cause of a cough.
Esophageal pH monitoring. If the CT scan doesn’t show the cause, your doctor may refer you to a gastrointestinal specialist or a pulmonary (lung) specialist. One of the tests these specialists may use is esophageal pH monitoring, which looks for evidence of GERD.

In cases where the previous treatments are either not possible or extremely unlikely to be successful, or the cough is expected to resolve without intervention, doctors may prescribe cough suppressants.

Home Remedies

Cough medicines usually are used only when cough is an acute condition, causes a lot of discomfort, interferes with sleep and is not associated with any of the potentially worrisome symptoms indicated above. If you use cough medicine, be sure to follow the dosing instructions.

Over-the-counter cough and cold medicines are intended to treat the symptoms of coughs and colds, not the underlying disease. Research suggests that these medicines haven't been proved to work any better than inactive medicine (placebo). More importantly, these medications have potentially serious side effects, including fatal overdoses in children younger than 2 years old.

Don't use over-the-counter medicines, except for fever reducers and pain relievers, to treat coughs and colds in children younger than 6 years old. Also, consider avoiding use of these medicines for children younger than 12 years old.

To ease your cough, try these tips:

Suck cough drops or hard candies. They may ease a dry cough and soothe an irritated throat. Don't give them to a child under age 6, however, because of the risk of choking.
Consider taking honey. A teaspoon of honey may help loosen a cough. Don't give honey to children younger than 1 year old because honey can contain bacteria harmful to infants.
Moisturize the air. Use a cool mist humidifier or take a steamy shower.
Drink fluids. Liquid helps thin the mucus in your throat. Warm liquids, such as broth tea or lemon juice, can soothe your throat.
Avoid tobacco smoke. Smoking or breathing secondhand smoke can make your cough worse.