What is chronic cough?

A chronic cough is when a cough lasts longer than 8 weeks in adults or 4 weeks in children. Chronic cough is estimated to occur in up to 40% of the population. 
 Common causes include:  

• Asthma,  
• Allergies,  

• Gastroesophageal reflux disease (GERD), 
• Certain medications (ACEIs), 
• Bronchitis. 

 Less commonly, it can be a sign of a more severe condition, such as a Heart (Heart failure) or lung disease (Bronchiectasis, Bronchiolitis, Cystic fibrosis, sarcoidosis or Lung cancer). 
When to see a doctor: 
If a chronic cough interferes with a person’s everyday activities, it often warrants further examination by a doctor. Other symptoms that may mean a person needs to see their doctor include: 

• appetite loss 
• coughing up a lot of mucus 
• fatigue 
• night sweats 

• unexplained weight loss 

These symptoms cannot be handled alone and Wellspring Medical Care Clinic can help.  
A chronic cough can become a medical emergency. If a person experiences the following symptoms along with a chronic cough, they should seek emergency treatment: 

• a fever greater than 103°F 
• coughing up blood 

• chest pain 
• shortness of breath or difficulty catching their breath 

 
Treatment: 
Treatments for a chronic cough depend upon the underlying cause. Postnasal drip is a common cause, so a doctor may recommend the person takes decongestants or antihistamines.  
Other treatments may be more specific to a particular underlying medical condition. For example, a person may be able to control their GERD through making lifestyle changes and taking medications that reduce the effects of acid on the stomach. 
Those who have a cough related to ACE inhibitors may wish to talk to their doctor. 
Complications 
Coughing can be problematic if it interferes with a person’s daily life. A chronic cough can have the following additional effects: 

• affecting a person’s ability to sleep well if coughing keeps them up at night 

• daytime fatigue 
• difficulty concentrating at work and school 
• headaches 
• Dizziness 

At Wellspring Medical Care Clinic, we have a team of doctors who are well-trained in their area of specialty. 
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By: Dr. Sehrish Andleeb MBBS