Cough 

Introduction 

Coughs

Watch as a GP describes the most common causes for coughs and how they can be treated

Dry cough versus chesty cough

Dry cough

Dry coughs are usually felt in the throat as a tickle that sets off the coughing.

It happens when the throat and upper airways become inflamed (swollen). It is non-productive, which means that phlegm (thick mucus) isn't produced.

The common cold or flu causes a dry cough because your brain thinks the inflammation in your throat and upper airways is a foreign object and tries to remove it by coughing.

Chesty cough

A chesty cough usually produces phlegm. The cough is helpful, because it clears the phlegm from your lung passages.

A cough is a reflex action to clear your airways of mucus and irritants such as dust or smoke.

Coughs may be dry or chesty (see box below). They're also classified according to how long they last:

  • acute cough lasts for less than three weeks 
  • subacute cough gets better over a three-to-eight-week period 
  • chronic (persistent) cough lasts for longer than eight weeks

Coughs caused by the common cold or by flu usually clear up after several days. Most coughs clear up within two weeks.

For more information on treating cough, go to Treatment.

What are the causes?

Most people with a cough have a respiratory tract infection caused by a virus, such as the common cold, flu or bronchitis.

A persistent cough in adults may be caused by a condition such as rhinitis, or by a prescribed medicine such as an angiotensin-converting enzyme (ACE)-inhibitor, which is used to treat high blood pressure or cardiovascular disease, or by smoking.

In children, a persistent cough may indicate a more serious respiratory tract infection such as whooping cough.

For more information on conditions that cause cough, go to Causes of cough.

When to see your doctor

See your GP if you've had a cough for more than two weeks after a viral infection, or if your cough is progressively getting worse.

 

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Last reviewed: 06/10/2011

Next review due: 06/10/2013

Comments are personal views. Any information they give has not been checked and may not be accurate.

sam2012 said on 28 March 2012

my friend saw the doc and the doc told him it was viral cough.... but even with the medicine... he is still the same.. he coughs heavily at night and he feels cold pretty quickly even at normal temp. should he go see the gp once again or just continue the medication? the medication he is using atm is now around 2 weeks.... any advice on what to do next will be much appreciated.... he doesnt smoke or drink much.. but he uses khuber on a daily basis...

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Belle2011 said on 16 February 2012


Have you been tested for Whooping Cough? If not I ask to be tested sounds like it.

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User644208 said on 12 February 2012

Hi pritpanch28 - What you have described is almost identical to my husband's cough. He started feeling flu symptoms just before Christmas and then developed a productive chesty cough at New Year 2012. This cleared but he has been left with a cough that has caused him to be sick a couple of times. He is also left gasping for breath between coughing and unable to speak for a minute or so... Also wakens him at night. We've tried everything from gargling with TCP to cough medicine and strepsils but nothing seems to make any difference. Would like to try honey as it is a natural throat antiseptic but he doesn't like it so not an option. He was recently on a course where he had no option but to eat late at night and ended up being sick during the night caused by coughing so now wondering if acid reflux may be an issue. Going to the docs next week so hoping an answer can be found. As I said symptoms very similar to yours so you are not alone!

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pritpanch28 said on 26 January 2012

Ive had a cough since 1st Jan 2012, its been just over 3 and a half weeks, and the cough is still on going. Its a type of cough I have never had before...It is not a constant cough throughout the day, more like a spasm or reaction.

I cough to such an extent that white/clear sticky mucus comes out and a little bit of food now and then. I also gasp for air for 1,2 minutes and also cannot speak for 2,3 minutes until the coughing has calmed down. The lower middle of my ribcage feels sore and tight due to the extent of coughing. I also have to wake up middle of the night to cough out the mucus and struggle to breathe slightly. My appetite has also reduced during 2 weeks.

I have done the following things so far:

- Home remedies (Nasal spray, Steam, Salt gargles, mouth wash, Hot water bottle, Warm water, honey, lemon)

- I have had off the counter medication (Cough medicine for Dry cough) - NO IMPROVEMENT.

- Dr prescribed me antibiotics (Doxycycline) and Prednisolone on 7 day course - NO IMPROVEMENT

- Chest X Ray - this was a normal result.

I dont have any flu like symptons like cold, runny nose. I dont smoke. Its just this cough which is irritating and not improving and playing on my mind.

Not sure if an Endoscopy is needed or a inhaler pump.

Was wondering if there was anyone else who has suffered from this type of coughing problem, and what courses of action was taken to get rid of the problem.

Some advice or related comments would be appreciated.

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Doggielover said on 01 November 2010

It's been sooo long since I've had a cold (lucky me) that I'd forgotten how long coughs can last. So this was just the job to stop me going to my GP - or buying costly cough medicines!

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User107726 said on 22 September 2009

i was going to go to the docs with my cough till i read this article it helped a lot

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