What causes a cough?
A cough has many causes, the most common of which is an upper airway
infection, such as a common cold.
A persistent cough can be due to
whooping cough (pertussis) or a sign of a chronic
lung condition, such
as emphysema or asthma.
Whooping cough is uncommon in infants due to vaccination, but it is
surprisingly common in adults because the vaccination becomes less
effective over time.
Very serious and life-threatening conditions that cause coughing include congestive heart failure, pulmonary edema, and lung cancer.
Other possible causes include allergies,
pneumonia, and bronchitis. Because there are so many different
possibilities, some of which are life threatening, it is important to
contact your doctor to discuss your symptoms and answer your questions.
Infectious causes of cough
Cough is a symptom of various viral and bacterial infections including:
-
Acute bronchitis
-
Common cold (viral respiratory infection)
-
Croup (viral illness that is common in young children)
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Influenza (flu)
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Pneumonia
-
Tuberculosis (serious infection affecting the lungs and other organs)
-
Whooping cough (pertussis)
Other causes of cough
Other causes of cough include:
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Acid reflux or gastroesophageal reflux disease (GERD)
-
Airway irritation such as from air pollution
-
Asthma and allergies
-
Chronic obstructive pulmonary disease (COPD, includes emphysema and chronic bronchitis)
-
Congestive heart failure (deterioration of the heart’s ability to pump blood)
-
Foreign body (airway obstruction)
-
Lung cancer
-
Postnasal drip from sinusitis or upper respiratory infection such as the common cold
-
Pulmonary edema
-
Pulmonary embolism
-
Smoking
-
Tumor of the larynx
Medications can cause a cough
Certain medications that can cause a cough include ACE inhibitors
(including captopril), which is used to control high blood pressure.
Questions for diagnosing the cause of a cough
To aid in diagnosing the cause of your cough, your doctor or licensed
health care practitioner will ask you questions related to your symptoms
including:
-
How long have you had the cough?
-
Are you coughing up anything (including blood)?
-
Are you breathing through your mouth (instead of your nose)?
-
Is your cough keeping you up at night?
-
Do you have a fever?
What are the potential complications of a cough?
A cough can be a sign of an infectious or inflammatory process, many of
which can be easily treated. It is important to contact your health
care provider when you experience a cough without an obvious cause or if
your cough is persistent, recurrent, or causes you concern.
Once the
underlying cause is diagnosed, following the treatment you and your
doctor design specifically for you can help lower your risk of potential
complications including:
-
Dehydration if cough occurs with diarrhea or vomiting
-
Dehydration due to reduced fluid intake
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Difficulty sleeping
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Fainting spells from acute cough attack
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Fatigue
-
Vomiting
What is a cough?
A cough is your body’s defensive reflex that functions
to keep your airways clear of irritating or obstructing substances so
that you can breathe effectively.
A cough can be dry or it can be
productive, meaning that you are coughing up mucus (also known as phlegm
or sputum).
What other symptoms might occur with a cough?
A cough often occurs in conjunction with other symptoms,
which vary depending on the underlying disease, disorder or condition.
Other symptoms include fever, shortness of breath, and
chest pain.
Some symptoms, such as sounds the lungs make while you’re breathing,
changes in blood pressure, and low blood oxygen levels may only be
evident using certain instruments in the doctor’s office or hospital....
Read more about cough symptoms
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