How is a chronic cough managed?

Written by: Dr Anne Mier
Published: | Updated: 18/07/2024
Edited by: Conor Lynch

Chronic cough is the latest medical topic to be highlighted here at Top Doctors UK. Below, esteemed specialist in pulmonary, respiratory, and general medicine, Dr Anne Mier, outlines the main causes of a chronic cough, and discusses the most effective treatment options.

How is a chronic cough defined?

A chronic cough is more than just an annoyance; it can be a sign of underlying health issues. Defined as a cough that lasts eight weeks or longer in adults, or four weeks in children, a chronic cough can significantly impact a person’s quality of life, leading to sleep disturbances, fatigue, and even social embarrassment.

 

What are the most common causes of chronic cough?

There are many conditions and factors that can lead to a chronic cough. These include:

 

  1. Postnasal drip
  2. Asthma
  3. Gastroesophageal reflux disease (GERD)
  4. Chronic bronchitis
  5. Medications

 

How is the cause of a chronic cough typically diagnosed?

Diagnosing the underlying cause of a chronic cough involves a thorough medical history and physical examination. Doctors may also recommend several tests, including:

 

  • Chest X-rays or CT scans: These imaging tests help to identify lung conditions, infections, or abnormalities.
  • Lung function tests: These assess how well the lungs are working and can help diagnose conditions like asthma or COPD.
  • Endoscopy: This procedure examines the oesophagus and stomach for signs of GERD or other gastrointestinal issues.
  • Allergy tests: These can determine if allergies are contributing to the cough.

 

How is a chronic cough treated?

The treatment for a chronic cough depends on its underlying cause:

 

  • Postnasal drip: Decongestants, antihistamines, or nasal sprays can help reduce mucus production.
  • Asthma: Inhalers, corticosteroids, and other asthma medications can manage symptoms.
  • GERD: Lifestyle changes, antacids, and proton pump inhibitors can help control acid reflux.
  • Chronic bronchitis: Bronchodilators, steroids, and pulmonary rehabilitation are common treatments.
  • Medication adjustment: If a medication is causing the cough, a doctor may suggest an alternative.

 

How is a chronic cough managed?

In addition to medical treatments, certain lifestyle changes can help manage a chronic cough. Drinking plenty of fluids can thin mucus and soothe the throat. Smoking, dust, and strong odours can exacerbate coughing, so it is best to avoid these. Finally, adding moisture to the air can ease cough symptoms, especially in dry environments.

 

To consult with Dr Anne Mier today, head on over to her Top Doctors profile. 

By Dr Anne Mier
Pulmonology & respiratory medicine

Dr Anne Mier is a leading expert in respiratory and general medicine in London. Having graduated in medicine at the Middlesex Hospital, she took up training posts in cardiology and rheumatology there, then general medicine and neurology at the Chelsea and Westminster Hospital, and later general medicine and endocrinology at the Royal Free Hospital.

With experience working in a wide variety of fields in medicine, she became registrar at the Royal Brompton Hospital and carried out research in respiratory muscle physiology, completing her MD thesis before becoming lecturer and senior medical registrar at Charing Cross Hospital.

Specialising in all kinds of respiratory problems such as chest infections, cough, and breathlessness, other interests include sleep disorders and fatigue. Now a leading expert in respiratory and general medicine, she has published extensively in peer-reviewed papers and always strives to provide her patients with the best, most appropriate and kindest possible care tailored to each medical case.

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