May 25, 2012
Topics A-Z Coughs Common Causes of Chronic Cough
Common Causes of Chronic Cough |
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Dear Ask The Doctor: I've had a chronic cough that just doesn't seem to go away. Previous doctors have attributed it to common cold or flu but I think this has been going on way too long for that to be the case. It usually feels really dry but sometimes it produces clear mucus. It's constant throughout the day, everyday. However, it seems to be especially bad when I first wake up or after a full, heavy meal, or when I get nauseous. If I don't cough when nauseous it pretty much feels like I will throw up. It also recently has started acting up a lot when I'm singing and as a musician it's really worrisome as it feels like it's starting to effect my voice. I also feel like I need to clear my throat very often. I don't smoke and rarely drink. I'm 25 and don't have a history of asthma, bronchitis, throat surgery or anything of that nature. So, what can this be? Things like Robitussin are really not helping here. You may be having reflux symptoms. Reflux happens when there is too much acid in the stomach and the acid goes up to the esophagus, sometimes reaching the throat and stimulates the cough reflex. It is noteworthy that your symptoms are worse in the morning and after a heavy meal. While lying down, it will be easier for the acid to slide toward your throat (laws of gravity); some experience hoarseness of voice in the morning. After a heavy meal, acid production increases which also promotes reflux. When the acid reaches the throat, it may produce mucus as a protective mechanism. Smoking and drinking are risk factors for reflux. However, stress and caffeine can also increase stomach acidity. Try avoiding carbonated beverages, coffee and tea. You may try over-the-counter antacids, try taking them an hour before sleeping. If the cough improves after a week or two, then it is probably reflux. Other cause of your cough could be an allergic type (allergic cough can be chronic too) or infectious causes. Try consulting your doctor because you may need to have some Xrays or blood tests done to rule out infectious causes (pulmonary TB). I do hope this helps. |
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| Last Updated ( Friday, 27 May 2011 ) |
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