🕷️ Crawler Inspector

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Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 119 (from laksa074)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa119.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation","crawl_time":1776383305,"first_indexed_time":1609785764,"http_code":200,"src_unparsed":"org,dukehealth!www,\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation s443","src_root_hash":"5192396844177453719","history_drop_reason":null,"meta_title":"Chronic Cough and Throat Irritation | Duke Health","meta_descriptions":["Chronic cough and throat irritation requires care from voice specialists who are experienced in diagnosing and treating their root causes. Duke’s laryngologists and speech-language pathologists work together to discover what’s causing your chronic cough or throat irritation and improve your symptoms."],"attrs_boilerpipe_text":"16\nWe're having technical issues with search. Please check back soon.\nMatching Results\nOur Voice Specialists\nMeet our voice care specialists, view their profiles, and select the one that’s right for you.\nFind a Chronic Cough and Throat Irritation Doctor\n16\nMatching Results\nSearch Providers by Condition, Specialty, or Keyword\nFilter by:\nEar, Nose and Throat Doctor, Head and Neck Surgeon\nDuke\nHealth Provider\n4.82 out of 5\nAccepts your insurance\nHead and Neck Surgeon, Pediatric Head and Neck Surgeon, Pediatric Ear, Nose and Throat Doctor\nDuke\nHealth Provider\n4.63 out of 5\nAccepts your insurance\nSpeech Pathologist\nDuke\nHealth Provider\n4.91 out of 5\nAccepts your insurance\nHead and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist\nDuke\nHealth Provider\n4.79 out of 5\nAccepts your insurance\nHead and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist\nDuke\nHealth Provider\n4.85 out of 5\nAccepts your insurance\nSpeech Pathologist\nDuke\nHealth Provider\n4.85 out of 5\nAccepts your insurance\nSpeech Pathologist\nDuke\nHealth Provider\n4.89 out of 5\nAccepts your insurance\nSpeech Pathologist\nDuke\nHealth Provider\n4.99 out of 5\nAccepts your insurance\nSpeech Pathologist\nDuke\nHealth Provider\n4.90 out of 5\nAccepts your insurance\nSpeech Pathologist\nDuke\nHealth Provider\n4.85 out of 5\nAccepts your insurance\nShowing 10 of 16 providers\nWe're having technical issues with search. Please check back soon.\n×\nAbout Chronic Cough and Throat Irritation\nChronic Cough\nCoughing is a natural response that helps protect your airway when you are sick or when food or liquid goes down the wrong way. However, coughing frequently when you are not sick, especially if the cough is dry and non-productive, may indicate a chronic cough. This can be caused by a dry or irritated throat, certain medications, medical conditions (such as acid reflux or allergies), or hypersensitivity in the throat after an acute upper respiratory infection like a common cold. Coughing (and throat clearing) irritates the delicate tissues of the voice box and can cause more coughing or throat clearing. Once the body is in a chronic cough pattern, it is difficult to break the cycle. \nThroat Irritation (Chronic Throat Clearing, Pain, Tightness, and\/or Hypersensitivity)\nThroat irritation -- including frequent throat clearing, pain, tightness, or a sense that there is a constant lump or fullness in your throat -- can also occur when the throat is “stuck” in a pattern of hypersensitivity. It can be caused by coughing, vocal injury, or muscle tension. Sometimes, throat irritation can cause near-constant throat clearing, coughing, hoarseness, or painful swallowing, and it can disrupt daily life.\nOur Locations\nDuke Health offers locations throughout the Triangle. Find one near you.\nFind a Location\nTreatments\nSpeech Therapy for Chronic Cough and Throat Irritation\nSpeech therapy is an integral part of treating chronic cough or other forms of throat irritation. Your speech-language pathologist will teach you how to use breathing strategies, voice exercises, and good vocal hygiene to help your throat recover from the constant irritation caused by chronic cough, throat clearing, and hypersensitivity of the voice box. These techniques will help you break the cycle of chronic cough and throat irritation.\nVoice Therapy\nThroat strain can be a symptom and also a cause of irritation -- creating a vicious cycle. In order to break the cycle of chronic throat irritation, you need to learn how to speak and use your throat without strain. A speech-language pathologist will guide you through vocal exercises to improve breathing, reduce throat strain, and find your optimal pitch and volume for strong, healthy speaking. Improving your voice will not only help you speak more easily and clearly, but it can reduce your throat irritation and cough.\nCall for an Appointment\nTests\nOur team will take a detailed history of your symptoms to note patterns or triggers. A laryngologist -- an ear, nose, and throat (ENT) doctor with advanced training in voice and throat disorders -- will also evaluate whether any medical conditions, surgeries, or recent illnesses may have caused changes in your voice or throat. We will perform a head and neck examination and a visual examination of your voice box.\nVideolaryngostroboscopy\nThis detailed visual exam helps us evaluate how your vocal cords vibrate when you speak or sing. A tiny camera attached to a small tube called an endoscope is inserted through your nose and into your throat. It allows us to see your vocal cords and larynx (voice box). A flashing strobe light simulates slow-motion video images of your vocal cords. The exam takes about two minutes, and your nose can be sprayed with topical anesthetic for comfort.\nYour team will look for lesions, stiffness, paralysis, irregular movements, throat strain, or incomplete closure of the vocal cords. After the exam, your team will review the images with you to discuss your diagnosis and treatment plan. Videolaryngostroboscopy is essential to reaching an accurate diagnosis and determining the best treatment.\nConsistently Ranked Among the Nation’s Best Hospitals\nDuke University Hospital is proud of our team and the exceptional care they provide. They are why we are recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2025–2026.\nWhy Choose Duke\nA Team of Experts\nAt Duke, one of the few comprehensive voice centers in the Southeast, your care team will include laryngologists and speech-language pathologists specially trained to evaluate and treat people with voice problems and laryngeal disorders. Our team has years of experience treating chronic cough and throat irritation problems. \nTeam Care Approach\nIf you have other medical conditions that may contribute to your voice issues -- such as allergies, asthma, or acid reflux -- we will work with your other providers throughout Duke Health to ensure you receive the best care from an integrated team.","attrs_markdown":"[Skip Navigation](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation#mainContent)\n\n[**ES**](\"Global Switch\")\n\n**ES**\n\n![Search](https:\/\/www.dukehealth.org\/themes\/custom\/dukehealth\/images\/icon-search.svg)\n\n- [Home](https:\/\/www.dukehealth.org\/)\n- [Find a Doctor](https:\/\/www.dukehealth.org\/find-doctors-physicians)\n- [Treatments]()\n  ![Adults](https:\/\/www.dukehealth.org\/sites\/default\/files\/user-light-full.svg)Adults\n  \n  [Cancer Care](https:\/\/www.dukehealth.org\/treatments\/cancer)\n  \n  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[Give](https:\/\/www.gifts.duke.edu\/dmaa?technique_code=DHORGGB1)\n\n[**ES**](\"Global Switch\")   **ES**\n\n![A provider feels a patient's neck in a clinic room](https:\/\/www.dukehealth.org\/sites\/default\/files\/styles\/treatment_hero_image\/public\/treatment_chronic_cough_3000x860.jpg?itok=2rBzZLP-)\n\n## Duke experts work together to find what’s causing your chronic cough or throat irritation and improve your symptoms.\n[Find a Provider](https:\/\/www.dukehealth.org\/)\n\n![Matrix overlay](https:\/\/www.dukehealth.org\/themes\/custom\/dukehealth\/images\/overlay-matrix.png)\n\n## Schedule with My Duke Health (MyChart)\nAs a returning patient for this doctor, please schedule an appointment using your My Duke Health (MyChart) account.\n\n[Sign In to My Duke Health (MyChart)](https:\/\/www.dukemychart.org\/home\/Authentication\/Login?liteMode=true)\n\nDon't have a My Duke Health (MyChart) account? [Sign up now](https:\/\/www.dukemychart.org\/home\/accesscheck.asp)\n\nAccount Help\n\nIf you have trouble logging in, have questions about how to use My Duke Health (MyChart), need more information about your account, or need to contact customer service, please [view our FAQs](https:\/\/www.dukemychart.org\/home\/default.asp?mode=stdfile&option=faq).\n\n×\n\n[Home](https:\/\/www.dukehealth.org\/)       [Treatments for Adults](https:\/\/www.dukehealth.org\/adult-treatments)      [Voice Disorders](https:\/\/www.dukehealth.org\/treatments\/voice-disorders)\n\nCall for an Appointment\n\nCall us at [855-855-6484](tel:855-855-6484)\n\n[Duke Voice Disorders Menu]()\n\n- [Duke Voice Disorders](https:\/\/www.dukehealth.org\/treatments\/voice-disorders)\n- [Voice Evaluation](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/voice-evaluation)\n- [Voice Disorders and Treatments]()\n  - [Aging Voice Problems](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/aging-voice)\n  - [Chronic Cough and Throat Irritation](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n  - [Gender-Affirming Voice Care](https:\/\/www.dukehealth.org\/treatments\/gender-medicine\/gender-affirming-voice-care)\n  - [Muscle Tension Dysphonia](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/muscle-tension-dysphonia)\n  - [Pediatric Voice Disorders](https:\/\/www.dukehealth.org\/pediatric-treatments\/pediatric-voice-disorders)\n  - [Singing and Performing Voice Services](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/singing-and-professional-voice-services)\n  - [Spasmodic Dysphonia](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/spasmodic-dysphonia)\n  - [Vocal Cord Dysfunction (VCD)](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/vocal-cord-dysfunction)\n  - [Vocal Cord Nodules, Cysts, and Polyps](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/vocal-nodules)\n  - [Vocal Cord Paralysis](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/vocal-cord-paralysis)\n- [Voice Therapy](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/voice-therapy)\n- [Related Articles](https:\/\/www.dukehealth.org\/blog\/categories\/voice-disorders)\n- [Related Services]()\n  - [Otolaryngology](https:\/\/www.dukehealth.org\/treatments\/ear-nose-and-throat)\n  - [Swallowing Disorders](https:\/\/www.dukehealth.org\/treatments\/ear-nose-and-throat\/oropharyngeal-dysphagia)\n\n- [Duke Voice Disorders](https:\/\/www.dukehealth.org\/treatments\/voice-disorders)\n- [Voice Evaluation](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/voice-evaluation)\n- [Voice Disorders and Treatments]()\n  - [Aging Voice Problems](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/aging-voice)\n  - [Chronic Cough and Throat Irritation](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n  - [Gender-Affirming Voice Care](https:\/\/www.dukehealth.org\/treatments\/gender-medicine\/gender-affirming-voice-care)\n  - [Muscle Tension Dysphonia](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/muscle-tension-dysphonia)\n  - [Pediatric Voice Disorders](https:\/\/www.dukehealth.org\/pediatric-treatments\/pediatric-voice-disorders)\n  - [Singing and Performing Voice Services](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/singing-and-professional-voice-services)\n  - [Spasmodic Dysphonia](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/spasmodic-dysphonia)\n  - [Vocal Cord Dysfunction (VCD)](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/vocal-cord-dysfunction)\n  - [Vocal Cord Nodules, Cysts, and Polyps](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/vocal-nodules)\n  - [Vocal Cord Paralysis](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/vocal-cord-paralysis)\n- [Voice Therapy](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/voice-therapy)\n- [Related Articles](https:\/\/www.dukehealth.org\/blog\/categories\/voice-disorders)\n- [Related Services]()\n  - [Otolaryngology](https:\/\/www.dukehealth.org\/treatments\/ear-nose-and-throat)\n  - [Swallowing Disorders](https:\/\/www.dukehealth.org\/treatments\/ear-nose-and-throat\/oropharyngeal-dysphagia)\n\nCall for an Appointment\n\nCall us at [855-855-6484](tel:855-855-6484)\n# Chronic Cough and Throat Irritation\nIncluding Chronic Throat Clearing, Fullness, Pain, Tightness, and\/or Hypersensitivity\n\nChronic cough and throat irritation can disrupt your daily life. Breaking the cycles that cause these conditions requires care from voice specialists who are experienced in diagnosing and treating their root causes. Duke’s laryngologists and speech-language pathologists work together to discover what’s causing your chronic cough or throat irritation and to improve your symptoms.\n\n16\n\nWe're having technical issues with search. Please check back soon.\n\nMatching Results\n\n[View Providers](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)[Hide Providers](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\nOur Voice Specialists\n\nMeet our voice care specialists, view their profiles, and select the one that’s right for you.\n\nFind a Chronic Cough and Throat Irritation Doctor\n\n16\n\nMatching Results\n\nClose Doctor Overlay\n\nSearch Providers by Condition, Specialty, or Keyword\n\nFilter by:\n\nDistance\n\n[5 miles](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)[10 miles](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)[25 miles](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)[50 miles](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\nMore Filters\n\nProvider's Gender\n\n[Female](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)[Male](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\nPatient Age\n\n[Adult](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)[Child](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\nLanguages\n\nLanguages\n\n[Joseph Harold McClellan, MD](https:\/\/www.dukehealth.org\/find-doctors-physicians\/joseph-harold-mcclellan-md)\n\nEar, Nose and Throat Doctor, Head and Neck Surgeon\n\nDuke Health Provider\n\n[Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\n4\\.82 out of 5\n\nAccepts your insurance\n\n[Schedule Online]()\n\n[New to This Doctor](https:\/\/www.dukehealth.org\/find-doctors-physicians\/joseph-harold-mcclellan-md#schedule-online)   [I've Seen This Doctor Before]()\n\n[View Profile](https:\/\/www.dukehealth.org\/find-doctors-physicians\/joseph-harold-mcclellan-md)\n\nCompare\n\n[Eileen M. Raynor, MD](https:\/\/www.dukehealth.org\/find-doctors-physicians\/eileen-m-raynor-md)\n\nHead and Neck Surgeon, Pediatric Head and Neck Surgeon, Pediatric Ear, Nose and Throat Doctor\n\nDuke Health Provider\n\n[Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\n4\\.63 out of 5\n\nAccepts your insurance\n\n[Schedule Online]()\n\n[New to This Doctor](https:\/\/www.dukehealth.org\/find-doctors-physicians\/eileen-m-raynor-md#schedule-online)   [I've Seen This Doctor Before]()\n\n[View Profile](https:\/\/www.dukehealth.org\/find-doctors-physicians\/eileen-m-raynor-md)\n\nCompare\n\n[Hilary Bartholomew, CCC‑SLP, MS](https:\/\/www.dukehealth.org\/find-doctors-physicians\/hilary-bartholomew-ccc-slp-ms)\n\nSpeech Pathologist\n\nDuke Health Provider\n\n[Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\n4\\.91 out of 5\n\nAccepts your insurance\n\n[View Profile](https:\/\/www.dukehealth.org\/find-doctors-physicians\/hilary-bartholomew-ccc-slp-ms)\n\nCompare\n\n[Seth M. Cohen, MD, MPH](https:\/\/www.dukehealth.org\/find-doctors-physicians\/seth-m-cohen-md-mph)\n\nHead and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist\n\nDuke Health Provider\n\n[Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\n4\\.79 out of 5\n\nAccepts your insurance\n\n[View Profile](https:\/\/www.dukehealth.org\/find-doctors-physicians\/seth-m-cohen-md-mph)\n\nCompare\n\n[Alissa Collins, MD](https:\/\/www.dukehealth.org\/find-doctors-physicians\/alissa-collins-md)\n\nHead and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist\n\nDuke Health Provider\n\n[Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\n4\\.85 out of 5\n\nAccepts your insurance\n\n[View Profile](https:\/\/www.dukehealth.org\/find-doctors-physicians\/alissa-collins-md)\n\nCompare\n\n[Meghan Esper, CCC‑SLP, MA](https:\/\/www.dukehealth.org\/find-doctors-physicians\/meghan-esper-ccc-slp-ma)\n\nSpeech Pathologist\n\nDuke Health Provider\n\n[Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\n4\\.85 out of 5\n\nAccepts your insurance\n\n[View Profile](https:\/\/www.dukehealth.org\/find-doctors-physicians\/meghan-esper-ccc-slp-ma)\n\nCompare\n\n[Lauren Fay, CCC‑SLP, MS](https:\/\/www.dukehealth.org\/find-doctors-physicians\/lauren-fay-ccc-slp-ms)\n\nSpeech Pathologist\n\nDuke Health Provider\n\n[Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\n4\\.89 out of 5\n\nAccepts your insurance\n\n[View Profile](https:\/\/www.dukehealth.org\/find-doctors-physicians\/lauren-fay-ccc-slp-ms)\n\nCompare\n\n[Ella Jordan, MS, CCC‑SLP](https:\/\/www.dukehealth.org\/find-doctors-physicians\/ella-jordan-ms-ccc-slp)\n\nSpeech Pathologist\n\nDuke Health Provider\n\n[Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\n4\\.99 out of 5\n\nAccepts your insurance\n\n[View Profile](https:\/\/www.dukehealth.org\/find-doctors-physicians\/ella-jordan-ms-ccc-slp)\n\nCompare\n\n[Tara Nixon, CCC‑SLP, MM, MS](https:\/\/www.dukehealth.org\/find-doctors-physicians\/tara-nixon-ccc-slp-mm-ms)\n\nSpeech Pathologist\n\nDuke Health Provider\n\n[Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\n4\\.90 out of 5\n\nAccepts your insurance\n\n[View Profile](https:\/\/www.dukehealth.org\/find-doctors-physicians\/tara-nixon-ccc-slp-mm-ms)\n\nCompare\n\n[Cristen Paige, CCC‑SLP, MS](https:\/\/www.dukehealth.org\/find-doctors-physicians\/cristen-paige-ccc-slp-ms)\n\nSpeech Pathologist\n\nDuke Health Provider\n\n[Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\n4\\.85 out of 5\n\nAccepts your insurance\n\n[View Profile](https:\/\/www.dukehealth.org\/find-doctors-physicians\/cristen-paige-ccc-slp-ms)\n\nCompare\n\nShowing 10 of 16 providers\n\nLoad More\n\nView All\n\n[Hide Providers](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/chronic-cough-and-throat-irritation)\n\nWe're having technical issues with search. Please check back soon.\n\n×\n\n## About Chronic Cough and Throat Irritation\n**Chronic Cough**  \nCoughing is a natural response that helps protect your airway when you are sick or when food or liquid goes down the wrong way. However, coughing frequently when you are not sick, especially if the cough is dry and non-productive, may indicate a chronic cough. This can be caused by a dry or irritated throat, certain medications, medical conditions (such as acid reflux or allergies), or hypersensitivity in the throat after an acute upper respiratory infection like a common cold. Coughing (and throat clearing) irritates the delicate tissues of the voice box and can cause more coughing or throat clearing. Once the body is in a chronic cough pattern, it is difficult to break the cycle.\n\n**Throat Irritation (Chronic Throat Clearing, Pain, Tightness, and\/or Hypersensitivity)**  \nThroat irritation -- including frequent throat clearing, pain, tightness, or a sense that there is a constant lump or fullness in your throat -- can also occur when the throat is “stuck” in a pattern of hypersensitivity. It can be caused by coughing, vocal injury, or muscle tension. Sometimes, throat irritation can cause near-constant throat clearing, coughing, hoarseness, or painful swallowing, and it can disrupt daily life.\n\nOur Locations\n\nDuke Health offers locations throughout the Triangle. Find one near you.\n\n[Find a Location](https:\/\/www.dukehealth.org\/search-results\/locations?treatments=Chronic%20Cough%20and%20Throat%20Irritation)\n\n## Treatments\n### Speech Therapy for Chronic Cough and Throat Irritation\nSpeech therapy is an integral part of treating chronic cough or other forms of throat irritation. Your speech-language pathologist will teach you how to use breathing strategies, voice exercises, and good vocal hygiene to help your throat recover from the constant irritation caused by chronic cough, throat clearing, and hypersensitivity of the voice box. These techniques will help you break the cycle of chronic cough and throat irritation.\n\n### [Voice Therapy](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/voice-therapy)\nThroat strain can be a symptom and also a cause of irritation -- creating a vicious cycle. In order to break the cycle of chronic throat irritation, you need to learn how to speak and use your throat without strain. A speech-language pathologist will guide you through vocal exercises to improve breathing, reduce throat strain, and find your optimal pitch and volume for strong, healthy speaking. Improving your voice will not only help you speak more easily and clearly, but it can reduce your throat irritation and cough.\n\nCall for an Appointment\n\n[855-855-6484](tel:855-855-6484)\n\n## Tests\nOur team will take a detailed history of your symptoms to note patterns or triggers. A laryngologist -- an ear, nose, and throat (ENT) doctor with advanced training in voice and throat disorders -- will also evaluate whether any medical conditions, surgeries, or recent illnesses may have caused changes in your voice or throat. We will perform a head and neck examination and a visual examination of your voice box.\n\n### Videolaryngostroboscopy\nThis detailed visual exam helps us evaluate how your vocal cords vibrate when you speak or sing. A tiny camera attached to a small tube called an endoscope is inserted through your nose and into your throat. It allows us to see your vocal cords and larynx (voice box). A flashing strobe light simulates slow-motion video images of your vocal cords. The exam takes about two minutes, and your nose can be sprayed with topical anesthetic for comfort.\n\nYour team will look for lesions, stiffness, paralysis, irregular movements, throat strain, or incomplete closure of the vocal cords. After the exam, your team will review the images with you to discuss your diagnosis and treatment plan. Videolaryngostroboscopy is essential to reaching an accurate diagnosis and determining the best treatment.\n\n## Consistently Ranked Among the Nation’s Best Hospitals\nDuke University Hospital is proud of our team and the exceptional care they provide. They are why we are recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2025–2026.\n\n![](https:\/\/www.dukehealth.org\/sites\/default\/files\/us_news_badge\/MC-4351%20USNWR%20Badge%20Adult%20Specialties_REV%20for%202025.svg)\n\n## Why Choose Duke\n**A Team of Experts**  \nAt Duke, one of the few comprehensive voice centers in the Southeast, your care team will include laryngologists and speech-language pathologists specially trained to evaluate and treat people with voice problems and laryngeal disorders. Our team has years of experience treating chronic cough and throat irritation problems.\n\n**Team Care Approach**  \nIf you have other medical conditions that may contribute to your voice issues -- such as allergies, asthma, or acid reflux -- we will work with your other providers throughout Duke Health to ensure you receive the best care from an integrated team.\n\nThis page was medically reviewed on 03\/06\/2025 by\n\n[Meghan Esper, CCC-SLP, MA \\| Speech Pathologist](https:\/\/www.dukehealth.org\/find-doctors-physicians\/meghan-esper-ccc-slp-ma)\n\n[Back to Top]()\n\nSupport Duke Health research or honor a loved one with a tribute gift.\n\n[Giving to Duke Health](https:\/\/giving.dukehealth.org\/)\n\n[Duke Health Home Page](https:\/\/www.dukehealth.org\/)\n\n[Contact Us](tel:+9193723584)\n\n- [**Facebook**](http:\/\/www.facebook.com\/dukehealth)\n- [**Instagram**](https:\/\/www.instagram.com\/dukehealth)\n- [**Linkedin**](https:\/\/www.linkedin.com\/company\/duke-university-health-system)\n- [**Twitter**](http:\/\/twitter.com\/DukeHealth)\n- [**YouTube**](http:\/\/youtube.com\/user\/Dukemedicine)\n\n- Policies and Practices\n  [Accessibility](https:\/\/www.dukehealth.org\/diversity-equity-and-inclusion\/accessibility-services) [Leading with Heart: Rooted in Humanity](https:\/\/www.dukehealth.org\/leading-with-heart-serving-humanity-pledge) [Notice of Nondiscrimination](https:\/\/www.dukehealth.org\/notice-of-nondiscrimination) [Notice of Privacy Practices](https:\/\/www.dukehealth.org\/privacy) [Payment Plans and Financial Assistance](https:\/\/www.dukehealth.org\/privacy) [Price Transparency](https:\/\/www.dukehealth.org\/paying-for-care\/what-duke-charges-services) [Terms and Conditions](https:\/\/www.dukehealth.org\/terms-and-conditions-of-use) [Website Privacy Policy](https:\/\/www.dukehealth.org\/privacy\/website-privacy-policy)\n- Information and Contact\n  [About Duke Health](https:\/\/www.dukehealth.org\/about-duke-health) [Contact Us](https:\/\/www.dukehealth.org\/contact-us\/compliments-suggestions-and-complaints) [Duke Health Careers](https:\/\/careers.dukehealth.org\/)  [Duke Health Newsroom](https:\/\/corporate.dukehealth.org\/newsmedia) [Email Sign Up](https:\/\/www.dukehealth.org\/keep-date-duke-health) [Referring Physicians](https:\/\/physicians.dukehealth.org\/)\n- Related Links\n  [Duke Cancer Institute](https:\/\/www.dukecancerinstitute.org\/) [Duke Children's](https:\/\/www.dukehealth.org\/dukechildrens) [Duke School of Medicine](http:\/\/medschool.duke.edu\/) [Duke School of Nursing](http:\/\/nursing.duke.edu\/) [Duke University](http:\/\/www.duke.edu\/)\n\nCopyright © 2004-2026 Duke University Health System\n\n[Terms and Conditions](https:\/\/www.dukehealth.org\/terms-and-conditions-of-use)\n\n[Privacy Policy](https:\/\/www.dukehealth.org\/privacy\/website-privacy-policy)","attrs_readable_markdown":"16\n\nWe're having technical issues with search. Please check back soon.\n\nMatching Results\n\nOur Voice Specialists\n\nMeet our voice care specialists, view their profiles, and select the one that’s right for you.\n\nFind a Chronic Cough and Throat Irritation Doctor\n\n16\n\nMatching Results\n\nSearch Providers by Condition, Specialty, or Keyword\n\nFilter by:\n\nEar, Nose and Throat Doctor, Head and Neck Surgeon\n\nDuke Health Provider\n\n4\\.82 out of 5\n\nAccepts your insurance\n\nHead and Neck Surgeon, Pediatric Head and Neck Surgeon, Pediatric Ear, Nose and Throat Doctor\n\nDuke Health Provider\n\n4\\.63 out of 5\n\nAccepts your insurance\n\nSpeech Pathologist\n\nDuke Health Provider\n\n4\\.91 out of 5\n\nAccepts your insurance\n\nHead and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist\n\nDuke Health Provider\n\n4\\.79 out of 5\n\nAccepts your insurance\n\nHead and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist\n\nDuke Health Provider\n\n4\\.85 out of 5\n\nAccepts your insurance\n\nSpeech Pathologist\n\nDuke Health Provider\n\n4\\.85 out of 5\n\nAccepts your insurance\n\nSpeech Pathologist\n\nDuke Health Provider\n\n4\\.89 out of 5\n\nAccepts your insurance\n\nSpeech Pathologist\n\nDuke Health Provider\n\n4\\.99 out of 5\n\nAccepts your insurance\n\nSpeech Pathologist\n\nDuke Health Provider\n\n4\\.90 out of 5\n\nAccepts your insurance\n\nSpeech Pathologist\n\nDuke Health Provider\n\n4\\.85 out of 5\n\nAccepts your insurance\n\nShowing 10 of 16 providers\n\nWe're having technical issues with search. Please check back soon.\n\n×\n\nAbout Chronic Cough and Throat Irritation\n\n**Chronic Cough**  \nCoughing is a natural response that helps protect your airway when you are sick or when food or liquid goes down the wrong way. However, coughing frequently when you are not sick, especially if the cough is dry and non-productive, may indicate a chronic cough. This can be caused by a dry or irritated throat, certain medications, medical conditions (such as acid reflux or allergies), or hypersensitivity in the throat after an acute upper respiratory infection like a common cold. Coughing (and throat clearing) irritates the delicate tissues of the voice box and can cause more coughing or throat clearing. Once the body is in a chronic cough pattern, it is difficult to break the cycle.\n\n**Throat Irritation (Chronic Throat Clearing, Pain, Tightness, and\/or Hypersensitivity)**  \nThroat irritation -- including frequent throat clearing, pain, tightness, or a sense that there is a constant lump or fullness in your throat -- can also occur when the throat is “stuck” in a pattern of hypersensitivity. It can be caused by coughing, vocal injury, or muscle tension. Sometimes, throat irritation can cause near-constant throat clearing, coughing, hoarseness, or painful swallowing, and it can disrupt daily life.\n\nOur Locations\n\nDuke Health offers locations throughout the Triangle. Find one near you.\n\n[Find a Location](https:\/\/www.dukehealth.org\/search-results\/locations?treatments=Chronic%20Cough%20and%20Throat%20Irritation)\n\n## Treatments\n### Speech Therapy for Chronic Cough and Throat Irritation\nSpeech therapy is an integral part of treating chronic cough or other forms of throat irritation. Your speech-language pathologist will teach you how to use breathing strategies, voice exercises, and good vocal hygiene to help your throat recover from the constant irritation caused by chronic cough, throat clearing, and hypersensitivity of the voice box. These techniques will help you break the cycle of chronic cough and throat irritation.\n\n### [Voice Therapy](https:\/\/www.dukehealth.org\/treatments\/voice-disorders\/voice-therapy)\nThroat strain can be a symptom and also a cause of irritation -- creating a vicious cycle. In order to break the cycle of chronic throat irritation, you need to learn how to speak and use your throat without strain. A speech-language pathologist will guide you through vocal exercises to improve breathing, reduce throat strain, and find your optimal pitch and volume for strong, healthy speaking. Improving your voice will not only help you speak more easily and clearly, but it can reduce your throat irritation and cough.\n\nCall for an Appointment\n\n## Tests\nOur team will take a detailed history of your symptoms to note patterns or triggers. A laryngologist -- an ear, nose, and throat (ENT) doctor with advanced training in voice and throat disorders -- will also evaluate whether any medical conditions, surgeries, or recent illnesses may have caused changes in your voice or throat. We will perform a head and neck examination and a visual examination of your voice box.\n\n### Videolaryngostroboscopy\nThis detailed visual exam helps us evaluate how your vocal cords vibrate when you speak or sing. A tiny camera attached to a small tube called an endoscope is inserted through your nose and into your throat. It allows us to see your vocal cords and larynx (voice box). A flashing strobe light simulates slow-motion video images of your vocal cords. The exam takes about two minutes, and your nose can be sprayed with topical anesthetic for comfort.\n\nYour team will look for lesions, stiffness, paralysis, irregular movements, throat strain, or incomplete closure of the vocal cords. After the exam, your team will review the images with you to discuss your diagnosis and treatment plan. Videolaryngostroboscopy is essential to reaching an accurate diagnosis and determining the best treatment.\n\nConsistently Ranked Among the Nation’s Best Hospitals\n\nDuke University Hospital is proud of our team and the exceptional care they provide. They are why we are recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2025–2026.\n\n![](https:\/\/www.dukehealth.org\/sites\/default\/files\/us_news_badge\/MC-4351%20USNWR%20Badge%20Adult%20Specialties_REV%20for%202025.svg)\n\nWhy Choose Duke\n\n**A Team of Experts**  \nAt Duke, one of the few comprehensive voice centers in the Southeast, your care team will include laryngologists and speech-language pathologists specially trained to evaluate and treat people with voice problems and laryngeal disorders. Our team has years of experience treating chronic cough and throat irritation problems.\n\n**Team Care Approach**  \nIf you have other medical conditions that may contribute to your voice issues -- such as allergies, asthma, or acid reflux -- we will work with your other providers throughout Duke Health to ensure you receive the best care from an integrated team.","meta_canonical":null}

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Meta Title	Chronic Cough and Throat Irritation \| Duke Health
Meta Description	Chronic cough and throat irritation requires care from voice specialists who are experienced in diagnosing and treating their root causes. Duke’s laryngologists and speech-language pathologists work together to discover what’s causing your chronic cough or throat irritation and improve your symptoms.
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Boilerpipe Text	16 We're having technical issues with search. Please check back soon. Matching Results Our Voice Specialists Meet our voice care specialists, view their profiles, and select the one that’s right for you. Find a Chronic Cough and Throat Irritation Doctor 16 Matching Results Search Providers by Condition, Specialty, or Keyword Filter by: Ear, Nose and Throat Doctor, Head and Neck Surgeon Duke Health Provider 4.82 out of 5 Accepts your insurance Head and Neck Surgeon, Pediatric Head and Neck Surgeon, Pediatric Ear, Nose and Throat Doctor Duke Health Provider 4.63 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4.91 out of 5 Accepts your insurance Head and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist Duke Health Provider 4.79 out of 5 Accepts your insurance Head and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist Duke Health Provider 4.85 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4.85 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4.89 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4.99 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4.90 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4.85 out of 5 Accepts your insurance Showing 10 of 16 providers We're having technical issues with search. Please check back soon. × About Chronic Cough and Throat Irritation Chronic Cough Coughing is a natural response that helps protect your airway when you are sick or when food or liquid goes down the wrong way. However, coughing frequently when you are not sick, especially if the cough is dry and non-productive, may indicate a chronic cough. This can be caused by a dry or irritated throat, certain medications, medical conditions (such as acid reflux or allergies), or hypersensitivity in the throat after an acute upper respiratory infection like a common cold. Coughing (and throat clearing) irritates the delicate tissues of the voice box and can cause more coughing or throat clearing. Once the body is in a chronic cough pattern, it is difficult to break the cycle. Throat Irritation (Chronic Throat Clearing, Pain, Tightness, and/or Hypersensitivity) Throat irritation -- including frequent throat clearing, pain, tightness, or a sense that there is a constant lump or fullness in your throat -- can also occur when the throat is “stuck” in a pattern of hypersensitivity. It can be caused by coughing, vocal injury, or muscle tension. Sometimes, throat irritation can cause near-constant throat clearing, coughing, hoarseness, or painful swallowing, and it can disrupt daily life. Our Locations Duke Health offers locations throughout the Triangle. Find one near you. Find a Location Treatments Speech Therapy for Chronic Cough and Throat Irritation Speech therapy is an integral part of treating chronic cough or other forms of throat irritation. Your speech-language pathologist will teach you how to use breathing strategies, voice exercises, and good vocal hygiene to help your throat recover from the constant irritation caused by chronic cough, throat clearing, and hypersensitivity of the voice box. These techniques will help you break the cycle of chronic cough and throat irritation. Voice Therapy Throat strain can be a symptom and also a cause of irritation -- creating a vicious cycle. In order to break the cycle of chronic throat irritation, you need to learn how to speak and use your throat without strain. A speech-language pathologist will guide you through vocal exercises to improve breathing, reduce throat strain, and find your optimal pitch and volume for strong, healthy speaking. Improving your voice will not only help you speak more easily and clearly, but it can reduce your throat irritation and cough. Call for an Appointment Tests Our team will take a detailed history of your symptoms to note patterns or triggers. A laryngologist -- an ear, nose, and throat (ENT) doctor with advanced training in voice and throat disorders -- will also evaluate whether any medical conditions, surgeries, or recent illnesses may have caused changes in your voice or throat. We will perform a head and neck examination and a visual examination of your voice box. Videolaryngostroboscopy This detailed visual exam helps us evaluate how your vocal cords vibrate when you speak or sing. A tiny camera attached to a small tube called an endoscope is inserted through your nose and into your throat. It allows us to see your vocal cords and larynx (voice box). A flashing strobe light simulates slow-motion video images of your vocal cords. The exam takes about two minutes, and your nose can be sprayed with topical anesthetic for comfort. Your team will look for lesions, stiffness, paralysis, irregular movements, throat strain, or incomplete closure of the vocal cords. After the exam, your team will review the images with you to discuss your diagnosis and treatment plan. Videolaryngostroboscopy is essential to reaching an accurate diagnosis and determining the best treatment. Consistently Ranked Among the Nation’s Best Hospitals Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2025–2026. Why Choose Duke A Team of Experts At Duke, one of the few comprehensive voice centers in the Southeast, your care team will include laryngologists and speech-language pathologists specially trained to evaluate and treat people with voice problems and laryngeal disorders. Our team has years of experience treating chronic cough and throat irritation problems. Team Care Approach If you have other medical conditions that may contribute to your voice issues -- such as allergies, asthma, or acid reflux -- we will work with your other providers throughout Duke Health to ensure you receive the best care from an integrated team.
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[Find a Provider](https://www.dukehealth.org/) ![Matrix overlay](https://www.dukehealth.org/themes/custom/dukehealth/images/overlay-matrix.png) ## Schedule with My Duke Health (MyChart) As a returning patient for this doctor, please schedule an appointment using your My Duke Health (MyChart) account. [Sign In to My Duke Health (MyChart)](https://www.dukemychart.org/home/Authentication/Login?liteMode=true) Don't have a My Duke Health (MyChart) account? [Sign up now](https://www.dukemychart.org/home/accesscheck.asp) Account Help If you have trouble logging in, have questions about how to use My Duke Health (MyChart), need more information about your account, or need to contact customer service, please [view our FAQs](https://www.dukemychart.org/home/default.asp?mode=stdfile&option=faq). × [Home](https://www.dukehealth.org/) [Treatments for Adults](https://www.dukehealth.org/adult-treatments) [Voice Disorders](https://www.dukehealth.org/treatments/voice-disorders) Call for an Appointment Call us at [855-855-6484](tel:855-855-6484) [Duke Voice Disorders Menu]() - [Duke Voice Disorders](https://www.dukehealth.org/treatments/voice-disorders) - [Voice Evaluation](https://www.dukehealth.org/treatments/voice-disorders/voice-evaluation) - [Voice Disorders and Treatments]() - [Aging Voice Problems](https://www.dukehealth.org/treatments/voice-disorders/aging-voice) - [Chronic Cough and Throat Irritation](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) - [Gender-Affirming Voice Care](https://www.dukehealth.org/treatments/gender-medicine/gender-affirming-voice-care) - [Muscle Tension Dysphonia](https://www.dukehealth.org/treatments/voice-disorders/muscle-tension-dysphonia) - [Pediatric Voice Disorders](https://www.dukehealth.org/pediatric-treatments/pediatric-voice-disorders) - [Singing and Performing Voice Services](https://www.dukehealth.org/treatments/voice-disorders/singing-and-professional-voice-services) - [Spasmodic Dysphonia](https://www.dukehealth.org/treatments/voice-disorders/spasmodic-dysphonia) - [Vocal Cord Dysfunction (VCD)](https://www.dukehealth.org/treatments/voice-disorders/vocal-cord-dysfunction) - [Vocal Cord Nodules, Cysts, and Polyps](https://www.dukehealth.org/treatments/voice-disorders/vocal-nodules) - [Vocal Cord Paralysis](https://www.dukehealth.org/treatments/voice-disorders/vocal-cord-paralysis) - [Voice Therapy](https://www.dukehealth.org/treatments/voice-disorders/voice-therapy) - [Related Articles](https://www.dukehealth.org/blog/categories/voice-disorders) - [Related Services]() - [Otolaryngology](https://www.dukehealth.org/treatments/ear-nose-and-throat) - [Swallowing Disorders](https://www.dukehealth.org/treatments/ear-nose-and-throat/oropharyngeal-dysphagia) - [Duke Voice Disorders](https://www.dukehealth.org/treatments/voice-disorders) - [Voice Evaluation](https://www.dukehealth.org/treatments/voice-disorders/voice-evaluation) - [Voice Disorders and Treatments]() - [Aging Voice Problems](https://www.dukehealth.org/treatments/voice-disorders/aging-voice) - [Chronic Cough and Throat Irritation](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) - [Gender-Affirming Voice Care](https://www.dukehealth.org/treatments/gender-medicine/gender-affirming-voice-care) - [Muscle Tension Dysphonia](https://www.dukehealth.org/treatments/voice-disorders/muscle-tension-dysphonia) - [Pediatric Voice Disorders](https://www.dukehealth.org/pediatric-treatments/pediatric-voice-disorders) - [Singing and Performing Voice Services](https://www.dukehealth.org/treatments/voice-disorders/singing-and-professional-voice-services) - [Spasmodic Dysphonia](https://www.dukehealth.org/treatments/voice-disorders/spasmodic-dysphonia) - [Vocal Cord Dysfunction (VCD)](https://www.dukehealth.org/treatments/voice-disorders/vocal-cord-dysfunction) - [Vocal Cord Nodules, Cysts, and Polyps](https://www.dukehealth.org/treatments/voice-disorders/vocal-nodules) - [Vocal Cord Paralysis](https://www.dukehealth.org/treatments/voice-disorders/vocal-cord-paralysis) - [Voice Therapy](https://www.dukehealth.org/treatments/voice-disorders/voice-therapy) - [Related Articles](https://www.dukehealth.org/blog/categories/voice-disorders) - [Related Services]() - [Otolaryngology](https://www.dukehealth.org/treatments/ear-nose-and-throat) - [Swallowing Disorders](https://www.dukehealth.org/treatments/ear-nose-and-throat/oropharyngeal-dysphagia) Call for an Appointment Call us at [855-855-6484](tel:855-855-6484) # Chronic Cough and Throat Irritation Including Chronic Throat Clearing, Fullness, Pain, Tightness, and/or Hypersensitivity Chronic cough and throat irritation can disrupt your daily life. Breaking the cycles that cause these conditions requires care from voice specialists who are experienced in diagnosing and treating their root causes. Duke’s laryngologists and speech-language pathologists work together to discover what’s causing your chronic cough or throat irritation and to improve your symptoms. 16 We're having technical issues with search. Please check back soon. Matching Results [View Providers](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation)[Hide Providers](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) Our Voice Specialists Meet our voice care specialists, view their profiles, and select the one that’s right for you. Find a Chronic Cough and Throat Irritation Doctor 16 Matching Results Close Doctor Overlay Search Providers by Condition, Specialty, or Keyword Filter by: Distance [5 miles](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation)[10 miles](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation)[25 miles](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation)[50 miles](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) More Filters Provider's Gender [Female](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation)[Male](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) Patient Age [Adult](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation)[Child](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) Languages Languages [Joseph Harold McClellan, MD](https://www.dukehealth.org/find-doctors-physicians/joseph-harold-mcclellan-md) Ear, Nose and Throat Doctor, Head and Neck Surgeon Duke Health Provider [Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) 4\.82 out of 5 Accepts your insurance [Schedule Online]() [New to This Doctor](https://www.dukehealth.org/find-doctors-physicians/joseph-harold-mcclellan-md#schedule-online) [I've Seen This Doctor Before]() [View Profile](https://www.dukehealth.org/find-doctors-physicians/joseph-harold-mcclellan-md) Compare [Eileen M. Raynor, MD](https://www.dukehealth.org/find-doctors-physicians/eileen-m-raynor-md) Head and Neck Surgeon, Pediatric Head and Neck Surgeon, Pediatric Ear, Nose and Throat Doctor Duke Health Provider [Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) 4\.63 out of 5 Accepts your insurance [Schedule Online]() [New to This Doctor](https://www.dukehealth.org/find-doctors-physicians/eileen-m-raynor-md#schedule-online) [I've Seen This Doctor Before]() [View Profile](https://www.dukehealth.org/find-doctors-physicians/eileen-m-raynor-md) Compare [Hilary Bartholomew, CCC‑SLP, MS](https://www.dukehealth.org/find-doctors-physicians/hilary-bartholomew-ccc-slp-ms) Speech Pathologist Duke Health Provider [Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) 4\.91 out of 5 Accepts your insurance [View Profile](https://www.dukehealth.org/find-doctors-physicians/hilary-bartholomew-ccc-slp-ms) Compare [Seth M. Cohen, MD, MPH](https://www.dukehealth.org/find-doctors-physicians/seth-m-cohen-md-mph) Head and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist Duke Health Provider [Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) 4\.79 out of 5 Accepts your insurance [View Profile](https://www.dukehealth.org/find-doctors-physicians/seth-m-cohen-md-mph) Compare [Alissa Collins, MD](https://www.dukehealth.org/find-doctors-physicians/alissa-collins-md) Head and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist Duke Health Provider [Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) 4\.85 out of 5 Accepts your insurance [View Profile](https://www.dukehealth.org/find-doctors-physicians/alissa-collins-md) Compare [Meghan Esper, CCC‑SLP, MA](https://www.dukehealth.org/find-doctors-physicians/meghan-esper-ccc-slp-ma) Speech Pathologist Duke Health Provider [Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) 4\.85 out of 5 Accepts your insurance [View Profile](https://www.dukehealth.org/find-doctors-physicians/meghan-esper-ccc-slp-ma) Compare [Lauren Fay, CCC‑SLP, MS](https://www.dukehealth.org/find-doctors-physicians/lauren-fay-ccc-slp-ms) Speech Pathologist Duke Health Provider [Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) 4\.89 out of 5 Accepts your insurance [View Profile](https://www.dukehealth.org/find-doctors-physicians/lauren-fay-ccc-slp-ms) Compare [Ella Jordan, MS, CCC‑SLP](https://www.dukehealth.org/find-doctors-physicians/ella-jordan-ms-ccc-slp) Speech Pathologist Duke Health Provider [Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) 4\.99 out of 5 Accepts your insurance [View Profile](https://www.dukehealth.org/find-doctors-physicians/ella-jordan-ms-ccc-slp) Compare [Tara Nixon, CCC‑SLP, MM, MS](https://www.dukehealth.org/find-doctors-physicians/tara-nixon-ccc-slp-mm-ms) Speech Pathologist Duke Health Provider [Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) 4\.90 out of 5 Accepts your insurance [View Profile](https://www.dukehealth.org/find-doctors-physicians/tara-nixon-ccc-slp-mm-ms) Compare [Cristen Paige, CCC‑SLP, MS](https://www.dukehealth.org/find-doctors-physicians/cristen-paige-ccc-slp-ms) Speech Pathologist Duke Health Provider [Duke Health providers are part of Duke’s physician network, which comprises doctors and providers at primary and specialty clinics throughout North Carolina and Virginia.](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) 4\.85 out of 5 Accepts your insurance [View Profile](https://www.dukehealth.org/find-doctors-physicians/cristen-paige-ccc-slp-ms) Compare Showing 10 of 16 providers Load More View All [Hide Providers](https://www.dukehealth.org/treatments/voice-disorders/chronic-cough-and-throat-irritation) We're having technical issues with search. Please check back soon. × ## About Chronic Cough and Throat Irritation Chronic Cough Coughing is a natural response that helps protect your airway when you are sick or when food or liquid goes down the wrong way. However, coughing frequently when you are not sick, especially if the cough is dry and non-productive, may indicate a chronic cough. This can be caused by a dry or irritated throat, certain medications, medical conditions (such as acid reflux or allergies), or hypersensitivity in the throat after an acute upper respiratory infection like a common cold. Coughing (and throat clearing) irritates the delicate tissues of the voice box and can cause more coughing or throat clearing. Once the body is in a chronic cough pattern, it is difficult to break the cycle. Throat Irritation (Chronic Throat Clearing, Pain, Tightness, and/or Hypersensitivity) Throat irritation -- including frequent throat clearing, pain, tightness, or a sense that there is a constant lump or fullness in your throat -- can also occur when the throat is “stuck” in a pattern of hypersensitivity. It can be caused by coughing, vocal injury, or muscle tension. Sometimes, throat irritation can cause near-constant throat clearing, coughing, hoarseness, or painful swallowing, and it can disrupt daily life. Our Locations Duke Health offers locations throughout the Triangle. Find one near you. [Find a Location](https://www.dukehealth.org/search-results/locations?treatments=Chronic%20Cough%20and%20Throat%20Irritation) ## Treatments ### Speech Therapy for Chronic Cough and Throat Irritation Speech therapy is an integral part of treating chronic cough or other forms of throat irritation. Your speech-language pathologist will teach you how to use breathing strategies, voice exercises, and good vocal hygiene to help your throat recover from the constant irritation caused by chronic cough, throat clearing, and hypersensitivity of the voice box. These techniques will help you break the cycle of chronic cough and throat irritation. ### [Voice Therapy](https://www.dukehealth.org/treatments/voice-disorders/voice-therapy) Throat strain can be a symptom and also a cause of irritation -- creating a vicious cycle. In order to break the cycle of chronic throat irritation, you need to learn how to speak and use your throat without strain. A speech-language pathologist will guide you through vocal exercises to improve breathing, reduce throat strain, and find your optimal pitch and volume for strong, healthy speaking. Improving your voice will not only help you speak more easily and clearly, but it can reduce your throat irritation and cough. Call for an Appointment [855-855-6484](tel:855-855-6484) ## Tests Our team will take a detailed history of your symptoms to note patterns or triggers. A laryngologist -- an ear, nose, and throat (ENT) doctor with advanced training in voice and throat disorders -- will also evaluate whether any medical conditions, surgeries, or recent illnesses may have caused changes in your voice or throat. We will perform a head and neck examination and a visual examination of your voice box. ### Videolaryngostroboscopy This detailed visual exam helps us evaluate how your vocal cords vibrate when you speak or sing. A tiny camera attached to a small tube called an endoscope is inserted through your nose and into your throat. It allows us to see your vocal cords and larynx (voice box). A flashing strobe light simulates slow-motion video images of your vocal cords. The exam takes about two minutes, and your nose can be sprayed with topical anesthetic for comfort. Your team will look for lesions, stiffness, paralysis, irregular movements, throat strain, or incomplete closure of the vocal cords. After the exam, your team will review the images with you to discuss your diagnosis and treatment plan. Videolaryngostroboscopy is essential to reaching an accurate diagnosis and determining the best treatment. ## Consistently Ranked Among the Nation’s Best Hospitals Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2025–2026. ![](https://www.dukehealth.org/sites/default/files/us_news_badge/MC-4351%20USNWR%20Badge%20Adult%20Specialties_REV%20for%202025.svg) ## Why Choose Duke A Team of Experts At Duke, one of the few comprehensive voice centers in the Southeast, your care team will include laryngologists and speech-language pathologists specially trained to evaluate and treat people with voice problems and laryngeal disorders. Our team has years of experience treating chronic cough and throat irritation problems. Team Care Approach If you have other medical conditions that may contribute to your voice issues -- such as allergies, asthma, or acid reflux -- we will work with your other providers throughout Duke Health to ensure you receive the best care from an integrated team. This page was medically reviewed on 03/06/2025 by [Meghan Esper, CCC-SLP, MA \\| Speech Pathologist](https://www.dukehealth.org/find-doctors-physicians/meghan-esper-ccc-slp-ma) [Back to Top]() Support Duke Health research or honor a loved one with a tribute gift. 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Readable Markdown	16 We're having technical issues with search. Please check back soon. Matching Results Our Voice Specialists Meet our voice care specialists, view their profiles, and select the one that’s right for you. Find a Chronic Cough and Throat Irritation Doctor 16 Matching Results Search Providers by Condition, Specialty, or Keyword Filter by: Ear, Nose and Throat Doctor, Head and Neck Surgeon Duke Health Provider 4\.82 out of 5 Accepts your insurance Head and Neck Surgeon, Pediatric Head and Neck Surgeon, Pediatric Ear, Nose and Throat Doctor Duke Health Provider 4\.63 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4\.91 out of 5 Accepts your insurance Head and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist Duke Health Provider 4\.79 out of 5 Accepts your insurance Head and Neck Surgeon, Ear, Nose and Throat Doctor, Laryngologist Duke Health Provider 4\.85 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4\.85 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4\.89 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4\.99 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4\.90 out of 5 Accepts your insurance Speech Pathologist Duke Health Provider 4\.85 out of 5 Accepts your insurance Showing 10 of 16 providers We're having technical issues with search. Please check back soon. × About Chronic Cough and Throat Irritation Chronic Cough Coughing is a natural response that helps protect your airway when you are sick or when food or liquid goes down the wrong way. However, coughing frequently when you are not sick, especially if the cough is dry and non-productive, may indicate a chronic cough. This can be caused by a dry or irritated throat, certain medications, medical conditions (such as acid reflux or allergies), or hypersensitivity in the throat after an acute upper respiratory infection like a common cold. Coughing (and throat clearing) irritates the delicate tissues of the voice box and can cause more coughing or throat clearing. Once the body is in a chronic cough pattern, it is difficult to break the cycle. Throat Irritation (Chronic Throat Clearing, Pain, Tightness, and/or Hypersensitivity) Throat irritation -- including frequent throat clearing, pain, tightness, or a sense that there is a constant lump or fullness in your throat -- can also occur when the throat is “stuck” in a pattern of hypersensitivity. It can be caused by coughing, vocal injury, or muscle tension. Sometimes, throat irritation can cause near-constant throat clearing, coughing, hoarseness, or painful swallowing, and it can disrupt daily life. Our Locations Duke Health offers locations throughout the Triangle. Find one near you. [Find a Location](https://www.dukehealth.org/search-results/locations?treatments=Chronic%20Cough%20and%20Throat%20Irritation) ## Treatments ### Speech Therapy for Chronic Cough and Throat Irritation Speech therapy is an integral part of treating chronic cough or other forms of throat irritation. Your speech-language pathologist will teach you how to use breathing strategies, voice exercises, and good vocal hygiene to help your throat recover from the constant irritation caused by chronic cough, throat clearing, and hypersensitivity of the voice box. These techniques will help you break the cycle of chronic cough and throat irritation. ### [Voice Therapy](https://www.dukehealth.org/treatments/voice-disorders/voice-therapy) Throat strain can be a symptom and also a cause of irritation -- creating a vicious cycle. In order to break the cycle of chronic throat irritation, you need to learn how to speak and use your throat without strain. A speech-language pathologist will guide you through vocal exercises to improve breathing, reduce throat strain, and find your optimal pitch and volume for strong, healthy speaking. Improving your voice will not only help you speak more easily and clearly, but it can reduce your throat irritation and cough. Call for an Appointment ## Tests Our team will take a detailed history of your symptoms to note patterns or triggers. A laryngologist -- an ear, nose, and throat (ENT) doctor with advanced training in voice and throat disorders -- will also evaluate whether any medical conditions, surgeries, or recent illnesses may have caused changes in your voice or throat. We will perform a head and neck examination and a visual examination of your voice box. ### Videolaryngostroboscopy This detailed visual exam helps us evaluate how your vocal cords vibrate when you speak or sing. A tiny camera attached to a small tube called an endoscope is inserted through your nose and into your throat. It allows us to see your vocal cords and larynx (voice box). A flashing strobe light simulates slow-motion video images of your vocal cords. The exam takes about two minutes, and your nose can be sprayed with topical anesthetic for comfort. Your team will look for lesions, stiffness, paralysis, irregular movements, throat strain, or incomplete closure of the vocal cords. After the exam, your team will review the images with you to discuss your diagnosis and treatment plan. Videolaryngostroboscopy is essential to reaching an accurate diagnosis and determining the best treatment. Consistently Ranked Among the Nation’s Best Hospitals Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2025–2026. ![](https://www.dukehealth.org/sites/default/files/us_news_badge/MC-4351%20USNWR%20Badge%20Adult%20Specialties_REV%20for%202025.svg) Why Choose Duke A Team of Experts At Duke, one of the few comprehensive voice centers in the Southeast, your care team will include laryngologists and speech-language pathologists specially trained to evaluate and treat people with voice problems and laryngeal disorders. Our team has years of experience treating chronic cough and throat irritation problems. Team Care Approach If you have other medical conditions that may contribute to your voice issues -- such as allergies, asthma, or acid reflux -- we will work with your other providers throughout Duke Health to ensure you receive the best care from an integrated team.
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