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| Meta Title | Chronic cough: Causes, symptoms, and treatment |
| Meta Description | A chronic cough is one that lasts for 8 weeks in adults or 4 weeks in children. It may produce mucus or be dry and tickle the throat. Common causes of a persistent cough include asthma and bronchitis. Less commonly, it can indicate lung cancer or heart problems. Learn more about causes, symptoms, and treatments here. |
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| Boilerpipe Text | Common causes of a chronic cough include postnasal drip, asthma, and acid reflux due to gastroesophageal reflux disease (GERD). A post-infectious cough can also be chronic after an infection goes away.
A chronic, or peristent, cough is when a cough
lasts longer
than 8 weeks in adults or 4 weeks in children. Common causes include
asthma
, allergies, gastroesophageal reflux disease (
GERD
), or
bronchitis
. Less commonly, it can be a sign of a more severe condition, such as heart or lung disease.
In this article, we take a close look at the causes and symptoms of a chronic cough, ways to treat it, and when to see a doctor.
A variety of factors can cause a chronic cough. Sometimes, more than one factor may be responsible.
Common causes
Share on Pinterest
When an adult has a cough that persists for more than 8 weeks, it is considered a chronic cough.
Some of the more common causes of chronic cough include:
Asthma
. Asthma occurs when a person’s upper airways are especially sensitive to cold air, irritants in the air, or exercise. One type of asthma, known as cough-variant asthma, specifically causes a cough.
Bronchitis
.
Chronic bronchitis
causes long-term
inflammation
of the airways that can cause a cough. This can be a part of an airway disease called chronic obstructive pulmonary disease (COPD) that typically occurs as a side effect of smoking.
Gastroesophageal reflux disease (GERD)
. GERD occurs when acid comes back up from a person’s stomach and into their throat. The result can be chronic irritation in the throat that leads to a cough.
Lingering after-effects of infection
. If a person has had a severe infection, such as
pneumonia
or the
flu
, they might still experience lingering effects that include a chronic cough. Even though most of their symptoms have gone away, the airways may still remain inflamed for some time.
Postnasal drip
. Also known as upper airway cough syndrome, a postnasal drip is the result of mucus dripping down the back of the throat. This irritates the throat and triggers a cough reflex.
Blood pressure-lowering medications
. Medications known as angiotensin-converting enzyme (ACE) inhibitors can cause a chronic cough in some people. These medications end in -pril and include benazepril, captopril, and ramipril.
Less-common causes
Some less common causes of a chronic cough include:
Aspiration
. Aspiration is the medical term for when food or saliva goes down the airway instead of the food pipe. The excess fluid can collect bacteria or viruses and may lead to irritation of the airway. Sometimes aspiration can lead to pneumonia.
Bronchiectasis
. Excess mucus production can cause the airways to become larger than normal.
Bronchiolitis
. Bronchiolitis is a common condition that affects children. It is caused by a virus that causes inflammation of the bronchioles, which are small airways in the lungs.
Cystic fibrosis
.
Cystic fibrosis
causes excess mucus in the lungs and airways, which can cause a chronic cough.
Heart disease
. Sometimes coughing and shortness of breath can be symptoms of
heart disease
or
heart failure
. This is called a heart cough. A person with this condition may notice their cough worsens when they are lying completely flat.
Lung cancer
. While rare, persistent coughing can be a sign of
lung cancer
. A person with this disease may also experience chest pain as well as blood in their sputum.
Sarcoidosis
. This is an inflammatory disorder that causes small growths to develop in the lungs, lymph nodes, eyes, and skin.
A cough is typically the result of something that is irritating the airways causing the muscles in the chest and stomach to contract. The irritation also causes the glottis that covers the airways to open quickly, causing air to rush out. The result is a cough.
A cough can be ‘dry’ or ‘wet’. A
dry cough
is a non-productive one, meaning the cough does not produce mucus. People who smoke cigarettes and those who take ACE inhibitors tend to have a dry cough. A wet cough is one that produces mucus or sputum. This is the case when, for example, a person has postnasal drip or cystic fibrosis.
Share on Pinterest
A doctor will listen to a person’s lungs to help determine the cause of a chronic cough.
A chronic cough can become a medical emergency. If a person experiences the following symptoms along with a chronic cough they should seek emergency treatment:
a
fever
greater than 103°F
coughing up blood
chest pain
shortness of breath or difficulty catching their breath
If a chronic cough interferes with a person’s everyday activities, it often warrants further examination by a doctor. Other symptoms that may mean a person needs to see their doctor include:
appetite loss
coughing up a lot of mucus
fatigue
night sweats
unexplained weight loss
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Learn more.
To make a diagnosis, a doctor will begin by asking the person when their symptom first appeared, what makes the symptoms better, and what makes them worse. They will ask about the person’s medical history and lifestyle habits, such as whether they smoke. A doctor will likely also listen to the person’s lungs using a stethoscope.
Sometimes a doctor will require further testing to help with diagnosis. Tests may include:
taking a sputum sample and evaluating it for the presence of blood or cancerous cells
imaging scans, such as X-rays or computed tomography scans to determine if there are signs of lung disease or inflammation
a bronchoscopy, where a doctor views the lungs for signs of irritation or disease
Each of these tests, as well as a variety of other tests, can help a doctor identify the underlying causes of a chronic cough.
Treatments for a chronic cough depend upon the underlying cause. If a doctor cannot determine the exact cause straight away, they might decide to treat the most common contributing factors for a chronic cough.
Postnasal drip is a common cause, so a doctor may recommend the person takes decongestants or antihistamines. These medications can help to dry up secretions and reduce inflammation that can lead to postnasal drip. Decongestant or nasal steroid sprays may also help.
Other treatments may be more specific to a particular underlying medical condition. For example, a person may be able to control their GERD through making lifestyle changes and taking medications that reduce the effects of acid on the stomach. Examples of these changes can include:
eating several small meals a day
avoiding foods known to cause GERD, such as caffeine, citrus fruits, tomato-based foods, high-fat foods, chocolate, or peppermint
refraining from lying down until two hours after eating
sleeping with the head of the bed raised or using extra pillows to elevate the head
taking medications, such as cimetidine (Tagamet) or famotidine (Pepcid)
Those who have a cough related to ACE inhibitors may wish to talk to their doctor. There are some medications that may be able to reduce
high blood pressure
without causing a cough.
Unless side effects are serious, a person should not stop taking medication without first speaking to their doctor.
Smoking cigarettes can increase the risk of developing a chronic cough. Exposure to second-hand smoke can also increase a person’s risk. The smoke can irritate the airways and lead to a chronic cough as well as lung damage.
Exposure to chemicals in the air, such as from working in a factory or laboratory, can also lead to long-term coughing.
Taking ACE inhibitors is a significant risk factor for coughing. According to the
New England Journal of Medicine
, an estimated 20 percent of people who take ACE inhibitors develop a cough.
Coughing can be problematic if it interferes with a person’s daily life. A chronic cough can have the following additional effects:
affecting a person’s ability to sleep well if coughing keeps them up at night
daytime fatigue
difficulty concentrating at work and school
headaches
dizziness
Although rare, very severe coughing can cause the following complications:
fainting
urinary incontinence
broken ribs
Most cases of a chronic cough can be treated, typically with over-the-counter treatments. However, sometimes a chronic cough can indicate a more serious cause that a doctor should evaluate. |
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# What causes a chronic cough?

[Medically reviewed]() by [Alana Biggers, M.D., MPH]() — Written by [Rachel Nall, MSN, CRNA]() — [Updated on November 29, 2023]()
- [Causes](https://www.medicalnewstoday.com/articles/321597#what-causes-a-chronic-cough)
- [Symptoms](https://www.medicalnewstoday.com/articles/321597#symptoms)
- [When to see a doctor](https://www.medicalnewstoday.com/articles/321597#when-to-see-a-doctor)
- [Diagnosis](https://www.medicalnewstoday.com/articles/321597#diagnosis)
- [Treatment](https://www.medicalnewstoday.com/articles/321597#treatment)
- [Risk factors](https://www.medicalnewstoday.com/articles/321597#risk-factors)
- [Complications](https://www.medicalnewstoday.com/articles/321597#complications)
- [Outlook](https://www.medicalnewstoday.com/articles/321597#outlook)
Common causes of a chronic cough include postnasal drip, asthma, and acid reflux due to gastroesophageal reflux disease (GERD). A post-infectious cough can also be chronic after an infection goes away.
A chronic, or peristent, cough is when a cough [lasts longer](https://www.aafp.org/afp/2017/1101/p575.html) than 8 weeks in adults or 4 weeks in children. Common causes include [asthma](https://www.medicalnewstoday.com/info/asthma/ "What is Asthma?"), allergies, gastroesophageal reflux disease ([GERD](https://www.medicalnewstoday.com/articles/14085.php "Everything you need to know about GERD")), or [bronchitis](https://www.medicalnewstoday.com/articles/8888.php "Symptoms and treatment of bronchitis"). Less commonly, it can be a sign of a more severe condition, such as heart or lung disease.
In this article, we take a close look at the causes and symptoms of a chronic cough, ways to treat it, and when to see a doctor.
## [What causes a chronic cough?]()
A variety of factors can cause a chronic cough. Sometimes, more than one factor may be responsible.
### Common causes

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When an adult has a cough that persists for more than 8 weeks, it is considered a chronic cough.
Some of the more common causes of chronic cough include:
- **Asthma**. Asthma occurs when a person’s upper airways are especially sensitive to cold air, irritants in the air, or exercise. One type of asthma, known as cough-variant asthma, specifically causes a cough.
- **Bronchitis**. [Chronic bronchitis](https://www.medicalnewstoday.com/articles/copd-chronic-bronchitis) causes long-term [inflammation](https://www.medicalnewstoday.com/articles/248423.php "Everything you need to know about inflammation") of the airways that can cause a cough. This can be a part of an airway disease called chronic obstructive pulmonary disease (COPD) that typically occurs as a side effect of smoking.
- **Gastroesophageal reflux disease (GERD)**. GERD occurs when acid comes back up from a person’s stomach and into their throat. The result can be chronic irritation in the throat that leads to a cough.
- **Lingering after-effects of infection**. If a person has had a severe infection, such as [pneumonia](https://www.medicalnewstoday.com/articles/151632.php "What you should know about pneumonia") or the [flu](https://www.medicalnewstoday.com/articles/15107.php "All you need to know about flu"), they might still experience lingering effects that include a chronic cough. Even though most of their symptoms have gone away, the airways may still remain inflamed for some time.
- **Postnasal drip**. Also known as upper airway cough syndrome, a postnasal drip is the result of mucus dripping down the back of the throat. This irritates the throat and triggers a cough reflex.
- **Blood pressure-lowering medications**. Medications known as angiotensin-converting enzyme (ACE) inhibitors can cause a chronic cough in some people. These medications end in -pril and include benazepril, captopril, and ramipril.
### Less-common causes
Some less common causes of a chronic cough include:
- **Aspiration**. Aspiration is the medical term for when food or saliva goes down the airway instead of the food pipe. The excess fluid can collect bacteria or viruses and may lead to irritation of the airway. Sometimes aspiration can lead to pneumonia.
- **Bronchiectasis**. Excess mucus production can cause the airways to become larger than normal.
- **Bronchiolitis**. Bronchiolitis is a common condition that affects children. It is caused by a virus that causes inflammation of the bronchioles, which are small airways in the lungs.
- **Cystic fibrosis**. [Cystic fibrosis](https://www.medicalnewstoday.com/articles/147960.php "Everything you need to know about cystic fibrosis") causes excess mucus in the lungs and airways, which can cause a chronic cough.
- **Heart disease**. Sometimes coughing and shortness of breath can be symptoms of [heart disease](https://www.medicalnewstoday.com/articles/237191.php "Everything you need to know about heart disease") or [heart failure](https://www.medicalnewstoday.com/articles/156849.php "Congestive heart failure: What you need to know"). This is called a heart cough. A person with this condition may notice their cough worsens when they are lying completely flat.
- **Lung cancer**. While rare, persistent coughing can be a sign of [lung cancer](https://www.medicalnewstoday.com/articles/323701 "What is Lung Cancer?"). A person with this disease may also experience chest pain as well as blood in their sputum.
- **Sarcoidosis**. This is an inflammatory disorder that causes small growths to develop in the lungs, lymph nodes, eyes, and skin.
## [Symptoms]()
A cough is typically the result of something that is irritating the airways causing the muscles in the chest and stomach to contract. The irritation also causes the glottis that covers the airways to open quickly, causing air to rush out. The result is a cough.
A cough can be ‘dry’ or ‘wet’. A [dry cough](https://www.medicalnewstoday.com/articles/best-medication-for-dry-cough) is a non-productive one, meaning the cough does not produce mucus. People who smoke cigarettes and those who take ACE inhibitors tend to have a dry cough. A wet cough is one that produces mucus or sputum. This is the case when, for example, a person has postnasal drip or cystic fibrosis.
## [When to see a doctor]()
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A doctor will listen to a person’s lungs to help determine the cause of a chronic cough.
A chronic cough can become a medical emergency. If a person experiences the following symptoms along with a chronic cough they should seek emergency treatment:
- a [fever](https://www.medicalnewstoday.com/articles/168266.php "Fever: What you need to know") greater than 103°F
- coughing up blood
- chest pain
- shortness of breath or difficulty catching their breath
If a chronic cough interferes with a person’s everyday activities, it often warrants further examination by a doctor. Other symptoms that may mean a person needs to see their doctor include:
- appetite loss
- coughing up a lot of mucus
- [fatigue](https://www.medicalnewstoday.com/articles/248002.php "Fatigue: Why am I so tired and what can I do about it?")
- night sweats
- unexplained weight loss
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## [Diagnosis]()
To make a diagnosis, a doctor will begin by asking the person when their symptom first appeared, what makes the symptoms better, and what makes them worse. They will ask about the person’s medical history and lifestyle habits, such as whether they smoke. A doctor will likely also listen to the person’s lungs using a stethoscope.
Sometimes a doctor will require further testing to help with diagnosis. Tests may include:
- taking a sputum sample and evaluating it for the presence of blood or cancerous cells
- imaging scans, such as X-rays or computed tomography scans to determine if there are signs of lung disease or inflammation
- a bronchoscopy, where a doctor views the lungs for signs of irritation or disease
Each of these tests, as well as a variety of other tests, can help a doctor identify the underlying causes of a chronic cough.
## [Treatment]()
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Raising the head with extra pillows may help GERD-related coughs.
Treatments for a chronic cough depend upon the underlying cause. If a doctor cannot determine the exact cause straight away, they might decide to treat the most common contributing factors for a chronic cough.
Postnasal drip is a common cause, so a doctor may recommend the person takes decongestants or antihistamines. These medications can help to dry up secretions and reduce inflammation that can lead to postnasal drip. Decongestant or nasal steroid sprays may also help.
Other treatments may be more specific to a particular underlying medical condition. For example, a person may be able to control their GERD through making lifestyle changes and taking medications that reduce the effects of acid on the stomach. Examples of these changes can include:
- eating several small meals a day
- avoiding foods known to cause GERD, such as caffeine, citrus fruits, tomato-based foods, high-fat foods, chocolate, or peppermint
- refraining from lying down until two hours after eating
- sleeping with the head of the bed raised or using extra pillows to elevate the head
- taking medications, such as cimetidine (Tagamet) or famotidine (Pepcid)
Those who have a cough related to ACE inhibitors may wish to talk to their doctor. There are some medications that may be able to reduce [high blood pressure](https://www.medicalnewstoday.com/articles/159283.php "What's to know about high blood pressure?") without causing a cough.
Unless side effects are serious, a person should not stop taking medication without first speaking to their doctor.
## [Risk factors]()
Smoking cigarettes can increase the risk of developing a chronic cough. Exposure to second-hand smoke can also increase a person’s risk. The smoke can irritate the airways and lead to a chronic cough as well as lung damage.
Exposure to chemicals in the air, such as from working in a factory or laboratory, can also lead to long-term coughing.
Taking ACE inhibitors is a significant risk factor for coughing. According to the [*New England Journal of Medicine*](http://www.drkney.com/pdfs/cough_102016_NEJM.pdf), an estimated 20 percent of people who take ACE inhibitors develop a cough.
## [Complications]()
Coughing can be problematic if it interferes with a person’s daily life. A chronic cough can have the following additional effects:
- affecting a person’s ability to sleep well if coughing keeps them up at night
- daytime fatigue
- difficulty concentrating at work and school
- [headaches](https://www.medicalnewstoday.com/articles/73936.php "What is causing this headache?")
- dizziness
Although rare, very severe coughing can cause the following complications:
- fainting
- [urinary incontinence](https://www.medicalnewstoday.com/articles/165408.php "Urinary Incontinence: What you need to know")
- broken ribs
## [Outlook]()
Most cases of a chronic cough can be treated, typically with over-the-counter treatments. However, sometimes a chronic cough can indicate a more serious cause that a doctor should evaluate.
- [Pulmonary System](https://www.medicalnewstoday.com/categories/pulmonary-system)
- [Respiratory](https://www.medicalnewstoday.com/categories/respiratory)
- [Flu / Cold / SARS](https://www.medicalnewstoday.com/categories/flu-sars)
- [Infectious Diseases / Bacteria / Viruses](https://www.medicalnewstoday.com/categories/infectious_diseases)
### How we reviewed this article:
Sources
Medical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.medicalnewstoday.com/articles/process).
- Chronic cough. (2018)
<https://www.aaaai.org/conditions-and-treatments/conditions-dictionary/chronic-cough>
- Chronic cough & chronic throat clearing. (n.d.)
<https://ukhealthcare.uky.edu/services/otolaryngology-head-neck-surgery/cough>
- How doctors crack the code for your chronic cough. (2017, August 17)
<https://health.clevelandclinic.org/how-doctors-are-cracking-the-code-for-your-chronic-cough/>
- Michaudet, C., & Malaty, J. (2017, November 1). Chronic cough: Evaluation and management. *American Family Physician*, *96*(9), 575–580.
<https://www.aafp.org/afp/2017/1101/p575.html>
- Smith, J. A., & Woodcock, A. (2016, October 20). Chronic cough. *New England Journal of Medicine*, *375*(16), 1544–1551
<http://www.drkney.com/pdfs/cough_102016_NEJM.pdf>
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[Medically reviewed]() by [Alana Biggers, M.D., MPH]() — Written by [Rachel Nall, MSN, CRNA]() — [Updated on November 29, 2023]()
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| Readable Markdown | Common causes of a chronic cough include postnasal drip, asthma, and acid reflux due to gastroesophageal reflux disease (GERD). A post-infectious cough can also be chronic after an infection goes away.
A chronic, or peristent, cough is when a cough [lasts longer](https://www.aafp.org/afp/2017/1101/p575.html) than 8 weeks in adults or 4 weeks in children. Common causes include [asthma](https://www.medicalnewstoday.com/info/asthma/ "What is Asthma?"), allergies, gastroesophageal reflux disease ([GERD](https://www.medicalnewstoday.com/articles/14085.php "Everything you need to know about GERD")), or [bronchitis](https://www.medicalnewstoday.com/articles/8888.php "Symptoms and treatment of bronchitis"). Less commonly, it can be a sign of a more severe condition, such as heart or lung disease.
In this article, we take a close look at the causes and symptoms of a chronic cough, ways to treat it, and when to see a doctor.
A variety of factors can cause a chronic cough. Sometimes, more than one factor may be responsible.
Common causes

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When an adult has a cough that persists for more than 8 weeks, it is considered a chronic cough.
Some of the more common causes of chronic cough include:
- **Asthma**. Asthma occurs when a person’s upper airways are especially sensitive to cold air, irritants in the air, or exercise. One type of asthma, known as cough-variant asthma, specifically causes a cough.
- **Bronchitis**. [Chronic bronchitis](https://www.medicalnewstoday.com/articles/copd-chronic-bronchitis) causes long-term [inflammation](https://www.medicalnewstoday.com/articles/248423.php "Everything you need to know about inflammation") of the airways that can cause a cough. This can be a part of an airway disease called chronic obstructive pulmonary disease (COPD) that typically occurs as a side effect of smoking.
- **Gastroesophageal reflux disease (GERD)**. GERD occurs when acid comes back up from a person’s stomach and into their throat. The result can be chronic irritation in the throat that leads to a cough.
- **Lingering after-effects of infection**. If a person has had a severe infection, such as [pneumonia](https://www.medicalnewstoday.com/articles/151632.php "What you should know about pneumonia") or the [flu](https://www.medicalnewstoday.com/articles/15107.php "All you need to know about flu"), they might still experience lingering effects that include a chronic cough. Even though most of their symptoms have gone away, the airways may still remain inflamed for some time.
- **Postnasal drip**. Also known as upper airway cough syndrome, a postnasal drip is the result of mucus dripping down the back of the throat. This irritates the throat and triggers a cough reflex.
- **Blood pressure-lowering medications**. Medications known as angiotensin-converting enzyme (ACE) inhibitors can cause a chronic cough in some people. These medications end in -pril and include benazepril, captopril, and ramipril.
Less-common causes
Some less common causes of a chronic cough include:
- **Aspiration**. Aspiration is the medical term for when food or saliva goes down the airway instead of the food pipe. The excess fluid can collect bacteria or viruses and may lead to irritation of the airway. Sometimes aspiration can lead to pneumonia.
- **Bronchiectasis**. Excess mucus production can cause the airways to become larger than normal.
- **Bronchiolitis**. Bronchiolitis is a common condition that affects children. It is caused by a virus that causes inflammation of the bronchioles, which are small airways in the lungs.
- **Cystic fibrosis**. [Cystic fibrosis](https://www.medicalnewstoday.com/articles/147960.php "Everything you need to know about cystic fibrosis") causes excess mucus in the lungs and airways, which can cause a chronic cough.
- **Heart disease**. Sometimes coughing and shortness of breath can be symptoms of [heart disease](https://www.medicalnewstoday.com/articles/237191.php "Everything you need to know about heart disease") or [heart failure](https://www.medicalnewstoday.com/articles/156849.php "Congestive heart failure: What you need to know"). This is called a heart cough. A person with this condition may notice their cough worsens when they are lying completely flat.
- **Lung cancer**. While rare, persistent coughing can be a sign of [lung cancer](https://www.medicalnewstoday.com/articles/323701 "What is Lung Cancer?"). A person with this disease may also experience chest pain as well as blood in their sputum.
- **Sarcoidosis**. This is an inflammatory disorder that causes small growths to develop in the lungs, lymph nodes, eyes, and skin.
A cough is typically the result of something that is irritating the airways causing the muscles in the chest and stomach to contract. The irritation also causes the glottis that covers the airways to open quickly, causing air to rush out. The result is a cough.
A cough can be ‘dry’ or ‘wet’. A [dry cough](https://www.medicalnewstoday.com/articles/best-medication-for-dry-cough) is a non-productive one, meaning the cough does not produce mucus. People who smoke cigarettes and those who take ACE inhibitors tend to have a dry cough. A wet cough is one that produces mucus or sputum. This is the case when, for example, a person has postnasal drip or cystic fibrosis.
[Share on Pinterest](https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2F321597&media=https%3A%2F%2Fcdn-prod.medicalnewstoday.com%2Fcontent%2Fimages%2Farticles%2F321%2F321597%2Fdoctor-listening-to-patients-lungs.jpg&description=Chronic%20cough%3A%20Causes%2C%20symptoms%2C%20and%20treatment "Share on Pinterest") A doctor will listen to a person’s lungs to help determine the cause of a chronic cough.
A chronic cough can become a medical emergency. If a person experiences the following symptoms along with a chronic cough they should seek emergency treatment:
- a [fever](https://www.medicalnewstoday.com/articles/168266.php "Fever: What you need to know") greater than 103°F
- coughing up blood
- chest pain
- shortness of breath or difficulty catching their breath
If a chronic cough interferes with a person’s everyday activities, it often warrants further examination by a doctor. Other symptoms that may mean a person needs to see their doctor include:
- appetite loss
- coughing up a lot of mucus
- [fatigue](https://www.medicalnewstoday.com/articles/248002.php "Fatigue: Why am I so tired and what can I do about it?")
- night sweats
- unexplained weight loss
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To make a diagnosis, a doctor will begin by asking the person when their symptom first appeared, what makes the symptoms better, and what makes them worse. They will ask about the person’s medical history and lifestyle habits, such as whether they smoke. A doctor will likely also listen to the person’s lungs using a stethoscope.
Sometimes a doctor will require further testing to help with diagnosis. Tests may include:
- taking a sputum sample and evaluating it for the presence of blood or cancerous cells
- imaging scans, such as X-rays or computed tomography scans to determine if there are signs of lung disease or inflammation
- a bronchoscopy, where a doctor views the lungs for signs of irritation or disease
Each of these tests, as well as a variety of other tests, can help a doctor identify the underlying causes of a chronic cough.
Treatments for a chronic cough depend upon the underlying cause. If a doctor cannot determine the exact cause straight away, they might decide to treat the most common contributing factors for a chronic cough.
Postnasal drip is a common cause, so a doctor may recommend the person takes decongestants or antihistamines. These medications can help to dry up secretions and reduce inflammation that can lead to postnasal drip. Decongestant or nasal steroid sprays may also help.
Other treatments may be more specific to a particular underlying medical condition. For example, a person may be able to control their GERD through making lifestyle changes and taking medications that reduce the effects of acid on the stomach. Examples of these changes can include:
- eating several small meals a day
- avoiding foods known to cause GERD, such as caffeine, citrus fruits, tomato-based foods, high-fat foods, chocolate, or peppermint
- refraining from lying down until two hours after eating
- sleeping with the head of the bed raised or using extra pillows to elevate the head
- taking medications, such as cimetidine (Tagamet) or famotidine (Pepcid)
Those who have a cough related to ACE inhibitors may wish to talk to their doctor. There are some medications that may be able to reduce [high blood pressure](https://www.medicalnewstoday.com/articles/159283.php "What's to know about high blood pressure?") without causing a cough.
Unless side effects are serious, a person should not stop taking medication without first speaking to their doctor.
Smoking cigarettes can increase the risk of developing a chronic cough. Exposure to second-hand smoke can also increase a person’s risk. The smoke can irritate the airways and lead to a chronic cough as well as lung damage.
Exposure to chemicals in the air, such as from working in a factory or laboratory, can also lead to long-term coughing.
Taking ACE inhibitors is a significant risk factor for coughing. According to the [*New England Journal of Medicine*](http://www.drkney.com/pdfs/cough_102016_NEJM.pdf), an estimated 20 percent of people who take ACE inhibitors develop a cough.
Coughing can be problematic if it interferes with a person’s daily life. A chronic cough can have the following additional effects:
- affecting a person’s ability to sleep well if coughing keeps them up at night
- daytime fatigue
- difficulty concentrating at work and school
- [headaches](https://www.medicalnewstoday.com/articles/73936.php "What is causing this headache?")
- dizziness
Although rare, very severe coughing can cause the following complications:
- fainting
- [urinary incontinence](https://www.medicalnewstoday.com/articles/165408.php "Urinary Incontinence: What you need to know")
- broken ribs
Most cases of a chronic cough can be treated, typically with over-the-counter treatments. However, sometimes a chronic cough can indicate a more serious cause that a doctor should evaluate. |
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