Coughs
Chapter 11. Respiratory Conditions

A lot of things can make you cough:
An infection
An allergy
Asthma (see Asthma)
Tobacco smoke
Something stuck in your windpipe
Acid reflux from the stomach (see Heartburn)
Dry air
Certain medications (like some used to treat high blood pressure)
A collapsed lung

Coughing can be a sign of many ailments. Your body uses coughing to clear your lungs and airways. Coughing itself is not the problem. What causes the cough is the problem. There are 3 kinds of coughs:
Productive - A cough that brings up mucus or phlegm
Nonproductive - A cough that is dry. It doesn't bring up any mucus.
Reflex - A cough that comes from a problem somewhere else, like the ear or stomach

How to treat your cough depends on what kind it is, what caused it, and your other symptoms. Treat the cause and soothe the irritation. Stay away from smoking and secondhand smoke, especially when you have a cough. Smoke hurts your lungs and makes it harder for your body to fight infection.

Questions to Ask

Do you have any of these problems?
Trouble breathing and not able to say more than 4-5 words between breaths (a baby or small child may be unable to cry, eat, or drink a bottle)
Chest pain that travels to the neck, arm, or jaw
Sudden, severe pain in the chest wall followed by a cough and breathlessness without pain
Fainting
Coughing up blood
Does the cough occur in an infant or a young child with rapid breathing, a fever of 102oF to 103oF, and does it sound like a seal's bark? {Note: See Croup}
Did the cough start suddenly and last an hour or more without stopping? Or do wheezing, shortness of breath, rapid breathing or swelling of the abdomen, legs, and ankles accompany the cough?
If the person with the cough is an adult, is there a fever of 102oF or higher?
Do you have any of these problems with the cough?
Weight loss for no reason
Feeling tired
A lot of sweating at night
Does your chest hurt only when you cough and does the pain go away when you sit up or lean forward?
Do you cough up something green, yellow, or bloody-colored, with or without an odor?
Has the cough lasted more than 2 weeks without getting better?

Self-Care Tips

For Coughs that Bring Up Mucus:
Drink plenty of liquids such as water and fruit juice. These help loosen mucus and soothe a sore throat.
Use a "cool-mist" vaporizer, especially in the bedroom. Put a humidifier on the furnace.
Take a shower. The steam can help thin the mucus.
Ask your pharmacist for an over-the-counter expectorant. Robitussin is one kind.
Stop smoking cigarettes, cigars, and/or pipes. Stay away from places where people smoke.

For Coughs that are Dry:
Drink plenty of liquids. Hot drinks like tea with lemon and honey soothe the throat.
Suck on cough drops or hard candy. (Don't give these to children under age 5.)
Take an over-the-counter cough medicine that has dextromethorphan, such as Robitussin-DM.
Try a decongestant if you have postnasal drip.
Make your own cough medicine. Mix 1 part lemon juice and 2 parts honey. (Don't give this to children less than 1 year old.)

Other Tips Include:
Don't give children under age 5 small objects like paper clips, buttons, balloons, or foods like peanuts and popcorn. A small child can easily get something caught in its throat or windpipe. Even adults should be careful to chew and swallow foods slowly so they don't "go down the wrong way."
Don't smoke. Avoid secondhand smoke.
Stay away from chemical gases that can hurt your lungs.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 02/01/99