Cough

Short-term & chronic coughs

Coughing is a reflex action that clears mucus, irritants & allergens (such as dust, smoke, or pollen) from your airways.
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A cough is considered chronic if it lasts for longer than two months for adults (or one month for children).

Chronic cough can be severely debilitating, particularly if it interferes with a peaceful night’s sleep. Repeated coughing can also be exhausting, & in extreme cases can cause dizziness, vomiting, & fractured ribs.

Causes

The vast majority of short-term coughs are caused by cold & flu viruses, or by more serious infections such as bronchitis or pneumonia.

Other chronic conditions such as asthma, heartburn, or allergies can cause a cough, & coughing is a side effect of some blood pressure medicines (ACE inhibitors).

Other causes of cough include:

  • Smoking
  • Postnasal drip (mucous drips down into the throat from the sinuses, causing irritation)
  • Bronchiectasis
  • Sarcoidosis

 

In very rare cases, a cough is a sign of something more serious, such as cancer. Coughing up blood is an urgent symptom & should be addressed by a doctor immediately.

Symptoms

  • Sinus symptoms such as runny or blocked nose, or postnasal drip
  • ore throat
  • Hoarseness
  • Shortness of breath or wheezing
  • Heartburn
  • Blood in expectorating (this is rare & should be treated as a medical emergency)

What to do next?

Coughs are usually not caused by a serious underlying condition, but we advise you to come in & have a doctor evaluate your condition & give you a diagnosis, especially if it is chronic, persistent, or if you are coughing up blood.

Give us a call to make an appointment over the phone, or use our online booking system.

020 7323 1023
Harley Street Area, W1
020 7101 0355
City of London, EC2N

Common Questions About Coughs

When should I see a doctor for my cough?

You should consult a doctor if your cough lasts more than three weeks, produces blood or large amounts of mucus, is accompanied by chest pain, shortness of breath, or fever, or occurs in someone with a weakened immune system or a chronic illness.

Will a persistent cough require tests?

If your cough does not improve, your doctor may order tests such as chest X-rays, blood tests, or allergy assessments to find the cause and guide treatment.

Could my cough be related to smoking or vaping?

Smoking and vaping irritate the airways and can cause chronic cough. Quitting can significantly reduce coughing and improve overall lung health.

Can allergies cause a cough?

Yes, post-nasal drip from allergies can irritate the throat, causing a persistent cough. Identifying triggers and using antihistamines or nasal sprays may help.

Is a nighttime cough normal?

Coughing at night can be caused by post-nasal drip, asthma, acid reflux, or infections. If it disrupts sleep or is chronic, a medical review is advised.

The Harley Street Doctor

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