Cough
Understanding Cough: Types, Causes, and When to Seek Medical Attention
Coughing is a protective reflex that helps clear the airways of irritants, mucus, or foreign particles. While most coughs are self-limiting, some may indicate underlying medical conditions requiring further evaluation. Below is a detailed overview of different types of coughs, their causes, and associated symptoms.
Types of Cough
1. Chesty (Productive) Cough
- Characteristics: Heavy chest sensation with mucus (phlegm) expulsion.
- Common Causes: Viral infections (cold, flu), bronchitis.
- Associated Symptoms: Worsens in the morning due to overnight mucus accumulation.
- Serious Causes: Asthma, chronic bronchitis, heart failure.
2. Tickly (Irritative) Cough
- Characteristics: Non-productive (little to no mucus), throat irritation.
- Common Causes: Cold, flu, allergic rhinitis, postnasal drip.
- Mechanism: Excess mucus from sinuses drips into the throat, triggering the cough reflex.
3. Dry (Non-Productive) Cough
- Characteristics: No mucus production, often persistent.
- Common Causes: Acid reflux (GERD), asthma, viral infections.
4. Nervous (Psychogenic) Cough
- Characteristics: Habitual or stress-induced, disappears during sleep.
- Common Triggers: Anxiety, stress.
- Management: Addressing underlying psychological factors.
5. Nighttime Cough
- Characteristics: Worsens when lying down.
- Common Causes: Acid reflux (GERD), asthma, postnasal drip.
- Mechanism: Stomach acid flows back into the esophagus in a reclined position.
6. Persistent (Chronic) Cough
- Duration: Lasts more than 8 weeks.
- Common Causes: Allergic rhinitis, sinus infections, asthma, eosinophilic bronchitis.
7. Croup Cough (in Children)
- Characteristics: Barking, hoarse cough due to airway swelling.
- Common Cause: Viral infection (typically in children under 5).
8. Whooping Cough (Pertussis)
- Characteristics: Violent coughing fits followed by a "whooping" sound during inhalation.
- Cause: Bacterial infection (*Bordetella pertussis*).
- Risk Group: Unvaccinated individuals, infants.
9. Chocking (Acute Cough from Obstruction)
- Action Required: Immediate medical attention if a foreign body is suspected.
When to Seek Medical Advice
Consult a healthcare provider if you experience:
- A cough lasting more than 3 weeks (chronic cough).
- Blood in mucus (hemoptysis).
- Shortness of breath, wheezing, or chest pain.
- High fever or unexplained weight loss.
- Suspected whooping cough or choking episode.
Disclaimer
This information is for educational purposes only and does not substitute professional medical advice. Always consult a healthcare provider for diagnosis and treatment.

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