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Chronic Cough

A cough lasting more than eight weeks; the underlying cause must be investigated and treated.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Göğüs Hastalıkları department. Book Appointment →

What is Chronic Cough?

Cough is a physiological defense mechanism that clears the airways of irritating substances. Lasting more than eight weeks is considered chronic. Chronic cough can significantly impair quality of life; it may lead to hoarseness, fatigue, and social embarrassment.

Upper airway cough syndrome (postnasal drip), asthma/eosinophilic cough, and gastroesophageal reflux disease (GERD) are the three main causes of chronic cough in adults. Smoking, ACE inhibitor medications, and lung cancer are also among the causes that must be ruled out.

When the underlying cause is identified and treated, the cough usually resolves completely.

Symptoms

Cough lasting more than eight weeks
Worsening at night or when lying down (reflux or asthma)
Cough with postnasal drip or need to clear the throat
Sputum: color and amount guide diagnosis
Cough triggered after swallowing (reflux origin)
Cough that varies with environment and exercise (asthma)
Coughing up blood or weight loss (cancer must be investigated)

Risk Factors

Smoking
Use of ACE inhibitor medications
Allergic rhinitis and chronic sinusitis
Obesity (increases reflux risk)
Asthma or eosinophilic airway disease
Occupational irritant exposure
Continuing COPD after smoking cessation

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If cough lasts more than eight weeks
  • If cough is accompanied by blood, weight loss, or night sweats
  • If respiratory distress or high fever is present
  • For medication change if cough started while on ACE inhibitor
  • For investigation of chronic cough not responding to empirical treatment

Treatment Methods

01
Smoking cessation and discontinuation of ACE inhibitors (causes to be excluded first)
02
Intranasal steroids and antihistamines for postnasal drip
03
Inhaled corticosteroids for asthma
04
Proton pump inhibitors and dietary modifications for reflux
05
Gabapentin or pregabalin in cough hypersensitivity syndrome
06
Physiotherapy-based cough suppression techniques

Which Department to Visit?

You can visit our Göğüs Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Göğüs Hastalıkları Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.