Rates of tuberculosis (TB) in the United States have fallen, fortunately. But Mosenifar said when he sees patients who are coughing up blood, experiencing night sweats and come from Latin America or the Middle East where the disease is more common, he tests for TB. According to the CDC, symptoms of tuberculosis may also include decreased appetite, weight loss and fever.
Coarse crackles may be a prominent finding on examination of a patient with bronchiectasis, while widespread fine late inspiratory crackles are typical of diffuse parenchymal lung disease. are related to increased reporting of cough, sputum production, and sore throat in children with or without asthma.41 Living close to heavy traffic may be associated with asthma symptoms and longstanding cough compared with those not living close to heavy traffic.42 In the Italian Po Valley district, the increase in air pollution has been associated with an increase in cough incidence among females but not males.43 Nocturnal cough in relation to indoor exposure to cat allergens was observed not only in sensitised but also in non-sensitised subjects.44 There are no epidemiological data on the frequency of gastro-oesophageal reflux and rhinosinusitis with postnasal drip associated with chronic cough. A variety of treatment options exist for chronic cough syndrome, depending on the cause(s) or suspected cause(s). These include oral medications (liquids and tablets), nasal sprays and inhalers. Of note, many common over-the-counter medications are limited in that they often do not address the exact cause(s) of the cough.
A hacking dry cough at night is the usually the most common complaint for patients. The cause for the cough because of GERD is not yet understood. People suffering from constant cough may be referred to different specialists depending on the underlying cause. A pulmonologist is a lung specialist who treats diseases of the airways.
Classification of cough based on symptom duration is somewhat arbitrary. A cough lasting less than 3 weeks is termed acute and one lasting longer than 8 weeks is defined as chronic. Acute cough is usually a result of a viral upper respiratory tract infection as almost all such coughs resolve within this time period.9 A post-infective cough may, however, persist for a considerable period of time.
Acid reflux and coughing
These include heartburn, or indigestion, wheezing (â€œwhistling soundsâ€ when you breathe), or shortness of breath (including a difficulty in getting a deep breath in or out). Some patients describe â€œchest congestion.â€ In addition, cough can be associated with a â€œdrip,â€ or drainage down the back of your throat, as well as nasal congestion (â€œstuffy noseâ€), nasal drainage (â€œrunny noseâ€) and sneezing. In the United States, the term COPD refers to both emphysema and chronic bronchitis. In addition to chronic cough, symptoms include having to clear your throat when you wake up, frequent lung infections, chest tightness, wheezing, shortness of breath (especially with exertion), lack of energy, foot or leg swelling and blueness of the lips or fingertip beds, says the Mayo Clinic. In addition to coughing, asthma symptoms include wheezing, tightness in the chest and shortness of breath, according to the American Lung Association.
Unfortunately, most symptoms of lung cancer do not show up until the later stages of the disease. Symptoms of lung cancer may include coughing up blood, even a slight amount; a new cough that doesnâ€™t subside; changes in a chronic cough; shortness of breath; wheezing; chest pain; a hoarse voice; unintended weight loss; headache; and bone pain, according to the Mayo Clinic. If chronic cough persists, it is important to be evaluated by a doctor. The health-care professional will consider the possibility of asthma, postnasal drip, esophageal reflux, drug side effects, interstitial lung disease, lung cancer, or other unusual infections.
GERD, Acid Reflux and Heartburn
If your cough doesn’t go away, or if you develop acute bronchitis frequently, it may be a sign of a more serious condition. Acute bronchitis acute means short-term is different from chronic bronchitis.
Allergy tests should be ordered, performed and interpreted by an allergist. It may be important to limit allergic and irritant triggers that can be found in the home and work environment.
If you have had a persistent cough for some time, your GP may wish to consider referring you to the Cough Clinic at Castle Hill Hospital where a Consultant Chest Physician specialising in chronic cough accepts referrals from all over the UK. Seek advice from your GP regarding any medications that may be causing the cough or could be prescribed to improve it.
Referral to a specialist cough clinic should be encouraged when there has been a failure of empirical treatment. Specialist protocols should continue to evaluate pulmonary and extrapulmonary causes for cough. Comparative studies of cough algorithms are required. No single existing diagnostic protocol can be recommended. A combination of therapeutic trials and targeted investigation is recommended when diagnostic doubt exists.
Managing Chronic Cough
In adults, whooping cough can be a cause of chronic cough. The current GERD diagnostic options and treatment therapies may be inadequate, though better options are beginning to emerge.
And any unexplained sensation of having difficulty breathing deserves medical attention. â€œThose are all things you want your doctor to weigh in on,â€ Dr. McKee says. A few years later, Rivas developed a dry cough. At first, it was just â€œa lingering annoyance, but nothing that caused much concern,â€ Rivas explains.