HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Chronic Cough?

default
Posted on Mon, 17 Oct 2016
Question: I have had a cronic cough for 4 months. Once in awhile I cough up clear Mucas. My Doctors have tried everything from steroids to anti-biotics and I have tried numerious across the counter items Musinex DM worked for about a week and then back again.
doctor
Answered by Dr. Michelle Gibson James (34 minutes later)
Brief Answer:
post nasal drip is the most common cause

Detailed Answer:
HI, thanks for using healthcare magic

Chronic cough can have different causes, according to medical studies, the 4 most common causes are: (1) post nasal cough
(2) GERD- gastroesophageal reflux disease
(3)asthma and
(4)non asthmatic eosinphilic bronchitis- associated with the presence of eosinophils (a type of white blood cell) in the lungs

Out of these, post nasal drip is the most common with 20% of persons not being aware of the drip itself. This has been found to be the cause of chronic cough in up to 80% of persons in some places.

Some persons may have more than one cause acting together to cause the cough

There are also other causes including medications.

Since post nasal drip is the most common cause, treatment is normally started here with a combination of antihistamine and decongestant. This can take 2 weeks to months to take effect.
The older drowsy antihistamines work better than the non drowsy.
A topical nasal spray plus avoiding potential causes, also helps

Topical sprays include- nasonex, nasocort, flonase, rhinocort
In terms of potential causes- commonly related to allergies eg to dust, pollen, foods. Allergy tests would determine if there is a hidden cause

If there is no improvement then treatment can be directed to one of the other causes.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Chronic Cough?

Brief Answer: post nasal drip is the most common cause Detailed Answer: HI, thanks for using healthcare magic Chronic cough can have different causes, according to medical studies, the 4 most common causes are: (1) post nasal cough (2) GERD- gastroesophageal reflux disease (3)asthma and (4)non asthmatic eosinphilic bronchitis- associated with the presence of eosinophils (a type of white blood cell) in the lungs Out of these, post nasal drip is the most common with 20% of persons not being aware of the drip itself. This has been found to be the cause of chronic cough in up to 80% of persons in some places. Some persons may have more than one cause acting together to cause the cough There are also other causes including medications. Since post nasal drip is the most common cause, treatment is normally started here with a combination of antihistamine and decongestant. This can take 2 weeks to months to take effect. The older drowsy antihistamines work better than the non drowsy. A topical nasal spray plus avoiding potential causes, also helps Topical sprays include- nasonex, nasocort, flonase, rhinocort In terms of potential causes- commonly related to allergies eg to dust, pollen, foods. Allergy tests would determine if there is a hidden cause If there is no improvement then treatment can be directed to one of the other causes. I hope this helps, feel free to ask any other questions