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Cough

 


Introduction

A cough, also known as tussis is a sudden, often repetitive, spasmodic contraction of the thoracic cavity, resulting in violent release of air from the lungs, and usually accompanied by a distinctive sound.

Coughing is an action the body takes to get rid of substances that are irritating the air passages. Frequent or chronic coughing usually indicates the presence of a disease. Provided the patient is a non-smoker and has a normal chest X-ray, the cause of chronic cough in ninety-three percent of all patients is due to asthma, heartburn or post-nasal drip. Other causes of chronic cough include chronic bronchitis and medications such as ACE inhibitors. Coughing can happen voluntarily as well as involuntarily.

 

Cause

One of the more common presentations to a medical practitioner is a dry cough. The common causes of chronic dry coughing include post-nasal drip, gastroesophageal reflux disease, asthma, post viral cough and certain drugs such as beta blockers, ACE inhibitors and aspirin.

One of the causes of chronic coughing might even be mouth breathing induced dryness in the throat. Individuals who smoke often have a smoker's cough, a loud, hacking cough which often results in the expiration of phlegm.

 

Complications

The complications of coughing can be classified as either acute or chronic.

  • Acute complications include cough syncope, fainting spells due to decreased blood flow to the brain when coughs are prolonged and forceful, insomnia, cough-induced vomiting, rupture of blebs causing spontaneous pneumothorax, subconjunctival hemorrhage or "red eye", coughing defecation and in women with a prolapsed uterus, cough urination.
  • Chronic complications are common and include abdominal or pelvic hernias, fatigue fractures of lower ribs and costochondritis.

     


Treatment

Coughs can be treated with cough medicines. Dry coughs are treated with cough suppressants that suppress the body's urge to cough, while productive coughs, that is a coughs that produce phlegm, are treated with expectorants that loosen mucus from the respiratory tract.

Research has demonstrated that gargling with a mixture of warm water and salt washes away the layer of mucus on the throat containing bacteria and proteins that cause inflammation.

 

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Disclaimer: All informations here are for educational purposes only, if symptoms persist consult your physician.
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