Coughing is the body's way of removing foreign material or mucus from
the lungs and upper airway passages or of reacting to an irritated
airway. Coughs have distinctive traits you can learn to recognize. A
cough is only a symptom, not a disease, and often the importance of
your cough can be determined only when other symptoms are evaluated.
Productive coughs:
A productive cough produces phlegm or mucus (sputum). The mucus may
have drained down the back of the throat from the nose or sinuses or
may have come up from the lungs. A productive cough generally should
not be suppressed-it clears mucus from the lungs. There are many causes
of a productive cough, such as:
-Viral illnesses. It is normal to have a productive cough when you have
a common cold. Coughing is often triggered by mucus that drains down
the back of the throat.
-Infections. An infection of the lungs or upper airway passages can
cause a cough. A productive cough may be a symptom of pneumonia,
bronchitis, sinusitis, or tuberculosis.
-Chronic lung disease. A productive cough could be a sign that a
disease such as chronic obstructive pulmonary disease (COPD) is getting
worse or that you have an infection.
-Stomach acid backing up into the esophagus . This type of coughing may
be a symptom of gastroesophageal reflux disease (GERD) and may awaken
you from sleep.
-Nasal discharge (postnasal drip) draining down the back of the throat.
This can cause a productive cough or the feeling that you constantly
need to clear your throat. Experts disagree about whether a postnasal
drip or the viral illness that caused it is responsible for the cough.
-Smoking or other tobacco use. Productive coughs in a person who smokes
or uses other forms of tobacco is often a sign of lung damage or
irritation of the throat or esophagus.
Nonproductive coughs:
A nonproductive cough is dry and does not produce sputum. A dry,
hacking cough may develop toward the end of a cold or after exposure to
an irritant, such as dust or smoke. There are many causes of a
nonproductive cough, such as:
-Viral illnesses. After a common cold, a dry cough may last several
weeks longer than other symptoms and often gets worse at night.
-Bronchospasm. A nonproductive cough, particularly at night, may mean
spasms in the bronchial tubes (bronchospasm) caused by irritation.
Allergies. Frequent sneezing is also a common symptom of allergic
rhinitis.
-Medicines called ACE inhibitors that are used to control high blood
pressure. Examples of ACE inhibitors include captopril (Capoten),
enalapril maleate (Vasotec), and lisinopril (Prinivil, Zestril, or
Zestoretic).
-Exposure to dust, fumes, and chemicals in the work environment.
Asthma. A chronic dry cough may be a sign of mild asthma. Other
symptoms may include wheezing, shortness of breath, or a feeling of
tightness in the chest.
Blockage of the airway by an inhaled object, such as food or a pill.
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