Thursday 4 October 2012

Cough:-


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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