A cough is not necessarily to be worried about always. It is the natural response of our body to throw out harmful particles which somehow managed to enter our respiratory tract. There is sticky mucus situated in the pathway to lungs which plays a major role in trapping harmful particles. Coughing once or twice is generally a natural phenomenon but if it s persistent it is called the chronic cough, and there is a reason to worry.

Is your cough chronic?
An acute cough aggravates within a very short span of time, maybe 2-3 days. There are situations when coughing doesn t hinder your day to day activities and are easily neglected. Sometimes these infrequent bouts of a cough can persist for long and continue for more than 2 months, which has been characterized as a chronic cough.

A chronic cough is sometimes found associated with blocked or running nose. Persons suffering from a chronic cough feel very exhaustive and suffer from a headache, dizziness along with excessive sweating. Under such situations, you must consult a pulmonologist.

Know the causes of a chronic cough
There are several causes for persistent coughing, and the following are the common causes of a chronic cough and medication is taken in consultation with a trained medical practitioner only.

Infections: Bacterial or viral infection in lungs can be one of the causes of a chronic cough. Tuberculosis is one of them which initiates as a chronic cough and is later characterized by emitting blood after cough bouts.
Drug Interactions: Antihypertensive drugs have been found to be responsible for a chronic cough in some people. Hypersensitivity to the prescribed drugs is found to responsible for the cough bouts, and change in medication takes care of the issue.
Asthma: It s a situation characterized by blockages in the bronchi which disallows the normal air flow during inhalation and exhalation. Due to inadequate oxygen, brain assumes that there is a blockage which needs to be expelled and coughing pattern starts. However, asthma has to be treated, and the bronchi have to be brought back to normal with the help of medication by an expert medical practitioner.
COPD: The most common cause of a chronic cough nowadays is COPD, better known as Chronic Obstructive Pulmonary Disease. This is one of the progressive diseases which means it deteriorates with time. Active smokers are the biggest victims of it. Persons exposed to high degree of pollution or similar occupational hazards are also at high risk. Exposure to these pollutants causes inflammatory responses in lungs resulting in the tapering of the airways and destruction of lung tissues. These can be measured by lung function tests. In asthma, the narrow airways can be broadened by external medication, but in case of COPD, it s not possible.
To conclude, chronic cough is a preventable disease by reducing the exposure to risk factors as mentioned above. Quitting smoking, improving the indoor air quality with the use of solar cooking and moving on battery run vehicles can prevent COPD from further worsening. You can also undergo pulmonary rehabilitation program which is being counseled and coordinated by many physicians to benefit the individual suffering from the issue.

Chronic Cough - Why It Happens?

A cough is probably one of the most common respiratory diseases that people suffer from. In most cases, it is nothing to worry about and can be cured with cough suppressants and salt water gargles. However, coughing of blood is a serious problem. The coughing up of blood that originates from below the level of the larynx is known as hemoptysis. This can vary in terms of severity depending on the amount of blood being expelled. This disease is a common condition, but on an average, less than 5% of hemoptysis cases are life threatening.

Hemoptysis rarely affects children. The symptoms of this condition include:
Sudden onset of a cough with bloody phlegm

Fever
Anorexia and weight loss
Dyspnoea
Paroxysmal nocturnal dyspnoea
Fatigue
Chest pain: Medical attention should be sought in cases where this condition recurs often, if it lasts for longer than a fortnight or if the volume of blood expectorated is more than 30ml per day. The various tools that help in the diagnosis of this condition are:
Chest radiography: This imaging modality helps lateralize bleeding and understand the amount of lung involvement. It is quick, inexpensive and can also help detect other underlying abnormalities.
Bronchoscopy: This involves the insertions of a rigid or flexible endoscope into the bronchial passages to check the airways and determine active bleeding sites.
MDCT: A multidetector CT is a non-invasive imaging tool that provides a comprehensive evaluation of airways, lung parenchyma, and thoracic vessels. It can also be used to uncover potential causes of bleeding such as bronchiectasis, pulmonary infections and lung cancer. In some cases, a multidetector CT angiography may also be used.

Oral antibiotics are usually the first stage of treatment for this condition. Smokers will also be urged to quit cigarettes as this can worsen their condition. Treatment for minor hemoptysis may also include:

Oral hemostatics
Cough suppressants
Anticoagulants
Radiation of laser treatment
Therapeutic bronchoscopy
In its later stages, hemoptysis can be treated with a minimally invasive procedure known as endovascular embolization or with surgery. In some cases, endovascular embolization may also be sued to stabilise the patient before surgery. This procedure reduces the pressure in the hypertrophic arterial blood vessels and decreases the risk of perioperative bleeding.

Hemoptysis is also one of the most common complaints of lung cancer patients. Depending on the stage of cancer and the amount of blood expectorated, treatment in some cases may not be possible. In such cases, a parenteral opioid and fast-acting benzodiazepine may be administered. 

How to Treat Coughing Blood (Hemoptysis) Problem

A cough is a sign that there is something wrong with the throat. Be it an infection or a sore throat or food stuck in the windpipe, a cough can start. While it may sometimes disappear, sometimes, it may just refuse to go. This not just is bothersome to you to allow to continue work, it also irritates the others in the surrounding and attracts attention. Everybody looks at you annoyed and gives a look which says  why don t you do something about it?  Well, they mean well, and there are definitely things that can help manage a nagging cough. Find out for yourself!

Salt water gargling: Mix about a teaspoon of water in a glass of warm water and gargle your mouth for about 1 minute. It helps soothe the throat and reduce the cough. It can also clear the bacteria along the throat, providing relief from the cough. If there is phlegm lodged in the throat, it gets easily expelled too.
Honey: This viscous liquid coats the inflamed and irritated mucous membranes along the throat and provides instant relief. It is also known for its antibacterial nature and has good enzymes from the bees, which are known for providing instant relief to both children and adults. The sweet taste makes it further appealing. Adding ground black pepper powder to it further improves the effect, as it clears congestion.
Steam: Cough is often the result of an irritated and inflamed throat mucosa. Inhaling steam is one of the best ways to soothe this mucosa and provide relief. It reduces mucosal inflammation and removes phlegm. Adding a few drops of essential oils like eucalyptus or tea tree oil further improves the effect. These have antibacterial and antiviral properties and so enhance the relief. With boiled water in a vessel, bend over it and cover your head to ensure the steam is inhaled. Be careful to avoid burns, as steam can burn. This can be repeated 4 to 5 times daily until you get sufficient relief.
Ginger and Mint: Another wonder substance is the ginger. To a cup of warm water, add honey, few slices of ginger, and some dried peppermint. This helps by acting as an expectorant and reduces irritation in the throat, which produces cough.
Cough drops or lozenges: If you are in a public space and cannot do the above, try cough drops. Sucking on them can soothe the throat and the constant swallowing of saliva helps relieve the irritation in the throat.
Nasal irrigation: This helps relieve the postnasal congestion and dripping, which often leads to nagging coughs.
These are some simple, effective ways to reduce constant coughing.

Nagging Cough - 6 Quick Ways You Can Manage It!

If there is one disease which most people would definitely be affected by, it has to be the common cough and cold. It is not without reason that it is called  common cold.  When we look back though, common cold and cough was not so common. It is evident that it has become common due to the lifestyle and environmental changes and can be managed again by looking at how it used to be managed earlier.

Ayurveda believes that health is determined by the balance between the tridoshas in the body, namely vata, pitta, and kapha. Common cough and cold are caused by an imbalance between all 3 components. The type of cough, phlegm, congestion, etc., will vary depending on which dosha is predominant. People who repeatedly have attacks of common cold would be delighted to know there are remedies which are commonly available and can keep these attacks at bay. Read on to know more.

Garlgling with salted lukewarm water soothes the throat and helps in relieving cough.
Taking a combination of honey, lemon, and lukewarm water 3 times a day is very effective in preventing common cold.
Drinking warm liquids like herbal teas and clear vegetable soups with garlic added soothes the throat and also provides antioxidant benefits against cold and cough.
Boil some handful of tulsi leaves in a litre of water, strain and drink it through the day to get rid of cough and cold.
Eating onion dipped in honey also can prevent chronic cough and cold.
Boiling tulsi seeds and ginger in water and drinking this after straining also helps the throat.
Drinking juice of betel leaves is another natural remedy.
Add some salt to mustard oil and rub it on the nose and throat to get immediate relief.
Similarly, a mixture of curd, sugar, and black pepper powder provides relief from cough and congestion.
A mixture of cinnamon, honey, and pepper also helps people with cough and cold.
Add a small quantity of asafetida (hing) to a glass of warm water and feel the relief in the lungs and throat.
Boil water with jaggery and coriander seeds, strain and drink twice a day.
A mixture of ginger and milk can be used in concentrated form to be instilled in the nose.
A mixture of fennel seeds and clove powder mixed with honey provides great relief.
Inhale the vapour of ladies finger from water in which it was boiled. This relieves throat infections and dry cough.
In addition, Ayurveda has specific yogasanas like jal neti, sutra neti, kapalbhati and setubandha, which are aimed at clearing out nasal and airway passages.

Common Cough & Cold - Ayurvedic Remedies For It!

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?

Have you been coughing so often that it is intervening with your daily routine? Drop that bottle of cough syrup that gives you an instant relief but along with a feeling of drowsiness. Though coughing may appear to be a simple issue, it is very harassing and can lead to various severe problems. Ayurveda has the power to alleviate the suffering to a considerable degree. The Pranavaha Srotas show how the  vata  that controls the respiratory systems in the body can be balanced with Ayurvedic means so that you are relieved.

Symptoms and their mistreatments
There are two types of cough, one with the phlegm that s termed as wet cough and creates congestion, due to which you are unable to breathe. The other type of cough is the dry one, which hurts your throat and forms a pressure on the chest area while you cough. Well, whether dry or wet, a simple disease related to coughing is powerful enough to deprive you of your night s sleep. If you are a patient of bronchitis or any other respiratory disease like sinus, then you are required to deal with the nagging problem of cough.

Ayurveda offers a great way of relieving cough.

Gargles: Whenever you feel soreness around your neck, take a glassful of warm water and add a pinch of salt in it and start to gargle. The salt would help to drain out the excess fluids from the inflamed areas, thus, reducing the symptoms. It also helps in removing the mucus and thinning of the mucus. Gargling with salt should be avoided by patients suffering from hyper-tension. Such people can use simple warm water without salt.
Take honey: It is not feasible to gargle anywhere and everywhere and in such cases, you can have a spoonful of honey as it is believed to soothe the irritation in the throat area. If you have a particular tendency to cough during the night time, then a glassful of warm milk with some honey can relieve your suffering. Diabetic patients should avoid honey.
Turmeric remedies: A traditional Indian remedy to alleviate soreness of the throat region is to drink hot milk mixed with honey. You may even opt for turmeric gargles where you will have to mix half teaspoon of turmeric along with the same quantity of table salt in a glassful of lukewarm water and gargle with it. To get rid of dry cough, alternately, you can mix some turmeric powder in a spoonful of honey and take it thrice in a day.
Allopathic and synthetic medicines are generally loaded with numerous side-effects including nausea and drowsiness. In the worst case, it may lead to dependence and addiction as well. Thus, embracing Ayurveda can help you get out of the ailment permanently.

Cough - 3 Easy Home Remedies for Treating it!

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