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 for a long time and don't know what to do? Well, here are 5 ways in which you can manage your chronic coughing:
1. Give up Smoking: Give up smoking before life gives up on you. Quitting at any point of time slows down the deterioration of lung function though not reverting to non smoking status.
2. Practice Pursed Lip Breathing: It's a very useful technique. Breathe in with your lips sealed up and breathe out with your lips slightly opened as if you're blowing birthday candles.
3. Wear a Mask when Going Out: Be cautious while going outdoor when there is sudden change in ambient environmental temperature and when pollution is high or pollen are there in the environment. (Actually simple mask do not help too much)
4. Stick to the prescribed inhaled treatment - Rush to doctor if there is increase in breathlessness, cough and/or sputum production which is not controlled by ongoing treatment. That marks exacerbation and may need hospitalisation.
5. Get vaccinated - by annual influenza vaccine and if you are above 65 then an additional single shot of pneumococcal vaccine. This will prevent infectious exacerbation.


Chronic Bronchitis - 5 important tips to manage it

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

Chest congestion is a symptom of cough and cold and may also happen when you have other infections related to the nasal and bronchial tracts. It can erupt into potentially fatal diseases like pneumonia and bronchitis, if not treated on time. Mostly, patients should look at fixing the problem at home before it develops into a full-fledged infection or hazard. Here are a few home remedies for clearing chest congestion.

Gargling: a glass of moderately warm water with a teaspoon or two of salt should be used for gargling at least twice a day as this can help in flushing out the bacteria that are present in the throat. It can also clear the mucus from the airways and help in clearing the chest to a great extent. Take care not to drink the water. Tip your head back, gargle and then spit it out into the sink.

Steam sessions: whether it is a hot bath or a mug of your favourite piping hot beverage, there is nothing that a good steam session cannot fix. Take care to avoid exposure to a sudden dip in temperature after you step out of the bath or the shower stall, as this can worsen the situation and lead to a fever. Also, you can have mugs of green tea seasoned with peppercorns, ginger and basil. This concoction will gradually clear the chest and air passages. Taking steam with the addition of eucalyptus oil to steaming hot water, is also a good idea. Cover your head with a towel or a sheet as you inhale - and don't forget to be careful not to spill or tip the vessel.

Elevation: keeping your head in an elevated position as you lie down will help in keeping the air passages relatively free of mucus build up which can also eventually lead to chest congestion. Elevation can also help you sleep better.

Yoga: breathing exercises for at least ten to fifteen minutes can help in clearing all the passages starting from the nose to the chest.

Humidifier: using a humidifier when you sleep can lend some much needed moisture to the air, which can be particularly helpful if you have contracted the chest congestion during the cold and dry wintery months which can lead to heavy, hacking coughs. The use of a humidifier will help you in breathing better as you sleep. You can also add some nasal congestion medication to the slots so that it spreads in the air as you sleep.

For persistent problems and coughing that is accompanied by fever, you must see a doctor for more focused diagnosis and treatment.

Home Remedies for Chest Congestion

Whooping Cough (another name for Pertussis) can be termed as an infection to the respiratory system caused by the bacterium Bordetella Pertussis (B. pertussis). It generally affects infants (below one year of age) and who have not yet been immunized; also kids between 11 to 18 years of age whose immunity graphs are on a downward spiral.

What are the Signs and Symptoms?
Initially, whooping cough produces signs and symptoms that may just seem to overlap with those exhibited during the average cough and cold; mild coughing, sneezing, runny nose, low fever, etc. These persist for about a week or two and then slowly, there is the onset of the dry, irritating cough which again turns to prolonged coughing spells. The child s face may seem flushed with a purple hue. The child may also vomit or make the distinctive whooping sound at the end of one such spell. Breathing difficulty can be another issue.

What is the Diagnosis?
The doctor performs an initial check-up followed by tests of mucus sample from the nose or throat. The mucus is checked for the presence of the Bordetella pertussis bacteria. To make a more thorough diagnosis, a blood test is also advisable.

What is the Treatment?
Hospitalisation might be required in case of acute distress. Respiratory support may also be provided if required. If there is intense dehydration, intravenous (IV) fluids may also be administered. As this disease is on account of a bacterial infection, antibiotics will be needed. But these will just treat the immediate effects and the cough cannot be completely done away with.
What can be the Possible Complications?

The possible immediate complications include:

Brain Damage
Pneumonia
Convulsion
Haemorrhaging in the brain
What can be the Prevention?
Vaccination is needed in order to prevent whooping cough. The vaccines are advised to be administered at the age of two months, four months and six months respectively. The 1st booster dose is to be given at 16 to 18 months age and 2nd booster dose is given on 5 year completion of age. An optional booster may be given at 10 year age.

Whooping Cough in Kids - How It Can Be Treated?

Cough is the natural reflex action of a human being to clear the throat or breathing passage from obstructions by foreign particles. Whooping cough or pertussis can be identified by the whooping sound that accompanies cold cough. Whooping cough is caused due to bacterial infection or through transmission from the infected person.

The following are few symptoms of whooping cough:

1. Runny nose and frequent sneezing
2. Cough accompanied by a whooping sound
3. Frequent vomiting
4. Nasal congestion
5. Fever
6. Sore throat
7. Fatigue

Whooping cough must be cured since it can pose serious health hazards for both children and adults and at times can even turn out to be life threatening. Ayurveda can effectively heal whooping cough naturally. The 

Following are few simple steps offered by ayurveda for treating whooping cough:

1. Honey: this is the most common and effective remedy suggested for whooping cough. Take a tablespoon of honey and mix it in a glass of lukewarm water to experience fast relief.

2. Avoid smoking: smoking makes whooping cough worse. So you must take care to quit the habit of smoking.

3. Castor oil: castor oil is also a remedy for whooping cough offered by ayurveda.

4. Ginger juice: ginger juice is a very effective remedy for curing whooping cough. You may mix the juice with honey or herbal tea.

5. Aloe vera juice: aloe vera juice mixed with honey is considered to be a cure for whooping cough in ayurveda.

6. Cloves: sometimes cloves can also offer very fast relief from continuous coughing.

7. Tulsi leaves: tulsi leaves are also considered to be a very effective cure for whooping cough according to ayurveda.

8. Breathing exercises: practicing breathing exercises regularly can also give you relief from whooping cough.

Whooping cough generally persists for a week or two, but if severe it can continue to persist for even longer. You should not neglect whooping cough and must follow the above mentioned remedies right from the beginning to experience faster relief.

Ayurveda and Whooping Cough

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