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?

Cough and cold are very daunting diseases for anyone out there. Especially for people who have a tendency of catching cold easily. Nobody likes to have a runny nose, vigorous cough and fever. But all these symptoms occur when anyone suffers from cough and cold. However, the symptoms get doubled when anyone suffers with whooping cough. Though any kind of chronic cough can be severe enough but whooping cough is the most panic striking among them all. 

What is whooping cough?

Whooping cough begins with a little respiratory illness and includes runny nose, relentless cough. In later stages a development of vivid, copious mucus with the cough and the whoop sound while coughing develops. Whooping cough can be treated safely. If we look at the homeopathic treatment, there are various remedies for whooping cough. But first and foremost, it is very important to boost your immunity. Good immunity helps you to recover faster. Next you need to add nutrition to your diet, which are very important for your health. So intake green veggies and fruits as much as you can. Talking about the homeopathy treatment, yes there are some common homeopathic medicines available, which are prescribed for whooping cough. However, it depends upon individuals and their condition as to which one would be prescribed. 

Listed are homeopathic medicines for whooping cough:

 Antimonium tartaricum: this medicine is prescribed if anyone suffers with scanty and prolific cough along with difficulties in chest or lung. The patient may get mucus with cough, but it hardly comes out. As a result, the patient might end up vomiting in an effort to expel the mucus. The cough can be worse in this case, and the patient might feel breathless often. This medicine is prescribed in such a condition when the chest is filled with mucus, but it barely comes out. 
 Drosera: this medicine is prescribed when a person experiences convulsions of coughing and ends up having cyanosis and shortness of breathing. The cough will be worse, especially at night, and the patient may end up vomiting. There is a chance of getting cramps in feet and hands while coughing.
 Belladona: this is a very common medicine for whooping cough, which is usually prescribed in the early feverish stages of whooping cough. If taken properly, it can be effective in terms of curing the illness. 

Mostly in the coughing stage, patients may face violent cough with red nose and bulging out of eyes, there can be abdominal pain too. Severe irritation in larynx and headache too are noticed in this period. All the above mentioned homeopathic medicines are likely to be used in treating whooping cough infection. However, it is advised to consult a homeopathic doctor before starting any treatment.

Treating whooping cough with homeopathy

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

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

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?

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

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