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?

Whooping cough, also known as pertussis, is a bacterial infection of the respiratory system that is known to affect children below five years of age. It affects the lungs and is caused by the bacteria Bordetella pertussis. In some cases, even adults can also be afflicted with this infection. The infection is characterized by coughing or bouts of coughing, which is followed by a whooping sound made by the patient as they gasp for breath. 

Also, symptoms of a whooping cough are similar to that of cold and include low-grade fever, sneezing, runny nose. mild coughing, sore throat, loss of appetite, weakness, tears, and inability to sleep. Allopathic medicines, mainly antibiotics and cough suppressants, are prescribed by doctors but they impact the body adversely and do not treat the disease completely either. On the other hand, Ayurveda remedies are gentle in nature. They do not carry any side effects and cure the infection completely. 

Here are some well-known and effective Ayurvedic remedies for whooping cough.

Basil (Tulsi): Basil or Tulsi is one of the oldest and most popular herbs that carry strong anti-bacterial properties. Being an anti-allergic as well, it boosts the immune system and helps the body fight various infections. It provides instant relief from cough, cold, and fever.
Calamus (Vacha): This proves to be very effective in curing coughing. It flushes out phlegm and clears congestion. It also provides relief from a sore throat and cures hoarseness of voice.
Honey (Shahad): It is a gentle antibiotic and mild cough suppressant. Since it is sweet in taste, it is perfect for children. It soothes the throat walls and calms the patient. It can be consumed with lukewarm water as well.
Ginger (Adrak): A natural cough suppressant, ginger gives relief in throat irritation. Analgesic in nature, it also reduces pain in the throat and body. Its anti-inflammatory action relaxes the irritated respiratory tract and eliminates mucus from the lungs. Since ginger is bitter, its juice can be mixed with honey before consumption.
Dashamuli Ghrita: Medicated clarified butter (ghee) is for external use and it gives quick relief from a sore throat when massaged on the chest. It is also effective in the case of coughing as ghee loosens the cough. It provides relief from congestion too.
Oil Massage: Massaging the chest and throat with ginger, cinnamon, or eucalyptus oil gives relief from nighttime congestion and cough. It soothes the throat and ensures sound sleep.
Black Pepper (Kaali Mirch): Black pepper is a natural decongestant and thus, clears the nasal passage, bringing relief in coughing. It also eases the respiratory tract and boosts the immune system, helping it to fight the bacterial infection. To dilute its bitter taste, a little honey can be added during consumption.
Ayurveda believes that a whooping cough is the result of vata and kapha imbalance in the body and hence, all these remedies focus on correcting this imbalance. Though all these remedies are safe and free from side effects, it is always advised to consult an Ayurveda doctor. If given on one s own, the dosage should be kept light.

Ayurveda And Whooping Cough!

Common cold and cough is one of the most common viral illnesses that have no specific treatment. Allopathic medicines provide palliative cure to just treat the symptoms, there is no definite antiviral for it. There is also popular belief having cold once or twice a year is a good way to cleanse the body. On the contrary, cough and cold could be the first symptoms of a serious underlying disease like pneumonia. From that angle, it is better to treat it than to just let it run its natural course. Especially in children and elderly, it can be chronic issue with repeated bouts and therefore, treatment becomes mandatory.

The good news is that homeopathy provides a cure for this, that not just treat external symptoms. Also, like any other condition, homeopathy looks at treating the whole myriad of associated symptoms, thereby providing holistic treatment. Below are 5 common homeopathic remedies for chronic cough and cold:

1. Aconitum or aconite: used in the early stages of a cold that was sudden in onset and severe. There could be associated nasal discharge, fever and chills, chest congestion, itchy throat, and a traumatic experience. The person may also feel thirsty, anxious, and agitated.

2. Allium cepa: severe burning and watery eyes, nasal irritation, copious amounts of discharge, hoarseness, and headache. The runny nose improves in open air, but worsens when being indoors.

3. Arsenicum album: the patient usually has complaints on the right side including watery nasal discharge, weakness, restlessness, chills, thirst. The discharge can irritate the upper lip and nasal mucosa. The cold gradually moves to the throat and the irritation also shifts down (this phase requires a different treatment). 

4. Belladonna: when the cold has a sudden onset with red face, high fever, cold feet, this can be used in the early stages of the cold. There is associated high fever, tickly throat, glassy eyes, dry cough, restlessness, and delirium 

5. Euphrasia: burning eyes and profuse nasal discharge lead to reddened eyes and cheeks. More common in children, the condition worsens in open air, at night, and while lying down. The cough then moves down into the larynx, produces a harsh, hoarse voice. 

6. Pulsatilla: yellow or greenish mucous, nasal congestion, mouth breathing are some symptoms where this is used. It is very commonly used in newborn babies, if the discharge colour is green or yellow. Associated symptoms include moodiness, easy crying, craving for attention, easily hurt and sensitive. 

Homeopathy does'cure' the cough and cold in patients, in the true sense of the word. That provides palliative care and holistic treatment of the condition too.


Homeopathy for Common Cold and Cough

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
Attacks of cold or flu can lead to an asthma attack.
Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.
Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.
A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).


Tips to Control Allergy Driven Wheezing this Season

Coughing during the night can really wreak havoc for your sleep and cause inexplicable discomfort in the throat and chest region. Thankfully, you can manage it by soothing your tickling throat as well as sensitive airways before you go to bed at night. 

Drink herbal tea: A mugful of non-caffeinated tea mixed with a teaspoon of honey before going to bed can help you to a considerable extent. This is because any warm liquid has the power to break down the formation of mucus in the throat region and with a bit of honey, the herbal tea becomes even more powerful.
Try to sleep in an inclining position: Gravity is your greatest enemy while combating night-time cough. When you lie down flat on your back at night, all the mucus and dust particles, which you have swallowed all through the day, would accumulate in the throat area and aggravate it making more cough. But you can easily defy gravitational force by piling up some pillows and prop yourself on them while sleeping. You may also keep a wooden block of 4 inches height under your head, which would keep the acids in the stomach so that they don t come up to irritate your throat.
Make sure you use the steam cautiously: When your airways are dry, it can make you cough harder. Therefore, you may find relief if you take a warm shower or a bath before going to bed. But you have to be sure that you don t have asthma as steam can prove harmful for you.
Check the level of humidity: Humidifiers are known to soothe the problem of persistent coughing when the surrounding air is dry. But too much of moisture during the night can also make you cough. This is because dust mites, mold and other allergens thrive well in the damp air and they could conspire to make your cough even worse. So, pick up a cheap hygrometer from a hardware store and see that the humidity level stays within 40 to 50 percent.
Equip yourself at night: Keep all the things from drops to water to cough syrup or anything that soothes coughing at your bedside so that you can help yourself in case you wake up in the middle of the night and start coughing.
By following these few tips every day, you can manage the night time cough and have a good night s sleep without any interruptions.

Night Time Cough - 5 Tips to Manage it

Come winter or even a slight change of season, and it is easy to catch a cold. With cold, it is quite normal and natural to develop a deep chest cough. However, it is to be noted that chest cough develops due to different reasons. Some are due to chest infections, while others are dry cough. Thus, for these different variations of cough, different homeopathic treatments are administered. Here is a list of some of the common types of treatments for curing deep chest cough-

Pulsatilla: Pulsatilla is administered to those who have a sore throat, constant irritation in the eyes and fever. When fever is accompanied with cough and cold, it is important to treat all three symptoms, lest it might usher in a more serious disease. Homeopathy is often described as a holistic form of treatment. Through the medicines, the personality of the patient can be determined. For instance, Pulsatilla is administered on those who are soft, gentle, mild and timid and who have a fear of being abandoned and thus cling on to people.

Nux Vomica: Those experiencing high levels of stress and falling prey to cough and cold with a sore throat and sharp pain while swallowing should try a dose of Nux Vomica. This is used to cure cough and cold, which block the nose, especially at night, making it troublesome for the individual to breathe. This might also cause blockage in the ear and sharp pains while trying to swallow food.

Phosphorus: At times, one experiences an extreme bout of cough that is triggered through dry throat and coarse fever. This violent cough can be nerve wrecking at times and a relaxing remedy is preferred by the patient as soon as possible to soothe the irritation.

Bryonia: This is the best medicine to treat dry cough that can be a symptom of a slowly approaching influenza. Such coughs occurs when an individual takes a high intake of cold drinks or due to sudden weather changes. The cough is followed by fever and dryness of the throat. It might also itch to a certain extent.

Natrum Mur: It is the best treatment for a dry cough, which often causes a tingling sensation in the throat. This sensation creates irritation and often leads to sleepless nights for the patient. There is also presence of whitish mucus in such types of cough.

These are some of the most common types of homeopathic treatments for treating deep chest cough. Each cough is different in nature and origin, and hence should be treated differently as per the individual symptoms.  

How To Treat Deep Chest Cough With Homeopathy?

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