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Why Does Acid Reflux Cause Coughing

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What’s coughing

Definitions

Coughing is an important way to keep your throat and airways clear. However, excessive coughing may mean you have an underlying disease or disorder.

Some coughs are dry, while others are considered productive. A productive cough is one that brings up mucus. Mucus is also called phlegm or sputum.

Coughs can be either acute or chronic:

·   Acute coughs usually begin suddenly. They are often due to a cold, flu, or sinus infection. They usually go away after 2 to 3 weeks.

·    Chronic coughs last longer than 2 to 3 weeks.

Common Causes

Besides recent upper airways infections, such as the common cold and flu, other common causes of coughs include:

·         Allergies and asthma

·         Lung infections such as pneumonia or acute bronchitis

·         Chronic obstructive pulmonary disease (emphysema or chronic bronchitis)

·         Sinusitis leading to postnasal drip

·         Lung disease such as bronchiectasis, interstitial lung disease, or tumors

·         Gastroesophageal reflux disease (GERD)

·         Cigarette smoking

·         Exposure to secondhand smoke

·         Exposure to air pollutants

·         ACE inhibitors (medications used to control blood pressure)

If a child has a barking cough, see croup.

Home Care

Although coughing can be a troubling symptom, it is usually your body’s way of healing. Here are some tips to help ease your cough:

·         If you have a dry, tickling cough, try cough drops or hard candy. NEVER give these to a child under age 3, because they can cause choking.

·         Use a vaporizer or take a steamy shower. Both these things increase the moisture in the air and can help soothe a dry throat.

·         Drink plenty of fluids. Liquids help thin the mucus in your throat and make it easier to cough it up.

NOTE: Medical experts have recommended against using cough and cold drugs in children under age 6. Talk to your doctor before your child takes any type of over-the-counter cough medicine, even if it is labeled for children. These medicines likely will not work for children, and they may have serious side effects.

Medications available without a prescription include:

·         Guaifensin helps break up mucus. Drink lots of fluids if you take this medicine.

·         Decongestants help clear a runny nose and relieve postnasal drip. Do NOT give children under age 6 an over-the-counter decongestant unless specifically told to do so by your doctor. You should not take decongestants if you have high blood pressure.

Do not expect a doctor to prescribe antibiotics for viral infections like colds or flu. Antibiotics do not work on viruses. Antibiotics also will not help coughs from allergies

Causes of Cough

Cough is the most common reason why people go to their primary doctor. In some cases, the cough has lasted less than 3 weeks, and is termed an “acute cough”. A cough that has lasted for between 3 and 8 weeks is termed a “sub-acute cough”. And coughing that has been going on for more than 8 weeks is termed a “chronic cough”.

While some people have been coughing for years, the cause of a cough can be determined in at least 90% of these cases. Therapies for cough have a success rate of at least 85%, and therefore treatments should be aimed at the underlying cause, rather than just medications that cover up the cough temporarily.

What Causes a Cough?

The cause of a cough is dependent upon how long the symptom has been present. For example, the causes of an acute cough may be quite different from the causes of a chronic cough. In at least 25% of cases of a chronic cough, there are at least 2 medical conditions causing the cough in the person.

What Causes an Acute Cough?

The most common causes of an acute cough include:

·         The common cold

·         Acute sinusitis

·         Pertussis (whooping cough)

·         Chronic obstructive pulmonary disease (COPD) exacerbations

·         Allergic rhinitis

·         Non-allergic rhinitis

The cause of the acute cough is usually determined by the person’s history and physical exam. Some experts will use an antihistamine/decongestant combination (such as Dimetapp or the equivalent generic) in the treatment of an acute cough due to the common cold. Newer antihistamines/decongestants, such as Claritin-D (loratadine/pseudoephrine), do not seem to be as helpful.

People who continue to cough despite the treatment for a common cold, or who have other signs of an acute sinusitis, are given a course of antibiotics aimed at sinusitis as a reason for the acute cough. Children appear particularly prone to having a cough as the only sign of a sinus infection.

Those with underlying COPD (emphysema or chronic bronchitis) may have exacerbations with an increase in cough, shortness of breath, wheezing and change in mucus production and color. Antibiotics are typically given to these people with an acute cough.

Whooping cough, or Pertussis, is becoming more in certain communities, and vaccination does not always provide complete protection. People with Pertussis will have severe episodes of coughing, often with vomiting after the cough. Treatment with antibiotics helps if given early in the infection; otherwise the cough may become chronic and last for many weeks.

Rhinitis (allergic and non-allergic) may also cause a cough that is related to post-nasal drip (phlegm draining from the back of the nose into the throat). However, this may be a very different cough from the above, and more of a throat clearing type of cough. Allergic rhinitis will respond to various allergy treatments, while non-allergic rhinitis may only respond to decongestants or various prescription nasal sprays.

Less common, but more serious, causes of acute cough include heart failure, pulmonary embolism, pneumonia and getting a foreign object lodged in the lung (aspiration).

What are the Causes of Sub-acute Cough?

For a cough that has lasted for between 3 and 8 weeks, the most common causes are:

·         Post-infectious cough

·         Acute sinusitis

·         Asthma

A post-infectious cough is a cough that has persisted after a common cold or other viral respiratory tract infection, in which there is no pneumonia. It can be a result of post-nasal drip or bronchitis. These symptoms may resolve without treatment, or may become an acute sinusitis requiring antibiotics. Some experts will give a trial of a decongestant/antihistamine combination (such as Dimetapp or the generic equivalent) for one week, and if this fails, a trial of antibiotics.

If a person also complains of shortness of breath, wheezing, or chest tightness, then asthma may be the cause of the cough. Usual treatments for asthma would then be given.

For further treatment go to this site: http://www.medhelp.org/tags/show/184/cough?section=drugs

Anxiety induced coughing

Question: Could the cough and mucous production be related to my chest tightness and anxiety. Is this in itself evidence of mild stress related asthma?

Answer: by Kevin Pho, MD
Yes, the cough and mucous production can certainly be made worse by anxiety. However, it is important to make sure that it isn’t anything more serious before attributing the symptoms to anxiety.

The presence of cough and mucous production is not in itself evidence of stress-related asthma. To definitely diagnose asthma, you may need to inquire about pulmonary function tests, or a methacholine-challenge test – normally ordered by a pulmonologist.

Followup with your personal physician is essentialEssential balance
Essential hypertension
Essential tremor.

This answer is not intended as and does not substitute for medical advice – the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Question: Can Anxiety cause a perpetual cough?

Answer: Definitely. I constantly cough when I am upset/anxious/nervous. When I am not and am feeling very happy, my cough is almost non-existant. Also, lpr or larynesophogeal reflux disease (bring acid up from your stomach into your throat) even a few times can cause irritation to the throat and cause coughing. If it is not anxiety for you and lpr, nexium 40mg twice per day will be the best – at least it was for me.

Can"t Stop Coughing? 8 Possible Reasons

What’s causing your chronic cough ?
You’ve been coughing for weeks. How do you know if it’s a hard-to-shake cold or something more serious?
Only a doctor can tell for sure what’s behind your hacking. A number of conditions could be to blame, such as asthma; postnasal drip; gastroesophageal reflux disease (GERD); and chronic obstructive pulmonary disease (COPD), a serious, progressive disease that includes both emphysema and bronchitis.
Read more about COPD and some common (and relatively uncommon) culprits in chronic cough. 
Asthma and Allergies
Asthma is a chronic lung disease in which the airways in the lungs are prone to inflammation and swelling. Along with chest tightness, shortness of breath, and wheezing, coughing is a characteristic symptom of asthma, one which tends to intensify at night or in the early morning. When the symptoms of asthma flare up suddenly, it’s known as an asthma attack.
Even in people without asthma, inhaling pollen, dust, pet dander, and other airborne irritants can trigger allergic rhinitis, an allergic reaction that can cause coughing, along with symptoms such as stuffy nose and sneezing.  
COPD
  COPD occurs when the airways and air sacs in the lungs become inflamed or damaged, most often due to smoking, and is more common after age 45. In COPD, the lungs produce excess mucus, which the body reflexively tries to clear by coughing. COPD-related tissue damage can also make you feel short of breath.
Your doctor may check you for COPD (particularly if you smoke), after ruling out other common causes of cough. To determine if you have COPD, your doctor is likely to conduct some tests, including spirometry, which involves inhaling as deeply as you can and then exhaling into a tube. 
GERD
GERD is an ailment of the stomach and esophagus that occurs when stomach acid backs up into the esophagus due to a weak valve.
The main symptoms? Killer heartburn. But coughing is another common symptom of GERD, along with chest pain and wheezing. In fact, GERD is a fairly common, and unrecognized, cause of a chronic cough. 
Respiratory Tract Infection
Coughing is one of the most common symptoms of colds and flu and other respiratory tract infections. A bad cough can outlast other symptoms (such as stuffy nose and a fever), perhaps because the air passages in your lungs remain sensitive and inflamed. When this occurs, it’s called chronic upper airway cough syndrome (or postnasal drip).
A more serious respiratory tract infection is pneumonia, which can be caused by bacteria or viruses. A cough, often producing a greenish or rust-colored mucus, is one of the characteristic symptoms of the illness, along with fever, chills, chest pain, weakness, fatigue, and nausea. 
Air Pollution
Various pollutants and irritants in the air can cause a persistent cough. Even short-term exposure to fumes

(such as diesel exhaust) can result in cough, phlegm, and lung irritation. Fumes can also exacerbate allergies or asthma.
Similarly, mold spores found in and around homes can cause wheezing and coughing when inhaled. In the wake of Hurricane Katrina, New Orleans reported a sudden spike in persistent cough complaints among returning residents. This so-called Katrina cough was believed to stem from the mold caused by the flooding, as well as by dry weather and the construction dust that was then ubiquitous in the city.  
Acute Bronchitis
If you’re recovering from a cold and suddenly develop a hacking, mucus-y cough, you may have acute bronchitis, a condition in which the passageways in your lungs become infected and inflamed. In addition to coughing and chest congestion, bronchitis can produce fever, chills, aches, sore throat, and other flu-like symptoms. These symptoms usually disappear within a few days, but the cough can persist for weeks.

If your cough doesn’t go away, or if you develop acute bronchitis frequently, it may be a sign of chronic bronchitis. Chronic bronchitis is a serious condition in which the lungs produce excess mucus due to ongoing irritation, and is considered a form of COPD. 
ACE Inhibitors
ACE inhibitors are a type of medication used to treat high blood pressure and heart failure. About 1 in 5 people who take the drugs develop a dry cough. In some people, the cough can persist for weeks after they stop taking the medication; women, African Americans, and Asians may be at greater risk of developing an ACE inhibitor cough than other people.
You should never stop taking a prescribed medication without consulting with your doctor, and ACE inhibitors are important medications for lowering blood pressure (a more serious condition than a cough.) Consult your doctor if you think your cough is related to a medication.  
Pertussis
Also known as whooping cough, pertussis is a bacterial disease with symptoms that include a slight fever, a runny nose, and, most notably, a violent cough that can make breathing difficult. Attempting to inhale air into the lungs between coughs can produce a distinctive, high-pitched whooping sound. After the initial stage, many people do not have a fever, but the chronic cough that accompanies pertussis can last for many weeks.
Although the number of pertussis cases in the United States has risen alarmingly in recent years, especially among adolescents and adults, pertussis is still a relatively uncommon cause of chronic cough.
References:
Health.com