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Ask a doc: 'When is a cough something to worry about?'

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Ask a doc: 'When is a cough something to worry about?'

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As respiratory illnesses surge this winter, there’s one symptom many patients hope will just go away: the dreaded cough.

“At this time of year, many people suffer from minor coughs due to common colds, allergies or sinus irritation with post-nasal drip,” Dr. Whitney Hardy, family medicine physician at Ochsner Health in New Orleans, Louisiana, told Fox News Digital.

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One of the most common causes of a nagging cough is known as post-nasal drip, which occurs when the insides of the nasal passages become congested.

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Often, this stems from a viral infection or an allergy trigger, according to the American Lung Association’s website.

Eventually, the nasal discharge drips to the back of the throat, causing the body to cough reflexively.

One of the most common causes of a nagging cough is known as post-nasal drip, which occurs when the insides of the nasal passages become congested. (iStock)

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In some cases, coughs can be very debilitating, but in other cases they can resolve on their own without affecting daily activities — so it’s not always easy to know when to seek medical attention.

Here’s what the experts say you should know.

Why do we cough?

“A cough is a natural reflex in response to things like excess moisture in the lungs, foreign objects and mucus-producing infections,” Hardy told Fox News Digital.

After the irritant tickles the throat or airways, it sends a message to the brain that there is something in the body that shouldn’t be there, according to Mayo Clinic’s website.

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The brain then sends a message to the chest muscles to cough in order to get the irritant out of the body.

It’s natural for people to cough from time to time — but if the symptom becomes severe or persists for too long, it can irritate the lung and induce even more coughing.

Too much coughing can lead to trouble sleeping, dizziness, headaches, vomiting, fainting, chest pain and even broken ribs, Mayo Clinic noted.

Too much coughing can lead to trouble sleeping, dizziness, headaches, vomiting, fainting, chest pain and even broken ribs, Mayo Clinic noted. (iStock)

“This mechanism is important when we have an active infection and need to remove pus or fluid that will create further damage in the lung if it persists,” Dr. Baljinder S. Sidhu, a pulmonologist and sleep specialist who is the partner of Pacific Coast Critical Care Group in Southern California, told Fox News Digital.

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“Lingering cough is often caused by irritated lung mucosa with minimal triggers.”

What are the different types of coughs?

A cough that lasts less than three weeks is known as an acute cough, per Mayo Clinic.

“An acute cough typically occurs with a viral or bacterial infection, such as the flu or pneumonia,” Hardy said.

“Sometimes, this type of cough can last up to three weeks, even after infection symptoms clear,” she added.

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“Acute coughs are dry and get worse during the day, but almost completely stop at night.”

Lung irritants such as smoke, dust and chemicals are also common causes of an acute cough.

A subacute cough lasts between three and eight weeks, and often occurs after a lingering respiratory infection, experts say.

Always see a doctor if your cough lasts for more than eight weeks, as it may be necessary to get a chest X-ray to help diagnose the cause, according to the American Lung Association. (iStock)

A cough lasting for more than eight weeks is known as a chronic cough, according to the American Lung Association.

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Asthma, gastroesophageal reflux disease (GERD) and a blood pressure medication known as lisinopril can all lead to a chronic cough.

Some life-threatening conditions, such as lung cancer and heart failure (where fluid from the heart backs up into the lung), may also cause a chronic cough, experts warned.

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“Most coughs associated with a recent cold or viral illness will resolve on their own without additional treatment,” Liz Husted, M.D., a family medicine physician at Mayo Clinic Health System in La Crosse, Wisconsin, told Fox News Digital.

“A cough after a viral illness can commonly last up to six weeks; typically, no additional treatment is needed.”

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When does a cough become worrisome?

“A cough is always a concern when accompanied by shortness of breath or chest pain,” Husted said.

“This is to be evaluated by a physician right away.”

Always see a doctor if your cough lasts for more than eight weeks, as it may be necessary to get a chest X-ray to help diagnose the cause, the American Lung Association states on its website.

See a doctor, experts recommend, if you experience severe cough, fever, difficulty breathing or wheezing no matter how long your cough lasts. (iStock)

Regardless of how long your cough lasts, experts recommend seeing a doctor if you experience severe cough, fever, difficulty breathing or wheezing.

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Phlegm with pus (thick green discharge) or blood, chills, night sweats and weight loss are other red flags that indicate the need for medical attention.

Should you use home remedies?

Over-the-counter (OTC) cough medicines are safe for adults to take for acute coughs, as long as the cough is not associated with any worrisome symptoms, according to experts. (Check with your doctor to be sure.)

“These over-the-counter medications are usually a combination of several medications, including dextromethorphan, guaifenesin, phenylephrine and/or Tylenol,” Sidhu said.

Dextromethorphan is a cough suppressant that acts directly on cough receptors, the doctor noted.

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Over-the-counter cough medicines are safe to take for acute coughs, as long as the cough is not associated with any worrisome symptoms, experts say. (iStock)

Guaifenesin works by making mucus thinner and easier to bring up so that less irritant is left behind.

“Phenylephrine is a decongestant that helps treat nasal congestion and postnasal drip,” Sidhu said.

Parents or caregivers should check with their pediatrician first before administering cough medications to children, experts advise.

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Also, OTC medications only treat the symptoms — not the underlying cause.

Past research has shown that they are no more effective than placebo medications in treating coughs.

“To help with an ongoing cough, use of a humidifier is recommended to keep plenty of moisture in your immediate atmosphere,” Hardy added.

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Certain bitter foods may trigger a brain response similar to working out, study finds

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Certain bitter foods may trigger a brain response similar to working out, study finds

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The dry, puckering sensation you get from dark chocolate, red wine, tea or berries could actually be activating your brain in a way similar to exercise, according to a new study.

New research from Japan suggests that flavanols — plant compounds found in these foods — may stimulate the brain not by being absorbed into the bloodstream, but by triggering a sensory response tied to their bitter taste.

“The key finding of this experiment is that it first demonstrated how flavanol intake stimulation — likely the bitter taste — is transmitted to the central nervous system, triggering a stress response reaction that enhances short-term memory and produces beneficial effects on the circulatory system,” professor Naomi Osakabe of Shibaura Institute of Technology in Japan told Fox News Digital.

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“It was surprising that flavanol’s brain activity-enhancing effect occurred at a very low dose,” she added.

Flavanols found in cocoa, red wine and berries may stimulate sensory nerves that enhance focus and alertness. (iStock)

In experiments on mice, a single dose of flavanols increased spontaneous activity and improved performance on memory tests, according to the study, published in Current Research in Food Science.

Researchers also observed rapid activation of brain regions involved in attention, arousal and stress regulation.

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Because very little of the flavanols people consume actually enter the bloodstream, researchers believe they may instead influence the brain and heart by stimulating sensory nerves.

The researchers describe the concept as part of an emerging field known as sensory nutrition, the idea that the taste and physical sensations of food may directly regulate biological functions. This could eventually lead to new types of foods that combine appealing taste and beneficial physiological effects.

Berries are a natural source of flavanols, plant compounds being studied for potential cognitive and cardiovascular benefits. (iStock)

The response resembles what happens during mild exercise, which is a temporary activation of the sympathetic nervous system sometimes described as a fight-or-flight response. This type of short-term stress can sharpen focus and alertness.

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“While it is clear that healthy foods contribute to maintaining and enhancing homeostasis, the mechanisms remain largely unclear,” Osakabe said. “Notably, this study identified the potential for the taste of food components to regulate biological functions.”

The study does have limitations, as the research was conducted on animals and foods are complex mixtures of many compounds that may interact with one another. 

The brain’s response to flavanols resembles the temporary “fight-or-flight” activation seen during mild exercise. (iStock)

Larger, human studies are needed to determine whether the effects seen in mice also occur in people.

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“I do not believe people, including most doctors, are aware that a taste of a specific molecule or compound can rapidly trigger major changes in the brain,” Dr. Johnson Moon, a neurologist at Providence St. Jude Medical Center in California, previously told Fox News Digital regarding sensory nutrition.

More data is needed before foods like dark chocolate can be recommended, especially because calories, sugar and fat could outweigh the benefits, Moon said.

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Still, Osakabe noted that previous long-term human studies on cocoa flavanols have suggested cardiovascular and cognitive benefits. For now, she recommends a balanced, plant-forward diet.

Experts say more research is needed before flavanol-rich foods can be recommended specifically for cognitive benefits. (iStock)

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“I believe consuming plant-based foods like cocoa, berries, and red wine, along with fruits and vegetables, can help maintain health,” she said.

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Major health organizations say that if adults choose to drink alcohol, they should do so in moderation — up to one drink per day for women and two for men — and emphasize that no amount of alcohol is completely risk-free.

Fox News Digital’s Melissa Rudy contributed to this report.

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Alarming cancer symptoms highlighted by popular actor’s early death

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Popular honeymoon destination faces avian malaria threat, spread by mosquitoes

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Popular honeymoon destination faces avian malaria threat, spread by mosquitoes

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Almost every forest bird species in Hawaii is spreading avian malaria, posing an increasing threat to wildlife in the popular honeymoon destination, according to a new study published in Nature Communications.

The research revealed a potential explanation for why the disease shows up almost everywhere mosquitoes are found on the Hawaiian Islands.

Scientists from the University of Hawaii at Mānoa and the University of California analyzed blood samples from over 4,000 birds across 64 sites across the state, a press release revealed.

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Next, they conducted feeding trials where they allowed mosquitoes to feed on infected birds, and tracked whether those insects spread the disease at various temperatures.

The team found that both native and “introduced” species of forest birds can infect mosquitoes when the insects feed on them. Even when the birds have only small amounts of the parasites, they can carry the disease for months or years.

The scientists conducted feeding trials where they allowed mosquitoes to feed on infected birds, and tracked whether those insects spread the disease at various temperatures. (iStock)

“Avian malaria has taken a devastating toll on Hawaii’s native forest birds, and this study shows why the disease has been so difficult to contain,” Christa M. Seidl, who conducted the research as part of her PhD at the University of California, Santa Cruz, stated in the release.

“When so many bird species can quietly sustain transmission, it narrows the options for protecting native birds and makes mosquito control not just helpful, but essential,” she added.

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In many ecosystems, a disease continues circulating even if only a handful of animal species are spreading it, but this study found that avian malaria appears to spread more broadly across many bird species.

Mosquitoes, which are not native to Hawaii, could increase the forest birds’ risk of extinction, says the National Park Service. The ʻakikiki, a Hawaiian bird native to Kauai, is now considered extinct in the wild due to the disease.

The Kauai creeper is considered critically endangered by some groups, while others consider it extinct in the wild. (Eric J. Franke for The Washington Post via Getty Images)

While avian malaria is from the same family of protozoa that causes malaria in humans, the bird-specific strains cannot be transmitted to people, according to the National Audubon Society.

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Even when avian malaria isn’t fatal to birds, it can shorten their telomeres, an element of DNA that influences lifespan, the above source states.

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In addition to affecting the infected birds, the altered DNA can be passed onto chicks, creating a new generation of birds with shorter lifespans.

Researchers examined blood samples from more than 4,000 birds across Kauai, Oahu, Maui and Hawaii Island. (iStock)

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The researchers noted a few caveats with the study. First, they primarily used lab-controlled canaries to determine transmission for different parasite levels, which may not be an exact match for every wild bird species.

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They also faced technical hurdles in measuring exactly how much malaria-carrying saliva a mosquito produces at various temperatures, though their models largely account for this, the study stated.

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Finally, as researchers can’t realistically track every mosquito bite in the wild, they used infection patterns as an indirect way to estimate insects’ feeding preferences. If a species is infected more often, that suggests mosquitoes are biting them more frequently.

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