Health
Ask a doc: 'When is a cough something to worry about?'
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.
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)
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.
“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.
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.”
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.
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.
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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Switching from cigarettes to vapes linked to higher risk of major eye diseases, large study finds
US cigarette smoking drops to record low, vaping and nicotine pouch use surges
Fox News medical analyst Dr. Marc Siegel discusses a New England Journal of Medicine study reporting US adult cigarette smoking rates dropped to a record low of 9.9% in 2024. Siegel warns about the addictive nature of vaping and nicotine pouches, which contain high levels of nicotine. He expresses concern over potential GI tract and heart issues, stressing social media’s role in promoting these products to younger generations.
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Switching from cigarettes to electronic vapes is often seen as a healthier move, but a massive nationwide study published in the American Journal of Ophthalmology suggests that smokeless alternatives could increase the risk of serious eye diseases compared to quitting nicotine altogether.
Researchers from the Korea University College of Medicine in Seoul, South Korea, analyzed health data from a group of 179,273 adults through the Korean National Health Insurance Service, according to a press release.
All participants had smoked traditional cigarettes between 2011 and 2012 and then quit smoking by 2018 or 2019, they reported.
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To ensure a fair comparison, the researchers paired up participants who shared similar backgrounds, including their age, gender, medical history, existing health conditions and general lifestyle habits.
Switching from cigarettes to electronic vapes is often seen as a healthier move, but a large study suggests it could pose a risk to eye health. (iStock)
This process created a balanced group of 32,316 matched participants, who were divided into two categories: complete quitters who stopped using all nicotine products and those who transitioned to smokeless nicotine products, such as vapes.
The researchers followed the participants for an average of 4.6 years to determine whether they developed eye conditions, including cataracts, glaucoma, age-related macular degeneration, diabetic retinopathy and focus-related eyesight disorders.
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Over the tracking period, the group experienced a total of 6,328 major eye disease events. People who quit nicotine entirely had the lowest disease rate in the study, at 41.1 cases per 1,000 person-years (a measure that accounts for both the number of people in the study and how long they were followed).
In comparison, that rate rose to 44 cases for individuals who had switched over to smokeless alternatives like vapes.
The people included in the study were divided into two main categories: complete quitters who stopped using all nicotine products, and switchers who transitioned to smokeless tobacco or nicotine products, like vapes. (iStock)
Ultimately, the data showed that switching to alternative nicotine products carried a steady 7% increased risk of serious eye diseases compared to quitting nicotine completely.
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Most notably, those who switched faced a 24% higher risk of developing diabetic retinopathy, a condition that damages the blood vessels in the light-sensitive tissue at the back of the eye.
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Additionally, those who ditched cigarettes for vapes had a 7% higher risk of developing refractive and accommodation disorders, which affect the eye’s ability to focus clearly.
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“These findings challenge the assumption that substituting noncombustible nicotine or tobacco products for conventional cigarettes is visually harmless,” the researchers noted.
“These findings challenge the assumption that substituting noncombustible nicotine or tobacco products for conventional cigarettes is visually harmless,” the researchers noted. (iStock)
The authors did point out a few limitations of the research. Because this was a study looking back at health insurance data, it cannot definitively prove that vaping directly causes eye damage.
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Additionally, the study relied on people filling out questionnaires about their own smoking and vaping habits, which can sometimes lead to underreporting or simple memory errors.
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Still, the researchers concluded the findings suggest that replacing cigarettes with alternative nicotine products may not eliminate the risk of certain eye diseases.
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