Cough

Is this your symptom?

  • The sound made when you clear the airway of irritants
  • Most coughs are part of a cold
  • A coughing fit or spell means more than 5 minutes of nonstop coughing
  • Coughs can be dry (no mucus) or wet (with white, yellow or green mucus)

Causes of Cough

  • Common Cold. Most coughs are part of a cold. The medical name is viral bronchitis. Bronchitis can be caused by viruses. 
  • Pneumonia (serious) is a more serious infection of the lower parts of the airway (in the lung). It can be caused by viruses or bacteria. Symptoms include cough with brown or bloody mucus, short of breath, chest pain and fever. The person will often feel and appear sick. Antibiotics may be needed to treat a bacterial lung infection.
  • Sinus Infection. The exact trigger of the cough is unknown. It may be that post-nasal drip (mucus dripping into the throat from the sinuses) irritates the lower throat. Or pressure within the sinus may trigger the cough.
  • Allergic Cough. Some people get a cough from breathing in an allergic substance. Examples are pollens or cat dander. Allergic coughs can be controlled with allergy medicines, such as Benadryl (short term) or Zyrtec (long term).
  • Asthma
  • Cough Variant Asthma. Some people with asthma only cough and never wheeze. The coughing spells have the same triggers as asthma attacks.
  • Air Pollution Cough. Any kind of fumes can irritate the airway and cause a cough. Tobacco smoke is the most common example. Others are car exhaust, smog and paint fumes.
  • Acid Reflux. Ongoing damage to the airways due to acid reflux can cause a cough. This happens when acid from the stomach flows back up the esophagus (food pipe that connects the mouth with the stomach). Acid reflux is common. But reflux that occurs regularly can cause a chronic cough.
  • Exercise Induced Cough. Running will make most coughs worse. If the air is cold or polluted, coughing is even more likely.
  • Heart Failure (serious) occurs when the heart is not pumping as well as it should. Fluid can build up on the lungs and other places in the body. The main symptoms are shortness of breath, swelling and tiredness (fatigue). Sudden shortness of breath and a cough with frothy pink mucus can also occur, often at night.
  • Pulmonary Embolus (serious) occurs when a clot from somewhere in the body (often the legs) travels through the blood stream and is trapped in the lungs. A large clot can be life threatening. Symptoms include breathlessness, chest pain and coughing up blood.
  • Lung Cancer (serious) is one of the main causes of cancer deaths worldwide. People who smoke are most at risk for lung cancer. People exposed to smoke (work in smoke filled places or live with smokers) can also get lung cancer. There are several different types of lung cancer and cough is a common symptom. If you have a new cough that does not go away within 3 weeks or if you are coughing up blood, see your doctor.
  • Serious Causes are pneumonia, bronchiolitis, whooping cough, heart failure, pulmonary embolus, lung cancer and airway foreign object.

Trouble Breathing: How to Tell

Trouble breathing is a reason to see a doctor right away. Here are symptoms to worry about:

  • Struggling for each breath or shortness of breath
  • Tight breathing - you can barely speak or are unable to speak in sentences
  • Ribs are pulling in with each breath (called retractions)
  • Breathing has become noisy (such as wheezes)
  • Breathing is much faster than normal
  • Long pauses between breaths (apnea attacks)
  • Appearing exhausted
  • Lips or face turn a blue color
  • Shortness of breath that is not getting better with usual treatment or is quickly getting worse

Phlegm or Sputum: What's Normal?

  • Yellow or green phlegm is a normal part of the healing of viral bronchitis.
  • This means the lining of the trachea (windpipe) was damaged by the virus. It's part of the phlegm you cough up.
  • Antibiotics are not helpful for the yellow or green phlegm seen with colds. Colds are caused by a virus.
  • The main treatment of a cough with phlegm is to drink lots of fluids. Also, if the air is dry, using a humidifier will help. Sipping warm clear fluids will also help coughing fits.

Vaping Risks

  • Vaping can cause severe lung injury. The lung damage can be permanent. Vaping can even cause death.
  • Vaping tobacco also causes nicotine addiction.
  • If you have started, consider quitting.
  • Warning: never use home-made or street-purchased vaping solutions. Reason: they have caused most lung damage.

When to Call for Cough

When to Call for Cough

Call 911 Now

  • Severe trouble breathing (struggling for each breath, can barely speak)
  • Passed out, stopped breathing or long pauses between each breath
  • Lips or face are bluish
  • You think you have a life-threatening emergency

Go to ER Now

  • Choked on a small object that could be caught in the throat
  • Feeling exhausted
  • Trouble breathing, but not severe

Call Doctor or Seek Care Now

  • Harsh sound with breathing in or wheezing when breathing out
  • Breathing is much faster than normal
  • Coughed up blood
  • Weak immune system. Examples are: diabetes, sickle cell disease, HIV, cancer, organ transplant, taking oral steroids.
  • Fever or chills; feeling hot or shivery
  • You feel weak or very sick
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • High-risk patient (such as cystic fibrosis, COPD or other chronic lung disease or heart disease)
  • Sinus pain (not just congestion) around cheekbones or eyes
  • Fever lasts more than 3 days
  • Fever returns after being gone for more than 24 hours
  • Chest pain even when not coughing
  • Chest pain when taking a deep breath or coughing
  • Nonstop coughing spells
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Coughing has kept you home from work for 3 days or more
  • Allergy symptoms (such as runny nose and itchy eyes) also present
  • Runny nose lasts more than 10 days
  • Weight loss or poor appetite
  • Cough lasts more than 3 weeks
  • You have been in close contact with someone with TB (or you have had TB in the past)
  • You have other questions or concerns

Self Care at Home

  • Cough with no other problems

Call 911 Now

  • Severe trouble breathing (struggling for each breath, can barely speak)
  • Passed out, stopped breathing or long pauses between each breath
  • Lips or face are bluish
  • You think you have a life-threatening emergency

Go to ER Now

  • Choked on a small object that could be caught in the throat
  • Feeling exhausted
  • Trouble breathing, but not severe

Call Doctor or Seek Care Now

  • Harsh sound with breathing in or wheezing when breathing out
  • Breathing is much faster than normal
  • Coughed up blood
  • Weak immune system. Examples are: diabetes, sickle cell disease, HIV, cancer, organ transplant, taking oral steroids.
  • Fever or chills; feeling hot or shivery
  • You feel weak or very sick
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • High-risk patient (such as cystic fibrosis, COPD or other chronic lung disease or heart disease)
  • Sinus pain (not just congestion) around cheekbones or eyes
  • Fever lasts more than 3 days
  • Fever returns after being gone for more than 24 hours
  • Chest pain even when not coughing
  • Chest pain when taking a deep breath or coughing
  • Nonstop coughing spells
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Coughing has kept you home from work for 3 days or more
  • Allergy symptoms (such as runny nose and itchy eyes) also present
  • Runny nose lasts more than 10 days
  • Weight loss or poor appetite
  • Cough lasts more than 3 weeks
  • You have been in close contact with someone with TB (or you have had TB in the past)
  • You have other questions or concerns

Self Care at Home

  • Cough with no other problems

Care Advice for Stomach Pain

What You Should Know About Stomach Pain:

  • Mild stomach pain can be caused by something simple. It could be from gas pains or eating too much.
  • Sometimes, stomach pain signals the start of a viral infection. This will lead to vomiting or loose stools.
  • Watching your child for 2 hours will help tell you the cause.
  • Here is some care advice that should help.

Lie Down:

  • Have your child lie down and rest until feeling better.

Clear Fluids:

  • Offer clear fluids only (such as water, flat soft drinks or half-strength Gatorade).
  • For mild pain, offer a regular diet.

Prepare for Vomiting:

  • Keep a vomiting pan handy.
  • Younger children often talk about stomach pain when they have nausea. Nausea is the sick stomach feeling that comes before they throw up.

Pass a Stool:

  • Have your child sit on the toilet and try to pass a stool.
  • This may help if the pain is from constipation or diarrhea.
  • Note: for constipation, moving a warm wet cotton ball on the anus may help.

Do Not Give Medicines:

  • Any drug (like ibuprofen) could upset the stomach and make the pain worse.
  • Do not give any pain medicines or laxatives for stomach cramps.
  • For fever higher than 102° F (39° C), acetaminophen (such as Tylenol) can be given.

What to Expect:

  • With harmless causes, the pain is most often better or gone in 2 hours.
  • With stomach flu, belly cramps may happen before each bout of vomiting or diarrhea. These cramps may come and go for a few days.
  • With serious causes (such as appendicitis), the pain worsens and becomes constant.

Call Your Doctor If:

  • Pain becomes severe
  • Constant pain lasts more than 2 hours
  • Mild pain that comes and goes lasts more than 24 hours
  • You think your child needs to be seen
  • Your child becomes worse

Extra Help - Worried Stomach:

  • Help your child talk about events that trigger the stomach pain. Talk to your child about how to cope with these the next time around.
  • Help your child worry less about things she can't control.
  • To treat the pain, help your child get very relaxed. Lying down in a quiet place and taking slow deep breaths may help. Make the belly go up and down with each breath. Then try to relax all the muscles in the body. Think about something pleasant. Listening to audios that teach how to relax might also help.
  • Make sure your child gets enough sleep.
  • Make sure that your child doesn't miss any school because of stomach pains. Stressed children tend to want to stay home when the going gets rough.
  • Caution: your child should see her doctor for an exam. Do this before concluding frequent stomach pains are from worrying too much.

Copyright 2025 Schmitt Decision Logic LLC. Date Updated: Mar 31 2025 13:00 Version 0.2

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