Throat Cough
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About Chronic Cough and Throat Irritation
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Chronic cough and throat irritation can disrupt your daily life. Breaking the cycles that cause these conditions requires care from voice specialists who are experienced in diagnosing and treating their root causes. Duke’s laryngologists and speech-language pathologists work together to discover what’s causing your chronic cough or throat irritation and to improve your symptoms.
Chronic Cough
Coughing is a natural response that helps protect your airway when you are sick or when food or liquid goes down the wrong way. However, coughing frequently when you are not sick, especially if the cough is dry and non-productive, may indicate a chronic cough. This can be caused by a dry or irritated throat, certain medications, medical conditions (such as acid reflux or allergies), or hypersensitivity in the throat after an acute upper respiratory infection like a common cold. Coughing (and throat clearing) irritates the delicate tissues of the voice box and can cause more coughing or throat clearing. Once the body is in a chronic cough pattern, it is difficult to break the cycle.
Throat Irritation (Chronic Throat Clearing, Pain, Tightness, and/or Hypersensitivity)
Throat irritation -- including frequent throat clearing, pain, tightness, or a sense that there is a constant lump in your throat -- can also occur when the throat is “stuck” in a pattern of hypersensitivity. It can be caused by coughing, vocal injury, or muscle tension. Sometimes, throat irritation can cause near-constant throat clearing, coughing, hoarseness, or painful swallowing, and it can disrupt daily life.
Throat irritation can also occur when the throat is “stuck” in a pattern of hypersensitivity. It can be caused by coughing, vocal injury, or muscle tension. Sometimes, throat irritation can cause near-constant throat clearing, coughing, hoarseness, or painful swallowing, and it can disrupt daily life.
Duke Health offers locations throughout the Triangle. Find one near you.
Speech therapy is an integral part of treating chronic cough or other forms of throat irritation. Your speech-language pathologist will teach you how to use breathing strategies, voice exercises, and good vocal hygiene to help your throat recover from the constant irritation caused by chronic cough, throat clearing, and hypersensitivity of the voice box. These techniques will help you break the cycle of chronic cough and throat irritation.
Throat strain can be a symptom and also a cause of irritation -- creating a vicious cycle. In order to break the cycle of chronic throat irritation, you need to learn how to speak without strain. A speech-language pathologist will guide you through vocal exercises to improve breathing, reduce throat strain, and find your optimal pitch and volume for strong, healthy speaking. Improving your voice will not only help you speak more easily and clearly, but it can reduce your throat irritation and cough.
Our team will take a detailed history of your symptoms to note patterns or triggers. A laryngologist -- an ear, nose, and throat (ENT) doctor with advanced training in voice and throat disorders -- will also evaluate whether any medical conditions, surgeries, or recent illnesses may have caused changes in your voice or throat. We will perform a head and neck examination and a visual examination of your voice box. The following test may also be necessary.
This detailed visual exam helps us evaluate how your vocal cords vibrate when you speak or sing. A tiny camera attached to a small tube called an endoscope is inserted through your nose and into your throat. It allows us to see your vocal cords and larynx (voice box). A flashing strobe light simulates slow-motion video images of your vocal cords. The exam takes about two minutes, and your nose can be sprayed with topical anesthetic for comfort.
Your team will look for lesions, stiffness, paralysis, irregular movements, throat strain, or incomplete closure of the vocal cords. After the exam, your team will review the images with you to discuss your diagnosis and treatment plan. Videolaryngostroboscopy is essential to reaching an accurate diagnosis and determining the best treatment.
Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are once again recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 9 pediatric specialties by U.S. News & World Report for 2021–2022.
A Team of Experts
At Duke, one of the few comprehensive voice centers in the Southeast, your care team will include laryngologists and speech-language pathologists specially trained to evaluate and treat people with voice problems and laryngeal disorders. Our team has years of experience treating chronic cough and throat irritation problems.
Team Care Approach
If you have other medical conditions that may contribute to your voice issues -- such as allergies, asthma, or acid reflux -- we will work with your other providers throughout Duke Health to ensure you receive the best care from an integrated team.
Home / General Health / Dry Cough and Sore Throat
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If a dry cough is accompanied by a sore throat, then it can be a symptom of several conditions, right from bacterial and viral infections of the respiratory tract to acute bronchitis. Find out the causes, treatment, and a few home remedies for sore throats and dry cough, in this HealthHearty article.
If a dry cough is accompanied by a sore throat, then it can be a symptom of several conditions, right from bacterial and viral infections of the respiratory tract to acute bronchitis. Find out the causes, treatment, and a few home remedies for sore throats and dry cough, in this HealthHearty article.
Sometimes, a sore throat can be accompanied by cough, which can be productive or non-productive. A non-productive cough is also known as a dry cough, which can be identified by the absence of phlegm or sputum production, unlike a productive cough.
Sometimes, a sore throat and dry cough can occur simultaneously, while at other times, a dry cough can follow a sore throat. This condition can be alleviated or treated effectively once the underlying cause/causes are discerned. So, let’s find out the factors or conditions that can cause a sore throat and dry cough.
Flu and the common cold are infections of the upper respiratory tract, and so, both can affect the throat, besides producing a host of other symptoms. Both common cold and influenza or flu are viral illnesses that can cause a sore throat, fever, a runny nose, muscle aches, headaches, and a dry, hacking cough. The dry cough caused by upper respiratory infections can give you a feeling of something being stuck in the throat.
Also known as the ‘kissing disease’, mononucleosis spreads through contact with the saliva of the infected individual. This viral disease is characterized by fever and enlarged lymph nodes, especially in the neck and the armpits. This infectious disease can also cause swollen tonsils, fatigue or malaise, skin rash, and headaches. Mononucleosis is caused by the Epstein-Barr virus, and is more common in teenagers and young adults.
Pharyngitis is the infection or inflammation of the pharynx or the back of the throat. The affected individual can experience a sore throat, scratchiness in the throat, and difficulty in swallowing. Sometimes, a fever, a runny nose, headaches, and body aches can also be experienced. However, the most common symptom of this condition is a sore throat, which can be accompanied by a dry cough at times. Pharyngitis can be caused by both viral and bacterial infections.
The inflammation of the larynx or the voice box is referred to as laryngitis. It can be caused by upper respiratory infections or an overuse of the voice box by singing or shouting. A dry and sore throat, hoarseness or loss of voice, and cough are the common symptoms of this condition. Children can experience croup, a type of hoarse, barking cough due to laryngitis.
Acute bronchitis can also start with a dry cough, which is then followed by the production of a small amount of white or yellow sputum, wheezing, a sore throat, fever, shortness of breath, and a burning sensation in the chest. Bronchitis refers to the inflammation of the mucous membranes of the bronchi. Bronchitis can be acute or chronic. Acute bronchitis is usually caused by viral or bacterial infections, while chronic bronchitis is caused by smoking or long-term occupational exposure to irritating fumes or dust.
A sore throat and dry cough can also be associated with smoking, inhalation of foreign particles or irritants, sinus infections, and postnasal drip. In postnasal drip, the nasal mucosa produces excess mucus, which then accumulates in the throat or back of the nose. This can cause a sore throat and cough. Apart from these, gastroesophageal reflux disease can produce soreness in the throat and a dry cough, besides causing difficulty in swallowing.
The treatment of these two conditions depends on the underlying causes. If these are caused by bacterial infections, then antibiotics can be used. Cough suppressants and throat lozenges can also help reduce the soreness in the throat.
If postnasal drip is responsible for causing a sore throat, it can be relieved with the help of decongestants. If the pain in the throat is unbearable, you can take painkillers under the supervision of your physician.
✔ Along with medications, a few simple home remedies can also help reduce coughing and throat soreness. For example, you can use slightly warm saline water to gargle your throat two to three times a day.
✔ Another home remedy for these two conditions is lemon juice. Add a few drops of honey to it and drink the mixture. You can also mix about 1 to 2 teaspoons apple cider vinegar in a glass of water, and drink the mixture to get relief from the soreness.
✔ Tea prepared with lemon, cayenne, honey, and apple cider vinegar can also provide relief in throat soreness. Ginger and chamomile tea can also be taken to get relief from a sore and dry throat.
✔ Increase your fluid intake to speed up the recovery from viral infections like cold and flu. Drink slightly warm water and soups, which will help thin the mucus and facilitate its expulsion.
✔ Steam inhalation is another effective remedy for a sore throat. It can help clear up the nasal passage, and promote the expulsion of mucus.
One also needs to take enough rest, and follow a healthy and balanced diet to accelerate the healing process. Many times, installing a humidifier can also provide some relief. But if your cough and throat soreness persist for several days, or if these are accompanied by a high-grade fever, severe pain in the throat, rash, enlarged or swollen lymph nodes in the neck, and blood in saliva, be sure to evaluate the condition immediately with the help of your physician.
Disclaimer : This article is for informative purposes only, and should not be considered as a substitute for professional medical advice.
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