Chesty Cough Infection | Medtick

Chesty Cough Infection

What is it?

What is it?

A cough is a defence mechanism. It is simply trying to remove anything that is unknown to the body.

Why do we get these symptoms:

  • Fever, body aches, pain and fever and generally feeling grotty – Result of your immune system responding to the infection. It has recognised the virus as a hostile invader and signals to the rest of the body something is wrong by releasing chemicals called cytokines.
  • Coughing up sputum – a thick mucus containing dead lung cells killed by the virus.Cough, runny nose , and conjunctivitis (eye infection) are common in viral cold and flu infection.

Diagnosis tests

  • History and physical examination
  • Chest X- ray (coughs between 3- 8 weeks)
  • Sputum Gram stain and culture
  • Sputum acid-fast bacilli (AFB) smear and culture – detect tuberculosis
  • Viral PCR (nasal or throat swab) – detect Covid-19
  • Complete blood count (CBC) detect signs of infection (elevated white blood cells) or eosinophilia (which may suggest a parasitic infection or allergy)
  • C-reactive protein (CRP) or procalcitonin
  • Pulse oximetry – check oxygen levels
  • CT scan of the chest – if chest complications
  • Spirometry (lung function tests) – check for bronchitis
  • Cold and flu infection
  • Fungal infection i.e. Aspergillosis
  • Pneumonia
  • Bronchoscopy with bronchoalveolar lavage (BAL)
  • Sputum examination for parasites or fungi

Ibuprofen and other NSAIDs can be used under medical supervision, however Ibuprofen and other NSAIDs is not recommended in asthma or asthma type symptoms. Check with your Medical doctor/Pharmacist when one can have any type of fever reducing medication to make sure it suitable for you.

Causes

Symptoms

  • Coughing up phlegm (even a little) or do you feel phlegm is stuck in chest?
  • Chesty cough with yellow/green and/or blood stained phlegm?
  • Series of fits of cough occur after an episode of vomit and make a whooping cough at the end of it and then any vomit again?
  • Cough worsening at night?
  • Wheezing with cough?
  • Losing bladder control when coughing?
  • Coughing up traces of blood?
  • Cough interfering with sleep affecting to point of work/social life?
  • Experiencing any sort of chest/heart pain?
  • Chronic abdominal or lower chest pain?
  • High temperature greater than 38°C (100°F) or over and/or chills and sweats longer than 72 hours?
  • Night sweats?
  • Smokers cough which has not changed or getting worse?
  • Symptoms are getting suddenly worse?
  • Tried cough mixtures and have not been effective?
  • Chest infection that won’t clear even with antibiotics?

Complications /Information to beware of/General tips:

Do not wait, phone for an ambulance if have or develop:


This can lead to:

  • Post infection cough:
    • A post-infectious cough is defined as coughing that persists 3-8 weeks after the onset of a upper respiratory tract infection in the absence of other clearly defined causes.
    • It normally occurs after a viral infection such as a rhinovirus or respiratory syncytial virus infection and results from extensive inflammation and disruption of the airways.
    • Chest x-rays should be considered.
    • The cough will usually resolve on its own and antibiotics do not usually help, a confirmed diagnosis is required.
    • This can make existing respiratory conditions worse and cause nose bleeds.

  • Wet cough longer than 4 weeks 
    • A wet cough that lasts for at least 4 weeks and appears to have no other specific cause may be protracted bacterial bronchitis (PBB).
    • While the cause of PBB isn’t known, it could be due to frequent illnesses that cause airway inflammation and injury over time, thereby making it easier for bacteria to grow and cause infection.
    • PBB should resolve with at least 2 weeks of antibiotics, but the course can be extended to 4 weeks if the cough persists.
    • However, about 40% of patients will have recurrence, and those with recurrent PBB or with a chronic cough unresponsive to 4 weeks of antibiotics should be referred to a pulmonologist.

Chronic Cough in Children: Identifying Common and Uncommon Causes

Tara Haelle,

Medscape

  • Post nasal drip (where mucus from nasal passages travel to back of throat)
    • This can occur with both allergic and nonallergic rhinitis and chronic rhinosinusitis.
    • This is often a dry, throat-clearing cough that can be accompanied by headaches, nasal congestion, and sinus or facial tenderness.

General tips

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

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