Dry cough with phlegm

Cough with phlegm

The appearance of coughing with all sorts of pulmonological diseases is a very common phenomenon, serving as an excuse for going to a specialist, to find out the causes and purpose of qualitative treatment.

The choice of the most effective drug for treating sputum cough is possible only if there is correctly diagnosed and the exact cause of a productive cough (cough with sputum ). In no case do not cough, because it can cause a violation of the respiratory organs, namely the lungs and bronchi.

Some people, in the measure of their lack of education, mistakenly believe that a regular paroxysmal cough with sputum discharge is a common thing that does not require definite treatment. People who regularly suffer this type of cough unfortunately do not pay any attention to it at all. This continues until the appearance of characteristic symptoms, for example, shortness of breath, sweating, weakness, sputum discharge with an admixture of blood, as well as a gradual loss of weight.

With such symptoms, constantly pay attention to the appearance of the sputum, that is, its consistency, as well as the smell and color of the separated. If the separated phlegm is clear and watery, then the viral agent acts as an irritant, or it is an allergic disease. If the separable yellow or greenish color is the result of penetration into the respiratory tract of a bacterial infection, for example, bronchitis or pneumonia. Sputum with the separation of mucus with an admixture of blood is the result of diseases such as tuberculosis, pneumonia and lung cancer. A wet cough can tell us about the presence of such a complex disease, a bronchial asthma or even worse - cystic fibrosis.

Only if you have all the information about the state of health, you can choose the necessary treatment.

The cause of coughing with phlegm can also be tobacco smoking, it is during smoking in the respiratory system that a large amount of mucus is released.

With productive cough, it is strictly forbidden to use antitussive drugs that prevent it from appearing at the level of the central nervous system, and can be used only under the supervision of the attending physician, in cases where there is a violation of outflow of sputum from bronchi.

A qualified specialist may prescribe expectorant medications. These are usually mucolytic drugs based on ambroxol (Ambrohexal, Flavamed, Lazolvan and Medox), guaifenesin (Tussin, Sinethos and Guaituussin), acetylcysteine (Mukobene, Mukoneks, Tussikom, Mukosolvin and Fluimutsil), carbocystene (Bronhokod, Mukodin, Fluvik and Fljuditek) and bromhexine (Bronhosan, Solvin, Fleganin, Bronchotil and Paxyrazole).

The mechanism of action of mucolytic drugs is to reduce the viscosity of the product to be separated by increasing its volume.

Expectorants are mostly made on the basis of plant components (Thoracic Gathering, Thoracic Elixir, Althea Syrup, Cough Medicine, Mucaltin, Evcabal, Eucalyptus Syrup Doctor Theissa). There are also funds based on chemical compounds. These drugs activate the cough and vomiting center.

For the treatment of cough with the formation of viscous hard to separate sputum, combined agents (with mucolytic and expectorant action simultaneously) can be recommended.

In the treatment of such diseases, it is necessary to follow exactly all the recommendations given to you by the doctor. Pay attention, the combination of expectorants with drugs that stop the attack of cough is an extremely rash and harmful act. A combined use of expectorants and mucolytics - is generally prohibited!

Updated on February 10, 2015

Cough with phlegm does not pass

Very often cough acts as a symptom of many diseases of the respiratory system. Usually, after taking the necessary measures to eliminate the disease, cough is also eliminated. Nevertheless, there are cases when the cough remains and for quite a long time brings trouble, it seems to have already cured the patient. With a similar development of events, a cough is called a protracted, chronic form. Similar definitions apply to a cough that occurs over a period of time longer than one month.

Cough with phlegm, causes

The first cause of cough with phlegm is smoking. This is explained by the fact that during the process of smoking in the respiratory tract, much mucus is produced, which is the reason for the formation of a large amount of sputum, which requires withdrawal from the body. In addition, smoking causes paralysis of the finest hairs that are in the airways, which, during normal body work, contribute to the production of sputum.

In addition, a cough with sputum is facilitated by various ailments, which include:

Asthma.The development of the disease is preceded by the appearance of a dry cough and some hoarseness, then gradually hoarseness intensifies and a cough with sputum appears. It is possible to form thick mucous secretions.

Chronic form of bronchitis.In this case, dry cough is produced by chronic airway disease blocked by the respiratory tract, over time it becomes a cough with phlegm, in which the pus is possible.

A common cold.In the case of this disease, coughing up phlegm containing mucus or a mixture of mucus and pus occurs.

External irritants.Increased mucus formation in the respiratory tract can occur by inhaling fragments of dust, paint and other substances that cause irritation. It is this irritation that causes a cough. Most often, such a reaction is observed in persons suffering from allergic diseases or sinusitis in a chronic form.

Lungs' cancer.A characteristic symptom that manifests itself at an early stage of this disease is a cough that goes into a chronic form, accompanied by blood veins and some sputum. Sputum may contain pus or a mixture of mucus and pus.

Pneumonia.The disease can be accompanied by a dry cough that goes into a cough with phlegm. There may be changes in the color of sputum, depending on which bacteria are present in it.

Tube shapea riculosis.It is possible to cough up a certain amount of sputum containing pus, mucus or blood.

An adult cough with phlegm

In adults, a cough with sputum is manifested when the body has a need for the withdrawal of very difficult to separate sputum. In order to solve this problem, there is a certain set of tools that need to be used only after consulting a specialist.

Cough with phlegm treatment

When a cough with phlegm occurs, it is advisable to take medications for expectoration: lazolvan, bromhexine, ambroben, ambromhexal. In passing, it is allowed to use medicinal plants that promote expectoration and relieve inflammation: syrup, pork collection, St. John's wort and Labrador tea.

Effective help with cough with sputum is provided by warming compresses, whose role is played by mustard plasters, cans, and also a dry black radish. From a radish it is possible to allocate juice and to accept it, combining in various proportions with sugar or honey.

A good therapeutic effect is the use of inhalations with the use of a nebulizer or a mechanical inhaler, with the addition of ambroben or propolin. Such inhalations are recommended to be carried out at least five times a day.

Cough sputum diffusion

During the whole period of the existence of medicine, certain rules have been recognized and deduced that help to recover, and in this particular case, those who are liquefying phlegm after coughing. These rules are quite simple:

- As much as possible to take liquid during the day - the liquid dries helps to normalize the body's water balance and at the same time contributes to the dilution of sputum. Cough is mitigated by the use of alkaline nutrition, based on mineral waters. The composition of these waters helps to simplify the process of isolating the mucus caused by the disease and speeds up the disposal of it. It is recommended to add vegetables and fruits to the diet.

- Dissolving sputum also causes inhalation with a solution of medical herbs. Used for this mixture of sage, thyme, chamomile, mother and stepmother on one tablespoon of each element. The whole composition is poured with boiling water and insisted for an hour, after which a teaspoon of soda and eucalyptus oil is added. Inhalation is carried out twice a day.

- Dissolving sputum through the use of medications is effective in tracheitis and bronchitis - in this case, the spitting phlegm does not go out, creating a very painful obstacle. In this case, the use of medications that cause expectoration is recommended. Their appointment is in the competence of the doctor, who monitors the course of treatment of the disease.

- A very effective means for liquefying sputum is a decoction of pigeon pigeon. By means of its application, the mucous surface of the bronchial tubes undergoing irritation is moistened, so that mucus is easier to exit, reducing the process of an unpleasant cough.

"It's good to have figs, if you have to deal with the stretching sputum and bored cough." It should be placed in a glass of milk, cut into two figs. The moment of appearance of a special shade means readiness for use.

Medicines for coughing sputum

Medicinal products used in the treatment of sputum with phlegm are of plant and synthetic origin. With regard to the principle of action of drugs, they are subdivided into an expectorant with direct and reflex action.

Drugs with a reflex action are a certain set of medicinal extracts and herbs that help accelerate the process of sputum production from the respiratory system. They represent a variety of broths, herbal preparations, extracts, infusions and powders. They include: herbs thermopsis and thyme, licorice and althaea roots, pectoral charges No.1, No.2, No.3.

Drugs with direct action affect the bronchi and, directly, the sputum, speeding up its withdrawal by dilution.

There are two main groups of drugs:

- Means that affect the bronchial glands, used as inhalations. These include essential oils, iodine salts, baking soda.

- Means that dilute sputum - lazolvan, Bromgeksin, ATSTS.

Today, the pharmaceutical industry significantly expands the market for drugs to combat cough with sputum, but take care, as each drug has its own indications and contraindications, and not all medications are compatible with each other friend. Wishing to quickly and effectively cure the disease, you should get advice from a competent specialist, since self-medication in this case can only be harmed, not observing the rules of admission, and the compatibility with each other of various drugs.

How to treat cough with sputum folk remedies

1. A few pine buds are poured into a glass of boiled milk, wrapped and insisted for about an hour. Should be taken throughout the day in equal parts. Such a prescription is an effective folk remedy for coughing sputum, in view of the fact that it has an effect on the focus of the disease and has an effect even after the application is started.

2. An excellent folk remedy for coughing with phlegm is the onion. There are many recipes for the use of this natural medicine. You can cook a decoction of onions: two onions, without cleaning them, put in half a liter of water for an hour, as cooking is done, adding one glass of sugar. The broth is intended for internal reception, half a cup three times a day.

3. Effective herbal collection containing mint, plantain, marshmallow, mother-and-stepmother. Components are mixed in the same proportions, they are poured with boiling water, calculating one a tablespoon of herbs for a glass of boiling water, after which it is insisted for 15 minutes on a water bath. The broth is applied on an empty stomach at least twice a day.

Sputum color when coughing

Green sputum when coughing

Mucous green sputum when coughing occurs with numerous diseases of the lungs and bronchi caused by infection, colds and various allergens. Such diseases include all kinds of inflammatory processes, bronchitis of different severity, forms of pneumonia, tuberculosis, cancer, bronchial asthma.

Cough with yellow phlegm

The manifestation of a cough with yellow sputum indicates sinusitis, bronchitis or pneumonia. A yellowish shade appears when pus is mixed with phlegm.

Yellow sputum may appear in smokers with significant experience. The color and nature of the sputum may indicate the cause of bronchitis. Yellow sputum appears when there is a bacterial infection in the bronchi. When yellow sputum appears, you should see a doctor, do not try to treat the disease yourself.

White sputum when coughing

White sputum when coughing, if it has a consistency of cottage cheese, indicates tuberculosis, or the presence of a fungal infection in the airways. Bronchi are affected by the fungus when long-term antibiotic therapy is applied under the condition of reduced immunity, which causes the appearance of pathological microflora in the mucous membranes.

If white sputum when coughing has a watery consistency, the cause may be a viral infection, or chronic diseases of the respiratory system, a reaction to external irritants. All these causes cause an increase in mucosal secretion.

Brown sputum when coughing

The presence of brown sputum during a cough testifies to various types of infection, bacterial or viral, occurring with inflammatory processes. This occurs with pneumonia, bronchitis, as well as with a common cold. Brown sputum can occur with bleeding that has opened earlier.

Cough with pink phlegm

The presence of phlegm in pink cough indicates the presence of a certain amount of blood in the mucus. The color of mucus can change completely and find its reflection in the form of spots and veins. Pink sputum may also indicate bleeding, if blood appears in sputum during bronchitis, this fact may indicate such diseases:

- Pneumococcal pneumonia.

- Lungs' cancer. The color of sputum may vary from pink to red, turning into black or brown.

- Tuberculosis. There is blood spitting and the presence of bright red bands.

- Embolism of the lungs.

Purulent sputum when coughing

The purulent sputum produced during coughing contains in its composition an extensive microbial flora. Coughing at times becomes painful, and excreted sputum is viscous and viscous, expectorated with great difficulty. Sometimes purulent sputum appears only in the mornings, during the rest of the day the cough remains dry. In some patients, cough continues around the clock, accompanied by nausea, vomiting and shortness of breath. The temperature does not usually rise, but if the disease worsens, it can rise to a low-grade level.

Purulent sputum when coughing is manifested with pulmonary tuberculosis, lung abscess, lung cancer. Diseases occur with expectoration of copious or small amount of sputum containing pus.

Black sputum when coughing

Black sputum when coughing is coughing up with pneumoconiosis. This is the name of a certain group of diseases of the pulmonary system (incurable) caused by prolonged inhalation of industrial dust. It is observed among the workers of the mining, machine-building, and coal industries.

Smell of sputum, as a rule, is absent. It appears only in the case of gangrene and abscess of the lungs, due to the development of microflora rot.

Sputum can be in a variety of consistencies: thick, liquid, viscous. Usually it has a viscous consistency.

When coughing with phlegm

Cough without phlegm

Sometimes cough with phlegm without temperature exhausts even more than a constant fever. The situation can improve for a certain period of time, then repeat again. May be useless all the pills, inhalers and injections - cough still does not pass.

To effectively treat this phenomenon, one must not forget that it does not belong to the number of independent diseases. This is just a symptom of the disease, a manifestation of the process of inflammation of the respiratory tract. Inflammatory process leads to the appearance of a cough with phlegm without temperature.

Sputum is a mucus containing the products of the body's struggle with bacteria and viruses. When expectorating, particles of mucous membranes come out with it.

If the cough lasts a long time, there may be many reasons for this, from the precise establishment of them depends the effectiveness of the treatment. That's why to say exactly how to cure a cough with phlegm can only a doctor.

Cough with phlegm and runny nose

The appearance of cough with phlegm and a cold is possible for colds, as well as some ARVI. In the event that the cough does not stop within three weeks after the beginning of the SARS, it is necessary to consult a therapist.

Severe cough with phlegm

A strong cough with phlegm is always unpleasant, it is always necessary to clear your throat, there is a badly smelling liquid that irritates the surrounding and the patient. Similar symptoms are accompanied by many diseases, but in order to treat qualitatively and effectively, you need to know exactly the cause of the disease.

A strong cough with phlegm is a symptom of inflammatory diseases of the respiratory system, in which serous and purulent secretions accumulate in the lungs and bronchi.

A moist strong cough with hard-to-recover sputum is a symptom of developing inflammation of the bronchi. As the disease progresses, cough increases, sputum production increases.

With pneumonia, a rapid cough is observed, which is accompanied by a copious discharge of purulent sputum. Similar phenomena are observed with inflammation of the lungs, both in the child and in the adult.

Blood when coughing in sputum

Cough with blood signals serious pathological changes in the body. If there is a small amount of light fresh blood, this can be explained by damage to the blood vessels due to increased coughing up, but when there are blood clots or veins, the explanation may be starting tuberculosis, or a cancerous tumor in lungs.

Blood for coughing in sputum by medical evaluation is the allocation of a certain number of red blood cells contained in the lungs and bronchi. Sputum contains blood in the case of bronchitis, pneumonia and a number of other dangerous diseases, therefore it is recommended to start the examination as soon as possible in order to identify the cause of the onset discharge of blood.

Dyspnoea and cough with phlegm

Chronic obstructive pulmonary disease is usually caused by people over the age of 50 years who have a certain length of smoking. The main symptom of this disease is progressive dyspnoea, which accompanies cough with phlegm, as well as symptoms of suffocation. Dyspnea either occurs after the appearance of a cough, or manifests simultaneously with it. Sputum emitted in the morning has a pale gray color, it is possible to expectorate it throughout the day.

If cough with sputum and shortness of breath are observed for many years, it is typical for chronic obstructive pulmonary disease of the bronchial type. With COPD emphysematous type, there is a rare cough with small sputum and a pronounced dyspnea. If there is a change in the nature of phlegm from pale gray to purulent, this indicates that an infection has joined - acute bacterial bronchitis. When wheezing and attacks of suffocation can be concluded that the patient will benefit from inhalation. Expectoration of blood is usually due to an acute bacterial infection, lung cancer must be excluded. It is required to get the patient detailed information about the harmful aspects of his profession, about possible contacts with gases and dust.

Bronchitis and cough with phlegm

Increased cough with increased sputum is characteristic for bronchial disease, inflammatory processes taking place in them. Often the disease develops against the background of sore throat or ARVI, coughing is constantly increasing, there are pains in the chest, symptoms of dyspnea, and if in addition to all there is auscultation in the bronchi, breathing becomes stiff, appear wheezing.

In the case of acute bronchitis in the first few days, sputum dries with difficulty. There may be a slight increase in temperature.

Treatment of bronchitis should be timely and individual, the doctor should know about how the course of the disease was occurring, in what conditions does the person who has become ill with bronchitis work. It is necessary to completely eliminate the factors that have a negative effect on the body. In the event that you are late with the beginning of treatment, it may not give any tangible results. Thus, it becomes clear that it is impossible to underestimate the moment of commencement of treatment and timely diagnosis.

Types of cough with phlegm

Long cough with phlegm

A cough is considered long, if it lasts from four to eight weeks without significant changes. A long cough with phlegm is a very disturbing symptom that makes you think about the possible onset of serious illnesses. For this reason, the following points are important.

.- A long cough with phlegm can be a consequence not only of bronchial asthma or any infection. Due to this circumstance, first of all, it is necessary to perform an X-ray examination of the lungs in order to detect cancer

- It is very likely in this case a disease with tuberculosis. The sooner an appeal is made to doctors for the diagnosis, the more favorable will be the final outcome.

- There are cases of a long cough with phlegm with prolonged bronchitis in smokers. At the same time the disease becomes chronic and very difficult to cure.

- A prolonged cough is observed in people of certain professions. Such a disease is professional, and its therapy is to stop all contact with substances that cause coughing.

Cough chest with phlegm

Various inflammatory diseases of the respiratory tract caused by fungi, viruses and microbes begin from the usual cold and end with pneumonia and bronchitis. The onset of these diseases is a dry cough. As the sputum accumulates in the lungs, the cough becomes transformed into a chest cough. With a chest cough with phlegm, bronchitis often begins.

The very first remedy for chest cough with phlegm is saline solutions designed for gargling. It is also possible the emergence and growth of cough as a result of smoking. Cough medicines are used to expand airway paths. For the final disposal of cough, you should ask the doctor to prescribe medications that dilate the bronchi.

Wet cough with phlegm

With a wet cough, sputum is separated. The nature of sputum with a damp cough may be different. It can be a product of the secretion of specific bronchial glands, facilitate the withdrawal from the respiratory tract of agents of various origins caught there with air. Normally, the production of secretion is small, in case of disease the body tries to wash the infection from the bronchi accumulated there. This process stops with recovery, and a wet cough with the formation and sputum discharge also ends.

Coughing sputum

Coughing spells with sputum occur with various diseases of the respiratory system. The body thus tries to get rid of the mucus that has accumulated in the bronchi. Often it thickens so much that it becomes difficult to talk and breathe. Similar conditions and provoke coughing attacks with separation of sputum.

To reduce cough, it is recommended to drink hot milk for the night with the addition of soda and sugar. Soda contributes to the dilution of phlegm, while sugar in milk will calm the cough. For such purposes, mineral water on an alkaline basis is suitable.

Night cough with phlegm

Night cough with sputum can very often be caused by an increase in the tone of the vagus nerve that occurs at night and is characteristic of diseases accompanied by spasm of the bronchi. Such a process is localized in areas of special receptor sensitivity, while sputum is progressing under exposure to its own gravity in the bronchi from the cavities, while the diseased is in a horizontal position.

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Severe cough with phlegm

When there is a strong cough with phlegm, the first thing to keep in mind: the cough itself, and the significant, unintended norm, the volume of secretions with it is the response of the body to the presence of a foci of infection or irritation of the mucosa in the respiratory ways.

Causes of severe cough with phlegm

The most common causes of severe cough with sputum, that is, with pathologically increased education and secretion of mucous secretions, are diseases such as acute respiratory disease, acute bronchitis, pneumonia, exudative pleurisy and pleural empyema, bronchiectatic disease, chronic obstructive pulmonary disease (collective name for chronic bronchitis and emphysema, usually caused by smoking).

For the chronic form of bronchitis due to increased mucus formation in the bronchi, their inflammation and pathological changes in bronchial tissues and lungs characterized by a strong cough with phlegm and with blood, which appears due to damage to blood vessels located in the mucous membranes. When the disease worsens, sputum may have purulent inclusions in its composition. However, doctors warn: the presence of blood in the sputum may indicate such pathologies as bronchiectasis or pulmonary tuberculosis. And in the case of a purulent foci (abscess) in the lungs during its breakthrough and the ingress of pus into the bronchi, the sputum, which goes away when coughing, will have a characteristic putrefactive smell and a greenish color.

In addition to shortness of breath, wheezing and attacks of weakening respiratory function of the bronchi, a strong cough with sputum discharge (often at night) accompanies bronchial asthma associated with airway response to allergens.

With edema of the lungs, there is also an intense productive cough. And with a pulmonary etiology of this state after coughing, it becomes easier for a person. And when the swelling of the lung tissue is caused by left-sided heart failure with stagnation of blood in a small circulatory system, cough does not bring relief, and in severe cases, sputum is colored in pink Colour.

Also, a strong cough with sputum is one of the symptoms of cystic fibrosis - an incurable genetically determined disease that affects mucus-releasing organs. An indication of the respiratory form of this disease is an intense paroxysmal cough with mucopurulent sputum.

Strong cough with sputum

Sputum is a secretion that forms in the trachea and in the bronchi. They are produced by special glands of tracheobronchial walls together with goblet cellular structures. Such discharges are also characteristic of healthy people, but in a much smaller number. A healthy secret has bactericidal abilities and serves as a natural prophylaxis for many respiratory diseases. Normally, mucus helps to remove from the respiratory tract toxic products, exfoliated epithelial cells and dust particles trapped in the respiratory system during inspiration. The mucous secret is removed outwardly towards the larynx with the help of ciliated epithelium and exhaled airflow. The function of the cilia can depend on the temperature indexes, on the acidity of the medium, and on the mucus yield on the density and secretion properties.

A strong cough with hard-to-recover sputum is typical for bronchial asthma (with sputum without impurities, vitreous), for obstructive bronchitis or cystic fibrosis (phlegm-mucous sputum character). The most severe excretion of sputum is observed with pulmonary cystic fibrosis.

A strong cough of sputum with blood in small amounts can mean that a small blood vessel in the airway burst during an attack. However, such a symptom may be a sign of a stagnant phenomenon in the lungs, an infectious inflammation such as pneumonia or tuberculosis, the presence of a neoplasm in the lungs. If the patient does not make serious complaints, and blood in the sputum is not a constant symptom, then, as a rule, there is no cause for concern. However, the repetition of secretions with blood, as well as the addition of other signs of disease can speak of a serious pathology. What should alert:

• increased body temperature;
• persistent prolonged cough that does not respond to conventional treatment;
• regular appearance of impurities in mucous secretions;
• increased sweating;
• appearance in the lungs of various wheezing, whistles, bubbling sounds.

If these symptoms appear, you should immediately contact the appropriate medical specialist - therapist or pulmonologist.

Who to contact?

Pulmonologist

Diagnosis of severe cough with phlegm

The wording "symptoms of a strong cough with phlegm" from a medical point of view is not entirely correct, since the cough itself - slight or strong, dry or with phlegm - is a symptom. Developing symptoms of a strong cough with phlegm combined with other symptoms and taking into account the nature of the cough phlegm enable doctors to establish a diagnosis.

So, with bronchitis and pneumonia, phlegm first mucous, and then mucopurulent (with croupous pneumonia - color rust); at a bronchial asthma the thick mucous expectoration, as a rule, not having certain colors. If the consistency of the cough secretion is liquid and foam is formed, then it is most likely due to the swelling of the lung tissue. About a sputum with a blood already it was spoken above.

Diagnosis of severe cough with phlegm - determining the cause of its occurrence - includes mandatory general and biochemical blood test, as well as the study of blood serum for tuberculosis, antigens, eosinophils, mycoplasma. Sputum examination on the microflora should be carried out without fail.

The diagnostic standard is the use of the fluoroscopic method of examination of the thoracic organs cells in patients with complaints of severe cough with sputum, as well as removal electrocardiograms. Spirometry is indispensable for determining the functional level of the respiratory system, and with the aim of examination of bronchial conditions using the method of bronchography - fluoroscopy of the bronchi with contrast medium. If necessary, endoscopic examination of the bronchi (bronchoscopy), ultrasound and computed tomography of the bronchi and lungs.

Treatment of severe cough with phlegm

In practice, the treatment of a strong spit with sputum means symptomatic therapy aimed at reducing the viscosity of sputum and removing it from the respiratory tract. For this, medicines with an expectorant effect are used.

Acetylcysteine ​​(Acestin, ACTS, Fluimutsil, Tussikom, Mukobene, Mukoneks, etc.) - adults and children after 14 years, 3 times a day. Effervescent tablets ATSTS - 1-2 pieces twice a day. Tussikom (20% solution) is designed for inhalation - 2-5 ml per procedure, which is recommended for a quarter of an hour up to four times a day.

Bromhexin chloride (Bromhexine, Bisolvon, Mugotsil, Mukovin, Solvin, etc.) in tablets of 8 mg - adults and children over 14 years 1-2 tablets three times a day; children 6-14 years - one tablet three times a day, 3-6 years - 4 mg three times a day day. There is a solution for inhalations, which should be done twice a day: adults - 4 ml, children 10 years and older - 2 ml, 6-10 years - 1 ml, 2-6 years - 10 drops, under 2 years - 5 drops per one procedure.

Mucolytic preparation Ambroxol hydrochloride (Ambroxol, Ambrohexal, Lazolvan, Bronhopron, Mukozan, Mukovent, etc.) - adults and children over 12 years, one tablet 2-3 times a day, after eating; in the form of syrup - 10 ml 3 times a day. Children 6-12 years of age, the dose is reduced by half, 2-5 years - the fourth part of the adult dose twice a day. Pregnant drugs based on ambroxol hydrochloride should not be used in the first trimester. This remedy can cause dry mouth, heartburn, pain in the stomach, nausea. It should also be taken into account that all preparations containing this active substance increase the absorption of antibacterial agents of bronchial mucosa.

Muciltin tablets are prescribed on, 5 g 2-3 times a day (before meals); Tablets Terpinhydrate - po, 5 g three times a day. Potassium iodide (1-3% solution of potassium iodide) for the expectoration of sputum, doctors recommend taking two tablespoons 3-4 times a day. This drug is contraindicated for pulmonary tuberculosis.

In chronic obstructive pulmonary disease and bronchial asthma, a strong cough with sputum is treated with using inhalations with drugs of the group of blockers of m-holinoretseptorov, which expand the bronchi and reduce the production mucus. For example, Atrovent (an aerosol with an active ingredient ipratropium bromide) is prescribed 3-4 inhalations per day.

In cystic fibrosis, bronchial drainage, inhalation with corticosteroids, taking medications, for example, Pulmozyme in the form of daily inhalations (using a nebulizer) - by, mg once a day for days.

A strong cough with sputum discharge can also be treated with traditional breast pills with such medicinal plants as licorice root, althea root, oregano grass and coltsfoot, plantain large (leaves), black elderberry (flowers): a tablespoon dry collection per glass boiling water. Insist for 1 hours and take 3-4 tablespoons after meals several times a day. Coughing up sputum is also promoted by steam inhalations with a decoction of leaves of eucalyptus, sage, peppermint (50 grams per cup of boiling water) or with eucalyptus oil (4-5 drops per 200 ml of water).

Patients with chronic bronchitis, bronchial asthma, chronic obstructive pulmonary disease need functional treatment in sanatorium conditions with the use of aerotherapy and barotherapy, respiratory gymnastics, postural drainage of respiratory organs, massage of the thoracic cells, etc.

Herbs from strong cough with phlegm

Expectorant medications for reflex action can be a collection of medicinal herbs and extracts from them. Such medicines increase and activate the release of mucous secretions from the trachea and bronchi. The medicinal group of preparations based on herbs is quite extensive, because expectorant abilities are possessed by many herbs. Medicines based on licorice, thyme, thyme, althea, pine kidney, mother-and-stepmother, elecampane, thermopsis, oregano, anise, sundew, plantain, ledum, violet, etc. are known.

Plants and extracts from them are used in the composition of various chest charges and mixtures, as well as potions, tablets, syrups.

1. Dr. Mom can be presented with tablets, lozenges or syrup based on elecampane, aloe, basil, pepper, ginger root, turmeric, licorice, nightshade. It is a combined anti-inflammatory and expectorant drug, bronchodilator, secretolytics. Pastilles and tablets are used from 14 years, and syrup is used for children from three years of age. Small children drink this syrup with pleasure, since it comes with various attractive fruit and berry flavors.
2. Mukaltin is nothing more than an extract from an althea plant. This drug has long been known for its anti-inflammatory and expectorant action, in addition, mukaltin enhances the peristaltic movements of bronchioles and stimulates the secretory activity of the bronchi. In addition to the althaea, tablets contain baking soda, which liquefies mucus and increases the amount of secretions.
3. Thermopsis - is part of the long-known "Tablets from a cough". These tablets are devoid of any additional harmful substances, since they contain only thermopsis and baking soda - the leading expectorant of traditional medicine.
4. Other expectorants on a plant basis - they can include more expensive foreign drugs. These are such medicines as bronchicum, eucabal, gedelix. Such medicines are prepared on the basis of the above mentioned herbs and have a similar composition with similar domestic preparations.

Herbs when coughing help not only improve the condition of the patient, but also support its immunity. So the body will be easier to cope with the disease. The main thing is to remember that a strong cough with sputum should be treated as quickly as possible, without waiting for self-healing. If everything is done correctly, that is, to conduct competent and timely treatment, then recovery will come soon and without negative consequences.

Prophylaxis and prognosis of severe cough with phlegm

Prevention of severe cough with phlegm is the prevention of any diseases of the upper respiratory tract, and in the case of their occurrence - adequate treatment, so that the usual, at first glance, cold does not go to bronchitis or pneumonia.

Without observing the rules of personal hygiene, without proper care for residential and industrial premises, because the infection and air polluted by harmful substances enter the body during its inhalation.

In order not to develop chronic bronchitis or chronic obstructive pulmonary disease, it is first of all necessary to give up smoking. It is also necessary to observe all the precautions provided for work in harmful production conditions: when increased dust content of coal, cement, asbestos, flour dust, as well as gas contamination with ammonia, chlorine and other It is necessary to undergo fluorography once a year - for the timely detection of changes in the lungs associated with tuberculosis.

However trite it may seem, but a healthy lifestyle - a sufficient amount of vitamins in food (in winter - the use of vitamin complexes), physical culture, outdoor recreation, rejection of bad habits - the most accessible to each preventive measures of diseases accompanied by a strong cough with sputum discharge.

The prognosis of a strong cough with phlegm - with the timely and correct treatment of acute bronchitis or pneumonia - is absolutely positive. What can not be said about the protracted infectious diseases of the respiratory system, which pour out into the chronicle.

According to medical statistics, in Ukraine, chronic obstructive pulmonary disease (COPD) is present in almost 5% of adults and contributes to the disability of the population. And according to WHO, from 1979 to 2009 the lethality due to this disease on a global scale has increased by more than 160%.

If you or your relatives have a strong cough with phlegm within a month or more, please consult a pulmonologist or a therapist.

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How and why there is a dry cough

In the instructions for the use of antitussive, we read "... shown with dry cough". And what is it? Is it good or bad? It turned out that we differently understand this name.

The people fixed the notion of "dry" and "wet" cough, as a symptom depending on the sputum discharge: when "dry" there is no sputum, while "wet" coughs in different amounts. This is not quite true. Let's remember the mechanism of cough formation.

How does a cough develop?

The upper respiratory tract (nasal cavity, larynx, trachea, bronchi) is covered from the inside by an epithelium consisting of cells with cilia visible in a microscope, and glandular cells capable of producing a mucous secret.

Breathing paths not only serve as a "pipe delivering oxygen from the air to the lungs. They provide protection for very vulnerable lung tissue:

• In the nasopharynx, the incoming air warms up to body temperature;
• beginning with the nose foreign bodies (bacteria, dust particles) are delayed;
• immune cells already in place begin to render harmless bacteria and other viral agents;
• if the nose was not able to stop harmful substances, the cells include trachea and bronchial cells.

In response to a microbe or a foreign particle, glandular cells begin to produce an increased amount of mucus. Nerve receptors in the bronchial wall are irritated and send a signal to the brain. In the medulla oblongata there is an accumulation of cells forming the nucleus of the respiratory center. They give a "command" to the muscles involved in breathing, the muscular skeleton of the bronchi to the release of an unnecessary dangerous substance. There is a cough reflex. Cilia epithelium push out all unnecessary together with mucus. So sputum goes out, the bronchi are cleared.

What is better: a cough "dry" or with phlegm?

The inflammatory process in the airways in medicine is usually divided into stages that are not productive (mucus is not is produced) and productive (mucus is produced, mixed with the products of microbial activity, sputum is formed of different kinds). Unproductive process can be equated to a "dry" cough. In this period, bronchial receptor irritation occurs, and mucus is not enough. Cough is painful paroxysmal.

The same symptoms are possible if the sputum is very sticky, thick. It is difficult to cough it out. Attack cough is characteristic for

• acute laryngitis, complicating respiratory disease;
• pertussis in children;
• tuberculosis of the bronchus accompanying tubercular changes in the lungs.

How can I help? Of course, sufficient anti-inflammatory therapy is needed. For mechanical cleaning of the bronchi it is necessary to contribute to the production of sputum, to make it liquid, then it can clear the throat.

Inflammation should be transferred by means of drugs to the productive stage. A cough should become "wet". For this purpose preparations of classes "broncholytics "mucolytics" are appointed. The appearance of sputum is a good therapeutic and prognostic sign. At the time of formation of a sufficient reaction, drugs containing central-action drugs on the nuclei of the brain (codeine, glaucin, ephedrine) are added. They can not be used constantly, especially not recommended in a sufficient productive period. Because instead of excretion of sputum, stagnation will occur due to the suppression of the cough reflex.

What can cause a "dry cough"?

There are many reasons for an unpleasant cough.

• It is known that the irritation of the vocal cords with laryngitis or the ingress of foreign particles (for example, from food) also causes a strong cough reflex.
• In addition, the larynx can be irritated with heartburn (reflux-esophagitis) in connection with an acid thrown from the stomach into the esophagus in a lying position.
• Various "dust" diseases, especially occupational hazards, gradually destroy the protective mechanism of the bronchi.
• Severe cough causes irritation of the tumor cells, compression of the trachea by the aortic aneurysm.
• A "dry" cough of central origin causes some medications prescribed for the treatment of hypertension. Prolonged use leads to irritation of the respiratory center.
• Everyone knows this situation: during the demonstration of the film in the cinema, the performance one spectator unexpectedly coughs. Perhaps he is not quite well. After a few more people start coughing. This is also an involuntary cough that occurs reflexively to a mental stimulus.

Be attentive to the instructions for antitussives. In the free sale in pharmacies a lot of drugs. If in 3-4 days you do not get better, cough does not decrease, you need to see a doctor.

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What can be a strong cough with sputum

A strong cough with phlegm is always unpleasant, constant attempts to clear throat, secretion of a badly smelling liquid irritate the patient and surrounding, a similar condition occurs in different diseases, but in order for the treatment to be effective, it is necessary to accurately determine the cause disease.

Cough with phlegm is a syndrome of inflammatory diseases of the respiratory tract, in which purulent or serous discharge accumulates in the bronchi and lungs.

Causes of cough with phlegm

1. The most common cause is viral diseases in the resolution stage, cough is not too strong, there is little sputum, it is clear and liquid, in case of bacterial infection, sputum becomes more abundant, thick, yellow or greenish in color, with an admixture pus. If after an acute respiratory viral or cold the cough has increased in the child, and there is abundant sputum, then you should carefully monitor its condition: increase body temperature, severe deterioration of the condition, frequent, severe cough suggest the spread of inflammation in the lower parts of the bronchi and lungs.

2. Sinusitis and sinusitis - inflammatory diseases of the nasal sinuses are often accompanied by a strong moist cough due to the flow of fluid in the respiratory tract. In this case, the patient has a cough without raising the body temperature, increasing in the morning hours. In such a situation, you need to treat the underlying disease, and not a symptom.

3. Bronchitis is a strong moist cough with hard-to-separate sputum, the main symptom of progressive inflammation bronchus, as the disease develops, cough becomes more severe, and sputum is released in more quantity.

4. An excruciating frequent cough with hardly-detachable sputum in a child occurs with such an infectious disease as whooping cough, This disease is characterized by very strong, painful attempts to clear the throat, possibly the occurrence of vomiting, loss of consciousness and dyspnea. If the child has an increase in body temperature, wheezing and frequent coughing attacks, it is necessary to urgently consult a pediatrician, since it is necessary to treat whooping cough in the hospital.

5. Pneumonia - frequent and severe cough, accompanied by the release of a large amount of purulent sputum, occurs with pneumonia, in In this case, a child or an adult has a sharp increase in body temperature to 39-40, weakness, chest pain and general worsening state.

6. Chronic diseases - a constant cough with phlegm, without raising the body temperature, may be a symptom of such chronic lung diseases, such as: tuberculosis, bronchiectasis, cystic fibrosis, oncological processes in lungs.

7. Allergic diseases - constant irritation of the mucous membranes with allergies can trigger the appearance of a moist cough that intensifies in the morning hours with a scant separation of a transparent "glass" phlegm.

Treatment

To treat a moist cough you need to start by determining the cause of its appearance. Most often it occurs due to a viral or bacterial infection, in this case, the main purpose of treatment is the removal of microorganisms from the respiratory tract, their purification and regeneration.

1. Mucolytic and expectorant drugs - dilute sputum and promote its excretion from the bronchi and lungs. In the treatment of a child most often used: Bromhexin, Ambro (Ambroxol, Ambrobene), licorice syrup, ACC, Lazolvan and other expectorant sprays or syrups.

2. It is necessary to drink a few liters of alkaline liquid per day, this will help to avoid dehydration and facilitate the excretion of phlegm.

3. Very useful physiotherapy procedures - especially when treating a child of the first years of life, consult your doctor about the possibility of prescribing physiotherapy or spend it at home - for this use warming ointments and compresses on the chest, mustard or just dry heat on the neck and breasts.

4. Folk methods - "grandmother's recipes" can be used as an additional treatment or mild forms of the disease, but, in any case, it is necessary to consult with your doctor doctor.

• lemon with honey - mix 100 grams of honey and 1 mashed lemon, use 1 teaspoon before eating,
• sage infusion - a full tablespoon of dry leaves pour 200 ml of boiling water, insist, dilute with the same amount of warm water or milk and drink during the day. Infusion is contraindicated in pregnant and lactating mothers,
• juice of black radish with honey - mix 100 g of honey with the juice of 1 black radish, the dose for an adult patient - on a half-spoonful of the composition 2-3 times a day.

Treatment for a wet cough should be done under the supervision of a doctor, since only a qualified specialist can determine the cause of the disease precisely.

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Treatment of cough with phlegm

Coughing is one of the most common symptoms, it is a signal about disorder in the respiratory system. The list of diseases in which there is a cough with phlegm and without it, is great. Not all of them are relatively harmless, like laryngitis or bronchitis.

That's why cough treatment with phlegm should not begin before the diagnosis is made.In addition, he should not be one-sided, it must be comprehensive. Put yourself a diagnosis and self-relieve yourself at home is not worth it.

What is a productive cough?

The protective reflex of the inner membrane of the respiratory tract is called a cough. It always appears with excessive stimulus on the mucous membrane. The emergence of a reflex is an attempt by the body to clear bronchi, trachea from harmful agents that have penetrated into them.

Influencing factors are mechanical (dust, particles of any materials), chemical (various substances), biological (bacteria, viruses, fungi, protozoa). Also, the inhalation of smoke (smoking passive and active) has a negative effect.

Cough can be dry (unproductive), it is usually barking, loud, and damp (productive), then it is deaf and with it separates sputum - mucus secreted by the mucous membrane of the respiratory tract.

When there is a productive cough

The cause of it most often become the following diseases in adults and children:

• inflammation of the respiratory tract (pharyngitis, laryngitis, tracheitis, bronchitis);
• purulent lung diseases and tumors (abscesses, parasitic cysts, pneumonia, gangrene, cancer);
• bronchial asthma;
• cystic fibrosis, pneumoconiosis;
• pulmonary edema;
• bronchiectatic disease.

Important sputum characteristics

This will need to tell the doctor.

• Consistency. Cough can be with viscous sputum and with liquid. In the first case, it is also called a cough with hard-to-recover sputum.
• Colour. Sputum can be transparent (vitreous), white, yellow, green, brown, with bloody veins, pieces of tissue.
• Amount. Detachable can be a lot or a little, it is allocated permanently or paroxysmally.

Green sputum is a signal that purulent bacterial inflammation usually occurs in the airways, the same happens when yellow mucus is detected. A white color may indicate fungal infection. Brown sputum is often a sign of pneumonia. The presence of blood, pieces of tissue - the reason for immediate treatment to the doctor, these are formidable signals of a serious pathology of the respiratory system.

Principles of cough and sputum therapy

It is necessary to remember that each person is unique, therefore treatment should be appointed strictly personally after examination and specification of the diagnosis. For thisas neededconduct additional methods of research: blood tests, sputum microscopy, the study of its microflora with the definition resistance to antibacterial agents, spirography, radiography, allergic tests, Mantoux reaction, possibly CT and / or MRI.

Drug groups used to cure wet cough

The purpose of treating cough with phlegm is to facilitate the body's natural process of getting rid of the discharge in the bronchi. Carry out this therapy in conjunction with the one that affects the cause or mechanisms of the development of the disease.

Apply means:

1. Dissolving sputum (reduce its viscosity - Bromhexine, Acetylcysteine, Ambroxol).
2. Expanding bronchi (increase their patency - Erespal, Gedelix, Bronholitin, Stoptussin).
3. Increasing expectoration (increase cough reflex and increase sputum production - Thermopsis, sodium bicarbonate, ammonium chloride).
4. In specific cases, if the disease of an allergic nature is used by the stabilizers of the membranes of mast cells, antiallergic drugs. Antibacterial agents are necessary in the presence of an inflammatory process in the respiratory system caused by microbes. If the condition is urgent - pulmonary edema - diuretics, special drugs, reducing sputum sputum and others will be required.

Additional therapies

In addition to medicines used internally in tablets, syrups, drops or intramuscularly, cough can be treated with inhalation. This method is unique and is successfully used to combat respiratory system diseases. It is indicated for children from 3 years and adults.

Inhalations are made with essential oils, soda, ammonium chloride, sodium chloride, infusions of medicinal herbs, just steam.

Young children have effective gentle chest massage, clean steam inhalation, wrapping in clothes made from natural woolen fabrics, while sputum is much better. All these manipulations can be performed at home. To treat children with medicines should be very cautious: many of them are contraindicated to babies.

Effective methods of physiotherapy, balneotherapy, exercise therapy, the development of diet and diet, bracing procedures.

Only a complex effect on the body, beginning "from the beginning" - from the cause of the ailment that caused a cough with viscous or liquid phlegm, can really help, cause relief of the condition and recovery.

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