Strong cough without fever in the adult: causes, treatment and varieties
- Dry cough
- Prolonged cough
A severe cough without fever in an adult is a widespread symptom among people of young and old age.
Characteristic for various diseases, in the absence of treatment, prolonged coughing is steadily progresses in most cases, leading to the development of complications that significantly reduce the quality of life patient.
A growing strong cough without fever in an adult is a sign of an infectious process, characteristic of a decrease in immunity or for elderly patients.
Paroxysmal cough paroxysms are pathognomonic for the initial stages of whooping cough, which occurs without fever, runny nose and general impairment in children and adults. Night attacks are typical for exacerbation or debut of bronchial asthma as a result of irritation of the bronchial mucosa on the background of an allergic reaction. For asthma, a typical exhalation in the presence of a normal inhalation of air, hypersecretion of viscous sputum provokes the development of a strong cough without temperature in an adult and a child.
The causes of the pathological process are:
- nonspecific inflammation (ENT organs, upper respiratory tract, bronchi, trachea, lungs);
- infection (influenza, parainfluenza, measles, SARS, whooping cough, adenovirus, cytomegalovirus);
- allergy (pollinosis, sinusitis, bronchial asthma);
- trauma (foreign bodies, damage to the esophagus);
- cardiac arrhythmia (extrasystole, vegetovascular dystonia).
Manifestation of a symptom at night on the background of a stoppage of breathing and prolonged smoking in the anamnesis is a pathognomonic clinical picture of chronic obstructive pulmonary disease. Bronchitis of the smoker is transformed into an irreversible form, manifestations of which is a steadily progressing cough with the development of respiratory insufficiency of various degrees of severity.
Prolonged cough in an infant is a sign of the fistula of the thoracic esophagus, through which food enters the respiratory tract, causing irritation and a protracted inflammatory process.An incessant cough in childhood is a diagnostic problem that disrupts the physiological breathing and normal development of the child.
To suspect an infectious process the doctor will allow diagnostic examination, examination of sputum and the delivery of tests. Early treatment of severe cough without fever in adults and children is done taking into account the characteristics of the cough, its duration and the overall clinical picture.
Dry and wet cough differ depending on the stage and etiology of the process. Dry cough is the initial stage of inflammatory diseases, in which coughing tremors are a reflex mechanism. A dry, violent cough develops when foreign bodies enter the body, aimed at removing it from the upper respiratory tract. A moist cough is formed as a result of increased production of serous or purulent sputum, the ingestion of which into the lungs causes the development of pneumonia.
This complication is typical for people who have weak respiratory muscles and a sedentary lifestyle.Antitussives with a dry cough are used to stop the syndrome, eliminate inflammation of the mucous membrane. The purpose of the drug with moist cough promotes the development of severe forms of pneumonia. Expectorants with a damp cough are prescribed against the background of taking antibiotics to prevent the multiplication of pathogens.
When taking medication, you need to consume large amounts of water to dilute sputum. Breastfeeding is a folk remedy for cough, used in outpatient treatment. Herbal infusion is prepared in the following way: for 200 ml of boiling water dilute two or three tablespoons. collection, and then leave to insist for one hour. Feedback on the forums indicate the high effectiveness of this method for the treatment of dry and wet cough. The infusion is used 3 times a day for 10-14 days.
Dry cough without fever in an adult: a variety and their treatment
Dry cough without fever in an adult has the following types and tactics of treatment.Specific antiviral or antibacterial treatment is shown against the background of the use of expectorants and mokrotorazhizhayuschih drugs. The expediency of therapy is determined by the severity of the inflammatory process, in severe cases, in-patient treatment is required.
Removal of a foreign body is performed surgically or by bronchoscopy. Elimination of the cause of arrhythmia is under the control of a cardiologist, specific drugs are prescribed that stop the manifestation of extrasystole and vegetovascular dystonia.
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Prolonged cough with phlegmis a sign of an infectious process, influenza, ARVI or pneumonia. Often accompanied by inflammation of the larynx, trachea and ENT organs. Accompanied by:
- high temperature;
- coryza;
- general weakness;
- decreased performance.
- Prolonged cough without phlegm(dry) is typical for allergic processes, bronchial asthma or the initial stages of infection (in the presence of rashes). An unproductive cough is accompanied by a sore throat, a throat, a heaviness in the head. Antiallergic therapy reduces exacerbation in the early stages.
- Prolonged cough without feverIs a characteristic syndrome of cardiac arrhythmia, foreign body entry to the mucosa or vocal cords. Diagnosis takes a long time, relief comes immediately after a targeted treatment, taking pills.
- Prolonged cough with phlegm without temperatureis formed with increased mucus production, chronic obstructive pulmonary disease, prolonged smoking, and work with construction dust, asbestos or cotton wool. In addition, dry cough without temperature in an adult is manifested with pulmonary tuberculosis, open or closed form, lung radiography clarifies the diagnosis.
Treatment of chronic obstruction begins with quitting smoking and taking bronchodilators short or long-acting. With the growth of fibrotic processes in the bronchi, patients are assigned enzyme preparations, as well as hormone therapy. With pulmonary tuberculosis, the patient is sent for specific therapy to the physiotherapy department of the hospital.
A prolonged cough without fever in an adult: a type of treatment
A prolonged cough without fever in an adult requires an early onset of a specific treatment after going through a wide diagnostic examination to determine the exact cause of the onset.A blood test, sputum culture, as well as instrumental and functional research methods allow differentiate allergic and infectious diseases, foreign bodies of the upper respiratory tract and esophagus.
General treatment includes:
- to give up smoking;
- general strengthening procedures;
- enhancing the immune properties of the body;
- removal of the allergen;
- frequent wet cleaning.
Prevention of acute respiratory infections and infections is aimed at limiting contacts during the epidemic period, regular intake of immunoprophylactic drugs, and routine vaccination according to the vaccination schedule.
Mantoux reaction allows detecting tuberculosis infection at early stages, initiating early specific therapy, which significantly reduces the risk of exacerbations.
Medical treatment has the following directions:
- antiviral;
- antifungal;
- antibacterial;
- anti-inflammatory;
- antiallergic;
- bronchodilator.
Preparations for infectious and fungal diseases that have caused a prolonged cough without temperature at the adult, are selected individually by the attending physician taking into account the clinical picture and the affected organ.With severe pain on the background of coughing, an urgent start of treatment is required because of the high stress on the respiratory musculature.
With asthma and allergic pharyngitis treatment begins with anti-allergic antihistamines drugs, which are supplemented with bronchodilators to facilitate breathing and eliminate symptoms of cough. The bronchodilators work almost immediately, they are taken in the form of inhalations according to the doctor's prescription.
Folk remedies are aimed at restoring the mucous membrane of the upper respiratory tract, reducing the production of sputum and mucus.Individual herbal infusions, such as oak bark, affect the degree of intensity of the inflammatory process, reducing the production of pro-inflammatory enzymes in the lesion.
Lime, marshmallow and plantain are used as antitussive drugs, but can be used only after consulting a doctor because of the risk of side effects. Breastfeeding is the safest and most versatile method for softly stopping a prolonged cough without fever in an adult and a child over 10 years of age.
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Severe dry cough in an adult without fever: causes and treatment
Frequent coughing is a common symptom of various diseases. A constant, dry cough causes a lot of discomfort to a person both during the day and at night, significantly complicating his life.
Treatment of this manifestation directly depends on the cause of its occurrence. Therapy may be symptomatic or include the taking of specific drugs (antibiotics, hormones and the like).
Causes of appearance
Dry cough is a reflex-protective reaction of the body, the main task of which is to elimination of the irritating factor from the respiratory system (mechanical, atrophic, inflammatory, chemical).Today, medicine identifies about 53 causes, because of which a dry cough may appear.
Its unproductiveness is often determined by the stage of the disease, for example:
- Chronical bronchitis;
- the initial stage of pneumonia;
- chronic stenosis of the larynx;
- tuberculosis;
- the buildup of obstruction in asthma.
A painful and violent cough of an allergic and inflammatory nature appears due to such reasons as:
- mycoplasmosis (atypical pneumonia), chlamydia;
- ARVI, influenza, laryngitis, tracheitis, bronchitis (cough, barking with a metallic echo);
- Pertussis, paracottus (rarely diagnosed because of the lack of symptoms);
- Bronchial asthma (with the discharge of thick and viscous sputum).
The causes of dry cough and temperature can be chemical or mechanical. So, it can be a change occurring in the lung tissues in fibrosis and atelectasis.
The respiratory system can be compressed by a tumor. Another dry and deaf cough occurs with an aneurysmal dilated aorta and enlarged lymph nodes.
The occurrence of temperature and cough occurs due to the action of a chemical stimulus and the inhalation of a foreign body (chemicals in the workplace, dust particles and food pieces).
Duration of acute and chronic forms
Cough can be separately acute (3 weeks), prolonged and chronic (more than 8 weeks). Acute and strong cough reflex appears in case of influenza, rhino adeno metapnevma coronovirus, parainfluenza, ARVI caused by the RS virus.A long painful cough can be a consequence of an infectious disease (acute bronchitis). Chronic persistent cough occurs due to a number of different factors. It can be overweight, bronchial asthma (cough type), smoking, postnasal edema syndrome and chronic diseases of the respiratory system (tonsillitis, sinusitis, tracheitis).
In addition, barking cough in adults can occur if exposure to pollutants or irritants (accommodation near busy roads, low air humidity) occurs. This symptom can also develop as a result of chronic bronchitis, COPD (in smokers) or in obstrugular lung diseases and GERD.
A constant and dry cough at night or in the day can arise due to diabetes, when the mucous membrane of the respiratory tract gets dry and microcirculation is disturbed. Other factors of the appearance of temperature and cough may be hidden in the presence of hypothyroidism (the disease is accompanied by changes in the vocal cords), the use of psychotropic drugs, angiotensin-converting enzyme inhibitors and diuretics.
Day or night cough often occurs due to pathologies of the circulatory system (pericarditis, thromboembolism pulmonary arteries, heart failure, heart disease, aortic aneurysm), due to the course of neurological diseases.
In addition, a dry and frequent cough may appear if the thyroid gland is enlarged or there are diffuse pathologies of connective tissues.
Symptomatology
Dry cough by nature can be:
- sharp (tracheobronchitis acute, pleurisy);
- frequent and small, manifested by coughing, when there is irritation of the pleura;
- Reflex (occurs only when irritation of reflexogenic areas outside the respiratory tract);
- loud, barking (trachea, larynx);
- "Heart arising at night with heart failure;
- convulsive, convulsive, accompanied by loud and frequent exhalations-tremors.
Unproductive, nasal cough develops in the presence of pathologies of the nearbronchial zone (swelling, lymph node compression, aortic aneurysm). In addition, it can appear at night with bronchial asthma, pertussis, heart failure or sinusitis.
He also develops with asthma and COPD, if his breathing is wheezing. In addition, there is an unreasonable cough,
A persistent cough that occurs after or during a meal can be a confirmation of the presence of tracheoesophageal fistula, neurogenic disorders, hernia, diverticulum of the esophagus.
In addition, a cough can appear even if a person changes his body position (GERD, postnasal runny syndrome). At smokers it reminds of itself only in the morning and in the afternoon. This symptom also develops with bronchiectasis, chronic bronchitis and gastrointestinal reflux.
To determine the cause of the cough, you need to identify the symptoms that accompany it. So, with tuberculosis, you can not avoid temperature and weight loss, malaise, and viral tracheobronchitis - chest pain. In addition, it is necessary to conduct such diagnostic activities as:
- lab tests;
- consultation of some doctors;
- radiography;
- endoscopy.
How to treat dry cough?
Treatment is always based on establishing an accurate diagnosis and eliminating the causes of the onset of the disease. However, there are general recommendations to improve the patient's condition, if there is also a temperature.So, indoors, you should regularly moisten the air. However, do not forget about the warm and abundant drink.
To stimulate the activity of the glands and normalize the process of swallowing saliva (this will ease the cough reflex), you can dissolve the candies. A strong, paroxysmal, prolonged, unproductive cough is usually treated only with the help of combined drugs (Stoptussin), mono-medicines (Sinekod) and narcotic drugs (Codeine).
To dilute sputum, if a person suffers from bronchitis, then his treatment involves the use of mucolytic (ATSTS, Carbocysteine, Ambroxol) and expectorants (Solutan, Mukaltin). But you can not treat these medicines with small children.
To ensure that the lungs and bronchi are not clogged with phlegm, it is forbidden to take expectorant and antitussive drugs at the same time, bronchodilators. So, their reception is possible only separately.
If the disease is of a bacterial nature, then antibiotic treatment is performed. Thus, with mycoplasmal or chlamydial infection, macrolides such as Clarithromycin and Azithromycin, streptococcal or staphylococcal - cephalosporins (Ceftriaxone) or Amoxicillin based on penicillin.
To get rid of cough and temperature with bronchial obstruction, it is necessary to conduct treatment with bronchodilators (Berotek, Berodual). Asthma is treated only with special hormonal means (Pulmicort). With tuberculosis, anti-tuberculosis and bronchodilators are prescribed.
It is worth noting that many patients felt relief after taking medications, the clinical effectiveness of which was not proven. These include:
- Herbion (plantain syrup based on plantain);
- Erespal;
- combined drug Broncholitin, which has antitussive, bronchodilating, antiseptic effect;
- homeopathic remedy Stolid.
Treatment of cough with folk medicine
Disease therapy is performed only when possible reactions are excluded. So, if there is no temperature, you can do steam inhalations based on medicinal herbs.
Moreover, it is useful to apply warm compresses to the breast. The use of an althea and juice extract from a black radish will quickly remove the unpleasant symptoms of a cold. In general, folk remedies for cough are best used as an additional treatment in the complex.
Moreover, treatment with the help of folk remedies implies the use of decoctions of linden, mother-and-stepmother, sage and chamomile.
Possible complications and preventive measures
In some cases, a rare cough is not only a useful reflex, which helps cleanse the respiratory passages, but sometimes it leads to various complications. Thus, the quality of life can deteriorate, resulting in a decrease in the level of physical and mental activity.Another consequence is the occurrence of myocardial infarction. Pathology develops with an unproductive long-term cough that occurs due to chronic inflammation in the body or the presence of a pulmonary infection.
In addition, this manifestation contributes to the emergence of psychosocial, psychological problems, hypertension, pulmonary heart formation, pulmonary emphysema and spontaneous pneumothorax. Other hernias (for example, inguinal) can also form and bleeding in the bronchial veins or conjunctiva may occur.
Moreover, epileptic seizures and fainting were recorded. Sweating, weakness, incontinence of feces and urine, increased fatigue, hoarseness of the voice, pain in the muscles and bone tissues can also occur.
Prevention implies the prevention of the appearance of the underlying disease, which accompanies the cough reflex. So, to prevent the occurrence of this symptom is important:
- During the epidemic of catarrhal diseases, avoid places of large accumulation of people;
- to refuse from alcohol and cigarettes;
- observe hygienic rules;
- maintain a stable and positive psycho-emotional state;
- do sport;
- to observe the correct mode of rest and work.
In winter, it is necessary to exclude the possibility of not only frostbite, but also overheating, resulting in an increase in body temperature. Therefore it is important to wear clothes that will match the season and weather conditions. In the summer, you should use air conditioners with extreme caution, in order to prevent a temperature difference of more than 6 degrees.
The video in this article will tell you what is the reason for the long cough, and most importantly, how to treat it
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Causes of dry cough without fever in adults
In our time it is difficult to find an adult or a child who would not cough at least once a day. Zagazovannost large cities and megacities, harmful emissions of industrial enterprises, a lot of different infections - living in a city about clean air can only dream of.
The human respiratory system is so arranged that when penetrating into the bronchi and lungs of infectious agents, allergens, dust, etc., due to irritation of the respiratory tract receptors, a cough occurs.
With its help, the tracheobronchial tree is cleansed of external and internal irritating agents, such as pus, mucus, sputum, blood or from foreign bodies - pollen, dust, food particles. The role of the cough is to prevent mechanical obstacles and cleanse the respiratory tract from sputum or other substances.
When a person has caught a cold and contracted a viral respiratory disease - the clinical picture is clear, the person rises high fever, runny nose, cough, tear, weakness and other symptoms of intoxication, characteristic of these diseases. In these cases, the cause of dry cough is clear. And how to understand why there is a cough without temperature in an adult or a child?
Many believe that cough is caused only by respiratory diseases, however, a prolonged dry cough may be a symptom of such serious diseases like heart failure, oncological diseases of the mediastinal organs, certain diseases of the gastrointestinal tract, sinusitis, sinusitis. The table below shows the symptoms and diagnosis of certain diseases that are characterized by a dry cough without fever or with a temperature of 37 ° C.
Cough and runny nose without fever
- With colds
may cause catarrh of the upper respiratory tract, runny nose, cough without body temperature or 37-3,. With such types of Orvy, the throat may not bother, but a common cold, cough without fever is characteristic. If the cough does not go away within 3 weeks after the onset of SARS, you should consult a therapist.
- Allergic reaction
on various flowering plants in an apartment or on the street, an allergy to dust is also accompanied by a dry non-productive cough, an allergy to pet hair, pet food or animal care products, a similar reaction is possible for perfumery and cosmetic products facilities.
Even in carpets and bedding there are a lot of allergens, which can be inadequate reaction of the body, which is expressed by dry cough and runny nose without temperature. Also, the massive use of various household chemicals, unsafe detergent powders with surfactants over 35% all this can affect the state of the respiratory system and manifest as a cough and runny nose without temperature.
- Post-infection cough
after acute infectious or viral inflammation of the respiratory tract cough with perspiration, coughing, feeling tickling or agitation, can last up to 3 weeks, and just unpleasant sensations and a rare coughing is possible before, months.
Dry prolonged cough without fever
- Stress
Stressful situations, nervous shocks, experiences can provoke a dry cough - this is called psychogenic cough, when a person worries, gets lost or embarrassed, he can cough up.
- Also, for a long time in a room with dry, dusty air, irritation in the respiratory tract may appear.
- Oncological diseases
If a prolonged severe dry cough without fever lasts more than a month, you should consult a therapist, pulmonologist, allergist, oncologist, phthisiatrist for the passage of a thorough diagnosis, since the diseases that cause incessant cough are very many - tuberculosis, lung cancer, bronchial cancer, trachea, throat.
- Heart Disease
Cardiac cough should be distinguished, for example, from the cough of a smoker or a bronchial cough. Such a cough occurs after physical activity and there is no sputum, however, sometimes with acute cardiac disease, bloody discharge after a dry cough is possible. This is due to the malfunctioning of the left ventricle, when the lungs are stagnant blood and its secretion with a cough. The person besides the cough is disturbed also by palpitation, and a short wind, and pains in the field of heart and so forth.
- Chronic diseases of ENT organs
often with chronic diseases of the nasopharynx, such as sinusitis, frontalitis, sinusitis due to the flow of mucus from the nose along the back wall of the throat, there may be a cough without temperature, it is concomitant and not associated with lower respiratory ways.
- Tuberculosis
a prolonged dry cough, a temperature of 37-3, indicates a possible tuberculous process in the lungs or bronchi. To date, the situation of tuberculosis is very tense, even among people of high social status, the development of this formidable disease, persistent stressful situations, overfatigue, inadequate rest reduce the defenses of the body and since 90% of the population by the age of 30 is infected with a stick of Koch, provoking factors can lead to the activation of the mycobacterium in organism.
- Thyroid gland diseases
with a nodular or diffuse increase in the thyroid gland, pressure on the trachea occurs, causing a dry cough without temperature in adults.
- Some diseases of the digestive tract
can also cause a dry cough without fever, a reflex cough after eating in the case of an esophageal-tracheal fistula, reflux esophagitis, and esophageal diverticulum.
- If foreign matter enters the respiratory tract.
Name of the disease | Characteristics of cough and other symptoms | Body temperature | Diagnostics |
Some types of ARVI | Cough is first dry, then it becomes wet with sputum secretion | The temperature may not be or may be low-grade 37-3, | Examination of the therapist, pediatrician, general blood test |
Chronic bronchitis, smoker's bronchitis | Chronic coughing is usually deaf, especially attacks in the morning, in the cold, when inhaling gassed or smoky air. With prolonged chronic bronchitis, sputum may be purulent. | With exacerbation or acute bronchitis, the temperature usually rises, especially with acute bronchitis in children, but with chronic temperature there is not or 37 with little. | Radiography of the chest, examination of the therapist, a general blood test, bacterial sputum culture on the sensitivity to antibiotics in the case of purulent sputum. |
Chronic frontitis, sinusitis, rhinitis | For such diseases is characterized by frequent dry cough, especially at night. | In acute sinusitis and frontal sinusitis, the temperature is high, but with a chronic process, a cough and a temperature of 37 or normal | Examination with an otolaryngologist, an x-ray of the paranasal sinuses of the nose |
Oncological diseases of the mediastinum | With oncological diseases cough can be dry, debilitating | Without temperature | Examination at a pulmonologist, oncologist - X-ray, MRI of mediastinal organs, bronchoscopy, blood test, oncomarker, etc. |
Tuberculosis | Persistent cough with sputum or sparse phlegm, weakness, decreased appetite and performance, night sweats, chills. | The temperature is normal in the morning, by evening usually low-grade 37-3, | Chest x-ray, Computed tomography, tuberculin tests, phthisiatric consultation. |
Professional cough | Appears in people working in hazardous manufacturing plants, when in the air many different chemicals, dust, such a cough is dry, exhausting without sputum | Without temperature | Inspection of the therapist, pulmonologist, X-ray of the lungs to exclude other pathologies. |
Allergic reactions, allergic bronchitis | Cough is dry, without phlegm, in the form of perspiration, irritation, occurs after contact with the allergen - animals, dust, plant pollen, fluff, feather, wool, household chemicals, perfumes, washing powders. | Without temperature | Consultation of an allergist, immunologist |
Heart failure, rhomboembolism of the pulmonary artery, heart defects, | A dry, prolonged cough without fever occurs after physical exertion and is strengthened in the prone position, but after the adoption of the vertical position it weakens. It is accompanied by shortness of breath, palpitation, high blood pressure, sometimes there are attacks of suffocation. | Without temperature | First, consult a therapist, then a cardiologist. |
Lungs' cancer | In addition to dry coughing, people are concerned about chest pains. In the long-term process, dry cough can be accompanied by periodic sputum discharge with pus or blood. | Dry cough, temperature 37-3, or it may not be | Consultation of the oncologist-chest x-ray, bronchoscopy, general blood test, oncomarkers, etc. |
Throat cancer | Signs of throat cancer, larynx in this disease is characterized by dry cough without temperature, not amenable to treatment, as well as possible shortness of breath, as the laryngeal lumen narrows. Sputum can be with blood, also blood can be in saliva and mucus from the nose. | Without temperature or 37-3, | Consultation of an otolaryngologist, oncologist. |
Use of certain medicines | These drugs include: drugs for hypertension, ACE inhibitors, nitrofurans, beta-blockers, aspirin, amiodarone, Inhalation drugs-beclomethasone, ipratropium bromide, are able to cause a cough without temperature, chronic unproductive. | Without temperature | Tell the cardiologist about the drugs that you take and that they cause a cough. |
Pneumonia in the elderly | It is very rare, but there are cases when pneumonia occurs without a temperature or with a slight unobtrusive increase, usually it is typical for the elderly, while, in addition to coughing, chest pains, weakness, loss appetite. | Pneumonia sometimes occurs without high fever with a strong cough, especially in weakened and elderly people. | Address to the therapist, chest X-ray, a general blood test. |
If a person is worried that he has a severe dry cough without fever and other symptoms of colds, he suffers from attacks of dry cough for a long time, do not delay the visit to therapist.
- First of all, one should be alerted and analyze when most often there are coughing attacks - if this is related to the quality of the inhaled air, the presence of new furniture, fresh repair in the apartment or the appearance of an animal, woolen or fur clothing, other clothes of poor quality - it is most likely a defensive reaction of the broncho-pulmonary system to toxic substances in dyes, plastics, particle boards, mattresses, carpets, etc. household items or an allergic reaction to wool, fur, fluff, feather, etc.
- If the cough is only at a certain time - only in the morning, most likely it is chronic bronchitis. If on the contrary, only at night or in a horizontal position - a heart cough, cough with diseases of ENT organs. If during a meal - it can be a cancer of the throat, larynx, gastrointestinal tract.
- Pay attention to the color, amount and consistency of sputum, this must be reported to the doctor, what color is it, whether there are impurities of blood, pus (yellow-green).
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What can cause a violent cough without fever?
A prolonged severe cough without fever is common enough. Many do not attach importance to easy coughing and do not seek medical help. Someone completely ignores the unpleasant phenomenon, believing that it will disappear by itself with time. Others are trying to cure malaise with folk remedies against coughing or buying medicines on the advice of acquaintances.
Self-medication, like ignoring the disease, can be dangerous to health, because a constant cough can be a sign of a serious illness. Improperly selected medications can worsen a patient's condition. Non-cured diseases often become chronic or provoke the development of other pathologies.
What is a cough
Coughing is a reflex reaction of the body to various stimuli in the organs of the respiratory system. It performs a protective and purifying function. With its help, the body is released from foreign bodies that get into the respiratory tract, as well as from substances that irritate the respiratory system. Cough reflex helps to get rid of pathogens and the products of infection control with the body's defenses. Thanks to this reaction, the body maintains optimal conditions for the healthy life of the respiratory system. Therefore, the treatment of many types of cough is aimed at its effectiveness, not suppression.
But coughing can have a nervous nature. It occurs due to diseases of the human nervous system, and not as a result of external effects on the respiratory system.
Cough is of two kinds: dry and wet. If the mucous membranes of the respiratory organs are dry and hot, then the cough reflex will be dry. He does not bring relief. Often, it irritates the mucous membranes and can be painful and unpleasant.A wet cough occurs when the reflex reaction is accompanied by a sputum discharge. He usually brings relief, but in some cases a wet cough can be very deep. Coughing becomes harder. Sometimes there is a feeling of lack of air.
If the inflammation of the respiratory system is caused by infection, a cough reflex may appear against the background of an increase in body temperature. However, it often appears non-heat.
There are several reasons for the occurrence of a cough without temperature.
Cough without fever on the background of an infectious disease
Inflammatory process, caused by various types of pathogens, can occur without an increase in body temperature.Such a course of an infectious disease can be caused by a reduced immunity of the sick person. In such cases, a deep cough can be observed. Weak resistance of the body allows infection to penetrate into the upper respiratory tract, into the bronchi and further into the lungs. A person with healthy immunity would have a high body temperature in this condition. But a weak immune response makes a person vulnerable to disease. If the disease is not treated, then the patient's condition will rapidly deteriorate.
Strong immunity can effectively fight infection at the stage of infection. The infected person shows signs of a disease (for example, cough and runny nose), but the body temperature does not increase. If you ignore such a state, then the immune forces may not be enough to successfully overcome the infection. If you lead a normal lifestyle and load the body with the usual daily loads, the infection will be able to cause an inflammatory process. In addition, a bacterial infection may be added to the viral infection.A prolonged cough without fever can be a consequence of a viral disease that has been transferred, when an acute inflammatory process has passed into a chronic condition. Dry, irritating the mucous membrane of the throat, cough is characteristic of chronic atrophic pharyngitis. Cough reflex with sputum may be a sign of chronic hypertrophic pharyngitis.
After suffering an acute respiratory viral disease, coughing can be observed for a while as a residual phenomenon.
A prolonged dry cough without a rise or with a slight increase in temperature can be a sign of the defeat of the body by a tuberculous infection. This symptom is characteristic for tubercular bronchoadenitis and the initial stage of focal pulmonary tuberculosis.
Allergic nature
Cough without fever occurs with various allergic diseases.Cough reflex can appear due to the ingress of substances - allergens - onto the mucous membrane of the respiratory organs. For example, pollen from plants, spores of fungi or poplar fluff. Such a cough is usually dry and shallow. It can be observed as a slight cough, and attacks of an uncontrollable cough, during which the patient suffocates. For an allergic cough, the symptoms disappear after the removal of the irritant substance. It instantly disappears or becomes less obvious after taking antihistamines.
Asthma as one of the reasons
Asthma is a chronic lung disease, which causes inflammation and swelling of the airways. Asthmatics suffer from coughing attacks, especially at night. During an attack there is a hoarse or labored breathing, mucus is formed. A cough attack can trigger a physical load, a pungent smell or cold air. Aggravation of the disease also causes various substances - allergens. Before the attack, the patient may feel itching in the chin, chest or neck. In the development of the disease, heredity, as well as occupational and environmental factors play an important role. Recent studies have confirmed the impact of household chemicals on the development of this disease.
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease is a disease in which an irreversible airflow restriction occurs in the respiratory tract. There is no increase in body temperature. This condition progresses steadily and is accompanied by an inflammatory response of the lungs. The disease appears due to the constant exposure of irritants to respiratory organs of pathogenic particles or gases. In response to the stimulus in the lungs, the number of cells that produce a mucous secret is intensively increased. Chronic obstructive pulmonary disease often suffers from smokers with a long history - more than forty-five years. Therefore, this ailment is often called a smoker's illness. They have too much sputum, which can go unnoticed, as tobacco smoke paralyzes the cilia of the bronchi that help to move the sputum. Therefore, heavy smokers often deafeningly cough in the morning with the release of sputum. But after the first puffs, the cough reflex ceases. If a smoker can not live without a morning cigarette, this is a sign of the development of pathology in his respiratory system.Over time, a more severe condition develops, in which the patient can not exhale air from the lungs due to the narrowing of the lumen of the bronchi.
Cough as a side effect
A non-temperature cough may occur as a result of prolonged use of medications for treatment of diseases of the cardiovascular system and hypertension - ACE inhibitors (angiotensin-converting enzyme). The side effect of such therapy can be a cough reflex. About a fifth of patients who take such drugs develop a dry cough.Long-term administration of drops to treat the common cold can provoke a cough reflex. In this case, usually observed catarrhal phenomena - a slight reddening of the throat and a sensation of tickling in the throat.
Other reasons
Gastroesophageal reflux disease can be accompanied by a cough without temperature. This disease of the esophagus and stomach, in which gastric acid enters the esophagus due to the weakness of the valve. Together with heartburn, coughing, wheezing, and chest pain may occur.
Contaminated air causes coughing attacks. Thus, the body tries to get rid of foreign particles that are in the air.
Long exposure to vapors and gases can lead to sputum and irritation of the lungs. The same effect can cause mold spores. Contaminated air often provokes allergic reactions or an attack of asthma.Neurogenic cough occurs against the background of a nervous system. Usually it is a dry, sonorous cough reflex, intensifying in stressful situations. In a calm state and during sleep, he usually does not bother the person.
Oncological diseases
Chronic cough without fever is often a sign of the development of a malignant tumor in the respiratory system. Cough of the oncological nature has its own characteristics, although it is very similar to the usual cough reflex. It is characterized by great intensity and gradually changes its character. In the first stages of the disease, coughing is usually dry and painful. In the course of time, sputum appears. At first it is simply mucous, then purulent-mucous. In late stages, sputum is purulent-mucous. The oncological cough reflex does not respond to standard therapy. Call it can malignant tumors that have arisen in different tissues of the respiratory system.
Treatment of cough
If a cough without fever has recently appeared and is accompanied by a runny nose, it may be the result of the action of viruses. In this case, you must comply with bed rest. It is not recommended to visit the team in order not to spread the infection and not to burden the body in addition. An easy disease will pass by itself or with the help of folk remedies - tea with kalina, radish juice and herbal remedies. If the cough does not disappear more than two weeks, you need to visit a doctor. It is especially dangerous to ignore the best-temperature cough in children. The development of diseases in children is rapid.A long-term, non-vanishing cough reflex, not accompanied by fever, is an alarming sign. Especially if a strong cough is accompanied by a discharge of sputum with blood veins and pain. To delay with a visit to the doctor is strictly not recommended.
Before you start cough treatment, you need to find out the reason for its appearance. Many diseases have similar symptoms, but they have completely different nature. A diagnosis error can have fatal consequences.
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Only a doctor can determine the causes of any cough. He will examine the patient and will assign a series of studies. Probably, it is required to make a roentgen of lungs. Depending on the results of the research, the doctor will diagnose and prescribe the treatment.
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Prolonged cough without fever
Many people pay attention to cough only if it is accompanied by fever. In the remaining cases, the symptom is not serious, they are waiting for an unpleasant phenomenon to pass by itself. They do not even think about going to the hospital, and a long cough without temperature persists for months.
The frivolous attitude to a signal of an organism in most cases comes to an end pitiful enough:
- The underlying disease that caused the cough and was not treated for a long time, grows into a severe form.
- The patient begins to show additional ailments, caused by a permanent weakening of the body's immune system.
- Treatment requires large financial costs.
- The patient falls out of active life for a long time.
- Often the neglected form of the underlying ailment that caused a cough without temperature, because of untimely medical care, can not be cured completely. A person for a lifetime gets a chronic illness.
The severe consequences of ignoring a prolonged cough without fever are explained by the fact that often it is a companion of quite serious and dangerous processes occurring in the body. They can affect various organs, as well as worsen the state of the immune system as a whole.
Prolonged cough, chest pain without fever due to chronic bronchitis
Reflex spasms of the respiratory tract often serve as a sign of ailments, not necessarily having a sharp form. A prolonged cough (more than a month) without a temperature is very often observed with chronic bronchitis. Its main features are:
- Parallel appearance of painful sensations in the chest.
- Gain in windy and damp weather.
- Allocating abundant sputum.
Prolonged disregard of the symptom and lack of adequate treatment of the underlying disease can lead to the development of chronic obstructive pulmonary disease.
Long cough without fever with tuberculosis
In addition to protracted bronchitis, there is a more serious respiratory disease, which can be evidenced by bronchospasm, which do not give rest for a long time. A prolonged cough (3 weeks) without fever can be a sign of such a terrible ailment as tuberculosis. The symptom that accompanies this disease has the following characteristics:
- It may be dry or with a small amount of sputum.
- Has a metallic sound.
- It manifests itself mainly in the morning hours, after the patient got out of bed.
- Individual seizures can be quite long.
The danger of ignoring a prolonged cough without the temperature caused by tuberculosis is that during reflex spasms, which are becoming more intense, respiratory organs can be injured and pulmonary bleeding. The main disease in the absence of adequate treatment will progress, growing into a more severe form.
Constant cough without temperature in smokers
Reflex spastic exhalations, which last for a long time, can be caused not only directly by diseases of the bronchi or lungs. Often they develop due to the presence of a harmful habit - nicotine addiction, which provokes the beginning of the development of various pathological processes in the respiratory organs.
If the cough lasts 3 weeks (no temperature), while a person has a long experience of a smoker, it is worth paying attention to the following symptoms:
- Are there any signs of any infectious diseases.
- Does cough appear most often in the mornings, after physical exertion (even fast walking), with sudden inhalations.
- Are bronchospasm accompanied by the release of dense clots of mucus.
If a prolonged cough without temperature in a smoker is accompanied by similar symptoms, then there is a high probability that an unpleasant phenomenon is caused by the constant inhalation of tobacco smoke.
The only way to get rid of a prolonged cough without temperature in this case is to stop smoking. All other methods (inhalations, mint or eucalyptus sweets, softening the throat of the rinse) may slightly weaken the intensity of reflex spasms, but they will not be able to completely rid themselves of them.
Just as it is impossible without abandoning the harmful habit and stop the pathological processes that began in the respiratory system. After all, very often a prolonged cough in smokers develops into chronic obstructive pulmonary disease, which threatens with serious consequences for health.
Prolonged cough without fever with heart disease
Continuous reflex spasms of the diaphragm can be caused not only by pathological processes occurring directly in the respiratory organs. If, for example, a cough lasts 2 weeks without a temperature, then it is worth paying attention to other sensations and signs:
- A symptom without temperature, accompanied by the separation of mucus and blood clots, will indicate a possible failure of the right ventricle of the heart, which appeared against the background of atrial fibrillation. The prolonged course of this disease causes stagnation in the lungs. As a consequence, there is a thromboembolic syndrome that causes bronchospasm.
- A sharp dry cough, accompanied by pain, not only in the heart area, but in the entire chest can be a sign of pericarditis or rheumatism. The absence of treatment of these diseases for a long time is fraught with the onset of heart attacks.
- A prolonged, exhausting and loud cough without temperature, which occurs after a person's stay for some time in a supine position, may indicate a heart failure of the left ventricle. It is accompanied by a strong choking. Coughing in this case brings noticeable relief.
- A prolonged dry cough without fever can be a symptom of a strong increase in the size of the left atrium. An unpleasant phenomenon can be accompanied by weakness and abundant sweating.
- In children, a prolonged cough without fever can indicate the presence of congenital heart disease. This disease is fraught with various complications. However, a child can outgrow it.
Prolonged cough without fever in allergic reactions
Supersensitivity of the organism to various stimuli can also cause reflex spasms of the respiratory tract. The unpleasant symptom arising from the action of allergens can be quite long. He pursues a person until the patient's contact with the provocateur is excluded. If the cough lasts two weeks (without the temperature), then it will not be superfluous to visit the hospital and take tests to identify various intolerances.
For an unpleasant symptom caused by an allergy, the following course is characteristic:
- Appearance after contact with a specific stimulus.
- Absence of such signs of painful conditions, such as: fever, fever, pain, weakness.
- Possible presence of itching, runny nose, sneezing.
- Absence of phlegm.
A prolonged cough without fever can be evidence of an allergic reaction of the body to such common things as:
- Pollen of plants.
- Food.
- Wool.
- Frost.
- The sun.
- Cosmetical tools.
- Household chemical products.
The reasons for the development of allergies and the occurrence of a prolonged cough without temperature, can be:
- Excessive hygiene, which reduces the protective function of the immune system.
- Antibiotics.
- Food saturated with chemical elements.
Unfortunately, drugs that treat allergies do not exist. Therefore, the only way to get rid of a prolonged cough without temperature is to completely exclude contact with the stimulus that causes intolerance.
Of course, the general knowledge of the causes of reflux airway spasms is not enough to independently diagnose and prescribe treatment. Only a doctor can correctly understand why an unpleasant symptom arose, analyze all available clinical picture and identify a disease that causes an unpleasant long-term cough without temperature. Only after this, the specialist appoints the optimal treatment regimen, which will help the patient in the shortest time to get rid of an unpleasant symptom and the underlying ailment.
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Treatment of coughing attacks at night in an adult
Coughing is an arbitrary excretion of sputum or other foreign particles from the respiratory tract. Coughing attacks at night in an adult can occur as a result of a cold, allergy or smoking. They can be dry or productive, with excretion of sputum. Dry cough is most often accompanied by loss of voice and hoarseness. Such symptoms are in most cases caused by laryngitis - acute inflammation of the upper respiratory tract.
Causes of laryngitis - a strong voice tension, hypothermia, any pollution or steam release into the air, smoking. Usually, these symptoms are accompanied by a slight inflammation of the larynx, and therapy is possible at home.But if suddenly the treatment will be protracted and the state of health will only worsen, then a doctor's consultation is urgently needed, since serious complications are possible.
Treatment of laryngitis
For successful therapy of laryngitis it is necessary:
- to ensure complete peace, not to talk even in a whisper;
- give up alcohol and smoking;
- Regularly use warm drinks made from herbs such as St. John's wort, lime blossom, chamomile, sage, gargle with soda or herbs;
- periodically apply a warm compress to the throat;
- carry out alkaline inhalation.
Cough in adults, which is accompanied by wheezing, is most often associated with bronchitis. If there are no other symptoms, then it means that one does not have to endure until other manifestations have appeared. Usually such breathing is not audible, but under heavy loads it becomes more noticeable. If other ailments occur, such as a temperature above 38 ° C, a runny nose, tracheitis or laryngitis, an acute bronchitis may develop. His treatment is much more complicated than the usual cough.
The following recommendations should be observed:
- abundant drinking;
- bed rest;
- refusal of any physical exertion.
If the health deteriorated within a few days, you should seek the help of a specialist.
Coughing attacks at night in an adult can be after stagnant discharge from the bronchi. If the time is not treated, the disease can go to chronic bronchitis. In this case, you need to conduct a study of the chest. Based on the results, the doctor will prescribe the treatment.Sizzling breath can also cause bronchial asthma, an attack of suffocation occurs during the course of the disease. In this case, you need to seek help from a specialist who will find out what the seizures are related to. It may be found that the patient is allergic, in this case the treatment should be individual.
But in any case, going to the doctor is mandatory, because the consequences of asthma can become deplorable. There are difficulties in breathing, pale face, sweat on the forehead. When the lips turn blue, urgent hospitalization is needed. A man needs help.
Usually people with asthma have an inhaler. It is important to put the patient on a chair and use the necessary medications once. If the condition does not improve, then repeat the procedure.
After that, release from the outer clothing, offer to tilt your head and lean on your hands, so it is easier for a person to suffer an attack. Before the ambulance arrives, it is important to follow the recommendations.
Coughing at night in adults delivers discomfort not only to the patient, but also to others. Especially if there is a new force, a sleepless night is secured.
But even a night cough can accompany much more serious problems, such as chest pain, drying of the larynx, constant perspiration.
At night, a person is more difficult to tolerate the illness that accompanies a cough, because it is in a horizontal position.The patient simply can not completely free his breath.
Only at night the body is not able to fully function fully, thereby sputum accumulates and the symptoms worsen. It should be remembered that the causes of night cough in adults and children can be a serious cause for concern.
Causes of a night cough:
- smoking;
- uncomfortable position of the body during sleep;
- increased or lowered air temperature in the room in which the person is located;
- acute bronchitis, chronic or mild;
- allergy;
- virus infection, flu, cold.
Folk remedies for treatment
To get rid of a pesky cough at night it is possible with the help of medicines or folk remedies. Any medications containing mucolytics will help to eliminate symptoms at the time. It is important to drink as much warm liquid as possible, and preferably milk with honey or soda. Periodically ventilate the room in which the patient is. Dry air will only aggravate the situation. Traditional medicine comes to the rescue when drugs do not help. Several tips for eliminating a night cough in an adult are suggested:
- Treatment with honey. You need to put a teaspoon of honey on the tongue and dissolve, the cough will not bother all night. Also at night you can drink a glass of milk with the addition of a teaspoon of honey and butter. This drink warms, if the room is cold, and softens the throat.
- You need to take a pinch of salt, hold it in your mouth for a while, and then swallow it. This old method has already helped many.
- Pine buds also help to avoid a strong night cough. 1 tablespoon of raw material is brewed with 1 glass of steep boiling water. If you have an attack, take a sip of the infusion, immediately you will feel relief.
- If you chew a leaf of a golden mustache during an attack of cough, then it eventually stops.
- Quickly to remove a strong cough in an adult can be with the help of nettle. Several sheets or a tablespoon of dry herbs brew 1 cup of boiling water.
- Infusion of valerian not only helps to get enough sleep, but also calms a strong cough. For 1 glass of water you need 20 drops of infusion. The agent is drunk in small sips.
- The black radish is cut in half, in one part the contents are removed with a spoon, several honey spoons are put there. The product closes for several hours. Over time, the medicine will infuse and will have healing properties. Black radish juice can be used to spread the area of the chest and back.
- Infusion of 1 tablespoon of sage and a glass of boiling water should be taken in small sips during a strong cough.
But with self-treatment, do not forget that if any complications arise, you should immediately consult a doctor.
.The consequences can be severe (possibly the onset of pneumonia).
How to recognize pneumonia?
Recognize the ailment can be on the following grounds:
- coughing;
- sudden deterioration or improvement of the condition;
- pallor of the face;
- chest pain;
- increased body temperature;
- at a high temperature, medicines do not help;
- wheezing with tight ligaments or coughing.
With any symptoms, specialist help is required. The doctor should prescribe a treatment based on the severity of the patient's condition. In any case, the appointment of antibiotics and lower body temperature. Pneumonia does not need to be treated independently, especially to resort to folk medicine.
.All of the above diseases are accompanied by a strong cough at night, which is hard to get rid of. As a result, the body does not rest. An organism in the period of any disease needs a healthy and strong sleep. Only at this time the body is restored and most of all gives in to treatment. In any case, it is worth remembering that only an expert can make an accurate diagnosis and prescribe the right treatment. Be healthy!
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Strong cough in an adult, temperature: causes, treatment
Cough in adults occurs when the mucous membrane is strongly irritated in the respiratory tract. The causes of severe cough accompanied by high fever may be different, most often it is flu, laryngitis, tracheitis, bronchitis, pneumonia, infectious diseases. It is impossible to delay treatment, you need to be examined immediately to find out the exact cause and undergo a timely course of therapy.Causes of severe cough with fever in adults
Coughing is a reliable protection of the body for various diseases, with the help of it all that is unnecessary is removed from the respiratory organs. A severe cough with high fever appears:
1. With severe bronchial asthma.
2. With pharyngitis.
3. With heart failure.
4. Because of whooping cough.
5. With laryngitis.
6. If a person has pleurisy.
7. Because of pneumonia.
The temperature appears when coughing, when the inflammatory process is observed in the respiratory tract, therefore it is most often characteristic of pneumonia, bronchitis, and lung abscess. A severe cough is a consequence of inhalation of cold and hot air. If a person develops emphysema of the lungs, he is constantly tormented by bronchitis, the patient can suffocate. Symptoms should immediately alert you, they can talk about lung cancer, bronchial tubes, throat.
Symptoms of a severe cough
1. If an adult barking cough, a person loses his voice.
2. Quiet cough suggests that the vocal cords are broken, their paralysis is observed.
3. Because of emphysema of the lungs, obstructive bronchitis of a person is concerned about deafness of cough.
4. About a malignant tumor in the respiratory tract, says an angry cough.
5. When the pleura is affected, the cough brings severe pain.
If an adult has a strong cough with phlegm for a long time, this indicates a suppuration in the lungs. With tracheitis, bronchitis, sputum is sparse, viscous. When sputum is secreted with pus, it is possible to suspect pleuropneumonia, red blood cells rise in the blood. In the case of lung abscess, sputum has an unpleasant smell.
Sometimes, the disease can be complicated. There is a lot of sputum, then the temperature rises. In this situation, it is important to consult a doctor in time if a large number of unusual impurities appears in the sputum. With a lung infarct, sputum with blood is excreted, this symptom is also characteristic for tuberculosis, oncology. If sputum is excreted with food, you need to check additionally the gastrointestinal tract.
Sometimes phlegm can talk about a serious pathological process in the liver. When the abscess erupts, a large amount of phlegm is released, which resembles a manga.
In case of a viral infection, in addition to a strong cough, a high body temperature is observed, the head turns, one feels a general weakness in the body, is very sick, and vomiting can be disturbing for a long time.
If there is no other symptomatology besides cough and high fever, it speaks of pneumonia or lung cancer, tuberculosis. In this situation, only a doctor will help.
Treatment of severe cough with fever in adults
1. If a long time disturbs the night cough, you need to warm up 300 ml of milk, add a little honey, butter, soda on the edge of the knife. This drink softens, heats, with the help of it a large amount of mucus is formed.
2. It is effective to use this recipe, it will require: lemon juice - a tablespoon, 3 tablespoons of glycerin, a teaspoon of honey. Syrup to drink on the first day of the disease is not less than one teaspoon to 5 times a day.
3. With colds, wheezing in the chest, dry cough, it is recommended to use insist on the basis of the flowers of black elderberry. In order to cook it, you need to take a liter of boiling water, 3 tablespoons of the plant. All boil for 5 minutes. Before use add honey. Dosage - 100 ml in the morning, at lunch and at night.
4. Elderly people should not be addicted to cough medicine, they can negatively affect the different system organs. Therefore, folk healers are advised to use such an effective recipe: take honey - 100 grams, goat fat - 100 grams, cocoa - 150 grams, a little butter, yellow - 10 pieces. All carefully mix, boil. Then heat a glass of milk and add a teaspoon of the drug. It is proved that cough quickly recedes.
Methods of treatment of paroxysmal cough in adults
This type of cough is observed with acute respiratory viral infection, whooping cough. To facilitate the condition of the patient will help herbal infusions based on mother-and-stepmother, chamomile. With the help of them it is possible to withdraw phlegm, which has accumulated in the respiratory tract, to remove puffiness from the lungs. If you regularly eat a broth cooked on the basis of a rosemary, you can get rid of seizures, this is one of the best calming cough suppressants. To stop a fit of cough, you need to pull a little forward, then drink tea with chamomile and honey.
Adult nutrition for severe cough and temperature
Help to relieve the symptoms of oatmeal liquid milk porridge, mashed potatoes, it needs to add a little milk. Also include in your diet grated radish, put a little sour cream, vegetable oil in it.
The best expectorant and emollient is grapes, with the help of it you can heal the lungs and forget what a cough is. It is recommended to heat 200 ml of grape juice, put a teaspoon of honey in it, so you can quickly calm down the cough.
Coffee is advised to replace with barley drink, in it to put a little chicory, milk. Eliminates the cough of honey with the addition of lemon, it must be ground beforehand, especially the peel. It is forbidden to use sweet, salty, sour and sharp when coughing violently - these products are irritants for the mucosa, can aggravate the disease.
Some doctors advise with a strong cough, which is triggered by a cold, the first days of sticking to a hunger diet. This can not be done, so the body will weaken even more and the person will be ill.
So, a severe cough with high fever in an adult is a serious symptom that needs to be eliminated as soon as possible.
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