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coughA cough  is a sudden and often repetitively occurring reflex which helps to clear the large breathing passages from secretions, irritants, foreign particles and microbes. While useful to help clear the airways it can also be a sign of other disease and at the least a big nuisance! 

The most common cause of cough is a simple viral infection - aka the common cold. However when a cough lasts too long (see below) it is called a chronic cough.

The most common causes of chronic cough are: post-nasal drainage (as seen with allergies or sinus infections), acid reflux, and asthma. However there can be many MANY other possible causes of chronic cough so its important to talk about this with your doctor. 



When is a cough considered "chronic"? - great questions! There are various references that will say more than 2 weeks, more than 4 weeks, etc, etc. The way I see it - if its lasting more than what a typical cold will and not improving, then it might be a good idea to ask your doctor want they think is going on. And be extra careful if your cough is associated with any breathing problems and/or if you have asthma.

Website Author
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Dr. Mark La Shell is a Diplomate of the American Board of Allergy and Immunology as well as the American Board of Pediatrics. He has published extensively in the field of Allergy and Immunology and is dedicated to compassionate, evidence based medical practice. He currently practices Adult and Pediatric Allergy and Immunology with Group Health Cooperative in the Puget Sound Area, Washington, USA.

Dr La Shell went to medical school at the University of Kansas, then trained in pediatrics at St Christopher’s Hospital for Children in Philadephia. He subsequently joined United States Air Force and served in Japan for 6 years where is was Medical Director of Pediatrics at Yokota Air Force Base. Upon return to the US, Dr La Shell completed a fellowship in Allergy and Immunology at Wilford Hall Medical Center in San Antonio, Texas.

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