A General Practitioner has issued an important alert regarding three frequent triggers for a persistent cough that are often overlooked, emphasising that these causes are unrelated to common viral infections like influenza or Covid-19. In a detailed social media video, the doctor, known as Doctor Sooj, shared insights from his clinical practice, aiming to provide clarity for patients who may be struggling with unexplained chronic coughing.
Medication Side Effects: A Common Culprit
The first and perhaps most surprising cause highlighted by the GP involves a specific class of pharmaceuticals. ACE inhibitors, which include widely prescribed drugs such as ramipril, lisinopril, perindopril, and captopril, are primarily used to manage high blood pressure. However, these medications can irritate the airways, leading to a persistent dry cough as a notable side effect.
"This is one of the most common adverse reactions associated with these drugs," the doctor explained. He noted that while the cough typically improves within the first month of treatment, it can sometimes persist longer. Patients are advised to discuss this with their clinician if it becomes intolerable, as alternative medications may be available.
Asthma: An Overlooked Trigger
For individuals not taking ACE inhibitors, the second prevalent cause could be asthma. This condition, often characterised by symptoms like wheezing, shortness of breath, and chest tightness, can manifest primarily as a chronic cough in some cases. Interestingly, approximately one in four people with a persistent cough may have asthma, according to the doctor.
Treatment for asthma-related coughing is generally straightforward, involving inhalers to open the airways. In more severe instances, additional tablets may be prescribed alongside inhaler therapy to manage symptoms effectively.
Whooping Cough: A Bacterial Infection
The third potential cause identified is whooping cough, a bacterial infection that progresses through distinct phases. Initially, it mimics typical viral infections with symptoms such as fever, runny nose, and muscle aches. However, the second phase is marked by severe coughing fits accompanied by a characteristic "whooping" sound during inhalation, which can be so intense it leads to vomiting.
Early diagnosis is crucial, as antibiotics may be prescribed if caught in the initial stages. Otherwise, management focuses on supportive care and advising close contacts to prevent spread.
The doctor, a fully qualified GP and member of both the Royal College of General Practitioners in the UK and the Royal Australian College of General Practitioners, stressed the importance of consulting a healthcare professional for personalised advice. His guidance aims to empower patients to seek appropriate treatment and understand why standard antibiotics might not resolve their cough.
