chronic cough can bad for health
Do you have a persistent cough or an irritating tickle causing you to continually clear your throat? Coughing is one of the body’s important natural protection mechanisms so you may not think it is much of a problem.
Well it can be – the coughing itself can be exhausting; using all your primary breathing muscles and accessory muscles in your neck and shoulders to lift your rib cage is a lot of effort in itself. Moreover, chronic cough can damage your health by depriving systems throughout the body of their vital oxygen. Fortunately, once you understand the problem, better breathing can help.
What causes chronic cough?
A cough may start with a respiratory infection, but how does it become chronic? Actually coughing irritates the airways and makes another cough more likely. So coughing can cause cough, and can persist well after the initial infection has cleared up! So focus on the type of virus/infection may not be important. Trying to isolate the infectious agent may be as useful as knowing the make of car in a road traffic accident to the recovery of the pedestrian in hospital! (a version of this article was first published in NTFA)
So why is chronic cough a problem?
1) Coughing can irritate the airways.
Well when you cough, you will likely take in frequent, large volume breaths of air than is normal and healthy. This is over breathing or hyperventilation. When you cough through the mouth you are taking in cold, dry, unfiltered air (normally filtered through the nose). The airways can become dry and irritated, and increased forceful airflow can cause damage to the tiny air sacs (alveoli) where the gas exchange takes place in the lungs.
2) Coughing can agitate the nervous system.
Continued coughing can cause too much of the gas carbon dioxide to be lost from the body. Carbon dioxide is not just a waste gas; is a natural tranquilizer and normally calms the nervous system, but if levels drop too low following coughing, the airways become further irritated and oversensitive.
3) Coughing can cause bronchoconstriction/asthma
Carbon dioxide is also a natural bronchodilator. In someone with asthma, coughing will lower the levels of carbon dioxide, which may cause spasm or constriction of the airways and an asthma attack may follow.
4) Coughing can lead to more histamine release.
Immune cells called mast cells release histamine, which sensitizes and irritates the airways further. Again, carbon dioxide calms the immune system and mast cells release more histamine in low carbon dioxide environments.
5) The body tissues may get less oxygen.
The rest of the body will suffer too as a result of coughing excessively, as the low carbon dioxide stops oxygen getting out of the bloodstream and getting into all the other parts of the body effectively. You may get increasingly fatigued and get more and more symptoms of hyperventilation as time goes by. These can include difficulty concentrating, anxiety, poor sleep, IBS, cold hands and many other seemingly unrelated symptoms. (See a fuller list here).
How to reduce cough
The respiratory centre in the brain can adjust to this big volume breathing and now accept it as normal, making the problem long-term. There are no particularly good medications for chronic cough; the ones that have some effect may work by slowing the breathing. Inhaling steam and oils such as pine and eucalyptus may help temporarily.
Luckily, the Buteyko breathing method retrains breathing, reducing it back towards normal levels, therefore getting at the underlying cause. As the carbon dioxide is able to build up again, the airways open naturally, become less sensitive, and the coughing reduces, naturally.
Hopefully the coughing season is drawing to a close and spring is round the corner (hayfever season!), but below are tips on:
How to stop a coughing fit. (From Buteyko Scotland)
Excess coughing can be unpleasant, tiring and embarassing, but it can also alter your breathing pattern for the worse and bring on an asthma attack.
Coughing Tip 1.
Breathe through your nose all the time, this will keep your lungs and mucus from drying up.
Coughing Tip 2.
a. Sit on a dining room chair
b. When you have a small gap in your Coughing Fit, breathe out through your nose and as you are breathing out through your nose, lean forward and let your head gently fall to your knees
c. This will help empty your lungs of air
d. Once you have very little air left in your lungs hold your breath for 3 to 5 seconds
e. Then start to breathe in through your nose very very slowly (slower the better) while breathing in very very slowly start to raise your head at the same rate as you are breathing in very very slowly.
f. When you have finished breathing in and you are sitting very up right, relax your shoulders and breathe continuously through your nose, let your posture regulate your breathing pattern (posture, sitting very up right on a dining room chair).
g. Be aware of how you are feeling, if you are feeling anything abnormal DO NOT REPEAT the exercise
Coughing Tip 3.
Stop drinking cow’s milk and reduce your intake of dairy products until your coughing is under control.
(This exercise is just a small part of the course training where you change your breathing pattern for the better 24/7. Better health is likely to follow).
Greetings from Chicago, Janet!
I had no idea of the positive effects of carbon dioxide – that’s information that is just Never Talked About! Thank you for that.
~ I just found you at Corrina’s (http://youinspireme.co.uk/2014/never-say-its-too-expensive/#comment-31274), because your headline grabbed my attention.
Thanks Karen, yes, carbon dioxide is not just a waste gas! If levels drop too low, you can massively reduce blood and oxygen supply to the brain for example. See the startling image here: http://www.normalbreathing.com/
Now i know why people breathe in paper bag when they panic.
Thanks for the above information. I am currently in “coughing hell” but I am going to practise this breathing method immediately.
Lynne
fantastic imformation
i have written down lods of it
n will chat with my consultants
more guides to my cough
i have 8 kids n 5 grandchildren
the cough has taken me over n it hurts n i am 53 years old n thank yu once more ??❤️
I owe you a giant hug
Once you mentioned being tired, neck & back hurting, I could stop reading.
I had allergies all my life and pets to.
I went to a ENT and he said get rid of your 2 dogs. Yes,I know I’m allergic to
Pet dander but getting rid of them will never ever happen. I went to a pulmonary Dr who sent me for a Peet test and everything came back negative. I was in a car accident 4 yrs. ago. I was completely run over by a car
Damaged spine (metal rod there),4 broken ribs & of course the usual neck pains. I was on a respirator for 1 month, got the picture. Now I’m being told it could be scar tissue. The coughing has just about quarented me from society. I’m at wits end. With all the doctors I went to, reading your page is more helpful then there’s. I’m still coughing a lot but I could some what control it. Can you possibly give me any more additional suggestions.
Dear Les,
Sorry to hear of your troubles and challenges. Would you like to book a comprehensive breathing assessment with me? I will get a better idea if breathing retraining could help with your cough. (Being on a respirator can change your breathing).
Where are you? I am in the South Manchester area (UK) but I do skype/facetime too.
I could have a quick look at your posture too.
You can sign up to my email newsletter here:
http://breathingremedies.us1.list-manage2.com/subscribe?u=d1e7c20f30c6cb6e58d14d837&id=ed1ccd82bc
This was the last one:
http://mailchi.mp/2e0f8a1104d6/barefoot-shoes-and-harmful-yoga-breathing
Currently I could assess you next week, Tuesday, Thursday or Friday morning at 10am. Please let me know ASAP so I can reserve a slot for you (I am busy the first 2 weeks in September.
Glad you kept your dogs! NB Allergies tend to fade as breathing improves.
Best wishes,
Janet
Enjoyed reading this informative and educational article. I’ve suffered with coughing for 20 years and now it’s a consistent & persistent coughing. Most urgent issue is I’m passing out which really scares me. I’ve been told that I stop breathing, however, I’m not aware of deciding not to breathe. Initially, medications were switched back and forth due to allergy & sinus drip, then it was due to asthma, then blood pressure meds have coughing side effects and finally GERD was added. Drs cannot figure out why the persistent cough. Between the allergy and asthma episodes an ENT identified some scaring on my voice cord due to inhalers. I feel that I’ve changed my breathing to compensated for my cough (mostly to make those around me comfortable). I’ve just been through a series of medical test again and to no avail.
I’m open to any suggestions.
Perhaps a breathing assessment would help to see if breathing re-education could help you with your cough.
I have pulmonary fibrosis and an coughing so much lately I can’t take much more. Rx fir cough doesn’t help. Eucalyptus oil at night is used but should I do that nighly? Laying down seems to help but I work full time. Exhausted. Don’t know how much longer I can do this. No energy.
unfortunately this is not helpful if you are producing too much mucous and it gets trapped in the lungs and you are trying to get it out. I have tried every supplement that is supposed to help with allergies and even resorted to pharmaceuticals and nothing helps. May be mast cell activation syndrome thanks to cipro. Have to cough to get the stuff out. It is exhausting. And now I am just more worried about the damage to my lungs.
Better breathing can be very effective at reducing the amount of mucus that you produce. The more you cough, the more you breathe, the more mucus you can produce.
um. yeah, been coughing like crazy for a month now. No difference.