A tickly (or dry) cough can feel like an unwanted guest at a party – persistent and a nuisance, hijacking your conversations and hogging the limelight. Whether it is prompted by dry air, infection, or allergies, finding ways to eliminate that cough is essential for your comfort and peace of mind. Fortunately, there is an abundance of effective solutions to assist you in taking charge and resolving that irritating tickle. 

What triggers a tickly cough?

Cough is an important natural defence mechanism against bugs, dust and other particles that are unwanted in the respiratory tract. Common causes for cough include respiratory tract infection of the upper airways, gastro-oesophageal reflux disease (GORD), inhaled allergens and irritants, and post-nasal drip: 
  • Respiratory tract infection of the upper airways: common viral infections such as the common-cold, influenza and COVID-19 are associated with cough.  
  • Gastro-oesophageal reflux disease: reflux of acidic stomach contents into the oesophagus (gullet) and beyond can irritate the throat and upper airways. 
  • Allergens: Pollen, dust, and pet dander may trigger cough.  
  • Irritants: Inhaling chemicals or strong aromas, such as those found in cleaning products or perfumes, may cause cough. 
  • Post-nasal drip: mucus dripping down the back of the nose can cause a throat-clearing cough. 

Night-time (nocturnal) cough

Nocturnal cough has a variety of causes. In particular, GORD is associated with nocturnal cough because acidic stomach contents may reflux into the throat and upper airways whilst lying flat. This can occur whilst we are sleeping leaving us with a cough and throat congestion in the early hours of the morning. Allergens are another cause for nocturnal cough. Dust mite faeces or pet dander in pillows, doonas and mattresses may trigger cough for some people. Also, serious respiratory tract disorders, such as asthma, can be associated with nocturnal dry cough.  

How to treat a tickly cough?

Treatment depends on the cause of the cough. The aim of treatment is to alleviate or soothe symptoms until the cough settles naturally. However, some conditions may need active treatment, such as allergies, asthma and infection. Common treatment options for simple coughs include: 
  1. Antitussive therapies: over-the-counter cough mixtures can help with chronic dry cough 
  2. Keeping hydrated: sip water regularly to maintain throat moisture and soothe an inflamed throat 
  3. Air humidification: if dry air is triggering your cough, a humidifier may help 
  4. Honey and lemon or lozenges: these can help a great deal for sore throats and cough associated with infection 
  5. Decongestants: these assist with mucus clearance for those with sinus congestion and cough 
  6. Anti-allergy treatment: antihistamines and nasal steroid sprays may help with allergies causing cough, such as hay fever 
  7. Dietary changes: a low-fat diet, smaller portion sizes and avoiding eating late at night can help to manage GORD symptoms, which may include nocturnal cough 
  8. Stop smoking and vaping: a range of treatments are available to support you with smoking cessation 

When to consult a doctor?

A doctor can help to determine the cause of your cough and recommend appropriate treatment. Many coughs are self-limiting and resolve naturally. However, seek prompt medical advice if your cough lasts more than a week or if any of the following symptoms are present: 
  • Fever 
  • Chest pain 
  • Shortness of breath 
  • Wheeze 
  • Blood in your sputum  
  • You are a smoker or vaper 

Is telehealth helpful?

Telehealth can be beneficial to some people. It provides convenience by allowing consultations from home, which saves time and reduces the need for travel. Telehealth enhances access to care for those living in remote locations or for those with a physical disability that might not otherwise be able to travel to a medical facility easily. Telehealth also reduces the risk of exposure to communicable diseases which may be important for people with weakened immune systems. However, telehealth may not be appropriate for all conditions and in-person visits may be needed in some cases. 

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Disclaimer

This content is created for informational purposes only. It is not intended to be a substitute for professional medical advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. For emergencies please immediately contact 000.

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