Persistent Winter Cough

Q:  I have a cough that I just can't shake. I've been to the doctor several times. I was told that I don't have pneumonia, and that antibiotics would be of no help. The cough gets especially bad at night and has left me feeling tired and worn out during the day. Isn't there something that would be of help?

A:  This has been a terrible season for respiratory illnesses, most of which are viral and will not be helped with antibiotics. The cough that results is due to residual inflammation in the bronchial tubes, an after-effect of the infection. Often, there is a component of an asthma-like closure of the small airways that contributes to the problem, as well.

There are several things that can be done to help. First, make sure that you are taking in plenty of clear liquids. If you smoke, stop now! Look for ways to reduce your exposure to particulate matter -- change your furnace filter, wear a mask at your workplace if the environment is especially dusty. There are over-the-counter decongestants and expectorants that may be of some help. Cough suppressants are often ineffective, but worth a try.

Often, the most effective treatment is an inhaler. There are two types. Most physicians will begin with one to treat the asthma-like effects on the small airways. If this is ineffective, a steroid-containing inhaler may help. It may take up to four weeks for the cough to resolve, no matter what you do. Try adding a few pillows at night to elevate your head to help with sleep.

"Your Health" provides easy-to-understand information about common health conditions.