Causes of dry cough during exhalation and ways to eliminate it. Cough with a deep breath: causes, possible diseases, treatment methods

Coughing is a reflex attempt of the body to get rid of foreign components that interfere with it. Coughing when inhaling often accompanies smokers. However, this symptom can also appear in people without nicotine addiction. But in any case persistent cough when inhaling, it signals the presence of a disease in the body.

Since coughing when inhaling in a child and an adult is common symptom, the reasons for this condition can be different:

• Colds, as well as their complications such as inflammation of the trachea, bronchitis, laryngitis and pneumonia;
• Pleurisy, tracheitis and pharyngitis;
• Smoking for a long time;
• Malfunctions of cardio-vascular system;
• Laryngeal swelling and false croup. May occur with allergies, as well as bronchial asthma;
• Pathology of the structure respiratory tract, in which the bronchi have a small lumen. There are also disturbances in the structure of the epiglottis, as a result of which the cartilage is not able to completely close the passage to the respiratory tract when swallowing saliva and food. Incorrect work epiglottis also contribute weak muscles oral cavity;
• Chronic bronchitis.

In some cases, the appearance of a cough when inhaling is associated with malfunctions nervous system person and being in a state of prolonged stress. And to eliminate the pathology, it is usually enough for the patient to calm down and learn to control his emotions. Sometimes symptoms in the form of coughing also occur against the background of mental disorders.

Cough when inhaling - symptoms

In children, coughing while inhaling often accompanies diseases such as whooping cough and diphtheria, and due to imperfection respiratory system child, this symptom often occurs with any viral and bacterial infections. Also, when inhaling strong odors and cigarette smoke at passive smoking, the child’s respiratory mucosa will be irritated, which will lead to coughing. Symptoms will be especially pronounced in allergy sufferers and patients with bronchial asthma.

A dry cough during inspiration, during which it is difficult to inhale air and it hurts to breathe, may appear as a result of mechanical injuries in the chest and abdomen area. Often bruises internal organs and rib fractures provoke the occurrence of such symptoms.

Even a healthy person may experience coughing when inhaling when in contact with strong odors, smoke and prolonged exposure to an unventilated area. Also similar condition may occur upon exposure foreign objects into the respiratory tract. This happens if a person is in a hurry while eating, or actively talking during this process.

Symptoms

Additional symptoms of the pathology depend on the true causes of the cough that begins when inhaling. But even based on the nature of the cough that begins when inhaling, a preliminary diagnosis can be made:

1. Dry coughing when inhaling often indicates the presence of allergies, asthma, as well as inflammatory processes in the upper respiratory tract, including pleurisy.
2. A prolonged dry cough when inhaling can be a sign of cancer and bronchitis.
3. A paroxysmal cough that occurs during inhalation, during which a person can suffocate by coughing, often appears with asthma, tuberculosis, whooping cough and pneumonia.
4. A sharp cough during inhalation of air, accompanied by jerking of the body and peculiar internal tremors, often indicates pathologies of the cardiovascular and nervous system. Also, such a cough when inhaling causes pneumonia and bronchitis.
5. The barking sound of coughing when inhaling occurs with lesions of the larynx.
6. Cough after a deep breath, often accompanied by pain in the chest may be a sign of tuberculosis or oncological processes;
7. Cough with copious discharge sputum may accompany colds, flu, bronchitis and tuberculosis.

If there are inflammatory processes in the body, as well as bacterial or viral infection, the main symptom is usually accompanied by an increase in body temperature, headache and weakness.

Diagnosis of cough that occurs with strong inspiration

Reveal the real reason that provokes difficulty breathing and causes coughing when inhaling, can be carried out complex diagnostics. It includes the following activities:

IN in rare cases To diagnose the patient's health condition, bronchoscopy is performed. The procedure involves taking a piece of lung tissue for histological examination.

To make a diagnosis when severe cough while inhaling, the patient needs to consult several specialists at once. Usually this is a therapist, ENT, TB specialist, immunologist, pulmonologist, and allergist.

Treatment of cough that occurs with inhalation

Treatment of a cough that occurs when inhaling is not required if this symptom is a residual phenomenon after a cold or flu. In other cases, therapy is aimed not only at eliminating the symptom causing discomfort, but also at the main cause of its occurrence.

The selection of medications and methods of therapy is carried out with mandatory consideration of the cause of the cough and its nature. Cough that gets worse with deep breath, and arising due to infection, is treated with antibiotics, antiviral and antimicrobial agents. Most often this is:

• Amoxiclav;
• Azithromycin;
• Ciprofloxacin;
• Amoxil.

For obstructive bronchitis, accompanied by coughing, whistling and wheezing when taking a deep breath, inhalations with hormonal drugs can be used. High efficiency have medicines Berodual and Salbutamon. If a symptom such as shortness of breath is present, Eufillin may be prescribed to treat respiratory pathologies.

To combat a dry cough that begins when inhaling, mucolytics are used. Most often, to facilitate the release of sputum, they are used medications:

• Ambroxol;
• Bromhexine;
• Lazolvan;
• Ascoril;
• Libexin.

Also used in the treatment of such coughs are: traditional medicine, in the form of infusions and decoctions medicinal herbs taken orally.

In the case where a sharp cough when inhaling is the cause of pneumonia or diseases of the cardiovascular system, therapy includes the use of antibacterial agents, oxygen therapy and therapeutic exercises. Extremely severe cases the course of the underlying disease may require surgery. In this case, a cough with a deep breath may persist until full recovery body after surgery.

If the main cause of coughing during inspiration is an allergic reaction to products or components environment, therapy will consist of the following activities:

• Reception antihistamines. These include Ketoprofen, Claritin, Diazolin. Suprostin, Alerzin, Eden, Tavegil, Polisorb;
• Elimination of the causative agent of the allergic reaction;
• Carrying out allergen-specific immunotherapy (ASIT) if possible.

If the cause of the cough that begins when you inhale is oncology, then chemotherapy must be carried out.

Prevention of cough after inhalation

To minimize the chances of a cough that gets worse with a deep breath, you must adhere to the following general rules:

1. Do not smoke, and also try to minimize exposure to secondhand smoke.
2. Regularly take long walks in nature, in places with clean air. If you don't have allergies, it is best to visit a pine forest or park.
3. Once every 2-3 days, carry out wet cleaning in the living room. For patients with allergies and bronchial asthma, wet cleaning should be carried out daily or every other day.
4. Ventilate the room as often as possible.
5. Minimum use indoors for sleeping upholstered furniture, carpets and objects that collect dust.
6. Establish a nutritional system by eating healthy foods.
7. Strengthen the body through gymnastics.
8. Periodically, take baths with unflavored sea salt.

Prevention of coughing when inhaling also involves regular medical examination And timely appeal for medical help in case of illness.

Coughing when inhaling is a familiar situation to many, especially smokers. We are used to it and don’t take it seriously. However, sometimes, coughing when inhaling can be a symptom of serious illnesses.

Causes of cough when inhaling

Cough when inhaling is the first symptom of lung cancer, indicating endobronchial tumor growth. IN initial stage diseases cough is dry, annoying, painful, sometimes occurs in attacks. Coughing when inhaling causes anxiety in patients, usually at night. Difficult to evaluate clinical picture cough when inhaling, as a symptom of lung cancer, is that it usually affects for a long time smoking people or patients with chronic bronchitis. Chronic cough when inhaling is typical for these categories of people.

During the development of the tumor, in approximately 90% of cases, a cough is observed when inhaling, accompanied by the discharge of thick, odorless mucus. Later, blood appears, resembling raspberry jelly. Profuse bleeding of the lung may occur, resulting in the death of the patient.

Cough when taking a deep breath

A cough is an increase in chest pressure, resulting in muscle contraction that helps squeeze mucus and phlegm out of the bronchi. When the throat slit is quickly opened, air escapes at a speed sufficient to quickly clear the bronchi. Rare coughing impulses are normal occurrence, the appearance of which should not cause any special concern.

Cough with a deep breath is divided into two types:

Dry cough. This type of cough occurs with diseases of the bronchi and inflammation of the mucous membranes in the trachea. It is intrusive in nature and is often associated with vocal cord disorders.

- Moist cough . It stops with the separation of sputum and begins again only after another accumulation of mucus. A wet cough is considered a symptom of bronchitis. The patient suffers from him a lot of troubles, the cough is painful for him.

Coughing while taking a deep breath is very painful for the patient. Practice confirms that most often it is caused by irritation of pleurisy, asthma attacks or increased allergic sensitivity of the lungs. If the cough occurs against the background of abundant foamy sputum, this indicates a swallowing disorder.

Reasons causing the appearance There are a lot of coughs when taking a deep breath. This suggests that you should not engage in self-diagnosis and self-medication. You need to contact a good specialist to conduct examinations and determine the disease.

Dry cough when inhaling

A dry cough when inhaling is the most common symptom diseases of the respiratory system. Wet and dry cough when inhaling helps clear the upper respiratory tract of foreign bodies, phlegm and mucus.

The cause of a dry cough when inhaling is irritation and swelling of the mucous membrane of the nasopharynx, trachea and bronchi. This cough is reflex action, however, sometimes it can be deliberately provoked.

When you get the flu, the bacilli are scattered several meters away from the sick person when they cough. In this case, it must be isolated from healthy people, in order to protect them from infection.

When inhaling, a dry cough occurs; when breathing is deep, contraction occurs. respiratory muscles, as a result of which the glottis closes. Tension of the respiratory muscles increases pressure in the respiratory tract.

This type of cough is distinctive feature lung diseases, despite the fact that its presence does not indicate a pathology of the respiratory system.

A dry cough when inhaling is caused by diseases such as allergies, flu, pharyngitis, colds, and pleurisy.

In hazardous industries, if work is carried out with harmful substances, workers should use masks to prevent penetration chemical substances into the respiratory organs. If this rule is neglected, coughing during inhalation may occur due to chemical irritation.

Child coughs when inhaling

The child still has very weak respiratory organs, so the appearance of any cold infection capable of causing various diseases. Special meaning has smoking family members, due to the fact that passive inhalation by the baby tobacco smoke contributes to his illness respiratory organs.

A cough when inhaling begins in a child with acute bronchitis. In the event that coughing attacks are accompanied by wheezing, parents have to deal with obstructive bronchitis. The doctor prescribes the treatment, but by the way the child coughs one can judge what type of bronchitis he has.

When air is inhaled through the trachea into the larynx, it passes through the bronchi, eventually ending up in the lungs. Protective cells equipped with cilia cover the bronchi from the inside. When harmful microbes enter the bronchi, sputum is released, which the cilia transform to the center of the bronchi from all their corners. Coughing when inhaling contributes well to this, significantly accelerating the cleansing of the bronchi.

Difficulty breathing when coughing

Difficulty breathing when coughing in children is most often observed with viral croup. When entering children's body various infections virus, disease-causing, promotes inflammation of the mucous membrane of the trachea and larynx. Breathing becomes difficult due to narrowing of the airways. This condition is called croup. Almost always the cause that causes it is ARVI. However, in a small percentage of cases, croup can be caused by other reasons, so only the attending physician can definitively determine the diagnosis.

In adults, coughing while inhaling with difficulty breathing is often caused by infections that occur with HIV. In addition, these symptoms are caused by immune reconstitution syndrome.

Cough is a symptom of many diseases. Attacks are accompanied by seasonal acute respiratory viral infections, allergic reactions, and more. serious illnesses, for example, oncology. IN in some cases this is a very alarming symptom, especially if the cough is accompanied by chest pain. Only a doctor can determine exactly why a dry or wet cough occurs when inhaling. But that's it possible diagnoses are somehow associated with respiratory diseases.

Allergic reaction

A cough with a deep breath as a sign of an allergy is most often dry. Different from a cold normal temperature and sudden, prolonged attacks. Doctors often call an allergic cough a variant bronchial asthma, Attacks may be accompanied by rhinitis, a feeling of itching in the nose and throat, difficulty breathing and even suffocation. Allergic irritants can cause an allergic cough: strong odors, animal fur, house dust or plant pollen.

If, when taking a deep breath, a dry cough is a manifestation of an allergy, then first of all it is necessary to eliminate the allergen. Treatment must be timely, because such a symptom threatens to develop into Chronical bronchitis and bronchial asthma. Therapy is usually long-term. If you have an allergic cough, it is recommended to rinse your mouth and throat and rinse your nose several times a day. In the sixties of the last century, the doctor K. Buteyko described in detail the causes and treatment of allergies. For many allergy sufferers, the scientist found a solution in deep breathing(breathing exercises).

Intercostal neuralgia

Coughing after a deep breath can occur during an attack of intercostal neuralgia, which is associated with injury or inflammation. In some cases, the disease can lead to serious consequences: significant complication of movement, heart attack, severe pain that interferes with normal breathing.

The main symptom of neuralgia is pain in the chest area. Discomfort may occur when sudden movements or lifting heavy objects, sneezing or coughing. If a cough appears when you take a deep breath, especially with yellow-green mucus, then this is anxiety symptoms life-threatening. Besides, dangerous conditions are chest pain, rapid heartbeat, breathing problems, and fainting. Treatment for intercostal neuralgia involves local injections for pain relief, antidepressants, and anti-inflammatory drugs. Apply alternative ways: yoga, massage or acupuncture.

Broken ribs

If a cough occurs when taking a deep breath, especially after an injury, this may indicate a rib fracture. With such an injury, the victim’s breathing is impaired; in severe cases, the skin becomes pale, the pulse increases greatly, severe bruising and swelling of the soft tissues occur. When listening, breathing is not always audible.

As the condition worsens, symptoms of intoxication are observed, body temperature rises, breathing becomes very heavy and difficult. Then we can talk about the development of life-threatening pneumonia. In some cases it occurs with a minimal increase in temperature, sometimes general state It only gets a little worse and weakness appears.

The patient cannot always take a breath. A cough appears when taking a deep breath, severe pain, and the attempt to inhale ends unsuccessfully. Doctors call this “interrupted inspiration.” If there is no such sign, then most likely we're talking about O severe bruise chest.

If there is a fracture, you need to call an ambulance and provide first aid to the person: give painkillers, make a fixing bandage, apply ice to the affected area. The victim must be transported to a medical facility in a lying or reclining position. The patient will be given a plaster cast; in case of complications or multiple fractures, it is better to treat in a hospital.

Acute respiratory infections and complications

When you take a deep breath, a cough with or without phlegm is characteristic of colds. ARVI and acute respiratory infections are generally the most common reasons that provoke cough. Usually, treating such a symptom does not cause problems, but you need to choose the right drug and prevent complications from developing. It is important to increase fluid intake and monitor the level of humidity in the room.

Usually at the beginning of a cold the patient has a dry cough. If there is hoarseness, sore throat, loss of voice, then rinsing will help, steam inhalations and cough syrups plant based. You should not take cough suppressants central action, as they can lead to stagnation of mucus in the nasopharynx, which will cause complications and may slow down recovery.

Bronchial asthma

A dry cough that gets worse with deep breaths and attacks of suffocation can occur with bronchial asthma. With this disease, cough is the body’s reaction to a certain irritant. In bronchial asthma, the cough with a deep breath can be dry or wet with minimal or significant discharge.

Sputum is often produced in nonatopic asthma with respiratory infection. In this case, a cough and fever often occur when taking a deep breath. As part of the diagnosis, allergy tests are performed and the functions of the external respiration. Dry and wet cough in bronchial asthma is treated mainly symptomatically.

Cough with flu

The flu always begins abruptly and develops rapidly, while colds are characterized by a gradual increase in symptoms. With the flu, chills begin, muscle pain and aches throughout the body appear, sharp increase temperature. The cough makes itself felt on the second or third day, it is exhausting, the symptom is accompanied by pain in the sternum.

It is important to start taking medications at for preventive purposes even when the first patient appeared in the family or team. The throat needs to be disinfected with solutions and do not ignore products that enhance immunity. If you cannot avoid the infection, then you should not endure the flu on your feet - you should immediately consult a doctor and follow all recommendations. Then the cough will subside with a deep breath, the temperature and general condition will normalize.

Viral croup

With croup, which occurs as a complication of a respiratory tract infection, a hacking cough appears. In severe cases, the symptom is complicated by breathing problems, intensifies during crying or when inhaling, and pain may occur when coughing and taking a deep breath. There is a change in voice, inflammation of the mucous membrane, narrowing of the trachea and larynx, all symptoms are accompanied by the appearance of noisy breathing.

To begin treatment, it is necessary to ensure an influx fresh air and create an optimal indoor environment temperature regime— 18-19 degrees Celsius. It is advisable to carry out frequent wet cleaning of the apartment. Recommended drinking plenty of fluids: decoctions of dried fruits, compotes, green tea, “Regidron”. Shown drug treatment: “Baralgin”, “Trigan”, “Spazgan” and so on. Some medications can be administered intramuscularly. These drugs positive reviews, but in any case, you should first consult a doctor, because some drugs are quite strong and cannot be sold without a prescription.

Cancer symptoms

According to the results comprehensive examination may come out when coughing terrible diagnosis- lungs' cancer. The disease has many different forms, but leaves hope that some of them respond quite well to treatment with early stages. The first symptoms of oncology are constant weakness And frequent dizziness, (may be dry or with discharge small quantity sputum), pink sputum or streaks of blood, pain in the chest area. If a cough begins when taking a deep breath, conventional remedies do not help, but only bring temporary relief, and there is associated symptoms, then you should consult a doctor as soon as possible.

First aid

Severe attack The cough can be alleviated somewhat before the doctors arrive. It is necessary to provide fresh air access to the room by opening windows or vents. For a dry cough, you need to humidify the air: open the tap in the bathroom or hang it on the radiators central heating wet towels. It is imperative to remove possible allergens, for example, the smell of air freshener or paint products. If you have an inhaler, you can let the patient breathe in regular saline solution. Drinking plenty of fluids can soothe the soreness a little. Herbal tea or milk works well.

Diagnosis and treatment

In each specific case, only a physician should make a diagnosis and prescribe treatment. First you need to get tested and undergo other recommended studies. The doctor may order an X-ray of the lungs, bronchoscopy, CT, ultrasound of the heart and ECG, spirometry. Based on the results of the examination, it is prescribed complex therapy: medications (usually several groups of drugs are prescribed), physiotherapeutic procedures, massage and breathing exercises.

If it is not possible to see a doctor immediately, then you should not self-medicate. For example, preparations with aloe thin the blood and accelerate the growth of cells, including cancer cells, and antitussives in the presence of mucus accumulations can cause an attack of suffocation.

Most safe way relieve coughing - drink warm water or a cup herbal tea. Universal folk method cough control - warm milk. You can add a little ghee or honey to it (but allergy sufferers need to be careful with this product). At wet cough You can take ginger with milk. To prepare this medicine, you need to heat 0.5 liters of milk and add a tablespoon of honey. It is advisable to drink the mixture warm before bed.

Thyme thins mucus well and effectively fights viruses. About 100 gr. Dry herbs should be poured with a glass of hot water and the mixture should be infused for 30 minutes. Take three times a day before meals (half a glass of tincture is enough). An infusion of coltsfoot is effective. Pour two tablespoons of herbs into a glass of hot water and leave for 30 minutes. Afterwards you can use it in the same way as thyme tincture. Reviews about such home methods for improving the condition are only positive.

Prevention

The best prevention of respiratory diseases is walking in the fresh air in environmentally friendly areas and quitting smoking. Breathing exercises or yoga are useful to help resist illnesses and strengthen the immune system. During colds, you need to take medications to prevent infection and do inhalations with essential oils. We definitely recommend regular wet cleaning of the house, ventilation and maintaining an optimal level of humidity in the room.

A cough when exhaling may indicate asthma, and one of the most dangerous reasons coughing when inhaling and exhaling air is oncology in the lungs.

Pathogenesis

The mechanism of occurrence of a reflex cough with a deep breath is as follows: increases chest pressure, as a result, the muscles of the diaphragm begin to actively contract, the glottis closes, preventing air from penetrating into the bronchi and lungs.

Then it quickly opens and strong current air escapes in the form of a cough.

If there is mucus in the bronchi, then the contractile movement of the muscles is enough to squeeze it out. Then the cough stops until the next portion of sputum accumulates. If it is too viscous or absent, the cough occurs without sputum production and is protracted, without bringing relief.

Cough when exhaling, for example, in asthma, is due to the fact that, as a result of narrowing of the bronchi, the exhaled heavy carbon dioxide passes through the diseased respiratory organ with difficulty. And when you inhale, oxygen calmly overcomes this barrier without causing a cough, since its composition is lighter than the exhaled flow.

Causes

Causes of cough that occurs when inhaling air:

When taking a deep breath, a cough may also appear due to increased allergic sensitivity of the lungs.

Causes of cough when exhaling:

• bronchial asthma;
• basal and lobar pneumonia arising as complications of pneumonia;
• lung cancer (cough occurs most often after inhalation and exhalation).

Symptoms

A cough without sputum during a deep breath, accompanied by irritation and swelling of the nasopharynx, trachea, and bronchi most often indicates pathologies of the respiratory organs and tract. Unproductive whistling also occurs with bronchitis or pneumonia, if the sputum is difficult to clear, for example, due to its viscosity or horizontal position at night.

In other cases, with bronchitis the cough is wet. IN calm state with shallow breathing it does not occur, but bothers the patient only with deep breaths.

Suspect lung cancer based on the following symptoms: dry, painful cough With severe pain, suffocation, often occurring in paroxysms and at night.

More often, the disease is diagnosed in smokers, workers in hazardous industries and patients with chronic bronchitis.

Then the patient begins to secrete thick mucus when coughing, and as the disease progresses, blood impurities appear in it. IN in this case the cough mechanism is “triggered” by the tumor pressing on the lungs.

Coughing smokers experience spasms of the bronchi and lungs, constant accumulation of sputum in them, swelling of the mucous membranes of the respiratory organs and tracts. Cough during deep breathing in smokers may be productive (morning) and unproductive (afternoon).

Background chest pain general weakness, back pain, sometimes fainting when physical activity accompany cough in heart disease. In this case, the cough is not caused by phlegm, but by pressure on the heart muscle, which is transmitted to the diaphragm and leads to the closure of the glottis.

Treatment

Treatment of cough when inhaling and exhaling air is mainly medicinal and aimed at eliminating its cause and relieving symptoms. If the cough is only a phenomenon after the flu or cold and goes away quickly, special treatment not required.

In case of fever, symptoms of toxicosis (weakness, aches), you must follow bed rest. In severe cases, the patient may need to stay in hospital.

Bronchitis and pneumonia, as well as others infectious diseases treated with appropriate antibiotics, antibacterial, antiviral, antimicrobial sulfa drugs (for example, Azithromycin, Ciprofloxacin, Amoxiclav). The course of therapy is about a week.

For dry cough, expectorants and mucolytics are indicated to help relieve nonproductive cough in the wet (“ACC”, “Ascoril”, “Libexin”, “Bromhexin”). If there is, prescribe Eufillin.

At severe symptoms obstructive bronchitis (difficulty breathing with whistling, wheezing), on the recommendation of a doctor, you can temporarily use inhalations with hormonal drugs(“Salbutamon”, “Berodual”).

Hilar or lobar pneumonia is treated with antibiotics and antitussives.

If the cough reflex is associated with pathologies of the cardiovascular system, the cardiologist will prescribe appropriate medication and oxygen therapy, a special complex of gymnastics, after which the dry cough will disappear. In severe cases, surgery may be required.

Chemotherapy is used for lung cancer.

For allergy symptoms, you need to take antihistamines: Ketotifen, Ketoprofen, Suprastin, Tavegin, Diazolin, Claritin.

Prevention

1. To give up smoking.
2. Walks in nature, for example, in a pine forest (if there are no allergies), where the air is clean.
3. Frequent ventilation of the room, wet cleaning.
4. The right diet healthy image life.
5. Steam inhalations with eucalyptus, chamomile, soda.

Complaints of a dry cough on exhalation are common among people susceptible to seasonal colds and obstructive narrowing of the upper respiratory tract. In fact, this is a symptom of many diseases, ranging from laryngitis and pharyngitis to chronic bronchitis in the acute stage and bronchial asthma. The causes and treatment of these pathologies can differ radically, so if such a symptom occurs, it is necessary to contact a therapist or pediatrician as soon as possible. According to indications, fluorography of the lungs and a number of other laboratory examinations are prescribed.

It is almost impossible to find out without diagnosis why wheezing and whistling occur when exhaling. Based on the collected medical history, the doctor can only make a preliminary diagnosis.

Common causes of dry cough, wheezing and whistling when exhaling

The most common causes of cough when exhaling are colds that affect the mucous membranes of the larynx and trachea. As a result of the inflammatory reaction, swelling of the mucous membrane and narrowing of the lumen of the respiratory tree occurs. When air escapes under pressure from the intercostal muscles and diaphragm, a whistling and wheezing sensation occurs, which stimulates a dry cough without sputum production.

But you shouldn’t reassure yourself that ARVI, if left untreated, will go away on its own in 7 days. This kind of misconception can be dangerous. The fact is that the signs described above indicate pathological changes bronchial tissues.

These may be diseases such as:

• acute and chronic bronchitis with an obstructive component (particularly dangerous when developing in children under 5 years of age);
• developing false croup and laryngeal edema, including due to an allergic reaction;
• pneumonia with involvement of the basal upper and middle lobes of the lung;
• heart failure in the chronic phase;
• developing pulmonary edema against the background of pulmonary hypertension;
• whooping cough, diphtheria and other dangerous childhood infections.

Distinguish independently the conditions requiring emergency medical care impossible.

To others probable reasons The following factors can be attributed:

• dry and contaminated with small particles of dust air in the room where a person is;
• thickening of the glottis, including under the influence bad habits(smoking, drinking strong alcoholic drinks);
• taking hot drinks and food, irritating spices;
• delayed allergic reactions;
• residual effects after suffering from influenza or ARVI;
• irritation of the upper respiratory tract with potent substances, vapors, hot air (in a bath), thermal and chemical burns larynx.

It must be remembered that the best prevention tuberculosis is a regular fluorographic examination. Fluorography must be done once a year upon reaching the age of 15 years.

What should I do and which doctor should I contact?

What to do if a whistling and dry cough occurs when exhaling depends on certain circumstances. Let's try to look at them all and find out which doctor you should contact in a given situation.

First of all, you should pay attention to the severity of the process and the circumstances of its occurrence. characteristic symptoms. If these are residual effects after influenza and ARVI, then you should wait 5-7 days. If nothing changes during this time, you need to contact a therapist (pediatrician) and continue treatment. This may be a developing complication in the form of joining bacterial infection(bronchitis, tracheitis, alveolitis, bronchiolitis and other diseases).

If a dry cough on exhalation appears regularly under the same circumstances, it is necessary to suspect allergic obstruction of the respiratory tract. Such people are at risk of developing bronchial asthma. Therefore, it would be logical to contact an allergist, immunologist or pulmonologist.

If you have a history of injury, use of certain substances, or inhalation of unknown vapors, you should seek emergency medical attention by calling an ambulance. If there is a suspicion of heart failure, you need to sit comfortably, provide an influx of fresh air and unfasten the top buttons. And, of course, consult a doctor.

In the diagnostic process, according to the standards of medical care to the population, the doctor must prescribe the following examinations:

• fluorography, if necessary, radiography in various projections;
• microscopic and bacterial culture sputum to exclude tuberculosis and determine the sensitivity of microflora to antibiotics;
• expanded general analysis blood (shows inflammatory processes, allergic reactions);
• bronchoscopy in difficult cases, allows you to take material for histological examination;
• electrocardiographic examination to exclude cardiac pathology and myocardial failure.

According to indications, ultrasound of the heart, computed tomography of the lungs, consultation with a pulmonologist, immunologist and phthisiatrician may be prescribed.

Treatment for cough on exhalation should be prescribed by a doctor!

Currently sold in pharmacies great amount cough medicines. But you shouldn’t rush out shopping and prescribe therapy for yourself. Prescribe treatment for dry cough on exhalation only experienced doctor based on the survey results obtained.

In most cases, etiotropic therapy with the use of antibiotics, antiviral and sulfa drugs. Deadlines similar treatment are 5-7 days. The most commonly prescribed drugs are Azithromycin 500 mg 2 times a day for 3 days, Ciprofloxacin 500 mg 2 times a day for 5 days, Amoxiclav 500 mg 2 times a day for 7 days. days. All dosages are indicated for an adult.

Expectorants and sputum thinners are prescribed exclusively for dry coughs. This could be “Libexin”, “ACC”, “Ascoril”, “Bromhexin”. In the presence of shortness of breath, the prescription of "Eufillin" 0.15 g 2 times a day is indicated.

Bed rest is recommended if available elevated temperature bodies and muscle weakness. If these symptoms occur, long walks in a pine forest or simply in a park, where there is no industrial air pollution, are recommended.

It is worth paying attention to treatment methods allergic cough. In this case, the emphasis is on the selection and dosage regimen antihistamines. The most commonly prescribed drugs are Ketotifen, Ketoprofen, Suprastin, Tavegin, Diazolin, Claritin, Cetrin.

In case of severe obstruction of the upper respiratory tract, which is accompanied by whistling and wheezing during exhalation, it is recommended to temporarily use inhalers containing corticosteroid substances (Salbutamon, Berodual and others).

Inhalations with eucalyptus oil included in their composition help, baking soda, decoction pharmaceutical chamomile, wild rosemary, oregano. If the mucous membranes of the throat and larynx are affected, you can use Lugol's solution, rinse with Rotokan and soda solutions.

For the entire period of treatment, you must stop smoking and drinking hot drinks and food. The room must be ventilated at least 2 times a day. Wet cleaning is carried out daily.

General practitioner Nechaeva G.I.