Tag Archives: cough

Important Facts About That Cough You Have

Cough is a frequent symptom seen in medical offices at this time of year. It can be a source of aggravation, frustration and anxiety for many patients. A cough falls into one of the following categories based on its duration: it can be acute, lasting less than 3 weeks; subacute, lasting from 3 to 8 weeks; or chronic, which lasts over 8 weeks.

The acute cough is mostly a result of upper respiratory tract infections and acute bronchitis. Most of the time, these are due to viruses and do not require the use of antibiotics. Fever may or may not be present and phlegm can be discolored. Pertussis, or whooping cough, is on the rise in the United States and may manifest by violent coughing and should be treated with an antibiotic. Approximately 15% of users of commonly prescribed blood pressure medications, lisinopril or zestril, may develop a cough, which usually begins within a week of beginning the medication. Treatment is stopping the offending medication and waiting 1-4 weeks for resolution, which you’ll want to coordinate with your primary care provider so you can get on an appropriate replacement medication. Lastly, pneumonia may also cause you to develop a cough. Depending on what incites coughing, therapy is supportive with cough medication, antihistamines, decongestants, antibiotics (if needed), and possible inhalers if asthma-like signs are present.

A subacute cough is most commonly a result of a prior upper respiratory infection. It can also be caused by asthma, postnasal drip, gastric acid reflux (even if heartburn is not present) or a primary lung disease. At this time, a chest X-ray should be obtained, especially for smokers or former smokers. Specific therapy is suggested depending on the cause.

Finally, chronic cough should be evaluated by requesting appropriate tests which may include sinus imaging, CAT scans, cardiac or gastroenterologic evaluations. A referral to a specialist may be needed.

If you or a loved one is suffering with a cough, particularly one that has lasted for more than 3 weeks, see your primary care provider, who can then determine an appropriate course of treatment.


Janice Rutkowski, M.D.Janice Rutkowski, M.D. is an MPCP partner and is certified by the American Board of Internal Medicine. She sees patients at the Arundel Mills office.

Respiratory Illnesses: Nothing To Sneeze At

Do you know the number-one reason people come to their doctor this time of year? If you’re sneezing or coughing as you read this, you already have a pretty good idea: respiratory illnesses are the chief reason for doctors’ visits.

Some respiratory conditions are fairly mild, but others can be life-threatening. And cold weather can make them worse.

You are probably most familiar with the common cold and seasonal flu, which are prevalent this time of year.  Caused by viruses, colds and flu have respiratory symptoms that may include runny nose, congestion and cough. Symptoms can usually be treated with over-the-counter medications, but your doctor may prescribe antiviral medications such as Relenza® or Tamiflu®. You can also reduce your chances of getting the flu with an annual vaccine, available at MPCP offices.

Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus, causing cough with phlegm or pus, fever, chills and difficulty breathing. A variety of organisms, including bacteria, can cause pneumonia. For treatment, your doctor may prescribe antibiotics, which are often effective.

Bronchitis is an inflammation of the lining of your bronchial tubes, which carry air to your lungs. Bronchitis is very common and often develops from a cold or other respiratory infection, or is caused by smoking. People with bronchitis often cough up thickened mucus, which can be discolored.

Bronchitis may be either acute or chronic. Acute bronchitis usually improves within a few days, and can be treated with rest, drinking lots of fluids, avoiding smoke and fumes, and possibly a prescription for an inhaled bronchodilator and/or cough syrup. However, if you have repeated bouts of bronchitis, you may have chronic bronchitis, which requires medical attention. In some cases, oral steroids to reduce inflammation and/or supplemental oxygen may be necessary.

Asthma affects people of all ages, but it often starts during childhood. It is a chronic disease that inflames and narrows your lungs’ airways. Symptoms of asthma include bouts of wheezing, chest tightness, shortness of breath and coughing. Most people who have asthma have allergies, but some people develop asthma because of contact with chemicals or industrial dusts in the workplace.

Many things can trigger asthma symptoms:

  • Allergens from dust, animal fur, mold and pollens from trees, grasses and flowers
  • Irritants such as cigarette smoke, air pollution and sprays, such as hairspray
  • Medicines such as aspirin or other nonsteroidal anti-inflammatory drugs
  • Sulfites in foods and drinks
  • Viral upper respiratory infections, such as colds
  • Physical activity, including exercise

Doctors treat asthma with two types of medicines: long-term control and quick-relief. Long-term control medicines help reduce airway inflammation and prevent asthma symptoms. Quick-relief or “rescue” medicines relieve asthma symptoms that may flare up.

Emphysema is a chronic disease that gradually damages the air sacs in your lungs, making you progressively more short of breath. Smoking is the leading cause of emphysema. See your doctor if you’ve had unexplained shortness of breath for several months, especially if it’s interfering with your daily activities.

Emphysema can’t be cured, but treatments can help relieve symptoms and slow the progress of the disease. Your doctor might prescribe bronchodilators to relax constricted airways or inhaled steroids to relieve shortness of breath. You may also need pulmonary rehabilitation to reduce breathlessness or supplemental oxygen.

If you have questions about any of the conditions described in this article, an MPCP physician would be glad to discuss them with you.



Dr. Sneha Sheth practices in MPCP’s Arundel Mills office and is certified by the American Board of Family Medicine. She received her medical degree from St. George`s University, School of Medicine and completed her residency program in Family Medicine at Robert Wood Johnson Medical Center.