อาการไอ ไม่ใช่แค่น่ารำคาญ...แต่อาจเสี่ยงโรคร้าย!!

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Coughing&#8230; is a response mechanism of the body to abnormalities in the respiratory tract. It is a protective mechanism by removing pathogens, mucus, or foreign substances in the respiratory tract. The cough starts from stimulation of the cough receptors or irritants in the upper and lower respiratory tracts, including the ear canal and tympanic membrane, nose, paranasal sinuses, nasopharynx, pharynx, larynx, bronchi, lungs, diaphragm, and pleura. Cough receptors are also found in the pericardium and stomach lining.
<h2>Cough symptoms&#8230; are divided into 2 main types</h2>
<h4>&nbsp;&nbsp;&nbsp;&nbsp;1. Acute cough</h4>
Acute cough is a cough lasting less than 3 weeks. Causes are usually infections in the upper respiratory tract such as common cold, acute sinusitis, bronchitis, exacerbation of emphysema, pneumonia, or exposure to environmental irritants such as cigarette smoke, fire smoke, spray odors, gases, and air pollution.
<h4>&nbsp;&nbsp;&nbsp;&nbsp;2. Chronic cough</h4>
Chronic cough is a cough lasting more than 3 weeks up to 8 weeks. Causes are often chronic bronchitis, long-term use of ACE inhibitors for hypertension, allergic rhinitis or chronic sinusitis, overuse of voice causing chronic laryngitis, tumors in the neck, diseases of the brain controlling cough, pulmonary tuberculosis. In some cases, there may be more than one cause, so detailed diagnosis is necessary. 
<h2>Chronic cough&#8230; may be caused by these factors!</h2>
 
 
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<li>Airway hypersensitivity</li>
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<li>Asthma</li>
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<li>Exposure to cigarette smoke</li>
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<li>Gastroesophageal reflux disease (GERD)</li>
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<li>Foreign bodies in the respiratory tract</li>
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<li>Emphysema</li>
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<li>Allergic diseases</li>
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<li>Tuberculosis</li>
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<li>Psychological conditions</li>
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<li>Sinusitis</li>
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<li>Lung cancer</li>
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<h2>Although cough is not caused by serious diseases&#8230; it still has negative effects</h2>
 
 
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<li>It affects social image, causing annoyance or rejection, and may spread infection to others.</li>
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<li>It disturbs eating and sleeping.</li>
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<li>In elderly patients, severe coughing may cause rib cartilage fractures, rupture of alveoli or capillaries in the lungs into the pleural cavity, pneumothorax, pleural bleeding, or cause breathlessness and may be life-threatening.</li>
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<li>It negatively affects eye and ear surgeries, such as cataract surgery where coughing may dislodge the artificial lens implanted in the eye, or tympanic membrane repair surgery where coughing may displace the artificial eardrum.</li>
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<h2>Some diseases&#8230; can be identified by observing cough symptoms</h2>
 
 
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<li>Common cold has cough along with nasal congestion, runny nose, sore throat, and fever.</li>
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<li>Pneumonia cough, shortness of breath, fever, and chest pain when inhaling.</li>
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<li>Asthma cough, shortness of breath, and wheezing in the chest, intermittent, often occurring in the early morning or at night.</li>
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<li>Pulmonary tuberculosis cough with afternoon fever and heavy sweating in the evening, along with fatigue, loss of appetite, and weight loss.</li>
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<li>Chronic bronchitis cough with sputum almost daily, lasting more than 3 months, and this symptom persists for at least 2 consecutive years in long-term smokers.</li>
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<li>Lung cancer long-lasting cough, little sputum, possibly blood-tinged sputum, usually no fever.</li>
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<li>Emphysema cough with thick, foul-smelling purulent sputum, possibly blood-tinged, lasting for years.</li>
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<li>Gastroesophageal reflux disease cough at night, feeling of sour liquid in the throat, possibly with chest burning sensation.</li>
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<li>Heart failure cough and shortness of breath when lying down, improving when sitting up.</li>
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<h2>Cough can be cured&#8230; if the cause is known</h2>
 
 
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<li>If the patient coughs due to infection in the upper or lower respiratory tract and the cough is not severe, initial treatment such as cough suppressants may be given. In cases of thick, sticky sputum, mucolytic drugs can help expel sputum more easily and relieve cough. However, if symptoms do not improve within 1 week after taking these medications, consult a doctor for further evaluation.</li>
<li>If there are signs of bacterial infection such as yellow or green sputum, the doctor may prescribe antibiotics as well.</li>
<li>About 80% of children with chronic cough can have the cause identified, and treatment outcomes depend on the disease and its severity at the time.</li>
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Meet specialists at the Internal Medicine Center, 1st Floor, Building A Phyathai 2 Hospital Tel. 02-617-2444 ext. 4104, 4106 Phyathai Call Center 1772

"Coughing" every time is really tiring. Many people have probably complained to themselves, feeling very annoyed every time they have a cough. But if we know that coughing is a response mechanism of the body to abnormalities in the respiratory tract, which is important...

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Coughing is not just annoying... it could be a sign of a serious disease!!

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