Chronic Cough Lasting More Than 3 Weeks: When to Consult a Pulmonologist

“A persistent cough is not always a simple cold. Learn about Cough Variant Asthma, Upper Airway Cough Syndrome, and when Video Bronchoscopy is indicated.”
Why Cough Syrups Fail in Chronic Cough
Most over-the-counter cough syrups contain sedatives or decongestants that merely suppress the cough reflex in the brainstem without addressing the underlying root cause in the lungs or throat.
If your cough has persisted for more than 3 weeks, relying on repeated rounds of antibiotics and syrups can delay the diagnosis of treatable respiratory conditions.
Top 4 Underlying Causes of Unexplained Chronic Cough
- Cough Variant Asthma: Asthma presenting solely as a dry, non-productive nocturnal cough without obvious wheezing.
- Upper Airway Cough Syndrome (UACS): Chronic sinus drainage dripping into the hypopharynx, irritating the vocal cords.
- Gastroesophageal Reflux (GERD): Micro-aspiration of stomach acid irritating the laryngeal nerves, worse when lying down flat.
- Endobronchial Infections or Lesions: Unresolved endobronchial tuberculosis, fungal plugs, or airway lesions accurately diagnosed via Video Bronchoscopy.

Dr. Kashyap Goyal
Senior Pulmonologist, Critical Care & Sleep Specialist at Delhi Heart Institute & Multispeciality Hospital, Bathinda & Vijay Hospital, Gidderbaha. Specializing in difficult asthma, computerized PFT, sleep apnea, and interventional bronchoscopy.
Have questions about your respiratory symptoms?
Book an in-person OPD consultation or video review with Dr. Kashyap Goyal at Delhi Heart Institute, Bathinda.
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