Chronic Cough: which doctor should you see?
Short answer: most cases of a chronic cough are handled by a Pulmonologist. Read on for the exceptions.
What this symptom means
A cough is called chronic when it lasts longer than eight weeks in adults. By that point it is no longer a leftover from a cold and deserves investigation. Notably, the three most common causes of chronic cough are not lung diseases at all.
Common causes
- Postnasal drip from allergies or sinus congestion
- Asthma, including cough-variant asthma
- Acid reflux irritating the throat
- Chronic bronchitis and COPD
- Side effect of certain blood pressure medications
- Smoking and environmental irritants
Which doctor treats a chronic cough?
A cough lasting more than eight weeks is typically evaluated by a pulmonologist. If it is driven by sinus congestion or postnasal drip, an ENT may be more appropriate. If it worsens after meals or when lying down, a gastroenterologist may be involved. A primary care physician can sort out which path fits.
When it may be urgent
- Coughing up blood
- Severe difficulty breathing
- Chest pain with shortness of breath
- Cough with high fever and confusion
- Unexplained weight loss with a persistent cough
Frequently asked questions
- Which doctor treats a chronic cough?
- A pulmonologist evaluates coughs lasting more than eight weeks. Depending on the cause, an ENT or gastroenterologist may be more appropriate.
- When is a cough considered chronic?
- In adults, a cough lasting longer than eight weeks is considered chronic and warrants evaluation.
- Can acid reflux cause a cough?
- Yes. Reflux is one of the three most common causes of chronic cough, often without noticeable heartburn. It typically worsens at night or after meals.
Related symptom guides
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Sources
- MedlinePlus, U.S. National Library of Medicine (medlineplus.gov)
- Centers for Disease Control and Prevention (cdc.gov)
- Relevant national medical specialty association guidance