What causes paroxysmal coughing?
Paroxysmal coughing may result from physiological causes, such as irritation of the nasal cavity due to cold air, or pathological conditions such as pharyngitis or pleurisy. Treatment should be targeted according to the specific cause under a doctor's guidance. The details are as follows:
I. Physiological Causes
If one fails to keep warm during a sudden drop in temperature and is exposed to cold air, it may irritate the nasal cavity, leading to intermittent coughing. However, this is generally a normal physiological response that can improve by wearing more clothing and maintaining warmth.
II. Pathological Causes
1. Pharyngitis
When the throat becomes inflamed due to infections caused by adenoviruses or streptococci, repeated inflammatory stimulation of the pharyngeal mucosa may lead to episodes of consecutive coughing within a short period. It is recommended to follow medical advice and use antibiotic medications such as azithromycin, penicillin, or cephalosporins for anti-inflammatory and anti-infective treatment.
2. Pleurisy
When pleurisy is caused by infections from influenza virus or Mycobacterium tuberculosis, inflammation spreading to surrounding tissues can also trigger paroxysmal coughing. Under medical guidance, anti-inflammatory and analgesic treatments may include medications such as ibuprofen sustained-release capsules, acetaminophen sustained-release tablets, or aspirin enteric-coated tablets.
In addition, paroxysmal coughing may also occur in conditions such as bronchiectasis or pneumonia. It is recommended to follow medical advice for treatment to prevent worsening of symptoms.