For the past few weeks, I was plagued by a cough. I am assured by sources that it is very good for me to cough—for instance, the Cleveland Clinic says ‘A cough is a natural reflex that is your body’s way of removing irritants from your upper (throat) and lower (lungs) airways. A cough helps your body heal and protect itself.’

I am yet to be convinced!

There are apparently many ways of classifying coughs.  One is related to how long they last. Acute coughs are those which start suddenly and last a few weeks. Sub-acute ones follow infections, and last for a month or two. Chronic coughs persist longer than 2 months. And Refractory coughs are chronic coughs which don’t respond to treatment.

Another way of classifying them is in terms of whether or not they produce mucous. Dry coughs are those which do not. Productive or wet coughs bring up phlegm or mucous.

Some coughs come on at night, and are called nocturnal or night-time coughs. Others are day-time coughs.

Some types of coughs produce distinctive sounds and indicate the underlying condition: e.g., the whooping cough where the cough sounds like a ‘whoop’ is a specific infection. A barking cough may be an indicator of croup. And when coughing is accompanied by wheezing, it may be associated with some infections or with asthma.

And what about treatments? Well, you can take a cough syrup, a lozenge or rub on something.

Of cough syrups also, there are different types: Suppressants or antitussives do their job by blocking your cough reflex. These are for dry coughs and that itch in the throat. Then there are Expectorants, which thin mucous and phlegm, making it easier for them to be coughed out.  There are also combination cough syrups which typically combine expectorants with decongestants and an antihistamine.

Rub-ons or topical applications include trusted household names like Amrutanjan.which has a nature-based cold relief balm. Such products usually have menthol and camphor, and applying them to the throat offers a soothing sensation in the area and relieves some of the associated pain. 

Cough drops are the tablets we keep in our mouth, which soothe our throats and give us relief from coughing. These are used to temporarily help relieve symptoms such as sore throat, throat irritation, or cough. They work by providing a cooling feeling and increasing saliva in the mouth. Home remedy equivalents are sucking on cloves or cardamoms.

There are research studies which show that actually, not many of these store-bought medications really work any better than home remedies. The good old haldi-doodh (now fashionably called Golden Latte) is a tried and tested way to soothe the throat. A kada or decoction of tulsi, black pepper, cloves and assorted spices is often effective. Ginger tea with lemon is a sure winner.

Gargling is also an effective way to manage coughs. A salt water gargle creates a sort of osmosis effect and the salt concentration draws fluids and bacteria from the mouth, Salt water gargles neutralize swelling, and pain, and help soothe the throat region. The salt water breaks up mucus and irritants in the throat. Gargling with a salt water mixture also helps neutralize the throat acids, which helps to suppress bacterial growth.

Steam inhalations help too–they help to soothe and open their nasal passages when they have a cold or sinus infection. The warm, moist air is thought to loosen mucus and relieve symptoms.

I hope you don’t have a cough. But if you do, you are probably in good company—in the US, it is apparently the top reason people see a doctor – over 30 million visits a year.

–Meena