Understanding what causes a cough
Page last reviewed: 21 January 2026
Page created: 19 January 2026
Page created: 19 January 2026
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Key Information
● The Common Culprit: The vast majority of short-term coughs are caused by viral infections, such as the common cold or flu. The cough is simply your body's way of clearing out mucus and inflammation.
● Persistent Coughs: If a cough lasts longer, we look for other causes. For example, asthma (often worse at night or after exercise), acid reflux (worse after eating), or postnasal drip.
● COPD: In patients who smoke or have smoked, a persistent cough can be a sign of Chronic Obstructive Pulmonary Disease (COPD).
● Bacterial vs. Viral: While most coughs are viral and resolve on their own, bacterial infections like pneumonia are less common but more serious and may require antibiotics.
What Happens Next?
If you have a standard cough associated with a cold, your body usually just needs time to heal.
But, if your cough is persistent or you suspect one of the "less common suspects" mentioned above (like asthma or reflux), we can help investigate.
When to Contact Us
You should seek advice if your cough does not improve within 3 to 4 weeks, or if you notice symptoms associated with the specific conditions mentioned in the video:
● Asthma Symptoms: Wheezing, tight chest, or coughing at night/after exercise.
● Reflux Symptoms: Heartburn or a cough that triggers after meals.
● Bacterial Signs: High fever, rapid heartbeat, shortness of breath, or sharp chest pain (signs of potential pneumonia).
Your Cough Appointment: What to Expect
To learn more about coughs, and what causes them, please visit the NHS website.