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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.

When to Contact Us

If you have a standard cough associated with a cold, your body usually just needs time to heal.

But, 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).
Discuss Your Symptoms
 

Further Information

Treating a Cough at Home
When to Worry About a Cough: Red Flag Symptoms
The 8-Week Rule: Understanding Chronic Coughs
Your Cough Appointment: What to Expect


To learn more about coughs, please visit the NHS website.

Learn more about coughs

Last reviewed: 29 November 2025
Next review due: 29 November 2028