Cough without phlegm

Coughing is a reflex act, expressed by a strong exhalation, the cause of which is a spasmodic contraction of the muscle tissues of the respiratory tract, which occurs as a result of irritation of certain receptors. Often one can observe a cough with phlegm without temperature.

Such a clinical picture is not a disease, but only its defining symptomatology.

[1], [2], [3]

Causes of phlegm without temperature

Cough can also be called an assistant to the body, because during coughing from the respiratory tract excess sputum and foreign bodies are released, which "clog up" the person's airways, which invariably helps in the fight against the disease.

Sputum is a secretory secretion, which begins to be actively developed against the background of the course of the inflammatory process affecting the respiratory system, as well as the invasion of the respiratory tract by infection of various etiologies.

Excretion of the secretion may well be a factor in the norm, because the respiratory organs of people constantly produce mucus (for example, a morning cough of a smoker), but it is quite likely that it is a symptom of pathological changes in the human body. Causes of cough with phlegm without a temperature may be different, but the source of pathology is able to identify only a specialist. After all, this symptomatology can be caused by: •

• Allergic reaction of the human body to any external allergen.
• To provoke a cough with phlegm without a temperature is also capable of malfunctioning in the cardiovascular system, namely, with heart failure.
• Presence in the hollow organs that conduct air to the pulmonary alveoli, foreign bodies.
• Effects on the walls that limit the respiratory trunk, toxic substances that penetrate from the environment during inspiration.
• To bring to similar symptomatology can and venereal diseases.
• Coughing with phlegm without a temperature is capable of such bad habits as smoking. In this way, the lungs try to purify themselves of nicotine gums settling on the walls of the respiratory organs.

Acute and chronic forms of respiratory diseases of various etiologies. It can be:

• Bronchoectatic pathologies.
• Pulmonary edema.
• Tracheists.
• Pneumonia.
• Bronchitis.
• Mikoviscidosis.
• The sinusitis.
• Abscess of the lungs.
• Tuberculosis.
• Bronchial asthma.
• Anthrax spores.
• Such symptoms, manifested during sleep and in the morning, immediately after a person has awakened from a dream, can show bed pliers, living, for the most part, in feather pillows.
• Malignant tumor in the lungs.
• Pulmonary infarction.

Children and adolescents may be added to the above list and other sources that can trigger the onset of the symptom in question:

Cough with phlegm without temperature can be a sign of dryness of the room, in which the child spends a lot of time.

• As a symptomatology of invasion of parasites, such as helminths, ascarids, pinworms and others. Although to a lesser extent, this defeat can overtake an adult.
• To provoke such a cough are also capable of diseases affecting the organs of the digestive tract.
• Whooping cough can trigger such a reaction.
• Such a symptom, as it is not strange, may manifest itself as a psychological deviation.
• As the reaction of the body to any chemical product, including the means of household chemicals.
• The cause of this symptomatology may be a foreign object that has entered the respiratory system of the baby.

[4], [5], [6], [7]

Symptoms of cough without phlegm

Sputum is a secretory product that is excreted from the human body together with a cough. Depending on the color and texture of the secretive secret, symptoms of coughing with phlegm without a temperature "tell" the specialist, what kind of disease the patient's body was affected. Another answer may be that there is no pathology, since the secrets of the respiratory organs are constantly generating mucus. After all, it protects human respiratory organs from ingress of foreign substances (for example, toxic chemical compounds, dust, foreign objects), and the immune defense cells contained in it are among the first to come into conflict with pathogens that try to invade the human body.

The internal walls of the bronchi are expelled by an epithelial layer provided with cilia. It is their movement and allows you to remove mucus, cleaning the organs. A healthy organism releases about 100 ml of exudate per day, which is a small amount. Mostly it is reflexively swallowed by a person, without even noticing it.

If there is a pathologically developing process in the human body, the volumes of mucus produced are rapidly increasing, and are quite capable of reaching 1.5 liters per day. To swallow such a number is problematic, and it is not necessary, and even dangerous.

The shade of the mucus coming out, its composition and texture is also important. Exudate can be by structure:

• With blood veins.
• Vitreous mucus.
• Serous discharge, similar to serum.
• Purulent - mucous discharge.
• Just slime.

Diagnosis of cough without phlegm

There are a number of pathological diseases, with the progression of which there is a large amount of outgoing mucus. Thus the skilled expert is capable on structure and even on color of an exudate to make quite correct assumption about a disease present in an organism of the patient.

Therefore, the diagnosis of cough with phlegm without temperature begins with an evaluation of the structure of the discharge and their color. It can, of course, be that a shade of sputum is obtained by staining it with food. For example, after eating dishes that include beets or carrots. To color mucus is capable of red wine, coffee and many other products. Therefore, it is primarily to exclude this factor. But, in most cases, the shade exudates is given by the disease and the processes occurring during it are negative for the patient's health.

• For example, in the case of asthma with a cough, a clear mucus of increased density emerges.
• In the case of diagnosing pneumonia, exudate leaves a greenish-yellow or yellow hue.
• With croupous pneumonia, the color of the sputum is rusty.
• In the case of an organism affected by bronchitis or various strains of influenza, purulent mucus leaves with a cough, which is dyed greenish yellow. Blood veins may well appear.
• When a lung infarct is one of the symptoms of this pathology is an exudate of a bright red hue.
• In the case of progression of the pulmonary edema, the secretions have a foamy character, with bloody veins.
• Exudate of a yellowish-brown color is present in the symptomatology of lung abscess.
• Bronchogenic form of cancers in the lungs, notes the joint output of cough and mucus fibers of red (bloody) color.
• If a specialist observes spitting out of white flakes, he may assume that the lungs are affected by fungal forms.
• Pulmonary abscess, bronchiectasis and necrotic processes (eg, gangrene) cause the appearance of greenish sputum. Slime of this color always speaks of diseases in which a characteristic feature is the suspension of outflow. Green exudate indicates that the body is infected with an infection that has already begun its reproduction, and, consequently, the disease continues to progress. For example, tracheobronchitis begins trivially with a common trivial rhinitis. Part of the mucus flies, but some of it drains down the back wall of the pharynx. This sputum leaves the patient's body in conjunction with a cough. At the same time such discharges have a very unpleasant "aroma".

After a visual examination of the patient, the doctor prescribes an additional examination, which may include:

• Analysis of sputum for the presence of infection, bacterial and fungal damage, as well as determining the causative agent of the disease.
• Probably the appointment of radiography.
• Other specifying diagnostic procedures.

In any case, with the appearance of tangible sputum, it is not superfluous to seek advice from a specialist. And the sooner a person decides to take such a step, the sooner will he be able to dispel doubts about the cause of coughing with phlegm without temperature, and, accordingly, appropriate adequate therapeutic measures will be taken. Sometimes, from how quickly the patient turned to a specialist, it depends not only on his health, but also on his life. After all, even pneumonia can pass without increasing the body's temperature.

[8],

Treatment for cough without phlegm

It should be remembered that if a person is worried about a cough, sputum goes, and the temperature indicators remain normal, you should increase the amount of liquid that a person drinks throughout the day. This approach will dilute the viscosity of mucus, which will make it easier to withdraw with a cough, clearing the airways. Independently appoint antibiotics, should not, this step can only worsen the situation.

Before starting to fix the problem, it is necessary to establish the cause correctly, only from this approach one can expect effective treatment and favorable outcome of the disease.

After setting the correct diagnosis, treatment of cough with phlegm without a temperature begins with a schedule of the treatment protocol corresponding to the established pathology. It should also determine the quality of the cough: it is wet or dry.

The treatment protocol is written out to the patient purely individually. The attending physician should not only build on the specific disease, but take into account the severity of the pathology and those changes that have already occurred in the patient's body, the patient's history and its individual characteristics. When prescribing medications, the doctor should also take into account the pharmacodynamics of the drugs, their characteristics for interacting with other drugs, as well as contraindications, side effects that can cause the prescribed drug and age data of the patient.

The patient is diagnosed with a wet cough, then it is advisable to drink plenty of liquid, which can include various herbal tinctures and decoctions. For their preparation, a medicinal natural material is used that has enveloping, expectorant, bronchodilator and anti-inflammatory characteristics, and such medications must effectively stop the excitation of bronchial mucosa. There are many such plants, but the most used for therapy are the oregano, common ale, mother-and-stepmother, sweet potato (yellow), licorice nude (licorice smooth, licorice), chemist's daisy, thermpsys lanceolate, marshmallow, plantain large, sage and others.

In the absence of contraindications, such a patient is prescribed inhalation and irrigation of the nasopharynx with sodium chloride, ammonium chloride, soda solutions, sodium benzoate, as well as using extracts of plants having the above properties.

After such procedures, the irritation of the mucosa of the airways is reduced, which makes it possible to reduce the spasmodic reflex, provoking coughing attacks, the smooth muscle tissues of the lungs relax. Against the background of the work of these drugs, the viscosity of the exudate decreases, which facilitates its withdrawal. It is only necessary to know the parents of infants, that steam inhalations to babies who have not yet turned a year are strictly contraindicated. Older children (up to six years), this procedure is carried out only according to the prescription of the doctor and under the vigilant attention of the health worker or parents.

If a history of a patient of any age is affected by the central nervous system, then such drugs are strictly contraindicated such drugs as thermopsis and ipecacuan. The combination of pathology and these drugs, on the contrary, increases the spasm of the smooth muscles of the bronchi, activating a cough that can even cause vomiting. The combination of a vomiting reflex and a cough can lead to asphyxia (a state of increasing choking associated with a sharp lack of oxygen in the body) and aspiration (penetration of the vomiting masses into the respiratory tract).

From medicamentous preparations at a cough with a sputum without temperature are appointed or nominated:

• Expectorants: bronchopam, amtersol, helicidin, Dr. Mom, mukaltin, pulmotin, sinupret, travisyl, eucalyptus Dr. Theiss and many others.

Travisil is produced on the pharmacological market in the form of absorbable tablets, syrup and lozenges. The drug is taken orally.

In the case of its administration as a syrup, travisyl is taken by adults and adolescents over the age of 12 to 5-10 ml three times throughout the day. The syrup is taken undiluted. Before the procedure, the medicine should be shaken well. The duration of the drug course is determined by the treating doctor, based on the clinical picture of the disease and the characteristics of the patient's body. The daily dosage should not exceed 30 ml.

For small patients, the age of which falls within the range of three to twelve, the dosage is individually prescribed 2.5-5 ml three times a day. The daily dosage should not exceed 15 ml.

Travisil in the form of candies is prescribed for oral administration. The procedure is that the medicine is placed in the mouth, where it is kept until completely dissolved. Adult patients and adolescents over 12 years of age, the drug is prescribed two to three candies, dissolved three times a day. Children, whose age falls between three and twelve, the dosage is individually individually - two candies three times a day.

Similar dosages are also attributed to the tablet form of administration.

The drug is perfectly perceived by the body of patients, the only contraindication is the individual intolerance of the constituents of the drug.

Expectorant Sinupret is injected inside. If the medicine is prescribed in the form of a dragee, then it must be drunk without chewing, together with a sufficient volume of liquid. If sinupret in the form of drops, it should be diluted with a small amount of water.

Adult patients are given a dosage of two pills three times throughout the day. Children of school age - one dragee three times throughout the day.

Adult patients take drops in the amount of 50 drops three times during the day. Children of school age - 25 drops three times throughout the day. If the use of sinupret in the form of a dragee is not recommended until the age of twelve, small patients who are already two years old can be given the drug in the form of drops - 15 drops three times throughout the day.

Duration of the drug course largely depends on the individual characteristics of the patient's body, as well as the clinical picture of the disease. Mostly this period is from one to two weeks. If after this period the pathological symptomatology does not go away, it is necessary to consult a specialist who prescribes another drug, or takes a break with a repeated course of treatment.

It is not recommended to take the drug to children under the age of two, as well as with increased sensitivity of the component components of the drug.

• Mucoregulating medications. These include ambroxol, lindoxil, ambrolitin, lasolvanum, mucosan, bromhexine, lazolvan, mucovent, acetylcysteine, fluixol, mucosolvan, bronchoprot, secrete, ambronol, mucofar, ambrolitic, carbocysteine, viscomil and some others. These drugs contribute to the recovery of sputum characteristics, which helps its effective elimination. Mukoreguliruyuschie drugs well normalize the amount produced by bronchial secretions of exudate.

Ambroxol is injected into the patient's body at a daily dosage of 10 mg per kilogram of patient weight divided into three to four doses. To achieve therapeutic effectiveness, it is better to take the medicine immediately after ingestion, washing down with the necessary volume of fluid.

Dosage for adult patients is - one tablet, which corresponds to 30 mg, two to three times throughout the day. The same dosage is maintained in the case of prolonged treatment.

Children and adolescents are advised to give this medication in the form of a syrup. The concentration of active substance ambroksola in 5 ml of the drug is 15 mg.

The dosage depends on the age of the small patient:

• children who are not yet two years old - 2.5 ml twice a day;
• To small patients, whose age falls in the age limit from two to five - 2.5 ml three times during the day.
• children older than five years - 5 ml two or three doses throughout the day.

If necessary, the dosage can be doubled.

Adult patients syrup is prescribed in an amount of 10 ml - the first two - three days, then this amount can be doubled.

If the clinical picture of the disease "requires", ambroxol can be prescribed to the patient both in the form of intravenous or intramuscular infusions.

• two to three ampoules are administered to adults, which corresponds to 30 to 45 mg ambroxol two to three times a day;
• to children who are not yet two years old - half the ampoule twice a day;
• to small patients, whose age falls in the age limit from two to five - half the ampoule three times during the day.
• children older than five years - one ampoule, two - three doses throughout the day.

Contraindication to the use of the drug in question is hypersensitivity to ambroxol hydrochloride or other components of the drug.

Preparations of this group enable antibiotics to leak into the secret of the bronchial tree more easily. It should only be remembered that some drugs of this group are not recommended for patients who have a history of bronchial asthma. Such a combination can only exacerbate a person's grave condition.

This group of drugs has analgesic characteristics, as well as light anesthetics.

• Mucolytic drugs normalize the production of bronchial secretions, as well as activate the process of removing excess mucus from the bronchi. The drugs of this pharmacological group include solutan, hexapnevmine, opsonin, stoptussin, transferrin, lysozyme, loraine and others.

The drug containing essential oils - hexapneumemia - in the form of tablets is taken orally. Adult patients - one tablet three times throughout the day, children who are under 15 years of age - one tablet twice a day.

In the form of syrup:

• adult patients - three to six tablespoons of fluid, divided into three doses;
• to children who have not yet turned two years old - from one to two teaspoons of hexapneumine, divided into several daily receptions;
• to small patients, whose age falls in the age limit from two to eight years - two to three teaspoons (or one - one and a half dining rooms) taken during the day;
• children whose age falls within the limit of eight to 15 years - four to six teaspoons (or two to three table) per day.

Hexapneumemia is contraindicated if glaucoma, asthmatic cough, hepatic and pulmonary insufficiency, urinary retention, as well as with increased individual intolerance of the constituents of the drug are present in the patient's body.

• If a cough with phlegm without temperature is a consequence of an allergic reaction of the body to an external stimulus, antihistamines such as loratadine, alerpriv, loparene, clarice, fexofenadine and others are prescribed.

Antihistamine drug loratadine is prescribed for adults and adolescents, over 12 years of age, one tablet, which corresponds to 10 mg of active active, once a day. Babies who reached the age of two, but who are less than 12 years of age, are dispensed according to the weight of the body: at a weight of less than 30 kg - half the tablet; with a weight of more than 30 kg - one tablet once a day.

The duration of therapy is generally 10 to 15 days, in rare cases, the attending doctor can adjust the period of taking the drug for a particular patient, and paint from one day to one month. It is not recommended for the intended use of the drug in question if the patient's body experiences increased sensitivity to the components of the medicinal product, as well as during lactation in women and children up to the age of two.

For young children, who still have trouble swallowing a "big" pill, the treating doctor prescribes antihistamines in the form of a syrup.

• The stabilizers of membranes of mast cells are also appointed. These drugs include: vividrin, kuzikrom, sodium kromoglikat, kromogen, intal, kromoglin, lekrolin, stadaglycin, naklrom and others.

Sodium cromoglycate, active ingredient of which is cromoglycic acid, is used in the form of inhalations. In this case, the dosage of the drug is prescribed depending on the diagnosed pathology and age of the patient.

In the case of bronchial asthma, adult patients and children who are already five years old, starting dosage is prescribed one to two doses (measure special dosage aerosols), four to six inhalations throughout the day.

Orally, adults and adolescents who are already 12 years old can take two capsules of the drug (0.2 g) taken four times a day 30 minutes before the proposed meal. Children from two to twelve years - one capsule (0.1 g), taken four times a day for half an hour before the proposed meal.

Through the mucous nasopharynx (intranasal), you can take one aerosol dose three to four procedures per day (in each nasal passage).

Do not take the drug under consideration when hypersensitivity to the components of the drug, including benzalkonium hydrochloride, in case of pregnancy, during lactation, children whose age has not yet reached two years.

If the result of drug treatment does not bring a therapeutic effect, and cough with phlegm without temperature does not go away, you should inform your doctor about this, who will appoint several additional examinations that can shed light on the situation, indicating the reason.

The additional examination may include:

• General blood analysis.
• Conduct a Mantoux test.
• Biochemistry of blood (or detailed research).
• Chest radiography.
• If necessary, an investigation is made for chlamydia and mycoplasma.
• Bioanalysis of bacteriological culture is conducted on the flora of the exudate.

A very important point of the survey is to find out whether the cough was the root cause of the disease or its consequence. But it should be remembered that in any situation only an expert should make a diagnosis and prescribe a therapeutic treatment.

Preventing cough with phlegm without temperature

Nobody argues that any pathological change in the human body is much better to prevent than to go through painful procedures and a long course of treatment. Where it is more desirable for the body. Therefore, the prevention of cough with phlegm without temperature, like any disease, takes a significant place in the life of each person.

• The first point of these recommendations should be tempering the body, which should begin with the first minutes of the child's life, but if this period is missed, it is never too late to start at any time.
• Air baths.
• Cold and hot shower. For the baby, you can recommend starting with the pouring of the legs.
• It should not be wrapped up in a child, however, like an adult, in a large number of warm clothes. Many mothers, trying to protect their child, protect it from drafts, and 15 - 20 degree frost is considered an indicator of cancellation of walks. But you can give a small example: our face. After all, a stout body, we do not think that the person is quite comfortable and in such a frost, so what makes our body different from him. We do not call for the exclusion of clothes from our wardrobe, by no means, but if you do not want to constantly get sick, you should not. Both the adult and the baby should be dressed in the weather.
• In the summer, not only pleasant, but also very useful to walk barefoot on the grass, pebbles and other structures of the soil. Such procedures are not only an element of hardening, but also a massage of the human sole, on which, as the great ancient Chinese healers have determined, there is a great number of acupuncture points. By influencing them, it is possible to stimulate the work of the whole organism, including internal organs, while hardening will be more effective, since the foot zones activate the immune system.
• At any time of year one should spend a lot of time outdoors, communicating with nature. Such a relaxation is also beneficial for the nervous system, which is a possible source that can provoke the appearance of cough with phlegm without temperature.
• Get rid of bad habits. And if you have not smoked before, then you should not start.
• Avoid smoky, dusty and smoky places.
• Very carefully, carrying out all the safety rules, work with combustible and toxic materials.

In the off-season, when the risk of contracting infectious diseases increases:

• If an infected person appears in the family, it is preferable to isolate the patient as much as possible from other members of the family, having allocated his set of dishes and bath accessories.
• It is necessary to minimize visits to public places and public events.
• Family nutrition should be full and varied, with lots of vegetables and fruits that are rich in minerals, trace elements and vitamins, so necessary for the full operation of the human body.
• Not the last place in the prevention and occupies general hygiene. Adhering to all the rules of caring for yourself: beyond the mouth and your body, you can significantly reduce the likelihood of infectious and helminthic infection.
• In the winter-spring period, it is not superfluous to take a preventive course by drinking multivitamins.

Such measures will protect your body from many pathologies. But a cough with phlegm without temperature can be a sign and quite serious diseases, so one of the points of preventive measures can be called and that when such a symptomatology should always appear to a qualified specialist. It is better if it is a false alarm, and the source of pathology is commonplace than to miss the development of a dangerous disease that, the earlier it is recognized, the less effort it will take to stop it.

Forecast of cough without phlegm

Predictably, a prognosis of cough with sputum without temperature has a favorable outcome, but only if the cause of the disease causing such a symptomatology was established at an early stage of its development and did not have serious complications, and a dangerous etiology.

For example, if the cause of a cough with such characteristics is a malignant tumor, then any prognosis can be given only by analyzing a specific clinical picture.

If the source of pathological symptoms are diseases of a different genesis, then everything depends on the disease itself, the severity of its course, as well as the timeliness of establishing the cause of the pathology and the effectiveness of the therapy. The neglected diseases, as a rule, lead to serious complications and transformation into more dangerous diseases, which may well lead to a fatal outcome.

It would seem a banal cough, which every person has encountered. But his ignoring, especially if seizures are burdened by other symptoms, can become a threat not only to health, but also to a person's life. Cough with phlegm without temperature - this combination may be a consequence of a minor cold, but it may also be a signal indicating the development of a deeper and more serious pathology in the patient's body. Therefore, do not pay attention to the discomfort is not worth it. When such a symptom appears, it will be correct to make an appointment with a specialist. Only he is able to dispel your suspicions, or, conversely, having conducted the necessary examination, to reveal the true cause of pathological manifestations. Only after the statement of the correct diagnosis can we speak about adequate therapeutic treatment. Therefore, do not ignore the signals of your body, because timely treatment is the preserved health of your body!

[9], [10]