How Long Should a Cough Last?

Has your annoying cough been dragging on for weeks? It’s annoying for sure, but it’s also totally normal. People tend to underestimate how long a cough should last, according to a new study published in the Annals of Family Medicine. Skewed expectations may be one reason why antibiotics are over-prescribed, even for viral infections.

In a phone survey, researchers asked 493 people how long they thought a case of ACI (acute cough illness, a.k.a. a cold that causes coughing) should last. At the same time, they looked at the existing medical literature to see how long ACI actually lasts on average. Survey respondents guessed that a cough should last 7-9 days. The literature, by contrast, showed that the mean duration of a cough is almost 18 days.

18 days of hacking sounds like a long time, which helps explain why many people would be tempted to see a doctor much sooner than that. Doctors may feel pressured to prescribe antibiotics, even when it’s unnecessary or (in the case of a viral infection) useless.

There’s a reason we get anxious about a lingering cough, says lead study author Mark H. Ebell, MD, MS, an associate professor at the University of Georgia. “There are a lot of infections like the common cold … that last maybe a week to 10 days,” he says. “I think people extend that to bronchitis or a chest cold and think it should last that long as well.” Some coughs hang around for longer, and as inconvenient as they can be, we need to allow ourselves enough time to recover. “Americans are not known for being the most patient people in the world,” Ebell adds.

Knowing the actual timeline can keep you from getting freaked out for no reason. Still, there are signs to watch out for, says Meir Kryger, MD, a professor of pulmonary medicine at the Yale School of Medicine. Watch to see if your cough has a creepy partner in crime, like funky-looking or excessive phlegm. “If you’re coughing and you’re bringing up something, it’s usually something you should go to the doctor for,” says Kryger. Also watch for changes in the color of your phlegm or traces of blood, both of which merit a trip to the doc.

If your cough is accompanied by shortness of breath or a wheezing noise in your chest, it’s also smart to get checked out. A barking or whooping sound, accompanied by a coughing spasm, could be a sign of adult whooping cough, which Kryger says is on the rise. In addition, some coughs can be caused or aggravated by certain medications, like those used to treat high blood pressure.

While you may not be breathing easy in just one or two weeks’ time, see a doc if you have any of the above symptoms. “It’s better to be safe than sorry,” says Kryger.

More from WH:
The Best OTC Cold and Flu Meds
Germ-Proof Your Office
Your Step-By-Step Guide to Hand-Washing

Discover surprising walking tips, tricks, and techniques to melt fat fast and get a tighter, firmer butt with Walk Your Butt Off! Buy it now!

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How Long Should a Cough Last?

Has your annoying cough been dragging on for weeks? It’s annoying for sure, but it’s also totally normal. People tend to underestimate how long a cough should last, according to a new study published in the Annals of Family Medicine. Skewed expectations may be one reason why antibiotics are over-prescribed, even for viral infections.

In a phone survey, researchers asked 493 people how long they thought a case of ACI (acute cough illness, a.k.a. a cold that causes coughing) should last. At the same time, they looked at the existing medical literature to see how long ACI actually lasts on average. Survey respondents guessed that a cough should last 7-9 days. The literature, by contrast, showed that the mean duration of a cough is almost 18 days.

18 days of hacking sounds like a long time, which helps explain why many people would be tempted to see a doctor much sooner than that. Doctors may feel pressured to prescribe antibiotics, even when it’s unnecessary or (in the case of a viral infection) useless.

There’s a reason we get anxious about a lingering cough, says lead study author Mark H. Ebell, MD, MS, an associate professor at the University of Georgia. “There are a lot of infections like the common cold … that last maybe a week to 10 days,” he says. “I think people extend that to bronchitis or a chest cold and think it should last that long as well.” Some coughs hang around for longer, and as inconvenient as they can be, we need to allow ourselves enough time to recover. “Americans are not known for being the most patient people in the world,” Ebell adds.

Knowing the actual timeline can keep you from getting freaked out for no reason. Still, there are signs to watch out for, says Meir Kryger, MD, a professor of pulmonary medicine at the Yale School of Medicine. Watch to see if your cough has a creepy partner in crime, like funky-looking or excessive phlegm. “If you’re coughing and you’re bringing up something, it’s usually something you should go to the doctor for,” says Kryger. Also watch for changes in the color of your phlegm or traces of blood, both of which merit a trip to the doc.

If your cough is accompanied by shortness of breath or a wheezing noise in your chest, it’s also smart to get checked out. A barking or whooping sound, accompanied by a coughing spasm, could be a sign of adult whooping cough, which Kryger says is on the rise. In addition, some coughs can be caused or aggravated by certain medications, like those used to treat high blood pressure.

While you may not be breathing easy in just one or two weeks’ time, see a doc if you have any of the above symptoms. “It’s better to be safe than sorry,” says Kryger.

More from WH:
The Best OTC Cold and Flu Meds
Germ-Proof Your Office
Your Step-By-Step Guide to Hand-Washing

Discover surprising walking tips, tricks, and techniques to melt fat fast and get a tighter, firmer butt with Walk Your Butt Off! Buy it now!

javahut healthy feed

The Sign That Predicts How Long You’ll Stay Fertile

Waiting for the right time to have kids? First, consider your mom’s biological clock. New research suggests that your mother’s age of menopause may predict when your fertility will decline, according to an article published in the journal Human Reproduction.

Swedish researchers divided 527 women into three groups based on their mother’s age of menopause. Then, they assessed each daughter’s fertility by measuring a certain kind of hormone in the blood and by counting the number of antral follicles, the egg-containing cell clusters in the ovaries. Researchers found that both measures of fertility (also known as ovarian reserve) declined faster among the women whose mothers experienced menopause before the age of 45, compared to women whose mothers entered menopause after the age of 55.

Women’s eggs decline in number and quality as they age, but the study results suggest that the speed of this decline may be genetic. Meaning: If your mom experienced menopause early (i.e., before age 45) there’s a chance that you could experience an early decline in your fertility, and subsequent early menopause, also.

That said, your mom’s biological history isn’t an exact blueprint for your own fertility future. “We have always been aware that there might be a relationship between maternal age of menopause and your own, but it’s not necessarily a black-and-white relationship,” says Cynthia A. Stuenkel, MD, clinical professor of medicine in the Division of Endocrinology and Metabolism at University of California, San Diego School of Medicine, who is affiliated with The North American Menopause Society (NAMS). “Don’t feel like, ‘if this happened to my mother, this will happen to me’. Other factors may have been at play in the mother that are unknown to her daughter.”

Thyroid disease, radiation, and heart disease risk factors such as hypertension, type 1 diabetes, and elevated blood glucose are suspected to contribute to early menopause. And while there’s no guarantee that a healthy lifestyle will contribute to a later menopause, your lifestyle factors (i.e., smoking), and your mother’s lifestyle factors (i.e., smoking while she was pregnant with you) could potentially impact your reproductive age. Also, don’t forget that half your genes come from your father. There’s been no data that links paternal side age of menopause to early reproductive aging, says Stuenkel.

“This study is just a call to action if you’re on the fence about having a family,” Stuenkel says. “If you seriously want to conceive, talk to your doctor about whether your ovarian reserve should be tested, based on your age, family history, and existing health conditions.”  An infertility doctor may be able to estimate how many years you have left before menopause by using hormone measurements and an ultrasound to assess your antral follicles.

While you can’t necessarily control how quickly your genetically-set biological clock will tick, you can make these lifestyle changes to begin preserving your fertility, pronto.

photo: Dynamic Graphics/Creatas/Thinkstock

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Getting Pregnant Tips
Should You Freeze Your Eggs?
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Veterans Face Long Waits For Mental Health Care

Today, Senator Patty Murray (D-Washington), Chairman of the Senate Veterans’ Affairs Committee, held a hearing addressing the lack of sufficient mental health care for returning veterans. According to a report released by the inspector general for the Department of Veterans Affairs earlier this week, it often takes far longer than the VA’s stated goal period of 14 days for first-time patients to receive a comprehensive mental health evaluation. Last year, more than half of returning vets had to wait an average of seven weeks for an evaluation.

“Getting our veterans timely mental health care can quite frankly often be the difference between life and death,” Sen. Murray said in a statement.

In her opening statement, Sen. Murray addressed insufficient staffing and space available for veterans’ mental health care, and sought answers to ensure that military men and women receive the crucial treatment they need to keep them safe from harm following their service.

Women’s Health’s special report in the May issue focuses on the mental health struggles among female veterans. As Julia Savacool reports in “Home Safe But Not Sound,” suicide rates are on the rise among women in the military after they return home from war, when they’re supposedly out of harm’s way. We investigate the pressures facing women upon their return, note the disturbing lack of female-specific mental health services available to help them, and seek to discover how we can protect them.

More From WH:
Female Veterans: Home Safe But Not Sound
Suicide Warning Signs
Causes and Cures of Post-Traumatic Stress
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