Persistent Cough for Two Weeks: When to See an ENT or Pulmonologist?

I have been coughing for two weeks?

I have been coughing for two weeks and have already visited a well-known otolaryngologist twice.
The doctor said it is throat inflammation.
I had more phlegm during the first week, but in the second week, there is not much phlegm, yet the cough persists, and my voice is still hoarse.
I have been avoiding sweets and fried foods, and I usually drink plenty of warm water.
If I finish the medication for the second week and do not improve, should I continue seeing the otolaryngologist or switch to a pulmonologist?

wei, 20~29 year old female. Ask Date: 2016/04/24

Dr. Zheng Jueyi reply Otolaryngology

Hello, if the persistent cough does not improve, you may visit the Department of Pulmonary Medicine at the hospital for further evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/24

More Info

Persistent cough lasting for two weeks can be concerning, especially if it has not improved despite treatment. In your case, you have already consulted an ENT specialist twice, who diagnosed you with throat inflammation. The initial symptoms of a productive cough with phlegm have transitioned to a dry cough with hoarseness, which can be indicative of several underlying issues.

Given that your cough has persisted for two weeks without significant improvement, it is advisable to consider further evaluation. While ENT specialists are well-equipped to handle throat-related issues, if your symptoms continue or worsen, it may be prudent to consult a pulmonologist. Pulmonologists specialize in respiratory conditions and can provide a more comprehensive assessment of your lungs and airways.

Here are some considerations to keep in mind:
1. Duration and Severity: A cough lasting more than two weeks warrants further investigation. If your cough is accompanied by other symptoms such as shortness of breath, chest pain, or fever, it is essential to seek medical attention promptly.

2. Response to Treatment: If the medications prescribed by your ENT specialist have not alleviated your symptoms, it may indicate that the underlying cause is not being addressed. A pulmonologist may offer different treatment options or diagnostic tests, such as a chest X-ray or pulmonary function tests, to determine the cause of your cough.

3. Potential Causes: Chronic cough can result from various conditions, including post-nasal drip, asthma, gastroesophageal reflux disease (GERD), or even infections like bronchitis or pneumonia. A pulmonologist can help rule out these conditions and provide targeted treatment.

4. Lifestyle Modifications: You mentioned avoiding sweet and fried foods and drinking warm water, which are good practices. Additionally, consider avoiding irritants such as smoke, strong odors, and allergens that may exacerbate your symptoms. Humidifying your living space can also help soothe your throat and reduce coughing.

5. Follow-Up Care: If you complete your current course of medication and do not see improvement, it is advisable to follow up with your ENT or seek a pulmonologist's opinion. They may recommend additional tests or treatments based on your symptoms and medical history.

In summary, while your current treatment from the ENT specialist is essential, the persistence of your cough and the change in its nature suggest that further evaluation by a pulmonologist may be beneficial. It is crucial to advocate for your health and seek the necessary care to address your symptoms effectively. If you experience any alarming symptoms, such as difficulty breathing or chest pain, do not hesitate to seek immediate medical attention.

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