the Link Between Dry Cough and Severe Headaches - Neurology

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Dry cough and headache?


Hello doctor, recently whenever I experience severe headaches, I also have a dry cough, even though I don't have a cold or runny nose.
Sometimes the dry cough is quite intense.
What could be the reason for this? Thank you, doctor!

Xiao Yun, 20~29 year old female. Ask Date: 2016/08/30

Dr. Gao Chunde reply Neurology


Coughing generally causes headaches, which are usually related to intracranial pressure or crowding of the posterior fossa structures.
A small number of migraine attacks may be accompanied by unexplained dry cough, classified as neurogenic cough, with limited reports available on this phenomenon.

Reply Date: 2016/08/30

More Info


The relationship between severe headaches and dry cough can be complex and multifaceted. While it may seem unusual to experience both symptoms simultaneously, there are several potential explanations that can help clarify this connection.

Firstly, it is essential to understand that headaches can arise from various sources, including tension, migraines, sinus issues, and even infections. In your case, the presence of a dry cough alongside severe headaches may suggest a few different underlying mechanisms.

One possibility is that the cough is a response to irritation in the throat or airways, which can occur due to environmental factors such as allergens, pollutants, or dry air. This irritation can lead to muscle tension in the neck and head, potentially triggering a tension-type headache. Tension headaches are characterized by a dull, aching pain and can be exacerbated by stress, poor posture, or prolonged periods of sitting, especially in front of a computer.

Another explanation could be related to increased intracranial pressure. Coughing can cause a temporary increase in pressure within the skull, which might lead to headache symptoms. This is particularly relevant if the cough is severe or persistent. In some cases, headaches that occur with coughing may indicate a more serious condition, such as a cough headache, which is a rare type of headache triggered by coughing or other Valsalva maneuvers (like sneezing or straining).

Additionally, certain types of headaches, such as migraines, can be associated with various neurological symptoms. Some individuals may experience atypical symptoms during a migraine attack, including a dry cough. This phenomenon is less common but has been documented in medical literature as a form of "cough variant" migraine.

It is also worth considering the possibility of a viral or bacterial infection that may not present with typical cold symptoms like a runny nose or fever. For instance, respiratory infections can sometimes lead to a dry cough and headaches without the classic signs of illness. In such cases, the cough may be a reflexive response to inflammation in the respiratory tract, while the headache could stem from the body's systemic response to the infection.

If you have been experiencing these symptoms consistently, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as a CT scan or MRI, to rule out any serious underlying conditions, especially if the headaches are severe or have changed in pattern. Additionally, a referral to a neurologist or an ear, nose, and throat (ENT) specialist may be warranted to further investigate the relationship between your headaches and cough.

In summary, the link between severe headaches and dry cough can arise from various factors, including tension headaches due to muscle strain, increased intracranial pressure from coughing, atypical migraine symptoms, or underlying respiratory infections. A comprehensive evaluation by a healthcare provider is essential to determine the exact cause and to develop an appropriate treatment plan.

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