Is the Viral Claim of Coughing and Patting 20 Times Effective? - Otolaryngology

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Is it true that coughing 20 times will cure it, as circulated on the internet?


Hello Doctor: I recently came across an article stating that many people have verified that coughing and then patting the back 20 times can lead to improvement the next day.
It is said that doing this twice a day can help with chronic coughs, and that typical coughs improve within two days.
It's quite miraculous! ...
http://goez1.com/p74137.asp.
Is what the article claims true? I have been troubled by my cough for a long time; I often feel like something is stuck in my throat when eating and have the urge to clear my throat.
I also frequently cough at night.
I have seen an ENT specialist who suggested that it might be gastroesophageal reflux disease (GERD).
After undergoing an endoscopy, the doctor said my GERD is manageable and my stomach looks quite clean.
Why do I still often feel like something is stuck in my throat and have the urge to clear phlegm and cough? What treatment options are available? Thank you, Doctor!

Jie, 60~69 year old female. Ask Date: 2016/10/19

Dr. Zheng Jueyi reply Otolaryngology


Hello, the online article pertains to Traditional Chinese Medicine treatment, which I am not familiar with, so I will refrain from commenting.
Chronic cough is often associated with gastroesophageal reflux, post-nasal drip, or respiratory sensitivities such as asthma.
If symptoms persist without improvement, it is advisable to seek treatment from the relevant specialties.
If you have already consulted with an otolaryngologist and a gastroenterologist, I recommend seeing a pulmonologist for further evaluation.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/10/19

More Info


The claim that coughing and patting oneself 20 times can effectively alleviate cough symptoms is not supported by scientific evidence. While it may seem like a simple home remedy, there is no clinical research to validate its effectiveness. Coughing is a reflex action that helps clear the airways of irritants, mucus, or foreign particles. However, the idea that a specific number of coughs combined with physical patting can lead to a quick resolution of a cough is more anecdotal than factual.

Coughing can be caused by a variety of factors, including respiratory infections, allergies, asthma, and gastroesophageal reflux disease (GERD). In your case, it seems that you have been experiencing persistent cough and throat discomfort, which may be linked to GERD, as suggested by your ENT specialist. GERD occurs when stomach acid flows back into the esophagus, leading to symptoms such as heartburn, regurgitation, and throat irritation. This can cause a sensation of mucus accumulation in the throat, prompting the urge to cough.

Given that your endoscopy results indicated that your stomach is relatively healthy, it is essential to consider other potential causes of your symptoms. Chronic cough can also be associated with post-nasal drip, where mucus from the nasal passages drips down the back of the throat, leading to irritation and coughing. Allergies or sinus infections can contribute to this condition, so it might be worthwhile to explore these possibilities further.

To manage your symptoms effectively, consider the following recommendations:
1. Lifestyle Modifications: If GERD is a contributing factor, lifestyle changes can help alleviate symptoms. Avoid eating large meals and lying down immediately afterward. It is advisable to wait at least two to three hours after eating before lying down. Additionally, avoiding trigger foods such as spicy dishes, caffeine, alcohol, and carbonated beverages can be beneficial.

2. Hydration: Staying well-hydrated can help thin mucus, making it easier to clear from your throat. Drinking warm fluids, such as herbal teas or broths, may provide soothing relief.

3. Humidification: Using a humidifier in your bedroom can help keep the air moist, which may ease throat irritation and reduce coughing, especially at night.

4. Over-the-Counter Remedies: Consider using over-the-counter medications such as antihistamines if allergies are suspected, or cough suppressants if the cough is particularly bothersome. However, consult with a healthcare professional before starting any new medication.

5. Consult a Specialist: Since your symptoms have persisted, it may be beneficial to consult a pulmonologist or an allergist for further evaluation. They can conduct tests to determine if there are underlying respiratory conditions or allergies contributing to your cough.

In conclusion, while the viral claim of coughing and patting oneself 20 times lacks scientific backing, understanding the underlying causes of your cough is crucial for effective treatment. Persistent coughs often require a comprehensive approach that includes lifestyle changes, proper hydration, and possibly medication. If your symptoms continue to disrupt your daily life, seeking further medical advice is essential to find a tailored treatment plan that addresses your specific needs.

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