Increased Coughing Frequency: Throat Inflammation and Eustachian Tube Dysfunction

Increased frequency of coughing fits?

Dear Dr.
Cheng,
Thank you very much for your responses regarding the increased frequency of coughing in the article "#156815".
I would like to ask the following questions:
1.
Recently, I have been experiencing gastroesophageal reflux that has reached my throat, leading to symptoms that seem like throat inflammation, such as itching, acidity, a tight sensation, and mild discomfort in my throat.
Could you please advise if throat inflammation can lead to an increased frequency of coughing?
2.
A while ago, I had a feeling of fullness in my right ear.
After visiting an otolaryngology clinic, the doctor suggested it might be an issue with the Eustachian tube.
After medication treatment, I still occasionally feel fullness in my right ear.
If I have Eustachian tube dysfunction, could you please clarify if "Eustachian tube dysfunction" can also lead to an increased frequency of coughing?
Thank you, Dr.
Cheng.

Axiang, 30~39 year old female. Ask Date: 2020/06/01

Dr. Zheng Jueyi reply Otolaryngology

Hello,
1.
Gastroesophageal reflux may be related to an increased frequency of coughing.
It is recommended to manage this through dietary control or to consult a gastroenterologist for examination and treatment.

2.
Eustachian tube dysfunction is less likely to be related to the frequency of coughing.

Wishing you safety and health!
Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/06/01

More Info

Hello! Thank you for your questions regarding increased coughing frequency, throat inflammation, and Eustachian tube dysfunction. Let's address your concerns one by one.

1. Throat Inflammation and Coughing Frequency: Yes, throat inflammation can indeed lead to an increase in coughing frequency. When the throat is inflamed, as in cases of pharyngitis or laryngitis, it can become hypersensitive. This hypersensitivity can trigger a cough reflex, which is the body's way of trying to clear irritants from the throat or airways. Symptoms such as itching, burning, or a tight sensation in the throat, as you described, are common in inflammatory conditions. The irritation can also lead to post-nasal drip, where mucus drips down the back of the throat, further stimulating the cough reflex. Therefore, if you are experiencing throat inflammation due to gastroesophageal reflux disease (GERD), it is plausible that this could contribute to an increase in your coughing frequency.

2. Eustachian Tube Dysfunction and Coughing: Eustachian tube dysfunction (ETD) can also contribute to increased coughing frequency, although the connection may not be as direct as with throat inflammation. The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. When it is not functioning properly, it can lead to a sensation of fullness or pressure in the ear, which may cause discomfort. This discomfort can sometimes lead to a reflexive cough, especially if there is associated irritation in the throat or if there is a buildup of mucus that drips down from the nasal passages. Additionally, if the Eustachian tube dysfunction is related to allergies or sinus issues, these conditions can also contribute to throat irritation and coughing.

In summary, both throat inflammation and Eustachian tube dysfunction can lead to increased coughing frequency, albeit through slightly different mechanisms. It is essential to address the underlying causes of these symptoms. For throat inflammation, managing GERD through dietary changes, medications, or lifestyle modifications can be beneficial. For Eustachian tube dysfunction, treatments may include nasal decongestants, antihistamines, or even specific maneuvers to help open the Eustachian tube.

If your symptoms persist or worsen, it is advisable to consult with an ear, nose, and throat (ENT) specialist. They can perform a thorough examination and may recommend further tests, such as a laryngoscopy or audiometry, to assess the function of your Eustachian tubes and the state of your throat.
In conclusion, both conditions can contribute to increased coughing frequency, and addressing them holistically will likely provide you with relief. Thank you for your questions, and I hope this information helps clarify your concerns!

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