Advanced Head & Neck Rehabilitation Center of Texas
  • Start
    • Introduction video
    • Site Map
  • About
    • Meet the Staff
    • Contact
    • Informational Handouts
    • Publications
    • Links
    • Disclaimer
  • The NTLS
  • Laryngectomy
    • Stories, testimonials and clinical videos
    • Laryngectomees Making News
    • Changes following a laryngectomy >
      • Anatomical Changes After Laryngectomy
      • Functional Changes After Laryngectomy
      • Swallowing After Laryngectomy
      • Smelling after Laryngectomy
    • General Care >
      • Stoma Care
      • Using Suction
      • Saline Bullets
      • Bathing and Showering as a Laryngectomy
    • Tracheoesophageal Voice Prosthesis - TEP >
      • Cleaning Your Voice Prosthesis
      • Troubleshooting Voice Prosthesis Issues
      • Voicing Tips
      • Handsfree Speech
      • Controlling Fungal Growth
      • TEP and HME During Radiation Treatment
    • The Electrolarynx
    • HME and Tubes >
      • Using an HME Cassette
      • Cleaning Mucous From An HME
      • How To Apply An Adhesive Housing
      • Applying an OptiDerm Adhesive Housing
      • Larytube Use and Cleaning
      • Larybutton Use and Cleaning
    • Laryngectomy FAQ >
      • General Post-Op
      • Swallowing
      • HME's - Adhesives - Larybuttons
      • TEP's and voicing
    • Rescue Breathing for Laryngectomees and Neck Breathers
  • Radiation
    • Swallowing During Radiation Treatment
    • Preventing Trismus
    • Oral Care During Radiation Treatment
    • Nutrition During Radiation Treatment
    • When Nothing Tastes Right
    • TEP and HME During Radiation
    • Radiation FAQ
  • Swallowing
    • Normal Swallowing
    • Dysphagia >
      • What is Dysphagia?
      • Common Symptoms of Dysphagia
      • Evaluating Dysphagia
    • Management of Dysphagia >
      • Overview: Diet and Intake Modifications
      • Dysphagia Therapy
      • Medical Management
      • Vital-Stim Instructions
    • Trismus
    • Returning to Eating Again
    • Dietary Guidelines >
      • SOFT DIET
      • PUREED DIET
      • MOIST DIET
      • Thickening Liquids at Home
    • Therapeutic feeding
    • Swallowing exercises
  • Tracheostomy
    • Indications
    • Trach Tube Anatomy
    • Tracheostomy Tube Varieties >
      • Cuffed vs Cuffless Tubes
      • Types of Cuffs
      • Proper Cuff Inflation
      • Fenestrated vs. Non-Fenestrated Tubes
    • Being a “Neck Breather” >
      • Physiologic and Functional Changes
    • Speaking with a Tracheostomy Tube >
      • Understanding How a Voice is Produced
      • Speaking Valves and Alternatives
    • Swallowing with a Tracheostomy
    • Suction
    • Tracheostomy Care & Decannulation
    • Tracheostomy FAQ
  • Feeding Tubes
    • Feeding Tube Guide
    • Overview
    • Why Feeding Tubes are Used
    • Types of Feeding Tubes
    • Feeding Tube Methods
    • Gastrostomy Tube Troubleshooting
    • G-Tube Removal: Preparation and Post-Removal Instructions
    • Feeding Tube FAQ
  • Reflux
    • What is Reflux?
    • Evaluating Reflux
    • Reflux Management
    • Medications
    • Reflux Diet: Beneficial Dietary and Lifestyle Changes
    • Reflux Diet: So What Can I Eat?
    • Extensive Testing and Management
    • Reflux FAQ
  • Voice
    • Voice Care
    • Evaluating Voice Disorders
    • Types of Voice Disorders
    • Managing Voice Disorders
  • Chronic Cough
    • Chronic Cough Management
    • Irritable Larynx Diagnosis
    • Management of ILS
    • Vocal Hygiene
    • Cough Cessation Protocol
    • Chronic Cough FAQ

Chronic Cough FAQ

How long do i need to follow my protocol instructions?


​Although many patients notice an improvement in their cough after the first 2-3 weeks, it is important that the larynx has recovered entirely before discontinuing the guidelines provided to you. Although you may be doing much better in regard to your coughing behavior, the larynx can take quite a while to recover (>8 weeks) and be prone to injury very easily during this recovery time. Your doctor or SLP will instruct you on when you can begin to wean from the protocol instructions.

I don't have reflux, so why do i need to take reflux medication and/or follow a special diet?


​Even if reflux is not believed to be significantly contributing to your cough, you will still be placed on a reflux management protocol. It is important to follow these guidelines to minimize the potential for 
even occasional reflux further damaging the already sensitive larynx during this recovery process.

How long will it take for my cough
​to get better?


​Many patients notice a significant improvement after the first 2-3 weeks. How dramatic a change you notice is usually dependent on how well you are able to follow the protocol instructions 
and how effectively you are able to reduce your amount of volitional coughing and throat clearing.

Of course, a more severely irritated/sensitive larynx will typically take longer to recover than a more mild case. Your SLP can provide general guidelines for your recovery time on this basis, although recovery is always dependent of how well you are able to comply with the protocol guidelines, especially regarding cough avoidance.

Why do i have to restrict my voice use?


​It has been determined that your coughing is the result of a very irritated larynx (voice box). Although the reasons for how it became irritated can vary, there is usually a degree of inflammation/trauma involved in the irritation. By limiting your voice use and preventing voice use that may be further traumatizing to the larynx (such as yelling), the larynx is allowed to recover without risk of further trauma. Consider it similarly to being careful with a sprained ankle while you are trying to allow it to recover. You wouldn’t likely jump or run on it during the recovery period. Same thing!

Why are cough drops bad to use?


​There is very little, if any, cough suppressant medication in most cough drops.  Also, it is important to remember that patients with a irritable larynx do not receive any benefit from typical cough medications. Besides not benefiting from any medicinal effect, these drops typically contain menthol and/or eucalyptus which are EXTREMELY IRRITATING to the larynx. In other words, they serve to make the larynx more irritated, which is the primary issue we are trying to correct with your chronic cough!

The primary reason patients feel relief from using cough drops has to do with the lubricating effect they have on the throat. Well lubricated surfaces of the throat are typically less sensitive, although the menthol and eucalyptus will quickly cause a notable irritation once the cough drop is gone. This is why some people are constantly sucking on cough drops. They experience relief when using them, then once the drop is gone, a notable throat irritation is left, prompting them to “need” another drop.

The soothing effects of the cough drop’s lubrication property can be experience by sucking on a hard candy instead. In fact, this is far more helpful as candy drops or disks have the same lubrication and soothing effects, without the harsh irritation of the menthol and eucalyptus.

NOTE: Avoid mint and sour hard candies as these can also be irritating; butterscotch disks and similar are generally recommended if you find this helpful. 

Why do i need to sleep with a humidifier?


​The throat is designed to be moist. A lack of moisture and lubrication can result in more sensitive tissues. This is why drinking water  and sucking on hard candies can help sooth an irritated throat.


During the day, we typically breathe through our nose, which serves to moisten the air we inhale. At night, however, most adults tend to breathe through open mouths when sleeping, which does not have the same ability to humidify the air. In fact, breathing through the mouth dries the lining of the mouth and throat, allowing for increased irritation.  This is why many patients report waking up coughing. Sleeping with a humidifier may help improve the moisture in the throat, reducing the potential for further irritation and sensitivity.

How does swallowing help me
​from coughing?


​Coughing is a traumatic event where the vocal cords clap together forcefully. Think about clapping you hands together, frequently, all day long. Your palms would be sore and irritated. Now imagine how your vocal cords must “feel” after a day of coughing!


When we swallow, the vocal cords come together, as they do during a cough, but in a much more gentle manner. In this sense, swallowing can act similar to “rubbing an itch” instead of harshly scratching an itch, as when you cough. In many cases then, swallowing can help to lessen the itch or tickle, perhaps not the same as a cough, but  enough to where you feel you can manage without coughing or throat clearing. This saves your vocal cords the trauma of the cough! The more often you are able to do this, and avoid a cough, the more your vocal cords are able to recover, becoming less and less irritated.

Just as coughing can make you more irritated and need to cough more; not coughing can reduce your need to cough.

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  • Start
    • Introduction video
    • Site Map
  • About
    • Meet the Staff
    • Contact
    • Informational Handouts
    • Publications
    • Links
    • Disclaimer
  • The NTLS
  • Laryngectomy
    • Stories, testimonials and clinical videos
    • Laryngectomees Making News
    • Changes following a laryngectomy >
      • Anatomical Changes After Laryngectomy
      • Functional Changes After Laryngectomy
      • Swallowing After Laryngectomy
      • Smelling after Laryngectomy
    • General Care >
      • Stoma Care
      • Using Suction
      • Saline Bullets
      • Bathing and Showering as a Laryngectomy
    • Tracheoesophageal Voice Prosthesis - TEP >
      • Cleaning Your Voice Prosthesis
      • Troubleshooting Voice Prosthesis Issues
      • Voicing Tips
      • Handsfree Speech
      • Controlling Fungal Growth
      • TEP and HME During Radiation Treatment
    • The Electrolarynx
    • HME and Tubes >
      • Using an HME Cassette
      • Cleaning Mucous From An HME
      • How To Apply An Adhesive Housing
      • Applying an OptiDerm Adhesive Housing
      • Larytube Use and Cleaning
      • Larybutton Use and Cleaning
    • Laryngectomy FAQ >
      • General Post-Op
      • Swallowing
      • HME's - Adhesives - Larybuttons
      • TEP's and voicing
    • Rescue Breathing for Laryngectomees and Neck Breathers
  • Radiation
    • Swallowing During Radiation Treatment
    • Preventing Trismus
    • Oral Care During Radiation Treatment
    • Nutrition During Radiation Treatment
    • When Nothing Tastes Right
    • TEP and HME During Radiation
    • Radiation FAQ
  • Swallowing
    • Normal Swallowing
    • Dysphagia >
      • What is Dysphagia?
      • Common Symptoms of Dysphagia
      • Evaluating Dysphagia
    • Management of Dysphagia >
      • Overview: Diet and Intake Modifications
      • Dysphagia Therapy
      • Medical Management
      • Vital-Stim Instructions
    • Trismus
    • Returning to Eating Again
    • Dietary Guidelines >
      • SOFT DIET
      • PUREED DIET
      • MOIST DIET
      • Thickening Liquids at Home
    • Therapeutic feeding
    • Swallowing exercises
  • Tracheostomy
    • Indications
    • Trach Tube Anatomy
    • Tracheostomy Tube Varieties >
      • Cuffed vs Cuffless Tubes
      • Types of Cuffs
      • Proper Cuff Inflation
      • Fenestrated vs. Non-Fenestrated Tubes
    • Being a “Neck Breather” >
      • Physiologic and Functional Changes
    • Speaking with a Tracheostomy Tube >
      • Understanding How a Voice is Produced
      • Speaking Valves and Alternatives
    • Swallowing with a Tracheostomy
    • Suction
    • Tracheostomy Care & Decannulation
    • Tracheostomy FAQ
  • Feeding Tubes
    • Feeding Tube Guide
    • Overview
    • Why Feeding Tubes are Used
    • Types of Feeding Tubes
    • Feeding Tube Methods
    • Gastrostomy Tube Troubleshooting
    • G-Tube Removal: Preparation and Post-Removal Instructions
    • Feeding Tube FAQ
  • Reflux
    • What is Reflux?
    • Evaluating Reflux
    • Reflux Management
    • Medications
    • Reflux Diet: Beneficial Dietary and Lifestyle Changes
    • Reflux Diet: So What Can I Eat?
    • Extensive Testing and Management
    • Reflux FAQ
  • Voice
    • Voice Care
    • Evaluating Voice Disorders
    • Types of Voice Disorders
    • Managing Voice Disorders
  • Chronic Cough
    • Chronic Cough Management
    • Irritable Larynx Diagnosis
    • Management of ILS
    • Vocal Hygiene
    • Cough Cessation Protocol
    • Chronic Cough FAQ