A wet cough is a type of cough that brings up fluid, such as phlegm. This is the opposite of a dry cough, which does not produce any fluid.

    In some cases, the type of cough a person has can help indicate its cause. This is because some underlying conditions produce mainly wet coughs, while others produce mainly dry coughs.

    Read on to learn about some other differences between wet and dry coughs, as well as their potential causes. This article also outlines the various treatment options available for a wet cough.

    Coughing is a reflex that occurs in response to irritation in the throat or lungs. It is the body’s way of removing irritants such as fluid and phlegm.

    A wet cough occurs when fluid in the airways triggers the coughing reflex. Another name for a wet cough is a productive cough, since it produces phlegm.

    A wet cough can occur for a variety of reasons. Some potential causes include:

    • respiratory infections
    • chronic lung conditions
    • a heart condition

    Sometimes, a wet cough is accompanied by other symptoms, such as:

    • shortness of breath
    • wheezing
    • bubbling, popping, or rattling sounds, called “crackles”
    • continuous, low pitched, snore-like sounds, called “rhonchi”
    • pink tinged phlegm

    These symptoms can provide a clue as to what is causing the wet cough.

    Various disease processes affect the lungs in different ways. A wet cough indicates that there is fluid in the airways. With a dry cough, however, there is little to no fluid in the airways. Therefore, a dry cough does not produce phlegm.

    Some conditions may produce either a wet cough or a dry cough. Other conditions may produce mainly one or mainly the other, but with both potentially present.

    Causes of a wet cough

    Some typical causes of a wet cough include:

    A respiratory infection

    A wet cough often occurs as a result of a respiratory infection. Various types of respiratory infection can lead to an increase in mucus, including:

    • the common cold
    • acute bronchitis
    • pneumonia

    Other potential symptoms of a respiratory infection include:

    • a sore throat
    • fever or chills
    • fatigue

    Bronchiectasis

    The bronchial tubes carry air in and out of the lungs. Bronchiectasis is a condition in which the surface tissue of the bronchial tubes becomes thick, floppy, and scarred, with a widening of the tube diameter as a result of chronic inflammation .

    This results in excess mucus production, which can trigger a wet cough. Excess mucus production, leading to a buildup within the bronchial tubes, also increases the risk of a lung infection.

    Some other potential symptoms of bronchiectasis include:

    • wheezing
    • breathlessness
    • fatigue
    • coughing up blood or blood stained phlegm
    • chest pain
    • joint pain
    • clubbing of the fingertips

    Chronic obstructive pulmonary disease

    Chronic obstructive pulmonary disease (COPD) is an umbrella term for a group of chronic and progressive lung conditions. Some of these include:

    • emphysema
    • chronic bronchitis
    • refractory asthma

    Some forms of COPD cause damage to the tiny air sacs within the lungs, while others affect the bronchial tubes, the bronchioles, or both.

    Some symptoms of COPD include:

    • a wet cough
    • wheezing
    • shortness of breath
    • tightness in the chest

    Congestive heart failure

    Congestive heart failure (CHF) occurs when the heart has difficulty pumping blood throughout the body. When this ineffective pumping occurs on the left side of the heart, it causes fluid to leak into the air sacs within the lungs. The result is a wet cough, crackles, and wheezing.

    According to the American Heart Association (AHA) , CHF may produce pink tinged mucus. Some additional symptoms may include:

    • shortness of breath
    • fatigue
    • swelling of the legs or feet, due to right sided heart failure causing poor circulation

    Causes of a dry cough

    A dry cough differs from a wet cough in that it does not produce any fluid or mucus. It generally develops in response to irritation or inflammation of the airways.

    Some common causes of a dry cough include:

    • gastroesophageal reflux disease
    • asthma
    • pulmonary fibrosis
    • certain medications

    According to the World Health Organization (WHO) , the most common symptoms of COVID-19 are a dry cough, fever, and tiredness. In some people, however, coughing may produce sputum.

    The Centers for Disease Control and Prevention (CDC) report that a sore throat and a runny nose, or nasal congestion, can be prominent symptoms in some cases.

    The symptoms of COVID-19 are usually mild and tend to begin gradually. Severe COVID-19 can lead to pneumonia. If a person develops pneumonia, they may develop a wet cough.

    People with a persistent wet cough may seek treatments to suppress it. However, suppressing a wet cough can lead to a buildup of mucus in the air passages of the lungs. This can lead to further complications, such as breathing difficulties and infection.

    Instead of suppressing it, wet cough treatments typically aim to improve cough efficiency, thereby helping people clear the airways.

    Other treatments aim to clear phlegm and associated irritation in the back of the throat.

    If the cough is due to an underlying medical condition, a doctor will prescribe specific treatments for that condition.

    Treatments to improve cough efficiency and clear phlegm

    Some of the treatments below help improve cough efficiency. Others decrease mucus in the back of the throat, thereby reducing the need to cough.

    Expectorants and mucolytics

    Expectorants and mucolytics are medications that thin the mucus and make it less sticky. This makes it easier for people to cough it up.

    These medications work best for people who have a wet cough but are having difficulty getting the phlegm up.

    Airway clearance devices

    Airway clearance devices, such as the oscillating positive expiratory pressure (PEP) device, use pressure and vibration to help shift phlegm from the airways during exhalation. This helps improve cough efficiency.

    A 2014 review investigated the efficacy of PEP therapy in the treatment of stable bronchiectasis. The review included seven studies involving a total of 146 participants. The researchers found that PEP therapy improved cough effectiveness and sputum expectoration compared with no treatment.

    Gargling with salt water

    Gargling with salt water is an easy home remedy that may help alleviate a wet cough. The salt water may decrease mucus in the back of the throat, thereby reducing the need to cough.

    A range of different salt water recipes are available. Most, including that of the American Dental Association , recommend mixing half a teaspoon of salt with 8 ounces of warm water. People should consider gargling this a few times per day to reduce phlegm.

    Specific treatments

    The treatment options for a wet cough also depend partly on the cause. Some more specific treatments include:

    Antibiotics

    Antibiotics are helpful for a wet cough that occurs due to a bacterial infection.

    One 2017 review found that taking appropriate antibiotics can improve a chronic wet cough among children with bacterial bronchitis.

    Medications to treat CHF

    People who experience a wet cough due to CHF may receive drugs called diuretics, which help relieve fluid retention . This, in turn, can reduce the amount of fluid in the lungs, which can help alleviate a wet cough.

    People who have CHF may also receive drugs to:

    • reduce the heart rate
    • regulate the heart rhythm
    • control the blood pressure
    • reduce the cholesterol levels

    In some cases, a wet cough may indicate a serious underlying health condition, such as a lung or heart condition. If a person is in any doubt as to the cause of their wet cough, they should make an appointment to see their doctor.

    People should see a doctor as soon as possible if they experience any of the following symptoms alongside a cough:

    • foul-smelling phlegm
    • green, yellow, or pink tinged phlegm
    • coughing up blood
    • swelling in the legs, feet, or ankles
    • a wet cough that lasts for longer than a few days
    • significant fever or chills

    People who experience the following symptoms should seek emergency medical attention:

    • bluish skin or nails
    • labored breathing
    • confusion or loss of consciousness
    • chest pain

    A wet cough occurs as a result of excess fluid or mucus in the airways. A range of conditions can cause a wet cough, including respiratory infections, chronic lung conditions, and CHF.

    Once a doctor has diagnosed the underlying cause of a wet cough, a person can begin appropriate treatment.

    The treatment will depend partly on the cause of the wet cough. Medications such as mucolytics and expectorants can help remove mucus from the lungs. Antibiotics can help treat bacterial respiratory infections, while specific CHF medications will be necessary to treat the symptoms of heart failure.

    People should see a doctor if they are in any doubt as to the cause of their wet cough.

    Does a wet cough mean pneumonia?
    Symptoms of pneumonia may include: Fever. Chest pain. Productive cough (may be described as a "moist" or "wet" cough) more
    What is pneumonia cough like?
    A classic sign of bacterial pneumonia is a cough that produces thick, blood-tinged or yellowish-greenish sputum with pus. Pneumonia is an infection that inflames the air sacs in one or both lungs. more
    Is a wet cough contagious?
    While a cough itself isn't contagious, the germs that a cough spreads may be. Whether visible or not, each time someone coughs, very small particles are spread into the air. Sometimes these particles spread just a few inches, sometimes several feet. more
    What is a pneumonia cough like?
    A classic sign of bacterial pneumonia is a cough that produces thick, blood-tinged or yellowish-greenish sputum with pus. Pneumonia is an infection that inflames the air sacs in one or both lungs. more
    What pneumonia cough sounds like?
    If you have pneumonia, your lungs may make crackling, bubbling, and rumbling sounds when you inhale. more
    Is a pneumonia cough wet or dry?
    Symptoms: People with bacterial pneumonia usually experience a higher temperature and a wet cough, whereas people with viral pneumonia tend to experience a lower temperature and a dry cough. more
    Is a pneumonia cough wet or dry?
    Symptoms: People with bacterial pneumonia usually experience a higher temperature and a wet cough, whereas people with viral pneumonia tend to experience a lower temperature and a dry cough. more
    Is pneumonia a dry or wet cough?
    Symptoms: People with bacterial pneumonia usually experience a higher temperature and a wet cough, whereas people with viral pneumonia tend to experience a lower temperature and a dry cough. more
    Can vaping cause a wet cough?
    If you are an experienced smoker and have just turned to vaping, Vapers Cough is one of the only side effects that you may experience. This is an irritating, prickly cough which you will get after inhaling on your vaping device. You may also experience a sore throat or irritated respiratory tract. more
    Can GERD cause wet cough?
    Can GERD cause coughing? Absolutely. Some studies indicate that 25 percent or even more of cases of chronic cough may have some type of association with GERD, according to the U.S. Library of Medicine. more
    Is pneumonia a dry or wet cough?
    Symptoms: People with bacterial pneumonia usually experience a higher temperature and a wet cough, whereas people with viral pneumonia tend to experience a lower temperature and a dry cough. more

    Source: www.medicalnewstoday.com

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