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With Flu Ticking Up Again, Doctors Explain When a Cough Needs Care

Seek evaluation if symptoms worsen or persist beyond about a week, with urgent care advised for blood in sputum, shortness of breath, chest pain or persistent fevers.

Overview

  • CDC reports U.S. flu activity is climbing again after a brief dip, extending the respiratory illness season into spring.
  • Clinicians advise an office visit if a cough lasts more than about a week or worsens, especially with fever or breathing trouble.
  • Seek urgent or emergency care for coughing up blood, significant shortness of breath, chest pain, persistent high fevers or unexplained weight loss.
  • Doctors classify coughs as acute (under 3 weeks), subacute (up to 8 weeks) and chronic (over 8 weeks), and persistent cases often arise from asthma, reflux or chronic sinus disease.
  • First-line relief includes dextromethorphan for dry coughs, guaifenesin to thin mucus, honey for those over 1 year, plus rest, fluids and humidified air, though benefits vary and evidence in children is limited.