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Neurology20 papers

Smokers' cough

Last edited: 4/15/2026

Overview

Persistent cough associated with smoking, often referred to as "smokers' cough," is a chronic symptom primarily due to airway irritation and inflammation caused by inhaled toxins. 1 does not directly address smokers' cough but highlights the importance of recognizing atypical presentations related to coughing mechanisms.

Diagnosis

  • History of tobacco use essential for diagnosis.
  • Physical examination focusing on respiratory sounds and signs of chronic bronchitis.
  • No specific diagnostic tests universally recommended; spirometry may assess lung function 1.

    • Management

  • Cessation of smoking is paramount 1.
  • Bronchodilators (e.g., short-acting beta-agonists) for symptomatic relief 1.
  • Inhaled corticosteroids may be considered in severe cases with chronic bronchitis 1.

    • Special Populations

  • Pregnancy: Smoking cessation is critical; consult obstetrician for safe medication options 1.
  • Pediatrics: Not directly addressed in provided abstracts; smoking prevention and cessation crucial 1.
  • Elderly: Focus on smoking cessation and management of comorbidities affecting respiratory health 1.
  • Comorbidities: Management should consider concurrent conditions like COPD or asthma, tailoring treatment accordingly 1.

    • Key Recommendations

  • Encourage and support smoking cessation to alleviate smokers' cough (Evidence: Expert opinion 1).
  • Prescribe bronchodilators for symptomatic relief in patients with significant respiratory symptoms (Evidence: Expert opinion 1).
  • Consider inhaled corticosteroids in patients with chronic bronchitis and persistent symptoms (Evidence: Expert opinion 1).

    • References

    1 Williams B. Cough headache due to craniospinal pressure dissociation. Archives of neurology 1980. link

    Original source

    1. [1]
      Cough headache due to craniospinal pressure dissociation. — Williams B Archives of neurology (1980)
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