Wellness Tips from Josef Schenker, MD
Welcome to our Wellness Tips series, where Dr. Josef Schenker, the Medical Director at Centers Urgent Care, shares his expertise in internal medicine and emergency medical services. Drawing from his extensive experience, Dr. Schenker offers practical advice to help you take charge of your health and improve your well-being.
In each installment, you’ll find expert insights on common health concerns, along with easy-to-follow tips to keep you feeling your best. Whether you’re seeking preventative care or looking for solutions to manage specific conditions, Dr. Josef Schenker’s guidance is designed to empower you with the knowledge you need for a healthier life.
Chronic Cough Management
A chronic cough is more than just a nuisance — it can significantly impact your daily life. In the United States, chronic cough affects approximately 10% of the population, making it a common yet often overlooked concern. While occasional coughing is normal, a persistent cough lasting weeks requires attention.
Proper management is crucial, as untreated chronic cough can lead to fatigue, disrupted sleep, and even rib fractures in severe cases. Understanding the causes and seeking medical advice is key to long-term relief. Josef Schenker, MD brings his extensive experience to guide you through this journey, ensuring you know when to seek professional help and what steps you can take at home to manage your symptoms effectively.
Dr. Josef Schenker Explains What is Chronic Cough
A chronic cough is defined as a cough that lingers for an extended period, often lasting eight weeks or more in adults and four weeks or more in children. Unlike a common cough that may follow a cold or respiratory infection and resolve within days, a chronic cough persists and can stem from various underlying conditions.
While a regular cough may clear up with simple home care, a chronic cough may require targeted treatment to address its root cause. Dr. Josef Schenker emphasizes that identifying what’s behind your persistent cough is the first step to finding the right solution.
Chronic Cough Causes
Chronic cough can arise from several conditions, ranging from mild to serious. Common causes include:
- Postnasal Drip (Upper Airway Cough Syndrome): Mucus dripping down the back of your throat can trigger coughing, especially when lying down.
- Asthma: Often associated with wheezing and shortness of breath, asthma-related coughs may worsen at night or during exercise.
- Gastroesophageal Reflux Disease (GERD): Stomach acid backing up into the esophagus can irritate the throat and cause coughing.
- Chronic Bronchitis: A type of chronic obstructive pulmonary disease (COPD), this condition causes inflammation in the airways, resulting in persistent coughing.
- Medications (ACE inhibitors): Certain blood pressure medications are known to trigger a persistent dry cough.
- Infections: Lingering respiratory infections like pneumonia or pertussis (whooping cough) can contribute to chronic cough even after the infection has cleared.
- Lung Conditions: Conditions such as bronchiectasis or interstitial lung disease can also cause persistent coughing.
- Smoking: Long-term smoking irritates the airways, often causing chronic cough as a symptom of a smoker’s lung.
Josef Schenker, MD, Explains How to Manage Chronic Cough
Effectively managing chronic cough begins with identifying its underlying cause. Josef Schenker, MD further explains that once the root issue is determined, a tailored treatment plan can provide relief and improve your quality of life.
Here are some effective strategies for managing chronic cough:
- Medications: Depending on the cause, medications such as antihistamines, inhalers, or acid blockers may be prescribed to control postnasal drip, asthma, or GERD.
- Lifestyle Adjustments: Quitting smoking, avoiding allergens, or adjusting your diet to reduce acid reflux can significantly reduce chronic cough.
- Hydration: Drinking plenty of water helps thin mucus, making it easier to clear your airways.
- Throat Lozenges or Honey: These can soothe the throat and provide temporary relief for irritation-related coughing.
- Air Humidifiers: Keeping your indoor air moist can prevent dry throat irritation that may trigger coughing.
- Cough Suppressants or Expectorants: Over-the-counter remedies can ease persistent coughing by reducing irritation or loosening mucus.
Josef Schenker, MD reminds us that if your cough persists despite these treatments or worsens over time, it’s essential to consult a healthcare professional. A chronic cough may signal a more serious condition that requires medical evaluation and specialized care.
Chronic Cough Management: Lifestyle and Home Remedies
Medical treatment is crucial, but adding lifestyle adjustments can enhance your recovery and improve long-term outcomes. Dr. Josef Schenker encourages you to consider these helpful changes and home remedies:
- Quit Smoking: One of the most effective steps to reduce chronic cough, particularly for smokers or those exposed to secondhand smoke.
- Manage Allergies: Identify and avoid common triggers such as dust, pollen, or pet dander to reduce post-nasal drip.
- Use a Saline Nasal Spray: This can help flush irritants from your nasal passages and reduce post-nasal drip.
- Elevate Your Head While Sleeping: Raising your upper body slightly can reduce acid reflux and nighttime coughing.
- Practice Breathing Exercises: Techniques like pursed-lip breathing or diaphragmatic breathing can improve lung function and reduce cough frequency.
- Steam Inhalation: Inhaling steam can soothe irritated airways and loosen mucus.
- Avoid Irritants: Minimize exposure to strong odors, smoke, and pollutants that can worsen your symptoms.
Josef Schenker, MD, Answers Frequently Asked Questions:
If chronic cough goes untreated, it can lead to persistent exhaustion, chest pain, dizziness, and even fractured ribs caused by repeated forceful coughing. Additionally, chronic cough may indicate an underlying condition that requires timely medical evaluation and appropriate treatment to prevent further complications.
If your cough persists for eight weeks or longer (or four weeks or longer for children), or if you experience shortness of breath, chest pain, coughing up blood, or unexplained weight loss, consult a healthcare provider promptly to ensure appropriate evaluation and treatment.
Neither type is inherently “better.” A wet cough suggests mucus buildup or infection, while a dry cough may signal irritation, allergies, or medication side effects. Understanding the type of cough you have can help identify its cause and guide effective treatment.
Chronic Cough Management: Immediate Relief and Long-Term Solutions
Chronic cough may feel overwhelming, but with proper diagnosis and a tailored treatment plan, relief is possible. By addressing the root cause, adopting healthy habits, and seeking professional care when needed, you can manage your symptoms effectively and improve your overall quality of life.
If you or your loved ones are struggling with a persistent cough, don’t wait to seek help. Visit any Centers Urgent Care across New York and start getting relief from chronic cough. Our experienced medical team — led by Dr. Josef Schenker — is ready to evaluate your symptoms, identify the cause, and guide you toward the best treatment plan for lasting relief. Your health and comfort are our top priorities. Schedule a visit today to start breathing easier and living better!

About Josef Schenker, MD:
Dr. Josef Schenker, a board-certified expert in internal medicine and emergency medical services, brings extensive experience and compassion to his role as Medical Director and Partner at Centers Urgent Care. With leadership in SeniorCare Emergency Medical Services and as an Attending Physician at New York-Presbyterian Brooklyn Methodist Hospital, Dr. Schenker oversees critical care and treatment protocols across varied medical needs. His dedication extends to chairing NYC REMAC, ensuring adherence to state standards in emergency medical procedures. At Centers Urgent Care, Dr. Schenker's expertise ensures prompt, high-quality emergency care for patients of all ages, supported by state-of-the-art facilities including a dedicated pediatric suite.
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