咳嗽刚起时怎么缓:两位医生给的 15 个办法,先分清原因、两周不好要就医
How to Get Rid of a Cough ASAP: 15 Tips From Doctors That Can Help Soothe Your Throat Fast
先说清一个前提:咳嗽本身是保护气道与肺的反射,偶尔咳属正常——但咳嗽的原因谱很宽,从普通病毒感染、哮喘、季节过敏,到胃酸反流、药物影响、环境刺激物(粉尘、霉菌),再到慢性肺病、心衰甚至肿瘤。受访的两位医生(芝加哥 Rush 大学医学中心家庭医学助理教授 Michael Hanak 与内科医生 Keri Peterson)给的缓解办法都只对「刚咳起来、原因较轻」的情况:温盐水漱口(半茶匙盐配 8 盎司温水;盐能抑菌、但杀不了病毒,别指望靠它好得更快);生姜(含片或姜茶,医生称其有助于减轻咳嗽与喉咙痛);蜂蜜(直接吃或入茶,舒缓上气道);蒸汽与加湿(热水澡或加湿器);多喝水稀释喉后黏液;含片临时安抚喉痒。原因在鼻后滴漏的,先处理过敏与鼻腔:洗鼻壶冲洗鼻腔黏液——必须用无菌水(煮沸冷却或蒸馏水),这是安全红线;原因在反流的,先用抗酸药并调整饮食(避柑橘、巧克力、高脂、洋葱与番茄类,少食多餐)。非处方药要分清两类:镇咳药抑制咳嗽反射,祛痰药稀释黏液助排出,具体选哪种先问药师或医生;益生菌一条医生只给了「边际作用」的评价,别当主力。就医线写得很明确:咳嗽超过两周要联系医生做进一步检查;出现呼吸困难、喘鸣、高烧、胸痛或咳血,立即就医。说明:本文为医生建议汇编、非临床研究证据,多数办法只缓解症状、不缩短病程,原文的「快速止咳」标题口径本站不采纳;摘要已剥离原文点名的具体商品品牌。署名:颜如玉编辑台。
1
Gargle with salt water.

A simple way to ease a cough is with salt water. "Salt can kill bacteria," says Keri Peterson, MD, an internal medicine doctor and WH advisor. "It's also soothing." However, salt doesn't kill viruses, so it may not help you heal your cold or cough faster, Dr. Peterson explains.
To try this at home, mix half a teaspoon of table salt with eight ounces of warm water.
2
Sip on ginger tea.

Ginger is well known for its power in calming an upset stomach. Turns out, it can also work wonders for a cough.
“Ginger has been found to be helpful in reducing cough and alleviating sore throat, and ginger lozenges are widely used for this purpose,” Dr. Hanak explains.
The root also has anti-inflammatory and antioxidant properties that are beneficial in treating a variety of conditions, he adds. Brew some ginger tea by using a teabag or pouring hot water over some fresh slices.
Advertisement - Continue Reading Below
3
Consider heartburn meds.

Pepcid, Prilosec, or other antacids can relieve acid reflux and nix any associated coughs, notes Dr. Hanak.
If you find it to be a chronic issue, making certain dietary changes may help, such as avoiding citrus, chocolate, high-fat foods, onions, and tomato-based food products, and incorporating high-fiber foods into your diet, like brown rice, celery, lettuce, melon, oatmeal, and root vegetables (think: potatoes).
You may also want to drink lots of water and keep your portions small at meals if your coughs are due to reflux, says Dr. Hanak.
Advertisement - Continue Reading Below
4
Add honey to your drinks.

Coughing, but also craving something sweet? You're in luck! “Honey has been found to be helpful in alleviating cough, either on its own or as part of a cup of tea,” says Dr. Hanak.
It's soothing to the upper airways, taking that throat tickle away, Dr. Peterson adds. "It's also anti-inflammatory so it helps with inflammation—honey's great."
5
Take a hot bath or shower.

Besides helping you de-stress after a long day, soaking in a hot bath can ease common cold symptoms like congestion, coughing, and sinus pressure, says Dr. Peterson. (A shower works just as well, FYI.) "The steam opens up the airways really well and it soothes," she says.
Alternatively, you could try a humidifier, which adds moisture to the air around you and can work in the same way.
Advertisement - Continue Reading Below
6
Hydrate.

Hydration is important on any given day, but it can be especially crucial when you have a cough. “Staying well-hydrated can help thin mucus in the back of the throat, which can lead to mild improvement in a cough,” explains Dr. Hanak.
Advertisement - Continue Reading Below
7
Grab a lozenge.

Another quick and easy at-home remedy to stop a cough in its tracks? A lozenge, like Ricola lemon mint drops, for example.
8
Try a nasal spray.

If your cough is a result of allergies, try Flonase or Nasonex paired with a daily allergy pill such as Allegra, Claritin, or Zyrtec, per Dr. Hanak.
“Treating allergy symptoms is a common method of resolving postnasal drip and related cough," he says. "This is especially true when a cough is most apparent laying flat or first thing in the morning."
A cough can be seasonal or year-round, so paying attention to the timing will allow you to predict and prevent it, he adds.
Advertisement - Continue Reading Below
9
Use a neti pot.

To tame a cough caused by a postnasal drip, Dr. Hanak and Dr. Peterson suggest using a neti pot, which can wash out any debris or mucus from your nasal passages. “Clearing mucus from the nasal passages can be helpful in reducing post nasal drainage, thereby improving cough,” Dr. Hanak explains.
This irrigation device can provide relief for people with allergies and sinus infections, in particular, and Dr. Peterson uses one herself. "They flush out germs, the salt kills the bacteria," she says.
But remember to use a neti pot with sterile water to make sure there's no bacteria or other contaminants in it. To ensure it's safe, boil water and refrigerate it or buy distilled water, Dr. Peterson says.
Advertisement - Continue Reading Below
10
Pick up cough medicines.

You also may want to give OTC medications a shot, especially if you've already tried everything else. Antitussives are cough suppressants and can block the cough reflex, according to the American Academy of Family Physicians. They "inhibit the cough center in the brain," Dr. Peterson adds. Then there are expectorants, which thin mucus to help get it out, she says.
When in doubt, ask your pharmacist or primary care physician, and always remember to check the expiration dates. Dr. Peterson recommends Delsym and Mucinex DM.
11
Get a prescription medication.

When in doubt, talk to your doc and see if you might need something stronger, like a prescription medication, for your cough. Benzonatate medications like Tessalon Perles, are specifically recommended by Dr. Peterson, but of course your own doctor will prescribe what’s right for you. Benzonatate "anesthetizes the stretch receptors of the nerves in the airways and works very well to suppress coughs," she explains.
Advertisement - Continue Reading Below
12
Eat probiotics.

Probiotics can promote good gut health, but they have also been shown to have a marginal impact on staving off the common cold and reducing coughing, Dr. Hanak says. Great sources of probiotics include yogurt and fermented foods like miso and kimchi.
Advertisement - Continue Reading Below
13
Quit smoking.

By minimizing exposure to chemicals and irritants, which are harmful to the lungs, quitting smoking can cut down on inflammation, Dr. Hanak says. A cough caused by smoking can be progressive, depending on how much someone smokes and how long they have been smoking, he adds.
14
Consider a chloraseptic throat spray.

Chloraseptic throat spray can provide temporary relief for pain, irritation, and soreness in the throat, per Dr. Peterson. "It's instant," she says. "You spray it on, it works immediately, and so it takes away the tickle in the back of the throat."
Advertisement - Continue Reading Below
15
Try throat coat tea.

Throat coat tea has licorice and slippery elm, which is licorice-based, and it almost, well, coats the throat, creating a barrier to soothe inflammation, making it a great option for a nagging cough, says Dr. Peterson who sips on the tea daily herself.
来源:颜如玉编辑台 · womenshealthmag.com