Differential Diagnosis for Severe Coughing
Single Most Likely Diagnosis
- Acute Bronchitis: This is often the most common cause of severe coughing, typically resulting from a viral infection. It's characterized by inflammation of the bronchial tubes, leading to cough, often with mucus production.
Other Likely Diagnoses
- Asthma: A chronic condition causing inflammation and constriction of the airways, leading to recurring episodes of wheezing, coughing, chest tightness, and shortness of breath.
- Chronic Obstructive Pulmonary Disease (COPD): Includes conditions like emphysema and chronic bronchitis, characterized by airflow limitation, which can cause severe coughing among other symptoms.
- Pneumonia: An infection in one or both lungs, which can be caused by bacteria, viruses, or fungi. Symptoms include cough, fever, and difficulty breathing.
- Gastroesophageal Reflux Disease (GERD): Stomach acid flows back into the tube connecting the mouth and stomach (esophagus), causing a chronic cough.
Do Not Miss Diagnoses
- Pulmonary Embolism: A blockage in one of the arteries in the lungs, which can be life-threatening. While less common, it's crucial to consider due to its high mortality rate if untreated.
- Lung Cancer: Though less likely, lung cancer can present with a persistent cough, among other symptoms. Early detection is critical for treatment outcomes.
- Tuberculosis (TB): A potentially serious infectious disease that mainly affects the lungs. The symptoms can be similar to those of other respiratory diseases, making it a critical diagnosis not to miss.
Rare Diagnoses
- Cystic Fibrosis: A genetic disorder that results in severe damage to the lungs, digestive system, and other organs. It's characterized by persistent lung infections and coughing.
- Sarcoidosis: A disease in which granulomas (abnormal masses of inflamed tissue) form in certain parts of the body, most commonly the lungs. It can cause coughing, among other symptoms.
- Bronchiectasis: A condition where parts of the airways are damaged and widened, leading to chronic cough and mucus production.