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Differential Diagnosis for Persistent Cough

Single Most Likely Diagnosis

  • Chronic Bronchitis: This is often the most common cause of a persistent cough, especially in smokers or those exposed to pollutants. The chronic inflammation of the bronchial tubes leads to a persistent cough, often productive of mucus.

Other Likely Diagnoses

  • Asthma: A chronic condition characterized by inflammation and constriction of the airways, leading to cough, wheezing, and shortness of breath. The cough can be persistent, especially at night or with exertion.
  • Gastroesophageal Reflux Disease (GERD): Stomach acid reflux can irritate the throat, causing a persistent cough. This is more common in individuals who experience heartburn or regurgitation.
  • Allergic Rhinitis: Allergies can cause postnasal drip, leading to a persistent cough. This is often accompanied by other symptoms like sneezing, runny nose, and itchy eyes.
  • Upper Respiratory Tract Infections: Viral or bacterial infections of the upper respiratory tract can cause a persistent cough, especially if the infection is not fully cleared or leads to complications like bronchitis.

Do Not Miss Diagnoses

  • Lung Cancer: Although less common, lung cancer can present with a persistent cough, especially if it involves the central airways. It's crucial to consider this diagnosis, especially in smokers or those with a significant smoking history.
  • Tuberculosis (TB): A bacterial infection that primarily affects the lungs and can cause a persistent cough, often accompanied by weight loss, night sweats, and fever. It's essential to consider TB, especially in individuals who have been exposed or have risk factors.
  • Pneumonia: Bacterial or viral pneumonia can cause a persistent cough, and while often acute, some forms can lead to chronic symptoms if not properly treated.
  • Pulmonary Embolism: Although typically presenting acutely, a chronic or recurrent pulmonary embolism can cause a persistent cough among other symptoms like chest pain and shortness of breath.

Rare Diagnoses

  • Cystic Fibrosis: A genetic disorder that leads to the production of thick, sticky mucus, causing persistent cough and recurrent respiratory infections. It's rare but important to consider in young patients or those with a family history.
  • Sarcoidosis: An inflammatory disease that can affect multiple organs, including the lungs, leading to a persistent cough among other symptoms.
  • Bronchiectasis: A condition characterized by the permanent enlargement of parts of the airways, leading to a persistent cough and recurrent infections.
  • Eosinophilic Pneumonia: A rare condition characterized by the infiltration of eosinophils into the lung tissue, leading to a persistent cough and other respiratory symptoms.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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