Doctors Note Logo

Published on: 2/24/2026

Can’t Stop Coughing? Why Your Lungs Are Inflamed & Medically Approved Next Steps

A nonstop cough usually means your airways are inflamed, most often from acute bronchitis after a viral illness or from chronic bronchitis due to smoke or irritants; most people improve with rest, fluids, humidified air, targeted over the counter medicines, avoiding irritants, and doctor prescribed inhalers when needed, while antibiotics rarely help.

Seek urgent care for trouble breathing, chest pain, high fever, coughing blood, severe wheeze, or a cough lasting more than 3 weeks, especially if you have asthma or COPD; there are several factors to consider and your medically approved next steps, prevention tips, and signs it may be something more serious are detailed below.

answer background

Explanation

Can't Stop Coughing? Why Your Lungs Are Inflamed & Medically Approved Next Steps

If you can't stop coughing, your body is trying to tell you something.

A persistent cough often means your airways are irritated or inflamed. One of the most common reasons for this is bronchitis—a condition that affects the bronchial tubes, the air passages that carry air into your lungs.

While coughing can feel endless and exhausting, most causes are treatable. Understanding why your lungs are inflamed and what to do next can help you recover safely and confidently.


What's Actually Happening Inside Your Lungs?

Your lungs are lined with bronchial tubes that move air in and out. These tubes are covered with tiny hair-like structures (cilia) that help clear mucus and debris.

When you develop bronchitis, those tubes become inflamed. As a result:

  • The airway lining swells
  • Mucus production increases
  • Airflow becomes restricted
  • Coughing becomes persistent

Your cough is your body's attempt to clear that excess mucus and irritation.


Acute vs. Chronic Bronchitis

There are two main types of bronchitis, and understanding the difference matters.

1. Acute Bronchitis

This is short-term inflammation, often caused by a viral infection like a cold or the flu.

Common signs:

  • Persistent cough (with or without mucus)
  • Fatigue
  • Mild fever or chills
  • Chest discomfort
  • Mild shortness of breath

Acute bronchitis typically lasts 1 to 3 weeks, although the cough can linger longer.

Antibiotics usually do not help because most cases are viral.


2. Chronic Bronchitis

This is a long-term condition defined as a productive cough lasting at least 3 months per year for two consecutive years.

It is commonly linked to:

  • Smoking
  • Long-term exposure to air pollution
  • Occupational irritants (dust, chemicals)

Chronic bronchitis is considered a form of chronic obstructive pulmonary disease (COPD) and requires ongoing medical care.


Why Are Your Lungs Inflamed?

Inflammation happens when your immune system reacts to something harmful or irritating.

Common triggers include:

  • ✅ Viral infections (most common cause of acute bronchitis)
  • ✅ Bacterial infections (less common)
  • ✅ Smoking or secondhand smoke
  • ✅ Air pollution
  • ✅ Allergies
  • ✅ Chemical fumes or workplace exposure
  • ✅ Asthma

If you recently had a cold and now can't stop coughing, acute bronchitis is a strong possibility.


Symptoms You Shouldn't Ignore

While bronchitis is often mild, some symptoms require medical attention.

Contact a doctor immediately if you experience:

  • Shortness of breath that worsens
  • Chest pain not related to coughing
  • High fever (over 101.3°F / 38.5°C)
  • Coughing up blood
  • Wheezing that is severe
  • Symptoms lasting more than 3 weeks
  • Underlying lung disease (like asthma or COPD)

These could signal pneumonia or a more serious lung issue.

If you're experiencing persistent respiratory symptoms and want to understand whether they align with Acute / Chronic Tracheitis / Bronchitis, a free AI-powered symptom checker can help you identify your condition and guide your next steps before consulting with a healthcare professional.


Why the Cough Won't Stop

Even after the infection clears, your airways may remain sensitive.

This happens because:

  • The airway lining takes time to heal
  • Inflammation can linger
  • Post-infectious airway hyperreactivity develops

In simple terms: your lungs are still irritated, even if the virus is gone.

That's why coughs from bronchitis can last weeks after you otherwise feel better.


Medically Approved Next Steps

Here's what doctors typically recommend for managing bronchitis safely:

1. Rest and Hydration

  • Drink plenty of fluids to thin mucus
  • Get adequate sleep to support immune recovery
  • Avoid strenuous activity if breathing feels difficult

Hydration helps your body clear mucus more effectively.


2. Humidified Air

Moist air can soothe irritated airways.

  • Use a cool-mist humidifier
  • Take steamy showers
  • Avoid overly dry environments

This may reduce coughing fits.


3. Over-the-Counter Support

Depending on symptoms:

  • Expectorants may help loosen mucus
  • Cough suppressants can help at night (but shouldn't completely block productive coughs during the day)
  • Pain relievers like acetaminophen or ibuprofen can reduce fever and chest discomfort

Always follow dosing instructions and consult a pharmacist or doctor if you have underlying conditions.


4. Inhalers (If Prescribed)

If wheezing or airway narrowing is present, a doctor may prescribe:

  • Short-acting bronchodilators
  • Inhaled corticosteroids (in certain cases)

These help open the airways and reduce inflammation.


5. Avoid Irritants

This is critical.

  • Stop smoking (if applicable)
  • Avoid secondhand smoke
  • Limit exposure to pollution
  • Use protective masks in dusty environments

Continued exposure can worsen bronchitis and delay healing.


6. Antibiotics? Usually Not.

Most acute bronchitis cases are viral.

Antibiotics:

  • Do not treat viruses
  • Are only helpful if a bacterial infection is confirmed
  • Should be used only when prescribed by a doctor

Unnecessary antibiotics can cause side effects and antibiotic resistance.


How Long Does Bronchitis Last?

  • Acute bronchitis: 1–3 weeks (cough may linger up to 8 weeks)
  • Chronic bronchitis: Ongoing, requires management

If your cough lasts longer than 3 weeks, it's time to speak to a doctor for evaluation.


When It Might Be Something More Serious

Sometimes what seems like bronchitis can actually be:

  • Pneumonia
  • Asthma flare
  • Heart failure
  • Pulmonary embolism
  • Lung cancer (especially in long-term smokers)

This is why persistent, worsening, or severe symptoms should never be ignored.

If anything feels severe, unusual, or life-threatening—especially difficulty breathing or chest pain—seek urgent medical care immediately.


Preventing Future Lung Inflammation

You can lower your risk of bronchitis by:

  • Getting annual flu vaccines
  • Staying up to date on pneumonia vaccines (if recommended)
  • Washing hands frequently
  • Avoiding smoking
  • Wearing masks in polluted or dusty environments
  • Managing asthma or allergies properly

Prevention matters, especially if you've had bronchitis more than once.


The Bottom Line

If you can't stop coughing, inflamed airways are often the reason. Bronchitis is one of the most common causes, especially after a cold or viral infection.

Most cases improve with:

  • Rest
  • Fluids
  • Time
  • Avoiding irritants

However, coughing that persists, worsens, or is accompanied by serious symptoms requires medical evaluation.

If you're trying to determine what's causing your ongoing cough and respiratory discomfort, you can check your symptoms against Acute / Chronic Tracheitis / Bronchitis using a free online tool that helps clarify your condition before your doctor's visit.

And most importantly: if you experience severe shortness of breath, chest pain, high fever, coughing up blood, or any symptom that feels life-threatening, speak to a doctor immediately or seek emergency care.

Your lungs are essential. Persistent inflammation should be taken seriously—but with the right care, most people recover fully and safely.

(References)

  • * Morjaria, J. B., & Sathi, T. (2023). Management of chronic cough: a narrative review. *Frontiers in Pharmacology*, *14*, 1113619.

  • * Mazzone, S. B., & Farrell, M. J. (2020). Chronic cough: new insights from a neuropathic perspective. *Journal of Clinical Medicine*, *9*(2), 374.

  • * Choi, J., Sun, S., & Kim, Y. K. (2020). Chronic cough: an evidence-based approach to diagnosis and treatment. *Annals of Translational Medicine*, *8*(9), 586.

  • * Lavorini, F., & Di Daniele, F. (2021). A practical guide to the diagnosis and management of chronic cough. *Journal of Thoracic Disease*, *13*(11), 6610–6625.

  • * Barnes, P. J. (2023). Inflammation in chronic obstructive pulmonary disease: A narrative review of pathogenesis and potential therapeutic targets. *Respiratory Research*, *24*(1), 205.

Thinking about asking ChatGPT?Ask me instead

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Was this page helpful?

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.