Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Lifestyle modifications play a key role in managing chronic cough in primary care by addressing modifiable risk factors and supporting symptom relief.
- Smoking cessation is critical, as smoking-related cough is common; patients should be advised to stop smoking with the understanding that coughing may transiently increase during cessation efforts NICE CKS.
- Avoidance of environmental and occupational triggers is recommended to reduce cough caused by irritants; referral to specialists may be needed for assessment of occupational exposures NICE CKS.
- Optimizing ventilation such as improving air quality by opening windows or using fans can help relieve symptoms NICE CKS.
- Postural and breathing techniques including controlled breathing and effective coughing techniques can be taught to patients to manage symptoms better NICE CKS.
- Addressing coexisting conditions such as asthma, gastro-oesophageal reflux disease, or chronic obstructive pulmonary disease (COPD) through lifestyle and medical management is important, including pulmonary rehabilitation and physical activity encouragement in COPD NICE CKS,NICE NG115.
- Vaccinations (e.g., influenza and pneumococcal) are advised in COPD patients to reduce exacerbations that may worsen cough NICE NG115.
Overall, lifestyle modifications in primary care focus on smoking cessation, environmental control, symptom management techniques, and supporting treatment of underlying causes to improve chronic cough outcomes NICE CKS,NICE CKS,NICE NG115.