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Productive cough

MedGen UID:
66781
Concept ID:
C0239134
Finding
Synonyms: Bronchial cough; Chesty cough; Cough with mucus production; Loose Cough; Loose cough; Moist cough; Producing sputum; Productive Cough; Wet Cough; Wet cough
SNOMED CT: Producing sputum (28743005); Bronchial cough (28743005); Chesty cough (28743005); Productive cough (28743005); Loose cough (28743005); Moist cough (28743005)
 
HPO: HP:0031245

Definition

A cough that produces phlegm or mucus. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVProductive cough

Conditions with this feature

Primary ciliary dyskinesia 20
MedGen UID:
761920
Concept ID:
C3540844
Disease or Syndrome
CILD20 is an autosomal recessive ciliopathy characterized by infantile onset of chronic sinopulmonary infections resulting from immotile cilia and defective clearance. Patients may also have situs inversus or cardiac anomalies. Electron microscopy of respiratory epithelial cells shows absence of the outer dynein arms. Unlike other forms of CILD, patients with CILD20 do not appear to be infertile. For a phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see 244400.
Primary ciliary dyskinesia 23
MedGen UID:
815878
Concept ID:
C3809548
Disease or Syndrome
Primary ciliary dyskinesia-23 is an autosomal recessive disorder resulting from defective ciliary motility. Affected individuals have respiratory distress and recurrent upper and lower airway infections, and they often develop bronchiectasis. About 50% of patients have situs inversus or laterality defects. Ultrastructural analysis of respiratory cilia shows defects in the outer dynein arm (summary by Hjeij et al., 2013). For a phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see 244400.
Primary ciliary dyskinesia 25
MedGen UID:
815971
Concept ID:
C3809641
Disease or Syndrome
Primary ciliary dyskinesia-25 is an autosomal recessive disorder caused by defective ciliary movement. Affected individuals have recurrent upper and lower airway disease, bronchiectasis, and decreased fertility. About half of patients show laterality defects, including situs inversus totalis. Respiratory cilia from patients show defects in the inner and outer dynein arms (summary by Tarkar et al., 2013). For a general phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see 244400.
Primary ciliary dyskinesia 35
MedGen UID:
934688
Concept ID:
C4310721
Disease or Syndrome
Primary ciliary dyskinesia-35 (CILD35) is an autosomal recessive disorder characterized by recurrent upper and lower respiratory infections due to defective ciliary function. Examination of respiratory cilia shows lack of outer dynein arms (ODAs) and immotile cilia. Some patients may have laterality defects (summary by Wallmeier et al., 2016). For a phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see CILD1 (244400).
Retinitis pigmentosa with or without situs inversus
MedGen UID:
1658130
Concept ID:
C4747737
Disease or Syndrome
Retinitis pigmentosa-82 with or without situs inversus (RP82) is an autosomal recessive form of retinal degeneration characterized by initial loss of rod photoreceptors, resulting in impaired night vision followed by progressive visual field constriction as both rod and cone photoreceptors die. Some affected individuals have situs inversus (Davidson et al., 2013; Audo et al., 2017). Male patients with infertility due to reduced or absent sperm motility have been reported; female fertility appears to be unaffected (Moye et al., 2019).
Ciliary dyskinesia, primary, 38
MedGen UID:
1648465
Concept ID:
C4748052
Disease or Syndrome
Primary ciliary dyskinesia-38 is an autosomal recessive disorder characterized by chronic airway disease and recurrent sinopulmonary infections beginning in infancy and caused by defective ciliary function. Affected individuals often have neonatal respiratory distress and may later have infertility. About half of patients have laterality defects due to ciliary dysfunction in early embryonic development (summary by Fassad et al., 2018 and Hoben et al., 2018). For a general phenotypic description and a discussion of genetic heterogeneity of primary ciliary dyskinesia, see CILD1 (244400).
Ciliary dyskinesia, primary, 43
MedGen UID:
1684675
Concept ID:
C5231466
Disease or Syndrome
Primary ciliary dyskinesia-43 (CILD43) is a disorder characterized by a defect in motile cilia and ciliary clearance resulting in the onset of respiratory insufficiency soon after birth, and associated with recurrent upper and lower respiratory infections with chronic progressive lung disease. Patients with this disorder also develop significant obstructive hydrocephalus requiring shunting in infancy, although adult onset of neurologic symptoms may occur. Other more variable features include infertility and about a 50% chance of situs inversus or other left-right asymmetry defects. The disorder is considered to be a type of ciliopathy known as 'reduced generation of multiple motile cilia' (RGMC) (summary by Wallmeier et al., 2019). For a discussion of genetic heterogeneity of primary ciliary dyskinesia, CILD1 (244400).
Ciliary dyskinesia, primary, 51
MedGen UID:
1841244
Concept ID:
C5830608
Disease or Syndrome
Primary ciliary dyskinesia-51 (CILD51) is characterized by male infertility due to multiple morphologic abnormalities of the sperm flagella (MMAF), resulting in severely reduced progressive motility. Some men also have a low sperm count. In addition, affected individuals experience chronic rhinosinusitis and bronchitis, and recurrent upper and lower respiratory infections, and some exhibit dextrocardia and/or situs inversus (Guo et al., 2021). For a discussion of genetic heterogeneity of primary ciliary dyskinesia, see CILD1 (244400).

Professional guidelines

PubMed

Evans TJ, Lawal A, Kosmidis C, Denning DW
Semin Respir Crit Care Med 2024 Feb;45(1):88-101. Epub 2023 Dec 28 doi: 10.1055/s-0043-1776914. PMID: 38154471
Shoemark A, Harman K
Semin Respir Crit Care Med 2021 Aug;42(4):537-548. Epub 2021 Jul 14 doi: 10.1055/s-0041-1730919. PMID: 34261178
Chang AB, Oppenheimer JJ, Irwin RS; CHEST Expert Cough Panel
Chest 2020 Jul;158(1):303-329. Epub 2020 Mar 14 doi: 10.1016/j.chest.2020.01.042. PMID: 32179109

Recent clinical studies

Etiology

Palmucci S, Di Mari A, Cancemi G, Pennisi I, Mauro LA, Sambataro G, Sambataro D, Galioto F, Fazio G, Ferlito A, Pino F, Basile A, Vancheri C
Medicina (Kaunas) 2022 Nov 30;58(12) doi: 10.3390/medicina58121757. PMID: 36556960Free PMC Article
Sharma P, Behl T, Sharma N, Singh S, Grewal AS, Albarrati A, Albratty M, Meraya AM, Bungau S
Biomed Pharmacother 2022 Jul;151:113089. Epub 2022 May 8 doi: 10.1016/j.biopha.2022.113089. PMID: 35569351Free PMC Article
Chang AB, Oppenheimer JJ, Irwin RS; CHEST Expert Cough Panel
Chest 2020 Jul;158(1):303-329. Epub 2020 Mar 14 doi: 10.1016/j.chest.2020.01.042. PMID: 32179109
Chalmers JD, Chang AB, Chotirmall SH, Dhar R, McShane PJ
Nat Rev Dis Primers 2018 Nov 15;4(1):45. doi: 10.1038/s41572-018-0042-3. PMID: 30442957
Malerba M, Ragnoli B
Expert Opin Drug Metab Toxicol 2008 Aug;4(8):1119-29. doi: 10.1517/17425255.4.8.1119. PMID: 18680446

Diagnosis

Šestáková Z
Cas Lek Cesk 2022 Fall;161(6):232-235. PMID: 36543577
Smith SM, Fahey T, Smucny J, Becker LA
Cochrane Database Syst Rev 2017 Jun 19;6(6):CD000245. doi: 10.1002/14651858.CD000245.pub4. PMID: 28626858Free PMC Article
Palkar AV, Rapose A
BMJ Case Rep 2012 Sep 7;2012 doi: 10.1136/bcr-2012-006861. PMID: 22962399Free PMC Article
Redding GJ
Pediatr Clin North Am 2009 Feb;56(1):157-71, xi. doi: 10.1016/j.pcl.2008.10.014. PMID: 19135586
Le Mauviel L
West J Med 1991 Sep;155(3):280-3. PMID: 1949776Free PMC Article

Therapy

Chalmers JD, Chang AB, Chotirmall SH, Dhar R, McShane PJ
Nat Rev Dis Primers 2018 Nov 15;4(1):45. doi: 10.1038/s41572-018-0042-3. PMID: 30442957
McCallion P, De Soyza A
Pulm Pharmacol Ther 2017 Dec;47:77-83. Epub 2017 Jun 7 doi: 10.1016/j.pupt.2017.04.010. PMID: 28602999
Kuriachan S, Amberkar MB, Mohan MK, Shahul HA, Kishore MK
Indian J Pharmacol 2015 Mar-Apr;47(2):219-20. doi: 10.4103/0253-7613.153435. PMID: 25878387Free PMC Article
Redding GJ
Pediatr Clin North Am 2009 Feb;56(1):157-71, xi. doi: 10.1016/j.pcl.2008.10.014. PMID: 19135586
Malerba M, Ragnoli B
Expert Opin Drug Metab Toxicol 2008 Aug;4(8):1119-29. doi: 10.1517/17425255.4.8.1119. PMID: 18680446

Prognosis

Sharma P, Behl T, Sharma N, Singh S, Grewal AS, Albarrati A, Albratty M, Meraya AM, Bungau S
Biomed Pharmacother 2022 Jul;151:113089. Epub 2022 May 8 doi: 10.1016/j.biopha.2022.113089. PMID: 35569351Free PMC Article
McCallion P, De Soyza A
Pulm Pharmacol Ther 2017 Dec;47:77-83. Epub 2017 Jun 7 doi: 10.1016/j.pupt.2017.04.010. PMID: 28602999
Begic E, Begic Z, Dobraca A, Hasanbegovic E
Med Arch 2017 Feb;71(1):66-68. Epub 2017 Feb 5 doi: 10.5455/medarh.2017.71.66-68. PMID: 28428678Free PMC Article
Palkar AV, Rapose A
BMJ Case Rep 2012 Sep 7;2012 doi: 10.1136/bcr-2012-006861. PMID: 22962399Free PMC Article
Jackson CV
Arch Intern Med 1988 Oct;148(10):2120-7. PMID: 3052344

Clinical prediction guides

Palmucci S, Di Mari A, Cancemi G, Pennisi I, Mauro LA, Sambataro G, Sambataro D, Galioto F, Fazio G, Ferlito A, Pino F, Basile A, Vancheri C
Medicina (Kaunas) 2022 Nov 30;58(12) doi: 10.3390/medicina58121757. PMID: 36556960Free PMC Article
Sharma P, Behl T, Sharma N, Singh S, Grewal AS, Albarrati A, Albratty M, Meraya AM, Bungau S
Biomed Pharmacother 2022 Jul;151:113089. Epub 2022 May 8 doi: 10.1016/j.biopha.2022.113089. PMID: 35569351Free PMC Article
Begic E, Begic Z, Dobraca A, Hasanbegovic E
Med Arch 2017 Feb;71(1):66-68. Epub 2017 Feb 5 doi: 10.5455/medarh.2017.71.66-68. PMID: 28428678Free PMC Article
Kishaba T
Sarcoidosis Vasc Diffuse Lung Dis 2015 Jul 22;32(2):90-8. PMID: 26278687
Jackson CV
Arch Intern Med 1988 Oct;148(10):2120-7. PMID: 3052344

Recent systematic reviews

Smith SM, Fahey T, Smucny J, Becker LA
Cochrane Database Syst Rev 2017 Jun 19;6(6):CD000245. doi: 10.1002/14651858.CD000245.pub4. PMID: 28626858Free PMC Article
Chang AB, Oppenheimer JJ, Weinberger M, Rubin BK, Irwin RS
Chest 2016 Jan;149(1):120-42. Epub 2016 Jan 6 doi: 10.1378/chest.15-2065. PMID: 26757284
Smith SM, Fahey T, Smucny J, Becker LA
Cochrane Database Syst Rev 2014 Mar 1;(3):CD000245. doi: 10.1002/14651858.CD000245.pub3. PMID: 24585130
Sheikh A, Nolan D, Greenstone M
Cochrane Database Syst Rev 2001;2001(4):CD002155. doi: 10.1002/14651858.CD002155. PMID: 11687145Free PMC Article
Smucny J, Fahey T, Becker L, Glazier R, McIsaac W
Cochrane Database Syst Rev 2000;(4):CD000245. doi: 10.1002/14651858.CD000245. PMID: 11034678

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