Cough that lasts more than 3 weeks — causes and next steps
A cough lingering past three weeks is no longer 'just a cold'. The right question is which of several common causes is driving it — and ruling out the few serious ones early.
This is general guidance, not a diagnosis. If you have any of the above, book a same-day consult or seek urgent care.
Common causes a physician will look for
·Post-viral airway hyperreactivity (very common after Delhi winter)
·Acid reflux (GERD) — cough often worse at night or after meals
·Post-nasal drip from chronic sinusitis or allergy
·Asthma, sometimes triggered by Delhi pollution
·Less common but important: tuberculosis, ACE-inhibitor side effect, lung pathology
What to expect at the consult
Examination plus targeted tests — chest X-ray, spirometry if asthma is suspected, sputum testing where appropriate, and a trial of focused treatment based on the most likely cause. The aim is to avoid endless cough syrups and arrive at a clear plan.
Frequently asked
How long should I wait before getting a cough investigated?
Three weeks is the standard cutoff. Sooner if there's blood, weight loss, breathlessness, or a known TB contact.
Could it be Delhi pollution?
Often, yes — Delhi's PM2.5 directly triggers airway inflammation and asthma. A clear plan usually combines an inhaler, indoor air management, and trigger avoidance.