High-altitude cough

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It is the cough that appears when climbing high mountains. It usually appears above 4500-5000 m / 15000-16000 ft.

It is thought to be caused by multiple factors: the cold, dry air of the mountain breathed in through the mouth (due to frequent nasal congestion and the effort required when moving at high altitude) and inflammation of the lungs (subclinical pulmonary edema).

It manifests as a dry cough without expectoration. When the mucosa of the nose dry out, this increases the likelihood of both nosebleeds and bacterial superinfection.

It is diagnosed by the occurrence of cough coinciding with climbing to high altitudes.

Characteristically, once the condition appears, it is resistant to cough medications. In order to prevent it, drinking fluids, taking cough pills, as well as applying mentholated creams or saline solution mixed with glycerine to the nostrils, to keep them moist and prevent the cough from appearing. If it appears, sucking honey-and-lemon sweets usually alleviates the cough.

Bibliographic references
  1. Nicholas P. Mason. Altitude-related cough. Cough 9.1. 2013. 1.
  2. P. W. Barry, N. P.Mason, M. Riordan, C. O'Callaghan. Cough frequency and cough-receptor sensitivity are increased in man at altitude. Clinical Science, 93(2), 1997. 181:186.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Cough


    Dry cough


    Nosebleed

Symptoms to watch out for

Cough with blood or pus
Difficulty breathing
A feeling of shortness of breath
Palpitations

Self-care

Maintain a fluid intake of 6 - 8 cups per day.
Slow down the ascent.