All of us at anxietycentre.com have experienced debilitating anxiety. But we’ve also overcome it and returned to normal and lasting health. Because we know the hardship anxiety unwellness can cause, we are committed to helping others, with over 27 years of service.” - Jim Folk, President, anxietycentre.com

Anxiety Cough Symptoms, Chronic Cough and/or Nervous Cough Symptoms

Anxiety Cough Symptoms, Persistent Cough, Nervous Cough Symptoms description:

You experience:

These anxiety cough symptoms can come and go rarely, occur frequently, or persist indefinitely. For example, you may feel the tickle and/or urge to cough once and a while and not that often, feel it off and on, or feel it all the time.

These anxiety cough symptoms may precede, accompany, or follow an escalation of other anxiety sensations and symptoms, or occur by itself.

These anxiety cough symptoms can precede, accompany, or follow an episode of nervousness, anxiety, fear, and elevated stress, or occur ‘out of the blue’ and for no apparent reason.

These anxiety cough symptoms cough can range in intensity from slight, to moderate, to severe. They can also come in waves, where it’s persistent one moment and eases off the next.

These anxiety cough symptoms can change from day to day, and/or from moment to moment.

All of the above combinations and variations are common.

For many people, anxiety cough diminishes and subsides when resting, at night, or when sleeping. For others, however, anxiety cough can increase late in the day, at night, or when resting, relaxing, and/or sleeping.

Because anxiety affects each person uniquely, each person can have a unique anxiety cough experience.

Why does anxiety cause a persistent anxiety cough?

Medical Advisory
Because there are many medical conditions that can cause anxiety and anxiety-like sensations and symptoms, including anxiety cough, we recommend that all new, changing, persistent, and returning symptoms be discussed with your doctor. If your doctor concludes that your anxiety cough is solely stress related (including anxiety-caused stress), you can be confident that there isn't another medical reason for it. Generally, most doctors can easily tell the difference between stress- and anxiety-caused sensations and symptoms from those caused by other medical conditions.

If you are uncertain about your doctor’s diagnosis, however, you may want to seek a second and even third opinion. But if all three opinions concur, you can be assured that stress (including the stress that being overly anxious can cause) is the cause of your anxiety cough and not some other medical or biological problem.

There are many reasons why anxiety can cause a persistent cough. For example:

1. Suppressed immune system
Anxiety causes the body to produce the stress response. They are designed to give us an “extra boost” when danger is perceived so that we have an enhanced ability to either fight with or flee from the source of the danger. This “extra boost” occurs because the body suppresses all non-essential functions so that maximum awareness and energy can be diverted toward those systems, organs, and glands required for action when danger is perceived. This system works well when stress responses occur infrequently. When they occur too frequently, however, problems can occur.

For example, the body’s immune system is responsible for fighting off intruders, such as viruses and infection (bacteria). Since the body’s immune system isn’t part of the emergency response system, it is suppressed when we are anxious or stressed. When the immune system is suppressed for prolonged periods, the body doesn’t have the resiliency to defend itself against these foreign invaders, which can allow them to take root. Once the intruders have gained a foothold in the body, they can become entrenched if persistent elevated anxiety and stress continue to suppress the immune system. Even the use of antibiotics may not be successful in helping the body overcome infection when stress and anxiety remain high.

Because viruses and infections can cause coughs, persistently elevated stress and anxiety can cause coughs to linger much longer than they normally would because of the body’s diminished ability to win the fight. A healthy immune system is the body’s best defense against viruses and bacteria.

2. Vagus nerve hyperstimulation
The Vagus nerve, also referred to as the Cranial Nerve X, runs from the brain stem to the viscera - the internal organs of the body, specifically those within the chest (the heart or lungs) or abdomen (liver, pancreas or intestines). The Vagus nerve supplies nerve fibers to the pharynx (throat), larynx (voicebox), trachea (windpipe), lungs, heart, esophagus, the intestinal tract, and as far as the transverse portion of the colon. The Vagus nerve also brings sensory information back to the brain from the ear, tongue, pharynx, and larynx.

Because the Vagus nerve is a part of the nervous system, it can also be adversely affected by stress-response hyperstimulation, since the stress response has its most dramatic effects on the body's nervous system.

A stress-response hyperstimulated nervous system can cause all sorts of problems, including those associated with the Vagus nerve and its functioning. A common consequence of Vagus nerve overstimulation is a persistent dry cough and/or nervous cough. As hyperstimulation increases, so can the persistence of anxiety cough.

3. Shallow and rapid breathing
When stressed and/or anxious, many people breathe rapidly and shallowly. While this type of breathing pattern generally isn't harmful in short durations it can cause the throat to become dry and raw if stress and/or anxiety are sustained.

Once the throat becomes dry and raw, it can cause a persistent tickling sensation that can cause a persistent dry cough. Moreover, persistent coughing can also irritate the throat, which can cause a persistent cycle of dry throat, coughing, irritated and dry throat, coughing, and so on.

There are other reasons why anxiety can cause a persistent cough. We describe two more common reasons in the Recovery Support area of our website. The above are the most notable.

How to eliminate persistent anxiety cough?

Since all of the above reasons are related to anxiety and the stress it causes, reducing stress and dealing with your anxiety issues are the most effective ways to eliminate anxiety cough. Yes, reducing your body's stress can be helpful in alleviating anxiety cough, but dealing with the root of your anxiety issues is the most successful and long lasting solution to anxiety and its many sensations and symptoms, including anxiety cough.

There are some short-term remedies to consider. Here are a few:

And so on (we list others in Chapter 9 in the Recovery Support area of our website).

Most importantly, however, is addressing the underlying factors associated with your problematic anxiety. Once you've eliminated the cause of overly apprehensive behavior, you also eliminate the stress it causes and its resulting symptoms. The less anxious you are, the less anxiety symptoms you'll experience, including anxiety cough.

We also have to keep in mind that it can take a long time for the body to recover from stress-response hyperstimulation. We have to persevere with our recovery strategies in spite of the lack of apparent progress, and remain patient as the body recovers.

While anxiety cough can be bothersome, it’s NOT an indication of something more serious. Therefore, it needn’t be a cause for concern. It will disappear when the body’s stress has been returned to a healthy level and you’ve learned to contain your apprehensive behavior.

For a more detailed explanation about all anxiety symptoms, why symptoms can persist long after the stress response has ended, common barriers to recovery and symptom elimination, and more recovery strategies and tips, we have many chapters that address this information in the Recovery Support area of our website.

The combination of good self-help information and working with an experienced anxiety disorder therapist, coach, or counselor is the most effective way to address anxiety and its many symptoms. Until the core causes of anxiety are addressed - we call these core causes the underlying factors of anxiety - a struggle with anxiety unwellness can return again and again. Dealing with the underlying factors of anxiety is the best way to address problematic anxiety.


For more information about our Anxiety Therapy, Coaching, Counseling option; our Available Anxiety Therapists; to Book An Appointment with one of our anxiety therapists; common Symptoms of Anxiety; Anxiety Attack Symptoms; anxiety Recovery Support area; common Anxiety Myths; and our Anxiety 101 section; or click on the appropriate graphic below:

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Authors: Jim Folk, Marilyn Folk, BScN. Last updated April 5, 2017.

anxietycentre.com: Information, support, and coaching/counseling/therapy for problematic anxiety and its sensations and symptoms, including anxiety cough.