There are many causes of cough: from inhaling foreign bodies to upper respiratory tract infections. However, allergic rhintis or hay fever, which may be seasonal or year-round, may also give rise to chronic coughing. So how do you know if your cough is viral or due to allergy? The American Academy of Allergy Asthma and Immunology (AAAAI) has put together an article relating cough and spring allergies to help patients determine whether they need to see an allergist or immunologist regarding their cough. Patients should see an allergist/immunologist if they:

• Have a cough that lasts 3-8 weeks or more.


• Have a cough that coexists with asthma.


• Have coexisting chronic cough and nasal symptoms.


• Have a chronic cough and tobacco use or exposure.

This checklist is especially important in evaluating children's cough. If your child is anything like my son, it's sometimes difficult to differentiate allergy-induced coughing to yet another bout of flu picked from the kindergarten!