A1 noun #2,085 most common 3 min read

cough

A cough is a sudden, loud sound you make when air is pushed out of your lungs.

Explanation at your level:

A cough is a sound. You make this sound when you are sick. When you have a cold, you might cough a lot. It comes from your lungs. It is a normal thing to do when your throat is itchy.

A cough is a sudden noise from your lungs. You usually cough when your throat is irritated. If you have the flu, you might have a bad cough. It is a common symptom of being unwell.

A cough refers to the act of expelling air from the lungs to clear the throat. It is often a reaction to an infection or dust. People often say, 'I have a persistent cough,' when it lasts for a long time. It is a very common health-related term.

Beyond the physical act, cough is frequently used in collocations like 'hacking cough' or 'dry cough.' In a medical context, it is a primary indicator of respiratory issues. The verb form is also common, as in 'He was coughing all night,' which suggests a lack of sleep due to illness.

The term cough functions as both a physiological reflex and a metaphorical trigger. In advanced usage, we might describe a 'cough' as a sign of underlying respiratory distress or environmental irritation. Its etymological roots as an onomatopoeic word make it a fascinating study in how language reflects human biology. It is essential for describing health conditions with precision.

In mastery-level English, cough is understood not just as a symptom, but as a nuanced indicator of health status. We see it in literary descriptions where a 'dry, hacking cough' might symbolize fragility or approaching mortality. The verb 'to cough up' extends into business and legal contexts, signifying the reluctant surrender of assets. Understanding the distinction between a 'productive' and 'non-productive' cough is standard in professional medical discourse, highlighting the word's versatility across registers.

Word in 30 Seconds

  • A cough is a reflex to clear the throat.
  • It is a common symptom of colds.
  • Pronounced like 'kof'.
  • Can also be a verb.

When we talk about a cough, we are usually describing that sudden, involuntary burst of air that erupts from your lungs. It is one of your body's most important defense mechanisms.

Think of it as a security guard for your throat. When something—like dust, smoke, or mucus—tries to irritate your airways, your body triggers a cough to push that intruder out. It is a very common symptom, and almost everyone experiences it when they are under the weather.

While it can be annoying, it is actually a sign that your body is working exactly as it should to keep your lungs clear and healthy. Whether it is a dry, tickly cough or a wet, congested one, it is the body's way of saying, 'Hey, let's clear this out!'

The word cough has deep roots in Germanic history. It traces back to the Middle English word coughen, which itself evolved from the Old English cohhian.

If you look at the history of the word, it is actually onomatopoeic. That means the word was created to mimic the actual sound of the action itself. If you say 'cohh' aloud, you can hear that harsh, guttural sound that resembles the physical act of coughing.

Over centuries, the spelling shifted to the modern 'cough' we use today, though the pronunciation has remained surprisingly consistent. It is a great example of how language often mimics the physical world around us to make communication more intuitive.

In daily conversation, you will hear people use cough as both a noun and a verb. As a noun, it is usually preceded by adjectives that describe the type of sound or feeling.

Common collocations include a dry cough, a hacking cough, or a persistent cough. You might say, 'I have a terrible cough,' to describe your current state. In medical contexts, doctors might ask about the frequency or duration of your cough.

The register is generally neutral. It is perfectly acceptable in both casual chats with friends and professional conversations with your doctor. Just remember to use the article 'a' when referring to a single instance of coughing.

The word cough appears in several interesting English idioms. Cough up is a very common one, meaning to pay money or provide information reluctantly. For example, 'He finally coughed up the cash for the bill.'

Another is cough and spit, which is a bit old-fashioned but implies a very deep, productive cough. Then there is coughing fit, used when someone cannot stop the action for a period of time.

We also use cough up the truth, which means to finally admit something you were hiding. These expressions show how a physical bodily function has been metaphorically adopted into our daily social and financial language.

Grammatically, cough is a countable noun. You can have 'a cough' or 'many coughs'. As a verb, it follows regular conjugation: cough, coughs, coughed, coughing.

The pronunciation is tricky because of the 'ough' spelling. In American and British English, it is pronounced with an 'off' sound (IPA: /kɒf/). It rhymes with off, trough, and scoff.

Notice that it does not rhyme with though or bough. The stress is always on the single syllable, making it a punchy, short word. Always remember that the 'gh' acts like an 'f' sound here, which is a classic quirk of English orthography.

Fun Fact

The word is onomatopoeic, meaning it sounds like the action itself.

Pronunciation Guide

UK /kɒf/

Short 'o' sound followed by an 'f'.

US /kɔːf/

Similar to the UK, short and sharp.

Common Errors

  • Pronouncing it like 'cow'
  • Pronouncing it like 'coo'
  • Ignoring the 'f' sound

Rhymes With

off scoff trough doff cough

Difficulty Rating

Reading 1/5

Very easy to read.

Writing 2/5

Easy to spell once learned.

Speaking 2/5

Pronunciation is tricky.

Listening 1/5

Easy to recognize.

What to Learn Next

Prerequisites

cold sick throat

Learn Next

symptom respiratory illness

Advanced

bronchitis congestion expectorant

Grammar to Know

Countable Nouns

I have a cough.

Present Continuous

He is coughing.

Articles

The cough is gone.

Examples by Level

1

I have a cough.

I possess a cough.

Use 'a' with singular nouns.

2

He has a cough.

He possesses a cough.

Third person singular.

3

She has a bad cough.

She has a severe cough.

Adjective usage.

4

The cough is loud.

The noise is loud.

Subject-verb agreement.

5

Do you have a cough?

Question about health.

Interrogative form.

6

My cough is gone.

The cough finished.

Past state.

7

I hate my cough.

I dislike the cough.

Verb usage.

8

Stop that cough!

Command to stop.

Imperative.

1

She developed a cough yesterday.

2

The doctor treated her cough.

3

His cough kept me awake.

4

I took medicine for my cough.

5

The cold caused a dry cough.

6

She has a persistent cough.

7

Cover your mouth when you cough.

8

The cough sounds very painful.

1

The syrup helped soothe my cough.

2

He has been suffering from a cough for weeks.

3

The doctor listened to her cough.

4

She had a fit of coughing during the meeting.

5

A chronic cough can be a sign of asthma.

6

He tried to hide his cough.

7

The cough is a common symptom of the flu.

8

She gave a small cough to get my attention.

1

His hacking cough echoed through the hall.

2

The patient presented with a persistent, dry cough.

3

She suppressed a cough during the performance.

4

The medication effectively reduced his cough.

5

He had a violent coughing fit in the middle of dinner.

6

The doctor diagnosed the cough as bronchitis.

7

She cleared her throat with a short cough.

8

The cough worsened as the night progressed.

1

The patient's cough was indicative of a respiratory infection.

2

She gave a dry, dismissive cough before speaking.

3

The constant cough was a source of great irritation.

4

He finally coughed up the necessary documents.

5

The cough was accompanied by a high fever.

6

Her cough was a telltale sign of her illness.

7

The medication failed to alleviate the persistent cough.

8

He was plagued by a hacking cough all winter.

1

The old man's cough was a rattling, ominous sound.

2

She coughed up the truth under pressure.

3

The persistent cough was symptomatic of deeper health issues.

4

He was forced to cough up the money for the damages.

5

The cough served as a poignant reminder of his frailty.

6

The physician noted the character of the patient's cough.

7

The dry cough was exacerbated by the dusty air.

8

His cough was a involuntary reaction to the smoke.

Synonyms

hacking bark throat-clearing tussis wheeze

Antonyms

silence deep breath

Common Collocations

dry cough
persistent cough
hacking cough
cough syrup
cough medicine
cough drop
suppress a cough
develop a cough
cough fit
clear one's throat

Idioms & Expressions

"cough up"

to pay money or give information

He had to cough up the money.

casual

"cough and spit"

to cough very hard

He was coughing and spitting all night.

informal

"a cough in a gale"

something very quiet or insignificant

His protest was like a cough in a gale.

literary

"coughing fit"

a period of uncontrollable coughing

She had a coughing fit during the play.

neutral

"cough up the truth"

to admit something reluctantly

Eventually, he coughed up the truth.

casual

"not worth a cough"

of no value

That advice isn't worth a cough.

informal

Easily Confused

cough vs tough

similar spelling

tough means strong/hard

The steak was tough.

cough vs rough

similar spelling

rough means uneven

The road was rough.

cough vs though

similar spelling

though is a conjunction

Even though it rained.

cough vs dough

similar spelling

dough is bread mix

I made pizza dough.

Sentence Patterns

A1

Subject + has + a + cough

She has a cough.

A2

Subject + is + coughing

He is coughing a lot.

B2

Subject + coughed + up + noun

He coughed up the money.

B1

Subject + suffered + from + a + cough

I suffered from a cough.

C1

Subject + suppressed + a + cough

She suppressed a cough.

Word Family

Nouns

cough the act of coughing

Verbs

cough to expel air from lungs

Adjectives

coughing the state of having a cough

Related

cold common cause
flu common cause

How to Use It

frequency

8

Formality Scale

medical report (formal) doctor visit (neutral) chat with friend (casual) slang (none)

Common Mistakes

Using 'a' with plural 'coughs' (e.g., 'a coughs') coughs
Do not use 'a' with plural nouns.
Mispronouncing as 'cow-gh' kof
The 'ough' sound is 'off'.
Confusing 'cough' with 'cold' Use cough for the symptom, cold for the illness.
They are different things.
Forgetting the 'f' sound Pronounce the 'gh' as 'f'.
English spelling is irregular.
Using 'cough' as an adjective Use 'coughing' (e.g., 'a coughing person')
Cough is a noun/verb.

Tips

💡

Say It Right

Remember the 'f' sound at the end.

💡

When to see a doctor

If it lasts more than three weeks.

🌍

Etiquette

Always cover your mouth.

💡

Countability

It is a countable noun.

💡

Flashcards

Put 'cough' on one side and 'symptom' on the other.

💡

Did You Know?

It's an onomatopoeic word.

💡

Spelling

Don't forget the 'gh'.

💡

Story

Use it in a sentence about a cold.

💡

Collocations

Learn 'dry cough' and 'cough syrup'.

🌍

Global Health

Coughing is universal.

Memorize It

Mnemonic

C-O-U-G-H: Can Only Use Great Health (to avoid one).

Visual Association

A person covering their mouth with a tissue.

Word Web

illness health lungs throat medicine

Challenge

Try saying 'cough' five times fast.

Word Origin

Germanic/Old English

Original meaning: To make a harsh sound

Cultural Context

Covering your mouth when coughing is a major social etiquette rule.

Coughing in public is often considered impolite; one should cover their mouth.

The cough in 'La Bohème' Various medical dramas

Practice in Real Life

Real-World Contexts

at the doctor

  • I have a cough
  • How long?
  • Take medicine

at work

  • Excuse me
  • I have a cold
  • Need a break

at school

  • Can I have water?
  • I am sick
  • Coughing fit

traveling

  • Do you have medicine?
  • I am feeling unwell
  • Need a pharmacy

Conversation Starters

"Have you ever had a really bad cough?"

"What do you take when you have a cough?"

"Do you think it is polite to cough in public?"

"How do you stop a coughing fit?"

"Does your family have a special cough remedy?"

Journal Prompts

Write about a time you were very sick.

Describe a cough remedy from your culture.

Why is it important to cover your mouth?

Explain the difference between a dry and wet cough.

Frequently Asked Questions

8 questions

Yes, you can cough.

C-O-U-G-H.

To clear the throat.

Only if you cover your mouth.

A cough without mucus.

Yes, it is a countable noun.

Yes!

Usually not, but see a doctor if it lasts.

Test Yourself

fill blank A1

I have a bad ___.

Correct! Not quite. Correct answer: cough

Cough is the noun for the symptom.

multiple choice A2

What should you do when you cough?

Correct! Not quite. Correct answer: Cover your mouth

It is polite to cover your mouth.

true false B1

A cough is a type of food.

Correct! Not quite. Correct answer: False

A cough is a bodily reflex.

match pairs B1

Word

Meaning

All matched!

Matches idioms and compounds.

sentence order B2

Tap words below to build the sentence
Correct! Not quite. Correct answer:

The cough was bad.

Score: /5

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