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Is chocolate good to eat while coughing?

5 min read

A study from the University of Hull found that a cocoa-based medicine was more effective at suppressing coughs than standard syrup, challenging the common cold-weather wisdom. This surprising research brings to light the question: is chocolate good to eat while coughing, and what type is best for soothing that irritating tickle?

Quick Summary

Recent studies suggest dark chocolate may help soothe coughs by coating the throat and suppressing nerve activity. Theobromine, a compound in cocoa, is believed to play a key role. Dark chocolate is more effective than milk chocolate or hot cocoa due to its higher cocoa content, though potential downsides like dairy sensitivity and reflux should be considered.

Key Points

  • Theobromine Effect: Dark chocolate contains theobromine, an alkaloid found to be a more effective cough suppressant than codeine in some studies.

  • Demulcent Action: The sticky, thick consistency of chocolate coats the throat, calming nerve endings and reducing the urge to cough.

  • Savor, Don't Sip: Sucking on a piece of dark chocolate is more effective than drinking hot chocolate, as it ensures longer contact with the throat.

  • Dark Chocolate is Key: The benefits are most pronounced with high-cocoa dark chocolate; milk chocolate contains less theobromine and more potentially problematic sugar and dairy.

  • Potential for Worsening Symptoms: For individuals with acid reflux or dairy sensitivities, chocolate can sometimes thicken mucus or trigger heartburn, potentially making a cough feel worse.

In This Article

The Science Behind Chocolate and Cough Relief

For centuries, people have sought simple remedies for the common cough. While honey and lemon are traditional favorites, modern research suggests chocolate, specifically dark chocolate, may also offer relief. The potential benefits stem from two primary mechanisms: the demulcent effect and the compound theobromine.

How Theobromine Acts as a Cough Suppressant

Theobromine is an alkaloid found in cocoa that has shown promise in suppressing coughs. Studies from Imperial College London discovered that theobromine is more effective at calming persistent coughs than codeine, a common ingredient in over-the-counter cough medicines. Theobromine works by inhibiting the activity of the vagus nerve, which triggers the coughing reflex. By calming this nerve, the substance reduces the urge to cough without the sedative side effects often associated with codeine. In fact, theobromine was explored for use in a specific cough medicine as early as 2010. This offers a fascinating, and more palatable, alternative for some people battling a lingering cough.

The Soothing Demulcent Effect

Beyond its pharmacological properties, chocolate possesses a physical characteristic that helps soothe a dry, irritated throat. Like honey, chocolate has a thick, sticky consistency that can coat the throat and protect the delicate nerve endings. This "demulcent" action creates a protective film over the mucous membranes, preventing the irritation that often triggers a cough. Sucking on a piece of dark chocolate allows this coating to form slowly and effectively, providing immediate, albeit temporary, relief. This explains why slowly savoring a piece of chocolate is more effective than quickly drinking a mug of hot cocoa, where the soothing contact time with the throat is minimal.

Not All Chocolate is Created Equal

When considering chocolate as a cough remedy, it's crucial to understand that not all types offer the same benefits. The key is the concentration of cocoa, and therefore theobromine, within the product.

The Dark Chocolate Advantage

Dark chocolate is the most beneficial type for cough relief due to its high cocoa content. An ounce of quality dark chocolate contains a substantial amount of theobromine, enough to potentially provide therapeutic effects for an adult. Opting for a dark chocolate bar with a high percentage of cocoa solids (70% or more) will maximize the intake of this active compound. Sucking on a single piece slowly, rather than chewing and swallowing quickly, ensures the chocolate has ample time to coat the throat effectively.

The Limitations of Milk Chocolate and Hot Cocoa

Milk chocolate and hot cocoa are less effective for coughs for several reasons. First, milk chocolate has a much lower cocoa content and therefore less theobromine. Second, both often contain high levels of sugar and dairy, which can be problematic. Dairy can thicken mucus, potentially making a wet cough feel worse. High sugar intake can also cause inflammation and exacerbate symptoms for some individuals. Hot chocolate is particularly ineffective because the liquid passes through the throat too quickly to provide a lasting demulcent effect.

Potential Downsides and Considerations

While dark chocolate can offer benefits, it is not a cure-all and some individuals may experience adverse effects. It is important to be aware of the following potential downsides:

  • Dairy Sensitivity: Many chocolate products contain dairy, which can stimulate mucus production in some people. For those with a productive (wet) cough, this could make the congestion and need to clear the throat feel worse.
  • Acid Reflux (GERD): Chocolate is known to be a trigger for acid reflux due to its fat and caffeine content. For individuals with a cough caused by GERD, eating chocolate could worsen symptoms. This is because the chocolate can relax the sphincter between the esophagus and stomach, allowing stomach acid to rise and irritate the throat, which can trigger a cough.
  • Sugar Content: Especially in milk chocolate and processed hot cocoa mixes, the high sugar content can be inflammatory and may suppress the immune system if consumed in large quantities. This could potentially slow down the body's natural healing process.

Comparison Table: Cough Remedies

Remedy Key Active Ingredient Primary Mechanism Best for Potential Side Effects
Dark Chocolate Theobromine Suppresses vagus nerve, coats throat Dry, persistent cough Reflux, dairy sensitivity
Honey Antioxidants, natural demulcent Coats throat, soothes irritation Any cough (not for infants) Not for babies under 1 year old
Codeine Syrup Codeine (an opioid) Suppresses cough reflex in the brain Severe, persistent cough Drowsiness, constipation, potential for misuse
Lemon & Ginger Tea Vitamin C, anti-inflammatories Soothes throat, reduces inflammation Any cough, especially with congestion Acidity may affect sensitive stomachs

Other Natural Remedies for Cough Relief

For those who wish to supplement their cough care or avoid chocolate, several other natural remedies can be effective. Many of these work through similar demulcent or anti-inflammatory properties. These include:

  • Honey: A classic remedy, honey is effective for soothing a sore throat and cough. It can be taken by the spoonful or mixed with warm water and lemon. Note: Do not give honey to children under 1 year of age due to the risk of botulism.
  • Saltwater Gargle: Gargling with warm salt water can help soothe an irritated throat and reduce inflammation.
  • Ginger: Known for its anti-inflammatory properties, ginger can help relax the smooth muscles in the airways. Ginger tea is a popular choice for cough relief.
  • Herbal Teas: Teas made with peppermint, marshmallow root, or thyme can be soothing and help with inflammation.
  • Hydration: Drinking plenty of fluids, especially warm liquids, helps to thin mucus and soothe the throat.
  • Humidifier: Using a cool-mist humidifier adds moisture to the air, which can relieve a dry, scratchy cough.

Conclusion

Based on scientific findings, eating dark chocolate can be a surprisingly effective way to soothe a cough, particularly a dry, persistent one. Theobromine, an active compound in cocoa, acts as a cough suppressant by targeting the vagus nerve, while the demulcent properties of chocolate help to coat and protect the throat from irritation. For best results, it is recommended to slowly suck on a piece of high-quality, high-cocoa dark chocolate. However, it's not without its drawbacks. Milk chocolate and hot cocoa are less effective and may even worsen symptoms due to dairy, sugar, and lower cocoa content. Those with acid reflux or dairy sensitivities should exercise caution. For most people, a small amount of dark chocolate can provide pleasant relief, making this a tasty and convenient addition to the list of home remedies. As with any persistent health issue, consulting a healthcare professional is recommended if a cough lasts for an extended period or worsens. For more information on theobromine research, see this ScienceDaily article from Imperial College London.

Frequently Asked Questions

Chocolate does not directly cause a cough, but for some people, certain ingredients can be problematic. The dairy in milk chocolate can thicken mucus, and the fat content can trigger acid reflux, both of which may exacerbate a cough or a feeling of needing to clear the throat.

No, hot chocolate is generally not as effective for a cough. The liquid passes through the throat too quickly to provide the demulcent coating effect. Additionally, many hot chocolate mixes contain high sugar and dairy content, which may be counterproductive.

For cough relief, opt for high-quality dark chocolate with at least 70% cocoa solids. This provides the highest concentration of theobromine, the key active compound for suppressing the cough reflex.

For children over one year old, dark chocolate is generally safe in moderation. However, honey is a more widely recommended and studied natural remedy for children's coughs. Consult a pediatrician before giving any new remedy to a child.

For most people, the side effects are minimal, especially with dark chocolate. However, those prone to acid reflux (GERD) may find their symptoms triggered. In rare cases, individuals may have an allergy or sensitivity to cocoa or other ingredients.

Some studies suggest theobromine in dark chocolate may be more effective than codeine in cough syrup for certain types of persistent coughs, without the drowsy side effects. However, the demulcent effect is similar to the soothing property of many syrups.

No, if your cough is linked to GERD, you should likely avoid chocolate. It is a known trigger food for acid reflux because it can relax the lower esophageal sphincter, allowing stomach acid to irritate the throat and worsen your cough.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.