There are both physiologic and pathologic causes of coughing accompanying speech. Physiologic causes are related to speaking too quickly or too rapidly. Disease factors are many, such as acute upper respiratory tract infections, chronic pharyngitis, bronchial asthma and other diseases, can cause symptoms of coughing while talking. 1. Physiological factors: This is mostly seen in talking too fast, too fast, resulting in respiratory airflow for the throat to produce a strong stimulus, thus causing coughing symptoms, generally do not need too much intervention, can be relieved on their own. 2. Pathologic factors: (1) Acute upper respiratory tract infection: acute upper respiratory tract infection will lead to pharyngeal congestion and edema, so that the mucosa becomes more sensitive, when talking, the respiratory airflow produces stimulation, causing cough symptoms. (2) Chronic pharyngitis: chronic pharyngitis is a chronic inflammation of the lymphatic tissue under the pharyngeal mucosa, and the typical symptoms are foreign body sensation in the throat, dryness or irritation, and sore throat. The symptoms may be aggravated by talking, accompanied by the clinical manifestation of cough. (3) asthma: asthma is mainly manifested by irritating dry cough, usually more intense cough, and can be aggravated by colds, exercise and cold air inhalation, the phenomenon of coughing while talking. Therefore, the etiology of coughing when talking is very complex, which needs to be combined with the patient’s medical history and symptoms, under the guidance of the doctor, improve the relevant examination, to clarify the specific causes of the disease, so as to systematic treatment.