Tickling throat and coughing is usually not caused by syphilis. It may be caused by upper respiratory tract infection, cough variant asthma and other factors. Syphilis is a sexually transmitted disease caused by syphilis spirochete infection, syphilis spirochete can involve the organs of the whole body, the clinical manifestations are complex and diverse, such as hard chancre, lymph node swelling, syphilis rash on the whole body skin, hair loss, loss of vision, bone pain. So the itchy throat and coughing is usually not a manifestation of syphilis. Itchy throat and cough may be caused by upper respiratory tract infection, which is the more common cause of itchy throat and dry cough; in addition, cough variant asthma, long-term smoking, alcoholism, long-term talking, poor air quality and other reasons, may also lead to symptoms of itchy throat and dry cough. Patients with itchy throat and cough can not be timely medical treatment, under the guidance of the doctor to carry out relevant examinations, in order to clarify the cause of the symptomatic treatment. If you have high-risk behaviors and are worried about contracting syphilis, you should seek medical attention to complete the syphilis serology examination in order to avoid delaying your condition.