Coughing on speaking can be caused by cough variant asthma, chronic pharyngitis, and medications such as angiotensin-converting enzyme inhibitors. Different causes require different treatments. 1. Cough variant asthma: mainly due to airway hyperreactivity, the symptoms of irritating cough when speaking can be taken under the guidance of physicians budesonide formoterol powder inhaler, montelukast and other drugs to relieve coughing symptoms. 2. Chronic pharyngitis: pharyngeal stimulation when talking may cause paroxysmal cough, can be under the guidance of a physician to improve the pharyngitis and thus improve the cough symptoms, commonly used compound borax solution, furacilin solution, compound chlorhexidine gargle solution, gargle, can also be contained in iodine laryngeal tablets, peppermint laryngeal tablets, and other medications. 3. Drug side effects: seen in patients taking angiotensin-converting enzyme inhibitors such as captopril, usually irritating cough, stopping the drug for a period of time after the disappearance of symptoms or significant reduction. There are many other causes of cough, different causes, different treatment drugs, it is recommended to seek medical advice in a timely manner to clarify the condition, under the guidance of a physician to standardize the use of medication.