The question of whether a mute person can cough bridges the gap between misconceptions about muteness and the physiological realities of the human body.
Muteness, or the inability to speak, often leads to queries about how it affects other involuntary actions, such as coughing.
This article aims to clarify the distinction between the mechanisms of speech and coughing, shedding light on the capabilities of those who are mute.
Can Mute People Cough?
Yes, mute individuals can cough. Muteness impacts the ability to produce spoken sounds but does not affect the reflex actions of the respiratory system, such as coughing. Coughing is a natural response to clear the airways and is not reliant on the vocal cords’ ability to generate speech.
What is Mutism?
Mutism is a condition characterized by an individual’s inability to speak. This inability can stem from various causes, including psychological, neurological, or physical factors.
It is important to differentiate between types of mutism:
- Selective Mutism: A psychological disorder most commonly diagnosed in children, where they are unable to speak in certain social situations despite having normal language skills. This condition is often associated with anxiety and may be seen in settings where the child feels pressure or is uncomfortable, like at school or in public places, but they might speak freely at home or in a comfortable environment.
- Total or Complete Mutism: This can result from severe psychological trauma or significant neurological damage. In these cases, the individual does not speak at all, in any setting or situation.
- Traumatic Mutism: Sometimes, after a traumatic event or severe psychological shock, an individual may temporarily lose the ability to speak.
- Neurological Mutism: Conditions such as stroke, traumatic brain injury, or other neurological disorders can lead to mutism by affecting the parts of the brain responsible for speech production.
Mutism is distinct from conditions affecting the voice or speech articulation, such as aphasia (loss of the ability to understand or express speech, caused by brain damage) or dysarthria (a motor condition affecting speech articulation).
Treatment and management of mutism depend largely on its underlying cause and may involve a combination of speech therapy, psychological counseling, and, in some cases, medication.
What is Coughing?
Coughing is a natural reflex that protects the lungs and clears the airways of irritants, secretions, or foreign particles. It’s an important part of the body’s defense mechanism against respiratory infections and helps to maintain clear breathing passages.
The cough reflex involves several steps:
- Irritation: The presence of irritants in the airways triggers sensory nerves in the lining of the respiratory passages.
- Inhalation: A rapid intake of air follows the initial irritation.
- Pressure Build-up: The vocal cords close briefly, causing pressure to build up in the lungs as the chest and abdominal muscles contract.
- Expulsion: The vocal cords suddenly open, releasing a strong blast of air that expels the irritants from the airways.
Coughs can be classified based on their duration:
- Acute Cough: Lasts less than three weeks and is often caused by common colds, flu, or acute bronchitis.
- Subacute Cough: Persists for three to eight weeks, transitioning from acute cough without completely resolving.
- Chronic Cough: Lasts longer than eight weeks and can be due to conditions like asthma, chronic bronchitis, gastroesophageal reflux disease (GERD), or smoking.
Coughing can also be categorized by its nature:
- Productive Cough: Produces phlegm or mucus, which can be a mechanism to clear the lungs.
- Non-productive (Dry) Cough: Does not produce phlegm or mucus and can result from inflammation or irritation in the airways.
Note: Treatment for coughing depends on its underlying cause. While it’s often a symptom of a benign, self-limited condition, persistent coughing may require medical evaluation to determine and address any underlying health issues.
FAQs About Muteness and Coughing
What is Muteness?
Muteness refers to an individual’s inability to speak. It can result from various causes, including psychological conditions, neurological disorders, or physical impairments affecting the vocal cords or parts of the brain responsible for speech production.
The condition can be selective, where a person is only mute in specific situations, or complete, where they do not speak at all.
Can a Mute Person Make Sounds?
Yes, a mute person can often make sounds, depending on the underlying cause of their muteness.
If the vocal cords are intact and the muteness is due to psychological reasons or neurological issues not directly affecting the vocal cords, the person might be able to make non-verbal sounds, such as humming or moaning.
Do Mute People Make Sounds When They Sneeze?
Yes, mute people can make sounds when they sneeze. Sneezing is a reflex action controlled by the autonomic nervous system and does not require the use of vocal cords in the same way as speaking.
The sound produced during a sneeze is a result of air passing through the nose and mouth, not an act of vocalization.
Is it Possible for a Mute Person to Hear?
Yes, it is possible for a mute person to hear. Muteness affects the ability to speak, not the ability to hear.
Hearing is governed by the auditory system, whereas muteness relates to impairments in the vocal cords or brain areas responsible for speech production.
Therefore, unless an individual has a separate condition affecting their hearing, muteness does not impact the ability to hear.
Can Coughing Make You Mute?
Coughing itself is unlikely to cause muteness. Muteness is typically the result of issues affecting the vocal cords or the neurological pathways responsible for speech.
However, severe or prolonged coughing can lead to temporary voice strain or loss due to irritation or damage to the vocal cords. In most cases, this is temporary and not true muteness.
Can a Mute Person Laugh?
Yes, a mute person can laugh. Laughing is a reflexive, spontaneous action controlled by different mechanisms than those used for speech.
It involves the respiratory system and doesn’t necessarily require the use of vocal cords in the same manner as forming words. Therefore, muteness does not prevent a person from laughing.
Can a Mute Person Burp?
Yes, a mute person can burp. Burping, or belching, is the release of gas from the digestive tract through the mouth and is a natural bodily function not related to the vocal cords’ ability to produce speech.
It’s controlled by the digestive system and does not require speech capabilities.
Can a Mute Person Whistle?
Yes, a mute person can whistle in many cases, especially if the muteness is due to psychological reasons or does not involve the physical impairment of the lips, tongue, and breath control.
Whistling is produced by creating a specific shape with the lips and tongue and does not necessarily involve the vocal cords. However, the ability to whistle can vary depending on the specific conditions affecting speech.
Can You Suddenly Become Mute?
Yes, it is possible to suddenly become mute, typically due to a traumatic event or a severe psychological shock.
This condition, known as acute mutism, can occur almost instantly after the event. In some cases, neurological conditions like a stroke or brain injury can also lead to sudden muteness by affecting the brain areas responsible for speech.
Can You Recover from Being Mute?
Recovery from muteness depends on its underlying cause. For individuals with selective mutism, psychological therapy and supportive interventions can lead to significant improvement and even full recovery.
In cases where muteness is caused by physical conditions affecting the vocal cords or neurological issues, treatment might involve speech therapy, medical intervention, or surgery, depending on the specific situation.
The potential for recovery varies widely, with some individuals experiencing partial or full restoration of speech capabilities, while for others, muteness may be a permanent condition.
Final Thoughts
The ability of mute individuals to cough demonstrates the independent nature of the body’s reflex actions from the faculties of speech.
Understanding that muteness affects only the production of speech and not the reflexive actions of the respiratory system helps dispel common myths and fosters a more informed perspective on the capabilities of people who are mute.
Written by:
John Landry is a registered respiratory therapist from Memphis, TN, and has a bachelor's degree in kinesiology. He enjoys using evidence-based research to help others breathe easier and live a healthier life.
References
- Aggarwal A, Sharma DD, Kumar R, Sharma RC. Mutism as the presenting symptom: three case reports and selective review of literature. Indian J Psychol Med. 2010.
- Sharma S, Hashmi MF, Alhajjaj MS. Cough. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.