In some cases, coughing excessively can be a limitation that interferes with work. It may be distracting to other individuals, but can also be exhausting to the individual coughing. This may also be associated with or cause other limitations such as headache, dizziness, vertigo, and incontinence. Coughing may arise from both disability related and non-disability related medical and environmental conditions. When coughing is loud or persistent, accommodations may be helpful to reduce the impact of the coughing on coworkers and the work environment.