It is even more enjoyable when that "massive cough" triggers the ol' unexpected bout of explosive diarrhea in the middle of a cough.
Hehe, reminds me of the pharmacist's assistant who sold a pack of laxatives to a customer for a severe bout of sneezing, telling him to take 2 right away, another 2 when he got home and the rest every 4 hours
The pharmacist pipes up after the sale and questions the assistant's thinking, given laxatives are not known to cure an attack of the sneezes.
"After taking that lot he won't be game to f**ken sneeze!"