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Chronic cough in children.

P Y Chow1, D K K Ng

  • 1Department of Paediatrics, Kwong Wah Hospital, Waterloo Road, Hong Kong, China.

Singapore Medical Journal
|September 30, 2004
PubMed
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Chronic cough in children, lasting over four weeks, often has a treatable cause like asthma or reflux. This review aids medical practitioners in diagnosing and managing this common pediatric issue.

Area of Science:

  • Pediatric Pulmonology
  • Neuroscience of Cough Reflex

Background:

  • Chronic cough is a frequent pediatric complaint, often presenting diagnostic challenges.
  • While the cough reflex is partially understood from animal models, human neural mechanisms remain unclear.
  • Identifying the cause is crucial for successful treatment in most pediatric cases.

Purpose of the Study:

  • To provide essential information for medical practitioners on evaluating chronic cough in children.
  • To outline common causes and less frequent but important contributing factors.
  • To present a diagnostic algorithm for approaching pediatric chronic cough.

Main Methods:

  • Review of current medical literature on pediatric chronic cough.
  • Synthesis of information on common and less common etiologies.

Related Experiment Videos

  • Development of a practical diagnostic algorithm for clinical use.

    • Main Results:

    • Asthma, chronic rhinosinusitis, and gastroesophageal reflux disease are the most frequent causes.
    • Dysfunctional swallowing, congenital anomalies, and smoking are also significant contributors.
    • A structured diagnostic approach can identify the cause in most children.

    Conclusions:

    • All children with chronic cough warrant thorough evaluation.
    • Effective management relies on accurate diagnosis of the underlying cause.
    • The provided algorithm can guide practitioners in the diagnostic process.