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Related Experiment Videos

[Chronic cough: a practical approach].

J G Frey1, J M Tschopp

  • 1Centre valaisan de pneumologie. jean-georges.frey@admin.vs.ch

Revue Medicale Suisse
|July 28, 2005
PubMed
Summary
This summary is machine-generated.

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Chronic cough, lasting over 8 weeks, is common. This approach effectively diagnoses and treats causes like asthma, reflux, and post-nasal drip, leading to successful outcomes.

Area of Science:

  • Pulmonology
  • Gastroenterology
  • Otolaryngology

Context:

  • Chronic cough (lasting >8 weeks) affects millions annually, with asthma, gastro-oesophageal reflux, and post-nasal drip as primary causes.
  • Accurate diagnosis is crucial for effective management of this frequent respiratory symptom.

Purpose:

  • To outline a practical, stepwise diagnostic and treatment approach for chronic cough.
  • To guide clinicians in identifying and managing common causes of persistent cough.

Summary:

  • The proposed strategy involves initial clinical assessment (history, exam, chest X-ray, spirometry), exclusion of post-infectious or ACE inhibitor-induced cough.
  • High clinical probability of asthma, reflux, or post-nasal drip warrants targeted treatment.
  • Further investigations including methacholine challenge, oesophageal studies, and imaging are indicated for refractory cases or diagnostic uncertainty.

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Impact:

  • This systematic approach facilitates successful treatment in the majority of chronic cough cases.
  • Improves patient outcomes by addressing the underlying etiology of persistent cough.