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Methods for Detecting Cough and Airway Inflammation in Mice
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Upper Airway Cough Syndrome.

Angela M Donaldson1

  • 1Department of Otolaryngology Head & Neck Surgery, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL, USA.

Otolaryngologic Clinics of North America
|October 25, 2022
PubMed
Summary

Upper airway cough syndrome (UACS), previously postnasal drip syndrome, is a leading cause of chronic cough. Effective treatment involves antihistamines and decongestants, with symptom resolution confirming the diagnosis.

Area of Science:

  • Pulmonology
  • Allergy and Immunology

Background:

  • Upper airway cough syndrome (UACS), also known as postnasal drip syndrome, is a prevalent cause of chronic cough.
  • UACS, asthma, and gastroesophageal reflux account for 90% of chronic cough cases.
  • UACS is diagnosed clinically and lacks specific diagnostic tests or objective findings.

Purpose of the Study:

  • To outline the diagnostic approach and treatment strategies for Upper Airway Cough Syndrome (UACS).

Main Methods:

  • Diagnosis of UACS is based on clinical presentation and exclusion of other causes.
  • Treatment involves a dual-drug regimen combining H1 receptor antihistamines and decongestants.
  • Confirmation of diagnosis relies on the resolution of symptoms following therapeutic intervention.
Keywords:
Chronic coughChronic rhinosinusitisPostnasal dripRhinitisUACS

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Main Results:

  • Dual therapy with H1 receptor antihistamines and decongestants is the recommended treatment for UACS.
  • Symptom resolution following treatment serves as confirmation of the UACS diagnosis.
  • UACS can occur independently or in conjunction with rhinitis and chronic rhinosinusitis.

Conclusions:

  • Upper airway cough syndrome is a common condition requiring specific therapeutic approaches.
  • The combination of antihistamines and decongestants offers an effective treatment for UACS.
  • Clinical diagnosis and therapeutic response are key to managing chronic cough attributed to UACS.