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Methods for Detecting Cough and Airway Inflammation in Mice

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Chronic Cough: Evaluation and Management.

Kento Sonoda¹, Ravi Nayak¹

¹Saint Louis University, Mo.

American Family Physician

|August 22, 2024

Summary

This summary is machine-generated.

Chronic cough, affecting millions, requires initial assessment with basic tests and targeted treatments. For persistent cases, therapies like physiotherapy and medication trials may be necessary.

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Area of Science:

Pulmonology
Otolaryngology
General Medicine

Background:

Chronic cough is defined as a cough lasting over 8 weeks in adults and 4 weeks in children.
Over 12.3 million individuals in the U.S. are estimated to have chronic cough.
Common causes include upper airway cough syndrome, asthma, GERD, and laryngopharyngeal reflux.

Purpose of the Study:

To outline the diagnostic and treatment strategies for chronic cough in adults and children.
To emphasize initial cost-effective assessments and targeted therapies.
To provide guidance on managing chronic refractory cough and pediatric cases.

Main Methods:

Initial assessment involves chest radiography, spirometry, and evaluation of medications, environment, and triggers.
Empiric and targeted treatments are initiated for common etiologies.
For refractory cases, physiotherapy, speech therapy, gabapentin, or amitriptyline may be considered.
Referral to specialists for bronchoscopy or nasendoscopy if initial tests are unremarkable.
Pediatric assessment considers protracted bacterial bronchitis, asthma, bronchiectasis, and GERD.

Main Results:

The abstract outlines common causes and diagnostic pathways for chronic cough.
It suggests initial cost-effective tests and treatments for prevalent etiologies.
Management strategies for chronic refractory cough and pediatric presentations are detailed.

Conclusions:

Effective management of chronic cough involves a systematic approach, starting with basic diagnostics and targeted treatments.
Referral to specialists and consideration of advanced therapies are crucial for refractory cases.
Specific considerations are necessary for pediatric chronic cough, including observation for certain presentations.