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Acute, disruptive cough. Symptomatic therapy for a nagging problem

N J Zervanos1, K M Shute

  • 1Lancaster General Hospital, Pennsylvania.

Postgraduate Medicine
|March 1, 1994
PubMed
Summary

Cough is a normal response to respiratory irritants, not a disease. Effective treatment involves identifying the cause and using targeted therapies for persistent, disruptive cough, with more research needed in primary care.

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Area of Science:

  • Respiratory Medicine
  • Clinical Practice

Background:

  • Cough is often viewed as a symptom of illness.
  • It is a physiological protective reflex.

Purpose of the Study:

  • To reframe the understanding of acute cough.
  • To outline an approach to evaluating and managing disruptive cough.
  • To highlight the need for further research.

Main Methods:

  • Review of current understanding of cough physiology.
  • Clinical evaluation including history and physical exam.
  • Consideration of diagnostic tests.
  • Assessment of symptomatic therapies based on mechanism of action.

Main Results:

  • Acute cough is a physiologic response to irritants.
  • Evaluation requires thorough history, physical exam, and limited diagnostics.
  • Specific therapy targets the underlying cause.
  • Symptomatic treatment is indicated for persistent, disruptive cough.
  • Primary care research is needed.

Conclusions:

  • Cough should be understood as a protective reflex.
  • A systematic approach to diagnosis and management is crucial.
  • Further controlled studies are essential for evidence-based primary care guidelines.

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