Chronic Cough
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What is chronic cough?
When the cough lasts more than a month in children and couple of months in adults
What are the causes of chronic cough?
Acid reflux
Laryngopharyngeal reflux
Environmental pollution
Whooping cough
Viral, fungal and bacterial respiratory infections
Exposure to irritants
Pulmonary emboli
Aortic aneurysm
Allergies
Asthma
Tobacco usage
Postnasal drip
Sinusitis
Nasal polyps
Upper airway cough syndrome
Rhinitis
Fibrosing alveolitis
Sleep apnoea
Vocal cord dysfunction
Cough hypersensitivity syndrome
Ciliary dyskinesia
Chronic bronchitis
Emphysema
Bronchiectasis
Pulmonary fibrosis
Cystic fibrosis
Certain medications – ACE inhibitors
Sarcoidosis
Eosinophilic bronchitis
Vitamin B12 deficiency
Lung cancer
Psychogenic
How chronic cough is diagnosed?
Physical examination
Medical history evaluation
Environmental and Occupational assessment
Differential diagnosis based on diagnostic outcomes
Lab tests – Blood Cultures, Serology, Molecular Tests, Immunoassays, Allergy Tests, Exhaled Nitric Oxide, Autoantibodies, Sweat test, ESR, CRP,
Methacholine challenge test
Oesophageal pH testing
Lung function tests – Spirometry
Medical imaging – X-Ray scan of chest, High Resolution CT, Sinus Imaging, Magnetic Resonance Imaging, Angiography, Ultrasound, Echocardiogram, Bronchoscopy, Rhinoscopy, Esophagram, Videomicroscopy, Quantitative transmission electron microscopy, Sinus imaging
How chronic cough is treated?
Treatment is aimed at curing the underlying condition
Treatment of asthma – Inhaled Corticosteroids, Glucocorticoids, Adrenocortical steroids, Beta2-agonists, Leukotriene modifiers, Cromones, Bronchodilator, Long-acting beta agonists & Theophylline
Treatment of COPD – Beta-agonists, Corticosteroids, Anticholinergics
Treatment of GERD – Antihistamines, Histamine-2 blocker, Proton Pump Inhibitors, Alginates, Prokinetic agents
Treatment of eosinophilic bronchitis – Glucocorticoids
Treatment of hay fever / rhinitis – Antihistamines, Glucocorticoids
Bacterial infections – Antibiotics
Treating rhinitis – Anti Histamines, Oral Decongestants, Nasal Steroids and Adrenocortical steroids
Alternative medication for high blood pressure if the chronic cough is due to ACE inhibitor drugs
Other medications – Decongestants, Mucoprotective agents, Codeine, Nasal Spray, Pholcodine, Dextromethorphan, Methadone and Morphine; Gabapentin or Pregabalin, Mucolytics
Speech therapy
How to prevent chronic cough?
Quitting smoking
Eating plenty of fruits and fibre rich foods
Having plenty of fluids in the form of water, soups and fresh fruit juices
How to get relief from chronic cough?
Wear facial mask when outdoors
Use humidifier at home
Gargle salt water
Use extra pillows on the bed while sleeping
Use lozenges or hard candies
Use oral decongestants & non-opioid cough suppressants
Improve indoor air quality
Virinchi Hopitals is the best super speciality hospital in hyderabad with well experienced Pulmonologists in hyderabad.rnThe Department of Pulmonary provides diagnosis of and treatment for patients with illnesses that affect the lungs, breathing and sleep disorders which makes us rank amongst the best Lungs Specialist Hospital in Hyderabad. The department of Pumonology is well-equipped with robust technology to provide a comprehensive & holistic care both for the outpatients and patients admitted to the hospital, including the ICUs, therefore Virinchi Hospital is considered to be one of the Best Lungs Specialist Hospital in Hyderabad.Further reading
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