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Chronic Cough

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Chronic cough is defined as a cough that persists for >8 weeks in adults.

  • In children, chronic cough is often defined as a cough of >4 weeks in duration.

  • Subacute cough describes...

DIAGNOSIS

HISTORY

  • Patient age, associated signs/symptoms, medical history, medication history (i.e., ACE inhibitors), environmental and occupational exposures, potential for aspiration, and smoking his...

TREATMENT

GENERAL MEASURES

  • With chronic cough, empiric treatment should be directed at the most common causes as clinically indicated (UACS, asthma, GERD) (1,3)[C].

  • Empiric trial of nasal steroids and/o...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Consider stepwise withdrawal of medications after resolution of cough. 

Patient Monitoring

Frequent follow-up is necessary to assess the effectiveness of treatment....

REFERENCES

1
1 Gibson P, Wang G, McGarvey L, et al. Treatment of unexplained chronic cough: CHEST guideline and expert panel report. Chest.  2016;149(1):27–44. {L-End} {L-End} [View Abstract on...

SEE ALSO

  • Asthma; Bronchiectasis; Eosinophilic Pneumonias; Gastroesophageal Reflux Disease; Laryngeal Cancer; Lung, Primary Malignancies; Pertussis; Pulmonary Edema; Rhinitis, Allergic; Sinusitis; Tube...

CODES

ICD10

  • R05 Cough

  • J44.9 Chronic obstructive pulmonary disease, unspecified

  • J41.0 Simple chronic bronchitis

ICD9

  • 786.2 Cough

  • 496 Chronic airway obstruction, not elsewhere classified

  • 491.0 Simple chronic b...

CLINICAL PEARLS

  • Chronic cough is defined as a cough that persists for >8 weeks in adults.

  • In patients with chronic cough, most frequent etiologies include a history of smoking, asthma, UACS, and GER...

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