Chronic Cough

Reviewed 06/2017
 


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

  • With chronic cough, empiric treatment should be directed at the most common causes as clinically indicated (UACS, asthma, GERD) 2[C].

  • Oral antihistamine/decongestant therapy with a 1st-genera...

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 

DIET

REFERENCES

Morice  AH, Millqvist  E, Belvisi  MG, et al. Expert opinion on the cough hypersensitivity syndrome in respiratory medicine. Eur Respir J.  2014;44(5): 1132–1148. [View Abstract on Ov...

ADDITIONAL READING

Dicpinigaitis PV, Morice AH, Birring SS, et al. Antitussive drugs—past, present, and future. Pharmacol Rev.  2014;66(2):468–512.  

SEE ALSO

  • Asthma; Bronchiectasis; Congestive Heart Failure; Eosinophilic Pneumonias; Gastroesophageal Reflux Disease; Laryngeal Cancer; Lung, Primary Malignancies; Pertussis; Pulmonary Edema; Rhinitis,...

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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