Epistemis

Chronic cough

Specialty: Respiratory.

  • cough that won't go away
  • I've been coughing for months

Why it occurs

  • Postnasal drip
  • Asthma/cough due to hyperreactivity
  • Gastroesophageal reflux
  • Drugs (ACEI)
  • [object Object]
  • [object Object]

Initial workup

Chest x-ray; review ACEIs; assess spirometry; CT/bronchoscopy if there is alarm.

red flags

Coughing up blood, weight loss or constitutional syndrome in a smoker → rule out neoplasia/TB.

Standard management

  • Treat the cause — remove ACE inhibitors; try antihistamine, PPI or bronchodilator as suspected

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousDull bitonal cough
Area
Respiratory
Listed causes
6
Treatment options
1
Download Epistemis