The causes of chronic cough: Chronic cough due to extrapulmonary etiologies |
Jae Won Jeong |
경북대학교 의과대학 내과학교실 |
만성기침의 원인: 기도 외 질환들을 중심으로 |
정재원 |
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea |
|
|
Abstract |
Cough is one of the most common symptoms leading to referral to medical institutions, and can be triggered by various causes.
Since chronic cough does not respond well to antitussives that are generally prescribed in outpatient clinics, it is most important to
seek the underlying cause and provide appropriate treatment rather than to just simply relieve symptoms. Although chronic cough is
induced by various causes, it is one of difficult symptoms to deal with in clinical settings, having no specific symptom for diagnosis
or definitive diagnostic tool. While taking patient’s history, however, physicians can take a step closer to the treatment of chronic
cough by asking more details about the character, frequency, onset, duration, and aggravating factor of cough, if any; the type of
medication and time of its application; the response to previous treatment, etc. Underlying causes of chronic cough often require a
long term treatment. Therefore, when treating patients, the physician must inform and discuss with the patient about the duration of
treatment and what specifically he or she needs to do at home to maintain satisfactory compliance and expect good outcomes.
(Korean J Med 78:670-673, 2010) |
Key Words:
Chronic cough; ACE inhibitor; Gastroesophageal reflux; Laryngopharyngeal reflux |
|