Approaching chronic cough

Singapore Med J. 2016 Feb;57(2):60-3. doi: 10.11622/smedj.2016028.

Abstract

Chronic cough is one of the most common reasons for referral to a respiratory physician. Although fatal complications are rare, it may cause considerable distress in the patient's daily life. Western and local data shows that in patients with a normal chest radiograph, the most common causes are postnasal drip syndrome, postinfectious cough, gastro-oesophageal reflux disease and cough variant asthma. Less common causes are the use of angiotensin-converting enzyme inhibitors, smoker's cough and nonasthmatic eosinophilic bronchitis. A detailed history-taking and physical examination will provide a diagnosis in most patients, even at the primary care level. Some cases may need further investigations or specialist referral for diagnosis.

Keywords: chronic cough; subacute cough.

Publication types

  • Review

MeSH terms

  • Asthma / complications*
  • Asthma / diagnosis
  • Chronic Disease
  • Cough / diagnosis*
  • Cough / etiology
  • Diagnosis, Differential
  • Gastroesophageal Reflux / complications*
  • Gastroesophageal Reflux / diagnosis
  • Humans