Chronic cough: A gastroenterology perspective

Andrew J. Gawron*, Peter J Kahrilas, John Erik Pandolfino

*Corresponding author for this work

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

PURPOSE OF REVIEW: The purpose of this review is to highlight recent work and provide recommendations on the approach for diagnosis and management of chronic cough in a gastroenterology clinic. RECENT FINDINGS: Chronic cough is a burdensome symptom affecting a large number of patients and contributes significant cost to the healthcare system. Recent work has shown that select patients may benefit from acid-suppressive therapy and even surgery when there is true pathologic evidence of reflux disease with cough. However, judicious use and proper interpretation of diagnostic testing for gastroesophageal reflux in the setting of cough is important to avoid unnecessary or inappropriate therapy. SUMMARY: Chronic cough remains a vexing problem for many physicians, including gastroenterologists. It is important that physicians approach refractory cough in a multidisciplinary manner. Future research is needed to better understand the likely central hypersensitivity response mediating reflux-related cough and potential alternative approaches to therapy.

Original languageEnglish (US)
Pages (from-to)523-529
Number of pages7
JournalCurrent Opinion in Otolaryngology and Head and Neck Surgery
Volume21
Issue number6
DOIs
Publication statusPublished - Dec 1 2013

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Keywords

  • extra-esophageal symptoms
  • gastroesophageal reflux disease
  • multichannel intraluminal pH impedance

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

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