IDIOPATHIC COUGH Chronic cough by definition is a cough that lasts eight weeks or longer in adults, or four weeks in children. Cause for cough could be determined successfully in up to 98% of cases and is mostly due to either cough variant asthma (CVA), rhinosinusitis associated with postnasal drip syndrome (PNDS) or gastro-oesophageal reflux disease (GORD) There are many other common causes of chronic cough like Asthma, copd, ild, lung cancer, non resolving pneumonia, Bronchiectasis, pulmonary eosinophila, pl effusion, pneumoconisis, hypersensitive pneumonitis, cardiac involvement etc. But diagnosis is obvious in most cases. IDIOPATHIC COUGH In patients whom none of the usual explanations for cough may be present even after thorough diagnostic work up. Patients with unexplained chronic cough are predominantly female (77%) and are eight times more likely to have an organ-specific autoimmune disease, particularly hypo-thyroidism. Idiopathic cough is associated with air-way inflammation. The levels of several tussive media- tors, including cysteinyl-leukotrienes, histamine, prostaglandin D2 and E2, have been shown to be elevated in induced sputum in these patients Typically the female patients are of peri- or post menopausal age, report a preceding upper respiratory tract infection (URTI) and have a heightened cough reflex to tussive stimuli. TREATMENT Idiopathic cough should be treated with safer cough suppressants like dexromethorphan in higher doses (60 mg per day). It may need to be continued for a longer period. I hope this information will be HELPFUL to your clinical practice.

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Thanks again dear Poddar, Simple cough has such a big story behind. Wonderful update on cough. Congratulations again dear Poddar. You deserve a big applause.

Thanks again... I try to simplify the information so as to suit multi speciality.. Any suggestions from your side will be valuable
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thanks a lot for sharing such a good information. All of us will be benefitted.

Thanx Dr K. N. Poddar for sharing this valueable post. you post always in simple and solid way. Really applausable. Thanx once again.

talisadi choorna 30gm yastimadhu 30gm chandrakala ras 30 tab haridra 30 gm suntha 20gm vasa 30gm mix...make fn powder... start one forth tespoon with honey... avoid cold exposure...cold drinks..ice creams...late sleeping at night...releave constipation if associated.

Informative.

Sir thanks for update

very nice ,scientific & logical complete information Sir ,thanks

Informative

Nicely

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