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.
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 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.
Thank U Sir
Informative.
Sir thanks for update
very nice ,scientific & logical complete information Sir ,thanks
Informative
Nicely
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HOW TO CURE DRY COUGH AT HOME • Coughs could be dry or productive. A productive cough is the type of cough that brings out mucus or phlegm. • A cough could be categorized into acute, subacute, or chronic. An acute cough usually lasts for about 3 weeks. A subacute cough often lasts for 3 to 8 weeks while a chronic cough often lasts longer than 8 weeks. Causes of coughing include; * common cold or flu * fllergies, * asthma, * sinusitis with postnasal drip, * lung infections such as pneumonia. *cigarette smoking. *lung cancer. *lung diseases such as bronchiectasis. INGREDIENTS: 4 medium onions 1 cup honey 1 cup boiling water 1 Tablespoon dried thyme 1 cup lemon juice or apple cider vinegar 1 teaspoon dried ginger 1 cup whiskey METHOD: Mix it all together in a bowl and store in the fridge. Dosage: Adult 5tablespoons 2x daily Children 3tablespoons 2x daily..
Dr. Iqbal Sayyed5 Likes5 Answers - Login to View the image
81 yr old male with 40 pack year smoking history presents to the emergency room with progressive dyspnoea and a chronic productive cough. On exam, the patient is cachectic with an increased AP diameter and his lips appear dusky. His oxygen saturation is 81% on room air and he has difficulty speaking in full sentences. Chest X-rays and CT scan done, what is the diagnosis?
Dr. A.p.s. Chhabra11 Likes32 Answers - Login to View the image
C/o- cough with sputum shortness of breath during exertion wheezing heard.
Rachaita Lakra2 Likes16 Answers - Login to View the image
29yr / F, came with c/o chronic cough, SOB, occasional expectoration since last three months. She was having 'wheeze' and SOB since last 5 -6 yrs, on treatment from different centre across India. Her CXR of 2014 and 2018 are enclosed. Please interpret and comment on management.
Dr. Kunal Datta2 Likes16 Answers - Login to View the image
18y/o male c/o severe irritable dry cough continuously since 1week..no h/o of asthma,smoking,allergy.Vitals are spo2-93% a room air,bp 100/70,lungs clear,bae+ His investigation reports..kindly give me the relevant dDx, Rx and management further..
Dr. Kishore K2 Likes24 Answers
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