Chronic cough

Source: CME talk by Dr Leong Hoe Nam | ID

Lesson 1: Try to suppress your cough

4 Common reasons

PND
GERD
Airway issues: Asthma/bronchitis/hyperactive airways
Neuropathic cough

PND

hydration / fluids
sinus rinse
inhaled steam
steroid sprays / PO pred 30mg OM 5/7

GERD

diet: oily, fatty, spicy, acidic, coffee
PPI
sleep / stress

Airway issues : Bronchitis (wet) | Asthmatic (dry) | Post viral bronchial hyperreactive syndrome

cold air/water
night
exercise
L: wheeze, prolonged expiratory phase
Rx: avoid cold air/drinks, warm air/water, steroids/β-agonist inhalers, oral steroids

Neuropathic cough

Damaged nerves, multiple triggers: env, pH, T, fluids
more you cough, more you damage it
Rx: sooth the throat, amitriptyline 10mg x 3-5/7, honey+warm water
try to suppress the cough

4 other Diagnosis: TB/fungal/bronchiectasis/fibrosis/Ca/CCF

4 other Drugs: ACEi/ARB/Smoker/Sitagliptin/Nitrofurantoin

4 ever cough: Pertussis: Sx: Hear the whoop. Dx: PCR swab. Rx: macrolides/bactrim.

Erdosteine: ↓ phelgm better, for bronchiectasis, ↓ viral replication, ?antiviral, ?antibacterial, clears biofilm

Some random snippets

Statins and Vit D associated with recurrent herpes.
Replace Vit D in post herpetic neuralgia. Also associated with malignancy. And autoimmune dz.
Angsana labsopen in new window for the swabs.

# Chronic Cough

# 4 Common reasons

# PND

# GERD

# Airway issues : Bronchitis (wet) | Asthmatic (dry) | Post viral bronchial hyperreactive syndrome

# Neuropathic cough

# 4 other Diagnosis: TB/fungal/bronchiectasis/fibrosis/Ca/CCF

# 4 other Drugs: ACEi/ARB/Smoker/Sitagliptin/Nitrofurantoin

# 4 ever cough: Pertussis: Sx: Hear the whoop. Dx: PCR swab. Rx: macrolides/bactrim.

# Erdosteine: ↓ phelgm better, for bronchiectasis, ↓ viral replication, ?antiviral, ?antibacterial, clears biofilm

# Some random snippets

Chronic Cough