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Current Opinion in Otolaryngology & Head & Neck Surgery:
doi: 10.1097/MOO.0b013e3283658eb0
LARYNGOLOGY AND BRONCHOESOPHAGOLOGY: Edited by Jacqui E. Allen

Chronic cough: a gastroenterology perspective

Gawron, Andrew J.a,b; Kahrilas, Peter J.a; Pandolfino, John E.a

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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.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

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