Most people are able to manage the disease. But a sudden worsening of symptoms, known as an attack or flare-up, may require use of a “rescue” inhaler and/or a trip to the emergency room. 2. Gastroesophageal Reflux Disease (GERD). GERD is a condition in which food travels back up from the stomach into the esophagus, causing discomfort or heartburn.
Smoking and obesity increase a person’s risk of GERD. It is treatable with medication, but some people may need surgery. In this article, learn more about GERD.
A multitude of cough causes
Once the cough cause is detected and treatment is started, cough-suppressant medications may help decrease the intensity and frequency of cough. Quitting smoking is always good for your airway and lung no matter when you do it.
4.2 Impact of cough on health status
- Thus far, there have only been a small number of studies of this medication, only one of which addressed the management of patients with cough and GERD.
- Acute bronchitis and chronic bronchitis are common causes of coughing up blood (hemoptysis).
- GERD can be difficult to diagnose in people who have a chronic cough but no heartburn symptoms.
Dietary changes can help to ease symptoms. For example, high-fat and salty foods can make GERD worse, while eggs and some fruits can improve it.
Most cases of troublesome cough reflect the presence of an aggravant (asthma, drugs, environmental, gastro-oesophageal reflux, upper airway pathology) in a susceptible individual. High resolution computed tomography may be of use in patients with chronic cough in whom other more targeted investigations are normal.
Current methodology for measurement of airway hyperresponsiveness is standardised and widely accepted. A negative test excludes asthma but does not rule out a steroid responsive cough.
Treatment and prevention
The search engines recommended were Medline (1966 onwards), EMBASE, and the Cochrane Library database. These were applied to locate all English language studies relevant to the aetiology, diagnosis, severity staging, investigation, prognosis, complications, or treatment of chronic cough in adults over 16 years.
However, cough is frequently reported and can be debilitating;190 only limited information is available on its treatment.191 There are no randomised trials evaluating the benefit of treatment directed solely at cough. The treatment of diffuse parenchymal lung disease is outside the scope of this document and the reader is referred to the appropriate BTS guidelines on this topic (www.brit-thoracic.org.uk). Cough may be a prominent and debilitating symptom in a number of common respiratory diseases including lower respiratory tract infections (acute tracheobronchitis and pneumonia) COPD, lung cancer, diffuse parenchymal lung disease, and bronchiectasis. A chest radiograph should be undertaken in all patients with chronic cough and those with acute cough demonstrating atypical symptoms (see table 2).