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Fall Cough, for 8 weeks of chronic cough mm
eight steps medical diagnosis of chronic cough
large capital Beijing Anzhen Hospital, Pok Respiratory Medicine and Infectious Diseases Director Shuang
autumn, autumn most dry lung injury, lung injury is likely to cause cough. a lot of people on this season one to cough non-stop, multi-doctor, medication, the effect is not obvious. In fact, many causes of cough, cough, self-medication with cough had drugs are not desirable.
healthy without medication
mild cough, many patients will cough described as a disease, as long as coughing, then the ; In fact, the patient’s cough is not patented, and sometimes even healthy people will cough symptoms.
cough is a clinical symptom, not the name of the disease it is a protective airway reflexes, respiratory tract are often stimuli (such as inflammation, foreign body), the impulse to pass the medullary cough center issue caused by a physiological reflex, respiratory secretions or foreign bodies can be discharged, to keep the airway clean and smooth. Thus, in general, for mild and not frequent cough, sputum, or foreign body as long as the discharge, we can naturally ease, without application of antitussives.
However, for those without severe dry cough and sputum, or phlegm and cough too often the drama, not only increase the patient’s pain Ku, affecting rest and sleep, increased physical exertion, or even to promote the development of the disease, resulting in other complications, in which case you need to go to hospital, and take appropriate antitussive to relieve cough.
cough lasting more than 8 weeks of chronic cough
short-term cough is not terrible, but if the cough lasted for too long will have to be careful whether it is a chronic cough in clinical practice, often based on time cough cough into acute, sub- three kinds of acute and chronic cough, acute cough cough usually refers to time in 3 weeks, common reasons include: cold; trachea or acute bronchitis; acute rhinitis, sinusitis; allergic rhinitis; chronic bronchitis pipe and other acute inflammation, while subacute cough is 3 to 8 weeks of cough, such as upper respiratory tract infection after the cough.
Generally speaking, coughing lasted more than 8 weeks, no obvious evidence of lung disease The cough is called a chronic cough, when coughing is often the only treatment because patients with chronic cough is usually caused by the following: postnasal drip syndrome, bronchial asthma, gastroesophageal reflux disease, eosinophilic bronchitis, chronic bronchitis, bronchiectasis, endobronchial tuberculosis, and certain drugs due to which the first three causes of chronic cough disease accounted for 90%.
In addition, if intractable cough, and cough at night or early morning of multiple, often irritating cough, wheeze-free lung check, this time suffering on the alert to whether a special type of asthma mm Hospital Pok known as asthma can also cause coughing, such as interstitial lung disease, lung cancer, tuberculosis, bronchiectasis, heart failure, etc., taking certain blood pressure drugs can also cause coughing.
diagnosis of chronic cough in eight steps
1 medical history and physical examination;
2. chest X-ray examination;
3. quit or disable the ACEI, 4 weeks;
4. lung function, airway hyperresponsiveness + check;
5 sinus plain films, and change should be evaluated;
6. induced sputum examination;
7.24 小时 esophageal pH measurement;
8. bronchoscopy, lung CT, sinus CT or non-invasive cardiac examination. see the original