Etiology & Triggers
This common condition involving stomach acid can be considered a freqeunt underlying cause of cough.
GERD/Reflux
SLP's primarily treat cough using this type of non-pharmacological approach.
Behavioral cough suppression therapy/cough control therapy/cough suppression therapy
An injection of a steroid and anesthetic at this site has been shown to be effective for treating chronic cough.
SLN
The amount of time a cough lasts for it to be considered chronic.
8 weeks
This airway condition characterized by inflammation and bronchial hyperactivity can be considered an underlying cause of cough.
Asthma
Patients often characterize their cough as these two "types" of cough.
This category of drug is prescribed by otolaryngologists for treatment of chronic cough, with studies showing that their use may be associated with improvements in quality of life.
Neuromodulators
The nomenclature used when no medical etiology can be determined for the cough.
Neurogenic cough
These are considered common triggers for chronic cough. (Name at least 3)
Strong smells, prolonged speaking, positional changes, temperature changes, exertion, etc.
These two things are considered the goals of behavioral cough suppression therapy.
1. Improve cough control, 2. Reduce cough sensitivity by reducing laryngeal irritation/inflammation and strengthening cough suppression neural pathways
These are five behavioral strategies that patients can use to replace a cough or throat clear.
Hard swallow, sip of water, resistance breathing, humming, non-menthol lozenges, etc.
Chronic cough can be described as being on the same continuum with this upper airway disorder.
PVFM/ILO/VCD/laryngospasm
This concept explains why non-noxious stimuli like talking or cold air can trigger coughing.
Laryngeal hypersensitivity
These patient questionnaires might be used when evaluating chronic cough. (Name at least 3)
VHI-10, RSI, EAT-10, DI, CSI, Newcastle, LCQ, VFI, Kaufman Chronic Cough Index, Cough characteristic questionnaire
Circumlaryngeal massage may be helpful for cough patients for this reason.
It reduces muscle tension which can help reduce hypersensitivity.
A patient likely has gone to these other specialties/providers prior to seeing ENT/speech for their cough. (Name 3)
GI, Pulmonary, Allergy, Cardio
This class of medications is known to cause chronic cough as a side effect.
ACE inhibitors
Understanding these principles are helpful when trying to reduce learned laryngeal motor response and promote overall laryngeal desensitization.
Principles of motor learning/relearning
These are times in which patients should implement behavioral cough replacement/suppression strategies. (Name at least 2)
When they feel the urge to cough/throat clear, To interrupt a coughing fit, After a cough/throat clear, To practice even when not feeling the urge to cough
This is the relationship between cough and dysphonia.
Cough can irritate the vocal folds, causing muscle tension; Inefficiencies in voicing can irritate the throat and increase hypersensitivity.