Chronic Cough

Causes start from the nose or nasal region and extend to the lower respiratory tract.

Three reasons were identified in 92% of non-smoking patients with normal chest X-ray.

1) Upper airway syndrome (previously called cough syndrome due to postnasal drip) Sinuses and
The secretion that washes the nose flows from the nasal cavity towards the throat. This is done by some patients
It is perceived as severe and causes coughing. This situation is allergic rhinitis, vasomotor rhinitis, post-infection.
rhinitis, bacterial sinusitis, fungal sinusitis accompanied by allergies, chemical vapors and dusts, occupational
environment, pregnancy, prolonged and frequent use of nasal drops, severe postnasal drip and stubborn
causes coughing.

2) Asthma is characterized by airway tightness, shortness of breath, cough and wheezing.

3) Reflux (acid leakage from the stomach to the esophagus and throat) This acid escape triggers the cough reflex. another one
For some reason, the escape of acid content from the stomach into the trachea triggers cough.

Other important causes are smoking and blood pressure medications called ACE inhibitors. cigarette
Cough 2 weeks after discontinuation of blood pressure medication indicated 4 weeks after discontinuation
resolves complaints.

These three conditions are the most important causes of persistent persistent coughs. “The patient’s chest X-ray is normal and
if he doesn’t smoke”

Other causes of persistent cough are:

bronchiectasis
Bronchitis
bronchial cancer
aspiration
chronic obstructive pulmonary disease
Heart failure
foreign body
interstitial lung disease
neuromuscular diseases
pertussis
psychological cough
sarcoidosis

Leak between esophagus and trachea
Tuberculosis
Zenker’s diverticulum (the formation of a pocket in the esophagus and the accumulation of food in this pocket and then reflux and
causes bad breath)
As a result, if the patient has a persistent cough, he applies to the ENT and chest diseases specialist.
After a detailed endoscopic examination, it is evaluated with advanced examination methods if necessary.

Chronic (Persistent) Cough
Cough is a normal reflex in a healthy person. Persistence may be a sign of an important disease.
The cause of acute cough is usually found and easy to treat. more than 3 weeks
Coughs that persist are called chronic coughs and should be investigated further. Your coughs are important
Some may have more than one cause. Causes start from the nose or nasal region and lower respiratory tract
The 3 most common causes in adults are post-nasal drip, asthma and reflux disease.

A. Causes related to the respiratory tract

1. Infection (sinusitis, rhinitis, tonsillitis, tuberculosis, viral upper respiratory tract
infection).
2. Asthma
3. Mechanical causes (foreign body in the nose and bronchi, earwax)
4. Environmental factors (cigarette smoke, dust, air pollution, etc.)

B. Inflammatory lung diseases

C. Lung tumors and cysts, laryngeal diseases and foreign bodies.

D. Psychological cough

E. Some heart and blood pressure medications

The cause of cough in children varies with age. In the first 1.5 years of age, reflux, large vessel anomalies and asthma are most common.
are the reasons. Up to the age of 6, adenoid, tonsillitis, asthma and sinusitis form the first 4 rows. 6 – 16 years
Among these, the three most important causes are asthma, psychological and sinusitis.

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