Chronic Cough

Understanding, Diagnosing, and Managing It at Manse Medical

A chronic cough is more than just a nuisance; it’s a persistent issue that can significantly impact your quality of life. At Manse Medical, we specialise in diagnosing and managing respiratory conditions, including chronic cough. Defined as a cough lasting longer than eight weeks, chronic cough is a symptom of various underlying health issues and requires thorough evaluation.

Chronic Cough in Australia

Chronic cough affects thousands of Australians each year, with studies suggesting prevalence rates of 5-10% in adults. Given Australia’s unique environmental factors, such as pollen exposure and higher asthma rates, many individuals are susceptible to respiratory conditions that may lead to chronic coughing. If you are experiencing a prolonged cough, a professional evaluation is critical to rule out serious underlying conditions and to regain comfort.

Symptoms of Chronic Cough

The primary symptom of a chronic cough is persistent coughing that lasts longer than eight weeks. Additional associated symptoms can include:

• Sore throat or hoarseness
• A sensation of mucus dripping down the back of the throat (postnasal drip)
• Wheezing or shortness of breath
• A persistent urge to clear the throat
• Chest pain or discomfort (often due to coughing strain)

Common Causes of Chronic Cough

While chronic cough can have many potential causes, the most frequent include:

1. Asthma: Often linked to coughing triggered by exercise, cold air, or allergens.
2. Postnasal Drip Syndrome: Caused by allergies or sinusitis.
3. Gastroesophageal Reflux Disease (GERD): Stomach acid irritates the esophagus and throat.
4. Chronic Obstructive Pulmonary Disease (COPD): Particularly in current or former smokers.
5. Medications: Certain ACE inhibitors for high blood pressure may cause a chronic cough.
6. Environmental Irritants: Exposure to pollutants or allergens can exacerbate symptoms.
7. Infections: Prolonged respiratory infections such as pertussis.

Diagnostic Tests for Chronic Cough

At Manse Medical, diagnosing a chronic cough involves:

1. Medical History and Physical Exam: Detailed discussion of symptoms and lifestyle factors.
2. Chest X-rays or CT Scans: To rule out lung infections or structural abnormalities.
3. Pulmonary Function Tests: Evaluating lung capacity and detecting conditions like asthma or COPD.
4. Bronchoscopy: Examining the airways for structural issues or blockages.
5. pH Monitoring: Identifying potential GERD as a cause.
6. Allergy Tests: Pinpointing allergen triggers.

Complications of Untreated Chronic Cough

Leaving chronic cough unmanaged can lead to the following:

• Rib Fractures: From excessive coughing pressure.
• Hernias: Abdominal strain causing protrusions.
• Fatigue and Insomnia: Sleep interruptions affecting overall health.
• Urinary Incontinence: Coughing exertion weakening pelvic muscles.
• Social Anxiety: Embarrassment or discomfort in public settings.

Treatment Options at Manse Medical

Effective management begins with addressing the underlying cause. Our treatment plans include:

1. Medications: For asthma, GERD, or postnasal drip management.
2. Lifestyle Modifications: Smoking cessation, dietary adjustments, or allergen avoidance.
3. Allergy Desensitization: Tailored to allergy sufferers.
4. Respiratory Therapies: Focused on improving lung function.
5. Surgical Interventions: Rarely required but available for structural issues.

Our multidisciplinary team ensures comprehensive care to resolve your chronic cough effectively.

Frequently Asked Questions