Clinical history in gastroesophageal cough

被引:59
作者
Everett, Caroline F. [1 ]
Morice, Alyn H. [1 ]
机构
[1] Univ Hull, Castle Hill Hosp, Inst Postgrad Med, Acad Dept Med, Kingston Upon Hull HU16 5JQ, N Humberside, England
关键词
chronic cough; diagnosis; gastroesophageal reflux disease; sysmptoms;
D O I
10.1016/j.rmed.2006.05.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Gastroesophageal disease, a common cause of chronic cough, is often poorly recognised. We reviewed the presenting history of 47 chronic cough patients who had been proven to have gastroesophageal disease by oesophageal function testing. Fourty-seven patients (26 female), were enroled. Symptoms which were most common included: cough on phonation, on rising from bed, associated with certain foods or with eating in general. Symptoms known to be associated with laryngopharyngeal reflux, such as throat clearing, dysphonia, globus and dysphagia were also associated. Heartburn or indigestion was present in 63% of those questioned. These data show that symptoms associated with reflux in chronic coughers differ from those commonly perceived to be characteristic of classical heartburn-associated reflux. These data suggest that, contrary to previous reports, a symptom complex which is characteristic of reflux cough can be identified. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:345 / 348
页数:4
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