Document Detail

Persistent cough: prevalence of gastroesophageal reflux and study of relevant laryngeal signs.
MedLine Citation:
PMID:  15523464     Owner:  NLM     Status:  MEDLINE    
Cough is one of the atypical manifestations of gastroesophageal reflux disorder (GERD). The aim of this study was to evaluate the prevalence of GERD among patients presenting with persistent cough. The study included 80 patients over a period of 3 years. The inclusion criteria were nonsmoker adults with normal chest radiograph whose chief complaint was cough for at least 4 weeks duration. All patients included were subjected to nasal endoscopy, laryngoscopy, and 24-hour pH monitoring. Reflux was recorded in the different positions. Laryngeal signs of reflux were traced for and their significance was calculated. Patients who proved to have GERD received antireflux treatment with a follow-up of 3 months. The response to antireflux treatment was assessed according to subjective and objective improvement. Relapse in the follow-up period occurred in 9% of patients. It is concluded that laryngeal signs of GERD should be well known to diagnose and properly manage persistent cough.
Diaa El Din M El Hennawi; Nagy M Iskander; Ibrahim Hassan Ibrahim; Abdel Hamid A Serwah
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  131     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-03     Completed Date:  2005-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  767-72     Citation Subset:  IM    
Department of ORL, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
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MeSH Terms
Cough / etiology*,  therapy
Gastroesophageal Reflux / complications,  diagnosis*,  epidemiology,  therapy
Laryngeal Diseases / etiology
Middle Aged
Treatment Outcome

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