Reply To Cathy


Differential Diagnosis for Cough

            A differential diagnosis for chronic cough is gastroesophageal reflux disease (GERD). This is one of the most common causes of chronic cough in patients. Many respiratory organizations worldwide recommend the evaluation and treatment of GERD for the management of chronic cough (Kakhrilas, Smith, & Dicpinigaitis, 2014).

Presenting Symptoms

Save your time – order a paper!

Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You won’t have to worry about the quality and deadlines

Order Paper Now

 Patients normally present with heartburn, dysphagia, acid regurgitation, and an association of cough with a slouched posture. Reflux events that may trigger coughing are microaspiration of refluxate into the airways, extension of reflux into the larynx and pharynx (laryngopharyngeal reflux), or esophageal bronchial reflux (Kakhrilas, Smith & Dicpinigaitis, 2014).

Diagnostic Testing

            A diagnostic test to confirm the diagnosis is an initial therapeutic trial of double-strength proton pump inhibitors (PPIs) for 8 weeks: This may require 8 weeks of double strength PPI therapy for alleviation of symptoms. This trial should not be stopped before 8 weeks and could take up to 3 months. Another test to consider is a 24-hour esophageal pH monitoring with a pH<4 that coincides with the chronic cough and is consistent with pathologic acid exposure. (Epocrates, 2019).

Treatments

            Standard treatments for the cough associated with GERD are proton pump inhibitor for 8 weeks initially and can become an ongoing therapy. In addition, patients with GERD may benefit by avoiding alcohol, caffeine, nicotine, citrus, tomatoes, chocolate, and fatty foods (Domino, 2019).

References

Domino, F., Baldor, R. A., & Golding, J. (2019). The 5-minute clinical consult. (27th

Ed.). [Mobile application software.] Retrieved from http://itunes.apple.com (Links to an external site.)Links to an external site.

Epocrates. (2019). Epocrates plus. (Version 18.11). [Mobile application software].

Retrieved from http://itunes.apple.com (Links to an external site.)Links to an external site.

Kahrilas, P. J., Smith, J. A., & Dicpinigaitis, P. V. (2014). A causal relationship between

cough and gastro esophageal reflux disease (GERD) has been established: A Pro/Con debate. Lung, 192(1),

39-46. doi:http://dx.doi.org/10.1007/s00408-013-9528-7

 

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more