Cough Algorithm- Simplify Cough Management in India
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Dr. Sureshkumar S
Cough serves as a vital defense mechanism of the lungs and is a prevalent symptom encountered in clinical practice.1 When persistent or severe, it can result in significant complications, such as syncope, vomiting, chest pain, and psychological distress. This session comprehensively covers the general approach to cough, paediatric cough management, alongside diagnosis, classification, referral criteria, and effective treatment strategies of cough. Exploring the epidemiology and global prevalence of chronic cough across continents, including Oceania, America, Europe, Asia, and Africa the session has emphasised the classification of cough by duration (acute, subacute, chronic),2 sputum production (productive vs. non-productive), and diverse aetiologies, including respiratory (postnasal drip syndrome, pulmonary tuberculosis, pneumonia, pleural disorders, etc.) and non-respiratory causes (GERD, recurrent aspiration, psychological factors, middle ear infections, etc.). The session highlights common contributory conditions of cough in adults like asthma, bronchiectasis, COPD, COVID-19, etc. alongside the significance of cough sound analysis, detailed patient history, various assessment tools, and specific diagnostic tests essential for accurate disease diagnosis. Pharmacotherapeutic approaches, involving antitussives, expectorants, and the rationale behind fixed-dose combinations are also discussed, with emphasis on the IMA and CDSCO-recommended formulations, such as Chlorpheniramine Maleate + Dextromethorphan Hydrobromide, Paracetamol+Chlorpheniramine Maleate+Phenylephrine HCL, and Chlorpheniramine Maleate + Dextromethorphan Hydrobromide + Phenylephrine, tailored for different clinical indications.