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CHRONIC COUGH

Chronic Cough is a cough lasting more than 2 months that unresponsive to  rest or medication. A chronic cough usually has multiple causes. Treatment requires medication as well as psychological management.
Chronic Cough is a common problem seen in the our voice center at our Ear, Nose and Throat doctor practice in New Jersey. Chronic cough can be draining and psychologically debilitating. It is usually tossed of as chronic asthma, chronic obstructive lung disease, or a nervous cough, but a thorough evaluation will expose the real cause in most cases. Cough can be caused by a multitude of things including reaction to medication, allergies, sinusitis, reflux, neurologic disorders, cancers as well as a host of psychological issues such as stress.

At our voice center, headed by Tejas Raval, MD, a series of tests and procedures are used including standard laryngoscopy, pulmonary function testing (PFT, breathing test), video stroboscopy and reflux testing. For the videostroboscopy portion of the exam,  a transnasal flexible  laryngoscope or transoral rigid endoscope is used to  examine the larynx and vocal folds. The patient is given specific vocal and breathing tasks to perform while the larynx and vocal folds and the entire exam is recorded on DVD in order to study the motions during each of the tasks. Our experienced voice pathologist evaluates the video and makes treatment recommendations to the doctors. With the PFT and the Stroboscopic exam most cases of chronic cough can be diagnosed.