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Unlocking the Mystery of Chronic Cough: A Guide for Practitioners

Unlocking the Mystery of Chronic Cough: A Guide for Practitioners

Understanding Chronic Cough: Insights for Practitioners

Chronic cough, defined as a cough lasting more than eight weeks, presents a significant challenge in clinical practice. Recent research, as highlighted in the article "Chronic cough: new insights and future prospects," provides valuable insights into this condition, which is now understood as a condition of neural dysregulation. This understanding opens new avenues for treatment, particularly for refractory chronic cough (RCC), which does not respond to standard therapies.

The Burden of Chronic Cough

Chronic cough affects 2-18% of the global population, imposing a substantial physical, psychological, and economic burden. Patients often experience impaired quality of life, and the condition can lead to significant healthcare costs. The delay in diagnosis and treatment exacerbates these issues, as practitioners must first rule out other potential triggers before initiating targeted therapy.

Data-Driven Approaches in Treatment

Current treatments for chronic cough are often limited in efficacy and may not address the underlying pathology. This highlights the need for alternative therapies that target the disease mechanisms. The research identifies purinergic P2X3 receptor antagonists as a promising new class of treatment, with early clinical data showing potential efficacy in managing RCC.

Implications for Speech-Language Pathologists

Speech-language pathologists (SLPs) can play a critical role in managing chronic cough, particularly through non-pharmacological interventions such as cough suppression therapy. Understanding the pathophysiology of chronic cough and staying informed about emerging treatments can enhance the effectiveness of therapy and improve patient outcomes.

Encouraging Further Research

Given the complex nature of chronic cough, continued research is essential. Practitioners are encouraged to stay abreast of developments in cough hypersensitivity syndrome (CHS) and the role of P2X3 receptors. Collaborative efforts, such as the NEUROCOUGH Clinical Research Collaboration, aim to improve patient care by enhancing clinical expertise and understanding of chronic cough.

To read the original research paper, please follow this link: Chronic cough: new insights and future prospects.


Citation: Morice, A., Dicpinigaitis, P., McGarvey, L., & Birring, S. S. (2021). Chronic cough: new insights and future prospects. European Respiratory Review, 31(12), 210127. https://doi.org/10.1183/16000617.0127-2021
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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