Chronic Cough

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A 63-year-old woman presents with a 1-year history of a chronic dry cough, associated with a sensation of “irritation” in the throat. Prolonged bouts of coughing are associated with stress urinary incontinence and occasionally end with retching and vomiting. The cough is triggered by changes in temperature, strong smells (e.g., the smell of cleaning products), laughing, and prolonged talking. She has no notable medical history, reports being otherwise well, and does not smoke. She has been prescribed a bronchodilator and inhaled and nasal glucocorticoids, but has had no benefit from any of these. The results of a physical examination, chest radiography, and spirometry are normal. How would you further evaluate and manage this condition? Original language English Pages (from-to) 1544-1551 Number of pages 8 Journal New England Journal Of Medicine Volume 375 Issue number 16 DOIs https://doi.org/10.1056/NEJMcp1414215 Publication status Published - 20 Oct 2016