Cough, its pathology and management

Abstract

1. 1. Importance of cough as a symptom as viewed both from the health and economic standpoint is stressed. Pathology of the cough mechanism is simplified by describing the causes and effects of harmful and helpful coughs. Pathways of the cough reflexes are described. Tussal insufficiency and tussive syncope are discussed. 2. 2. Surgical intervention, physiotherapy and postoperative prevention of atelectasis are discussed with reference to cough. The role of cough in emphysema is described. Common colds, “air conditioning” and the lack of acclimatization of the respiratory mucous membrane as a cause of cough are discussed. 3. 3. Drug therapy including morphine and its derivatives is described. Bronchocatharsis and the use of such drugs as potassium iodide, ammonium chloride and others are described in detail. A few of the common combinations of cough remedies are listed. The use of antispasmodic drugs and gases, including the use of carbon dioxide, is enumerated. Positive-negative oxygen therapy in chronic pulmonary disease is reviewed and emphasized. Inhalations and aerosols are evaluated, and newer liquefying aerosol combinations are described. Oils and antihistaminic drugs are discussed. 4. 4. Radiation therapy and “teaching the patient” are discussed in detail.