General approach to dry cough

Abstract

Dry cough is a common health problem and upper airway cough syndrome, asthma and gastroesophageal reflux disease are the most common causes of dry cough in adults. Diagnostic approach and algorithms are defined according to the American Academy of Chest Diseases cough guideline updated in 2006.The initial evaluation should start with history taking, physical examination, radiologic and spirometric assessment. Antihistaminic and decongestant agent combinations, inhaled corticosteroid and bronchodilator combinations, leukotriene receptor antagonists, and when necessary oral steroids are used in the treatment depending on the etiology. Treatments based on etiology and if needed evaluation with further tests are essential.