ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

AAO-HNSF 2012: Otolaryngologists Can Play a Larger Role in Treating Chronic Cough

by Thomas R. Collins • October 1, 2012

  • Tweet
  • Email
Print-Friendly Version

“LPR can be difficult to quantify,” he said. Non-acid reflux components such as pepsin can still be active with a pH up to 5, possibly even at a neutral pH level. Additionally, he said, “We have to consider pepsin as an active agent of inflammation during non-acidic reflux. There’s even some speculation, although not proven, that pepsin gets into the hypopharynx and larynx and may be reactivated as we eat and drink things that are acidic.”

You Might Also Like

No related posts.

Explore This Issue
October 2012

Dr. Carroll considers a pH-impedance test to have a positive result for a patient on a high dose of twice-a-day PPI if one of three things happens: There’s breakthrough acid, with a DeMeester score of more than 14.7; there are significant numbers of proximal esophageal non-acid reflux events (more than 31) with or without a positive symptom index; or if there’s a positive symptom index alone demonstrating more than half of symptom events reported by the patient that actually correspond with reflux events inside of them.

Opportunity for Involvement

Chronic cough can come from a variety of directions. There are rhinologic triggers, pulmonary triggers, a large potential for reflux associated with cough, neurologic triggers and triggers associated with tumors. But otolaryngologists can play a bigger role than they have been playing, Dr. Altman said. “Even though we’re ear, nose and throat physicians,” he said, “we do have some mastery of the lungs and the esophagus. And we do take a primary role in tumors that can also influence the potential for cough.”

Pages: 1 2 3 | Single Page

Filed Under: Laryngology, Practice Focus Tagged With: AAO-HNSF, chronic cough, cough, Laryngopharyngeal reflux, refluxIssue: October 2012

You Might Also Like:

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Neurogenic Cough Is Often a Diagnosis of Exclusion
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Complications for When Physicians Change a Maiden Name
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • Otolaryngologists Elected to AMA Board of Trustees
    • FDA Approves First Treatment for Eosinophilic Esophagitis
    • Clinical Best Practices: Otolaryngologists Tackle Questions
    • Otolaryngologist Shares Experience with Image Manipulation in Research and How to Prevent It
    • Methodology to Study Care Barriers for Head and Neck Cancer Patients in Low- and Middle-Income Countries Yields Insights

Polls

Do you think most image manipulation in studies is done accidentally or on purpose?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2022 The Triological Society. All Rights Reserved.
ISSN 1559-4939