Respire Airway Clinics
Pulmonology

Chronic Cough Clinic

Why Won't Your Cough Go Away?

A persistent cough is a messenger. It's telling you something is wrong. We don't just suppress the symptom with cough medicine. We ask "why" until we understand. Then we treat the real cause. Most chronic coughs have an identifiable, treatable cause.

Common Causes We Investigate

Post-Nasal Drip

Mucus from sinuses dripping down and irritating throat

Gastroesophageal Reflux (GERD)

Acid reflux irritating the airways, often without heartburn

Asthma (Cough-Variant)

Asthma presenting as cough without typical wheezing

Medications

ACE inhibitors for blood pressure can cause chronic cough

Post-Infectious

Lingering cough after viral respiratory infection

Chronic Bronchitis

Airway inflammation from smoking or pollution exposure

Bronchiectasis

Damaged airways that trap mucus and cause repeated infections

TB or Other Infections

Tuberculosis and other chronic lung infections

Lung Cancer

Persistent cough can be an early warning sign of lung malignancy

Interstitial Lung Disease

Scarring of lung tissue causing chronic dry cough

Your Diagnostic Workup

Based on your history, we select the appropriate tests to find the cause:

Spirometry (lung function testing)
Chest X-ray or CT scan
Bronchoscopy (to visualize airways and rule out tumors or infections)
Nasal endoscopy (checking for sinus disease)
Laryngoscopy (checking vocal cords)
Allergy testing
24-hour pH monitoring (for silent reflux)
Sputum testing if infection suspected

Treatment Based on Cause

Once we identify the cause, treatment is targeted:

  • Post-nasal drip: Treat the underlying sinusitis or allergies
  • GERD: Acid-reducing medications and lifestyle changes
  • Cough-variant asthma: Inhaler therapy
  • Medication-induced: Switch to alternative blood pressure medication
  • Infections: Appropriate antimicrobial treatment

Find the Answer to Your Cough

Stop treating symptoms. Find the real cause of your chronic cough.