A cough that lingers longer than expected can be frustrating, especially when you’ve ruled out common culprits like a cold or the flu. But did you know that chronic cough might be linked to ENT (Ear, Nose, and Throat) disorders? So, how can an ENT doctor uncover the hidden causes of chronic cough and provide effective treatment options? Please read along.
First, What is a Chronic Cough?
A chronic cough is a cough that lasts for eight weeks or longer in adults, or four weeks in children. It’s often more than just a nuisance—it can interfere with sleep, daily activities, and even social interactions. While it’s easy to assume that a persistent cough is related to respiratory issues, ENT disorders are a lesser-known but significant contributor to this condition.
Why Should You See an ENT Doctor for Chronic Cough?
If your cough hasn’t improved with general treatments, it might be time to consult an ENT doctor. With their expertise in the complex connections between the ear, nose, throat, and related systems, ENT doctors can identify and address conditions that may not be obvious to other healthcare providers.
Here Are Common ENT Causes of Chronic Cough
1. Postnasal Drip (Chronic Rhinitis or Sinusitis)
Postnasal drip occurs when excess mucus drips down the back of your throat. This often leads to a persistent tickle or irritation that triggers coughing. ENT doctors can diagnose and treat underlying causes like allergies, sinus infections, or nasal polyps.
2. Laryngopharyngeal Reflux (LPR)
LPR, often called “silent reflux,” happens when stomach acid flows back into the throat and voice box. Unlike gastro-oesophageal reflux disease (GERD), it doesn’t always cause heartburn, making it harder to detect. Symptoms include throat clearing, hoarseness, and a chronic cough. ENT doctors use specialised tools to identify and manage this condition.
3. Throat Infections and Irritations
Chronic throat infections or irritants, such as dry air, smoke, or even overuse of your voice, can lead to coughing. An ENT doctor can identify these triggers and recommend treatments ranging from hydration strategies to medication.
4. Vocal Cord Dysfunction
Sometimes, a chronic cough is linked to vocal cord dysfunction, where the vocal cords don’t open and close properly. This condition can mimic asthma but requires distinct treatment that ENT doctors are well-equipped to provide.
5. Underlying Conditions Like Tumours
Though rare, persistent cough can sometimes be a symptom of a more serious issue, such as a tumour in the throat or voice box. Early detection by an ENT doctor is key to effective treatment.
What Should You Expect During an ENT Consultation?
If you’ve been referred to an ENT doctor for chronic cough, here’s what you can expect:
- Your ENT doctor will ask about your symptoms, lifestyle, and any underlying health conditions to identify potential causes.
- A physical examination may include checking your nose, throat, and larynx using specialised equipment such as a flexible nasoendoscope for a closer look.
- Further tests, such as allergy testing, imaging scans, or pH monitoring for reflux, may be recommended to pinpoint the root cause.
- Based on the findings, your ENT doctor will create a tailored treatment plan. This could include medication, dietary or lifestyle changes, or minor procedures to address the underlying issue.
Now, Why Does Early Diagnosis Matter?
Ignoring a chronic cough can lead to complications, from disrupted sleep to more serious health concerns. Early diagnosis by an ENT doctor can:
- Uncover hidden conditions that may not show up on standard respiratory tests.
- Prevent further irritation or damage to your throat and vocal cords.
- Provide relief through targeted treatments, allowing you to regain your quality of life.
When to See an ENT Doctor
You should consider consulting an ENT doctor if your cough:
- Lasts longer than eight weeks without improvement.
- Is accompanied by symptoms like hoarseness, difficulty swallowing, or a sensation of mucus in the throat.
- Doesn’t respond to standard treatments, such as cough suppressants or antibiotics.
Book a Consultation Today With Dr Lynne Lim
A chronic cough can have a significant impact on your daily life, but it’s not a condition you need to endure in silence. An ENT doctor brings the expertise needed to diagnose and treat ENT-related causes of chronic cough effectively. If you’ve been dealing with a persistent cough, don’t wait—schedule a consultation with a trusted ENT doctor like Dr Lynne Lim at the Lynne Lim Ear Nose Throat Head and Neck Surgery Centre. With over 25 years of experience, she’s committed to helping patients find relief and regain their well-being.
