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Upper Airway Cough Syndrome

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Upper Airway Cough Syndrome, UACS

  • Epidemiology
  1. Most common cause of Chronic Cough in non-smoking adults with intact immunity and normal Chest XRay
  • Causes
  • Signs
  1. Posterior pharynx drainage or mucus
  2. Throat clearing
  3. Nasal Discharge
  4. Oropharyngeal mucosa with cobblestone appearance
  • Imaging
  1. Consider Sinus XRay or Sinus CT if persistent symptoms refractory to treatment
  • Management
  1. Treat specific causes
    1. Sinusitis
    2. Allergic Rhinitis
  2. Trial on empiric therapy
    1. See Rhinitis for a full protocol
    2. Consider oral Antihistamine alone or in combination with a Decongestant
    3. Consider Intranasal Steroid
    4. Consider intranasal Atrovent