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BackTable / ENT / Podcast / Episode #116

Chronic Cough in Adults

with Dr. Karuna Dewan

In this episode of BackTable ENT, Dr. Shah and Dr. Karuna Dewan discuss diagnosis, workup and medical therapy for chronic cough in adults.

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Chronic Cough in Adults with Dr. Karuna Dewan on the BackTable ENT Podcast)
Ep 116 Chronic Cough in Adults with Dr. Karuna Dewan
00:00 / 01:04

BackTable, LLC (Producer). (2023, June 20). Ep. 116 – Chronic Cough in Adults [Audio podcast]. Retrieved from

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Podcast Contributors

Dr. Karuna Dewan discusses Chronic Cough in Adults on the BackTable 116 Podcast

Dr. Karuna Dewan

Dr. Karuna Dewan is an otolaryngologist / head and neck surgeon with Ochsner LSU Health in Shreveport, Louisiana.

Dr. Gopi Shah discusses Chronic Cough in Adults on the BackTable 116 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Show Notes

First, they discuss the array of surveys used to quantify and assess the severity of the cough, as well as the importance of physical exam and laryngoscopy for an accurate diagnosis. They also outline various diagnoses that could be contributing to the chronic cough.

Next, the critical role of speech pathologists in dysphagia diagnosis and management is explored. Dr. Dewan emphasizes the importance of the scope exam, as well as how speech pathologists are integral to the dysphagia diagnosis. Various testing options are discussed, such as modified barium swallow, esophagram, and pulmonary function testing. She then delves into how to decide which tests are necessary for each patient. Then, they discuss various treatments and medications for chronic coughing, including reflux medications, proton pump inhibitors, and steroids. They explore the importance of taking into account the potential side effects of these medications and of monitoring them closely. Additionally, they evaluate the efficacy of Tessalon perles, over the counter cough suppressants, and the two-arm approach for treating neurogenic cough. They also explain paradoxical vocal cord motion, its symptoms, and how it is treated with therapy and an ipratropium bromide inhaler. Procedures, like the superior laryngeal nerve block injections, may be effective for treating chronic cough.

Finally, the doctors reflect on the use of social media for professional purposes. They consider how to best use Twitter and Instagram to promote oneself, and the importance of having an easily accessible profile on the Internet. They also touch on the importance of developing an online presence in order to stay connected and visible in the professional world.

Disclaimer: The Materials available on are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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