upper airway cough syndrome; postnasal drip (UACS)
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Etiology
Clinical manifestations
- chronic cough
- seasonal allergies
- clear nasal discharge
- mucoid or mucopurulent sputum
- repeated attempts to clear throat
- discharge may be seen in posterior pharynx
- cobblestoning in posterior pharynx
Differential diagnosis
Management
- intranasal glucocorticoids & nasal saline irrigation 1st line for chronic rhinosinusitis
- intranasal ipratropium for rhinorrhea
- antihistamines (loratadine, cetirizine, fexofenadine, azelastine) for allergic rhinitis
- chlorpheniramine or brompheniramine for younger patients with non-allergic rhinitis
- decongestants (pseudoephedrine) for short-term treatment of non-allergic rhinitis
More general terms
References
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 17, 18, 19. American College of Physicians, Philadelphia 2015, 2018, 2021.
- ↑ Guide to Physical Examination & History Taking, 6th edition, Bates B, JB Lippincott, Philadelphia, 1995, pg 72
- ↑ Sonoda K, Nayak R. Chronic Cough: Evaluation and Management. Am Fam Physician. 2024 Aug;110(2):167-173. PMID: https://pubmed.ncbi.nlm.nih.gov/39172674 https://www.aafp.org/pubs/afp/issues/2024/0800/chronic-cough.html
- ↑ Payne SC, McKenna M, Buckley J, et al Executive Summary of the Clinical Practice Guideline on Adult Sinusitis Update. Otolaryngol Head Neck Surg. 2025 Aug;173(2):299-316. PMID: https://pubmed.ncbi.nlm.nih.gov/40741969 https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.1342
Payne SC, McKenna M, Buckley J, et al Clinical Practice Guideline: Adult Sinusitis Update. Otolaryngol Head Neck Surg. 2025 Aug;173 Suppl 1:S1-S56. PMID: https://pubmed.ncbi.nlm.nih.gov/40742114