What is the differential diagnosis of a chronic dry cough?

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Differential Diagnosis for Dry Cough of 3 Months

Single Most Likely Diagnosis

  • Gastroesophageal Reflux Disease (GERD): This is a common cause of chronic dry cough, especially if the cough is worse at night or after eating. The stomach acid can irritate the throat and lungs, leading to a persistent cough.

Other Likely Diagnoses

  • Asthma: A chronic respiratory condition that can cause dry cough, especially at night or with exercise. The cough may be accompanied by wheezing or shortness of breath.
  • Chronic Obstructive Pulmonary Disease (COPD): A progressive lung disease that can cause a chronic dry cough, often accompanied by shortness of breath and wheezing.
  • Allergic Rhinitis: An allergic reaction to airborne particles such as pollen, dust, or mold, which can cause a dry cough, sneezing, and runny nose.
  • Postnasal Drip: Mucus from the nose can drip down the back of the throat, causing a dry cough, especially at night.

Do Not Miss Diagnoses

  • Lung Cancer: Although less common, lung cancer can cause a chronic dry cough, especially if it is accompanied by weight loss, fatigue, or coughing up blood.
  • Tuberculosis (TB): A bacterial infection that can cause a chronic dry cough, often accompanied by fever, night sweats, and weight loss.
  • Pneumonia: A bacterial or viral infection that can cause a dry cough, especially if it is accompanied by fever, chills, and shortness of breath.
  • Pulmonary Embolism: A blood clot in the lungs that can cause a sudden onset of dry cough, often accompanied by chest pain and shortness of breath.

Rare Diagnoses

  • Sarcoidosis: A rare autoimmune disease that can cause a dry cough, often accompanied by fatigue, weight loss, and skin rashes.
  • Interstitial Lung Disease: A group of rare lung diseases that can cause a dry cough, often accompanied by shortness of breath and fatigue.
  • Eosinophilic Pneumonia: A rare lung disease caused by an allergic reaction, which can cause a dry cough, often accompanied by fever and shortness of breath.
  • Cystic Fibrosis: A rare genetic disorder that can cause a dry cough, often accompanied by recurrent lung infections and malnutrition.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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