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Differential Diagnosis for Chronic Cough in a Non-Smoker

Single Most Likely Diagnosis

  • Gastroesophageal Reflux Disease (GERD): This is often considered the most likely cause of chronic cough in non-smokers due to the high prevalence of GERD in the general population and its known association with cough.

Other Likely Diagnoses

  • Asthma: A common condition that can cause chronic cough, especially in individuals with allergies or a history of respiratory issues.
  • Postnasal Drip (Upper Airway Secretion Syndrome): This condition, often related to allergies or sinusitis, can lead to chronic cough due to the irritation of the upper airways.
  • Chronic Rhinitis: Similar to postnasal drip, chronic rhinitis can cause cough due to the continuous irritation and secretion in the nasal passages.

Do Not Miss Diagnoses

  • Lung Cancer: Although less likely in non-smokers, lung cancer can still occur and is critical to diagnose early. A chronic cough could be an early symptom.
  • Tuberculosis (TB): Especially in individuals who have traveled to or are from areas with high TB prevalence, this infection must be considered due to its serious consequences if left untreated.
  • Pulmonary Embolism: While often presenting acutely, chronic or recurrent pulmonary emboli can cause a chronic cough and are life-threatening if not diagnosed.

Rare Diagnoses

  • Bronchiectasis: A condition characterized by damaged, widened airways, which can lead to chronic cough among other symptoms.
  • Cystic Fibrosis: Typically diagnosed in childhood, but mild forms can present later in life with symptoms like chronic cough.
  • Sarcoidosis: An autoimmune disease that can affect the lungs and cause cough, among other systemic symptoms.
  • Foreign Body Aspiration: More common in children, but can occur in adults, especially those with neurological conditions affecting swallowing or cough reflexes.

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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