Differential Diagnosis for Persistent Cough
Single Most Likely Diagnosis
- Chronic Bronchitis: This is often the most common cause of a persistent cough, especially in smokers or those exposed to pollutants. The chronic inflammation of the bronchial tubes leads to a persistent cough, often productive of mucus.
Other Likely Diagnoses
- Asthma: A chronic condition characterized by inflammation and constriction of the airways, leading to cough, wheezing, and shortness of breath. The cough can be persistent, especially at night or with exertion.
- Gastroesophageal Reflux Disease (GERD): Stomach acid reflux can irritate the throat, causing a persistent cough. This is more common in individuals who experience heartburn or regurgitation.
- Allergic Rhinitis: Allergies can cause postnasal drip, leading to a persistent cough. This is often accompanied by other symptoms like sneezing, runny nose, and itchy eyes.
- Upper Respiratory Tract Infections: Viral or bacterial infections of the upper respiratory tract can cause a persistent cough, especially if the infection is not fully cleared or leads to complications like bronchitis.
Do Not Miss Diagnoses
- Lung Cancer: Although less common, lung cancer can present with a persistent cough, especially if it involves the central airways. It's crucial to consider this diagnosis, especially in smokers or those with a significant smoking history.
- Tuberculosis (TB): A bacterial infection that primarily affects the lungs and can cause a persistent cough, often accompanied by weight loss, night sweats, and fever. It's essential to consider TB, especially in individuals who have been exposed or have risk factors.
- Pneumonia: Bacterial or viral pneumonia can cause a persistent cough, and while often acute, some forms can lead to chronic symptoms if not properly treated.
- Pulmonary Embolism: Although typically presenting acutely, a chronic or recurrent pulmonary embolism can cause a persistent cough among other symptoms like chest pain and shortness of breath.
Rare Diagnoses
- Cystic Fibrosis: A genetic disorder that leads to the production of thick, sticky mucus, causing persistent cough and recurrent respiratory infections. It's rare but important to consider in young patients or those with a family history.
- Sarcoidosis: An inflammatory disease that can affect multiple organs, including the lungs, leading to a persistent cough among other symptoms.
- Bronchiectasis: A condition characterized by the permanent enlargement of parts of the airways, leading to a persistent cough and recurrent infections.
- Eosinophilic Pneumonia: A rare condition characterized by the infiltration of eosinophils into the lung tissue, leading to a persistent cough and other respiratory symptoms.