Respiratory medicine: Most cough patients will first consult a respiratory physician, and rightly so, because as a specialist respiratory physician you should be fully aware of the various causes of cough and how to examine and treat them.
Even if the cause of your cough is not a respiratory disease, a respiratory specialist will be able to advise you appropriately, so we believe that patients should visit a respiratory specialist if they do not yet know what is causing their cough. Thoracic surgery: Cough can be caused by diseases such as lung tumors. If a suspicious lesion is found on a chest X-ray or chest CT, you should see a thoracic surgeon. Liu Huiguo, Department of Respiratory Medicine, Wuhan Tongji Hospital Otorhinolaryngology or Wuguan: If the cough is accompanied by obvious throat discomfort or hoarseness, or if you feel nasal congestion or runny nose at the same time, it may be caused by rhinitis or pharyngitis. Allergic reactions: Skin allergies can cause itching, and allergies to the mucous membranes of the respiratory tract can cause a cough, especially if the cough is caused by renovating the house at home, or if the cough is caused by a change in the working environment or exposure to irritating odors.
The presence of an allergic cough should be thought of, and the Allergic Reaction Unit may be helpful in your treatment. Cardiovascular diseases can cause coughing in many cases, such as cardiac insufficiency, acute heart attack with coronary artery disease, and oral administration of certain blood pressure lowering drugs.
The cough can sometimes be accompanied by other symptoms, such as chest pain and panic. Gastroenterology: Gastrointestinal disorders such as gastroesophageal reflux can cause cough.
A 24-hour esophageal pH test may be useful for diagnosis. Psychological clinic: If the cough is accompanied by chest tightness or repeated sighs, or if the cough is associated with recent mental stress such as exams or work stress, and many tests do not reveal any abnormalities, some people may have a cough related to psychological factors, and the cough may be relieved when they are distracted. Neurology: Some patients with cough may experience syncope during the coughing process.
Special care should be taken at this time to prevent falls during syncope. You can certainly see a neurologist when you have syncope, but when the neurologist determines that your syncope is caused by coughing, you should also be seeing a respiratory medicine physician.