Chronic cough is defined as a cough lasting more than 6 months and interfering with normal daily activities and/or sleep patterns. There are many potential causes including postnasal drip, sinus problems, allergies, asthma, bronchitis, GERD, etc.
Since chronic cough has many possible causes, we do not order an extremely large number of tests on the first visit. Rather, we do the tests that would give the best yield to find the diagnosis on the first visit and then we have the patient return every month for repeat visits to evaluate the effect of our treatment and to decide whether further testing (X-rays, blood work, etc.) need to be done to find the cause of the cough. These follow-up visits are meant to make sure that we do our best to find the cause of the cough, or if not at least to find the correct treatment (pills, inhalers, etc.) which will get rid of the cough.
All of our patients must understand that making the diagnosis and formulating a treatment plan is not done in one visit and that many people need continued follow-up visits until we get to the bottom of the problem. For that reason you should plan on seeing us every month or so until we resolve your individual cough.