Management of Adolescent Asthma
Jonathan A. Bernstein, Mark L. Levy in Clinical Asthma, 2014
Another disorder that is commonly mistaken for asthma in adolescents is habit-cough syndrome.25 A habit cough usually begins during an upper respiratory illness, and persists after the acute illness has resolved. The cough in this syndrome is distinctive in that it is generally loud, barky, repetitive, abrasive, and attracts considerable attention. It is highly disruptive to both patients and families. The characteristic finding in habit-cough syndrome is the cessation of the cough during sleep as well as when patients believe that they are not under observation, which helps to differentiate habit-cough syndrome from other etiologies.11,25 Appropriate behavioral intervention is the treatment of choice and includes suggestion therapy,25 self-hypnosis,26 and using a tightly wrapped bedsheet around the patient’s chest combined with suggestion therapy.27 These treatments distract the patient from the cough, and serve to reassure the patient that he or she can break the coughing cycle.
Cough In Children
Michael B O’Neill, Michelle Mary Mcevoy, Alf J Nicholson, Terence Stephenson, Stephanie Ryan in Diagnosing and Treating Common Problems in Paediatrics, 2017
The differential diagnosis of children with chronic cough (>8 weeks) is extensive, but less than 5% of children who present with cough will have symptoms beyond 8 weeks. As a consequence, aetiologies are determined from cohort studies and the results may not be generalisable to all populations. In a prospective cohort study of children referred with cough for greater than 3 weeks (mean, 6 months) under 18 years who were extensively investigated the following diagnoses were made: persistent bacterial bronchitis, 40%; natural resolution, 22%; bronchiectasis, 6%; asthma, 4%; upper airway cough syndrome, 3%; gastro-oesophageal reflux, 3%; habit cough, 1%; idiopathic, 5%; multiple causes, 55%. Forty-three per cent of households had smokers, 62% had cough under 1 year and 89% of coughs were described as wet. In children who present with chronic cough two aetiologies will be found in 50% of patients.
Combining Hypnosis and Biofeedback in Primary Care Pediatrics
Published in American Journal of Clinical Hypnosis, 2019
Linda Thomson
MM was a nearly 13-year-old seventh-grader when I met her. Two years previously, MM had developed a habit cough following bronchitis. Over time she learned on her own how to control the cough but noticed it would return when she was feeling stress. Three months before our first meeting, she developed a swallowing issue. She feared that if she swallowed it would stimulate her cough and she would not be able to stop. She self-restricted her intake to only those foods that she thought would slide down her throat. MM experienced anticipatory dread before each meal and perseverated about swallowing potentially triggering a cough. She also developed some OCD behaviors. She always needed to sit on the right, and if one arm itched she needed to scratch both.
Exploring the clinical relevance of cough hypersensitivity syndrome
Published in Expert Review of Respiratory Medicine, 2020
Woo-Jung Song, Kian Fan Chung
Habit cough is a particular cough phenotype reported in children and adolescents aged around 10 years, which is repetitive involuntary coughing in the absence of any underlying disease [96]. Although a controlled trial is still lacking, suggestion therapy aimed at educating patients to control urge-to-cough and coughing may be effective [97], which may point to a hypersensitivity component.
Review of the International Literature
Published in American Journal of Clinical Hypnosis, 2019
Shelagh Freedman, Ian Wickramasekera
Prathivadi Bhayankaram, N., Gilchrist, F. J., & Samuels, M. (2018). Is hypnotherapy an acceptable treatment option for children with habit cough? Complementary Therapies in Medicine, 37, 27–28. doi:10.1016/j.ctim.2018.01.005
Related Knowledge Centers
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