Cough is such a common experience that it in fact accounts for the largest number of ambulatory healthcare visits internationally. Most cases of acute cough resolve spontaneously, however chronic refractory cough is another matter. This is defined as a cough that lasts for longer than eight weeks, and persists despite medical treatment; and it is a significant health problem for many people. Often lasting for months or even years, chronic refractory cough has debilitating side effects including stress urinary incontinence, depression, poor sleep, headaches and reduced quality of life. Some patients resign from work and many avoid social situations. Even simple activities such as conversing or using the telephone can become distressing because talking can trigger coughing episodes. Although medical treatment is ineffective for chronic refractory cough, speech pathology intervention can be effective in treating the condition. Presently, there are no widespread education programs and material is generally disseminated through journal articles published in a wide array of literature and by word of mouth. This book fills the gap. It is the first manual available to speech pathologists to support their treatment of chronic refractory cough and to eliminate their reliance on conference presentations, infrequent journal articles and short textbook descriptions. Presented here are a comprehensive overview of the conditions, detailed outlines of therapy options, and qualified guidance on recent advances in this area that speech pathologists need and are looking for when treating these patients. With contributions from world leading clinicians, this is the first book worldwide on the topic. It offers a comprehensive overview of the condition, outlines therapy in great detail and consolidates recent advances in this area. It provides all materials needed for speech pathologists to assess and treat individuals and all practical resources and tools needed to treat the condition - supported with step-by-step instruction, clear and concise explanations, pragmatic advice on decision-making, and no less than 11 photocopiable assessment and treatment forms, patient handouts and more.

This book is a practical resource for clinicians who manage patients with chronic cough, which represents a major challenge in the clinic due to multiple diagnostic and therapeutic considerations. Essential assessments for cough and treatable traits are described, covering the upper and lower airways and the gastrointestinal tract, and appropriate treatments are identified according to the different findings and diagnoses. Based on recent mechanistic and clinical advances, the authors also discuss novel diagnostic and therapeutic options, including pharmacological and non-pharmacological approaches to control cough. Particular considerations of importance when dealing with chronic cough in children and the elderly are addressed separately. The book will be an invaluable guide and reference for all practitioners who require up-to-date information on how best to assess, diagnose, and treat patients with chronic cough.

The last decade or so has seen remarkable advances in our knowledge of cough. This applies especially to its basic mechanisms: the types of airway sensors, the phar- cological receptors on their membranes, the brainstem organization of the ‘cough centre’, and the involvement of the cerebral cortex in the sensations and the vol- tary control of cough. With the exception of the last of these, nearly all the studies have been on experimental animals rather than humans, for obvious reasons. One group of experimental studies has particular relevance to human patients, and that is the demonstration of the sensitization of cough pathways both in the periphery and in the brainstem. Similar sensitizations have been shown for patients with chronic cough or who have been exposed to pollutants, and it is reasonable to suppose that this is the basis of their cough and that the underlying mechanisms are generally similar in humans and other species. Important advances are also being made in clinical cough research. For the three main causes of clinical cough, asthma, post-nasal drip syndrome, and gast- oesophageal re?ux disease, we are beginning to understand the pathological processes involved. There remains a diagnostically obdurate group of idiopathic chronic coughers, but even for them approaches are being devised to clarify und- lying mechanisms and to establish diagnoses. Perhaps surprisingly, the ?eld in which there has been the least spectacular - vance is the therapy of cough.

If you have confusing and unexplained breathing problems or your asthma has not responded to treatment, this book is for you. The Chronic Cough Enigma is written for people who have been coughing for months or years and cannot get useful answers from their doctors. More than 20 million Americans suffer from what is known as enigmatic chronic cough. This book provides insights from Dr. Jamie Koufman’s almost forty years of successfully managing thousands of long-suffering cough patients. Indeed, the typical chronic cough patient who comes to her office has been coughing for more than a decade. This book provides the many who suffer from chronic cough new and potentially life-changing information and the potential to be cured.

Chronic Cough is a clinical resource for practitioners treating patients with chronic cough. It is also a reference for any practicing or training clinician who wants to feel more confident in their understanding, workup and treatment of this symptom. As the diagnosis and treatment of chronic cough evolves, empiric treatments are giving way to objective testing. Research is driving new therapeutics and testing modalities, and diagnostic advances and multidisciplinary collaboration has led to more successful treatments. Chronic Cough addresses these advancements by covering the basics of what is known, what is not known, and what is currently being discovered about chronic cough. This practical resource will appeal to residents, advanced practice providers, and physicians in the fields of family practice, internal medicine, otolaryngology, pulmonology, gastroenterology, and speech-language pathology. Key FeaturesThinking Outside of the Box sections in each chapter provide practical information and controversial or less conventional ideas surrounding chronic coughTake Home Points at the end of each chapter provide readers with a succinct summary of important facts20+ expert contributors from backgrounds in otolaryngology, including laryngology and rhinology, pulmonology, molecular and cellular pathology and speech-language pathology

THE ESOPHAGUS The Esophagus investigates the anatomy, physiology, and pathology of the esophagus. This sixth edition, revised and updated throughout, also explores the diagnosis and treatment of various esophageal conditions. It includes treatment guidelines approved by the two largest gastroenterology societies, the ACG and AGA, as befits a work co-edited by two former presidents of those organizations. Advancements in diagnostics are presented, as are developments in the surgical and drug therapies. Presented in full colour, and boasting an unrivalled team of editors and contributing authors, The Esophagus Sixth Edition will find a home wherever the anatomy, physiology, and pathology of the esophagus are studied and taught. This book is accompanied by a website containing all the figures from the book in PowerPoint format. www.wiley.com/go/richter/esophagus6e Praise for the Fifth Edition: “There is absolutely no doubt that this edition of the textbook will maintain its status as the go-to reference for esophageal conditions, and will remain a highly utilized and clinically useful resource for novice and experienced physicians and surgeons alike.” (Gastroenterology, 1 July 2013)

Many patients with pulmonary complaints fail to improve despite physicians’ best efforts. Sometimes, we ascribe this failure to lack of adherence with therapy, or to the severity of the condition. What we often fail to appreciate, however, is that sometimes the lack of improvement can be explained by the patients' psychological states. The first section of Functional Respiratory Disorders: When Respiratory Symptoms Do Not Respond to Pulmonary Treatment will help clinicians recognize functional respiratory symptoms that can arise as a result of both organic and psychological causes. The second section of this book provides detailed discussions of such disorders, links to video examples of laryngoscopic evaluation of patients with vocal cord issues, case studies and quizzes. Examples and exercises that should strengthen the clinician’s confidence in identifying and treating these functional conditions are also provided. Finally, the third section of the book will help the clinician differentiate the patients for whom referral to a mental health provider is mandatory from those for whom other approaches may be useful. For the latter group, the book teaches clinicians to empower themselves by learning how to incorporate various therapies for functional disorders into their practice, including biofeedback, breathing techniques, basic cognitive behavioral therapy techniques, and hypnosis. Links are provided to instructive video examples of biofeedback, hypnosis, and speech therapy. Practical strategies for obtaining training in these modalities are provided in the appendix. Functional Respiratory Disorders: When Respiratory Symptoms Do Not Respond to Pulmonary Treatment is an important new book that will help clinicians consider the possible impact of functional contributions to the clinical presentation of every patient with respiratory symptoms and identified respiratory disease.