Hiatal hernia associated chronic cough: two case reports
Session
Medicine and Nursing
Description
Chronic cough conventionally defined as a cough persisting for more than 8 weeks, represents both a disabling symptom for the patients and a difficult management problem. Gastroesophageal reflux alone or in combination with other factors such as postnasal drip syndrome and/or asthma is the cause of chronic cough in 10-40 % of adult patients. Reflux related extraoesophageal manifestations are frequent and represent a diagnostic and therapeutic challenge which could involve lungs, upper airways and mouth, presenting with asthma, laryngitis, chronic cough, dental erosions, and non-cardiac chest pain. One common cause of acid reflux disease is a stomach abnormality called a hiatal hernia.
Here we present two patients with chronic cough, who had hiatal hernia. The first case is an 81-year-old male, with a cough for the last three years. The patient had been visiting pulmonologists for a long time because of their cough. Finally, he was instructed to consult a gastroenterologist. In the upper endoscopy, in addition to antral gastritis suspicious for an intestinal metaplasia, there was also a 3-4 cm hiatal hernia.
Whereas the second case is a 54-year-old lady with chronic cough. She also has been visited many times by doctors. Endoscopy revealed hiatal hernia of 4-5 cm. Despite the prescribed therapies and diet the cough persisted, therefore laparoscopic fundoplication was proposed.
At the end of this report, it should be said that in the differential diagnosis of a chronic cough, gastroesophageal reflux disease should also be considered.
Keywords:
Chronic cough; Hiatal hernia; Gastroesophageal reflux
Proceedings Editor
Edmond Hajrizi
ISBN
978-9951-550-50-5
Location
UBT Kampus, Lipjan
Start Date
29-10-2022 12:00 AM
End Date
30-10-2022 12:00 AM
DOI
10.33107/ubt-ic.2022.178
Recommended Citation
Telaku, Skender; Islamaj, Edmond; and Telaku, Mimoza, "Hiatal hernia associated chronic cough: two case reports" (2022). UBT International Conference. 180.
https://knowledgecenter.ubt-uni.net/conference/2022/all-events/180
Hiatal hernia associated chronic cough: two case reports
UBT Kampus, Lipjan
Chronic cough conventionally defined as a cough persisting for more than 8 weeks, represents both a disabling symptom for the patients and a difficult management problem. Gastroesophageal reflux alone or in combination with other factors such as postnasal drip syndrome and/or asthma is the cause of chronic cough in 10-40 % of adult patients. Reflux related extraoesophageal manifestations are frequent and represent a diagnostic and therapeutic challenge which could involve lungs, upper airways and mouth, presenting with asthma, laryngitis, chronic cough, dental erosions, and non-cardiac chest pain. One common cause of acid reflux disease is a stomach abnormality called a hiatal hernia.
Here we present two patients with chronic cough, who had hiatal hernia. The first case is an 81-year-old male, with a cough for the last three years. The patient had been visiting pulmonologists for a long time because of their cough. Finally, he was instructed to consult a gastroenterologist. In the upper endoscopy, in addition to antral gastritis suspicious for an intestinal metaplasia, there was also a 3-4 cm hiatal hernia.
Whereas the second case is a 54-year-old lady with chronic cough. She also has been visited many times by doctors. Endoscopy revealed hiatal hernia of 4-5 cm. Despite the prescribed therapies and diet the cough persisted, therefore laparoscopic fundoplication was proposed.
At the end of this report, it should be said that in the differential diagnosis of a chronic cough, gastroesophageal reflux disease should also be considered.