Upper Airway Cough Syndrome

Upper airway cough syndrome (UACS), formerly known as postnasal drip syndrome, is characterized by upper airway and nasal irritation frequently caused by exposure to irritants, which include chemicals, dust, and allergens. UACS causes mucous to drip down the posterior naso- and oropharynx. The mucous can settle in the glottis (area above the windpipe) causing vocal cord or glottic stimulation resulting in a cough.
Consider nasal saline rinses, stay hydrated, and consult with a healthcare professional for personalized treatment options to alleviate the persistent cough associated with UACS.
Symptoms

Pain, scratchiness or irritation of the throat

or Clearing throat frequently

common

Cough with mucus or without mucus

  • Occurs or worsens at night

  • Dry at first then production of clear/white mucus, Production of clear-white mucus, Dry

  • An irritating cough that doesn't go away

  • Lasting 4 weeks or more

common

Blocked nose

common

Runny nose

common

Sternutation

Facial pain

Reduced ability or completely losing sense of smell

Risk factors

Chronic rhinosinusitis

or Inflammation of the nose caused by allergy

or Non-allergic rhinitis

or Smoking

Treatment
Management includes avoidance of environmental irritants and offending antigens, treatment of sinusitis with antibiotics, and weaning of patients off nasal decongestants for rhinitis medicamentosa; for patients in whom the cause is not apparent, empiric therapy should be instituted with a combination of an antihistamine and decongestant
Recommended specialist

If you have Upper Airway Cough Syndrome, then a visit to an ENT specialist is recommended.

Contact an

ENT specialist

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