Upper airway cough syndrome

Chronic cough is associated with urinary incontinence, and studies indicate that up to 60% of women with chronic cough experience urinary incontinence.[64]Yang C, Feng Z, Chen Z, et al. The risk factors for urinary incontinence in female adults with chronic cough. BMC Pulm Med. 2022 Jul 18;22(1):276. https://bmcpulmmed.biomedcentral.com/articles/10.1186/s12890-022-02069-w http://www.ncbi.nlm.nih.gov/pubmed/35850673?tool=bestpractice.com [65]Dicpinigaitis PV. Prevalence of stress urinary incontinence in women presenting for evaluation of chronic cough. ERJ Open Res. 2021 Feb 22;7(1):00012-2021. https://pmc.ncbi.nlm.nih.gov/articles/PMC7897843 http://www.ncbi.nlm.nih.gov/pubmed/33644221?tool=bestpractice.com [66]Arismendi E, Puente-Maestu L, Domingo C, et al. Diagnosed and undiagnosed cough-related stress urinary incontinence in women with refractory or unexplained chronic cough: its impact on general health status and quality of life. Chron Respir Dis. 2024 Jan-Dec;21:14799731241273751. https://journals.sagepub.com/doi/full/10.1177/14799731241273751 http://www.ncbi.nlm.nih.gov/pubmed/39222070?tool=bestpractice.com

Urinary incontinence in women

Chronic coughing is associated with headache and this can significantly impact on quality of life.[67]Cordenier A, De Hertogh W, De Keyser J, et al. Headache associated with cough: a review. J Headache Pain. 2013 May 20;14(1):42. https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/1129-2377-14-42 http://www.ncbi.nlm.nih.gov/pubmed/23687906?tool=bestpractice.com

Chronic cough can be associated with syncopal episodes in susceptible individuals.[68]Dicpinigaitis PV, Lim L, Farmakidis C. Cough syncope. Respir Med. 2014 Feb;108(2):244-51. https://www.resmedjournal.com/article/S0954-6111(13)00435-6/fulltext http://www.ncbi.nlm.nih.gov/pubmed/24238768?tool=bestpractice.com ​ Although this may be encountered in patients with upper airway cough syndrome (UACS), any episode of cough syncope should warrant further neurological assessment and investigation.

Assessment of syncope