Your doctor will ask about your medical history and perform a physical exam. A thorough medical history and physical exam can provide important clues about a chronic cough. Your doctor may also order tests to look for the cause of your chronic cough. However, many doctors opt to start treatment for one of the common causes of chronic cough rather than ordering expensive tests. If the treatment doesn't work, however, you may undergo testing for less common causes. These simple, noninvasive tests, such as spirometry, are used to diagnose asthma and COPD. They measure how much air your lungs can hold and how fast you can exhale. Your doctor may request an asthma challenge test, which checks how well you can breathe before and after inhaling the drug methacholine (Provocholine). During the time your doctor is determining the reason for your cough and beginning treatment, your doctor may also prescribe a cough suppressant to try to speed your symptom relief.
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