Frequently Asked Questions

Question: Can I ask Professor Morice a question or have a consultation?

Answer: Thank you for your enquiry. I'm afraid Professor Morice is unable to answer the many emails he receives about cough related problems, mainly because individual patient care over the internet is not recommended by the General Medical Council.

The website www.selfnostics.com has our standard diagnostic protocol, the latest cough treatment advice and a letter explaining things to your doctor. Professor Morice does not see private patients, but will see patients in the Hull cough clinic following a referral from your doctor. If you are not resident in England your doctor will need to confirm funding (this includes Wales and Scotland!).

Rest assured you are not alone in this torment caused by chronic cough and there is help available. Please try the website and get a referral if this does not help.

Professor Alyn H. Morice
Head of Cardiovascular and Respiratory Studies University of Hull, Hull York Medical School Castle Hill Hospital HU16 5JQ

Question: What information do I receive with my diagnosis?

Answer: You will be provided with the following:

1. An accurate diagnosis of the cause of your chronic cough
2. A letter directed to your doctor explaining the diagnosis, why this diagnosis is relevant and importantly suggesting the latest treatment pathways that are rarely thought of by non-specialist healthcare practitioners.
3. Background information on your condition and suggested treatments.

Question: What should I do when I receive my diagnosis?

Answer: Please read all of the information provided and take your letter and diagnosis to your GP to discuss your treatment options. Your GP will have your full medical history and providing there are no complications should be able to provide you with the recommended treatments. If you find that your GP is reluctant to do this please ask to be referred to a specialist cough clinic. There are several cough clinics in our network including:


Question: What is cough?

Answer: Cough is a protective reflex which removes inhaled foreign bodies and excessive secretions from the respiratory tract. Thus, the main anatomical areas stimulating the cough reflex are located in the upper airways, particularly the larynx, and cough sensitivity diminishes as the airways divide until, in the smallest airways, cough cannot be elicited. It is important to realise that cough can be precipitated at sites other than at the respiratory tract.

Question: What is Chronic Cough?

Answer: A cough that has been going on for greater than 8 weeks.

Question: How common is Chronic Cough?

Answer: Chronic cough is one of the commonest symptoms of medical importance. About one in ten people suffer from daily coughing bouts and the doctor is usually at a loss to explain the symptom

Question: What causes Chronic Cough?

Answer: There are a number of possible underlying causes of chronic cough and careful questioning is required to determine what the likely cause in each case is. Some of the more common factors are listed below:

  • Chronic asthmatic cough
  • Cough due to gastroesophageal disease (reflux cough)
  • Cough due to nasal disease (rhinitis and post nasal drip syndrome)
  • ACE inhibitor cough
  • Eosinophilic bronchitis
  • Habit cough of childhood

For a more detailed discussion please visit http://www.issc.info/cough.html#chronic

Question: What sort of treatments work for Chronic Cough?

Answer: Provided a correct diagnosis is made cough usually responds to treatment. Even cough for many years standing can be successfully combated. The problem with chronic cough is that it may arise from several different parts of the body, not just the chest. The specific treatment for your cough will depend on the underlying cause.

Question: Why do I need a specialist diagnosis such as the one provided by Selfnostics?

Answer: Unfortunately chronic cough and its causes are poorly understood by many doctors and it is poorly taught to students of medicine. Many years of experience and clinical research have led to the development of the chronic cough questionnaire and with an accurate diagnosis we are able to recommend the correct treatment strategy for each individual patient.

Question: Why doesn’t my GP provide such a diagnostic service?

Answer: Unfortunately chronic cough and its causes are poorly understood by many doctors and it is poorly taught to students of medicine. Many years of experience and clinical research have led to the development of the chronic cough questionnaire and with an accurate diagnosis we are able to recommend the correct treatment strategy for each individual patient. We would recommend completing the online questionnaire and taking the treatment recommendations to your GP so that you can work together to produce a successful treatment process. We hope that this will also introduce some of the latest research and treatments to GPs and improve the patient experience in the long term.

Question: What is a cough clinic?

Answer: A cough clinic is specialist centre dedicated to the care and treatment of patients suffering with cough. For more details please see: http://www.issc.info/cough.html

Question: Where can I find further information?

Answer: Please visit http://www.issc.info/cough.html for further information



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