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WebSep 30, 2024 · A person with this reflux may find it hard to identify the cause of their cough, as LPR often begins after an upper respiratory illness, the Foundation reports. Other … WebA 79-year-old male presents with a complaint of cough x 3 weeks. The cough is worse at night and after exercise. He also experienced a chest pain episode with a feeling of “heart coming out of chest” three nights ago lasting a few minutes and decided it was heartburn. He had a sedentary lifestyle since retirement, but recently started an ... Webabstract = "When a proper detailed history, clinical examination, chest X ray and sputum analysis does not yield a definite diagnosis for the cause of chronic cough, bronchoscopy … dr gitlin gastroenterology san clemente