ABSTRACT

The frequency and/or severity of the common asthma symptoms of wheeze,

chest tightness, and cough are main components of the classification of asthma severity in adults (1) and children (2). Each symptom is however

not diagnostic for asthma and the recent British Asthma guidelines caution

against the use of any symptom in isolation (3). As cough is the most com-

mon symptom presenting to general practitioners (4) and asthma a com-

mon chronic disorder, there is high potential for a chance overlap

between cough and asthma, without there being a clear causal link between

the two conditions. Nevertheless cough is a prominent symptom in many

people with asthma and good control of asthma symptoms is a component of effective asthma management. This chapter reviews current evidence on

the use of the symptom of cough and objective cough indices as an indicator

of asthma control. Whether isolated cough represents asthma is beyond the

scope of this chapter and reviews are available elsewhere (5-7).