Eighty-two percent of the patients reported improvement or resolution of the primary symptoms, which included anxiety, asthma, chest pain, dyspnea, habit cough
, hyperventilation, sighing, and vocal cord dysfunction.
Anbar, MD, Professor of Pediatrics at SUNY Upstate Medical University, in Syracuse, NY, says hypnosis has potential therapeutic value in children with respiratory disorders for alleviating symptoms such as habit cough
or unexplained sensations of difficulty breathing and for lessening a child's discomfort during medical procedures.
Vocal fold injection with botulinum toxin type A (BTX-A) may be used as an adjunct treatment for habit cough in children.
Habit cough is not believed to be overly common in the general pediatric population.
We recently evaluated the cases of 3 children with habit cough in the pediatric airway and swallowing disorders clinic at Massachusetts Eye and Ear Infirmary (MEEI).
Charts of 3 children with habit cough treated with BTX-A were selected.
We told the parents that habit cough was the likely diagnosis and that the primary treatment was behavioral therapy.
Habit cough caused significant social disruption for our 3 patients and their families.
We hypothesized that laryngeal BTX-A injections could break the cough cycle in children with habit cough.
Habit, or psychogenic, cough is a clinical diagnosis, and it is very common for habit cough to appear after a respiratory illness.
While the outcomes of these cases were satisfactory, sound scientific conclusions about the effectiveness of BTX-Ain treating habit cough cannot be made.
The effectiveness of treating habit cough with noninvasive techniques is discussed in 9 separate reports.