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Peer-reviewed veterinary case report

Aerodigestive disorders causing cough in dogs without gut symptoms

By Grobman, M E et al.·Published in Veterinary journal (London, England : 1997)·2019·University of Missouri, United States·View original on PubMed

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Original publication title: Aerodigestive disorders in dogs evaluated for cough using respiratory fluoroscopy and videofluoroscopic swallow studies.

Species:
dog
Dog coughingBreathing & coughDogs

Plain-English summary

A group of dogs with persistent coughing, averaging about four months, were examined to find out if they had hidden issues affecting both their breathing and swallowing. Many of these dogs showed problems during a special swallowing test, with issues like laryngeal obstruction and esophageal motility problems identified in over 80% of the cases. Some dogs had respiratory disorders that caused their cough, while others had issues related to swallowing without any obvious respiratory problems. The study suggests that if your dog is coughing without other signs of illness, a swallowing study could help identify underlying issues.

People also search for: dog cough without vomiting · dog swallowing problems · laryngeal obstruction in dogs · cough treatment for dogs · dog respiratory issues

Abstract

Aerodigestive diseases, hybrid disorders representing a pathologic link between respiratory and alimentary tracts, may manifest with respiratory signs without gastrointestinal signs. These are underdiagnosed in dogs due to poor clinical recognition and diagnostic limitations. We hypothesize that a subset of dogs presenting for cough without gastrointestinal signs would have occult aerodigestive disorders identified using videofluoroscopic swallow study (VFSS). Data were retrospectively obtained from 31 client-owned dogs presenting for cough, with thoracic radiographs, and a VFSS between April 2015 and December 2017. Exclusion criteria were cough of cardiac origin or gastrointestinal signs within 6 months. Swallow study parameters included pharyngeal/esophageal motility, laryngeal obstruction/defects, penetration-aspiration, reflux, excessive aerophagia, megaesophagus (ME), lower-esophageal sphincter achalasia-like syndrome (LES-AS), and sliding hiatal hernia (HH). The median (interquartile range) duration of cough was 4 (2-8) months. Thoracic radiographs were unremarkable in 11 dogs, with aspiration pneumonia suspected in seven. In 25/31 dogs (81%), VFSS abnormalities were detected and some dogs had more than one defect: pharyngeal (n=10) or esophageal hypomotility (n=10), reflux (n=9), penetration-aspiration (n=8), excessive aerophagia (n=6), laryngeal obstruction (n=3), ME (n=3), HH (n=2), and LES-AS (n=1). A respiratory disorder causing cough was identified in 17 dogs with VFSS abnormalities (laryngeal obstruction/defect and airway disease including chronic or eosinophilic bronchitis, tracheal/mainstem bronchial collapse, bronchiectasis, and bronchomalacia). An alimentary disorder identified on VFSS in absence of a discrete respiratory disorder causing cough was diagnosed in eight dogs. In conclusion, canine aerodigestive disorders can manifest as cough without alimentary signs. VFSS is a useful diagnostic to determine the contribution of esophageal/gastrointestinal pathology in dogs with cough.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31492390/