Cough Clinic

A chronic cough, a cough lasting more than three weeks, may be more than a nuisance or a social embarrassment. It might be an indication of other underlying health conditions that may include anything from allergies to heart failure.

Diagnosing the cause of a chronic cough could take months of doctor's appointments and testing. But, at Beaumont Hospital, Grosse Pointe, diagnosis may be determined in hours.

Coughing is the body's natural way to clear the lungs and upper airway to prevent infection. But, a persistent cough, that causes shortness of breath, dizziness, hoarseness, muscle strain, sweating, or urinary incontinence is not typical.

At Beaumont, Grosse Pointe's Cough Clinic, a board-certified pulmonary critical care physician will examine and order the appropriate diagnostic tests to determine the cause of your chronic cough.

For your convenience, a hospital representative will escort you to each diagnostic test ordered. You do not need to be referred by a physician to make an appointment at the Beaumont, Grosse Pointe Cough Clinic.

The cause of a chronic cough can be determined in more than 90 percent of the cases with an accurate history and physical, exam and appropriate testing. The course of treatment is to eliminate the underlying cause of chronic cough.

What to Expect at the Cough Clinic

  • Bring results of pulmonary function tests, chest X-rays, CT scans and acid reflux and allergy tests you have with you to your appointment
  • Enter the Main Entrance and report to the Patient Registration department
  • After registration, you will be escorted to the Cough Clinic
  • You will meet with the doctor who will perform a history and physical, review test results you have with you and determine if any additional testing is necessary. Tests you may require include:
    - Pulmonary function test - to measure lung airflow
    - Chest X-ray
    - CT scan - of the lungs and/or sinuses
    - Acid reflux testing
    - Allergy testing

Once tests are complete (approximately 2 hours), the physician will meet with you again to:

  • Review test results
  • Discuss treatment options
  • Provide referrals to allergy, ear nose and throat or gastro-intestinal specialists, if necessary
  • Discuss follow-up appointments
  • Discuss additional diagnostic tests, if necessary
  • Prescribe medications -- which will be available for pick-up before you leave the hospital

About the Cough Clinic Staff

Robert Marchese, M.D., isthechief of Internal Medicine at Beaumont Hospital, Grosse Pointe. Dr. Marchese is board certified in Internal Medicine with specialties in Critical Care Medicine and Pulmonary Diseases. He completed his undergraduate and medical degrees at Wayne State University. Dr. Marchese was recognized in 2006 as one of HOUR Detroit Hour magazine's "Top Docs." Dr. Marchese lives in Grosse Pointe Park.

Ellen Melcher, N.P., clinical coordinator, is a board-certified adult acute care nurse practitioner.