A cough is the natural reflex response of the body to clear the airways, to the stimuli that may irritate the respiratory system, which consists mainly the nasopharynx, larynx, trachea, and large bronchi. It is acute when it is less than 3 weeks, and chronic if beyond 8 weeks.  Cough can also be generated by issues in the upper and lower airways, psychological issues, cardiovascular system pathophysiologic disturbances, and the side effects of certain medications like the ACE inhibitors. Cough is the fifth most common symptom that prompts the patients to see their health care provider in the primary care setting (Rhoads & Jensen, 2015). Mainly, the pathogenic triad of cough, that is responsible for 92% to 100% of cough, is due to upper airway cough syndrome which is commonly known as post nasal drip syndrome; asthma, and gastroesophageal reflux disease (GERD). The other associated signs and symptoms of cough are: fatigue, rhinitis, epistaxis, tickle in the throat, pharyngitis, night sweats, dyspnea, fever, sputum production, hoarseness and post nasal drip.  As cough interferes with the activities of daily living and sleeping, there is a decrease in quality of life (QOL).  Therefore, patients seek treatment in the health care settings (Cash & Glass, 2017).

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