Dr Ricardo García Luján
Specialist in- Pulmonary nodule and lung cancer.
- Chronic obstructive pulmonary disease and asthma.
- Bronchoscopy and echobronchoscopy.
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Respiratory Center
The unit
The Chronic Cough and Respiratory Infections Unit at the Publio Cordón Memorial Hospital provides specialist assessment for patients with persistent coughs or recurrent infectious episodes, by identifying the underlying causes and providing personalised treatment.
Medical team
Patient information
The Chronic Cough and Recurrent Respiratory Infections Unit treats patients with a cough lasting more than eight weeks or with repeated episodes of respiratory infections throughout the year for which no clear cause has been identified.
A specialist assessment is particularly recommended when standard treatments have failed to resolve the symptoms or when the recurrence significantly affects quality of life.
A chronic cough is not a diagnosis in itself, but a symptom that requires thorough investigation. Identifying its actual cause is essential to avoid non-specific treatments and achieve effective clinical management.
The diagnostic process includes spirometry, allergy tests, gastro-oesophageal reflux studies, high-resolution chest CT scans and specific assessment of immune function where indicated.
A combined interpretation of these findings enables the differentiation between common causes, such as difficult-to-control asthma, chronic rhinitis or reflux, and structural conditions such as bronchiectasis or less common immune-mediated diseases.
The detailed analysis aims to prevent symptoms from becoming chronic due to a lack of an appropriate diagnosis.
Once the cause of the condition has been established, a personalised treatment plan is drawn up, which may include targeted adjustments to medication, respiratory physiotherapy, management of comorbidities, or coordinated interventions with the Department of Otorhinolaryngology or the Department of Gastroenterology where the case requires it.
The treatment approach is based on current scientific evidence and the specific clinical situation, prioritising symptom relief and the prevention of further infectious episodes.
Cases of chronic cough or recurrent infections require periodic reassessment. The unit establishes a follow-up programme tailored to the patient’s clinical progress, enabling the response to treatment to be assessed and the treatment strategy to be adjusted if symptoms persist.
This dynamic approach reduces the need for repeated courses of empirical treatment and promotes sustained respiratory stability.
The complexity of these conditions may require collaboration with other hospital specialities such as Allergy, ENT or Gastroenterology. A joint assessment facilitates multidisciplinary decisions that are consistent and tailored to each individual case.
Alongside rigorous diagnosis, the unit incorporates an essential element: sufficient time to explain the probable cause of the cough, the available treatment options and realistic expectations regarding the patient’s prognosis.
Clear information and ongoing support form part of the care process, enabling shared decision-making and reducing the uncertainty associated with persistent and difficult-to-interpret symptoms.
A specialist assessment makes it possible to identify the actual cause of the cough or recurrent infections, rule out structural or immunological conditions, and establish a treatment strategy tailored to the individual’s clinical situation.
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