She has recently tried over the counter inhalers, but finds they offer little relief of her symptoms. She does not smoke. She coughs daily and is awakened from sleep at least one or two nights a week with cough. Her cough is worsened by cold weather and she is noticing decreased exercise tolerance over the past several months. She volunteers, I do NOT have asthma.
Review of systems is otherwise negative.
There is no personal history of asthma. She thinks her mom had asthma and her brother has allergies. She has never been hospitalized. She denies any allergies to medication or environmental allergens.