The three most common causes for the cough variant asthma are sinusitis, gastro esophageal reflux and asthma. If the patient has these three things and he may give a complaint of a normal cough, in regard to cough variant asthma, wheezing may be considered to be a sine qua non of asthma and it is however it is considered that the chronic cough can alone be secondary to asthma. The report of the cough variant asthma considered six patients and reported that these patients whose symptoms was a persistent cough without wheezing or dyspnea. And these patients considered do not have an asthma history and the baseline spirometery was normal but the bronchial hyper responsiveness was positive and coughing abated with bronchodilators. Cough variant asthma should not be considered as the distinct entity separate from classic asthma because of the reason involving that the individuals have the significant airway inflammation with the predominance of eosinophils and the treatment of the variant asthma done by anti-inflammatory therapy which is an inhaled corticosteroid and also an short-acting bronchodilators when needed. Asthma of esophagus is a main way for the cough asthma, asthma pictures has involved in giving a better representation for asthma.