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Suffering With Dry Cough For Years. Blood Work, CT Normal. Advise?
Question: Dear Sir,
My wife last three years suffering dry cough I have done all medical test report is normal. as well as blood,citi scan & others so please consult & give me advise very urgently.
My wife last three years suffering dry cough I have done all medical test report is normal. as well as blood,citi scan & others so please consult & give me advise very urgently.
Hello ,
Thanks for posting your query.
Considering your wife 's clinical condition and reports the following conclusions can be drawn,
1. She has significant enlargement of XXXXXXX cervical ( neck )lymph nodes which needs further evaluation .
2. She has a apparently normal CT chest , thus the cause of the cough is more likely due to throat irritating lesion rather than a lung disorder .
The cause of such large( >10 mm), XXXXXXX lymph nodes are usually due to any inflammatory ( tuberculosis etc)or malignant lesion in the neighbouring face and neck organs like nasopharyngeal cancers,mass in thyroid gland , inflammatory or infective conditions of oral cavity and throat.
Since your wife has a history of thyroid disorder , that could be the most probable cause however confirmation by thyroid scans , and lymph node biopsies might be required.
The exact cause can only be found after a complete evaluation of the patient by a ENT specialist or oncosurgeon. Sometimes if the problem is long standing and doctor suspects any risk of cancer then he might order a diagnostic dissection and histopathologic testing of the lymph nodes for confirmation of diagnosis.
Whatever the cause , thyroid or any mass lesion , the cough can be difficult to suppress by medicines alone if the origin is due to irritation and compression of nerve.
The treatment will be mainly treating the cause , hence I would advise you to consult a Ear nose throat surgeon for further examination,investigation and management .
Hope I have answered your query .
Wishing you both good health.
Regards
Thanks for posting your query.
Considering your wife 's clinical condition and reports the following conclusions can be drawn,
1. She has significant enlargement of XXXXXXX cervical ( neck )lymph nodes which needs further evaluation .
2. She has a apparently normal CT chest , thus the cause of the cough is more likely due to throat irritating lesion rather than a lung disorder .
The cause of such large( >10 mm), XXXXXXX lymph nodes are usually due to any inflammatory ( tuberculosis etc)or malignant lesion in the neighbouring face and neck organs like nasopharyngeal cancers,mass in thyroid gland , inflammatory or infective conditions of oral cavity and throat.
Since your wife has a history of thyroid disorder , that could be the most probable cause however confirmation by thyroid scans , and lymph node biopsies might be required.
The exact cause can only be found after a complete evaluation of the patient by a ENT specialist or oncosurgeon. Sometimes if the problem is long standing and doctor suspects any risk of cancer then he might order a diagnostic dissection and histopathologic testing of the lymph nodes for confirmation of diagnosis.
Whatever the cause , thyroid or any mass lesion , the cough can be difficult to suppress by medicines alone if the origin is due to irritation and compression of nerve.
The treatment will be mainly treating the cause , hence I would advise you to consult a Ear nose throat surgeon for further examination,investigation and management .
Hope I have answered your query .
Wishing you both good health.
Regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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