Suggest Treatment For Dry Irritating Cough

Posted on Fri, 24 Apr 2015

Question: i am a healthy 57 year old woman normally, working as an RGN in the community. i had my tonsillectomy 20 yrs ago, i immediately developed hay fever which is from mar to may season. i use over the counter meds which help with sneezing sore eyes etc but not cough ( I dont take continiously because they make me less alert and tired)I was diagnosed with bronchiactatis 3 yrs ago and my problem is dry irritating cough(no cought when well) i have antibiotics at home to start when needed, i started Co Amixoclav 500 tds yesterday which is helping the cough. i dont like to take these unless really necessary (dont think i have infection) is there a anti histamine thats better for treatment of the cough in hay fever. would steroid inj be useful but may not be advised with my lung problem, thank you I would value your opinion XXXXXXX

Answered by Dr. Abubakar Siddiqh (39 minutes later)

Brief Answer:
Needs anti allergic medication.

Detailed Answer:

Hi,

I had gone through your question and understand your concerns that you are having cough.

Answers and solutions for your issues.

1. Post bronchectasis, chronic cough is common due to parmanet damage of airways.

2. You can continue co-amoxiclav (500mg + 125mg) thrice daily in case of wet cough.

3. Take prophylactic anti allergic combination l-montus (levocitrizine with montelukast) daily one tab at bed time.

4. steroid injection is indicated in breathlessness with wheeze.

Kindly discuss with your treating doctor about these instructions and medications, as they are prescribed medications, needs to be taken under medical supervision.

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Abubakar Siddiqh (41 minutes later)

Am sorry not sure if message sent prematurely

Thank you I don't experience a chronic cough post bronchiactis
I only get cough in hay fever season or a rare chest infection

Will ask GP to prescribe what you suggested

My diagnosis was thought to be associated with ? Lupus but that has not confirmed.. Test done at St XXXXXXX XXXXX.

Answered by Dr. Abubakar Siddiqh (8 hours later)

Brief Answer:
Allergic bronchitis.

Detailed Answer:

Hello again,

Thanks for considering my answer and for your follow up.

It could be simple allergic bronchitis. Normally seen in allergic rhinitis or hey fever individuals. X-ray chest and absolute eosinophilic count investigations needed for the diagnosis.

You can solve your cough issue with prophylactic anti allergic medication for a specific period. Kindly go ahead.

Hope, I have answered your query.

Take care.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E