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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dry Cough, Tickling In Throat, Nausea. Taking Lamictal And BP Medicine

i have had a dry cough caused by a tickling in my throght. It will not go away. it is not because i am congested. It is so bad at times i feel like throwing up. this has been ongoing for appx 2 to 3 weeks. i do take lamictal and a blood pressure medication i hope you can get back with me. i do not have my own internet connect but you can reach me at YYYY@YYYY or call me at 520-576-3510. I live in tucson az and i just read of an outbreak of whooping cough in tx I have not been there.
Thu, 12 Sep 2013
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ENT Specialist 's  Response
Hello

Welcome in H.C.M.

As you are having dry cough, trickling in throat and nausea this indicates about sinusitis with cough because trickling means post nasal drip which is characteristic of sinusitis. But at the same time you are taking anti hypertensive treatment which may also be responsible as ACE inhibitors ( contents of blood pressure drugs ) are well known for producing dry cough.

Above explanation demands for few investigations to clear the picture-

1- Culture and sensitivity of throat swab.

2- X-Ray of paranasal sinuses.

3- blood- CBC, Ser bilirubin. SGPT,

By the help of these investigations and thorough examination considering GERD and LPR we may reach to correct diagnosis that may be treated accordingly.

Regards.
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Dry Cough, Tickling In Throat, Nausea. Taking Lamictal And BP Medicine

Hello Welcome in H.C.M. As you are having dry cough, trickling in throat and nausea this indicates about sinusitis with cough because trickling means post nasal drip which is characteristic of sinusitis. But at the same time you are taking anti hypertensive treatment which may also be responsible as ACE inhibitors ( contents of blood pressure drugs ) are well known for producing dry cough. Above explanation demands for few investigations to clear the picture- 1- Culture and sensitivity of throat swab. 2- X-Ray of paranasal sinuses. 3- blood- CBC, Ser bilirubin. SGPT, By the help of these investigations and thorough examination considering GERD and LPR we may reach to correct diagnosis that may be treated accordingly. Regards.