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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Cough Be Treated?

I cannot digest food easily. I automatically have cough attacks as soon as I try to eat any solids. I am recovering from a cold, where I was sneezing and coughing for about two weeks, but now I cannot control my coughing and cannot digest food. I also completely lost my voice a few days ago, and am slowly getting it back.
Thu, 23 Nov 2017
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Ayurveda Specialist,  's  Response
**
Thanks for contacting with your health concern.

1. As I'm unable to examine you directly, thus notable points which can be discussed are:

i. having cough attacks while trying to eat could be due to :
. dysphagia [difficulty in swallowing], mainly obstructive.
. tracheoesophageal fistula

PS. Consult an ENT physician to exclude causes like allergy, acid reflux and other causes of laryngitis like chronic sinusitis, bacterial/ fungal/ parasitic infection to complex causes like vocal cord strain/injury or growth, with suitable examination and investigation [barium swallow, indirect laryngoscopy, and oesophagoscopy] or refer to an Otolaryngologist, till then
take
i. Voice rest, soft diet, avoid spicy food.
ii. lukewarm saline mouthwash gargles.
iii. vitamin C tablets and zinc supplements [zinc lozenges]

2. As the symptom [coughing] is there for about 2 weeks, and there is no relief thus following should be your approach:

i. Ask for investigations like
. Hb%, WBC for eosinophilia
. X-ray chest for TB, Pneumonia
. If other investigations are normal, HIV test [as routine]

PS. As cough is there for > 15 days, thus this is an indication for immediate X-ray.

ii. The choice of antibiotic will vary from doctor to doctor, and from locality to locality

PS. Consult an ENT specialist [for quick visual examination of the throat] and for any necessary investigation(s)
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How Can Chronic Cough Be Treated?

** Thanks for contacting with your health concern. 1. As I m unable to examine you directly, thus notable points which can be discussed are: i. having cough attacks while trying to eat could be due to : . dysphagia [difficulty in swallowing], mainly obstructive. . tracheoesophageal fistula PS. Consult an ENT physician to exclude causes like allergy, acid reflux and other causes of laryngitis like chronic sinusitis, bacterial/ fungal/ parasitic infection to complex causes like vocal cord strain/injury or growth, with suitable examination and investigation [barium swallow, indirect laryngoscopy, and oesophagoscopy] or refer to an Otolaryngologist, till then take i. Voice rest, soft diet, avoid spicy food. ii. lukewarm saline mouthwash gargles. iii. vitamin C tablets and zinc supplements [zinc lozenges] 2. As the symptom [coughing] is there for about 2 weeks, and there is no relief thus following should be your approach: i. Ask for investigations like . Hb%, WBC for eosinophilia . X-ray chest for TB, Pneumonia . If other investigations are normal, HIV test [as routine] PS. As cough is there for 15 days, thus this is an indication for immediate X-ray. ii. The choice of antibiotic will vary from doctor to doctor, and from locality to locality PS. Consult an ENT specialist [for quick visual examination of the throat] and for any necessary investigation(s)