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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Persistent Cough, Phlegm In Throat. Reason. What Tests Should Be Done?

I have a persistent cough., Especially when lying on my back. Sounds like a seal barking. Have lots of phlegm in my throat when I cough. I have not been to see a doctor. This condition has been carrying on for a few years now. I must mention the smell of lotions or working with material can bring a dry irritating cough. Please help me. What tests should I have down??? I cannot take this coughing any longer. My age is 64 years, Weight 74 kg. I am definitely overweight. Female. Thank you so much
Sat, 5 Oct 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
If I were your treating doctor for this severe bouts of cough I would come up with these possibilities , these includes.
1 Asthmatic allergic bronchitis , diagnosis can be confirmed by physical examination and clinical history by a physician .
As you mentioned that this cough is from many years so may be due to some sort of allergen.
2 Bronchiectasis , as you mentioned that there is copious amount of phlegm ( expectoration ) present so get in X ray chest and consult a physician . Also get in blood for C B C , E S R , and sputum ( phlegm ) for A F B .( as tuberculosis may be the cause along bronchiectasis). Diagnosis can be confirmed by physical as well as clinical examination.
3 Lung abscess one of the most prominent cause , so go for X RAY CHEST and be examined by a physician .
As seal barking sound is due to presence of expectoration ( phlegm ) in lungs with bronchconstriction .Your weight is not a cause of concern.
In my opinion consult a physician and get his opinion.
Good luck. Dr. HET
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Persistent Cough, Phlegm In Throat. Reason. What Tests Should Be Done?

Hello, Thanks for the query to H.C.M. Forum. If I were your treating doctor for this severe bouts of cough I would come up with these possibilities , these includes. 1 Asthmatic allergic bronchitis , diagnosis can be confirmed by physical examination and clinical history by a physician . As you mentioned that this cough is from many years so may be due to some sort of allergen. 2 Bronchiectasis , as you mentioned that there is copious amount of phlegm ( expectoration ) present so get in X ray chest and consult a physician . Also get in blood for C B C , E S R , and sputum ( phlegm ) for A F B .( as tuberculosis may be the cause along bronchiectasis). Diagnosis can be confirmed by physical as well as clinical examination. 3 Lung abscess one of the most prominent cause , so go for X RAY CHEST and be examined by a physician . As seal barking sound is due to presence of expectoration ( phlegm ) in lungs with bronchconstriction .Your weight is not a cause of concern. In my opinion consult a physician and get his opinion. Good luck. Dr. HET