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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Caues Severe Cough For A Prolonged Period?

helloo doctor.i have been having cough for three to four years i hav done all the tests and there was nothing wrong in the results like tb asthama throat tests and all.my sister too had this problem when she was younger and coughing stopped automatically for her after four to five years.i wanted to know what the problem? I have coughing and the coughs gets very bad during nights as soon as i lie down it starts.recently i have also got coughs with farts this is becoming too embrassing for me as i dnt have any control over cough plus farts.i would like to know what is exactly happening with me? I have consulted many doctors and they are unable to detect whats wrong with me. Its been four years i have been coughing contionusly
Tue, 8 Nov 2016
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General & Family Physician,  's  Response
HI, thanks for using healthcare magic

The most common causes of persistent coughing are: (1) post nasal drip
(2)GERD
(3)asthma
(4)non asthmatic eosinophilic bronchitis

Post nasal drip is the most common cause and some persons are not aware of the drip itself.

Non asthmatic eosinophilic bronchitis is also common can this can be diagnosed by a sputum (mucus) sample sent to the lab.

You can consider using an antihistamine/decongestant combination for at least 2 to 3 months (it can take a few weeks to start to work). This should be combined with a topical steroid nasal spray for the same period of time

Eg of the antihistamine/decongestant- benadryl d, claritine d, allegra d, zyrtec d
Eg of the topical steroid spray- nasonex, nasocort, flonase, rhinocort

If it is the non eosinophilic bronchitis then steroid sprays would need to be used for approximately 1 month.

I hope this helps

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What Caues Severe Cough For A Prolonged Period?

HI, thanks for using healthcare magic The most common causes of persistent coughing are: (1) post nasal drip (2)GERD (3)asthma (4)non asthmatic eosinophilic bronchitis Post nasal drip is the most common cause and some persons are not aware of the drip itself. Non asthmatic eosinophilic bronchitis is also common can this can be diagnosed by a sputum (mucus) sample sent to the lab. You can consider using an antihistamine/decongestant combination for at least 2 to 3 months (it can take a few weeks to start to work). This should be combined with a topical steroid nasal spray for the same period of time Eg of the antihistamine/decongestant- benadryl d, claritine d, allegra d, zyrtec d Eg of the topical steroid spray- nasonex, nasocort, flonase, rhinocort If it is the non eosinophilic bronchitis then steroid sprays would need to be used for approximately 1 month. I hope this helps