Hi, I am a 56 year old woman. Most times when I cough a lot, I fart at the same time. This occurs mostly at home, and I try to control it at work but it s difficult at times. What is the cause of this and how can I stop it? Thank you for whatever advice you may give. I am extremely sorry Dr, I am from a developing country in the western Pacific and I don t have access to Visa or MasterCard, American Express, PayPal, etc., so I cannot pay the fee.