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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Coughing?

Hello, two weeks ago I experienced cold/flu symptoms and with it a stubborn cough that seems to be gettng worse. Now when I cough, its so hard it feels like the veins in my arms are exploding. Its very temporary but painful, now on top of this I cannot sleep because of the cough and I sometimes cough so hard I urinate unwillingly. I cannot imagine what this is, cough drops and cough suppressants seem to do nothing. Its clear mucus, and Its only been two weeks, should I go to a doctor? Any ideas? Please and thank you for any assistance you can provide.
Mon, 3 Oct 2016
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General & Family Physician 's  Response
Hello,

I read your message carefully and understood your concern.

It seems that your cough is really strong and makes you experience a lot of stress.

Your cold/flu symptoms seem to aggravate to a severe cough. This means that the respiratory infection has developed further and has affected even more the respiratory tract.

You may have bronchitis or pneumonia in this situation. A further consultation with your doctor and a good clinical examination is required together with chest X-ray and respiratory function test and blood tests.

For the moment, I advise to:
- increase fluids intake,
- add oral rehydration salts to keep hydrated
- sleep with an extra pillow
- use mucolytics (e.g. carbocystein) to dissolve phlegm as clear mucus is present
- take respiratory decongestant like anti-histaminic at bedtime
- aerosol therapy with saline can help
- can use herbal tea containing sage, rosemary, bay leaves and chamomile to ease the symptoms. Can inhale the steam of this tea from a teapot.
- take anti-inflammatory medications like ibuprofen or mephenamic acid


Hope this was helpful.

Wish fast recovery.
Dr.Albana
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What Causes Severe Coughing?

Hello, I read your message carefully and understood your concern. It seems that your cough is really strong and makes you experience a lot of stress. Your cold/flu symptoms seem to aggravate to a severe cough. This means that the respiratory infection has developed further and has affected even more the respiratory tract. You may have bronchitis or pneumonia in this situation. A further consultation with your doctor and a good clinical examination is required together with chest X-ray and respiratory function test and blood tests. For the moment, I advise to: - increase fluids intake, - add oral rehydration salts to keep hydrated - sleep with an extra pillow - use mucolytics (e.g. carbocystein) to dissolve phlegm as clear mucus is present - take respiratory decongestant like anti-histaminic at bedtime - aerosol therapy with saline can help - can use herbal tea containing sage, rosemary, bay leaves and chamomile to ease the symptoms. Can inhale the steam of this tea from a teapot. - take anti-inflammatory medications like ibuprofen or mephenamic acid Hope this was helpful. Wish fast recovery. Dr.Albana