Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
199 Doctors are Online

Treatment for allergic cough - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3362 Questions
User :   Hello, I am a 53 year old female flight attendant who for the last year and a half has been experiencing what I think may be chronic bronchitis. I have seen two pulmonologists and had 3 spirometry (sp?) tests, chest exrays, etc. Two of these physicians suggested COPD, and two didn't give me a for sure diagnosis. I am taking prednisone for the fourth time in this last year and a half for an unstoppable cough, heaviness and sort of burning in my lungs, and it usually happens after a long flight and when my system is weak and exposed to a different climate (I just returned from New York.....and I live on Guam). I am pretty sure this is allergy related because when I try to have a glass of wine with dinner.......I start coughing and feeling the symptoms I am assuming that it is also an irritant/trigger. I have been tested by an allergist to be highly allergic to dust mites....and it doesn't help that I live in a high humidity place.....however, I have been able to keep my allergies at bay by taking Allegra once a day and using Palanase and Verymst nasal sprays. Will you answer four questions for me if you have time? We do not have a pulmonologist on I will be anxiously awaiting your reply.
1.) Do you think there is a good chance that I have chronic bronchitis or COPD?
2.) When I take prednisone long does it take to kick in at 20mg dosage?
3.) Is it okay to take two pills in the morning rather than every 12 hours. I am having alot of trouble sleeping. And is that harder on my system to take it that way? should I just take an over the counter sleep aid.....instead? Okay that was four.....sorry.
Thank you so much for your response.
Doctor :   Hi
Doctor :   I am reding ur Q, plz wait
Doctor :   Hi
Doctor :   I am sorry for late
Doctor :   Are you there?
Doctor :   Your 1st ! 1.) Do you think there is a good chance that I have chronic bronchitis or COPD?
User :   Yes....I just didn't want to interrupt you. PLease take your time.
Doctor :   How many cigarrertes you smoke
User :   I have never smoked! And never lived with a smoker.....only 8 years of second hand smoke on the airplane.
Doctor :   Because you have cough for more than 3 months and you smoke , you have been exposed to smoke you may have COPD
User :   not to mention that we had to spray pesticides in countries like Papau New Guinea and Australia for years.
Doctor :   Ok
Doctor :   That COD is 1 possibility with second hand smoking
User :   When I have seen four different doctors and they can not give me a for sure diagnosis.....what do you think is my next steP?
Doctor :   Yes
Doctor :   COPS is 100% diagnosed when u have positive spiromtry test
Doctor :   But the diagnosis is empirical now /clinical grounds
Doctor :   It may not be 100%
User : what would you recommend that I do to figure it out for I just wait for it to get worse if it is chronic bronchitis?
Doctor :  
2. Next possibility As you are already allergic dust and use sprays ,, you cough might be due to allergic reaction
User :   OK.
Doctor :   But the Q is doea the allegins stay on the time?
Doctor :   But still that is second possibility
Doctor :   but u tested and u r positive for allergens right
User :   Right
Doctor :   ur 2nd Q 2.) When I take prednisone long does it take to kick in at 20mg dosage?
User :   Yes.
Doctor :   Prednisone work both for allergic cough and COPD
Doctor :   but it is for OPD
Doctor :   *COPD
Doctor :   it kicks in in 1 hr
Doctor :   one tan enough for day
Doctor :   it acts for 24 hrs
User :   Can an allery caused cough last for months?
Doctor :   no
Doctor :   unless the allergens last longer and u r exposed them alll the days
User :   So you think that after three pills of prednisone that I should have a major difference in my symptoms?
Doctor :   ur 3 rd ! 3.) Is it okay to take two pills in the morning rather than every 12 hours.
I am having alot of trouble sleeping. And is that harder on my system to take it that way?
Doctor :   Yes
Doctor :   YEs u ca ake 2 in AM
User :   I am exposed to allergens every my home and on the airplane.
Doctor :   *yes u can take 2 in AM
Doctor :   ok
Doctor :   So moslty that is the reason u have chronic cough
User :   But it's harder on my system if I take 2 at one time?
Doctor :   How long u use them
User :   I took one last night and 2 this morning......and I am still coughing a little and still have the feeling in my lungs and chest.
Doctor :   it may not suppress the cough
Doctor :   it will decrease the inflammation
Doctor :   to suppress cough u need to use for 7 days
Doctor :   mean while u have to use cough suppressants
Doctor :   Ur 4 th Q should I just take an over the counter sleep aid.....instead?
Doctor :   yes Benadryl bed time is good sleep aid
Doctor :   no problem with this for u
User :   Ok......and would you suggest that I do take 2 in the morning so I can sleep......or should I tough it out at one every 12 hours like is prescribed.
Doctor :   especally when u have allergy
Doctor :   Yes, usually prednisone can only be given one time
Doctor :   that is in the morning
User :   So 2 in the morning is what you would suggest.
Doctor :   iy
Doctor :   yes
User :   What would you do if anything to make sure of the diagnosis if you were me?
Doctor :   Do not take any medicines, when u r symptomatic, get the pulmonary function tests done
Doctor :   CT chest done
User :   Ok. thank you so much.
Doctor :   WHen u r not on edicines the pathology will be evident in pulmonary function tests
Doctor :   when u r getiing better, the lungs function well and the pathology is not reflected in Pulomnary function tests
User :   This is quite difficult living on Guam with no pulmonologists.........but I will try next time I have this problem.
Doctor :   u dont need Pulmonologist
Doctor :   General physican is fine
Doctor :   some body has to review the results of PFT
User :   Have you ever been to Guam????
Doctor :   No due
User :   Just a way.......but I have never been offered those tests on guam
Doctor :   I will
Doctor :   OK
User :   Do most general physicians have the abiltiy to administer the spirometry and the CT scan?
Doctor :   I understand, most doctors in rural India also do not order the tests
Doctor :   but good one will do in cities
Doctor :   Do most general physicians have the abiltiy to administer the spirometry and the CT scan? ::::: Spirometry is very simple. Yes it can be administered by any one. It is not full pulmonary function tests(PFT). Get the full PFT
Doctor :   CT chest is is done in radilogy dept
Doctor :   Docotr will not do it
Doctor :   There are technician do these?
Doctor :   Doctor will analyse the results
User :   I see. thank you very much for your help with this.
Doctor :   I do not recommend prednisonoe more then 1-15 days
User :   My prescription is for 7 days only. Hope it isn't too hard on my system since I do have
Doctor :   You can better use steroid inhalers on long term basis
User :   pre osteoporosis
Doctor :   that is right
Doctor :   short term ok'
Doctor :   OK
User :   I have been using Advair diskus whenever I have the slightest problem......but it didn't help this time.
Doctor :   Hope I cleared ur doubts?
Doctor :   Ahha
Doctor :   u did not tell me that
User :   oops.....sorry.
Doctor :   That is for COP and Asthma
Doctor :   That has two medicines
Doctor :   fluticasone+salmeterol
Doctor :   U have to use it regularly , not like when u have problem
Doctor :   any other inhalers
User :   Like for the rest of my life? Every day??? Yes, I have been using albuterol as well when I feel the need.
Doctor :   not for the rest of lif
Doctor :   eTry ising for 3 mon and watch the symptoms
Doctor :   *try using for 3 mo
User :   Ok I will......but should I be using it with the prednisone?
Doctor :   May have to use it for life long
Doctor :   when symptoms are ad
Doctor :   8bad
Doctor :   *bad
Doctor :   but give gaps in using
Doctor :   When ever u have severe cough, use both
Doctor :   and then tapper and stop Prednisone and continue Advair
User :   I thought there is a drug interaction problem there
Doctor :   No
User :   Ok then....thanks.
User :   The advair did not stop my cough the other three times that I had this problem. what do you think about that
Doctor :   If the diagnosis is COPD, Advair works
Doctor :   If the diagnosis is not COPD, we r giving it empirically
User :   What about emphysema??? My mother's father (my grandfather) died of that and he
User :   did not smoke either. He worked in a cannery.
Doctor :   Get PFT done
Doctor :   it will show it
Doctor :   COPD means bronchtis + emohysema
Doctor :   *p
User :   Ok.
Doctor :   DId I asnwer ur questions?
User :   Yes, of course I have many more but thank you so much for your time.
Doctor :   what else do u have
Doctor :   I can answer logically
Doctor :   scientifically
User :   Like if it is COPD.......should I stop my career as an airline flight attendant??? should I move to Arizona or somewhere dry?? Should I kill my cats????
Doctor :   No sweety
Doctor :   That is wrong step
User :   Good. I guess I will just wait for the next time and get the full tests and go from there.
User :   Thanks again. My other questions are probably just because it's fun to talk to you. So I should say goodbye. Namaste.
Doctor :   Namaste
Doctor :   Danyavad=Thank you
User :   Si jus mase (thank you in Chammoro.....the native Guam language). Bye!
Doctor :   where Guam
Doctor :   Is it in south
User :   Everybody asks that. It's a US territory in the middle of the Pacific Ocean about 3 hours
Doctor :   OK
User :   south of Japan......and acrossed the ocean from the Phillipines
Doctor :   Great borders
User :   am i your first patient from Guam?
Doctor :   It might be beautify pale to see
Doctor :   If u think so..
Doctor :   Yes
Doctor :   u r
User :   Yes, very tropical and hot.....kind of like India
Doctor :   I like thhe HOT though
User :   me too.......but maybe I should not live here because of my allergies. I am sure my house is full of dust mights even though I do everything possible to keep them at bay.
Doctor :   It was wonderful talking to you AAAAAAA
User :   where are you?
Doctor :   Avod dust
Doctor :   use humidifier at home
Doctor :   use curtaiins
Doctor :   india
Question is related to
Diseases and Conditions
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor