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Have chronic cough and makes dizzy and nauseous. How to get rid of it?

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General Surgeon
Practicing since : 2008
Answered : 5367 Questions
HI, I have a chronic cough it has been with me for months. I also cough up white glue like phelm every day. some days more than others and when I try not to cough the build up of the phelm make me feel dizzy or nauseous. I never seem to need to cough when I am lying down. can you please help. its ruining my life. thanks
Posted Sat, 10 Aug 2013 in General Health
Answered by Dr. Grzegorz Stanko 21 minutes later

Thank you for the query.

Chronic cough can be is quite common symptom of asthma or COPD (Chronic obstructive pulmonary disease). Asthma and COPD are very similar disease however COPD is caused by regular smoking. Asthma is associated with allergy.
Both diseases give cough and phlegm (especially in the morning) due to bronchi spasm and chronic inflammation. Physical activity or stress can trigger the symptoms.
Chronic cough can be also a symptom of lung cancer. As you have been smoking, this disease should be ruled out as well.
Sever bacterial infection or even tuberculosis can be also a reason of your chronic cough.

I suggest you to visit pulmunologist and have some tests done. Chest CT (or X-ray, however CT is much better) should be done at first to rule out cancer. Next should be spirometry (blow test) to diagnose asthma and/or COPD.

Hope this will help. Feel free to ask further questions.
Above answer was peer-reviewed by
Follow-up: Have chronic cough and makes dizzy and nauseous. How to get rid of it? 1 hour later
Hello again, yes i have visited my g.p. and have had a few tests done aswell as chest xray and blood tests. so they say the cause is post nasal drip and have tried to treat it but to no avail. and as the problem is still very prominent I am looking for other causes. I have almost lost faith in my local g.p. because he cant fix my problem. he has ruled out lung cancer almost certainly.... that is to say . I hope. is there anything I can do to clear up the cough/phelm myself? I had thought exercise and healthy eating would clear it up, if it was just a smoking build up.
Answered by Dr. Grzegorz Stanko 22 minutes later
Its not a smoking build up. It does not work that way. You are facing with chronic inflammation which can not be controlled without prescription-only medicines. And it is very important to stop inflammatory process otherwise your immune system will slowly destroy your lungs.
Chest X-ray can not rule out lung cancer for sure. It is good for very advanced, large tumor diagnostics. However if you want to be sure, chest X-ray is necessary.
Asthma or COPD are very common diseases and your doctor should not have problems in ruling them out.

So in conclusion:
- spirometry (blow test) is really necessary at your case - it will tell if there is any obstruction or not
- chest CT is still a good idea
- in case of asthma or COPD, steroids and beta-mimetics inhalers should be prescribed
- if no asthma/COPD, antibiotics for chronic bacterial infection (antibiotic must be effective against Klebsiella pneumoniae

Above answer was peer-reviewed by
Follow-up: Have chronic cough and makes dizzy and nauseous. How to get rid of it? 6 minutes later
many thanks, XXXXXXX
Answered by Dr. Grzegorz Stanko 1 minute later
You are welcome. Get well soon.

Above answer was peer-reviewed by
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