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What Causes Tickling Sensation In Throat Leading To Severe Cough?

Posted on Mon, 8 Dec 2014

Question: Have had a tickle in throat for over a month...causing a cough, especially at night. Chills and on/off fever, heavy perspiration at night, lack of sleep and extreme fatigue with body/joint aches. Had amoxycillin for ten days but didn't seem to have any affect.

Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)

Brief Answer:
Laryngo-pharyngeal reflux, thyroid problems...

Detailed Answer:
Hi

Thanks for posting the query

I do understand your concern; I will try my best to help you with this problem.

According to the description provided by you, I am of the opinion that these symptoms could be related to multiple conditions, which requires a thorough evaluation.

Tickling in the throat followed by cough is the feature of Laryngo-pharyngeal reflux. When the acid from the stomach trickles into the throat, there is inflammation of the mucosa leading to irritation and dry cough. This usually worsens in the night because of the supine position, which enables the easy flow of the acid from the stomach into the throat.

Secondly, any thyroid related issues can cause recurrent fever with perspiration and body aches.

My sincere suggestion to you is to get a complete evaluation done by an apt physician. You will require thorough evaluation of the throat, neck and the chest, followed by an ultrasound of the neck, battery of blood investigations (such as complete blood count, ESR, thyroid profile).

Hope I have answered your query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj