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What Causes Unconsciousness While Coughing?

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Posted on Fri, 2 May 2014
Question: Hi Doctor, I had a cough for last two weeks and taken all anti biotic and anti alergic suggessted by doctors but some times while coughing it cause me unconscious, it apears two to three times per day. please suggest me what kind of treatment that i had to go far..
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Answered by Dr. Gyanshankar Mishra (29 minutes later)
Brief Answer: Seems to be cough syncope. Detailed Answer: Hi, Thanks for posting the query on HCM. After going through your query, I would like to comment the following: 1. In absence of any past chest complaints, you seem to be suffering from Acute Bronchitis. 2.In absence of any symptomatic resolution ,you need to get yourself evaluated by a Pulmonologist. Pulmonary function test, chest xray, blood - absolute eosinophil counts and serum IgE levels are some of the investigations that may be required. In case of hyperresponsive airways, inhalers may be required. Also rule out any associated cardiac issues - ECG/2DECHO/TMT may be required. 3. Vigorous coughing leading to unconsciousness may be due to Cough syncope. 4. You are thus advised to get yourself clinically evaluated by a Pulmonologist at the earliest. I hope I have answered your query. I will be glad to answer follow up queries if any. Please accept my answer if you have no follow up queries. Regards Dr. Gyanshankar Mishra MBBS MD DNB Consultant Pulmonologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Gyanshankar Mishra

Pulmonologist

Practicing since :2003

Answered : 600 Questions

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What Causes Unconsciousness While Coughing?

Brief Answer: Seems to be cough syncope. Detailed Answer: Hi, Thanks for posting the query on HCM. After going through your query, I would like to comment the following: 1. In absence of any past chest complaints, you seem to be suffering from Acute Bronchitis. 2.In absence of any symptomatic resolution ,you need to get yourself evaluated by a Pulmonologist. Pulmonary function test, chest xray, blood - absolute eosinophil counts and serum IgE levels are some of the investigations that may be required. In case of hyperresponsive airways, inhalers may be required. Also rule out any associated cardiac issues - ECG/2DECHO/TMT may be required. 3. Vigorous coughing leading to unconsciousness may be due to Cough syncope. 4. You are thus advised to get yourself clinically evaluated by a Pulmonologist at the earliest. I hope I have answered your query. I will be glad to answer follow up queries if any. Please accept my answer if you have no follow up queries. Regards Dr. Gyanshankar Mishra MBBS MD DNB Consultant Pulmonologist