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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Overweight, Chronic Cough, Wake Up At Night With Fluttering In Both Nostrils, Pounding In Both Ears. Should I Be Concerned?

Hi, I am a 56 year old female, about 30 lbs overweight with a chronic cough . Lately I have been waking up at night with fluttering in one or both nostrils. About a year ago I also started hearing a pounding/grating noise in both ears (also at night). My primary care physician said this was normal. Should I be concerned.
Mon, 14 Oct 2013
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ENT Specialist,  's  Response
Hi, I am Dr Samiron Roy, Your ENT Splst.
Based on the complaints you gave, you are having:
1.Obstructive sleep apnoea syndrome (OSAS), due to overweight,DNS of the nasal septum, thick palate, short thick tongue,short neck or hypertrophy of the Inferior Turbinates. Preceding 1 or more factors may be applicable for you.
2.Your chronic cough is due to secretions trickling from nasopharynx. this is called Post - nasal drip.
3. Sound in your ears is called Tinnitus. This is due to Eustachian tube Obstruction/dysfunction and is related to your nasal obstruction.
So it is a matter for concern for:-
a) OSAS results is less Oxygen entry and hence Hypoxia which results in cardiac
hypoxia, brain hypoxia, renal hypoxia, irritability, day dosing, lack of concentration, low memory etc etc.
b) Long term tinnitus produces Sensory neural hearing loss.

For the treatment: proper investigation is needed to establish the aetiology and proceed accordingly.
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General & Family Physician,  Dr. Michelle Gibson James's  Response
HI, thanks for using healthcare magic

Chronic cough can be related to different causes such as (1) post nasal drip- this is the most common cause (2) GERD- gastroesophageal reflux disease and (3) cough related to asthmae

The abnormal noise in your ears may be tinnitus. This is the perception of sound from the ears. There are different causes such as (1) age related hearing loss (2)due to exposure to loud noises (3) infection (4)meniere's disease (5) hypertension (6)atherosclerosis

You should consider visiting an ENT doctor for an assessment of the tinnitus. He or she could also determine if a post nasal drip is the cause of your cough.

I hope this helps
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Overweight, Chronic Cough, Wake Up At Night With Fluttering In Both Nostrils, Pounding In Both Ears. Should I Be Concerned?

Hi, I am Dr Samiron Roy, Your ENT Splst. Based on the complaints you gave, you are having: 1.Obstructive sleep apnoea syndrome (OSAS), due to overweight,DNS of the nasal septum, thick palate, short thick tongue,short neck or hypertrophy of the Inferior Turbinates. Preceding 1 or more factors may be applicable for you. 2.Your chronic cough is due to secretions trickling from nasopharynx. this is called Post - nasal drip. 3. Sound in your ears is called Tinnitus. This is due to Eustachian tube Obstruction/dysfunction and is related to your nasal obstruction. So it is a matter for concern for:- a) OSAS results is less Oxygen entry and hence Hypoxia which results in cardiac hypoxia, brain hypoxia, renal hypoxia, irritability, day dosing, lack of concentration, low memory etc etc. b) Long term tinnitus produces Sensory neural hearing loss. For the treatment: proper investigation is needed to establish the aetiology and proceed accordingly.