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

Persisting cough, x-ray normal, taking medicines, not much improvement. Advice?

Suffering from persisting cough now almost for 2 months. Xray report normal without any problem. Doctors suggested- 1. Omancortil 20 mg once a day. 2. Benz Pearl cap 100mg thrice a day 3. Airtec FB twice a day through inhaller Taken above medicine for 15 days. Not much improvement. Severaty of problem varies from time to time.
Asked On : Sat, 27 Oct 2012
Answers:  3 Views:  42
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Lab Tests
Allergist and Immunologist 's  Response
Hello Santosh,
A dry cough persisting for 2 months has several causes and a normal CXR does not exclude pulmonary pathologies completely. CXR is not a sensitive test and HRCT is suggested if there has been any past exposure to TB. Also the QuantiFERON or TB-SPOT blood test can help us know if there is a suggestion of latent TB
All these tests if normal, along with sputum smears or c/s (6 weeks), require exclusion of allergies and house dust mite allergy is high on the cards.
Steroids are not the answer and have long term complications, therefore an allergy test to exclude common allergies is important.
Long acting antihistamines along with nasal sprays is the first line.
Immunotherapy offers long term benefit.
Answered: Sat, 27 Oct 2012
I find this answer helpful
Pulmonologist Dr. Shashi Dangwal's  Response
Your cough appears to be allergic nature, hence you have been prescribed with omnacortil. It seems you have taken enough omnacortil and you should switch over to inhaler medicines like seroflo/foracort and duolin MDIs. Take a tablet of montair lc. Do you have excessive acid secretions. If so that has to be taken care of with PPIs like omez or pan 40. If you have a post nasal drip, consult an ENT. Avoid dust and smoke and any thing that you are known to be allergic to. These will help you and soon you should be alright.
Answered: Sun, 28 Oct 2012
I find this answer helpful
Pulmonologist Dr. Arnab Maji's  Response
Thanks for your query
First of all you must be aware of the reasons for getting a normal chest x-ray in the presence of cough. They are -
1. upper airway cough syndrome,
2. asthma
3. chronic rhinosinusitis
4. gastro-esophageal reflux disorder
5. endobronchial TB
6. endobronchial growth
7. non-eosinophilic bronchitis
So your physician need to exclude all those. Better you consult a pulmonologist and give him detailed history and get yourself locally examined in details and proper treatment of that i think will cure your cough. Discuss these issues with your pulmonologist.
Thank you.
Answered: Sun, 28 Oct 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© 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