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Sore throat, dry cough, migraines, vomiting, itchy. Am smoker

4 weeks ago, I had a sore throat which I believed was the start of a possible flu or virus.. I started getting a dry cough however for a week I had no other flu symptoms . Ive had this very cough for 4 weeks now, my throat is itchy but have been told by a doctor that there s no sign of infection- I get migranes from coughing so violently and I often vomit from coughing so much. When I start to cough, it lasts for about 3-5 minutes. It s dry and not much mucus comes up at all, my throat is extremely itchy and its almost as if I can t actually stop the cough from happening. Having this cough has meant that for 4 straight weeks I haven t slept a full night of sleep, I ve coughed for over half of a day and most of a night, it s left me with an extremely painful chest when I breath in and out. Again, my body doesn t ache as if this were some sort of virus or flu or cold . I ve taken a pack of flu tablets over the course of 4 weeks, drinker 3 bottles of dry cough mixture and haven t had anything BUT water, I have to add I m a smoker - smoking up to about 8 a day possibly less. For the past 3-4 days I ve stopped smoking which hasn t even helped the cough. please help! I need my sleep back!!!!
Asked On : Thu, 2 Aug 2012
Answers:  1 Views:  80
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ENT Specialist 's  Response
Hia nd thanks for the query,
If your doctor has told tou that there is no sign of infection then your cough is possibly a post infection cough.
The vocal cords are very sensitive. When they are injured due to infection they take a long time to heal completely, so you may be free of infection but since the cords have not recovered completely you continue to have cough.
Also everytime you cough you end up injuring the cords leading to more cough, its like a vicious circle that must be stopped.
All you need is a very good centrally acting cough suppressant like dextromethorphan or codiene.
They are not available over the counter so meet your doctor for a prescription.
To get some sleep you can ask your doctor for sedatives. In general all sedatives are effective cough suppressants as well, so dual benefit.
Please follow some general measures.
1)Absolute voice rest for 4 days following which you can start talking a bit. No screaming or whispering.
2) Steam inhalation 4 times daily for 10 days.
3) Plenty of warm fluids.
Good luck,
Dr Kishori.
Answered: Thu, 9 Jan 2014
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