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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Chronic Cough. Treated For GERD, Fungal Infection. Cough Persist. Solution?

I am a non smoker with chronic cough . After taking Xrays and CT scans, Doctors have been treating this with Expectorants, painkillers and Antibiotics. My second last doctor made tests and discovered GERD and prescribed treatment. The coughing continued. He sent me to another specialist who peeped into my stomach, Endoscopy, found a fungal infection of the Aesophogus, prescribed drugs for it. The Cough is still here. I can feel my problem to still be in the Air tract( larynx ?) for there is an itch that triggers a cough, productive. Amin
Tue, 5 Mar 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

As you have been diagnosed with acid relfux disease, you should be also told that this disease in 80% is associated with asthma disease. And the main symptom of asthma is severe cough. That is why you should have blow test (spirometry) performed which will either rule it out or confirm it.

Other possible reason of severe cough can be hypertension medicines (ACE inhibitors).

If severe cough can not be explained with any respiratory tract disease, it is worth to check abdominal cavity as cough receptors are also located in the diaphragm. That is why, abdominal ultrasound should be done if no findings in all previous tests.

Hope this will help.
Regards.
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Suffering From Chronic Cough. Treated For GERD, Fungal Infection. Cough Persist. Solution?

Hello! Thank you for the query. As you have been diagnosed with acid relfux disease, you should be also told that this disease in 80% is associated with asthma disease. And the main symptom of asthma is severe cough. That is why you should have blow test (spirometry) performed which will either rule it out or confirm it. Other possible reason of severe cough can be hypertension medicines (ACE inhibitors). If severe cough can not be explained with any respiratory tract disease, it is worth to check abdominal cavity as cough receptors are also located in the diaphragm. That is why, abdominal ultrasound should be done if no findings in all previous tests. Hope this will help. Regards.