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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Prolonged Cough And Headache?

I have been coughing for two weeks. I visited the doctor who gave me z pac for perceived sinus infection. My sinuses above the eyes cleared so I no longer have a headache. I found that I needed to use the albuterol 5 times a day. I am ow down to 4 times a day. How long should I continue the albuterol? I am still coughing when the 6 hours are up. Thanks for your help
Mon, 22 Apr 2019
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General Surgeon 's  Response
Hi,

Headache precipitated by cough, sneeze or other maneuvers which may increase pressure in the abdomen are rare but known.

Most of the cases are benign, without an identifiable cause, called primary cough headaches. They are not associated with any brain lesion, do not represent any risk.

However in about 40% of the cases there may be an underlying cause. Most common one is a malformation, called Chiari malformation, where part of your brain descends in the spinal canal. Other less common causes may include some tumors, hydrocephalus (build up of fluid in the brain) or leakage of cerebrospinal fluid. Occipital neuralgia is unlikely.

Usually the primary headaches are of shorter duration, of less than 30 minutes while secondary ones may last longer. However it is not possible to determine for sure based only on the characteristics of the pain whether it's primary or not. For that purpose a brain MRI is generally advised to be scheduled.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Prolonged Cough And Headache?

Hi, Headache precipitated by cough, sneeze or other maneuvers which may increase pressure in the abdomen are rare but known. Most of the cases are benign, without an identifiable cause, called primary cough headaches. They are not associated with any brain lesion, do not represent any risk. However in about 40% of the cases there may be an underlying cause. Most common one is a malformation, called Chiari malformation, where part of your brain descends in the spinal canal. Other less common causes may include some tumors, hydrocephalus (build up of fluid in the brain) or leakage of cerebrospinal fluid. Occipital neuralgia is unlikely. Usually the primary headaches are of shorter duration, of less than 30 minutes while secondary ones may last longer. However it is not possible to determine for sure based only on the characteristics of the pain whether it s primary or not. For that purpose a brain MRI is generally advised to be scheduled. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon