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Chronic cough and its causes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
User :   Hi
Doctor :   I am Dr AAAAAAA
Doctor :   How can I help you ?
User :   I am having cough
User :   past 2 months
Doctor :   Ok !
User :   i consulted my family doc ,he gave some syrups and antibiotics and all
User :   still it is notgetting cured
Doctor :   Can I ask you a few more details ?
User :   sure
Doctor :   What is your age ?
User :   26
Doctor :   Do you have expectoration ?
User :   some times
User :   not evry time
Doctor :   And is it associated with sneezing, headache, fever or pain in the throat ?
User :   i never use to get cough
User :   sneezing is thr but not fever,thraot pain and hea ache
User :   head ache*
Doctor :   Ok
User :   if i take curd r soem cold it seems
Doctor :   And how has been the expectoration - white , yellow or green ?
User :   items,nite time badly i ll get cough
User :   white and very thin
Doctor :   Ok, now let be brief you some things.
User :   okay
Doctor :   1. First totally abstain from cool/cold products like ice-cream, drinks, curds,yogurts or milk shakes.
User :   yeah stopped past 3 months
Doctor :   2. Don't get exposed to cold weather in winter especially.
User :   ok
Doctor :   That is nice , will surely help in the healing process.
Doctor :   Do you have pain specifically when you swallow food ?
User :   and more thing daily i ll not get cough
Doctor :   if not regularly but during excess cough ?
Doctor :   Aah Ok.
User :   soem times suddenly nite time badly i ll get cough
User :   am not understanding y it is happening
User :   yesterday i was not coughing ,today am coughing like anything
Doctor :   Please dont worry, let me complete my advise.
User :   my doctor told it is becoz of dust alergy
Doctor :   Do you have pain specifically when you swallow food ? if not regularly but during excess cough ?
User :   weeky onec i l take
Doctor :   I did not understand your last statement ?
Doctor :   Do you have pain specifically when you swallow food ? if not regularly but during excess cough ? Do you follow ?
User :   No
User :   i dnt have pain
Doctor :   Ok, That is a good sign.
Doctor :   3. The third and most important thing is such long term cough is seen in tosillitis or adenitis.
Doctor :   So you need to be seen by an E.N.T. if at all there is anything of that sort.
User :   one more thing while coughing if i gargle hot water it will stop
Doctor :   4. Before you sleep, I would like to advise with the following things which yiou can try for one week and if not then go to an E.N.T.
Doctor :   4.A. Inhalation of Karvol plus in hot water before going to bed.
User :   ok
Doctor :   4.B. Warm water with salt, Warm water with listerine gargling before going to bed.
User :   both i should do?
Doctor :   4.C. Finish dinner by max. 8pm and before you go to bed have some brisk exercise.
User :   or any one ?
Doctor :   Both , one after the other.
User :   okay
Doctor :   4.D. Have hot milk with pepper just before you go to bed.
Doctor :   4.E. Take Grillinctus syrup 4 spoons daily four times a day additionally.
Doctor :   If you are already using an Anti-histaminic please continue to use it.
User :   No,currently am not using any medicines
Doctor :   4.F. Also do take daily one cetrizine tab. for one week every evening.
Doctor :   Hope you have followed.
User :   one more thing i forgot to tell
Doctor :   Lets see for one week , if not you have to visit an E.N.T.
Doctor :   Yes , please go on.
User :   some times especially mid nite and early mrng badly i ll get cough ,
Doctor :   Ok.
User :   after vomiting only it ll stop
User :   i dnt knw it becoz of gastric
Doctor :   Ok, have you observed this only in winter or through out the year.
User :   No,this is happening past 4 months
User :   not daily
Doctor :   Have you ever experience this previously like last year or before that ?
User :   never
Doctor :   Ok.
User :   i ll get cold badly
User :   that in rainy season
User :   i never got cough in my life time
Doctor :   A gastric is most unlikely as you tend to aspirate fluid into your respiratory system.
User :   okay
Doctor :   So please follow the treatment protocol, if it persists than might be you have to go for an E.N.T for suspected Sinusitis or Eosinophilia or Tonsiltis or Adenitis.
User :   sure i ll follow and let u know the result after one week
Doctor :   Lets get some lab tests done for you after one week, Please get back and lets take it forward.
User :   Okay
User :   Thank you
Doctor :   And please do not postpone or wait any longer than one week.
User :   and one more thing
Doctor :   Thank you for consulting me.
User :   ok
User :   bye
Doctor :   Please go on ..
Doctor :   one more thing ?
User :   Sinusitis or Eosinophilia or Tonsiltis or Adenitis
User :   wat does it mean
Doctor :   They are not very complicated ones -- Sinusitis means Infection or Inflammation of nasal sinuses, Tonsillitis - Infection or Inflammation of Tonsils , Adenitis - Infection or Inflammation of Adenoids or lymph glands in the throat.
Doctor :   Eosinophilia is a rise in Eosinophilic count in allergic or chronic infections inthe blood.
User :   ohh
Doctor :   So not to worry , if you ca get a CBC done this week, would be very helpful in the diagnosis as well.
User :   ok
User :   i will follow
User :   and let u know after one week
User :   thanks a lot for your time
Doctor :   Thank you for consulting, Take care , Bye for now.
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