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Noctural dry cough, vocal cord infection - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   I had coughing for 15 days. My physician refer me to check with ENT. after ENT checkup he told me that i had vochal cord infection (reason not said). By continuing 10 days dosage with blood and Xray check (Normal Reports). Stil I am not feeling better. Then my physician change my medicines and given me rablet 20 and moza 5 which help me to recover from my coughing problem. Now... I am feeling better. I want to know the reason behind my illness
Doctor :   Hi
User :   hi
Doctor :   I am Dr. XXX
User :   ok
Doctor :   I am reading the query
Doctor :   Please give me couple of minutes
User :   ok
Doctor :   I have few questions for you, may I?
Doctor :   What is your age, occupation?
User :   yes pls
User :   32, XXX
Doctor :   Did the cough start all of a sudden?
User :   yes
Doctor :   Does it produce sputum?
Doctor :   or dry?
User :   dry
User :   with breathing problem
Doctor :   Can you describe the breathing problem? when do you have ?
Doctor :   Did it increase over period of time?
User :   mainly after sleep..
Doctor :   Do you have coughing more during the night ?
User :   yes with pain in stomoch
Doctor :   What is your height and weight?
User :   5' 4" 63kg
Doctor :   Do you have allergies or asthma?
User :   no
Doctor :   Did you have similar cough in the past?
User :   no
Doctor :   Do you smoke?
User :   no
Doctor :   I understood the nature of the cough
User :   ok
Doctor :   Look, your cough might be because of intense acid refluxes that is happening in your stomach into your oesophagus
Doctor :   This is more during night, after food and when you lie down
User :   yes true
Doctor :   the acid is easily coming up and irritating the vocal cord
User :   ok
Doctor :   The vocal cord thinks it is disturbing it and trying to induce sudden cough
Doctor :   the cough is making you breathless as the vocal cords close during this mechanism
Doctor :   So the doctor did the right thing by giving you acid reducers for 2 weeks
Doctor :   This all subsided
Doctor :   So why is the acid coming into the oesophagus??
Doctor :   Three reasons mainly
User :   ok
Doctor :   1) Dilated lower end of oesophagus because of fatty food
Doctor :   2) Lying down immediately after food
Doctor :   3) No regular exercise
User :   yes in my case all 3 are true
Doctor :   I hope it is clear
User :   also i had one problem
Doctor :   So now it is obvious for you what to do and what not to
User :   for second opinion i had consult with ENT Dr. XXX. as per his diagnose I am having one nostril way near to close
User :   and suggested me for operation
User :   is is related to my previous illness
Doctor :   That might be the reason too but first follow these steps and see if these are solving your problem without operation
Doctor :   Operation shall be last
Doctor :   *the
User :   is thr any other check i hv to do or... simply follow your steps
Doctor :   Follow these for 15 days and get back to me over chat again
Doctor :   Same time
User :   ok.. one more thing can i continue with rablet 20 and moza 5 medicines
Doctor :   yes
User :   ok thank you...
Doctor :   for one more week and stop
User :   ok
Doctor :   gradually
Doctor :   Thanks for consulting me
Doctor :   Bye for now
User :   thanks for your valuable advice... bbbye
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