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Possibility Of Allergic Cough

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Posted on Fri, 29 Sep 2023
Question: Hi there!
I have a similar case to some here but with some differences. I am a non-smoker, I do not drink and I exercise very regularly (jogging). I have a naturally deep voice but my voice has gone from a smooth baritone to a very rough and croaky one as a result of the experience I am describing below. I no longer feel confident singing anymore, an activity I used to enjoy so much.

I travelled from a temperate to a tropical one in 2014 and when I returned, I had a bout of cold and severe dry coughing with a little of phlegm production. It was quite chesty, intense and kept me awake for nights with a headache. This, in previous normal experiences for me, would be clear after about two weeks, barring the dryness, sleepless nights and headache, until the next bout. The usual experience would be triggered by dust or extremely cold weather. I am not naturally prone to flu.

As of today, I am still coughing from that singular experience. It gets worse in very cold weathers (winters) and when exposed to lots of dust/ any astringents. I have been for a series of appointments at the GP and I have been for blood tests, Barium swallow test to rule out acid reflux, larynx inspection with a scope and breath analysis (with exhaler measuring kit) to rule out Asthma. All these have been to no avail as I kept experiencing intermittent coughing akin to a smoker's (2 - 4 times/ hr and worse on very cold days). I also get very easily winded when I do a small burst of running, like trying to catch a bus. I can also no longer play football like I used to, as a result.

I have a constant feeling of a dry and highly sensitive patch on the left side of my throat, towards the beginning of the windpipe. I have a sensation of the area when I move my tongue back and forth. I often react with intense coughing when the area comes in contact with spicy food or extremes of temperature. The area also becomes very itchy in cold weathers, when I go jogging and sends me into a bout of serious coughing with little or no phlegm produced. The inspection I went for yielded to visible observation in the cells around the area, but I am still coughing.

I am often on teleconferences and webinars and I will be the one coughing all through, interrupting the proceedings and recordings. What can be made of all of these, please? I will like to stop the intermittent coughing, regain my former voice and stamina.
doctor
Answered by Dr. Drkaushal85 (10 hours later)
Brief Answer:
Possibility of allergic coughing is more likely.

Detailed Answer:
I have gone through the detailed history you have given.
By your history and description, possibility of allergic coughing is more likely.
If possible I want to see your PFT (Pulmonary Function Test) report.
I want to rule out small Airway disease.
You should also go for post bronchodilator reversibility test if not done before.
Also let me know drugs you are taking.
You may improve with oral combination of montelukast and fexofenadine.
You may also need inhaled bronchodilators and inhaled corticosteroid (ICS).
So please let me know your PFT report and list of drugs you are on.
I will be happy to help you further. Wish you good health.
Thanks.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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Possibility Of Allergic Cough

Brief Answer: Possibility of allergic coughing is more likely. Detailed Answer: I have gone through the detailed history you have given. By your history and description, possibility of allergic coughing is more likely. If possible I want to see your PFT (Pulmonary Function Test) report. I want to rule out small Airway disease. You should also go for post bronchodilator reversibility test if not done before. Also let me know drugs you are taking. You may improve with oral combination of montelukast and fexofenadine. You may also need inhaled bronchodilators and inhaled corticosteroid (ICS). So please let me know your PFT report and list of drugs you are on. I will be happy to help you further. Wish you good health. Thanks.