Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

180 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

How can persistent dry cough be treated?

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 10838 Questions

default
Posted on Fri, 27 Apr 2018 in Lung and Chest disorders
Question: Hello Doctor,

I have been having persistent dry cough with little or no mucus for last 9-10 weeks. Problem started towards end of September when I was down with severe cough and sore throat. I even had some blood in my cough few times.
At that time I met a doctor and was prescribed following.
-Gramocef CV for 5 days
-Predmet for 10 days with reducing dosages (8mg, 4mg)
-Ambrolite -D
-Montral Tablet

After taking prescribed course, I started feeling better but cough remained.
During next few days, I regularly used to cough few times a day but never in night.

During end October, my cough again flared up with mucus. I underwent few tests.
Chest XRay: Normal
CBC/Haemogram: Normal but Eosinophils was detected as 12%(900 AEC)
This time I was prescribed following treatment.
-Synclar 500 for 5 days
-Defcort for 15 days (18,12,6 mg for 5 days each)
-Mcberry XT
-Montral for 3 months.

It is end of Novemeber now and my cough has again increased. I am at loss of what is being wrong with me as every time it is being diagnosed as Allergic cough?
Please suggest future treatment.

Extra facts
-I stay in XXXXXXX
- i dont have running nose but yes one nostril is a bit stuffy
-No watery/red eyes
-There is hardly any cough at night during sleep
doctor
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
Get done PFT.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
By your history and description, possibility of bronchitis (inflammation of airways) is more likely.
Chronic cough, hemoptysis (blood in sputum) with normal chest x ray not improving with routine drugs are favoring bronchitis more.
So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).
PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only.
You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).
Please let me know if you had PFT done or not.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Kaushal Bhavsar 3 hours later
Thanks Doctor.
Couple of queries
-I am having little or no mucus. Can it also be a sign of bronchitis?
-How does one explain raised count of Eosinophils ? Is it too high or still Ok types?
-Why current steroids like Predmet/Defcort are not improving my cough?

Thanks in advance
doctor
Answered by Dr. Kaushal Bhavsar 16 minutes later
Brief Answer:
Dry cough is also seen in bronchitis.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Dry cough is also seen in bronchitis.
Your eosinophil count is not excessively high.
So no need to worry for allergic reaction.
This kind of slightly higher eosinophil count is also seen with bronchitis.
Oral corticosteroids is useful in Asthma, not in bronchitis.
Inhaled bronchodilators (formoterol or salmeterol) is the mainstay of treatment for bronchitis.
Inhaled corticosteroid (ICS) acts directly on lungs. When given along with bronchodilators, gives excellent effect.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Kaushal Bhavsar 2 days later
Thanks Doctor.
I will try to undergo PFT testing ans share results with you.
One last query, I do cough a bit more and my lower throat burns when I speak more. Is it related to bronchitis?
doctor
Answered by Dr. Kaushal Bhavsar 23 minutes later
Brief Answer:
Yes, it is also due to bronchitis.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, these symptoms are also seen in bronchitis.
And I will wait for your reply with PFT.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,   ,   ,  
Lab Tests

Recent questions on  Eosinophil count

doctor1 MD

Hi doctor, My spouse always complaints me that she is not feeling well. So i have did a medical HC and i am sharing you the reports. Pl guide me what i do now. Thanks, XXXX

doctor1 MD

What are the symptoms of snowfilia I am suffering from something like th that some times as season changes I am coughs by several continues sneezing and my heart beats high and I am coughing

doctor1 MD

hi sir, I had isnophelia count 11 in my blood .... May be due to that i was facing so much of cold trouble ......... it usually starting with itching in throat ... followed by heavy cold for two days with water coming out from nose ... after that whole my head is becoming painful for almost one week. where i can get the best homeo treatment? Pl suggest..

doctor1 MD

Hello Sir, I m Avi, age 33, I m a sensitive person in the sense that any slight change around me or in my body i can notice, there has been a problem of slight cold intolerance with me from childhood till now i feel more cold when climate is not that warm, i feel when the climate is cold and humid my problems start. From the time my age was 24 i started feeling some tightness in my left side chest & incresed palpitation which causes restlessness in me a bit. Since then till now consulted 3 Cardiologists & undergone every cardiac test but nothing came out. One cardiologist said i have Eosinophilia . Morning cough is common with me whole year. Presently for 5 days my cough has increased. In my present report Eosinophyl count is 7%, other WBC , RBC is OK, I m healthy , good weight, good sleep, my skin is ok. I m worried about my heart. Suggest me please if u can?

doctor1 MD

Dear Sir, i am suffering from high Eosinophil 09 % due to this i have coug with phlegm and also have breathing and i feeling cough in summer session after that i have taken many type Ayurvedic and Alophatic medicine as understood normal cough. At last i have done my blood test in which i have seen that Eosinophil is high. As my faith in Ayurveda so i want to treat this by ayurdedic medicine hence, please suggest to me which medicine i should have taken for cure this diseases.




My full CBC report as below:-- Haemoglobin 15.4 Gm TLC 7260 Neutrophil 50 % Lymphocyte 35% Eosinophil 09 % Monocyte 06% Basophil 0% Stab Cells 0 %

doctor1 MD

My husband is having higher eosinophil count (15) but he is not having any any symptoms like asthma or parasitic infection or any skin infection related to any alergy. Recently he went through regular test and it has been found. Stool test was also done but no parasite fount. No sadow detected in chest and he has never had fever and ffatigueness. I want to know the reason behind this abnormal growth of Eosinophil in WBC. Is it because of genetic reason as his father is having asthma? Can it cause towards any kind of Cancer? How to bring the count down? What other test can be done to know if it is going toward fatal cancer?