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Suffering From Cough. AEC Test Done. Suggest Some Medicine To Cure Completely?

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Posted on Sat, 25 Aug 2012
Question: I am suffering from cough from more than 10 yrs. I have tried various medicine.
Recently done a test at chettinad , chennai.
AEC test done in may 2012 -630
PFT-normal
chest xray- normal
I was prescribed:
montec lc
unicontine-e 400
ascoril
I have taken this for more than a month. sputum and wheezing.sometimes dry.
When i take the medicine this cough subsides. but when i stop taking medicine , the cough is back in onother few days.

doctor
Answered by Dr. Gyanshankar Mishra (6 hours later)
Hi,
Thanks for posting the query on XXXXXXX
After going through your query, I would like to comment the following:

1. Your clinical symptoms and investigations point to a diagnosis of ?cough variant asthma.

2. You need to visit a pulmonologist for further management.

3. You need to take the following:
a. A metered dose inhaler with formoterol + budesonide (Budamate metered dose inhaler with trans sapcer V)
1 puff in the morning and 1 puff in the evening

b. Continue montek LC

c. You can shift to Tb synasma (doxophylline) 400 mg twice a day instead of unicontin E.

d. For the cough , Cp. Benz pearls twice a day should be ok.

e. In case if you have associated cold, you need to take azeflo nasal spray.

f. Also take an antacid.

4. You need to continue inhalers for a minimum of 2 years of symptom free period.

5. Also do take yearly influenza and 5 yearly pneumococcal vaccines.


I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Gyanshankar Mishra

Pulmonologist

Practicing since :2003

Answered : 600 Questions

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Suffering From Cough. AEC Test Done. Suggest Some Medicine To Cure Completely?

Hi,
Thanks for posting the query on XXXXXXX
After going through your query, I would like to comment the following:

1. Your clinical symptoms and investigations point to a diagnosis of ?cough variant asthma.

2. You need to visit a pulmonologist for further management.

3. You need to take the following:
a. A metered dose inhaler with formoterol + budesonide (Budamate metered dose inhaler with trans sapcer V)
1 puff in the morning and 1 puff in the evening

b. Continue montek LC

c. You can shift to Tb synasma (doxophylline) 400 mg twice a day instead of unicontin E.

d. For the cough , Cp. Benz pearls twice a day should be ok.

e. In case if you have associated cold, you need to take azeflo nasal spray.

f. Also take an antacid.

4. You need to continue inhalers for a minimum of 2 years of symptom free period.

5. Also do take yearly influenza and 5 yearly pneumococcal vaccines.


I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB