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Suggest remedy for persistent cough

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Posted on Wed, 2 Dec 2015
Question: I have had a constant cough for the past 12 months and it is especially bad in airconditioning and get worse when I talk on the phone. I do have allergy problems and take claratyne and use nasanex nose spray, but this does not seem to be helping. I am on tablets somac for reflux and buscopan for Esophageal spasms. Can you tell me what causes this cough and how I should manage it.
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Answered by Dr. Shashi Dangwal (1 hour later)
Brief Answer:
It could be a result of allergy and the reflux disease.

Detailed Answer:
Hello Jon-lee,

Your cough seems to be a result of allergy which is getting worse due to the reflux disease.

You should avoid dust and smoke and sudden variations in ambient temperatures.

For the allergy, I suggest that you take Montair LC instead of claratyne and continue nasanex nasal spray.

You are taking all precautions for reflux disease and I suggest you continue with them. If reflux is not controlled with these, you may increase the dose of somac to twice a day. You should avoid regular use of buscopan. A prokinetic drug like itopride or lesuride may be added after consulting your local doctor.

You may get a PFT and AEC done some time as a baseline investigation

If despite all the above measures, your cough does not subside, then you may have to take seroflo 250 inhaler, 2 puffs twice a day, as it could be cough variant asthma which is also a manifestation of allergy.


Above answer was peer-reviewed by : Dr. Sonia Raina
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Dr. Shashi Dangwal

Pulmonologist

Practicing since :1979

Answered : 1157 Questions

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Suggest remedy for persistent cough

Brief Answer: It could be a result of allergy and the reflux disease. Detailed Answer: Hello Jon-lee, Your cough seems to be a result of allergy which is getting worse due to the reflux disease. You should avoid dust and smoke and sudden variations in ambient temperatures. For the allergy, I suggest that you take Montair LC instead of claratyne and continue nasanex nasal spray. You are taking all precautions for reflux disease and I suggest you continue with them. If reflux is not controlled with these, you may increase the dose of somac to twice a day. You should avoid regular use of buscopan. A prokinetic drug like itopride or lesuride may be added after consulting your local doctor. You may get a PFT and AEC done some time as a baseline investigation If despite all the above measures, your cough does not subside, then you may have to take seroflo 250 inhaler, 2 puffs twice a day, as it could be cough variant asthma which is also a manifestation of allergy.